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Home My WebLink About36743-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/23/2013 CERTIFICATE OF OCCUPANCY No: 36176 Date: 4/23/2013 THIS CERTIFIES that the building PORCH Location of Property: 330 Village Ln, Orient SCTM #: 473889 Sec/Block/Lot: 25.-1-8.2 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 9/26/2011 pursuant to which Building Permit No. 36743 was issued, and conforms to all of thc requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: REPAIR FRONT PORCH ON EXISTING SINGLE FAMILY DWEI J lNG AS APPLIED FOR Lot No. filed in this officed dated dated 10/7/2011 The certificate is issued to Mould Jesse A Revoc Trust (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 #: 36743 Date: 10/7/2011 Permission is hereby granted to: Mould Jesse A Revoc Trust 330 Village Ln PO BOX 445 Orient, NY 11957 To: repair a porch addition per Landmark approval as applied for At premises located at: 330 Village Ln SCTM # 473889 Sec/Block/Lot # 25.-1-8.2 Pursuant to application dated To expire on 4/6/2013. Fees: 9/26/2011 and approved by the Building Inspector. S1NGLE FAMILY DWELLiNG - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $216.00 $50.00 $266.00 Building Inspector Forrn 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 I% 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. I. Accurate survey of property showing all property lines, streets, bnilding and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. 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 $~5.00, Commercial $15.00 Date. New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: Street Permit No. $ g'7 ~/~ Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: (check one) Block Lot Fi led Map. Lot: Applicant: Hamlet Final Certificate~e) A p plic"a~t Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~OUNDATION 1ST [ ] ROUGH PLBG. FO~ATION 2ND STRAPPING [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE?_~_~INSPECTOR~-~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN~SUL~TION [ ]FRAMING/STRAPPING [)'~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION (ROUGH) [ ] ELECTRICAL (FINAL) [ ] ELECTRICAL REMARKS: DATE~INSPECTOR ~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined /of?,2o // 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 Approved Disapproved a/c / 0/'~. 20 I{ Expiration _¢~, 20 /,~ Building Inspector Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on promises, 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 lbr the issuance ora 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, housingtode, and regulations and to admit authorized inspectors on premises and in building for necessary inspections. ~ // (Signatt~e of applicant or name, ifa corporation) · (Mailing/address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or ~ Name of owner of premises D-'e,SW~- ~q, A,/&d~d} (As on 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. ' ..~p..r~?,. /4 [~b'~A~ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Iqumber - Street ' Hamlet County Tax Map No. 1000 Section /." 3'~ Block / Lot /. ~ Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .$'./aJ~z.~' ~.t~ ! b. Intended use and occupancy 3. Nature ofwork/(check which applicable): New Building Repair I~ R~moval Demolition 4. Estimated Cost~ 5. If dwelling, number of dwelling units - If garage, number of cars - Addition Alteration Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor ~ 6. If business, commercial or mixed occupancy, specif~, nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height ~ Number of Stories Rear ~ .Depth Dimensions of same structure with alterations or additions: Front ~ Rear Depth ------- Height_ Number of Stories __, 8. Dimensions of entire new construction: Front ~ Rear Height ~-. Number of Stories I Depth 9. Size of lot: Front /P I' Rear / 1'/~// _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES NO ~'Will excess fill be removed from premises? YES__ NO _ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor ~ta~-t~t~ Address ~hone No. ~:~/~ ..q,~-,~ t'/~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO __ * 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 I~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distanc.es 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 1~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ~_ ~-~-_ ~.a~ ~l~a'at£~'t/' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE O. BUNCH (S)He is the ~__ a/~.,~ ,~'yd/~..~ Ne!".'r,' P'~., ....%-re O; ,',~,, Y~rk (Contractor, Agent, Corporate Officer, etc.) No. 018116186060 C Qualified In Suffolk County h ! x of said owner or owners, and is duly authorized to perform or have performed the said w~r°~r~l~ ~k~a/~rtlil~t~?olSlication; 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. Sworn to before me this 2. ~' day~ of ~/~,__ 20// Notary Public SiglIre of Applicant U A. DATE: FOR NT AT FOR 'THE REQUIRED LUMBING MUST gF~,LL MEET ,THE N. Y, &, ENERGY )~SI~LE FOR T[ON ERRORS. THE ~OULD F~E$~DENCE 330 V)LLAGE LANE OP.)ENT, NEW YOP~K HOUSE _6 76 WOODEN PORCH DECKING TO MATCH EXT'G _ 20 ~ P~CKET FENCE F'r'' _IWINC tN"- ~'~q 105 129 19 PROPER~ LINE PORCH PLAN 1 ~OUNDAll, FOR POUR[-- STRAPPING $ INSULATION ALL CONS/Rb REQUIREMEN-S OF YORK STATE NOT RES; DESIGN OR CONSTRUC;IUN 4X4 X 2'-0" DEEP TRT'D STRENGTH = 5000 PSI AT 28 DAY ASTM C-94 READY MIX CONCRETE. ALL FOOTINGS, FOUNDATIONS, ETC SHALL REST ON UNDISTURBED SOIL. ALL FOOTINGS AND FOUNDATIONS SHALL BE FORMED. ,,NC-, 2X8 HOUSE SEAM 60 _ 60 ~_ FRAMING PLAN HANDRAILS, POSTS AND SPINDLES TO SE SAVED AND RE-INSTALLED. ROYEN PARTS TO BE REPAIRED -- )ECORATIVE APRON TO BE TRACED AND DUPLICATED SECTION S~T_A~D-OFF POST BASE WITH 1/2 DIA. ANCHOR BOLT 4X4 FRT'D POST ON 8" DIA CONG. FOOTING RESTORATION OF AN HISTORIC PORCH PORCH PERMIT APPLICATION SEPTEMBER 12, 2011 FRANK W. UELLENDAHL, ARCHITECT - P.O.BOX 316 - GREENPORT, NY 11944 RESTORATION OF A HISTORIC PORCH ItMOULD RESIDENCE ORIENT, NEW YORK ARCHITECT FR~K UELENO/~IL P,O.BOX 516 GREENPORT, NY 11944 TEL: 631-477 8624 OWNER JESSE K MOULD 330 ~ILL~E LANE ORIENT, NY 11957 EL: 631-323-2751 DATE: 09/12/2011 SCALE: 1/2"= 1'-0" HISTORIC PORCH RESTORATION DWG. NA~E A-1 DWG. NO