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Home My WebLink About28249-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28323 Date: 04/05/02 THIS CERTIFIES that the building ADDITION Location of Property: 440 COTTAGE PL SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 62 Block 3 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 2002 pursuant to which Building Permit No_ 28249-Z dated APRIL 5, 2002 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 HELEN FINNE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A f" f zz� ho ized Signature Rev. 1/81 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. 28249 Z Date APRIL 5, 2002 Permission is hereby granted to: HELEN FINNE 2670 BOISSEAU AVE SOUTHOLD,NY 11971 for CONSTRUCT DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#11702 . at premises located at 440 COTTAGE PL SOUTHOLD County Tax Map No. 473889 Section 062 Block 0003 Lot No. 016 pursuant to application dated APRIL 5, 2002 and approved by the Building Inspector. Fee $ 150 . 00 c Autho e Sig ture ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 J, 5 ZQQZ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Departinefif`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 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 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 a 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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00,Accessory building$25.00, Additions to accessory building$25.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.100 Date. New Construction: ~ Old or Pre-existing Building: (check one) Location of Property: CD 40 p PIC4 c (_,_4 )4 House No. f Str Hamlet Owner or Owners of Property: 14 e n �i (�►'�� Suffolk County Tax Map No 1000, Section_ [!j Block Lot (,O Subdivision Filed Map. Lot: Permit No. c-)- -1 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ a-5. c t0 � -3 -L U Applicant§einature FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH-OLD, N: Y. I 7 1 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 11702 Z Date ...4�la,f.-- .......!�.......................... 19. of Permission is hereby granted to: / ....... ,l, ... / 4. .1.11....... ...... �. '.../CV,0f............... /7v-y�w X044. to ... . . . ..... ....ere .. ........... ... � rt ........ .e........... ............................ 411 le atpremises located at ......... ::7'ir/......... .. . .. :... ..... .Y4 .............................. ...................................................................................................................AG.t�/..` iQ f.. ✓ -1 ................................................................................................................................................................ County Tax Map No. 1000 Section .....ii r%... Block ...0—T........ Lot No. .w' e:a......... pursuant to application dated ......................................................... 19......... and approved by the Building Inspector. Fee $Y005.7 . r ' . . . ... .... B Iding Inspector Rev. 6/30/80 i • CONSENT TO INSPECTION � "ir the undersigned, 'r- Owne (s) Names) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at � £ which is shown and designated on the Suffolk County tax mapias District 1000, Section Block Lot That the undersigned (has) (have) filed, "or caused to be filed, an applica- I tion in-the Southold Town Building lnspL'(;tu� c•.rrc�., ro.. �tiA rnllnwinV: I That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including'inspections to determine that said premises comply with all of the laws, ordinances, rules and regulationsi of the Town of Southold. The undersigned, in consenting to such inspections, P ns,, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspectionp maybe used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (signature) i (print name) (signature) i (print name) i I i I I • j i File No: 1902 WARREN A.SAMBACH,SR. M i �; R n GV02 CONSULTING ENGINEERS•PLANNERS 7'r""'N .,f rS,;;«,QLD 7675 COX LANE • P.O.BOX 1033 CUTCHOGUE,NY 11935 6 3 1- )734-7492 March 19 2002 Building Department Town of Southold Town Hall 53095 Main Road. P.O. Box 1170 Southold NY 11971 Re: Permit 117022 June 1 1982 Permit 18613Z October 30 1989 440 Cottage Place Southold NY 11971 SCTM 1000-62-03-16 Gentlemen: Inspection of construction of a Wood Deck to existing dwelling and Pitched Roof over existing attached covered porch conform to the New York State Uniform Fire Prevention and Building Code and the Town of Southold Building Code . Sincerely, (OaUkq- JW� F_. Warren A. Sambach Sr. P.E. was:s i FIELD IN;SPECT.ION DATE COMMENTS � Q H _ FOUNDATION ( 1st ) FOUNDATION ( 2nd ) req 2 . z o� ROUGH FRAME & PLUMBING H 'S 3 . {J INSULATION PER N . Y . y �► STATE ENERGY BODE x a 3 ' r t� 4 . FINAL 0 z z ADDITIONAL COMMENTS : a�H z . a r H x 'd c� H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMEN F Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date - .,2, , 20 d INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted 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 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 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 re ations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) o b 3�ad e- eJ,-d2<1 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premise �4vzlt-4.e111 (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 No. Electricians License No. Other Trade's License No. 1. Locat' of d on which r posed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Block Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 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 Will 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 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 data on survey. STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)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 day of 20 Notary Public Signature of Applicant FOBS[ NO. 1 TOWN OF SOUTHOLD BUILDING DEIItARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ;,�aminecl ..R' ..... ....G:!