HomeMy WebLinkAbout37532-Z �A F1194 , � Town of Southold Annex 12/11/2014
P.O.Box 1179
54375 Main Road
a r;; Southold,New Fork 11971
CERTIFICATE IFICAT'E OF OCCUPANCY
No: 37323 Date: 12/11/2014
THIS CERTIFIES that the building DECD
Location of Property: 465 BURGUNDY COURT SOUTHOLD,
SCTM#: 473589 Sec/Block/Lot: 51.-3-3.14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/15/2009 pursuant to which Building Permit No. 37532 dated 9/21/2012
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:
DECD ADDITION TO AN EXISTING ONE FAMILY DWELLLING AS APPLIED FOR
The certificate is issued to DONALD&LISA PATERN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
o ' ed Signature
J= TOWN OF SOUTHOLD
�a BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
°® SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MIDST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 37532 Date: 9/21/2012
Permission is hereby granted to:
iDONALD & LISA PATERN
465 BURGUNDY COURT
SOUTHOLD, NY 11971
To: CONSTRUCT A DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. REPLACES EXPIRED BP # 34996
At premises located at:
465 BURGUNDY COURT SOUTHOLD
SCTM ## 473669
Sec/Block/Lot# 51.-3-3.14
Pursuant to application dated 9/15/2009 and approved by the Building Inspector.
To expire on 3/21/2014.
Fees:
PERMIT RENEWAL $37.50
Total: $37.50
6 ing Inspect r
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING,PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34998 Z Date SEPTEMBER 15, 2009
Permission is hereby granted to:
DONALD & LISA M PATERN
465 BURGUNDY CT
SOUTHOLD,NY 11971
for
CONSTRUCT A DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. REPLACES EXPIRED BP # 23711
at premises located at 465 BURGUNDY CT SOUTHOLD
County Tax Map No. 473889 Section 051 Block 0003 Lot No. 003 . 014
pursuant to application dated SEPTEMBER 15, 2009 and approved by the
Building Inspector to expire on MARCH 15, 2011 .
Fee $ 75 . 00
44k�
Alithorized Signature
ORIGINAL
Rev. 5/8/02
FORK NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWNMALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS' PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 23711`Z Date . /13V.................. ......... ............ 19. . .
Permission is hereby granted to:.
.. .
to .....
e
. .. �.. . . .. . ..
at premises located at ................ .<.... .. ... ..... ..
....... . ......... ...................... .....
County Tax Map No. 1000 Section ... ........ Block ....0Lot No. ..: . .
pursuant to application dated ...... .............................. 190.., and approved by the
Building Inspector.'
Fee $.
...... ..... ... . ... ... .. ...:. ..............
Bdi or
Rev. 6/30/80
I ! I�
Form No.6 J 9
TOWN OF SOUTHOLD tltl
BUILDING DEPARTMENT'
TOWN HALL I
DEC 1 Q 20,
4
765-1802
APPLICATION FOR CERTIFICATE OF OCC PANCY
,i
This application must be filled in by typewriter or ink and submitted to the Building Deparhnent 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 similarbuildings 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 shal1 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. 1 4
New Construction: Old or Pre-existing Building: 4 ,'� (check one)
Location of Property: � % �t,'.`,
House No. S reet Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section 7 3 Se 1311/.
3 ` l LlLot
Subdivision �g Filed Map. Lot:
Permit No. B ° Date of Permit. Applicant: 'U,cam_
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ V
f
Applicant Signature
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
74
DATE � INSPECTO
3 711
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 7ST [ ] ROU PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS:
AlClew co-1,44-e.,
6
(O
DATE INSPECTOR
2, r3f sov�,y®
TOWN OF SOUTHOLD BUILDINGDEPT.
765®162
=1 I mmm S m pma ft' E 'Ed m;b- T I a mom b immim
[ ]
FOUNDATION IST [ ] RO H PLUMBING
[ ]
FOUNDATION 2ND SULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ]
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTMT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CE VIOLATION [ ] CAULKING
REMARWOM
Ile(7/ gsz4a:��- B
F , f*-,/
D
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P /
ATE ` INSPECTOR
T -
S-3 2-t- q SO(/T,yo
�® �®
TOWN OF SOUTHOLD BUILDING .
