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HomeMy WebLinkAbout29074-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29240 Date: 02/05/03 THIS CERTIFIES that the building ADDITION Location of Property: 1295 ORIOLE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 6, 2003 pursuant to which Building Permit No. 29074-Z dated JANUARY 10, 2003 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 WOOD DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JEROME W & MARGHERITA MACKESY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A horized Signature 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. 29074 Z Date JANUARY 10 , 2003 Permission is hereby granted to: JEROME W MACKESY 1295 ORIOLE DR SOUTHOLD,NY 11971 for ADDITION OF WOOD DECK TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES BP# 27751 at premises located at 1295 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 032 pursuant to application dated JANUARY 6, 2003 and approved by the Building Inspector to expire on JULY 6, 2004 . Fee $ 150 . 00 A horized Signature ORIGINAL Rev. 5/8/02 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. 27751 Z Date OCTOBER 2 , 2001 Permission is hereby granted to: JEROME W MACKESY 1295 ORIOLE DR SOUTHOLD,NY 11971 for . ADDITION OF WOOD DECK TO AN EXISTING SINGLE AFMILY DWELLING AS APPLIED FOR. at premises located at 1295 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 032 pursuant to application dated JUNE 15, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No.6 Call acKzI TOWN OF SOUTHOLD L✓"o ( to 4. ? BUILDING DEPARTMENT S^_ go 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. /- 3 0 —D3 New Construction: Old or Pre-existing Building: (check one) Location of Property: I;, 9s' De-1 o w e 2.i J L_ S o J , t+o L, House No. Street Hamlet Owner or Owners of Property: T g,"„n E_ W, , r A (etc KE s y Suffolk County Tax Map No 1000, Section 5-S Block Lot !S, D 3 ;I- Subdivision Filed Map. Lot: Permit No. 707u 7- Date of Permit, //'o Applicant: _Iteorne Q. Ko_cc �esy Health Dept.Approval: Underwriters Approval: Planning Board Approvals - Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ �, oy Applicant Signature 6��c, . (o333Z e0 �gay 0 Robert Bohn Contmetina Ina P.O. Box SS, Peconic, NY 119S8 1/28/03 Phone: (631) 76S-1119 Fax: (631) 76S-621S License #7541--la To Whom it may concern; Please be aware that the deck and rail which was contracted on October 24,2001 for Jerry Mackesy, at 1295 Oriole Drive, Southold,NY, 11971,has 36 inch footings per code, and the lag bolts hve been installed per code as required. Robert Bohn Sr. President Robert Bohn Contracting AN 2 9 R ERT BORN CO CTING, INC. P.O. BOX 55 PECONIC,NY 11958 All requests to revise or modify this original signed contract will require a new contract,estimate,and appointment date. REVISIONS OR MODIFICATIONS WILL NOT BE ADDED TO THIS EXISTING CONTRACT. Start date to be within 5 weeks from receipt of deposit and signed contract. All hills to be paid within 30 dcrvs of completion. All outstanding balances will accrue 2%interest after 30 days. Sre"T,- OFNEW YORK CC LINTY OF SUFFOLK} t38: On the 10 day.of �7Atu�l ,"t before me personelly came !A' cJ L 0 .to me known to be the Acknowledgments '!:e" Proofs of Execution individual described in, or_ia a 'acuted, the foregoing instruv.ent, and _II AL- ed that hetahe executed the s"a. LINDA J.COOPER Notary Public,State of New York No.4e22563,Suffolk County Torr;-Piss Der;€aw,;r s'y,-;W-,2d..20�2 BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: ` /` �'/01 �So .DATE SUBMITTED: /�/O1 APPLICANT NAME. �_'aNT2gcsuar�-- �i�� I�,hc��,5� SCTM# DISTRICT: 1.000 SECTION: BLOCK: 6 LOT: STREET: CITY: �rHoLh SUBDIV.NAME: PROJECT DESCRIPTION: 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: ¢%! CONFO`R'MING? = to REQ. LOT SIZE:/ ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE'/6.