HomeMy WebLinkAbout37497-Z �gu Ot Town of Southold Annex 10/1/2012
=o Gy P.O.Box 1179
x ' 54375 Main Road
oy � � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35936 Date: 10/1/2012
THIS CERTIFIES that the building OTHER
Location of Property: 53245 MAIN RD SOUTHOLD,
SCTM#: 473889 Sec/Block/Lot: 61.-1-8.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/10/2006 pursuant to which Building Permit No. 37497 dated 9/6/2012
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:
fence for existing swimming pool per code as applied for.
The certificate is issued to Burns,Margery D
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Auth ' eaigna re
r` TOWN OF SOUTHOLD
y�og�FEo(��pGy BUILDING DEPARTMENT
y. a TOWN CLERK'S OFFICE
"o
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 #: 37497 Date: 9/6/2012
Permission is hereby granted to:
MARGERY D BURNS
PO BOX 566
SOUTHOL, NY 11971
To: REPLACE AN EXISTING FENCE ENCLOSURE FOR AN INGROUND SWIMMING POOL
FOR A ONE FAMILY DWELLING AS APPLIED FOR. (REPLACES EXPIRED B.P. # 32288
At premises located at:
53245 MAIN RD SOUTHOLD
SCTM # 473889
Sec/Block/Lot#-61.-1-8.1
Pursuant to application dated 8/10/2006 and approved by the Building Inspector.
To expire on 3/6/2014.
Fees:
PERMIT RENEWAL $17.50
CO -ADDITION TO DWELLING $50.00
Total: $67.50
Building Inspector
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. 32288 Z Date AUGUST 15, 2006
Permission is hereby granted to:
MARGERY D BURNS
PO BOX 566
SOUTHOLD,NY 11971
for
REPLACE AN EXISTING FENCE ENCLOSURE FOR AN INGROUND SWIMMING
POOL FOR A ONE FAMILY DWELLING AS APPLIED FOR. (REPLACES BP #24960-Z)
at premises located at 53245 MAIN RD SOUTHOLD
County Tax Map No. 473889 Section 061 Block 0001 Lot No. 008 . 001
pursuant to application dated AUGUST 10, 2006 and approved by the
Building Inspector to expire on FEBRUARY 1200 .
Fee $ 35 . 00
l I•
A
Author ' zedLre
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. -2A4tl ' Z Date JUNE 16, 1998
Permission is hereby granted to:
MARGERY D BURNS
PO BOX 566
SOUTHOLD,NY 11971
for
REPLACE AN EXISTING FENCE ENCLOSURE FOR AN INGROUND SWIMMING POOL
FOR A ONE FAMILY DWELLING AS APPLIED FOR. INSPECTION REQUIRED.
at premises located at 53245 MAIN RD SOUTHOLD
County Tax Map No. 473889 Section 061 Block 0001 Lot No. 008 . 001
pursuant to application dated MAY 11 1998 and approved by the
Building Inspector.
Fee $ 35 . 00
7-
Building-Inspect/
ORIGINAL
Rev. 2/19/98
Form No.6 D
EC E
TOWN OF SOUTHOLD
BUILDING DEPARTMENT JAN 3 2012
TOWN HALL
765-1802
BLDG.DEPT.
APPLICATION FOR CERTIFICATE OF OCCUPANC TOWN OF SOUTNOLD
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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. .4
New Construction: Old or Pre-existing Building: (check one)
Location of Property:
House No. Street Hamlet
Owner or Owners of Property:_z57 'T �3 M it9-6Fetf
Suffolk County Tax Map No 1000,Section_ _Block i 3 Lot .
Subdivision Filed Map. Lot:
Permit No. Date of Permit. ' 1 S,10 Applicant:�Ad:p-QG€>?.0 rt) . ld up-1\).S
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate:_ C (check one)
Fee Submitted:$
Applicwft Si a e
PUd.sL Ctrnf f�0hn I� i (Iz, C
-fi r bl 5 pecvl ice, . 63/- %S- 341�
Form No.6
TOWN OF SOUTHOLD.
