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HomeMy WebLinkAbout37497-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 10/1/2012 CERTIFICATE OF OCCUPANCY No: 35936 Date: 10/1/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: OTHER 53245 MAIN RD SOUTHOLD, Sec/Block/Lot: 61.-1-8.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/10/2006 pursuant to which Building Permit No. 37497 dated 9/6/2012 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: fence for existing swimming pool per code as applied for. The certificate is issued to Bums, Margery D (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37497 Date: 9/6/2012 Permission is hereby granted to: MARGERY D BURNS PO BOX 566 SOUTHOL, NY 11971 mo~ REPLACE AN EXISTING FENCE ENCLOSURE FOR AN INGROUND SWIMMING POOL FOR A ONE FAMILY DWELLING AS APPLIED FOR. (REPLACES EXPIRED B.P. # 32288 At premises located at: 53245 MAIN RD SOUTHOLD SCTM # 473889 Sec/Block/Lot # 61.-1-8.1 Pursuant to application dated To expire on 3/6/2014. Fees: 8/1012006 and approved bythe Building Inspector. PERMIT RENEWAL CO - ADDITION TO DWELLING Total: $17.50 $50.00 $67.50 Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32288 Z Date AUGUST 15, 2006 Permission is hereby granted to: MARGERY D BURNS PO BOX 566 SOUTHOLD,NY 11971 for : REPLACE AN EXISTING FENCE ENCLOSURE FOR AN INGROUND SWIMMING POOL FOR A ONE FAMILY DWELLING AS APPLIED FOR. (REPLACES BP #24960-Z) at premises located at 53245 MAIN RD County Tax Map No. 473889 Section 061 Block pursuant to application dated AUGUST 10, 2006 SOUTHOLD 0001 Lot NO. 008.001 and approved bythe Building Inspector to expire on FEBRUARY~_~u~,~00.~/~ Fee S 35.00! '~~/~[,, f \~ Authorfzed' ~d gnatu~e ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. _3-~ Z Date JUNE 16~ 1998 Permission is hereby granted to: MARGERY D BURNS PO BOX 566 SOUTHOLD~NY 11971 for : REPLACE AN EXISTING FENCE ENCLOSURE FOR AN INGROUND SWIMMING POOL FOR A ONE FAMILY DWELLING AS APPLIED FOR. INSPECTION REQUIRED. at premises located at 53245 County Tax Map No. 473889 Section pursuant to application dated MAY Building Inspector. Fee $ 35.00 MAIN RD SOUTHOLD 061 Block 0001 Lot No. 008.001 11 1998 and approved by the /~" Buil~in~ Inspe~t~ ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAIJ. 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN( BIOG. DEP]. IOV~N OF SOUINOLD This application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plarming Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buiMings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and nnnsual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions m accessory building $25.00, Businesses $50.00. 2. Certificate of Oecupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 - 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: ;.~ (J ~ House No. Owner or Owners of Property: ~I~-T~ Suffolk County Tax Map No 1000, Section _ Old or Pre-existing Building: (check one) Street Hamlet Blook__ Filed Map. Lot: Date of Permit. g/t ea Applicant: Underwriters Approval: Subdivision Permit No. ~&o~¢~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ Final Certificate: ')~ (check one) /Applicaxif,,~a/t~ Form No. 6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANCy sis application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey of pmpexty with accUrate'location of all buildings, property lines, streets, and unusual natural or topographic featur6s. 2. Final Approval from Health Dgpt. of water supply and sewerage-disposal (S-9 form). 