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Home My WebLink About38096-Z ~yjFHl(~ Town of Southold Annex 8/13/2013 ~ P.O. Box 1179 54375 Main Road '7r t~q Southold, New York 11971 ,t n,:3ra,m" CERTIFICATE OF OCCUPANCY No: 36445 Date: 8/13/2013 THIS CERTIFIES that the building WINDOWS Location of Property: 740 Nokomis Rd, Southold, SCTM 473889 Sec/Block/Lot: 78.-3-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 6/7/2013 pursuant to which Building Permit No. 38096 dated 6/13/2013 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 window replacement as applied for. The certificate is issued to Hokanson, Richard (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED - < t/,,._"__ ignature >r~z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE °a~~~ SOUTHOLD,NY '~i 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 38096 Date: 6/13/2013 Permission is hereby granted to: Hokanson, Richard 1635 Nakomis Rd Southold, NY 11971 To: As-built window replacement as applied for. At premises located at: 740 Nokomis Rd, Southold SCTM # 473889 Sec/Block/Lot # 78.-3-18 Pursuant to application dated 6/7/2013 and approved by the Building Inspector. To expire on 12/13/2014. Fees: AS BUILT -SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 $450.00 Buil ng Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN AALL 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 fmm Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of Clectrical installation from Boazd 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. Far existing buildings (prior to Apri19, 1957) non-conforming uses, or buildiugs 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. ~ ' ~ 9J New Construction: Old or Pre11-existing Building: (check one) Location of Property: ? NlI k-oMl~ House No. Strefet~,, Hamlet Owner or Owners of Property: CMu ~ Tl v~C.(iL~,~aPiY~-- Suffolk County Tax Map No 1000, Section Block ~JJ Lot ~ ~ Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Boazd Approval: Request for: Temporary Certificate,~,~p Final Certificate: (check one) Fee Submitted: $ ~ P~, tili{'i^ CST Applicant igna U ~ l ~ ~ ~o3~OF SO~ryo<o TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU N [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: C DATE INSPECTOR '~j FIELD ~ N3tEPORT DATE. CONIII4ENT8 ro ~oUNDA~ION (1sT) ~ 5''~ E y FOUNDA7YON (ZND) ~ ' z 0 y ROUGH FRr~MlNG & Z~ PLUMING J INSULATION PER N. Y. STATE ENERGY CODE P. FINAL , ADDTTIONAL COMMENTS fJA A Q Z m ~ g~ 'Y o L ~ ~ ~ TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 7659502 Survey SoutholdTown.NorthFork.ne[ PERMIT NO ~ l Check _ Septic Fotm N.Y.S.D.E.C. Tmstees__ / 2 Flood Permit Examined C7 , 20~/ Storm-Water Assessment Forth Contact: ' 'y Approved , 20~ Mail to: t~Jt~l n ~ i/r Disapproved a/c _ G ~ Phone: / 5 ~ O 10 F 0 ~7 ~ P } I'~ i~ r--- Buildin nspector ~~l ~ 2~~3 APPLICATION FOR BUILDING PERMIT L~ ~ Date Ju Yl.~ ~ , 20 ~3 = , _~T INSTRUCTIONS ,i~l T'7"' i'• ~ 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 lo[ 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, [Fie 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 no[ 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 [he interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereatter, a new permit shall be required. APPLICATION TS 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 constmction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees m 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. (Signature of applicant or name, if a eoryoration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ Name of owner of premises 0 It~f/(l v/V I`i (Ae 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. Phtmbers License No. Electricians License No. Other Trade's License No. 1. Location o'xI~ ~lany,d1 on which pr posed work will be don ~ .~E -I--~~ a {?.d Mt s V J-~-I House Number Street 2Hamlet / v County Tax Map No. 1000 Section~Block 3 Lo[ / o Subdivision Fited Map No. Lot t . 2. State existing use and occupancy of premises and intended use d occuu1p.an~cy of propos d construction: a. Existing use and occupancy SI Vl~ ~Q, ~ 6Vh 1/t~ 1'! wl b. Intended use and occupancy S'k YL~ILi 3. Nature of work (check which applicable): New Building Addition Altemtiotl~ Repair Removal Demolition Othet Work /LZtcJ IAl1 AoI 0 W S (Description) 4. Estimated Cos[ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. r l N rrl 7. Dimensions of ex sting structures, if any: Front 51! ~ ~ Rear t- N Depth ~ 51 0 4 Height 1 ~ - ~ Number of Stories 1 Dimensions of same structure with alterations or additions: Front s~~-F2ear Depth Height Number of Stories 8. Dimensions of entire new constmction: Front Q ° Reaz Depth Height Number of Stories 9. Size of lot: Front Rear 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~WiII excess fill be removed`from~ premises? YES NO~ 14. Names of Owner of premises ~ d (GC.atS(iL`> Address ~ ~'W Ny ~d Phone No. Name of Architect Address Phone No Name of Contractor L ~ CAr Address t1 C, Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES N10 * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B~QUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO * ff 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 a[ any point on property is a[ 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 YOAK) SS: COUNTY OF ) Q~/? ~ being duly sworn, deposes and says that (s)he is [he applicant (Name of ndividual sig^in~ contr ct) aA bwe uaated, {;{71yP}kE R- BUNCH 17QS19cti.~~r ~ + ~ tgtldr1850~OwYcrk (S)He is the (Contractor, Agent, rporate Officer, etc) t t ~'~.~OD ,ti Ap it 'n, 2 of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; [ha[ all statements contained in [his application are [rue to the best of his knowledge and belief; and [ha[ [he work will be performed in [he manner set forth in [he application filed therewith. Sworn to before me th~ day of 1.11~~ 20 ~3 O~v"y linQ.~, Notary Public Sign tore of p icant