HomeMy WebLinkAbout28644-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildin9 Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28869
Date: 09/13/02
'£afS CERTIFIES that the building ADDITION
Location of Property: 735 STARS RD EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 31 Block 3 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 9, 2002 pursuant to which
Building Permit No. 28644-z dated AUGUST 12, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
T~e certificate is issued to ELMER G & BEATRICE E TUTHILL
(OWNER)
of the aforesaid building.
S~3FFOLK COUNT~ DEPARTMENT OF ~EALT~APPROVAL
N/A
Er.Rt-£~ICAL CERTIFICATE NO.
N/A
PLL~4BERS C~TIFICATION DA'£~a3
Rev. 1/81
N/A
' ~ut~orrzed ~nature
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. 28644 Z Date AUGUST 12, 2002
Permission is hereby granted to:
ELMER G TUTHILL
PO BOX 768
EAST MARION,NY 11939
for :
AN "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at 735
County Tax Map No. 473889 Section 031
pursuant to application dated AUGUST
Building Inspector to expire on FEBRUARY
STARS RD EAST MARION
Block 0003 Lot No. 006
9, 2002 and approved by the
12, 2004.
Fee $ 300.00
· ~uthorized Signature
ORIGINAL
Rev. 5/8/02
BUILDING DEP.~{T~E~NT
TOWN t4LL
765-[802
APPLICATION FOR CERTIFICATE OF OCCUP.~NCY
i '
This application must be filled in by typewriter OR ink and submitted co the building
~uspecEor with the following: for mew building or new use:
l. Final survey of.property with accurate location of all buildings, proper~y lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposa!(S-9 form).
3. Approval of electrical instal!a=ion from Board of Fire Underwriters.
4. Sworn sca=ement from plumber certifying chac ~he solder used in syste~ contains
less than 2/10 of IX lead.
5. Commercial building, industrial building, mul~iple residences and s~m~!ar buildings
and installs=ions, a cergifica~e of Code Comp'liance from archi~ec~ or engineer
responsible for =he building.
6. Submi= Planning Board Approval of completed sice plan requirements.
For existing buildings (prior CO April 9, 1957) ~on-conforming uses, or buildings and
'!pre-existing" land uses:
1. Accuraca survey of property showing a~l properEy lines, sEreets, building and
unusual nacural or ~opographic faaEures.
2. A properly completed application and a couseng to inspect signed by [he applicant.
If a Certificate of Occupancy is denied, che Building Inspector shall s~aua ~he
reasons cherefor in w-ricing co the applicant.
Fees
i. Certificace of Occupancy - New dwelling $25.00, Addicioms co dwelling $25.00,
~lcara~ions 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-~is~in~ Buildinz - $100.00
3. Copy of Certificate of Occupancy - . .25~.
4. Updated Cer~ificaga of Occupancy - ~50.00
5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00
Date . ~ kk/.0~.
New Cons~ruczion ...... X .... 01d Or Pre-existing Buildiag .................
Locaeion of Proper~y ...... I3~.~..A~S. ~9.Ap EAST MARION, ~P/
House No. S=ree~ H~]et
Onwer or Owners of Proper=y. .~.E~..T~ICE ...T~..ILL
County T~x Map No 1000, Section. .. ~3l ........ Block ....... 3 ........ Lot ...... ~ ...............
Subdivision .................................... Filed M~ap ............ Lo~ ......................
. 28644
Permit ~o ................ Date Of Permic ................ Applicant. KA'rH~YN SAETTA
Health Dept. Approval. N/A N/A
......................... Unde~rit ar s Approval .........................
Planning Board Approval. N/A
Request for: Temporary Certificate ........... Final Carticate. X
Fee Submitted: $.. 25. Dfl .....................
......... KAT~Y~. SAETT& .........................
~~/__ ,~__ ~, TOWN OF, SOUTHOLD PROPERTY RECORD CARD
~R STREET ? VILLAGE DIST, SUB. ~ LOT
':S. ',,~, I (~ SEAS. VL ~/~ FARM COMM. CB. ' MISC. Mkt. Value
~LAND
TOTAL
IMP.