3. Approval ofeleetriea! installation from Board 0fFire Underwriters. 4. aw. om statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code ComplianceTrom architect or engineer responsible for the building= 6. Submit planning Board Approval of completed site plan requi~ments. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses~ 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly eg, mpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certifica[e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00,. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3_ Copy of Certificate of Occupancy - $:25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: (cheek one) Location of Property: ~3~qff ~flz3a ~ House No. Street Hamlet ' OwrlerorOwnersofPr~perty: /~_. f-~.L/ Suffolk County Tax Map No 1000, Section "J (x~ / Block / Lot Subdivision Filed Map. Lot: p , itNo. '5 7qc/.7 r, ateofP,rmit. -C ~/.,~- Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ._~"D c"O/'..~.~...,, Undenm~ters Approval: Final' Certificate: J (check one) XpplTca', t/ at ute - TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING~FINAL [ ] FIREPLACE & CHIMNEY~[ ] FIRE SAFETY INSPECTION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ F~AL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:[ ] ELECTRICAL (ROUGH).7,~ ~ [ ] ELECTRICAL (FINAL) DATE INSPECTOR U~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING /~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. I~LA.TION [~"I~NAL/,~_,(,/c~__ ~ ~ [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR (1S~ PL~G CODE ~/., ~ ~ .. AmD~ION~ CoUNTs Complete items 1, 2, and 3. ~ ~mp~e so that wo can ~urn th~ ~ffi ~o ~ou. ~ R~ ~ R~um R~ ~ M~ 2. A~icle Number PS Form 3811, Febma~ 20~ ~mestic R~urn R~e~pt 102~2~-1~ FORH NO. I TOWN OF $OUTIIOLD IlO] LDING DE t'AR'I~4ENT 'tO, ti IIALL SOUTIIOI.D~ N.Y. 1197 I TEl..' 765-1802 BOARD OF HEALTil ............... 3 SETS OF PLANS ............... SURVEY ........................ CI[ECK ......................... SEPTIC FORN ................... NOTIFY: CALL ................ a. 'Ibis apglication mint be conpletely filled in by LT~ri[er or in 3 ~ts of pl~, ~rate plot plan to ~ale. ~ ~co~i~ to ~fle. b. Plot pl~ ~i~ l~tt~ of lot ~ o[ ~lidi~s ~ ~i~s, ~lati~dp to ~jotnl~ pr~t~, or ~fl)lic struts or areas, a~ givt~ a ~tall~ &~rlptlo~ o[ la~t of pro~rty mint I~ dr~ ~ tl~ dian, d~lch l. ~rt of this a~fl icati~. c. 'Hm ~ ~r~ I~ fids a~licati~ ~y ~t be ~ ~fore is~ o[ ~ildi~ ~mit. d. U~ a~al of fids a~lication, tl~ l~lldi~ l~ctor wil~ tn~ a ~lldl~ ~mlt to tim a~lic~t. ~h ~it gmll ~.~pt ~ ~m p.o,fl~s ~ail~le ~r ins~tt~ th~mt t~ ~rk. e. ~ ~ildi~ droll ~ ~t~ or ~ in ~le or tn ~rt ~r ~ ~ ~mt~r ~til a ~rti~icate of ~.1~'~ 18 IE~ ~ to tbe Ihdldi~ ~rt~nt for tim is~ og a ~lldi~ ~mlt ~r~t to tl~ I~ildi~ ~ ~i~ o[ ~ ~ o~ ~tl~ld, ~gfolk ~, ~ Yo~, ~ otlmr a~ll~le l~s, ~i~es or ~laci~s, for tim ~st~tt~ of ~dldt~, ~iti~ or alteraCi~, or for ~,~al or ~lltl~, ~ ~in ~cril~. ~m applt~c ~s to ~ly wi~ all a~licable re.ilati.s,,.~ to ~ic .~ri. t~tor, on ~.i.s a~ in .ildi. for ----~~. ..... (Stature of ~ll~t~ or ~, t[ a co.ratio) (~ili~ (as on the tax roll or lateat deed) If applicant is a corporation, signature of duly autlx)riv:4 officer. (l~ne and title of corporate officer) PltJ~bers Lice~ ~ .......................... 3. t'hmre ot ~n~rk (dleck diidl eFgLicable): ~ ~iidi ' ~ / ; ..... ~ .......... ~l~ .......... Alteration .......... I~l~ir ...... ..,... ~ai ............. I~litl~ .... . . .. .... Otizer ~ .................................. ~ripti~) 6. Est i.