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HomeMy WebLinkAbout28670-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29107 Date: 12/06/02 TEIS CERTIFIES that the building ADDITION Location of Property: 2380 SOUTH HARBOR RD (HOUSE NO.) (STREET) County Ta~ Map No. 473889 Section 75 Block 7 SOUTH/PEC (HAMLET) Lot 3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 2002 pursuant to which Building Permit No. 28670-Z dated AUGUST 19, 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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANCESCA ANDERSON (OWNER) of the aforesaid building. SUFFOLK COUIFI%[ DEPi%RTMENT OF ~R;kLTI{APPRO~la_L ELEt-i~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'i'~3 N/A N/A N/A 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. 28670 Z Date AUGUST 19, 2002 Permission is hereby granted to: FR3~NCESCAANDERSON 2380 SOUTH HARBOR RD SOUTHOLD,NY 11971 for : ADDITION AND ALTERATION TO EXISTING ENTRACNCE AREA ON THE SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2380 SOUTH HARBOR RD SOUTH/PEC County Tax Map No. 473889 Section 075 Block 0007 Lot No. 003 pursuant to application dated AUGUST 14, 2002 and approved by the Building Inspector to expire on FEBRUARY 19, 2004. Fee $ 150.00 Signature Rev. 5/8/02 COPY 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: 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 a consent to inspect signed by the applicant. Ifa Certificate of Oe~ug. an~y-3 is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to ' g $ ' Swimming pool $25.00, Accessory building $25.00, Additions to accessory buil~,ing $2~i0~0i $50.00.] 2. Certificate of Occupancy on Pre-existing Building - $100.00 .......... ', 2_.._] 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: '~ ~ House No. Old or Pre-existing Building: ~- Street Owner or Owners of Property: ~'(Cl~o( ~ C (A ~ ~Og ~l&o'~ Suffolk County Tax Map No 1000, Section 0'7~' Block (check one) Hamlet Lot C..)c~ Subdivision Permit No. ~x ~> (~ ~(-Y~ Date of Permit. Health Dept. Approval: ~ I t~ Planning Board Approval: ~ I t~'' Request for: Temporary Certificate Filed Map. Lot: ~//ef/Oq" Applicant: ].$~¥/b/'/~o ~/v"/~r ~J3YT'~, ~A~/~- Underwriters Approval: Final Certificate: ~ (check one) Fee Submittegl: $ ~'~~5~OO 445.20' S 00°49'50" E 87.56' ,EOR~ER OWl'itE,R LAND AGE NEW Farm Tillable 1 Tillable 2 Tillable 3 Woodland Swampland BFushland .~ House Plot SEAS. IMP. NORMAL TOW OE SOUTHOLD PERTy RECORD CARD VL STREET ~ ~ VILLAGE DISTRICT SUB. LOT N ?,,,~, ~ ~ ACREAGE "- S ~ TYPE OF BUILDING FARM TOTAL DATE REMARKS BUILDING CONDITION BELOW Value Per Acre ABOVE Value cZ- ~(~ Basement Extension ~ ~_'~ ~ ~ ~ ~ . J __ ~nsi°n /~ ~ 2 ~ ~ ~~ ~,~ ~ 7~ ~- Walls ~t~sion Fire Place He~ ~ ~ ~ . ~ ~,o ~ ..... ~ ~ Porch Affic .., ~ Porch Rooms 1st Flor Bree~wayI Patio R~ms 2nd Flor ~r~e ~ ~ % ~ ~.= ~ ~ ./~ ~ ~ Driveway O.B. E/+/~/ ~ ~ ~ ~(I /~/ ~ '-' FIBERGLASS/ASPHALT SHINGLES-7 ,/,2 X 8 LEDGER BOLTED TO R~.O, FING FELT //,,'~ EXIST. HOUSE. 112 CDX PLYWD. ~J FLASHING AS REQ. EXISTING WINDOW ~ ~EIL. JOISTS ADD NEW HIP FEEfff'/.~)' ~ BY:,~~---' NOTIFY BUILDING DEPARTMENT AT 76s-~8o2. AM TO 4 PM FOR THE FOLLOW~"G ~NSPECr, O,S: 1 FOUNDATION - ~O REOUIRED FOR POURED CONCR~E 2. ROUGH- FRAMING & PLUMBI~ 3. INSU~TION EXIIT' ,/,- ¢ "~Z~'~ X 4 Q 16' O.C. TIES / C \L-HURRICANE CLIPS ~--'2 - 2X8 GIRDER 4 X 4 POSTS ~"-RAIL AS REQ. ~ I~ ii /' 2 - 2X8 GIRDER BOLTED TO 4 X 4 POSTS TECO JOISTS TO GIRDEF NEW ENTRY ;H II ANDERSON FARMHOUSE #2 NEW ENTRY PORCH ELEVATION 1/4" = 1'0" ENVIRONMENT EAST INC. NEW POSTS, NEW PORCH 5/4 DECKING 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERC'~' CODES. NOT RESPONSIBLE] FO~ DESIGN OR CONSTRUCTION ERROr` 2 X 8 Q 16" O.C.DECK JOISTS TECO TO GIRDER AND LEDGER 2 X 8 CCA LEDGER BOLTED TO EXIST. HOUSE. X 4 CCA POSTS ~ 6'0" D.C. TO MASONRY FTGS.~ 3'0" MIN. BELOW GRADE ANDERSON FARMHOUSE # 2 NEW ENTRY PORCH SECTION 1/4" = 1'0" 8. 