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Home My WebLink About28250-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28324 Date: 04/05/02 THIS CERTIFIES that the building ALTERATION 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. 28250-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 ROOF ALTERATION TO AN EXISTING PORCH ON 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 i th 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. 28250 Z Date APRIL 5, 2002 Permission is hereby granted to: HELEN FINNE 2670 BOISSEAU AVE SOUTHOLD,NY 11971 for INSTALL A PITCHED ROOF OVER EXISTING ATT. COVERED PORCH AS APPLIED FOR. THIS PERMIT REPLACES BP#18613 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 Au r ' ed Signature ORIGINAL Rev. 2/19/98 FORK NO f 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) No 18 613 Z Date ....,la. ..:3 ............................... 19.0 Permission is hereby grant to: /►YGP�J9 'l .�:3.��......1. ..�,�:e.... .. ............. ..C....��....� ,: .. ...1../9 7/ to ... (..� ... ...... .. .. ..(�e:�f..... .. ........ ...... ........ ... ......... .:: .��....... ....�ii. rte`...... .. ....... ............................. atpremises located at .....��e?........... .. .. .. .............. ...................... .................................................... ... ........................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section .......... Block ..........`3...... Lot No. ............1 ... pursuant to application dated ...........a /. .-.�................... 19 .., and approved by the Building Inspector. / Fee BCal -ait�or ....................... Rev. 6/30/80 Form No.6 (" - TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPNC� 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. 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$15.00,,,/ Da �/�Z New Construction Old or Pre-existing Building: (check one) Location of Property: .x/2/0 6?4�wl J Az�a House No. Street Hamlet Owner or Owners of Property: Adw Tr*n0& Suffolk County Tax Map No 1000, Section Y731GBlock 03a o Lot f!6 Ge a Subdivision Filed Map., Lot: Permit No. �� Date of Permit. Applicant: Health Dept.Approval a Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C91 ,00 G '�3 Applicant Signature =OUiJDATIO:J ( 1st ) c ?OUNDATIO:J ( 2nd ) ROUGH FRAME & •PLUMBING CA 3 . � 711S ULATION PER N. Y. rTl cT STATE ENERGY ` CODE I 4 • _�•� . a9 I 7 • FI4JAL • � I o ADDITIONAL COMMENTS : • x • H ' m p. rn ^o BOARD OF HEALTH . . . . . . 3 SETS OF PLAN • S . . . . . . O FORM NO. 1 SURVEY . . . . . . . . . . W�l OF SOUTHOLD CHECK OL"D.NG DEPARTMENT NT SEPTIC • • • . FORM BUI . . . . . . . . . . . . . . TOWN HALL BLDG.DEP?• SOUTHOLD, N.Y. 11971 NOTIFY OFSOUTHOLD TEL.: 765-1802 CALL . . . . . o . . . . . . . . . . Examined . . . . . . . . . . . . . . . .. MAIL TO . . . . ., 19P Approved . . . . . . . . . , , , 1 . Permit No.` V4G�'-! Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ildin nspector APPLICATION FOR BUILDING PERMIT Date . . l.�.. . . . .. . . . .. 19 /. 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 giving a detailed description of layout of property must be drawn on the dia-ram which is part of this appli- gation. 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 issued 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 1vIADE 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 Re_ulations. for the construction of buildings, additions or alterations, or for removal,or demolitions herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, regulations, and to admit authorized inspectors on premises and in building for necessary inspec "n , Y . . . . . . . . . . . . . . . . . .. . . . (Signature of applicants ami, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineerEHE9 electrician, plumber or builder. Name of owner of premises.�/e4,5. . ��^/�?�:e'1:+7�.L<.-S�h/. . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . .. . . . . (as on the tax roll or latest deed) If--pplicant is a corporation, signature of duly authorized officer. .. (Name and title of corporate officer). . . fficer)•. • . . . ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License Nc. 1. Location of land on which proposed work will be done. , , , , , , , , . , ' . .. . . . :y�0 . . . . . . . . . . . . . . . . . . . . . . . .. . ;�?/a.ce. . . . . . . . . . . . .��D� . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . .((! . . . . . . . . . . . Block . . . &. . . . . . . . . . . . Lot . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot of . . . . . . . . . . .. . . . :. State existing use and occupancy of premiisse-s and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . ..s -leLo- / . . . . . &- A.14e. . . .. . . . . . . . . . b. intended use and occupancy . . . . . . • • • • _• . . . . . . . .:.. . .. . . . . . I. .. . ... .. . . . . . . . 3. Nature of work (check jXhich applicable Repair /.%<-OE �.2Uo"'• ): New Building . . . . . . . . . . Addition . :',.1. ,` �AIteratift • • Removal . . . . �' • Demolition . . . . . ': f Other-Wo- 4 ik :.::' • I' '' 4. Estimated Cost . . . . . . J000 .-'. . . : . . . . . . . . . . : . .e.sc, iQplion) . .. . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . S. If dwelling,number of dwelling units . . . . • , (to be paid'on Pilins this applicztiod) If garage,number of can . . Number of dwelling units on each floor. .Alf ' ' • • •• • • 6. If business. commercial or mixed occupancy, specify nature and extent of each• p�•of use . • . .. . . . . � � ��•• � ' 7. Dimensions of existing structures,if any: Front . :7, . ' � ' ' ' ' Hcight .�.� . . . . . Rear . � 42 . . . . . . . . Depth . . . • l -� . . . Number of Stories . .:iL Dirncrtsio s,o same structure with alterations or additio • Front• . . . • • Depth . . . . . . . . . . . . �.!`::L. . . Rear . Hcight . -5_-1V YJ • • .•••... S. Dimensions of entire new construction: Front . 5-.'V ' • • • • Number of Stories . . . . . . . .. . . . . . . . ... Height '. . . . . . , , Nutttber of Stories . �� ' . Rear . . . . . . . . . . . . . . . Depth .. . . . • . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . .. . . .. . 0. Date of Purchase Depth L Zone or use district in which premises•are.situated . • ' Name of Former Owner . . . . • • • • �• • • • - 2 Does proposed construction violate any zoning law, ordinance or regulation:• . • • . . • • • • • • • • • • • * • • - . . 3. Will lot be regraded . . . . ...J. G . . . . . . .'�0. . . . . . . . . . . . . . . . . . . . . • • • • • • • Will excess fill be removed from premises: Yes No 4. : Name of Owner of.premises � � � � � • � ' Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . .. . . . Name of Contractor • • • • • • • " " " ' • • • • •Address . . . . . . . . . . . . . . . . . . . Phone No. . � •� � � • ra for . Address . ' ' ' ' S. Is this property -located•within•300•feet• . . . . . . . . . ' • • . • • • •Phone No. . . . ... . . of a tidal wetland? *Yes .. . .. No ..�..t' *If yes, Southold Town Trustees Permit may be renuired. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions frorn, :operty lines.Give street and block number or description according to deed, and show street names and indicate whether :tenor or corner lot. . w. �w�� s CP,fco �,, . , ._. of •sem s� i .. ` .-.J Y 1 f 11�'y 0 IN ,i _ATE OF NEW YORE, XN7Y OF. . . . . . . . . . . . . . . . . . S.S . ' ' ' ' . ' ' ' . ' • ' ' • ' ' ' ' . • • • • • • • . • • • • • • • • • . • . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) otic named. isthe . . . . . . . . .. . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) • • - • • • • • ' • ' ' ' ' ' ' said owner or owners, and is duly authorized to perform or have performed the said work and to make and file plication: that all statements contained in this application are true to the best of Itis knowledge and belief;and that the rk will be performed in the manner set forth in the application filed therewith. orn to before me this . . . . . . . . . . . . . . . . . . .day of. . . QCA'-7 . . . . . . . . . . . S, Lary Public . . . . .. . County HELEN K OEYOE ,�iAitY i'UBltC,State of of New York . . . . . . . • • • . • • • • • . . • . . . • . • . . . . .... Na 4707878,SutiolkC (Signature of applicant) Tone Expires Much 30,IM Uel, r' I CCUpANICY OR 4 lalrSE IS UNLAWFUL CERTIFICATE 0 PCUPAqcy t i a •, IIIA __-= .��- z v� I SL c U Z E Rl I . APPRWD AS� OD. BY: E :1Fy BUILDING OEPARTME AT #B -18012 9 AM TO 4 PM FOR THE O LOWING INSPECTIONS: 1• OUNDATION - TWO REQUIRED OR POURED CONCRETE • ROUGH - FRAMING & PLUMBING I f YSULATION 4FINAL CONSTRUCTION MUST E COMPLETE FOR C.O. CONSTRUCTION SHALL MEET RL;Qk_jIRFr-,MtN!S OF THE N.Y. -ONSTRUCTION & ENERGY ' 3T RESPONSIBLE FOR "�,NSTRUCTION ERRORS I File No: 1902 F� 1 WARREN A.SAMBACH,SR. 2002 CONSULTING ENGINEERS• PLANNERS 7675 COX LANE • P.O.BOX 1033 CUTCHOGUE,NY 11935 6 3 1- 6x6)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 186132 October 30 1989 440 Cottage Place Southold NY 11971 _r� 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, Warren A. Sambach Sr. P.E. was:s