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HomeMy WebLinkAbout41700-Z ��o�sUFFQ4COGy Town of Southold 7/21/2017 P.O.Box 1179 o 53095 Main Rd o4,1 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39072 Date: 7/21/2017 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 3055 Mill Rd.,Peconic SCTM#: 473889 Sec/Block/Lot: 67.-4-21.2 Subdivision: Fled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/26/2017 pursuant to which Building Permit No. 41700 dated 6/5/2017 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"DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Thompson,Charles of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED w t o ' e Signature �'0914. TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE 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#: 41700 Date: 6/5/2017 Permission is hereby granted to: Thompson, Charles 3055 Mill Ln PO BOX 71 Peconic, NY 11958 To: legalize "as built" deck addition to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 3055 Mill Rd., Peconic SCTM # 473889 Sec/Block/Lot# 67.-4-21.2 Pursuant to application dated 5/26/2017 and approved by the Building Inspector. To expire on 12/5/2018. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $924.80 CO -ADDITION TO DWELLING $50.00 Total: $974.80 Buil Ins ector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 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 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. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.000 Date. 41% w e2C; -,C1/'-7 i New Construction: Old or Pre-existing Building: / (check one) Location of Property: ( yr�j �/�r ��� �C CCJY! House No. Street Hamlet Owner or Owners of Property: ,c- 1 ,•r, S� Suffolk County Tax Map No 1000, SectionBlock Lot Subdivision Filed Map. Lot: �7 Permit No. qI /Q0 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: _ Request for: Temporary Certificate Final Certificate:_tC Z (check one) Fee Submitted: $ �s Applicant Signa u ` �5f SO(/ly �o� olo �ycOUNi'l TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION IST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] NSULATION [ ] FRAMING / STRAPPING [V FINAL 4Y M4 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 926"� IV 6& �_e_, DATE INSPECTOR �l �OFSObl9 opo TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL PS 601vl [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 0 K 441/ L �k U DATE 7� INSPECTOR Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck, New York 11952 Fax 631-298-2651 condoneng i neeri ng.com May 25, 2017 � [E(g[EGV[E D Mr. Mike Verity MAY 2 6 2017 Chief Building Inspector Southold Town Building Department 53095 Route 25 BUII.DING DEPT. P.O. Box 1179 TOWN OF SOUTHOLD Southold, New York 11971 Dear Mr. Verity: The deck installed at the Thomas residence located at 3055 Mill Lane in Peconic is shown in the attached drawings. The deck and foundation were found to be structurally sound and to the best of my knowledge the completed work is in compliance with the-Residential Code of New York State. If you have any questions, please call me at 631-298-1986. Yours truly, ndon, P.E. ? �'Wi• 'y�'�iY1t 051 684 Aa M , i i • -011 I STATE . . + : - r(L1 �i .� I or% 0 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 —4i0ets of Building Plans TEL: (631) 765-1502 Planning Board approval FAX: (631) 765-9502 -66 SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S,D.E.C. stees C.O Application Flood Permit v Examined ,20 D =` [R[R Single&Separate D Storm-Water Assessment Form MAY 2 6 2011 Contact: —M*to: o: Approved ,20 -- vrair-�u.� � � � '• Disapproved a/c 19IIIID1NGONff• TOWN OF SOUTHOLO Phone: Expiration 12 Buildi sp for APPLICATION FOR BUILDING PERMIT Date MCI N) 20-L7 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 applicaiion'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 whano 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.Inspegtor 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 Southpld,.Suffolk.County,New York,and other applicable Laws, Ordinances or Regulations, for the construction of buildings,additions,or alferations 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 appl• t or name,if a corporation) s 9,5 (Mailing address of applica t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder —G Name of owner of premises o ' SG" '(As on the tax roll or lat st 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 N, o. 1. Location of land on which pr posed work will be done 13 0 IF-Z &C6 wxc House Number Street Hamlet County Tax Map No. 1000 SectionBlockLot�/, Subdivision Filed Map No. Lot 2. State existing use and occupaincy of premiises and inte ed us and occupan y,of proposed construction: a. Existing use,and occupancy�1 `� CS'��G� b. Intended use and occupanc (Cloi C) 7, j ; QI 3. Nature of work(check which applicable):New Building Addition Alterati n Repair Removal Demolition Other Work (Description) 4. Estimated Cost �(100,Oc`7 J ry(Td.b-q paid on'filing this application) , r? 5. If dwelling, number of dwelling units ',---JNumber of dwelling units Eon each floor If garage, number;of cars 1 {" -6. If business, commercial or mixed occupancy, specify-,nitird.'arid-extent of each type of use. 7. Dimensions of existing structures, if any:!Front Rear Depth 2,7 Height 5� Numberof Stories Dimensions *gVie s fucture with alterations or-additions: Front Rear S.2 _ Depth • Height_;_2, 5( Number of Stories 8. Dimensions of entire new construction: F'FontRear Depth ' ;'- Height Numb&r of,Stories 9. Size of lot: Front Z .2,A <.l3 Rear �' �� °/''� Depth ,.&2 10. Date of Purchase /J 7L _Name of Former Owner ' 1 . Zone or use districtin which premises are,'situated 1rc,, ►-71C n , .., ," � • , .� i 12. Does proposed construction violate-any:zc�nirig lbw, ordinance-or regulation?YES NOS_/ 0. Will lot be regraded?YES NO�WiII eXcess fill b,e removed from premises? YES NO 14.Names of Owner of1premises Address 100, 7 • ct " ' Phone;No.j:�S 1���: S7/ 7 Name of Architect f• t: Address.- Phone,No- Name of Contractor,' i Address- : i, Phone+l?lo'. 15 a. Is this property within'l00 feet of a'tida]wettand'or a;fresHwatlrnwetland? *YES ` NO' iw . IF YES, SOUTHOLD',TOWNTRUSTEE s &D.E'.C.PERMIT&MAY BE REQUIRED. ' b. Is this property within 300 feet of a tidal w�tand? * YESNO - ; IF YES, D.E.C. PERMITS MAY BE REQUIRED: ! 1 . 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 V(ith respect to this property? * YES NOS IF YES, PROVIDE A COPY. S--ATE OF NEW YORK) SS: COUNTY/ OF �)' C'Y a✓'/J s / o,, e? i being'duly sworn, deposes and says that(s)he is the applicant (Name of individual sig ng contract)above;named, (S)He is the (Contractor,Ageilt, Corporate Officer, etc.) of said owner or owners, and is duly authorized toy perform or haveperformed the said work and to make and file;this application; th it all statements contained in this application are true,to the best of his knowledge and belief; and th4t the work,will be performed in the manner set forth in the application filed therewith. S orn re me this ! day of 20Z,_ BONNIE].DOROSKI %to Of New York . opplicant+ Notary"Pic, No. 01D06095328, Suffolk my Sigr atu, Term Expires July 7,20 ___ �z--,� � --,�,-.��_- �_,� ,, , ,� . � �.,, -.,t-,-,�--��I r.�Z­.'; ,--,�,-. 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