13. 02 ENVIRONMENT EAST INC. DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. I I I WALL OF EXIST. HOUSE I EXISTING ENCLOSED PORCH NG CONC, & STEPS ANDERSON FARMHOUSE ~2 NEW ENTRY PORCH PLAN 1/4" = 1'0" 8.13.02 ENVIRONMENT EAST INC. EXISTING PORCH & STOOP 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING ROU~,BO. .~ISOLATION FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE FIELD INSPECTION REPORT I DATE I COMMENTS //,~.~ ~ FOUNDATION (1ST) / / ~ FOUNDATION (2ND) ROUGH F~G & PLU~G ~S~ATION PER N. Y. STATE ENERGY CODE / / _~y~ F~ ~D~ION~ COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOI~THOLD, NY 11971 TEL: 765-1802 Examined 0~') ~ Approved t~/~f Disapproved a/c ,2oO2 ,2oO2 PERMIT NO. 2- l~-~'?t5 ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey. Check S,~tic Form Contact: Mail to: Z ~Build~ng'Y_nspector - Phone: APPLICATION FOR BUILDING PERMIT , '~,i ~ 1~¢3\37- Date Aoo- t3 ,20 o '~ ~ C .... : INSTRUCTIONS ; a. ~s~Hdati~ ~ST be compl~ety filled in by ~e~ter or ~ ~ ~d sub,Red to ~e B~l~ng ~spector with sets o~} a~te plot pl~ to sc~e. Fee accor~g to sched~e. b. Plot pl~ show~g location of lot ~d of b~l&gs on pr~ses, relatiom~p to adjo~g pre~ses or public s~eets or ~ms, ~d wat~ays. c. ~e work cov~ed by tbs application may not be co~ced before iss~ce ofBuild~g P~t. d. Upon approvM offs applicatio~ ~e B~l~g ~pector will issue a Buil~g P~t to the applic~t. Such a pe~t shM1 be k~t on ~e pr~ses av~lable for ~sp~tion t~ou~out ~e work. e. No b~l&g s~l be occupied or used in whole or ~ p~ for ~y p~ose what-so-ever ~til a Ce~ificme of Occup~cy is issued by ~e B~l~g hspector. 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. ~t~ ¥ t R O rd S4 ~O X" ~___~ I tq C. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Cp r=:FOe- a,L-. P...oMto ff.. Name of owner of premises Pr>r~-,, ,.-,-~-- t (as on the tax roll or latest deed) If applicant.is, a corporation, signature o_f duly authorized officer (Name and title of corp/Srate officer) Builders License No. /-{-. t. ~ f~ 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 County Tax Map No. 1000 Section Subdivision . ,- (Name) Hamlet; Filed Map ~r ........r; ~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. _Ex.istin.g use and occupancy ,~t~c--t.~ W~cn~t)-~ i:>uJ~,_~_~.tO O b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost J/t) .ff0(2 5. If dwelling, number of dwelling units M,&- If garage, number of cars Fee Addition Alteration Other Work (Description) (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /Q 7. Dimensions of existing structures, if any: Front ~,_ -/t, Rear ~¢~7 - Depth Height 15~ Number of Stories I o Dimensions of same structure with alterations or additions: Front Depth l/3~-~ Height Dimensions of entire new construction: Front ~ ~0 Height l (~ '-~, ~' Number of Stories 9.. Size of lot: Front Sql.RS' Rea, 4-1 .5/. Rear I Number of Stodes Rear q u-o Depth Depth 4¢6,g 7'- 10. Date of Purchase , Name of Former Owner 11. Zone or use district in which premises are situated R~/,4~ ~t co ~To~ A~ C. 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be rergraded /q 0 14. Names of Owner ofpremmes Name of Architect Name of Contractor Will excess fill be removed from premises: YES Address .3 flSD ~.tt:~l~ ~ Phone No. -/(off-- Address Phone No Address 'Do 130~ [~-1 PhoneNo. ~LffS~-/'ac~°C' 15. Is this property within 100 feet of a tidal wetland? *YES NO L,~ · 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) ~"~. (~) t~' ~~ being duly sworn, deposes and says that (s)he is the applicant [ (N~ae of individual signing c~ntract) above named, (S)He is the ~(~nt, Corporate 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 ali 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 fried therewith. Sworn to before ~ . Notary Public, State of New York Qualified in Sl~ffolk County NO. 01SC4725089 -- ~ Expires Ma,/31, ~.