DATE
REMARKS
AGE BUILDING CONDITION
4~ NOeL BELOW ABOVE
:A~ Acre Volue Per Volue
liable 3
~d FRONTAGE ON WATER
~ P~t , DEPTH / j-~ /
.. ~.~,. , . BULKH~D
~el D~K
Foundation
Basement
Ext. Walls
Fire Place~
Type Roof
Recreation Room
Dormer
3r~e~eway Driveway
arage
-t
Bath
Floo~s
Interior Finish
Heat
Rooms Ist Floor
Roams 2nd Floor
LR. /
FIN. B, /
Dale
Re. viewed ~o~
Date
S '
Project
Single & :~el)arale Required
N.A.
Suffolk County Health Dcpl.
New York 8tare D, E. C.
Town Trustebs
To wn Zo tthtg Board apl?tO val:
Town Flaming BoaM approval:
Flood Plane El¢¥ation 9.?9.
Flood Zone:
Per__mi
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
/
[ ] FOUNDATION 2ND [ .] INFLATION/
[ ] FRAMING [ "J'FINAL
[ ] FIREPL. AC~E & CHIMNEY
DATE~/--/
INSPECTOI
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING /~j~FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPE
FOL~DATION (1ST) ~ ~
ROUGH F~G & ~ m
PL~G ~
F~
~DI'I'ION~ CO~ ' ' ~
NO,
Building Inspector
Do you have or need ~e following, before applyinl
Board of Heakh
3 se~s of Building Plans
Survey
Check
Septic Fo~
N.Y.S.D.E.C.
Contact:
Mall to:
Phone:
APPLICATION FOR BUILDING PERMIT
[' Date 7/30/02 20
" INSTRUCTIONS '
a. This apphcadon MUST be completely filled in by typewriter or in ink and submitted to thc Building Impcctor 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.
~. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
~%PPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building ?ennit 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.
RTCgARll ,~RTTA GENRRAT. ~Olq'J~RAQ"I~R TflC.
(Signa~e of applie~t or name, ff a co~oradon) '
P.O. BOX 2047 G~ORT,.~ 11944
(M~l~g ad.ess of apphc~O
Sta~e whe~er applic~t is owner, lessee, agent, ~chiteet, en~neer, general con~a~tor, elec~ci~, pl~ber or b~lder
CO~CTOR
Name of owner of premises BEATRICE TUTItILL
(as on the tax roll or latest deed)
If applicant is a comoration, signature of duly authorized officer
KAT~YN SAETTA VICE PRESIDENT
· ('Name and tide of corporate officer)
'Builders License No.
Plumbers License No.
Electricians License No,
Other Trade's License No,
1.
13086
1593 p
a~a5 E
Location of land on which proposed work will be done:
735. STAllS ROAD RAST !WArTON
House Number Street
Hamlet
County Tax Map No. 1000
Subdivision
ame)
Section 031
Block 3
Filed Map No,
Lot
Lot
a. .~/Yastxng use and ocoupancy P~SI. DF_J~TAT. * ' ' · .......
b. Intended use and occupancy. RESIDENTIAL
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost $ ~_-~nn_on
5. If dwelling, number of dwelling units NA
if garage] number of cars l~
Addition Alteration
Other Work pEoK
(Description)
Fee $300.00
-- (to be paid on filing this application)
Number of dwelling units on each floor NA
6. If business, coramercial or mixekt occupancy, specify nature and extent of each type of use. NA
7. Dimensions of existing structures, if any: Front NA Rear ~ Depth
Height~ s~ Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height
Dimensions of entire new construction: Fro~t ~
Height ~
Number of Stories
9. Size of lot: Front_
NA
Number of Stories
.Real- NA
Rear 135.o2 Depth. 159.09
Rear ~'~
10. Date of Purchase
Depth
Name of Former Owner
11. Zone or use district in which premises are situated RESIDENTIAL
12. Does proposed construction violate any zon_~ng law, ordinance or regulation: ~n
13. Will lot be re-graded NO Will excess fill be removed from premises: YES
14. Names of Owner of premises R~.ATRICl*. TIITHTLI. Address EA.qT MARION. NY
Name of Architect WARR_mq~ S~CH Address CUTCIt0GUE, NY
Name of Contractor RICItARD SAETTA Address S0UTaOLD, NY
15. Is this property within 100 feet of a tidal wetland? *YES NO x
· IF YES, SOUTHOLD TOWN TRUSTEES 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 SUFFOLK)
NOx
Phone No. 477-2268
Phone No 734-7492
Phone No. 764-4900
· ra-.-..,t-N .qARTTA being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the VICE PRESIDEINT
(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 rite this application;
that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be
performed in the rammer set forth in the application flied flCerewith. -
_SSwcm to before rae this
day of~ 2060 d_J
Not~iry Public
UNDA J. COOPER
NotaW Public, St at?.O~kNCoe~u nYw°rl~. _ .~._._---
No. 4822563, Suwo~;..