765®162
I N IS P Em C T 10 N
[ ] FOUNDATION IST [ ] ROUG `PLU I
[ ]
FOUNDATION 2ND 1 ULATION
L ]
FRAMING / ST I [ FINAL
[ ]
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTMIT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ]
CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
i_I1 j C) TNSPLc TON REPORT==_=DATE COMMENTS d�
Ir
FOUNDATION OST) II- fI- - --- --- - --- �'
II II r q
FOUNDATION (2ND)------------------
--------------------- -----_-------------
!I
It
�__.—.---II 0
ROUGH FRAME & II It
PLUMBING --------II---�
II _ YID r
INSULATION PER N. Y. II - --- – —
STATE ENERGY It II
CODE
II It
it
II I
II p ®
FINAL II
II
ADDITIONAL COMMENTS:
------ ---= -- ---------------------------- ---------------------------------==-------
d
C=1
BOARD OF 11HAU111
FORM NO. 1 �3 S1-'1'9 OF PLANS . . . . . .
TOWN OF 9OUT110[.1) SURVEY . . . . . . . . . .. . . . . . . . . . . . .
BUILDING DEPARTMU NT �CHECK . . . . . . . . . . . . . . . . . . . . . .
'TOWN 11AI.L sv",rr C FORM . . . . . . . . . . . . . . . . . .
Soll'rnoLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CA 1.1, �`..®� -,-
F.xtnmiaxxl. ........, 19 ,.� MAT1. TO: . . . . . . . . . . . . . . . . . . . .
.
Apprt)ve(i. � ....,..., I Permit. No.
Uisalrirrwed../C............................•--.....,_ 15
Lr F '
TI
... ... ...... �Ll ,
(lkai_ldirml Insl _ct r)
i BLDG,DE
r APPI.ICATION FOR 111)11.DTNG P1 RM IT TOWNOF§QUT-s" Ot {
Date. . , . . . . . . . . .
w
JNSTRUCTI.ONS
a. '11ais application mist be cum>[iletely filled in by typewriter or in ink aryl s(alxnitted to Che ikrilding Inspector with
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. plot: plan slxxeing location of lot arxl of lxaildin s on premises, relationship to adjoining premises or public
streets or areas, aril giving a detailed description of layout of inroix-rty nest be drmm on time diagrern which is i>eart of
this aiplication.
c. 'ibe work covered by this aplilicaticm twxy not be commenced before issuance of Ikailding Permit.
d. U[xxa approval, of this almplicat.ion, the i A.1ding insiector will issue a iluilding, Permnit: to the a0picarit. Such
lx>rmit shall be kept, on the larelrmises available for ins[mect:icxa thr(xmglxxat the work.
e. No Imilding 01,11.1 be occupied or nsed in wlx)le or in part for any p(mrlmose wlmatever until a Certificate of
(Xx-(okarx-y slmall have been granted lay Ox- lkiilding Inspector.
API'L1CA'I'TON IS IQUTBY MIT[ to the lkailding Departim-nt for the iss(aarx.e of a Wilding 1'Prrnit IAmrmmanC to the
Boilding 7xxme Ordinam --e of the Tim of Sort-hold, Saaffollc Ckx)nty, Neva York, aril other applicable Inws, Ordinanees or
Regulations, for Lbe constnaction of: imildings, a(klitioas or alterations, or for removal or dewolitioo, as herein
(lescribed. 'Ilse applicant agrees to conlily with all .allAicable laws, ordinances, bullding co(le, lacausing code, aril
regulations, aril to admit autborized inspectors exr premises amyl in building for necessary inspections.
:_. �,.....:.'....................
(Signature of applicant, or nave, if a corlxrration)
i�o.- e 6'a' � e ar ��� //
... 1. ........ . . ........
(Ma iIing Fxkiress of applicant)
State wlmetlwr applicant is owner, lessee, agent, architect, engineer, general contractor., electrician, plunber or builder.
Dwoe'r-
..................................................................................•.....................................
Nmme of: owner of premises ..D o ate"rn.............................................................
(as on the tax roll or latest (teed)
If applicant is a corporat:icm, signature of duly authorized officer.
......................................................
(Name amxl title of corlx)raaCe officer)
lkailders License No. .........................
Pltrmimers License No.
Rlect:ri.cians i.Jeense. No. .....................
Other Trade's License No. ....................
I, lk)cat:ior of lmA on wlricJi prrmlx)se(1 work will. he (lone..............................................................
