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Home My WebLink About43106-Z SFFO[,�C Town of Southold 10/18/2018 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39982 Date: 10/18/2018 THIS CERTIFIES that the building ALTERATION Location of Property: 1000 Beachwood Ln.,Southold SCTM#: 473889 Sec/Block/Lot: 70.40-59 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/5/2018 pursuant to which Building Permit No. 43106 dated 10/5/2018 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: SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Farrell,Almira of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Signature o�°SU.F K�OG TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE of . SOUTHOLD, NY Cpl � Sao 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#: 43106 Date: 10/5/2018 Permission is hereby granted to: Farrell, Almira PO BOX 167 Southold, NY 11971 To: CONSTRUCT PORCH ADDITION Replaces BP# 13203 At premises located at: 1000 Beachwood Ln.,Southold SCTM # 473889 Sec/Block/Lot# 70.-10-59 Pursuant to application dated 10/5/2018 and approved by the Building Inspector. To expire on 4/5/2020. Fees: PERMIT RENEWAL $85.10 $85.10 Building Inspector FORM NO. • � r 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) N? 13203 Z Date ........ ...1:.0....................... 19.�.`f Permission is hereby granted to: 2 .. . ...... .�!. ................. . . .. .....!. . .►............................................... . . .... ..: :......... .......... 04 - .. �........... ....�... :.............. . . -...... ............:. .... -....... ...... . .. . ...... ................... .�. ....... ....... . ... ....... .............................. atpremises located at ./.... .... . . A..... . ... ......................... .................................................................................................................................................................. .............................................................................................................................................�....-...q................. County Tax Map No. 1000 Secti n ....®-.�....... Block .......LO........ .Lot No. ...—... .......... pursuant to application dated ... ..4 �-................................... 19 .�., and approved by the Building Inspector. Fee $ .................. NY/ ..... .................... Building Inspector Rev. 6/30/80 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 j 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$15.00 111 e Date. �V Old or Pre-existing New Construction: Building: (check one)��`� Location of Property: A �� ; '�r/`��7� �"'e-, Street Hamlet House No. �,r�r l/ y Owner or Owners of Property: 17/!�1/Zw / `�� l Suffolk County Tax Map No 1000, Section 03 d Block /L/ Lot J ) Subdivision Filed Map. Lot: d O1 i Permit No. ll e of Permit. Applicant: i Health Dept.Approval: Underwriters Approval: a Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ qr3 Applicant Signature SOUTyO TOWN OF SOUTHOLD BUILDING DEPT. u 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULAT �N� [ ] FRAMING /STRAPPING [ FINAL 0 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: oFc�a Pb U e&4 DATE 0 Y INSPECTOR FIELD INSPECTION . �iDATE i COMMENTS p ci 1 FOUNDATION ( 1st) c FOUNDATION ( 2nd ) 2. I - z . ROUGH FRAME & PLUMBING ,h vu INSULATION. PER N . Y. y j STATE ENERGY z CODE • x a 3 ' - r .y FINAL i _ o I � z` ADDITIONAL COMMENTS : �y a a H � - O Z 6' • x an x d m - y FORM NO. 1 TOWN OF SOUTHOLD 3 Olt,eti,� BUILDING DEPARTMENT �/ TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . I d . . ., 19��. Application No. . . . . . . . . . . . . . . . Approved . -�'r` . .1. . ., 19��, . Permit No. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .�. . . . . . . . . , . . . . . (Building Inspector) NNI APPLICATION FOR BUILDING PERMIT Date . . . . . . .�.I. . . . . . . . . .. 