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HomeMy WebLinkAbout40619-Z �arp���FQ�'�cp� Town of Southold 7/6/2016 � � P.O.Box ll79 y � 53095 Main Rd Py'j0 ��o���y Southold,New York 11971 ��'.�'' CERTIFICATE OF OCCUPANCY No: 38378 Date: 7/6/2016 THIS CERTIFIES that the building ACCESSORY Location of Property: 5705 Route 25, East Marion SCTli'I#: 473889 SecBlock/Lot: 35.-2-16.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in tlris of6ce dated 4/8/2016 pursuant to which Building Permit No. 40619 dated 4/13/2016 , 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: ACCESSORY GAZEBO AS APPLIED FOR The certificate is issued to Coffey,Richard of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED � � � Authorize ignature �S�FFo��.c TOVUN OF SOUTHOLD ��o ��y BUILDING DEPARTMENT � � TOWN CLERK'S OFFICE o • � SOUTHOLD NY � y�,ol � ���� e BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITFi�ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COIVIPLETION OF THE WORK AUTHORIZED) Permit#: 40619 Date: 4/13/2016 Permission is hereby granted to: Coffey, Richard � � � �j �( 319AveCApt3F IVe�nr York, NY 10009 To: construct accessory gazebo as applied for. At premises located at: 5705 Route 25, East Marion SCTM # 473889 Sec/Block/Lot# 35.-2-16.1 Pursuant to application dated 4/8/2016 and approved by the Building Inspector. To expire on 10/13/2017. Fees: ACCES SORY $166.40 CO -ACCESSORY BUILDING $50.00 Total: $216.40 v Buil i g Inspe �ir Form No 6 �co���v or sou�rKo�o BUILD[NG DCPA�2TMEN"C . TO WN E[ALL 765-1802 APPL[CA`i'ION rOR CERTIFICATE OF OCCUPANC�' This application must be filled in by typewriter or t�ilc and submitted to the Building Department with the fotlou�ing: A. I+or new building or new use: 1. Final survey of property with accurate location of ali 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 electncal installation from Board of Fire Underwriters_ 4_ Sworn statement from plumber certifying tliat 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. 5ubmit Planning Board Approvai ot completed site plan requirements_ B. For existing buildings (prior to A.pril 9, 1457) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing al1 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-$25� �` � � -- -- ..... .. _ . 4. Updated Certificate of Occupancy- $50.00 . 5. Tempor�ry Certificate of Occupancy-Residential$15.00, Gommercial$15.00 Date. `'f � g- � �� New Construction: Old or Pre-existing Building: (check one) Location of Property: ��05 ��'�*��� ������'� I'�y d�� � House No. Street Hamlet Owner or Owners of Property: �-��'`���-- r (Z4��� ����`0 �r Suffolk County Tax Map No 1000, Section 3 � Block.2- � Lot � � � � Subdivision Filed Map. Lot: Pennit No. l �� � Date of Permit. " Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval_ � Request for: Temporary CertificaU Final Certificate: (check one) --- - -- � --- --- ----- ---- ----------- — Fee Submitted: $ 5� Applicant Signat.� L �D4 f� . o��OF SObj,yol � - ` ' '�c ,�C ' _ .� �, � � �Q - _ ����oU�m,N�' _- � - - TOWN OF SOUTNOLD BUILDING� DEPT. - 765-1802 - � - � 1 NSPECTION � - � - - � � ' [ ] FOUNDATION 1ST- [ ] ROUGFI PLllMBING � . [ ] FOUNDATION 2ND [ ] INSULATION - [ ] FRAMING /STRAPPING [ FINAL � -� . [ ] FIREPLACE � CFIIMNfEY [ -] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTIOM [ ] FIRE RESISTANT PEN6TRATION [ ] ELECTRICAL (RO�1GH) [ ] ELECTRICAL-(FINAL) [ ] CODE VIOLAT N [ ] CAULKING " . REMARKS: �- �e � _ DATE �� �7 �� IIVSPECTOR ' •a� - - 1 l� o��OF SO�j.