/. .... .. Iqf�' Application No. .#"1j7' ............ proved ...................................... .. 19....... Permit No. .. r4.'a.Z............. sapproved o/cam'�.l.�.(d.. .i&!1..:........ ....... ..T ............. ...i " ........ .................... ........................ ........... . ....................................................... (Bu ding Inspector) APPLICATION FOR BUILDING PERMIT Date .. . .. . ........ .✓/............... 19. ... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building spector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot Man showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or cos, 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 oll be kept on the premises available for inspection throughout the work. _. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy .:all 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 gilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or julations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ;mit authorized inspectors on premises and in buildings for necessary inspections. ... ..... �.. ............... .............. ....... f . (Si nature of appli ant, or no if a corpo a ion)` aGf�/ . ....... ... ........... ...................... ................. (Address of applicant) wether appli ant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... ^f owner of premises �G,�,.. L`-k,................................'.............................................................. -plicont is a corporate, signature of duly authorized officer. . ............................................................................... (Name and title of corporate officer) i✓u;lder's License No. .........: .... ......................... Plumber's License No. ................................................ Electrician's License No. ............................................ Other Trade's License No. .............................................. Location of land on wh' pr ecl work 1 be done. Map No.:��/. ........�.c ........ Lot ......... Street and Number �f. .. ........................................................... ........ 4 CUM- Municipality Mate existing use an occupancy of p ises and intended use and occupancy of proposed construction: /, n. Exisiting use and occupancy4' .................. ...: .................................................. b. Intended use and occupancy ... ... ............................................................................................... ` ` 3. Nature of work (check which applicable): New Building. .................. Addition . `. Repair .................. Removal .................. Dennoihon—.-----. Other Work --' � [~~ 4. Estimated '~-----.-.—.------�ee ----'L.��—�'��-��-----.----------------' � � -- � (to be paid on filing this application) . 5. If dwelling, number of dwelling units ---..------Nunnbar of dwelling units on each floor ... |fgarage, number nfcars ...................................................................................................................................... ' � 8^ If businesscnnmn��rcio| ov rn��d occuponcy, notuna and uf t�p� of use ---.—.. . . ""� _` �� ~_'_' �� —' ' 7. [4mensionsofaxstngstructuren ifony: Front —. .... .. Rear .—A . ................ Depth Height ........................ Number of Stories ........... .Ed Dimensions of some structure with alterations or additions: Front .................................... Rear -------- Deoth ................................ Height --.----- -- of Stories ................................ �� 1"_'_4 8. Dimensions of entire new construction: Front --�...xx—.+ ........... Rmor -.---.......-.... Depth .—...^a---' Height .................... Number of Stories ---.--.---'----^- ' --------.-----'—.--.—.�^—_- 9. S Front Rear .�.x%�/ ... �°�.��---- lO' ""^= of `="�~� x ' . . . ~ ,. . ~,~. _~.~�. . .^ _______ ll. Zone nruse district in which premises are situated —.��C ~ .zc'. ............................... 12. Does proposed construction violate any zoning baw, ordinance or regulation: . .................................... . / ^ 73. Will lot be regraded (---T-"No ' � 14. NorneofC�vnerofprmnnises ' ...., �*�jrmss Phone ��o.`=.=,..-'�'' Nome of Architect _ . Phone /�-----..- �x�1rmss �Phone ��p' ...~.---'. ��,�� '�~r Nome of Contractor .wm�—.��. --.--~-. �u�ire�m . p'/�-�-.��'�.^� PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions f,c, pnoperty lines. Give street and block number or description according to deed' and show street names and iodico, whether interior orcorner lot. - Aj \ LM 41 � ^ ^ | \ » ~. ^~ �u 411 \ rd \ � � STATE OF �— _____ ��.' —..being duly sworn, deposes and says that he is the opp|'cc (�cine of individuon|ng controcf - above named. He is the ----------'7 ', '-- --- og��'--corm—'—'��--of �ice� e�j of said owner or owners, and is duly authorized to perform or have performed the said work and to make on'j � this application; that all statements contained in this application are true to the best of his knowledge and be\ie[' thurthe work will be performed in the manner set forth in the application filed therewith. Sworn me this /xv,a/ '~~'^-------- ^j. ;j my of applicant) w0mwMv PUBUC, State of ftV VW TITI CO t t }� Ike r f- .0