~t~l ~st ............ L ............ ~ .............................................. (Lo ~ ~ld (~l filing tilts fll~licfl~i~) 5. If ~lli~, tt~t~r o[ ~llh~ trolls ............ t[~d~r o[ (~lltflg tmlr8 ~l ead~ ~r ................ 1[ garage, 6. If lami~ea, ~rclal or ml~'~oqm~, s~cl~ ~t:ure a~ ~tent o[ ead~ ty~ o~ u~ ...................... 7. I}t,~nai~m el ~lstl~ a~nm~s, il any: ~mt ................ ~ar ............... ~pfl~ ................. I~i~tt ......................... ~td~r of Stories ...................... I}i,enai~m el ~ stmm~re ~lth alterathma or ~Miti~a~ Fret ............... ~ar ............... IMpth ................. ¢. I~l~tL .................... ~tdmr of Stories ............... S. I)i,~n~i~ of entire ~ ~st~tl~: l~t ................ l~ar ............... ~l)th .............. I~i~ ......................... Ral~r oE 8torlee ..................... 9. 8i~ o~ Iota · -.?~ ...................... ~prh .................... 10. Ihle of ~rdm~ ..................... ~ o~ Itonmr ~r ........................................ II. ~e or u~ district In dddl p~l~a a~ atat~ .............................................................. 12. ~a propel mmt~tlm violate a~ ~ln8 I~, ordi~me or regulatl~a ........................ 13. 9111 lot I~ 16. ~ma o[ ~er of pr~al~a ........................... ~lreee .............................. I~e ~ ............... ~m of Arddt~t. ............ -- - ....... .,.........,. ~reaa ..... ...................... ... ~m ~ ............... · ~m of C~tr~tor .............. ~Mreea ................ H~ ~ ..... .... 15. Ia this p~rty ~ithln ~ [~t. ofa till ~!~? * W3 .......... ~ .......... PI.OT DIAGRAH- l~cate clearly ~nd distinctly all Ixalldlngn, Ohefl~er exlettng or proposed, and indicate al! set-back dimensions frou prolrarty linen. 6iv~ attract and block ra~er or description accordln§ Co deed, and ~ho~ street ru~nee ar~l tn~licate tdmtlmr interior or corner lot:. (~e of i~livi(bmL sJg, i,g c~ltr~t) I~ i~ the ........... ~,~ ............................................................................... ff~;tractor~ent~cor~}rate officer, etc.) fll4fl tcfltt~m; thflt ail statemnts m~tal~ in this nl~)ticati~ are tnb'to the I~st of his kt~l~e and Iml~ef, that the turk ~iti I~ ~rgo~l In tl~ nnn~r ~t forth in the n~licatiin~' fil~ s~)rn, delX)Ses etxl says that lie is Lbe eppl JtmnL Town Halk 53095 Main Road P.O~ Box 1179 Southold. Nexv York 11971-0959 Fax (631 ) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 8th, 2006 Margery D. Bums P.O. Box 566 Southold, N.Y. 11971 RE: 53245 Main Rd. SCTM# 061 0001 008.001 Dear Ms. Bums, Please be advised that your Building Permit #24960 issued June 16th, 1998 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $35.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. ~//_/--~/TOWN OF SOUTHOLD PROPERTY RECORD CARD )WNER STREET VILLAGE DIST, SUB. LOT :o~,ER O~,NER - N,4. ~e,,,,¥~.~. E 7. 4~e,,..¥,,~, ACR. S W ~PE OF BUILDING ~ND IMP. TOTAL DATE REMARKS ~ ~ " ' · o ~c ' AGE BUILDING CONDITION q~ NORMAL BELOW ABOVE :A~ Acre Volue Per Volue Acre illoble 1 illoble Iloble 3 'oodlond ~ompland FRONTAGE ON WATER / 'ushlond FRONTAGE ON ROAD ~ ~ C~ / ~ : / o ~. ouse Plot DEPTH ~ / ~ BULKH~D COLOR M. Bldg. Extension Extension Extension Porch Breezewa Patio Total Foundation Basement Ext. Walls Fire Place Type Roof .Recreation Roan Dormer Driveway Heat ~.~ ,,~'~, '/ Rooms Ist Floor Rooms 2nd Floo~ 'fL · ~ REQUIRE~; 0 r ~I~llJUCTION ~; ~J~ RESPONC . JJJ~"ONSTRuC~.,,