.......... . ..........................
lkmse Umber Street 14inlet
C(xrnty Tax Map No. i PO Section ......... lllock ...3........... Iot .` °.1y.........
Sralxlivision ...................................... Filed t•L•ap No. `A..... iot .f. ..........
(tJarrme)
Z.r State existing rase aril occupant' of premises arxl intemled use aril oc:c-uparacy of prolx)se(1 construction:
a. Existing nse aril occupancy .�f.`.;' .....° .....� `. _a� ...................................
h. int:erxk'd use aril occupancy .............................................................. ..............
a. Mitre of cxldc (dieck w1iic11 aplaicahle): thha Ik111dinl; AMition Alueration ....... . ..
Ita:lulir ..... ... .... Ite lfwal ............. Iknrll Ilion ....... ..... Olher Wolk .Me:c--.t.............. ... .. .... .
ow (Iefwr1ption)
4. I;st invited ed (bsC .. ff .'s. . ... . f(:e ... .... .. ..... ....., ...... ....
(lo be paid of f I illi; Illis appl icatioo)
i,
11 (hac:l l ing, IKfiber of ckx:ll ily; 'Mics ....... ..... Umber of ch,el l ing 'ni l:s cxl each floor ............. ...
It-' garage, ixjiber of cars
G, If lKlailless, cxil►Ilereial or alixed rx:culullx_y, specify nature aixl extenl: of each Lype of use....... . ........
/. IJiuK!nsirxls Of existing atrllclures, if ally; Frow:.. ... .... . .. .... hear .... . ..... ..... Depth
Ik:ipjkt. ............. 1•A111j►er Of Stories .. .... ............ . .. .
I)inf:nsicxls of Baffle eCrtu.Cure with alteraLioos or axkliCions: Lrouu .. ... .. .... .. . . Bear
Ikplh ........ lk-i llt ... . .. .... ... .... Ikfllx.r of Slor ies .. .._.. ...
til. Dimensicxls of entire oew coOsCr'ca:i(al: Vr(xlt 0
.......... Itear .. .�.(//. . ....... .. .... ... .
Ileij)w ......................... PAf111er of :itories .. .......... ... ..... .
9. Size cif lou: profit: ... . ... ... hear .. . .. ...... ......... De1)th .. .......... . ...... .
r
10. Mile of 1lrrchase ....Q��.� i1 ...... Ralr: of Former Oalx:r ..l4y . t,,1aAO/o
II. Mile or use district in ,Mich premises are siwated ....... .............
12. I)oes proposchl collsurticHOl violate ally zc>,ling laza, ordina1x.e or regulation: f0.... ............ • •,_,
17, Will lot he regraded .....MQ....... .... 6Ji11 excess fill Ixe rellrrved from premises: YES
14. Idalnes of (kaoer- of premises ....Pa�.e.�n.............. Acklress4s-6 . 4!�4i!?dll .C�............. 11xnu No.��s'����A,.
Mime of Ardd Lect ............... .............. ... .... Nkiress ...... ... ............ .. ....... Mone No. ... .. . . .. ....
Mille of (Ailu:ractor ................................... litklress .., ..... . ................. .....111o11e No. .... .
1'i. IS this properly within W) feet: of a tidal me-Halxl? * YG`i .... .. .... tIC) • . .X,•..,,
*IC YI:S, :i(AJIII XI) 'I(X4N 'IR1)S111:S 19i14,11'1' MAY IS(s Ill(Pl[t1 D.
PLOT DIAGRAM
I,ocat.e clearly alxl distinctly all Ixlildings, .Aiet.lier existing or prolxlsecl, fuxl ilxlicaLe all. set-I>acl< dirlleosions
fr(fu property lilies. Give sLreeL arlcl block iiiviber or (lescripliou accoilllrlgCo aleed� a1K1 sliow street manes alxl irxlieate
%A)elher interior or corner- lot.
f
.s� �';1 � ',�''l(may, s'` � -�'� ��-✓ `�-e�
SPATE U. NI w YMK,
(xxlrrlY (>r
EE II �a ��` n
.... . .� .... . ..• .. ... ... ....... ... ..heilig duly svmrn, dejxlses 1110 says that he is the vpplicaw.
(rlaflf> of ilxl►V1(klad. :ligoi'g c.ou(ract) -
alxlve llafwd,
Ik> is the .... . ��... .. . .... . .. . ....... . . ....`......... . .. .
.. .. ..... . .... ..... ... ..................
