Loading...
HomeMy WebLinkAbout32856-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32325 Date: 05/01/07 THIS CERTIFIES that the building ALTERATION Location of Property: 435 SKIPPERS LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 24 Block 2 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 2007 pursuant to which Building Permit No. 32856-Z dated MARCH 28, 2007 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 STRUCTURAL REPAIRS IN BASEMENT OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANN L BLISS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uthorized Signature Rev. 1/81 Form No.6 �{ TOWN OF SOUTHOLD/ BUILDING DEPARTMENT r' __- TOWN HALL ,, J 765-1802 ! AN 3 APPLICATION FOR CERTIFICATE OOF OTCCITPANCY;: This application must be filled in by typewriter or ink and submitted to the Building Department wit e 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%dead, 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 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: 3 _J ppog `S L/fywi ® LC,Iy�,t�J House No. Street _ __ ._- Hamlet Owner or Owners of Property: j-w /U L - Gl Suffolk County Tad Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Perinit. Applicant: Health Dept. Approval: Underwriters Approval: Platuung Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ,Bern, k - T`56 Applicant Signature co �3�3 � 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. 32856 Z Date MARCH 28, 2007 s Permission is hereby granted to: ANN L TRUSTEE BLISS ANDOVER VT, 05143 for STRUCTURAL ALTERATIONS TO AN EXISTING BASEMENT AS APPLIED FOR at premises located at 435 SKIPPERS LA ORIENT County Tax Map No. 473889 Section 024 Block 0002 Lot No. 003 pursuant to application dated MARCH 26, 2007 and approved by the Building Inspector to expire on SEPTEMBER 28, 2008 . Fee $ 200 . 00 I orized ignature ORIGINAL Rev. 5/8/02 LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631)477-1652 April 20, 2007 Mr. Michael J. Verity, Department Head Southold town Buildingj Department Main Road Southold, NY 11971 Re: Residence Ann L. Bliss 435 Skippers Lane Ofent, NY 11957 Permit # 32856 9 TO WHOM IT MAY CONCERN: In reference to the above mentioned permit, I have inspected the basement and note the work done as noted on the plan revision 1 dated 4/20/07 is in compliance tv thwith the requirements of the New York State Building Code and the Southold Town Building Code. Sincerely, am— � New w Y� "Lawrence M. Tuthill, P.E. sa _� 4 ca � •` _ _ , 032254-1 �V hO�aOF SO(/lyo�o cvurm,��' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [�C�FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ort �' DATE ��`��� a� INSPECTOR FIELD INSPECTION REPORT DATE I 'COMMENTS CN �b FOUNDATION(1ST) ----------7-------------------------- FOUNDATION(2ND) �o H ROUGH FRAMING& t� PLUMBING H INSULATION PER N.Y. - -- STATE ENERGY CODE N FINAL ADDITIONAL COMMENTS O QZ �m 1-3 � z y� a r-3 x C tm y TOWN OF SOUTHOLD PROPERTY RECORD CARD w WNER STREET VILLAGE DIST. SUB. LOT' a 0 N 0 AU 1 c r to ORMER OWNER E ACR. �' I IV 4 on S I,w TYPE OF BUILDING ao g�CaC co 0 r- - - '-' � SEAS. VL. FARM COM .M. C MISC, Mkt. Value o _ LAND IMP. TOTAL DATE REMARKS _ 39j/ 4,i6aq To / 0 "' �'•� � ,Z coo--v � ���17,rG!� t�tr<P �C' ���r��G �C�1A� /�• ��:S.S us`��.��17 p m w —� w W � � N �,. Ul m _ ro AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE o FARM Acre Value Per Value w r Acre a 0 0 Tillable 1 r w Tillable 2 Tillable 3 Woodland D FRONTAGE ON WATER m Swampland N Brushland FRONTAGE ON ROAD `� :;2 rU v House Plot DEPTH -� r p"'"� BULKHEAD �= � rr • ■■■■■� VIINSOMMOMMOMME ". , : :: _ ■■l��f��� ail■�■■■■■■■■■■■■■■■Y ■■■ ■3■■■■■■■■■■■Y■■YY■ • ■■■ ■■■ ■1■■■■■■■■■■■■■■■■■ ■■■■■N■_. A■■■■■■■■■■■� .. Interior Finish ff r • / .1 ., TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HAIL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. � J Check Septic Form N.Y.S.D.E.C. Trustees ' Examined 20_T Contact: Approved ,20 Mail to: Qa 8 d-9/ A0 ,d,fly 3 Disapproved a/c O.0- G, ,[ebWPoeT 1/�k( n/ Phonet 60d Zy:2 27 of) Expiration n 61 Building I s ect 2 6 ' 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, a I r ulatigfis, and to admit authorized inspectors on premises and in building for necessary inspections. ` f.