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HomeMy WebLinkAbout37731-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 1/28/2013 CERTIFICATE OF OCCUPANCY No: 36124 Date: 1/28/2013 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 760 Rambler Rd, Southold, SCTM #: 473889 Sec/Block/Lot: 88.-5-20 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 12/26/2012 pursuant to which Building Permit No. 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" deck addition to an existing one family dwelling as applied for. Lot No. filed in this officed dated 37731 dated 1/7/2013 The certificate is issued to Quane, Patrick & Quane, Laurene (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED - //~hdrized/~ignat ufr e 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 #: 37731 Permission is hereby granted to: Quane, Patrick & Quane, Laurene Date: 1/7/2013 35 Wellington Rd Garden City, NY 11530 To: "As Built" deck addition to an existing single family dwelling as applied for. At premises located at: 760 Rambler Rd, Southold SCTM # 473889 Sec/Block/Lot # 88.-5-20 Pursuant to application dated To expire on 7/9/2014. Fees: 12/26/2012 and approved bythe Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $408.00 $50.00 $458.00 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 denied, the Building Inspector shall state the reasons 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 Date. New Construction: Old or Pre-existing Building: Location of Property: 7(_,0 ]'~ ~q"Y'} House No. Street Owner or Owners of Property: ~:>/X,"~{, (2 ~L. Suffolk County Tax Map No 1000, Section Subdivision [~O~/~-IP ff'~ ~ PermitNo. ~ 77 / DateofPermit. /-- 2- /,,_~ Health Dept. Approval: Planning Boar. d Approval: (check one) Hamlet Block O5 Lot Filed Map. ~--,Cl {2) I Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ~_ , Final Certificate: 5( (check one Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~,~ ~"~ ~ ./~f.Z'~ :_.<~_.~. / /' . DATE DONALD G. FELLER .ARCHITECT 11725 Main Rd * BOX 1692 · Mattltuck, NY 11952 * 631 2985453 * Fax 298.1380 January 18,2013 Mr. Gary Fish Southold Town Building Department Southold Town Hall Main Road, Southold, New York Re: As-Built Deck Addition at the Ouane Residence 760 Rambler Road, Southold, New York Dear Mr. Fish: I have investigated the depth of 4x4 supports at the above mentioned project, and can certify that they are 36" below grade, and are in compliance with the Residential Code of New York State. JAN 22 2013 TOWN"OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net ,/ Examined ~ ,20 { ~a~ ,/ Approved ~'- .20 [~ PERMIT NO. <'~_~tt 2 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 C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: ~0¢i/:~'9 ~ I t-qYI Disapproved a/c Expiration ~/~ ,20/~ ~ "~.,' ~ ~'X(~ ~ APPLICATION FOR BUILDING PERMIT ,"; ':~ ~__~ [ INSTRUCTIONS -- ~ a. T~~MUST be completely filled in by ~pewriter or in ink and submitted to the Building Inspector with 4 sets ~Ms, accur- ate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings rm 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 pe~it shall be kept on the premises available for inspection throughont the work. e. No building shall be occupied or used in whole or in pan for any pu¢ose what so ever until the Building Inspector issues a Ceaificate of Occupancy. f. Eve~ building permit shall expire if the work authorized has not commenced within 12 months a~er the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the prope~ have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pemit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depagment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Soutbold, 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 necessaD, inspections. (Signature of applier or name, ifa co~oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises '~xTle,.k£~ '--). ~ [.-k,,t.)C,.'lilx3~-. ~9, (As on the tax roll or latest deed) If applicant is a corporati_~on, signature of duly authorized officer (Name and title of colporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~ Block (22) ~ Lot ~2.O Subdivision ~f'x~ O~- ~-~ [/q ~ Filed Map No. q-o[ 0 1 Lot ~' *' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~, c4~ t---E:: ~ ~ c.~ ~) ldJ4ZEl.-c4tJ~ b. Intended use and occupancy ~ C. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost'~ ~FoO 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (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 22~ Rear q-43 Depth "O tv., Height. 7_~ Number of Stories Height 9. Size of lot: Front 10. Date of Purchase Dimensions of same structure with alterations or additions: Front ~,t~ Rear Depth. Height Number of Stories Dimensions of entire new construction: Front ~ ~ Rear ~ ~ Depth Number of Stories 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO X. 13. Will lot be re-graded? YES x~ NO ~ Will excess fill be removed from premises? YES NO X 14. Names of Owner of premises Name of Architect Name of Contractor Address ¢¢~0t~. I:zOt 5oq~otoPhoae No. Address {/~c~ ot Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? * YES__ · IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO 'X · IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO )~ 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. CONNIE D. BUNCH SfATE OF NEW YORK) ~x',~,nr~ Public, State of New York SS: No, 0~ BU6185050 COUNTY OF ) ,%~aiified in Suffolk County Commirsion E~:pires April 14, ~NJl>q20 -4~7~E:_ } [.--~----~ being duly' sworn, deposes and sa~,s that (s)he is the applicant (Name of individual signing contract) above named, (S)ne is the ~'Zt5 ~1 .T't~_Jf~ ' (Contractor, 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 all 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 o~{z:~ day of~exu2.ccx~ 20 Notary Public Signature of"~ 4leant Date To DONALD G, FELLER *ARCHITECT 725 Main Rd * Box 1692 · Mattituck, NY 11952 · 631 2985453 * Fax 298.1380 Re Pages to follow For your review --7- As requested Please call at your convenience Comments: TOWN OF SOUTHOLD PROPERTY RECORD CARD FORMER OWNER E ES, ~ t ~ S~S. VL~ FARM COMM. CB. MICS. Mkt. Value ~ND IMP, TOTAL DATE RE~RKS ~ARM Acre Value Per V~lue illable FRONTAGE ON WATER /o~land FRONTAGE ON ROAD ~eadowland DEPTH louse Plot BULKH~D oral .- DOCK I COLOR Extension Extension Breezeway ·Garage Total Foundation Basement Ext~ Walls Fire Place Bath .... Floors- Interio~.F!ni~h.== ~ Heat · Type Roof Rooms 1st FloOr Recreation Room Roo~ns 2~d F oar Dormer Driveway ~,/...~ ~ DR. BR: ' FIN. B I NOTIFY BUILDING DEPARTMENT AT ~ ~ 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: TWO FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL ~ CONSTRUCTION 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. '//2_"