19: INSTRUCTIONS ~ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buiidi 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 stref . or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc-;al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern 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 whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housinde, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. / ' . . �.. . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) lilt (Mailing address of applicant) State whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electrician, plumber or build, . . . . . . . . . . . . . . . . . . . . . . . . . . . .:,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . ;�t /��-5 �a+-4 ,.'. . . .oZs�.e .`.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . .� ,9 . . . . . . . . . . . . . . Plumber's License No. . . . . . . .`�J y.= Electrician's License No. . . . . .&J 0.3 . . . . . . . . . . Other Trade's License No. . . . . `J°"' 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . 0 I crux. . . . . . . . . L," a t4-w w� L/a-w� . . .So u -7'a o t .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet Q County Tax Map o. 1000 Section : . . .`�. . . . . . . . . . . Block . . . .1.0. . . . . . . . . . . . Lot . .S `. . . . . . . . . . . . Subdivision �o y 7 N�,n� . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . '"'.'.` �. . 4 . ..'. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . ... �. . .t. 'r'`'':! '' ``Jr'. . , , . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . ... , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) EstimatedCost . . . . . . . . . . . . c?v . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) If dwelling,number of dwelling units . . . . . 1. . . . . . . . . Number of dwelling units on each floor . . . .�. . . . . . . . . . . . If garage, number of cars i. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . 1. Dimensions of existing strictures, if any: Front . . . . . . . . Rear . . . 7?.t. . . . Depth . . . . . . Height . . .7� ? r . . . . Number of Stories . . . . . . I. . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . .(. .".7'. .r.. . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . S""'. . . . . . . . . . . Height . . . . . . . .. . t. . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . S. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . .Depth . . . . . . . . . . . . . . . Height �. Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . 1. Size of"lot: Front . . . . "�. .-. . . . . . . . . . . Rear . . . % .t. . . .. �.'.-. . . . . . . . Depth . . Z' "". . . . . . . . . . . ).. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . 1. Zone or use district in which premises are situated . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . ?. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . .•. . . . . . . . . . . . . . . . . . . .: . 3. WEI lot be regraded . . . . . 'J . . . . . . . Will excess fill be removed from premises: Yes No t. Name of Owner of premises 044'*4!'?_.°.'� .t ''.r-".`�'"�Address�?!s�`y`"j"` LA 5..•.' . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . Address . . . . . . . Phone No. . ^. . . . . . . . . . . . Name of Contractor . . !''I. . . `.'"'. 0. . . . . . . . . . . Address '3°?`!�!�. S�`'"!"!"."?. . . . Phone No l.�%�.".?30. . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether tenor or corner lot. cl� q a n, 4G A,%.kr" : Hta•o � TATE OF NEW O K; S.S OUIv'TY OF . . . _ . . . . . . . . .n(�Nam � . . . . ... . . . TZ�' �. . . . being duly sworn, deposes and says that he is the applicant of individual signing contr,c ) )ove named. eisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . ntractor, agent, corporate officer, etc.) f said owner or owners, and is duly authfc, perform or have pefforined the said work and to makb and file this ?plication; that all statements contained in-this application are true to the best of his knowledge and belief;and that the ,ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . . M . . . . . . .day of. . . .