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HomeMy WebLinkAbout36738-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 11/2/2012 No: 36031 Date: 11/2/2012 THIS CERTIFIES that the building ALTERATION Location of Property: 905 Village Ln, Orient, SCTM #: 473889 Sec/Block/Lot: 25.-2-7.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/16/2011 pursuant to which Building Permit No. 36738 dated 10/6/2011 was issued, and conforms to all of the requirements of the applicable provisions of thc law. The occupancy for which this certificate is issued is: two rear facing skylights in an existing dwelling as applied for. The certificate is issued to Hughes, Eleanor (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 #: 36738 Date: 1016/2011 Permission is hereby granted to: Hughes, Eleanor 1290B High St Denver, CO 80218 To: construct two rear facing skylights in an existing dwelling as applied for At premises located at: 905 Village Ln, Orient SCTM # 473889 Sec/Block/Lot # 25.-2-7.1 Pursuant to application dated To expire on 4/612013. Fees: 9/16/2011 and approved by the Building Inspector. CO - ALTERATION TO DWELLING SINGLE FAMILY DWELLING - ADDITION OR ALTERATION Total: $50.00 $200.00 $250.00 Building Inspector Form No. 6 TOV~N OF $OU~HOLD 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 (8-9 form). 3-. Approval of electrical instalIation from Board Of Fire Underwriters. 4. '.qw.orn statement from plumber certifying that tho 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) fion-co.nforming uses, or buildings 'and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and. unusual na.turai or topographic feature's. 2. A properly 09mpleted 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. Co F~es 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $$0.00, Alterations to dwelling $.50.00, , Swimmir~g pool $50.00, ACcessory buildin§ $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 Ccrtificat¢ of Occupancy - Residential $15.00, Commemial $1 $.00 New Construction: Location of Property: House No. owner or Owners of Property: ~-~ Suffolk Co.unty Tax Map No 1000, Section ~ 5' Subdivision Old or Pre-existing Building: ' Block permit No. 3(~~} ~ t~ Date of Permit. H~lth Dept. Approval: Filed Map. Applicant:.. Underwriter~ Approval: Planning Board Approval: (check one)' Hamlet Request for: Fee Submitted: $ Temporary Certi fi cate Final' Certificate: (check one) \ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~~DATION 2ND [ ] INSULATION [ ~]~ FRAMING / STRAPPING [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ REMARKS: /~'-~~--~. DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] ROUG~LBG. [ ] ~4~I.ATION [/~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION []ELECTRICAL (ROUGH~)~/.~.ELE~CTRICAL (FINAL) REMARKS: __.~~~~ DATE INSPECTOR , ,, ,, , - ........ . ..... .. . .. ~ , ,.~ . , . ~ , ' .... e Complete items ~, 2, and 8. Aisc complete A. Signat~ ~/ __ · ' ".. · Print your name and address on the reverse ~ ~~~~~ . " t SO that we can return the card to you. B. R~ceiv~ by (Pffnted Na~e) C. Date of Deliv~ . ., · A~ach this card to the back of the mailpiece, ... ........... ~.~ ." or on the front if space permits. .- ~ . . . 1. A~icle Address~ to: If YES, enter delive~ add~, ~w: ~ No ~ 3. Se~ice Ty~ ~ R~iste~ ~ R~um Receipt for Memha~l~ - · ~ Insured Mail ~ C.O.D. '~ ' "' ' ' ""'" ~/ 4. Restri~ De,ve~? (~m F.) a Yes ' . . . 