Term Expires December :~;, ~'~
vi
(} Si~ture of Applicant i '
CEDAR
DRIVE
AREA = 2[368 mq ft.
4NY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION
OF ..¢ECT]ON 7209 OF THE NEW YORK STA T'~ EDUCATION LAW.
EXCEPT AS PER SECTION 7g09 - SUBDIVISION ;Z. ALL CER77FICA TIONS
h~REON ARE VALID FOR THIS t,~P AND COPIES ~OF ONLY F
eAID M~P OR COPIES BEAR THE IMP~I~S$~D SEAL OF THE SORV~YOR
~ ~ TURE APPEARS ,"fERFON.
DDITIONALL Y TO COMPLY IVi?t-! SAID LAW TERM ' ALTERED BY
~JST BE USED BY ANY AND ALL SURVEYORS UTILI~ A COPY
OF ANOTHER 5~o V~YOR*$ MAP. TERt,4~ S'UET~ ' ~I,,.¢PECTED ' AND
'BROUGHT- 0 -DATE ' ARE NOT IN COMPLIANCE I~'ITH THE f..AF~.
LOT (~
SURVEY OF PROPERTY
A TEA ST MARION
TOWN OF SOUTHOLD
SUFFOLK .COUNTY, N Y.
I000- 31- 03- 06
SCALE.. I; = 30'
AUG 2, 2002
NO TE,
LOT NUMBERS ARE REFERENCED
TO 'MAP OF STARS MANOR' FILED
IN THE SUFFOLK COUNTY CLERK'S
OFFICE ON SEP. 19, 1963
AS MAP NO. 3864
LiC. NO. 49618
) 765 - 1797
1250 TRAVELER STREET
$OUTHOLD, N. Y. 11971
02- 260
tot ~
CONC.
79'4,2'40'
157.47'
CEDAR
DRIVE
SURVEY OF PROPERTY
A TEA S T MAR~ON
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
~)00 - 31 - 03 - 06 ' '
SCALE. 1' = 30'
AUG. 2, 2002
NO
LOT NUMBERS ARE REFERENCED
TO 'MAP OF STARS MANOR' FILED
IN THE SUFFOLK COUNTY CLERK'S
OFFICE ON SEP. 19, I965
4S 1144P NO. 3864
02.260
NY AL T£RA T/ON OR ADDITI
OF' SE'eTlON 7.~0 ON TO THIS S~y
~s ~AR r~ ~ Y F ~ ·
~T~NALL y TO C~L Y ~i IH ~
' ' ' ' - 1230 TRAVELER ST~ET J
~ ~ o. aox ~ ........ I
CEDAR
DRIVE
4NY AL TER4 TION OR ADDITION TO THIS SURVEY IS A VIOLA
OF SECTR~N 7'~09 OF' TH~ N~F YORK STATE
~I~'.REON ~ ~ I' MI~ I I'11.~' MAP AI~ COPIES THE~ O~L
eAIO MAP OR_._CqPE$ 8EA~ THE/MPRE~ SEAL OF THE J~RVEYOR
T~. ~_co~t~.~ ¥ VI~TH ,~4D LAI~ TERM ' ALTERED BY
ANY AND ALL ,,,~I~VE~OJ~ U~ A COPY
DATE ' ARE NOT IN ~I. IANCE f~ITH THE LAF/.
~OT (~
SURVEY OF PROPERTY
A T EAST MAR/ON
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 31- 03 - O~
SCALE.. I' = 30'
AUG. 2, 2OO2
NOTE,
LOT NUMBERS ARE REFERENCED
TO "MAP OF STARS MANOR" FILED
IN THE SUFFOLK COUNTY CLERK'S
OFFICE ON SEP. 19~ 1965
AS MAP.NO, $86~1
Y.S. LIC. NO, ~19618
(631) 765 - 1797
r TREE T
11971
02- 260