HomeMy WebLinkAbout43249-Z Town of Southold 11/28/2018
P.O.Box 1179
53095 Main Rd
1 Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 40070 Date: 11/28/2018
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1700 Youngs Rd., Orient
SCTM#: 473889 Sec/Block/Lot: 18.-2-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/27/2018 pursuant to which Building Permit No. 43249 dated 11/28/2018
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:
"as built"in kind window replacements in an existing one family dwelling as applied for
The certificate is issued to Caufield J B Int Iry Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
fet S ature
I, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 43249 Date: 11/28/2018
Permission is hereby granted to:
Caufield J B Int Iry Trt
1700 Youngs Ave
PO BOX 208
Orient, NY 11957
To: as built" in kind window replacements in an existing one family dwelling as applied for.
At premises located at:
1700 Youngs Rd., Orient
SCTM # 473889
Sec/Block/Lot# 18.-2-6
Pursuant to application dated 11/27/2018 and approved by the Building Inspector.
To expire on 5/29/2020.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
Bui nspector
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 $15.00
Date. //"Z'7
New Construction: Old or Pre-existing Building- LI-1- (check one)
Location of Property: /-7dy 5bjQ&5 RM6 M—Ie — N Y
House No. Street Hamlet
Owner or Owners of Property: C ftXIF � JD vA7,&ny —TAUS c
Suffolk County Tax Map No 1000, Section / ` Block Z Lot
Subdivision Filed Map. Lot-
Permit No Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval-
Planning Board Approval:
Request for- Temporary Certificate Final Certificate. (check one)
Fee Submitted: $ 4)T1,4
App cant to
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
------------------------------------
'FOUNDATION (2ND)
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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 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502Survey
43�
South oldtownny.gov PERMIT NO. Check
Septic Form
N Y.S.D.E.0
Trustees
C O.Application
I .mss V Flood Permit
Examined t �0 20 � � V Single&Separate
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Truss Identification Form
NOV 2 ��18 Storm-Water Assessment Form
Contact:
Approved - 20 $ ,�i�l�� � 3 maikl -- Ld C�t'K Enq b
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Disapproved `1VN OF S&Tflo �—
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Phone:��—�D
Expiration ,20
Buil n pector
APPLICATION FOR BUILDING PERMIT
Date , 20
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 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.
(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
Name of owner of premises 6iiA46aO E*KJkA MVCici9 �lC�Q Q!7)(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.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
J700 yoyrJ� (�plg4 , Gtr?��ti1T. NX 1115
House Number Street Hamlet
County Tax Map No. 1000 Section Block Z Lot 4
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy CLQ .a N,--
b. Intended use and occupancy 5Q yyA_Q_-
3. Nature of work(check which applicable): New Building _A4d
kio4 Alteration
Repair Removal Demolition OtherWo / ?�jj�; �� �i t(l �
(Description)
4. Estimated Cost 'Foe r
cro%paid on filing this application)
5. If dwelling, numb of dwelling units `Number of dwelling units on each floor
If garage, number f cars
6. If business, commercia r mixed occupancy, specify nature and extent of each type of use.
•
7. Dimensions of existing st tures, if any: Front Rear ' Depth
Height Number of Stories
Dimensions of same structur with alterations or additions: Front Rear
Depth eight Number of Stories
8. Dimensions of entire new constructi : Front Rear Depth
Height Nu ber of Stories
9. Size of lot: Front R r Depth
10. Date of Purchase Nam of Former Owner
11. Zone or use district in which premises are situ ed
12. Does proposed construction violate any zoning la , ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will exces fill be removed from premises?YES NO
14. Names of Owner of premises Ad ess Phone No.
Name of Architect Addr ss Phone No
Name of Contractor Addre s Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a fres water wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMI S 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 distanc to property lines.
17. If elevation at any point on property is at 10 feet or below,must provi topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS.
COUNTY OF O<
Ed Ca U E] f cy being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the —Fr u s-hrc ,
(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.
Sworn to before me this
a-7'r day of MY((Y1.b fr 20 P6
'k 1kL" V\,MIA TRACEY L. [)WYE
Notary Public Hy LIC,STATE OF NEW YORK Si ature icant
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2�c��
5URV[Y Of PROPERTY N
51TUATf : ORIENT
TOWN: 50UTHOLD w
5Uf"f OLK COUNTY, NY
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Dimensions in parentheses are in millimeters.
0 Meet or exceed clear opening area of 5.7 sq.ft.or 0.53 m�,clear opening width of 20"(508)&clear opening height of 24"(610).
A piano hinge and step jamb is standard on all French Casement Windows. Date: 1/17/17
Scale: 1/8"(3)=1'(305)
Andersen Windows,Inc.reserves the right to change drawing specifications without notice IFile:l AC I E-Series jElevations Icasernent&Awning Page 04 of 05 1 C
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Notes:
"Unit Dimension"always refers to outside frame to frame dimension.
"Rough Opening"dimensions may need to be increased to allow for use of building wraps,flashing sill panning,brackets,fasteners or other items.
Dimensions In parentheses are in millimeters.
Date: 1/17/17
Scale: 1/8"(3)-1'(305)
Andersen Windows,Inc.reserves the right to change drawing specifications without notice File:I AC I E-Series Elevations I Specialty Window I Page 01 of 04
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E-SeriesAndersen.
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Notes:
Details have been optimized for use in architectural software and do not match manufacturing specifications.
Dimensions In parentheses are In millimeters.
See Pages 4 Thru 11 for Options and Accessories
Date: 02/06/18
Scale: None
Andersen Windows,Inc.reserves the right to change drawing specifications without notice IFile:l AC I E-Series I Sections IDoubie Hung Page 01 of 11