2. A~icle Number .. . PS Fo~m 3~1 1, Februa~ 2004 Domestic Return Receipt 10259~02-u-154o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved Expiration 1 5 2011 BLDG. DEPT, TOWN OF SOUTHOLD PERMIT NO. 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 N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Phone: Building Inspector PLICATION FOR BUILDING PERMIT INSTRUCTIONS Date a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 se[s of 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. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the 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. Every 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 necessary inspections~ ~_..___ ~orat~°~~ State whether ap e~architect, e ' / /(Mailing address/?lici~(t) //7~ ~~ess ngineer, general contractor, electricialt~lumber or builder Name of owner o premmes the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Block c~Q Filed Map No. Lot Lot Nature of work (check which applicable): New Building Repair Removal ' Estimated Cost~r ~ , 2. State exist!ng, use and occupancy of premises and intenCed use and occupancy of proposed a. Ex~st~ng use and occupancy ~ construction: b. Intended use and occupancy~~./~- ~ 3. Addition . tAlteration Demolition Other Work ~ '(~D~~)~ 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 extent of each type of use. 7. Dimensions of existing structures, if any: Front c~ 7 Rear ~ ¢; Height /~; Number of Stories ~ Depth '-~ Dimensions of same structure with alterations or additions: Front ~ Depth Height _Numbe/of Stories 8. Dimensions of entire new construction: Front Rear Height Depth Size of lot: Front Date of Purchase Rear Number of Std'ries d z?,./~-'- Rear .ff-D'-. ~' g Depth 13. Name of Former Owner Zone or use district in which premises are situated Does proposed construction violate any zoning law, ordinance or regulation? YES Will lot be re-graded? YES Names of Owner of premises Name of Architect. ~ct. oC Name of Contractor NO ¢/ 7w ~ NO ill excess fill be removed from premises? YES  Address Phone No. Address ~/-R. Cr~t~,-p- Phone No Address .Phone No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES * ? ,Y'E,,,S., SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B~d~QUIRED. o. is tins property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAy BE REQUIRED. NO.,/ NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 4 ~ 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 property9 * YES NO · IF YES, PROVIDE A COPY. ' STATE OF NEW YORK) COUNTY OF ~ being duly sworn, deposes and says that (s)he is the applicant a (N me of ind4vidual signing contract) above named, the C ~ /~~C ontractor, Agent, Corporate 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 alt statements contained in this application are true 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. Sworn to before me this ~1~ 4~ day of ~~~ 20 Notary Public ture of Applicant CONNIE D. BUNCH Notary Public, State of New York No. 01BU6185050 Qualified in Suffolk County _ Commission Expires April 14, 2 (¢9 J ~- SUP~VtE'r' Ot= PROPtEI~ SITUATtE.. O~IL=NT TOINN, ~xDUT~LD SUFFOLK d_.,Ot~"F'r', SUP, k/EYED O-'/-1.5-..2OO5 SUFFOLt~ OOUNTY' TAX ~ IOOO-'25-2--'/.I Fidelity Nah~M-W~e C~mpauy of New York # 67.076 NOTES: · NONUP1ENT FOUND o PIPE FOUND AP-.EA = 5,140 S.F. or' O.12 ACt~,E ®P-,APHId, SO,~L E I" = CO/-'o~ '-/- /VD %;' 4`;o ~o Lc' ,o' ,:r N JOHN Co EHLERS 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 LAND SURVEYOR N.Y.S. LIC. NO. 50202 369-8288 Fax 369-8287 REF.