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Home My WebLink About32881-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34221 Date: 03/09/10 THIS CERTIFIES that the building DECK ADDITION Location .of Property: 1945 GLENN RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 1 Lot 27 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 4, 2007 pursuant to which Building Permit No. 32881-Z dated APRIL 4, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LLOYD & PHYLLIS SIMON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A A4Chorized Signature Rev. 1/81 . .Form[Yo.6 \ TOWN OF SOUTHOLD , BUILDING DEPARTMENT TOwrl HALL 765-1802 APPLICATION FOR CERTIFICATE O LEC � VF OCCU This application must be filled in by typewriter or ink and submitted to the Buildi p the ollowi . A. For new building or new use: l. Final survey of property with accurate location of all buildings, BLDG.DEPT. topographic features. ng ,property lin st �"N OF SOUTHOLD 2. Final Approval from health Dept. of water supply and sewerage-disposal S-9 natural or 3. Approval of electrical installation from Board of Fire Unden't'riters. ( form). 4. Sworn statement from plumber certifying that the solder used-in system contains less an a 5. Cortunercial building, industrial building,multiple residences and sin-War buildings and ins of Code Compliance from architect or engineer responsible for the budding. n tall of(� lead. 6. Submit'Planning Board Approval of completed site plan requirements. tallations,a certificate B. For existing buildings(prior to April 9, 1957) nou-conforming uses,or buildings and (. Accurate survey of property showing all property lines,streets, building and unusual natural pre-existing-laud uses: features. t or topographic 2. A properly completed application and consent to inspec denied, the Building Inspector shall t signed by the applicant. If a Certificate of Occupancy is state the reasoias therefor in writing to the applicant. C. Fees 1- Certificate of Occupancy- New dwelling$25.00, Additions to dwelling$25.00, Alterations to , - Su�imrning pool$25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses 2- Certificate of Occupancy on Pre-existing Buildirr dwelling$25.00, 3 Copy of Certificate of Occupancy-$_25 g- $100.00 nesses$50.00- 4. Updated Certificate of Occupancy- $50.00 5. Teinporar-y Certificate of Occupancy-Residential$15.00, Commercial$I5.00 Date. :dew Construction: Old or Pre-existing Building: LOcation of Property: (check one) House No. Street 3wner or Owners of Property: Z_ Hamlet 'iuffolk County Tax Map No 1000,Section ( 1 Block / . subdivision Lot @ 'ermit No. Filed Map. $'� L Date of Permit. Lot: Applicant: ,ealth Dept. Approval: Underwriters Approval: �atuung Board Approval: equest for: Temporary Certificate Final Certificate:�_ Submitted: $ (check one) A, lira igr►ature 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. 32881 Z Date APRIL 4, 2007 Permission is hereby granted to: LLOYD & PHYLLIS SIMON PO BOX 1341 SOUTHOLD,NY 11971 for CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FRO. THIS PERMIT REPLACES BP ## 23506 at premises located at 1945 GLENN RD SOUTHOLD County Tax Map No. 473889 Section 078 Block 0001 Lot No. 027 pursuant to application dated APRIL 4 , 2007 and approved by the Building Inspector to expire on OCTOBER 4, 2008 . Fee $ 150 . 00 Aut zed ignature ORIGINAL Rev. 5/8/02 i FORK NO. f 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® 23506 Z Date ........... .. ...,�.............................., 19. Permission is hereby granted to: 1 ........ /r-- ....%/C/........................ to .( -!:� ..tCl ........'�4.......... 4 ....... (J.f�. ......... ........ ......... k2voon9......... er Z atpremises located at ..... ... I ............. ........................................................................ ........................................................ /Zl4c!C ............................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section .......Z?......... Block ......6.......... Lot No. ...... ......... Jf pursuant to application dated ...... ....�,�..................., 19. ... ., and approved by the Building Inspector. Fee $...�c7...`.��..... ........../// .. ,.... . . ...... i�ding Inspector Rev. 6/30/80 SOUr,�olo 3 ,OutNmvl c� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING XFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE � /'�� 07 INS'ECTOR j/J� • IIJiAF Ili)UGII I;IlAIII-' R I'1.111111 1 11(; _...._ • II'llll.n'1'll)II I'P:II II, Y -_• �•�.-_...- __.- I:UIM •�=/]...,.,,= ,..,m. _,.,. ,.,.,,c.,,..,.., ...........,,,,.......:..........1..... ,,,.,..:.... ... ,,.,,,,1,r. ,..,..,...,. ICI 0004 ............. _.._. p...,.. .., AI)111TIUIIA1• (;U11111!11f.`i ; x!� IN 1 l,I . BOARD OF HEALTH . . . . . . . . . . . . . . . FORM. NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . .. . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . �.19. . . . . . . ... . . . . . Examined.... ........, 19. .�D MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..... . . C.... 19 .�/ Permit No. 3 ....................... Disapproveda/c .................................. .................................... ...................................................... (Burng Inspector) APPLICATION FOR BUILDING PERMIT / n/� Date ?fix 1 . . . . . . 19.9 4 INSTRUCTIONS a. This application mist 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be coRmenced before issuance of Building Permit. d: Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu*out the work. e. No building shall be.occupied or used in whole or in part for any purpose wbatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HERESY NYITIE 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) .!.0........................ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......��. .� ............................................................. ................ ............ ..........J.......................................................... Name of owner of premises -..0/.Q,�l. ........ ..C;,. .... ............... ................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) , 1`1Ay 2 11996 � Builders License No. P.............. Plumbers License No. .A. ............. TOWS;_ �?U7't�OLD ...�.....� Electricians License No. ......... Other Trade's License No. �J� .......... 1. Location of land on which proposed work will be done../!.�1��..�.��b�...��.�............................ ....................................................................................................................... House Number Street Hamlet County Tare Map No. 1000 Section ..79 a/.:c;Z Block ................ Loot ................ Subdivision ...................................... Filed Map No. .3 9....8..... Lot ............... (Name) 2. State existing use and occupancy Ayof premises and intended use and occupancy of proposed construction: a. Existing use and c-r-cupancy .!�:F'S.> E�,v, .�r.......................................................... b. Intended use and occupancy ..�.�.S.:�c'.W.. .:e................................. ....... 3. Riture of work (cheek %Aiidi applicable): New lluilding .......... Addition ........ Alterati n '/LeiU '��2 PI�4 lie pair ............ Removal ............. Demolition ............ Other Work 1 Q . ..�tutt�ar�!S..... 4. Estimated Cost . ` �. fe............... e .............................................. (to be paid on filing this application) 5: If ckrellirrg, rrunirer of dwelling units ....A...... Umber of dwelling units our each floor ................ Ifgarage, cxnber of cars ............................. 6. If business, ornmercial or mixed occupancy, specify nature and extent of each type of use. ........ 7. Dimensions of existingstructures if /^6 h , any: Front................ Rear . ............ Depth ................. Deiglrt ............... Murber of Stories .f?S. 5�22J Aql?'S.e. Dimensions of sane structure widr alterations or aoklitions: Front ............... Rear ............... Depth .................... lleiglrt .................... Murber of Stories ............... 3�. » . Rear �_, �' (� >> a. Dimensions of entire new construction: font .30.. Depth , J?l5. eW1 -mber of Stories .3 9. Size of lot: Front ....... Rear �......... Depth .®f�. Q....... 10. Date of Purchase ,��x�e :��_� Name of lonrer Owrrer 11. Zone or use district in which premises are situated ../��sl. .ew!f4 '��...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .,'V.0................. 13. Will lot be regraded /d--?.99�............. Will excess fill be rerroved from premises: YES 14. Names of Owner of premises Zb VO.... Address S..��!/�®ref...... Phone No. 3/77. 1� Name of Architect .,�:� A..................... Address .............................. Phone No. .............. Mane of Contractor _ �............................. Address .......� ......................Phone Na. .��.......... 15. Is this property within 300 feet of a tidal wetland? * YES .......... 4.......... *IF YES, SOUL IND MM 1RUSIl-.S PERMIT MAY BE REQMRL'D. PI.o'r DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-hack dimensions from property lines. Give street and block umber or description according to deed, and show street names and indicate uArether interior or corner lot. C SI'A'lE (V Mill Y(XZK, C(Jl1MlY OE �r!1 .......... SS ...?..1.`�.`�C.....i_.. .. �...`-...................being duly stern, delx)_ses and says Lhat he is the applicant (Mane of iml.ividual signing contract) above named, Ile is Lhe � z° ..��?' ./. �G..(CJ�........................................................... (Corilra-tor, agent, corporate officer, etc.) of: said owner or owners, arxl is duly authorized to perform or have per.foruxed the said work and to make and file Lhis application; that all statements contained in this application are true to Die best: of his knowledge and.be']Aef; and Lhat Lhe work will be performed in the manner set forth in the application filed Lherewidi. Sworn to before nip- this ........ ..I.......day of .. ...... ....19. .C. Notary Rrblic . .. ...... ........ .. . ......�:�--.... JOYCE M.WILKINS (Signature Appl.i.cant) NotKY Public,State of New Yolk �� X Nc. 4952246,Suffolk Counix 'form,Expires June 12,1 RES -Pocl sur2VE -1 I NAC �, L L 9 .1 0 A PH K f` 10 L- L ' 31 J, IOWN OF 5OL;7HO LD - NY I it JV -m2y 42 vi NU MEN,7- 9h, t6s TITLE IN51- untaut'hixold altaceieft*T a4:9� j - { 5 lid APPROVED AS(NOTED , -?' i � B.P.# , �; DATE .� J FEE: • BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMiPIETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE PErUIRENIENTS OF THE N.Y. \ STATr- CONSTRUCTION & ENERGY NOT RESPONSIBLE FOR �\ �• DESIGN OR CONSTRUCTION ERRORS 06 rru� -n G) N 10 47 --�-_-•E--73 OCCUPANCY OR USE IS UNLAFUL RIVERHEAD BUILDING SUPPLY ROUTE 25 GREENPORT, NEW YORK WITHOUT CERTIFICATE. OF OCCUPANCY RIVERHEAD BUILDING SUPPLY ROUTE 25 GREENPORT, NEW YORK - - - 1' 1/4" 7' 2.1/2° r . 4' 10 7/1G„ 11C�4Ji / �, 9„ 1' 7 7/8" —E 1' 1/4" m -, rn Ri BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 8' 8 1/16" 2 7' 3 9/16" B 8' 3 1/8" 2 6' 10 5/8" C 37' 9" 5 9' 4 3/8" ,D 37' 9" 6 7' 5 7/8" E 24' 1 1/2" 4 7' 11 5/16" Post spacing is measured center-to-center. Depth of concrete footers --- 36 inches. All J �� - CCU Grip77 Ay / /�' eq C l -4v 7L ,ve u�u C-/9 i E ASKS_ i ZX/O _ - - -- -- ---- ---- ------ -