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HomeMy WebLinkAbout37948-Z rsz~m r'~~4."~~ Town of Southold Annex 8/28/2013 ~ a P.O. Box 1179 = 54375 Main Road w'~ Southold, New York 11971 ay~1 * .~rti~. 1°n_,' '>ay ~ , ~ CERTIFICATE OF OCCUPANCY No: 36469 Date: 8/28/2013 THIS CERTIFIES that the building DECK Location of Property: 200 Maple Ln, Greenport, SCTM 473889 SecBlock/Lot: 35.-5-5.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Pernut heretofore filed in this officed dated 4/10/2013 pursuant to which Building Permit No. 37948 dated 4/17/2013 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: deck addition to an existing single family dwelling as applied for. The certificate is issued to VanCleet; Ann Marie & VanCleef, Robert (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL - ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED - ~ ~ ,mot A ed S' nature 'y`° TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE 'a®~o 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 37948 Date: 4/17/2013 Permission is hereby granted to: VanCleef, Ann Marie 8 VanCleef, Robert PO BOX 368 Orient, NY 11957 To: construct a deck addition to an existing single family dwelling as applied for At premises located at: 200 Maple Ln, Greenport SCTM # 473889 SeclBlocklLot # 35.-5-5.1 Pursuant to application dated 4/10/2013 and approved by the Building Inspector. To expire on 10/17/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $392.00 CO -ADDITION TO DWELLING $50.00 Total: $442.00 ~ / - - Building Inspector form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCX This aliplfcation 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 strrvey of property with accurate location of all buildings, property lines, streets, and unusual natura} or .topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fotm). 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 2110 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 Aprf19, 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 spmpleted application and consent to inspect signed-by [he applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state [he 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 buildSng $50.00, Additions [o accessory building $50.00, Businesses $50.00- 2 Certificate of Occupancy on Pre-existing Building - $100.00 - 3- Copy of Certificate of (~ecupancy - $2S 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $ 15-00, Commercial $ 15/.0,0 C' Date. ~7 ~ ~ d - ~ 3 New Construction: Old or Pce-existing Building:// V (check one) Location of Property: ~QL] ASH P ~C oL~~lri~Cf House No. [reef Hamlet Owner or Owners of Property: y-1 ~ ~ p nn P Suffolk County Tax Map No 1000, Section ~ S Block .S Lot ~ ~ ' Subdivision Filed Map. Lot: Permit No. ~ ~ 9 ~ ~ Date of Permit ~ - 17- / 3 Applicant Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate _ Final Certificate: - (check one) Fee Submitted. $ ~ Applica tl Signature 3 ~ ~ ~ ~o~~,~F SObryy6 U ~®+F TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: /'~Y ~~-C:'V~~ ~~2~ ~~/LT c DATE ~ 3 INSPECTOR ~~~.AOF 80U1y~~ ~J TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECT N [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRIC GH) ( ]ELECTRICAL (FINAL) REMARKS: ~ ~ ©~S -~,,J .....CS DAT ~ INSPECTOR 3~ ~i(~~j * aoF souryo* / +c~;~' TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST ( ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I ULATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~/~'~~=°`~-X~^~- ~pX l~Cc ~ ,fit DATE ~6 /3 INSPECTOR ~G~ ~ ~ ~o~~,OF SOUTy~ LLL * ~~bUNIV, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLB [ ]FOUNDATION 2ND [ ] I [ ]FRAMING /STRAPPING [ F AL [ ]FIREPLACE & CHIMNEY [ ]FIR SPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: / ~ ~i"~ ~ Cam: - 3 DATE INSPECTOR ~ ~ ~ ~ aoe souryo~ "camm;~' TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROU PLBG. [ ]FOUNDATION 2ND [ ] UL N [ ]FRAMING /STRAPPING [ FIN [ ]FIREPLACE & CHIMNEY [ ]FIRE INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: C' DAT INSPECTOR ~ F]ELD N SORT DAT$ COMMENTS ~ ~ FOUNDATION (iST} ~ ~a cJ y FOUNDATION (2ND) t=f . z ~ J' C ROUGH FRt~MTNG & ~t`'v ~ a PLUM87NG R~ INSULATION PER N. Y. H STATE ENERGY COpE o , ~~--Attu-- • X (p~S f3~ p-~ ~ ~ . FINAL ~ 3 b 3 Z ADD ONAL COMMENTS ~ S 3zZ Q F' c U n ~ - /,o-n.r ~~-e v-ed 0 z m Q - 0 z ' TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIS"f 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) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3 ~ Check Septic Fonn N.Y.S. D. E.C. Trustees C.O. Application Flood Permit Examined ~ , 20~ ~ ~ ~ ~ ~ ~ Single & Separate D D Storm-Water Assessment Form _ Contact: Approved, 20~ ~ ~ ~ ~ Mail to: Disapproved a/c BLDG. DEPT. Phone: - ~~CYI TONlN OF SOUTHOLD Expiration ~ , 20~ rte` Building Inspector APPLICATION FOR BUILDING PERMIT Date /o , 20 i 3 INSTRUCTIONS a. This application MUST be canpletely filled in by typewriter a in inl: 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 premises, relationship to adjoining premises or public streets- or areas, and waterways. a 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. (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 O(.U Y~ 2 Yv Name of owner of premises ~r ~~e~/' (As n 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. 1. Location of land on which proposed w9yrk will be done: ~~te InCi,IO~Pi oC~tCi C~/-e~n./~o~' House Number Str t Ha et County Tax Map No. 1000 Section -3 S Block ~ Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and int ded use and occupancy of proposed construction: a. Existing use and occupancy Srr~ ~2. ZGrn ~t-t3t~-c.ci b. Intended use and occupancy ~q ~ti /2e,o-~ 3. Nature of work (check which applicable): New Building Addition~Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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 o r 6. If business, commercial or mixed occupancy, sped y nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front T S Rear Depth ~ 6 Height Number of Stories ~ Dimensions of same structure with alterations or additions: Front ~~,-w~ Rear Depth s~ Height ~ -Number of Stories 8. Dimensions of entire new construction: Front Rear 3 O Depth ~6 Height Number of Stories o 9. Size of lot: Front~,~ ~ . rQ5-" Rear ~ it . 5o Depth /6 ~ ~ ~ ~ 10. Date of Purchase Name of Fortner Owner 11. Zone or use district in which premises are sitttated / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO v 13. Will lot be re-graded? YES NO 1/Will excess fill be removed from premises? ~ES_NO En~ 14. Names of Owner of remises V lrt ~~CQ r Address ~e ~C. Phone No. Name of Architect ~o bPn'f r~t'e-w-r~ Address Phone No Name of Contractor Address Phone No. 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 ? * 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 dat/a on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO r * IF YES, PROVIDE A COPY. STATE OF NEW YORK) C~ SS: COUNTY OFdil 1 / 1'~ V1 V ~VY1 ~ -e being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the A n"l~ {'i; , (Contractor, Agent, Corporate Ofticer, 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 f~ dayof20~3~ 1 ~ry VI TOTH~~ l Notary Public ~ 1 Si ature of Applicant 1.~.-~ i' ' i' ' i' ' i \ i' ' \ i' \ ' / \ MPyN. i. l~ ST te~.~. l5• m I~ A x~NOi Pi' ~\V ~O ~Q \ \ bi~ v,QJ, q~ \ ~\Yl~'A A~- 3~' ~ P ~ v v'~9. Ny6 ~ sF \ 9T 2 ~ ~ ~ I . (2)2~~x I n~~Ar~ ~ ~ <i'' \`\F,PO FS N GIRDER ~`rl/) 4I/ \ \qoJ OJ L! J L J L-~ v~ ~ \ a ~ v v o o. ` o~ I - O I 10"DIA.SONO TUBE I I Q O * ON 2'-6"x2'-6"x I'0"D x w \ \ ~ I N ~ FOOTING (fl'P). N' \ \ I I I RosERT L. nEANEV ~X or / S' I~ x I O" ACQ ~ 2"x I O" ACQ ' ~ LANG woiF V / ~ L ~ ~~L ~ ~ ~ @xl 6'O~G.~ ~ I ~ @ 6 I / -sue L- : ~ O.C. @ 16"O.C~ . \ a / ' ~ / ~ , , 23b'J a I I I \ y tON~O~' 10'UTILITIES EASEMEM ~ I ~ ~ ~ i yhEO i ~ i z I l9 x / i 0i~ i N I I N N ~ / i ~ / / I N ; 2"x I:O" LEDGER BOARD BOLTED TO RIM JOISTS 2'-O" O.C. N : s / ~ ¢ \~//~w'y{(O~i~~~~'/ OnDN tOA/NNA 6IANNARIS ~I I ~ ~ I ~~o~ k~ z5~' ~ 'y~;,. 9yav+ EXISTING STRUCTURE ,-~'y 5663 ~ ~ , S.G T M. NO. DISTRICT: 1000, SECTION: 35, BLOCK 5, LOT(5):B. I ) i' ice' C AREA: 41 ,04BJ S.F. OR 0.9J ACRES 96639°=-;,=-;;~ ~5~ DECK FOUNDATION PLAN ~ ~ , R~`°R~C~ROW S i T E PLAN AS BUILT SCALE: I/4°=1'-0" I AUG yo"N y66 39 sca.~e: i"=5o'-a' VANCL EF (PT. -h'OLD T ~ l \'-:O, ter, GF THE \y,~ERE~ aRC , ':~synN, a J?t~~~RTHE ~c~ O~PTt.Bq~~>cc~ 08/07/201 3 . t t+',il a- f'. LICE^JSED 2 Q~ ~y w ! TG 4S_P FR FiidY -Y,, „~n~,vlrclN Robert I. Brown Architect, P.C. s A+~Y rHCr~tzs=D s;~>E w/ Fairweather Design Associates, Inc. f ~ `~~"L=~• n;aD ~ ~ o`~ 205 BAY AVENUE a _ nfsa kCCORDANCE NE~N~ t:r; :r;;'~_Law. GREENPORT, N.Y. I 1944 63 I -477-9752 (Fax) 63 I -477-0973