BUILDING DEPARTMENT
TOWN HALL �� 31 1
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 2110 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 69mpleted 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. Certif cafe 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. t<
New Construction: Old or Pre-existing Building:' (check one)
Location of Property: rj ?jPr�
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section (e / Block Lot <d
Subdivision 2 Filed Map. Lot:
7
Permit No. 3 ��.7 Date of Permit. -� —(�-- Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
IZequest for: Temporary Certificate Final Certificate: I/ (check one)
e-p
Fee Submitted: $
Applicant ignature
pE SOpT�olo
rL
cOUMY,�c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING FINAL r OO L- d�C
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE _ I�� INSPECTOR
q o pF SO(/T�,o
�o • �o
coUNi`i,
TOWN OF SOUTHOLD BUILDING DEPT.-
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
t `
� ,r
L
DATE INSPECTOR
OF SOpryolo
3 • �o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING ,, FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
r
DATE 9 < INSPECTOR
3 OF SOpr�, '.
TOWN:-OF'SOUTHOLD BUILDING. DEPT. _
7654 802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION.2ND [ ] INSU TION
[ ] FRAMING/STRAPPING [ INAL�6�� G9, -�.✓�:
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE ' q y INSPECTOR
FIELD RETORT DATE COMMENTS
FOUNDATION(1ST) �
FOUNDATION(ZND)
. - ONO
V
ROUGH FRAMM& y
PLUMBING
y
INSULATION PEtt N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
ul
W
C
BOARD OF f1EA PLANS
........ ..•.....
�O l?ORl1 NO. I 3 SETS OF PLANS
TOWN OF SOUTIIOLD SURVEY .. . . . . . . . . . . . . . . . . . . . . ...
13UTLDING DEPAW174ENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM .. . . . ... . . . . . . . . . . . .
S0117'iIOLD, N.Y. 11971
TEL: 765-1002 NOTIFY:
1C/ ���� � (�p � CALL . . . . . . . . .`. .; . .�
E�nined.. 19.... ,2� 00" MAIL TO: . . 7d `i . . �. . .
Approvc�cl... �c7.., 19.... Penni1: No.
.... ... ...... ..................................
Disapproved a/c J,ICATION
.................
ing Inspector)g8
! FOR 13IIILDTNG PERMIT
Date. . . . . . . . . . . . . . . 19 . .
1, G•D&PT• . INSTRUCTIONS
TOW1v�OF SOUT°HULD
a. 'Ibis application mist be completely filled in by typewriLer or in ink and sr8m1tted to the Milding Inspector w
3 sets of plans, accurate plot plan to scale. Fee according to sciredul.e.
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 mist be drawn on the diagram which is part of
this application.
c. 'Ibe work covered by this application may rat 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
permit shall be kept on the premises available for inspection througjiout the work.
_4. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by Lite li<rilding Inspector.
APPIACATION IS ICREBY ME to the 1uilding Department for Lire issuance of a iuilding 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, arklitions or alterations, or for removal or demolition, as herein
described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, arxl
9
regulations,4arxl to admit authorized inspectors on Premises and in building forynecessary�s ions.
••:••• ... ......... ...................
.(Signature of a•.licant or name, if a corporation)
3. ........ ......C� ..... ...�
(Mailing•address of applicant) /1 7 °r .
State whether applicant is owne , lessee, agent archi engineer, general contractor, electrician: db pluerorlxrilrlf
1 .............................. ` ...../.........� ..... ..,.............................. • . .
A.
Name of owner of premises ....:l.6 .... .... ......:......................................
(as on Lire tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.................................•.......................
(Name arxl title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Ivcation of land on which proposed work will be ckxm...........:.................. ..............................
............... . . .... : .... . ............................................................