((:oiitractor, agent, COrIX)l-alte OffiCer, ehc.)
of said or owix!rs, 111Kl is duty authorized to Ix�rfono or have lxerforllied (.he said cxnif a1Kl to mike arxi file Ibis
ilpplicaltion; than: all statE!n-,nLfi conLahled ill (.Itis rlpplAcat.ioll fire tme Lo file bets(- of hill klK,wledge and b6llefj nod
illal: file WOrik will be perfonliad ill the 11rlllner seL forth ill the applAcatton filed therewilar.
:,lxlrn Lel before ❑rt this
. . .. .. .. . ....... .. .(lily of ..... 19. ..
14ot:ary P'bl is .. .......... iq
OYCEM.VALK1NS 03 plalul-e Of Appl icanl)
Notary Public,Stats of Now York
No.4952246,Suffolk CoUnfw
Term Expires June 12®1Ez
- 1/
I
-L TOWN OF SOUTHOL.D PROPERTY RECORD CARD
VILLAGE DIST. SUB. LOT '
OWNER — STREET ®— -
o` f'.r � �rr }
ACR. RE ARrjS
I c5v 0
j TYPE OF BLD.
�
PROP. CLASS-; 1 �? l C' ava ea r) -Pei f b�
s
LAND IMP. `` TOTAL DATE 1�> !'7 - � L I D a � �o�ar�� ,
h -- r'.�JA1411 :100 1
VAL
FRONTAGE ON WATER TILLABLE
FRONTAGE,ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
— — TOTAL •. 913
�Y
■■■ ■■■®■■■ ■■■ ■■■
■■ ■■■■■■■■■ ■■■■■■
.. • Dinette
• E. " ••.
Ext. Walls
- • I■ •
• Fire Place D.
•
• ••• a
'• , �� Dormer
'0 sit ••
.►. Driveway
Rooms 2nd Floor
s
V/U� �tL
X3-711
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.......1. ... :. ..
•r Southold Town Building Department
¢ c P.O.Box 1179 Permit#: 34998
54375 Main Road
Southold,New York 11971
Permit Date: 9/15/2009
(631)765-1802 Expiration Date: 3/15/2011
;.
Parcel ID: 51.-3-3.14
BUILDING PERMIT RENEWAL LETTER
Dated: 7/20/2012
Applicant: DONALD&LISA PATERN
Location: 465 BURGUNDY COURT SOUTHOLD
Work Description: DECK
CONSTRUCT A DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. REPLACES EXPIRED BP #23711
A FEE OF $37.50 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: DONALD&LISA PATERN
Address: 465 BURGUNDY COURT
SOUTHOLD,NY 11971
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold'Town Building Department — -
AI, P.O.Dox 1179
42 5
Permit#: 34998
4375 Main Road
Southold,New York 11971 Permit Date: 9/15/2009
(631) 765-1802
Expiration Date: 3/15/2011
v..: Parcel ID: 51.-3-3.14
UIL 1N,G PERMIT AL LETTER
FINAL NOTICE
Dated: 9/13/2012
Applicant: DONALD do LISA PATERN
Location: 465 BURGUNDY COURT SOUTHOLD
Work Description: DECK
CONSTRUCT A DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. REPLACES EXPIRED BP # 23711
A FEE OF $37.50 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: DONALD & LISA PATERN
Address: 465 BURGUNDY COURT
SOUTHOLD, NY 11971
The permit listed above has expired. Please contact our office as soon as possible to begin
the renewal process. All work on the project must stop on the expiration date.
15�®
dQDl. 8894 9432
Tall
W L
THANK YOU, 1 .
SOUTHOLD TOWN BUILDING DEPT.
S�0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
5111
Southold,NY 11971-0959
December 3, 2014
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Donald & Lisa Patern
465 Burgandy Ct
Southold NY 11971
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (Ail permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 37532 — Deck Addition
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AUG 101996
BLDG. DEPT
TOWN OF SOUTHOLD
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GROUND LEVEL
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4' TYP 4 X 4 X 10' C 22 ) TYP
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4' TYP
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CONCRETE F DOTING
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NO SCALE
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TYP „ 1'-2"
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4'-10'TYP 2 X 4 X 6 0 3 ) TYP 2 X 4 X 12 C 3 ) TYP8"
! 6" TYP STAIR DETAIL C TYP
TYP 4 11211---.,— N ❑ SCALE
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