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Home My WebLink About28345-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29175 Date: 01/07/03 THIS CERTIFIES that the building ADDITION Location of Property: 5850 NEW SUFFOLK RD NEW SUFFOLK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 2 Lot 18.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 31, 2002 pursuant to which Building Permit No. 28345-Z dated MAY 1, 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 REAR DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD & SAUNDRA PERRY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ho ized ignature 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. 28345 Z Date MAY 1 , 2002 Permission is hereby granted to: SAUNDRA J PERRY 290 KOKE DRIVE SOUTHOLD,NY 11971 for . CONSTRUCTION OF A 12 . 5 X 26 REAR DECK ADDITION AS APPLIED FOR at premises located at 5850 NEW SUFFOLK RD NEW SUFFOLK County Tax Map No. 473889 Section 117 Block 0002 Lot No. 018 . 001 pursuant to application dated APRIL 31, 2002 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature COPY Rev. 2/19/98 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$25.00,Additions to dwelling$25.00, Alterations 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-existing Building- $100.00 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. New Construction: _ Old or Pre-existing Building: (check one) Location of Property: l/V e u; .1-;, J, W-i /r House No. Street Hamlet Owner or Owners of Property: Id -t f{� %� `� Suffolk County Tax Map No 1000, Section Block D o o = Lot O y o l Subdivision Filed Map. Lot: Permit No. 75 4 7 Date of Permit. FY- 10 o i Applicant: S(-X u.,o Yom_A ��..2.. Health Dept.Approval: Underwriters Approval: Planning Board Approval Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ �� ^ Applicant Si e Qu• � 315 � cZ- aII � 5 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. l� [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: w DATE INSPECTOR ' Albert J. Krupski, President FF0(�- Town Hall James King,Vice-President ANO CD 53095 Route 25 Henry Smith �� Gym P.O. Box 1179 Artie Foster o '� Southold, New York 11971-0959 N1 = Ken Poliwoda Telephone (631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES I ��7 TOWN OF SOUTHOLD + 7 July 26, 2001 ___._ Mr. &Mrs. Donald Perry P.O. Box 1705 ___-- Southold,NY 11971 RE: 5850 New Suffolk Rd., New Suffolk SCTM#117-2-18.1 �l Dear Mr. &Mrs. Perry: The Southold Town Board of Trustees reviewed the survey dated August 16, 2000 and last revised April 23, 2001 and determined the construction of a single-family dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions,please do not hesitate to call. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:Ims 'RaOp,�, t \O-k \C-,)O` ,1/.,,r BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: -?0/ /02 DATE REVIEWED: ?0/ /02 APPLICANT:(�Qot&wJI Ptd DAT9,SUBMITTED: / /02 1 SCTM#DISTRICT: 1,000, SECTION: , BLOCK: , LOT: B STREET ADDRESS: 'Sp �i SVffcXIC Kb,CITY: I� S)pl�mkSUBDIVISION: % _ PROJECT DESCRIPTION: n o2 OkCk ou r� ' az- Aft �eC . ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: / FAST TRACK? _ SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83 ZONING DISTRICT: R-qb CONFORMING? Y16 > REQ. LOT SIZE: 0 0 OQ ACT. LOT SIZE:�I, ► •REQ. LOT COV. _ �' ACT. LOT COV. REQ. FRONT a PROP. FRONT REQ S E /f ACT. SIDE 000' REQ. REAR PROP. REAR WATER FRONT? r DESCRIPTION: Ip0 PANEL #: FLOOD ZONE: , .,.4,2j- APPROVALS .2j-APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or Ig>ED#): DTE:—/—/ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y 010t \ NEW YORK STATE DEC: PRF-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY: YES OR4g) +RC1 EGRESS (18 H min.?4 sq total) NT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) t BUILDING PERMITS OPEN/E BP a9 -Z/C/0 Z- , CMP A.A NO'kii HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: 110- SF FEE FEE FEE 1. ( IA SF)- (SF)= SFX$ =$ +$ +$ = $ 2. ( SF)-( SF)= SFX$ =$ +$ +$ = $ CW3 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: 6.tC52 DATE A INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS d 00 FOUNDATION(1ST) -- -- - - y FOUNDATION (2ND) 2 C OQ ROUGH FRAMING& - -- --- -_ PLUMBING y L� INSULATION PER N.Y. - --- - - �3 STATE ENERGY CODE — - - ----------— - - - -- FINAL ADDITIONAL COMMENTS - - - - - p , b d b TOWN OeSOUTHOLD BUILDING PERMIT APPLICATION C HECKLIS'I BUILDING DEPARTMENT Do you have or need the following,before applying: TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 -7 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined 20 Contact: Approved 20_�/ Mail to: Disapproved a/c Phone: Expiration 20� Mc ti nn_ 17nBuildingInspector t s � Jf n ^i " APPLICATION FOR BUILDING PERMIT J - J )__.