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HomeMy WebLinkAbout37572-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 10/16/2012 CERTIFICATE OF OCCUPANCY No: 36008 Date: 10/16/2012 THIS CERTIFIES that the building AS BUILT PORCH Location of Property: 375 Corey Creek Ln, Southold, SCTM #: 473889 Sec/Block/Lot: 78.-4-27 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 10/3/2012 pursuant to which Building Permit No. Lot No. filed in this officed dated 37572 dated 10/11/2012 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: "As Built" covered porch as applied for. The certificate is issued to VanDuzer, Jesse & Woodhull, Stacy (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 #: 37572 Permission is hereby granted to: VanDuzer, Jesse & Woodhull, Stacy 1730 Country Club Dr Date: 10/11/2012 Cutchogue, NY 11935 To: construct an "As Built" covered porch as applied for At premises located at: 375 Corey Creek Ln, Southold SCTM # 473889 Sec/Block/Lot # 78.-4-27 Pursuant to application dated To expire on 4/12/2014. Fees: 10/312012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $540.80 $50.00 $590.80 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. Commercial 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 Planning Board Approval of completed site plan requirements. 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 completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is derfied, the Building Inspector shall state the masons therefor in writing to the applicant. C. Fees 1. Certificate 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: Location of Property: Old or Pre-existing Building: ~ (check one) House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Block Cp Lot Filed Map. Lot: Applicant: ~ .'~ ~Dx/{g ~. Underwriters Approval: Permit No. ~"] ~"~ ~ Health Dept. Approval: Date Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ -~0' 6ffD/~'~'d Final Certificate: Appli~t ff~antm~ TOWN OF soUTNOLD BUILDING DEPT. 765-1802 iNSPECTION [ ] FOUNDATION 1ST ~ ROUG~_BG' [ 1 i~LATION FOUNDATION 2ND FRAMING ! STRAPPING [//I'FINAL - · ~ FIRE SAFETY iNSPECTION iREPLACE & CHIMNEY t F ..... '""'ION [ ~ FIRE RESISTANT pENETRATION ~ FIRE RESISTANT ~l~l ...... r ~ ELECTRICAL {FINAL} ] ELECTRICAL {RO~.U~ii" ! TOWN OF SOUTHOLD BUILDING DEPARTMENT T~OWN HALL SOUTHOLD, NY 11971 TEL: (6:31) 765-1802 FAX: (631) 765-9502 SoutholdTown.Nor thFork.n et Examined {'0/{!// ,20 /~ Approved tO/~ t , 20/]~' Disapproved a/c Expiration 4[ ~, 20~ PERMIT NO. Braiding Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submit/ed to the Building Inspector with 4 sets uf plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. Thc work covered by this application may not be conmaenced before issuance uf Building Permit. d. Upon approval uf this application, the Building Inspector will issue a Building Permit to thc applicant. Such a permit shall be kept on the premises available for inspection throughout thc work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Eve~ building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessaly inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises J e,~S'~..,u 71~k'~ (As on the tax roll or latest deed) If applicant is a corporation, signatuze of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location o~.f land on whicl~roposed worli,,will be dpne: ,%'15 c oce (See House Number Street ~ Hamlet County Tax Map No. 1000 Section ~ Block t./ Lot Subdivision Filed Map No. Lot Nature of work (check which applicable): New Building Repair Removal Demolition . 