� REQ.REAR PROP. REAR WATER FRONT? ��"� DESCRIPTION: PANEL #: f S " FLOOD ZONE: , cTgY� zoo AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT; YES or NO, (BED#): DTE: / / PERMIT#:RI0- NEW YORK STATE DEC: PRFDEC 9/1/75 YES or ISO-7 SOUTHOLD TOWN TRUSTEES: YES ori,j TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or _ 7 TOWN HISTORICAL PRE (SPLIA): YES of, _Q) NYS ENERGY: YES OR NO : v EGRESS (18 H min.? 4 sq total) nL..4—VENT(SQ. FT. x 4%) �%e'`" LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP &. -Z/C/0 Z-fit#o-,& HAVE PRE CO'S : Y OR NBP -Z/C/o Z- NOTES: /o�i of Ni�..7,w�rr det►el fac -15^ Ch .eeosc FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLR SF R%IT OTHER TOTAL TOTAL: fQ SF FEE FEE FEE OT( SF)- (__SF)= SFX$ =$ +$ +$ �8g Z»Si� BUILDING PERMIT EXAMINER CHECK LIST ,cerci•/,/o, DATE REVIEWED: /�/Ol DATE SUBMITTED:/��/O1 APPLICANT NAME.Zoko COtN-rQAt_TI Ale k 4ckESy SCTM# DISTRICT: 1.000 SECTION: SS BLOCK: LOT: IS-, 37 STREET: /2�S �,e�o�E ��. CITY: &&THdi'b SUBDIV.NAME: PROJECT DESCRIPTION: ARCHITECT/ENGINEER: or1nJ FAST TRACK? AJ-1 SINGLE&SEPARATE CERTIFICATION-REQUIRED? AliO NOTES: LOTS 40,000SF-100-24.Lot recogniti°n.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997100-25.Me ger.(A nonconfomdng at any time after 7/1183) ZONING DISTRICT: A 1 CONFORMING? Y- 5 so r 23,39/ REQ.LOT SIZE /°oo ACT. LOT SIZE: REQ.LOT COV. 0% ACT.LOT COV. �`o REQ.FRONT �5 6_ PROP.FRONT± ?- REQ SIDE /S ACT. SIDE/9/aNg �Grisr� REQ.REAR 3,5' PROP. REAR (cx WATERFRONT? K/y DESCRIPTION: PANEL #: /i5-1' FLOOD ZONE: AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REOUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DIE:—/—/ PERMIT#:R10- r- Av11A - NEW YORK STATE DEC: PRE-AEc 9n/7s YES or]go SOUTHOLD TOWN TRUSTEES: YES or GAO` TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY:YES OR NO : �✓ EGRESS(18 H min.?4 sq total) ivy-VENT(SQ. FT.x 4%) N�'' LIGHT(SQ. FT.x 8%) °4 BUILDING PERMITS OPEN/EXPIRED: BP&6V6 5'5 -Z/C/0 Z-a48-$`( ►_C Zu_)ZLU 9► t HAVE PRE CO'S : Y OR N BP -Z/C/0 Z_ NOTES-:- /o�i ai N��.'J e 74F.Ar ff, fee n A., a..► , •.. _ -e' sol" t S FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : SF SECOND FIR : SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE OT( SF)-(____—SF)= SFX$ =$ +$ +$ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 12_q q <` VILLAGE DIST. SUB. LOT �lJ r G f�` G� >I e � �� -�ti- o( d7F7 ACR. �� / REMARKS , / TYPE OF BLD. u 0 C(014f740 ?" �'� 1Id PROP CLAS 0�10Lc 5-2d 11 -77 7 .o S - 'for]6, LAND iMP. TOTAL DATE 900 pov 5 70o v -- FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND / BULKHEAD HOUSE/LOT � ? TOTAL 765-1802 BUILDING DEPT. S PECTIO [ ] FOUNDATION IS r ROUGH PLBG. ] FOUNDATION 2N [ ] INS ION [ ] FRA INAL [ ] FIREPLACE & CHIMNEY REMARKS: z- iso77-- f,14 DATE 03 INSPE R 7Gs-18U BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL '-•�o� [ ] FIREPLACE & CHIMNEY i'? REMARKS: ' DATE INSPECTOR FIELD-INSPECTION REPORT DATE _::,,_ 1' COMMENTS 01 FOUNDATION DIST) a � !MRATION (2ND) 2 _ ROUGH FRAME h PLUMBING y� �I fD r INSULATION PER N. Y. STATE ENERGY CODE lel,3 FINAL L /ADDITIONAL COMMENTS: b V- - Z 'a S/� ll-�► L 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 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. 