�,ol D�� _ � o . - # # - � • �o . - ��y�OUNi`I,�c� . TOWN� OF SOUTHOLD BUILDING�DEPT. -� 765-1802 . � I�NSPECTION - - [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING � [ ] FOUNDATION 2ND [ ] 1 ULATIOIV [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE � CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ],ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING � REMARKS: �� �''�'t � d �- � _ DATE � �� � - INSPECTOR • -�� , � � � � , • . . FI�LD II�SP��4�`7��'Ok��S A� � �� +C4��'S� • � , , , . , • , , , . � .� . � � � �'QTT�D�.'#'�OrI(1ST) , , ' , , � , � ' �' �� - -- ---.. _.... , ._..,..._....,.-- , , . ; , ' ' � � • ' ' � �o�Jrm�,xxqN'(2rtb) . � , ; , . � ' ; � • � , � . . . . . —' o . i , � , � . ' , . �� � � � . . � � , � � ; � , ' ', ' • � ' �� ROU�Fi FI�.�,N�l`IC�& • : , � . . . . � � . � � � �x,um�rnrG y- ' � Z� '' . , , . � d 1 . .� ' ,f ' � . � � � � _ , '{• � � D . , i � ;� -.-..-. .. � � . �,� , , ; , . . , c, � • . � . , � �. , , , . . , � � y INSULATXON PE1�N,'�. • � , • . � ' --� STATE�NE�.t�Y�0�� � ' '' ' ; ' , , � , .. , . . , ,., , � O ' c�s� • . . , , ; , • D� °/ �,Dr ' � . , • ,L'1L�211J � ' ; ' • � � �� j ' • � . I , , , . T � • . .. . , . � C � • � � y �' � �� � , � . , ,, , . . � . , . � � „ . , � o . , , , ; + ,, . ". . . . , m l��i �i •,} Y � � , I � � . '� � R � � ' ' ! ' � • � . I . , � . � � ' , i 4 • , . � � . i ' . , � • ' . � � � � • � � � � , , • •, _ ,. I . . � Z � ' • , � • ' ' , l�! . , � , � � ' , � � . ' ' � � . � � �..� . = � . t ' r , � , . . � , . � ' ' � , � ' I ' TO��N OF SOUTHOLD BUII..DING PERMIT APPLICATION CHECKLIST BUlI.DING DEPARTMENT Do you have or need the following,before applying" TOWN HAI.L Board of Hcatth SOUTHOLD,NY 11971 4 sets of Build'mg Plans TEL:(631)765-1802 Plamm�g Board appro�•al FAX:(631)765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check ,� ; Scptic Form N.Y.S.D.E.C. ��D� ^� Trustees D V C.O.Apphcaaon Flood Permit Examined � 2i� Single&Separate Swrm WaterAssessmeutFonn a�� tl a �ot� �on��t: I � q, y, /.�. Approved � 20 I�i#-ro—�`��Il�+�W fT�� Disappmved a/c BUILDING DEPT. rno�: �.i3,t — �l��7 —2--1.�1 Expirat�on ,20 �O���`�O - Builciing 5pec or APPLICATION FOR BUI DING PERMIT ' Date rl - �' ,20� 1NSTRUCTIONS a.This applicanon MUST be completely filled in by typewriter or in inlc and submitted to the Building lnspector�vith 4 sets of plans,accurate plot plan to scale.Fee according to schedule. ' b.Plot plan showing location of lot and of buildmgs on premises,relaaonship to adjoimng 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 applicanon,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 witlun 12 months after the date of issuance or has not been completed witlun I S months&om such date.If no zoning amendments or other regu}ations 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 monchs.Thereafter,a new pexmit shall be required. APPLICATION IS HEREBY MADE to thc Building Dcpartmcnt for thc issuancc of a Building Pcrmit pursuant to thc Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Orduiances or Rcgulanons,for thc construcuon of buildings,additions,or altcrations or for rcmoval or dcmolition as hcrciu dcscribcd.Thc applicant agrees to comply a�ith all applicable law�s,ordinances,building code,housmg code,and regulations,and to admit authorized inspectors on premises and in bui]ding for necessary inspecrions. � i � (Signature of applicant or an e,i a c orationl '�P� J'3 c�� �1. � I�� �l�-"��c��..y, �a3 7 (Mailmg address of applicant) 1 1�J? q I State whether applicant is owner,lessee,agent,azclutect,engineer,general contractor,electrician,plumber or builder Dl.