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HomeMy WebLinkAbout38602-Z Town of Southold Annex 1/13/2014 5'e P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36710 Date: 1/13/2014 THIS CERTIFIES that the building ALTERATION Location of Property: 8915 Soundview Ave, Southold, SCTM 473889 Sec/Block/Lot: 59.-6-27.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this otTiced dated 12/6/2013 pursuant to which Building Permit No. 38602 dated 12/31/2013 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" WINDOWS IN AN EXISTING PORCH OF A ONE FAMIL DWELLING AS APPLIED FOR The certificate is issued to Fitzgerald, Walter & Fitzgerald, Barbara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ho`' Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT e 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 38602 Date: 12/31/2013 Permission is hereby granted to: Fitzgerald,_ Walter & Fitzgerald, Barbara 9 Smith St Glen Head, NY 11545 To: as built" porch windows in existing porch as applied for At premises located at: 8915 Soundview Ave, Southold SCTM # 473889 Sec/Block/Lot # 59.-6-27.3 Pursuant to application dated _12/6/2013 and approved by the Building Inspector. To expire on 7/2/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 CO - ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector 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 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. 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 - $15 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: (check one) Location of Property: E16 1 Sdumd 0,,L) ld / 4 7`C-YU-c-~- ~j CEO House No. Street Hamlet Owner or Owners of Property: W6LTe- 2 1JCLelorkV-0L Y-k+z a1 Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: [ Fi 26(ozia J Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 'tom Applicant gnature magImmramml DATZ Cobom NTs. . FOUNDATION (1ST) I O a, FOtINDATION (2ND) n y ROUGH F&AMMQ 8e v PLUMING 7 c n, MULATION M N. Y. la STATZ ENERGY CODE o1 y • d FINAL ADDITIONAL COMMENTS ~ z r • TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before TOWN HALL applying? Board of Health SOUTHOLD, NY 11971 4 sets of Budding Plane TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 y~ Survey SoutholdTown.NorthFork.net PERMIT NO. - Jro ).2 Check Septic Form N.Y.S.D.E.C. Tnrstees Flood Permit Examined 31,20 I3 Storm-Water Assessment Form Contact: Approved i 20~ Mail to Disapproved a/c ' - Ph.:~l (p '£xPee9en - 1 I Building Inspector DEC - 6 2013 / APPLICATION FOR BUILDING PERMIT Date 20 INSTRUCTIONS TO ration 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 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 permit shall be kept on the premises available for inspection throughout the work. e. No budding 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 1S months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inpector 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. 0.r.C-e-l (Signature of applicant o4aildk, if a corporation) (Mailing address of applicat) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ©(4)/1 C2 n~ / Name of owner of premises (-1 cc C~~- 13a 4-m ?a~ / , ~-Z- qe 441 (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. Plumbers License Electricians License icense No. (o Other Trade's License No. 1. Location9of iT on which~proposed yvo? ~ ill ae d;r~ e } n , _ I ,YG( 71 r~ I1( ( House Number Street Hamlet County Tax Map No. 1000 Section -59 Block (P -7 Lot 3 Subdivision Filed Map No. Lot • 2. State existing use and occupancy of premises and ' tend use d occ panty of proposed construction: a. Existing use and occupancy I e n a0~ 0 I &J- e / Intended use and occupancy W 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 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 same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear 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_W ill 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 Address -Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? 'YES X 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, most 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 YORK) SS: COUNTY OF I L- R-LA441 being duly swom, deposes and says that (s)he i t (Name of individual signing contrarA above named, BUNCH Notary Pubic, State d New York (S)He is the _ NO. o19Ue1 em (Contractor, Agent, Corporate Officer, etc.) Canmhsbn Expkse AprN 14, k 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. j3yorp.to before me s Wday of~ MI iV- ~i` 20 n Notary Public Signature of A plicant WRVEY OF PROPERTY N SITUATE, SOUTHOLD TOM, SOUTHOLD SUFFOLK COUNTY, NY W E SURVETED 10-13-2004 AMENDED 12-01-2004,12-14-2004 S 02-14-2005,03-11-2005, W-14-2005,05-16-2005 FINAL SURVEY 02-0"1-2006, 02-04-2006, 02-23-2076 SUFFOLK OQBtTY TAX 0 1000-54-6-27.3 SUFFOLK COUNTY DEPT. OF HEALTH 5ERVIOEE. REF. RIO - 04 - 0160 CISIC7V®ra NImY ca.9.~ ~aa How or Fx,rerl o,. 4 Geor9g 1 _ Penny lye Dwellkly \ ~ L 1 P 1 2 253.10' \ - 862, ? a I Ij ~ ? 1 7 , ^~,z S9 I ~ 1 00 "cam 10-0 we % NOTES, 0 PIPE FOUND V4r~ ^e s^/ N} ELEVATIONS REFERENCE W/O '24 DATUM rr...t PROPERTY 2015 R 40 FLAGS SH" TNUS Z DELINEATE EDGE OF PRESVWIATER MEiLANDS AS MARKED BY BOB FOX DATED MARCH 10, 2005 V The NYS FrsaM1wEe1 W tlmld Bx,L K y b ogwl t4 R. F,.'a IM m shown m *I n I the wrvey p/1; ~e by -IoM Vhle Imt rewee 3A4105 m aetermN d I 4 R. Fbeh 476/05. Drynell IaoWm& m Rer wilMr AREA = T3,811 S.F. or IA445 A01__ JOHN C: S LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LTC. 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