2 7 7S 1 Check } 10 3 / Septic Form N.Y.S.D.E.C. Trustees Examined /�� 20_9/_ Contact: Approved 1,QA 200/ Mail to: ,f WZ7 4&,JeQA#7tNVrJAJ ./Ar. Disapproved a/c BOX 5!t- IlTCn,.11e n1V it 458/ Phone: X6.3,) 24,r- r I q Building Inspector SLOG.C`E'T. L T�,r�f� �F�^u T Qua APPLICATION FOR BUILDING PERMIT Date CS 20 G L INSTRUCTIONS 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 a Certificate of Occupancy is issued by the Building Inspector. 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) ailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 6 E.cl EQ A�- �cs J 7• G�OrZ Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. r7sevl f 1 Plumbers License No. Electricians License No. - Other Trade's License No. -7- 1. Location of land on which proposed work wilt be done: 1z937 69Q/OL6 PX V7-404-D nl Y ! 19`1 J House Number Street Hamlet County Tax Map No. 1000 Section Block ©CII Lot Q/ $ . o,tea Subdivision Filed Map No. Lot (Name) r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy l e��i i�c Qty /,J!L CSX CCne4 b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work LX� (Description) 4. Estimated Cost ( d, nn Fee /$25 ,cies (to be paid on filing this application) S. If dwelling, number,of dwelling unitsA),. Number of dwelling units on each floor AU/+7� If garage, number of cars 414 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: 13. Will lot be re-graded Will excess fill be removed from premises: YES NO 14. Names of Owner ofpremisesdAaAZ5AdQe&5�AddresslZQj;Q0oefiDt_5wnjg,&Phone Nok3j) 7�oJ�� 3-?C[b Name of Architect Address Phone No Name of Contractor ,;�_1^�,,-r��c-r,LU I ac Address Pe%ox 55 qcai«ay Phone N (e5 - ( /)q <<Qss� 15. Is this property within 100 feet of a tidal wetland? *YES NO • 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 OFA � D ag?:" and) being duly sworn, deposes and says that(s)he is the applicant (Name of individualsigningcontract)above named, (S)He is the 7nc (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 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. SwQm to befpre me thi -- "~• _ 6C day of 2001 Notary Public ` Signa licant HELENE Lf, h6 «: Notary PuNoc 95te of New York Qualified in Suffolk County Commission Expires May 22, X200 `5 10/01/2001 13:24 5167656215 BOB BOHN CONTRACTING PAGE 02 Robert Bohn Southold, NY (631) '765- x. 119 4*mw*75.15a Customer Name: Jerry NWkesy Address: 1295 Oriole Drive Southold,NY 11971 Phone Number: (631)765-1290 Date: 5/07/01 Work to be Performed: 1) Build one 8'x 16' sundeck from garage to from doorat rear of house as per the following: DECK 8"Concrete footings 36"below grade APPROVED AS NOTED 2"x 8"CCA girders DATE: 16 a 6, B.P ### 2"x 8"CCA joists 16"on center FEE: /Sa �y BY: 5/4"x 6"STK cedar decking NOTIFY BUILDING DEPARTME IT AT One 36"'4rwide stairway from deck to existing grade, 765-1802 9 AM TO 4 PM FOR THE Stair rise not to exceed 8" FOLLOWING INSPECTIONS. Stair tread to be approximately 11" 1 FOUNDATION - TWO REOUIP?:D FOR POURED CONCRETE 2. ROUGH - FRAMING 8( PLUMF"�AJ!, MIL 3, INSULATtONI 4. FINAL L - FIT F,3A U CTION Psi 2"x 4"common cedar top and bottom rail BE ccNST F r r ,.�� 2"x 6"common cedar cap rail ALL Ca NSTifi 1� i�j�`� .S?"� � � E '-�' THE REC)U(F3Ff,n1 I (...t TF.,- P, , 4"x 4"common cedar support posts STATE. CON ETR ;C !,:;,;iF, rCOPES NO: 2"x 2"clear cedar spindles 6"on center DESIi`R� '1�- .I.":!L+SYS �,.(,i it � -�; •.: All bills to be paid widift 30 days of eaWkiiaL .40 owu maft balances will acaw 2%inia va Ow 30 days MaclWyl CUPAUOn OR is ��f" A FUL x a MTB FI CATS BLDG. DrrPT. + �°� TrJH Qf SQUTt�p, ROBERT BOHN CONTRACU -INC. P.O. Boz 55, Peconic, NY 119F5&-- PHONE: (631) 765-1119 FAX: (631) 765-6215 License#7541-XI JOB SURVEYSKETCH CUSTOMER NAME: TELEPHONE #: ADDRESS: CROSS STREET:Ys 6 L LPtR+O // Or tffwC q. fe0 tirrr000. V fi R-- .,�' Shy y 244V h LL lip DETAII.S: BSOP job sketchi