�� � ' Name of owner of premises 1�C�"1"�}�1� CC��1=�`�, L�'-l—��t.)d� Ce_�T (As on the tax roIl or latest deed) If applicant is a corporation,signature of duly suthorized officer � (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on wluch roposed w�rk will be done: , s�c�s r��Pt ►� ��3fi� , �� � {4�bZ1 �A7� �`1 11�t� � House Number Stree[ � ., Hamlet ---.--- -.�_---------�----�--^-- --�,t��=y---_t�- --- ;----, --------- -, _�__ �--�,------------- ---- ------- -: -- - --- -- ---- --�-- - - - �..f�p-� - - - _.___� . a'Y`:_ • . `'s. �+ r-_rr�`�u}..�a-` , � � '+,cY,y. M1 r .. � .�� _'� ��-!�`r--� yr' ��0� � - Y _ _� _=� --_�,-�.��_ _ ..r �-__ ._e.. ._ =--- _�_...._�= . _ ��1---� �a_�- -. = -- -' - • - • : ;, . _ ,� _ . _, . TOl�l�l OF SOUTH�LD� � PR�PER7'1( ` -RECORD �CARD �� � � �� � /r,���� .�...�"' ,� � , I � �pW ER .� / /�' (�f� STREET "� - VILLAGE DIST. SUB. LOT f�r'!� r ✓� r_7 �ly`'G�I. I�C� 72K"� � ,�' -�i ,� .i�� �I- ' " ' � �� � �� � ��°'��..� � � � ����' . �ctn ��4n �U �-`�c.zvs�r �� �� ����`.��I .�.���a � 8 �, .� � FORMER OWNER N l.�-,-� ,J f e ; �. / ( � „ ACR. �� � ,_�����„ {' � �V 1. '�.�'� ��,�i ����/�?t���E�'W-V /' �f'A�'�� 1`���[s�l.Cd� �t�.�a` t � �4�71C')!� !-.1��`te f-Y i -�-d'�'1+J�I � .{'J't.t, �'a�d�aJ�Lf.i' r'( ' S � . W TYPE OF BUILDING �� i, ,�5"��.t}6�'�r�N:sj'4s'�.II.Fb���, ,�.���'���d'_1sF_��"�''�! L1s�� .s�f��.�L+[ o � ' - '1� (=1'�� � .. "-1 :t _� RES. , SEAS. VL. FARM L�'; ,. COMM. CB. MISC.' Mkr. Value �� �r- � , t� zL ; -�� -- -.� CAND IMP. TOTAL DATE REMARKS �-��,��t���� �Y���'% �s �� � ` ���,� �f� � � , P � ' " v'�e� �� '7'Gci' G;)� �fJ a U ,-� U U �� t"� C� � C.� �'! 8"t�1.�+� �VLfi��t"a r`�' ���" �(��'`c�����. �t�l.dsC� �/t�'�v"f'�,���..,�,C���Ck�t�l� � � � � -s � d o •�'�F�� �•�//�.f r�� (/ �I o J�S�J - 1 1`� u 1 ��li� l � `t�� �d�cS,� �V t�- �? � � �� _� � o c� 3 ✓ i � / L �P 7 `�� �,'� 1 c��l�- c�.C��'fc cz�r'��vt�i- �c��l� �C�t7 C,���� ' ..�-�3��-°� ; �'� ���_l P, a. �d �� - C�.�rv�.�-�'Q � ' ��.,�e.� ��. �1a,a�9`� > � - ,ti� n t`�� j,�� � 10� _ � , , .. � f , r � �.���� �:��"� � f t� Z� �=�r.�t�`� �(o ��,� �--I-��rf'� t`� �-' � '- ; :��-�u�`;, h p���'�1 �� -, �d - . ��`�a' `�, ��t��� �1� to,9G �,� � 1 � ' NEW-� �� O MAL ELQ.�1/� � �y�'20.'Y.� 1 I�.3 c��-'L 'r fo l,lj GaI cSc ! 7� (� =���� �.,V�' ;J�'lJt�i� � FA�M Acre Value Per �Tif�, alue� �� � - � • . ��� � Ac�e �� c"sr �a `�IDS I�p� 31`�9Q a��'�"1lPL �I- �GL���Pil'G��IQ� D ,/��� ` ill�b(e 1 � ����� ,� � �-'r_.-�--� 3 �:��� �� ��d .� � c�-C. ���-��.r , I l „� �� - . „�. �� ,iliab 2 ���. - /� 2.Z.�- �4a • „2 b � 3� . . � �1 3�� � , 2, � � 28"D�" _�a i , Tiflable 3 . • . �C �(7 '� �{ �� � � - � � � Woodland � � Swompland FRONTAGE ON WATER % Brushland � �b _ �� ( � �-�- FRONTAGE ON ROAD �.��"� B �, � � � ��� + House Plot �/a �,�--' ,�.:.-,�- DEPTH ��C�� ��1 ���r', ` I IPc� _ C� �� `��� BULKHEAD � �� � ,a.._. � � .`� c..+. � Total �-���� DOCK � _ , _ .-�FJ �� � 2.� S^. .' �-.,� !t�C K'f 'j w� �)�.c�4 � 15.t�r.+�u �.:qur,.,�hss,.ti. 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