` 1"'W._ . . . . ., 19 .otary Public, . . . . . . . . . . . . . County ELIZAB NN NEVI 01� �- -� NOTARY PU811 State of ��qr . . . . . . . . . . . . . . . . :.. . ... . . . . . . . . . . . No.52-81258 ,Suffolk Term Expires March 30,19 Co t (Signature of applicant) ��-�, -� - , ;r^ gra '7a i:�m ,_ma•: •,rte- --PP.s yt` �2�0� •, of FCV • =��•, ' " - '' � it is . . . , �,'�,,,.,r' -,.`,. •i 4: L :1' � 1 � `r ��-�.�12i -1um� ��v�#`�•¢twL'bli�` r' SUFFOLK CO HEALTH DEPT.APPROVAL h H.S NO. q G - J MAP OF pa<) E07TY STATEMENT OF INTENT 6;J �/J •. (� SU(2V@��p F02 THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE AT SUFFOLK CO DEPT.OF HEALTH SERVICES. s7 C`rS6p r SQ(JT(-{QLQ (S) APPLICANT �= -ff C'IJfJ MYSUFFOLK COUNTY DEPT. OF HEALTH , z SERVICES - FOR APPROVAL OF CONSTR UCTION ONLY T DATE- { N H.S.REF NO.tD I t APPROVED SUFFOLK CO TAX MAP DEStGNATION: T m ! SCa(a : 50'=(" DIST SECT. BLOCK PCL house) / Arecc=2-4.-750:r;, q•,fi; 1000 OTO 010 59 l a=monutnerr+ OWNERS ADDRESS: 62 rt(ir�av�rr :St3rrls�ia+rd a N�N � ` ElevaY,iorrs refer-fo tneorn sea level. (ll co p // Prerri�CS ore in Plao��ZOHG f1-4 (£lEv.81 DEED.L.6988 P.i88 C) /� TEST HOLE STAMP / No+e:Lof numbers shown refer do (LO+ f9) •+uuTHOxlzs)AE-e:Ano,oe Ac�Inon a \ TO TN:5 S'JEYEY IS A Yf..A:.N OF s "Map Of—SoLmL(TWocd,'f fled trt Suffo(L humus $XPO>7 7 O`-Y:A_lf Y�,e,,STSTA,J %f Co. .'ferL-g office as Malt No.2f4T ? (• 6,. ca:c•F OF T u soa 5-.l 0 -,ISO ld 8S •• W M ��`��- r 1 �r lOCTm OJALl\FESS.- 'c-^Y.kF"<^-r.-Y,A.1"si IV 1 Xr� 6� 6/O. �• ,5Y �I Il-.:.:..F_.A TTL- avoir a+ � - -- $ �i��.-�us xa rs sw.J.�• �/ GuaYan deed to SEAL Southold .favin9s gaa�c acrd to sand �j �• Ghicolclo �'He fttsurancs Cot"Iba"ff O os survey fed N!a y S , :982. O S / RODERjl!5 K VAN TUYL,P.C. 5h LICENSED LAND StJRlEYORS GREENPORT NEW YORK 0 1780 SUFFOLK CO HEALTH DEPT APPROVAL n H S NO v0 STATEMENT OF INTENT c'3 ( SUt2VcYE.7 F072 THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL j• ��L�L� CONFORM TO THE STANDARDS OF THE a s AT SUFFOLK CO DEPT OF HEALTH SERVICES c1,`960 SCUTHOLO (S) APPLICANT ho. \` �•O e \� ��'-Z�K CcJnJTY)NY SUFFOLK COUNTY DEPT OF HEALTH 1--�--• o\ "'o \� SERVICES - FOR APPROVAL OF N CONSTRUCTION ONLY DATE Ji E N H.S REF.NO (l' $O' 8 9 LAPPROVED `rgJ tankL a m (!!B-/ SUFFOLK CO.TAX MAP DESIGNATION: Scale : 50'=!" DIST. SECT. BLOCK PCL. N ! s�sE (hoJse� �� Area=24,750= f lOQO OTO 010 59 �[\`( monurri-errf OWNERS ADDRESS out t I L 6�- oCc� ` $2 /=lri!•r`.C1✓�r� a.?ril•t:'r✓rO `�" � wov�64 may', �✓ �. (��, ElevmHores refer 4o mean sea level. _7a r p j j/ PrerfiJt; ors in F/ooh-Zo�re 4-4 (eICv.6� DEED.L.698$ P.l88 1; u} TEST HOLE STAMP � � `' �/ MNAVTNOEIlEO wliMwllUN U[AOgigw Nate'Lof numbers shown r-!o (Lof 19 TO THIS SURVEY IS A VIO"AT C,0, � yp.p �e 1E /- SECTION 7209 OF THE NEW YON STATE `T-> /' "Moi o f SocrffTVvcwf'fried Jn Sr otic EDUCATION LAW (erL's o�7"- ce as M, lW 21-41 hl c Trus 6„ COPIES OF THIS SURVET MAR NOT L[.- A C6LNTY HEALTH DnPARTWLNT ME"ANOSU[VEYORSIMEOSEAL OR _ E, A V. p EwouED SUL STEAL Nor a CO.e:lgeEo Ng�e w M „� �� /�\ l}�' DATS. C �9O? -- / SD IO Y A VALID TRUE C09T. ` '• y GUARANTEES INDICATED HEREON SHALL RON loam ONLY TO ME 9ERSON FOR WHOM THE We" -- r , IS 9RE9ARED,AND ON HIS EINAI7 TO THE �� O•• 'f T::s 5,.. - - c-„nbesr, TEwcwO Hlsrrur O RNME u AGEKVf A' g __ '_ TO ME A,,,Q ES OF ME(ENDING WE. Inez; ')� . ,-_. •-d _'ound MTION.GUARANTEES ANOT iRwEW[A p/cw'9 h to Z3 __ _ac G - ,.. OR culLN i 3� 'O ADDITIONAL RE w7Tmnin / Chief cf ^^e^^1 E7gineerin6 SEAL 6uorc7rg ,r., g Y`o ✓rJ E.it oref'ftold day;i�y`a BaHla acrd to. somd C-Nicacfo 77f1e Uisur-ancc Cot"f-,cruf i as sue^v ed Ocf 2b E =782 S !_ RODERICK VAN TUYL,P.C. wa-her, Sjz LICENSED LAND SUR46EYORS 1 / GREENPORT NEW YORK IY017ED AT n.-".p A RTMENT rj FiJ ti i+- w: fi Ai ", R Ptva FOI, TNT �� ( EQDIRED ! y ' �' �� T1 i E�, ' f,}� •-1 t PLUMBING F . 1 �OTz C. O. AL! CONSTRUCTION 'SHAU MEET � THE REQt;r!RE?v1ENTS OF Titl-fIE Ky. 'STATE `CONSTRUCTION. & ENERGY I CODES. 'NOT RESPONSIBLE FOR E)F-SIGN OR CONSTRUCTION ERROR& i9 00-,,� ! J ayub . 3 L �4f - �,�' 6,) Po rL c AW it 1 wale-j tfsa3e C- A Pb�rlll�l� /