�.. INSTRUCTIONS Date gp>21 30 120002- a. 20002_a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector 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. 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. aG (Signature of iirpthant or name,if a corporation) Ql . lam[, c- i C.I C� Gil, tw1 i 93 (Mailing address of applicant State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C'61�Y�z n r71� Name of owner of premises S AA -ZA -e& 1>0`11-i (As on the�tax roll ort latest 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 No. 1. Location of land on which proposed work will be done: s yD S� House Number Street get County Tax Map No. 1000 Section VL-� Block Doo-2- Lot alb , o�I Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Sits dLz UA �Amlu"F b. Intended use and occupancy. Ski 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work tDP+4— (Description) 4. Estimated Cost #3 c r ro 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, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: 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 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO >d Will excess fill be removed from premises? YES NO 14. Names of Owner of premises pkLo t Address Phone No. Name of Architect Address Phone No Name of Contractor 60y(. MCG *N 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 MAY BE REQUIRED. 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. STATE OF NEW YORK) COUNTY OF�i�'0 iS: 1-) Ok 1(0 i 1'S �4l C�t44� being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,Agent,Corporate Officer, etc.) of said owner or owners, and is duly authorized to perfonn 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. Sw t afore me this �� Z3 y of r t � 20 Notary Public Signat46f ;2anit CLAIRE L.GLEW Notary public,State of New York No.01GL4879505 Qualified in Suffolk C Commission Expires Dec.8, 'ik com p 4 077k 0.l OF L� e E ,1,4 c � o Po��N z OCCUPANCY OR USE IS UNLAWFUL3 sPs WITHOUT CERTIFIC ►TE 33" c0.tuv4 OF OCCUPANCY o .,, . f- x I() W;nX I v A AS NO x - - - - - - - - - - 3 Sr►P - - -- - - - - - .; i'�i'o'.a, 4 110 < o x'21 J - - - - els --� �Vje -t> FM ' r NOT FY BUILDING DEPART (TfPwnL-} ENT AT 765-1802 ! AM TO 4 PM FOR THIN FOLLOWING INSPECTIONS: Z�' --__ ___ } 1. FOUNDATION • TWO REQUIRED FOR POURED CONCRETE v� 2ROUGH FRAMING i I'WMBINO -- - � 3. INSULATION � 4 FINAL - CONSTRUCTION MUST c e vee - BE COMPLETE FOR C.0- ALL CONSTRUCTION SHALL MEET _ " ___ THE REQUIREMENTS OF THE NX K v X n� n K w 6 STATE CONSTRUCTION A ENE ---- � -- _ RGY CODES. NOT RESPONSIBLE FOR i � DESIGN OR CONSTRUCTION ERRORS 41CX� 1' I1 I I c00-rlti53 343E�OW CeP'd i\'h'Psi A I•� .D ' BAY CREEK BUILDERS JOB PEQQY Q951 D'ENC,t D. W. Megahan SHEET NO OF � P.O. Box 602 CALCULATED Br DATE CUTCHOGUE, NEW YORK 11935 (516) 734-6270 CHECKED BY DATE - 1 0 SCALE 4 - PPDXC222.1(Ptl 11 EDGE.PP0D0T2I7M P REDGE)®mk.Gro MW 01471700mx PIgM tOLL�Ef 1-000115Ek0 SURVEY OF PROPERTY Nt 51TUATE: NEW SUFFOLK TOWN: 5OUTHOLD 5UFFOLK GOUNTY NY l & AL x veoDsc 5GT# 1000-Ill-2-18.1 N �J\ SGDHS REF # RIO-00-0283 7205694011E S SURVEYED 08-16-00 JV `FV 130.03' j3 PROP.H5E II-8-00,GERT5 2-06-01, - AMENDED 4-23-0I POND N � LAND NOW OR FORMERLY OF U.G. 10-23-0I SHERWOOD M GOOPER BARBARA ANN GOOF EP 147.32 GERTIFIED TO: M n 4 ' DONALD G PERRY .FF rA S79021 40 E SAUNDRA J PERRYM?2q� Frame garaoe AR FIRST AMERIGAN TITLE IN5URANGE GO. AqE E� SF1eGl 3A" 3N #550-5-14422b OGE BRID6EHAMPTON NATIONAL BANK O2pNE X- -- so —�wood Fence 1'S WM G . 41' N O 9 w J - �� ` las' 12' _ Y Q N O o= A� + rn 2 Story Frame o szs' O 1\ `iHou5e ff / / 1� s Under Gon5truction O C) �/ N - p Q � sb LA l w i s 0 - o---�- l N75014930"W 275.33' LAND NO R FORMERLY OF Fs I KE"H*yL NOTES: HUR� ,I S'T, IN PIAGENTE G- E MONUMENT FOUND PIPE FOUND + p j- D5 FOUND lerb nd ad AREA = 45,120 5F OR 1.05 AGRES C. E LERS LAND SURVEYOR TOWN ZONE R 40 GRAPHIC SCALE I"- 30' s La o a 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 WELL LOGATION5 AS PROVIDED BY OTHERS RIVERHEAD,N.Y. 11901 -- - " 369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\20-291fd.pro