3. State existing use and occupancy of premises and intellded use and occupanqy ofpropose~d cor~struction: · a. Existing use and occupancy ~t~lt-4(a~nl~ rlf::,.l'~6EL. , , , ,, b. lntendeduseandoecupancy ~vI~.f~ ta~/ r,od t:>d~l( O~C~ l~5 B~ 3. Addition Alteration X (Description) 4. Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extetu of each type of use. 7. Dimensions of existing structures, if any: Front Rear j ~ I Depth Height ~;;~ ti Number of Stories 9. Size of lot: Frotu 10. Date of Purchase o~Ol~~-- Dimensions of same structure with alterations or addition~: Front Depth J l/ Height I'lL JOt' '//- Number of Stories Dimensions of entire new construction: Front Rear Height Number of Stories _Depth Rear I!0' irreg. Rear Name of Former Owner I I. Zone or use district in which premises are sitvated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO Z 13. Will lot be re-graded? YES NO~_Will excess fill be removed from premises? YES NO ~ 14. Names of Owner of premises ~]/~-~ ~1~/4, f.. ~- Address ~OtJ~O ~ Phone No. Name of Architect ~ Address ~a .n~, 'hJf, lc-Phone No Name of Contractor (...~$0[ r'I%t ~ Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland. YES N9~ * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY ~E~REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. / 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property. YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~%.~Ok~/~64d~ ~ q.,~' being duly sworn, deposes ~d says that (s)he is the applicant ~e of ~hdual si~g con~act) above n~, (S)Ue is the ~ g 51~ (Con,actor, Ag~t, C~omte Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swom to before me this k ~'~ ~ day of 20 __ Notary Public Sig~re of A~icant ,6/ ' Iaaa-~-Y-,Z? TOWN OF SOUTHOLD PROPERTY RECORD CARD ,A//-.~. OWNER STREET t VILLAGE DIST. SUB. LOT J;~ r~m/~ / WOk~/~Wi-S W ~PE OF BUILDING RES ~/- S~S. VL.~:' ' ~ FARM CO~. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE RE~RKS I AGE BUILDING CONDITION N~ NOR~L BELOW ABOVE FA~ Acre Value Per Value Acre Tillable FRONTAGE ON WATER Wo~land FRONTAGE ON ROAD Meadowl~d DEPTH House Plot BULKH~D Total DOCK M. Bldg. Exten,sion Extension Extension Porch Breezeway Garage Patio O, Bo Total /IX/~ -- /?; COLOR TRIM Foundotion Basement Ext. Tails 7ZZ~ Fire Place Type Roof RecreatiOh Room Bath Floors Interio~ Finish Heat Rooms ]st Floor Rooms 2nd Floor Driveway / ~,~_ 'Dineffe FIN. ~¥EO JU~ I, 2012 9JF~:OLt~ 60UNTT TAX ~ I000 - '~8 - 4 - 2-/ $BS~B A. VA~ Db~m~ ~TACY L WOODHULL SUI~O{.~ COUNTY NATIONAL BAN~ PIDI~I~I'Y NATIONAL ]NSURAN~ S]~IV~CBS LLC NOTES, · HONUHENT t=OUNO PIPE FOUND Area = 242~5.2~ Sq. Ft. Are,a O.~7~ Acre5 ®~APHIC SCALE I"= 30' Lo~ ~ 18 SSq °40'D0"5 S85°21'20';V~" N Lo~ ~ 20 JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STRI~.I~T N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-C:\Users~ohn~ropbox\l 2\12-134a.pro VAx ', Z- x- ' ,E6 ,'"-- - ::) xAW xG5 LI i , DAC ~ VATION 2"X 8" R.~ 765-1~0 ~ AM 10 4 PM FO~ THE ,~ . ~,~..o.~.. i~~ ~o~o~,~,~,o~: h: T ,. i i ~ow.~o.o, ~i i1~ ~ 4. FINAL-CONSTRUCTION & ELECTRICAL J . ~ , 2" X ~" C,T. ~ ~UST BE COMPLETE FOa C O. ~ ~TION ERROR~, J ~ ~o,~ou~ ~o~ J _ ~ I ~ GENERAL NOTE: · The~e plan5 and drawln~J5 reflect work FerFormed ap?roxlmaedy I G y~r~ a~o; eo ~he be5~ of my knowledge, all work ha5 been compl~ as shown, and m accordance CUMATIC ~ GEOG~HIC DESIGN C~[TE~IA ~ TO reMAIN P~ME P~N iLO', ~ CONTINUOUS AROUND VAN DUZER, R, ESIDENCE AS-15U I LT DRAWl NG5 ~_~ 0~ 0 ILl PAGE: ~ GENERAL NOTE: These ?lans an~l drawm~3s reflecl; work ?erforme~ approximately I CLIMATIC ~ GEOG~PHIC D~51GN CRITerIA ~ TO ~MAIN HEADER HEIGHT I ~ BUILDING SECTION 'IA"