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Home My WebLink About38420-Z J l[ZY'u y1FFpt Town of Southold Annex 10/25/2013 P.O. Box 1179 54375 Main Road Southold, New York 11971 4 CERTIFICATE OF OCCUPANCY No: 36581 Date: 10/25/2013 THIS CERTIFIES that the building DECK Location of Property: 1782 Theresa Dr, Mattituck, SCTM 473889 Sec/Block/Lot: 115.-14-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/18/2013 pursuant to which Building Permit No. 38420 dated 10/18/2013 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 one family dwelling as applied for The certificate is issued to Savage, Alice (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED - r - Au o ed S ature " TOWN OF SOUTHOLD BUILDING DEPARTMENT ~~p TOWN CLERK'S OFFICE SOUTHOLD,NY (.(r 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 38420 Date: 10/18/2013 Permission is hereby granted to: Savage, Alice 1782 Theresa Dr PO BOX 719 Mattituck, NY 11952 To: deck addition. Replaces BP 7719. At premises located at: 1782 Theresa Dr SCTM # 473889 Sec/Block/Lot # 115.-14-5 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 4/18/2015. Fees: PERMIT RENEWAL $15.00 CO - ADDITION TO DWELLING $50.00 Total: $65.00 i Building Inspector ua x f fm PMWT w V -AWT ON THE PROWM 13NTIk PtAI COMFUftfr Fl C NfMOR1 #3 Poll -*,jwr4b u.?NA i ~A.. ur .N.. sY... y. NMyxIN • NNI,x...w........................ .n........¢.n ,'Z td N.M . . NN.............. MN N.N N. wr YwMV'M..w .4Y at ols"I"M A -m. e^ ' !'•M x.. .wr. .1... ...:...ynYYx.... ..wa a~~ ~4iN • N FYNga.uu.4............ .xI + uY....... ..{Na~w.'}um.. ...as . N•~i ? w . . sb x N x4.....: ..YV . .y.. Y/ 1 t via:. ° .v ~ - e•. Fonn No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL -65-1802 OCT 1 g 2013 APPLICATION FOR CERTIFICATE OF OCCUPANCY - Tiffs application narst be filled in by ttjxkvriter or hilt and subrnNted to the Buiildnng Deparhneir m,ffi the numvity-J A. For new building or newuse: 1 Finalsruveyofpropertywthaccmate location of all bn Mbigs, properly lines, streets, and nna>_mlnnatmalor topographic feattres. 2 FnialApprovalfromHealhDept.of%N~aterSlppt,-aridsewerage-disposal(S-9fomu). 3 ApprovaIofelectricalnnstallationfiomnBoard ofFneUnderwriters. 4 Swomr staterrrent from phnrtrer certifynrg that the solder used in systetn contains kss thar12/l0 of l% lead. 5 Com merchlbnuldi ng, iiLAL4rinlbuildung, maniple residences and smidar buildirgs and istallaticrs, a certificate of Code Compliance fimlu architect or engineer responsible for the building. 6. Subli t Phimmrg Board Approval of completed site plurregrruernenus. B. For existing buildings (prior to April 9. 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 Amrate stuvev of property slnorvnrg all property lines, sheets, buildvrg and nuasual nattaal or topographic feahues. 2. A properly conpleted application and consent to nn_grect sipped by the applicant. If a Certificate of Occtl)ajicv is decried, the Building hil3ector sliall state the reasons therefor hwritingto the applicant. C. Fees 1 Certificate ofOcctrpamy - New dwelling $50.00. Additions to (hvellang $50.00, Alterations to dwelling $50.00. Swimri*g pool $50.00. Accessory brnildnng $50.00. Additions to accessory building $50.00. Businesses $50.00. 2. CentificateofOccry)acrcvonPre-e,.rti»gBitWing- $100.00 3. Copy of Cettificateof Occupatncy-$.25 4. Updated Certificate ofOccrpancy- $50.00 5 Temporary Certificate of Occr>uarn(y - Residential $15.00. Commercial $15.00 Date. 10 t 7 l r3 New Conu-trixtiom: Old or Pre-etistnng 'Imirig: check nine) Location ofPropert}: 2? P 0- ( VlQ I U Hoarse No. Street Hamtet Owner or Owntzrs ofProperty: t Le_ t -v CU 'e- Srt1oD: ConuZI Tal1\fap No 1000. Section 1 1 Block Lot Subdivision _ Filed Map. Lot: Perrut No. Date ofPerri-& I J 1 Applicant: e XA ~~~Vld l~ HealhDept Approval: Unndenviiters Approval: P19nannng Board Approval: Regrnest for: Tenporary~-CCertificate Fi extif~ate- (check one) Fee Subrritted: $So "10 Applicant Sipnatu e OF 804),y_ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ( ] ROU LBG. [ ] FOUNDATION 2ND [ YF U L FRAMING / STRAPPING INAL [ ] FIREPLACE & CHIMNEY [ ] FI SAFETY ECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: z DATE 3 INSPECTOR - "`l FIELD DATIV COMMENTS ~ro FOUNDAVON (1ST) da FOUNDATION (2ND) i~ z o ROUGH FRAMING & PLUMBING rT, d IId3Ui.ATION PEA N. Y. STATE ENERGY CODE A-A Alb FINAL ADDITIONAL COMMENTS A S O m~ m . ~O Foam NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. i Examined 13 19.75 Application No. 7 3.. .h 9 Permit I a . Approved 1 Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT 7 Date 19..:~- INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 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 of areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 c e, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary iy)sp ons. atur of ap icant, n e, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .............s: ' ^C$....L ..rx r4~1.. If applicant is a corporate, signatu of duly authorized officer. (Name and title of corp ate o icer) Builder's License No. .....:V ~ . Plumber's License No . Electrician's License No . Other Trade's License No 1. Location of land on which proposed work will be done. Map No.: Lot No......................... Street and Number Municipality 2. State existing use and occupancy of premises a~ntende use and occupancy o prop ed c ructio a. Exisitin use and occupancy f ~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition.:.... Alteration Repair Removal Demolition.................... Other Work (Description) / S 4. Estimated Cost ...;..!...~`.r-c?.U ............................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 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of some structure with alterations or additions: Front .......12.0 Rear Depth ....../.U Height W ................Number of Stories .......e(I 8. Dimensions of pntire new construction: Front Rear ...2. Depth ..../G7.............. 7........... Z Height y.......... Number of Stories 9. Size of lot: Front /.Q...d.. / Rear .....1..~ .fem..................... Depth 10. Date of Purchase ........................................................Nome of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises Address Phone No....................... Name of Architect Address Phone No....................... Name of Contractor Address Phone No....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I I ~I I STATE OF NEW YORK, I S.S COUNTY OF ................................f _ 0 O n/ ...........SH. -.U.. .G.. ,,,,,,,-„.,,,,.being duly sworn, deposes and says that he is the applicant (Name of individual signing contract') above named. Owrfl^~ He is the (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 _ 5 ......13 ~3.. day of 1 19........ Notary Public . ................................F.~ County Q`?.... l..s.................................. / (Signature of a plicant) trL Pit NOTARY PUP!-;- s7axo c? "dew Y.,r No. 52-+51.2125 - S-,f`cik C~3,ly Cammisslor. Expire: March 33, 1~.; +