•� ((�q7 (Signature of applicant or name,if a corporation) p O. �vAr GRa P0� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .u� Y Name of owner of premises A"101- G/ ss . / a aS i ee v r- A IOU ou 0?GiSS0Pir,W (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. J. : Location of land on which�proposed work will be done: G/3� JY� PPc�s Lh�z a -16-tU 7- House Number Street Hamlet County Tax Map No. 1000 Section 2.L/ Block 2 r Lot Subdivision Filed Map No. ` Lot ' (Name) 2. State existing use and occupancy of premises and intendedA—use and occupy of proposed construction: a. Existing use and occupancy -S�N� 1 d �� `/ /G, i Damems► b. Intended use and occupancy _ '/N Dam ccr 3. Nature of work(check which applicable): New Building Addition Alteration Repair I. ' Removal Demolition Other Work (Description) 4. Estimated Cost G O 0 4 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- 7i 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 2— Dimensions of same.structure with alterateyw r additions: Front S� c Rear SA 4eie`' Depth -T1 Y-� cti Height c'— Number of Stories etc c: 8. Dimensions of entire new construction: Front A i IA. Rear Depth Height Number of Stories 9. Size of lot:,Front Rear 81�2( Depth l i 10. Date of Purchase 2 Z Name of Former Owner % //t'ry 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 ✓ Will excess fill be removed from premises? YES NO &IXY $ Address eaJ612A /phone No. �So°L �r7S - J.oSo 14. Names of Owner of premises /U � Name of Architect Address Phone No Name of Contractor 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) SS: COUNTY OF S a;i O f A.) y c-3 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 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 be reme this A 3 '� day of N t2GE.f 2007 Notary Public Signature of Applican � eJNewYork ';a:`or141 fxokes Sep.ZO,26 b1 5URVEY OF PROPERTY � N 51TUATE: ORIENT TOWN: 5OUTHOLD WFFOLK COUNTY, NY W E SURVEYED: Jan. 24, 2007 S SUFFOLK GOUNT-( TAX # 1000 - 24 - 2 - 3 ((� o,?c^ MaTUM TO: Ann 1.BUss s' Ski �y''V h ^oQa vgneJ 'i�J ` d/p�1� Q o��^et lL �• / e s/aevQlk l of�rn 0- 41 i Z o � Q� ) 2 (6- �a d;� O0 o(/gE� Nb / ,I �Sp / O�U w p 2p, / 44 r CT Q y wo 0 ,\ O Qlaafeoof� �QU tamer cod / ok (� q 640 �oiJ� "' p c n' y �� ye { u. ,trcapspbeeleYaotlh�smieya a c.oaas pn teIb.ke onea�t„—�F rear d�gn n1t obeadim o ewf�r ervdMen twybl�o orhSfe e t xshgeah.a a.u,reled.r1 H..l k Sta�Ed—tb L y— tev.r.aer. O/?a O/ NOTES: o 5 e y --� t � � accor ea„ dawe /c^-� (, /. tytn�s N�er.�ro�rk�staie I—w L.,d:l rmlan' `-7/ /e.. t �� .• to otulnta,.aeae rodo oa's�Ssrheibgry ro�eeety sot rroaolrf.redttl>te e�r aieb bcaldeet trgttaoN�Ke�eantplwoantsw ysnt.apelrl eerpnar"ow. Oc dtSaNid.MI 'a oddtnlp PIPE FOUND a - btltvtbro JOHN C. EHLERS LAND SURVEYOR AREA = 8,304 S.F. or O.I q0b ACRE 6 EAST MAIN STREET N.Y.S.LIC.N0.50202 GRAPHIG SGALE 1"= 20' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.—\\Compagserver\pros\07\07-108.pro V. © 22544 �90F �J, steps add 2x6 i - new N conc. .footing ' - 2 'x2 'x1 ' w/ lally column* I existing 3"x6" ;��.,. existing 4x6 New girder 8"x8" A rear i co to a) _ new conc. footing or-1 ' wl N existing 4x6 Q lally xcolumn o _ J -E a4 � 3 -P ro R,'N -CD �, 2x6 23"oc existing removed -" existing 411x6" existing • column new 2x6 existing post remove and replace with lally column �.add.., 2x6 141 -611 Rev. 1 4/20/07 As built changed girder from .. 6"x8" to 8"x8" . STRUCTURAL CHANGES IN ---- Basement Ann L. Bliss . Skippers Lane Orient, NY 11957 Scale: , '-z" = 1 ' 0"Date: March 22, 2007 APPROVED AS NOTED OCCUPANCY OR10 � g ai; FUL2a� USE IS UN LAW DA-1 FE BY: WITHOUT CERTIFICATE NOTIFY BUILDING DEPARTMENT AT OCCUPANCY �. `, v `. 765-1802 8 AM TO 4 PIA FOR THE OF 54 FOLLOWING INSPECTIONS: °� 1 1. FOUNDATION - TWO REQUIRED rkSt �� � FOR POURED CONCRETE 2. ROUGH FRAMING & PLUMBING steps 3. INSULATION I 4. FINAL - CONSTRUCTION MUST i ALL CONSTRUCTION SHALL 1-11IFET BE COMPLETE FOR C.o. __ THE REQUIREMENTS QF THE ALL Co CODES OF NEW YORK STATE. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLL FUa DESIGN OR CONSTRUCTION ERRORS. add 2x6 new conc. footing ) 2 'x2 'x1 ' w/ lally column new 2x6 existing column N existing 4x6 -� �� new beam Vx6" 0 rear M ' co m W 4J U - I — I —new -� ; conc. footing 0 1_4 I I 2 'x2 'x1 ' w/ 04 U) existing 4x6 lally column - rd 0 U N W �4 _ - 41 I i s~ 3 N -P ro 0, m co / 2x6 23"oc existing �- remove old 4 x 6 replace w/2 x 6 existing column I new 2x6 ,existing post remove and replace with lally column add.. ' 2x6 1 1 . I , I � 14 ' -6" , o CHANGES IN ss ane Orient, NY 11957 Scale: Z" = I 0" Date: March 22, 2007