-\Utlp server\dXPROS\05-235.pro SITUATtE-, ORIENT TOI~iN: SOUT~LD .SUF:F:OLK. OCteT'f, SIJt;2-.X/EYED O-/-1_5-2OO5 SUFFOLK, COUNTY' TAX ~ IOOO-25-2--/.I Fidelity Na~o~fl~l~ Company of New Yot~ # 62076 NOTES: · h'IONUi'dENT FOUND O PIPE FOUND AP. EA" = 5,14(2 S.F. or 0.12 ACRE GRAPHIC SCALE I"= 2. O' N JOHN Co EHLERS LAND 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\XHp server\dkPROS\05-235.pro SURVEYOR N.Y.S. LIC. NO. 50202 / NEW V~LUX 51<.YLIGHT5 V~ 1 04- WITH VENETIAN BLINDD. 02" TU~ BATH CLG=&7" t L CLG=&G" DOWN Il '-3 I/2" 1'-4 I/2" 2ND FLOOR. SCALE: I/4"= ILO'' AP°ROVED F~~ !N "~, FOR 2 ROUGH-FRAI¢,h STRAPPING, 3 INSU~TION 4 FINAL- CONSTRUCTION MUST BE COMPLE ALL CONSTRbCTrON REQUIREMENiS C~ YORK STATE RESIGN OR CONSTR~ T IS A VIOLATION OF THE AW FOR ANY PERSON, ~!LES.'3, ACTING UNDER THE ";~C FION OF A LICENSED Cig ;'1ECT, TO ALTER ANY ~,; ON THIS DRAWING IN ¢ ¥,'-".Y. ANY A, THORIZED -ERATiON A'~UST BE 'rEg. ~EALFD, AND :C~'~ ED !;; ACCORDANCE HUGHE,5 08/04/I I '~/R. OBEP-,,T I. BROWN ARCHITECT, P.C. PAlP, WEATHER. DE,_51GN A550CIATE,.5, INC. 205 DAY AVENUE GREEN?ORT, N.Y. I I ~44 G3 I -477-9752 (Fax) G3 I -477-0973 DN 02" ' BATI- CLG=&7" J L V5104 WITH vE'r~E,T-tA~ ~ ~ I ~I'-3 ~/V'I I I I I I I I I lI~J L~] 5LOPE DOWN CLG =&G" ~ 5LOPE DOWN I I '-3 1/2" I '-4 1/2" 2ND FLOOR, 5CALE: I/4"= ILO" DATE' ]OA/fl B.t" ~3H7~.~ FEE: ~/-v . BY : .... NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PN~ FOR THE FOLLO~NG INSPECTIONS 1. FOUNDATION - TWO qFQUIRED FOR POURED CONCR~: T E 2. ROUGH.FRAMING PLUN~E:NG. STRAPPING, ELECTRICAL & CAULK',NG 3. INSU~TION 4. FINAL- CONSTRUCTION & ELECTR:..AL MUST BE COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. iT IS A VIOLATION OF THE LAW FOR ANY PieRSON, L."?'iLESS ACTING UNDER THE ;:'~J'ZCTION OF A LICENSED : :CHITECT, TO ALTER ANY ~ i~M ON THIS DR,AWING IN ;V WA~L ANY A~. THORIZED '.TE~AT~ON ~UST BE )';'E~, SEALED, ;"z:,;, n ~ ~ EF¢ !N ACCORDANCE fflUGHE5 .- '"c.I .. / 08¢04/I I ,, P-,,ODEP-,,T I. IDP-,,OWN AIR,CH ITECT, P.C. W/FAIR, WEATHER DESIGN A550CIATES, INC. 205 BAY AVENUE GIR. EENPOP-..T, N.Y. I 1~44 G31-477-D752 (Fax) G31-477-0D73 (2) NEW VELUX 5FxYLIGHTS V,.5104 WITH VENETIAN ELEVATION SCALE: I/4"= I'-0" HUGHE,_5 06/04/I I ,... J:.. liON OF THE ;:©?[ .A;,;Y PSRSON, ,¢~CTiNG UNDER THE :F'i~CTiON OF A LICENSED -:~CH~TECT, TO ALTER ANY ON THIS DRAWING IN W,A~ ANY &.,. THORiZED SEALED, AND ~;SCG~S~U ~ ACCORDANCE ROBERT I. BROWN ARCHITECT, F'.C. PAlP, WEATHER DE,SIGN A660CIATE,.5, INC. 20.5 BAY AVENUE GP-.EEN?OIR.T, N.Y. I IE)44 G31-477-9752 (Fax) G31-477-0E)73 EXISTING BTU DY EXISTING LIVING ROOM SECTION &CALE: I/4"= I'-0" EXISTING BEDROOM .2"xC," HEADER TECO'D TO ADJ. RAPTER.5 TO? ¢ BO-FI'OM NEW VELUX 5K. YLIGIflT~ V~ 104 WITIfl VENETIAN BLINDS. EXISTING LIVING ROOM ,.SECTION ~CALE: I/4"= I'-O" ~~G UNDER THE · - OF~,LtCENSED :L ~[ ~ ,_C':?, TO ALTER ANY WA~ ANYA. THORiZED ;~TERA'rfoN MUST BE SEALED, AND 08/04/I I ROBERT I. BROWN ARCHITECT, P.C. FAIR, WEATHER DESIGN A550CIATEB, INC. 205 BAY AVENUE GREENPOP-.T, N.Y. 11944 C:,31-477-9752 (Fax) G31-477-0973