HomeMy WebLinkAbout41287-Z o\pSUfFnt�.�pG Town of Southold 2/6/2017
P.O.Box 1179
lei 53095 Main Rd
'y) 0�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38813 Date: 2/6/2017
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1305 Sigsbee Rd, Laurel
SCTM#: 473889 Sec/Block/Lot: 144.-2-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/3/2017 pursuant to which Building Permit No. 41287 dated 1/13/2017
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"alterations, including a non-sleeping finished basement and"as built"outdoor shower stall addition to an
existing single family dwelling as applied for.
The certificate is issued to Murphy, Shirley
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
h ed Signature
��Q�SOFFot���'oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 41287 Date: 1/13/2017
Permission is hereby granted to:
Murphy, Shirley
1305 Sigsbee Rd
Mattituck, NY 11952
To: legalize "as built" alterations to an existing single family dwelling as applied for.
At premises located at:
1305 Sigsbee Rd, Laurel
SCTM #473889
Sec/Block/Lot# 144.-2-6
Pursuant to application dated 1/3/2017 and approved by the Building Inspector.
To expire on 7/15/2018.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $515.20
CO -ALTERATION TO DWELLING $50.00
Total: $565.20
uildi g Inspector
Form No.6
TOWN OF SOUTHOLD
fi\, BUILDING DEPARTMENT
=4' _ TOWN HALL
765-1802
AP&ICATION FOR CERTIFICATE OF OCCUPANCY
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 unujual 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 requix'ements.
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 shall state the reasons therefor in writing to the applicant.
C. Fees
I. 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$15.00
Date. 130116
New Construction: Old or Pre-existing Building: (check one) '
Location of Property:
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000,Section V� Block D Lot e.'�; 6
Subdivision Filed Map. Lot:
Permit No. _bate of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: 'tom check one
Fee Submitted:$
Ap licant Signa re
SOpTyolo
• ao
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLDG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
b N�
DATE y 3 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) ►-�
y
--------------------------------------
FOUNDATION
-----------------------------------
FOUNDATION(2ND)
z
ROUGH FRAMING& y
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE
0
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FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1502 Planning Board approval
FAX: (631)765-9502 c Survey
SoutholdTownI.NorthFork.net PERMIT NO. �Z 0 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
/ Flood Permit
Examined 1 20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved^ 120 Mail to: L
Disapprove
uvLg Phone: .
Expiration7—,720DU U
u1 din ns ,ect r
BUII,DI DEPT.
To"OF SOUTHO LICATION FOR BUILDING PERMIT
SO
Date 7-130116 ,20
i
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, ag nt, architect gineer, general contractor, electrician, plumber or builder
Name of owner of premises t—1 IZ L e, X4 y�c iol.-p�
' (As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name land title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Ha et
County Tax Map No. 1000 Section Block Lot CJ
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 'j-PIJ6 -5 1`)615f&�"(z leC,f
b. Intended use and occupancy �4
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work — U/C_ TS
(Descri tion)
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, comm rcial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of 6 ifng" C—cturffany.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
v
9. Size of lot: Front �U ear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated 4- 4!�
12.Does proposed construction violate any zoning law, ordinance or regulation?YES NO �X
13. Will lot be re-graded?YES NO_kLWill excess fill be removed from premises?YES A" 0
14.Names of Owner of premises U,e Address Phone No. 5i7 d¢-Z
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 MAYQUIRED.
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.
18.Are there any covenants and restrictions with respect to this property? * YES No
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS.
COUNTY OFJC/
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing c ntrac)abo a named,
(S)He is the
(C n ctor,Agent Corpo to 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
?�rT day of 204
A.r\ c®NlvlE D.Bunco-1
Notary Public Notary Pub ic,State of New o nature of Applicant
No.01 BU6185050
Qualified in Suffolk County
Commission Expires April14,2 C (D
Bunch, Connie
From: Bunch, Connie
Sent: Tuesday, November 22, 2016 3:40 PM
To: michelle@johnhowardlynch.com'
Subject: Shirley Murphy, 1305 Sigsbee Road, Laurel
After further examination of the Pre-existing C/O application,the Chief Building Inspector, Michael Verity, has noted the
following,violations:
Assessors card notes the foundation is piers and only a crawl space. Now it is a concrete block full basement partially
finished.
Assessors card notes no fireplace. Now there is a fireplace.
Assessors card notes a screened porch. Now there is no porch—converted to living space.
Survey shows an outdoor shower stall—this needs a building permit.
Windows were replaced—this needs a building permit.
Assessors card notes the garage has a workshop. Possible building permit required.
Assessors card notes oil heat—now it is gas -along with hot water heater—needs a building permit.
Resptectfully,
Connie Bunch
Southold Town Building Dept. !/
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APPROVED AS NOTED Cr,) 4 .L Y VV!-fH AL1 C 0 D E S OE
#t �� � NEW YG '� S i,��`{;� 8: TOWN CODES
DATE: B.P. �,�T�n�i� F
F _ ���- Y
AS REQUIRED ,�N�' .Jti..
IdOT FY�B' !LDll\,u DEPARTMENT AT 4 hta RA
'. n.
765-1802 8 AM TO 4 PM FOR THE n T rl PLANhIING BOARD
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED :: ,ohTRUSTEES
FOR POURED CONCRETE : F0
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O., OCCO ANCY O
ALL CONSTRUCTION SHALL MEET THE � �� UNLAWFUL
REQUIREMENTS OF THE CODES OF NEW O
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE
F OCCUPANCY
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