House Number Street et
County Tax Map No. 1000 Section ....SF•:./...... Block .... .. Lot 6 /
Subdivision ....................................... Filed Map No. ........:y..... 14t ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use occupancy
\ ........... ..' ..........:...............................
6
b. Intended use and occupancy ..................................... ......................................
� r f 3:e'iAJ-1
. - Y $;7ib1UOD kwh6a cRs -L:iiYlFi4➢,
1. Hature of work (check wAiid► applicable). Neu Building ........... Addition .......... Alteration ..........
Rel►air ............ Ren►oval ............. De mlition , ........... Other Stork ..................................
(Description)
4. Est iu►ated Cost fee
(to be paid cx► filing this application)•
5. If (koelling, rxarl►er of dwelling ta►lts ............ Unil)er of cknelling units cx► eadi floor ................
Ifgarage, txnl►ei of cars .......................................
6. if Inisir►ess, commercial or mixed occupancy, specify nature and extent of each type of use......................
7. Dimensions of existing strictures, if any: Front................ Rear ............... Deptl► .................
Ik:igl►t . Nud►er of Stories ......................
Dimensior►s of sane stnx:ture with alterations or acklitions: Front ............... Rear ...............
Depth ................. .. lleigt►t .................... Rxii►er of Stories ...............
8. Dimensions of entire new oonstruct:ion: Front ................ hear ............... Depth ..............
Ilei ►t ......................... Ntd►er of Stories .....................
y. Size of lot: Front ............... Rear .................... Depth ......................
10. Dare of Purcl►ase ..................... Name. of Dormer Owner .........................................
11. Zone or use district In which premises are situated ..............................................................
12. Does proposed construction violate any zoning last, ordinance or regulation: ........................
Ia. Will lot be regraded' .................... Will excess fill be removed from premises: YES NO
14. Names of Owner of premises ........................... Address .............................. N►one No. ..............
Nate of Architect ...................................... Acklress ............................ Mxx►e No. ...........
Name of Contractor ................................... Acklress ...............................M►one No.. ...... y.....
15. Is this property Within 300 feet.of a tidal wetland? * YES .......... NO ..........
*l.E YES, S0UI1101D lum 11E1 ms Piz. MAY w w. XuRmi .
MOT DIAGRAM
locate clearly and distinctly all buildings, uttether existing or proposed, and indicate all set-back dimensions
fro►► property lines. Give street and block nu►l)er or description according to deed, and slow, street naves and indicate
(d►ether interior or corner lot. /
5l'KIL (M. HIM Y(M
(JU r
J �i SS
UNIY (A'
•• ••••• ••• y./�Ix�rnl; duly sw(►ri►, delx►ses arxi says that' he is Lite applicant:
(Mile of hidividual. signing contract)
r,lx,ve,mated,
fIle is Lite ..........;.. -'^'�`� ............................... ..............
rn►tractor, gent;corporate officer., etc.) •,`
of said owrx:r or .rs, arxhia duly aud►orized ,to perform or hnve Ierfoniied the said work arxi to make arxi file this
al.q►I icaLion; that all stateneiits coiL'alned' in this nppl.icati(nr are Me'to the best of his ktxiwledge arxi lxalief; atxl
that Lhe work will be performed in Lite arnmer net fords in Lite application`filed therewith.
.dw()rn to befit.CSe »e this
l . . . cry ( .... r:. .19.. ..(�.
e
Notary 1'ub c .. ......... .............. ..... ... .....
(Siiof • ►pl.icnnt)
CLAIRE L G N�York
Noteryt&O1•�
mtluson EnExWns lac.BCowaY
Com G
QF SOlo
Town Hall,53095 Main Road Fax(631)765-9502
P.O. Box 1179 G • Telephone(631)765-1802
Southold,New York 11971-0959 ''
�yCOUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 8th, 2006
Margery D. Burns
P.O. Box 566
Southold,N.Y. 11971
RE: 53245 Main Rd.
SCTM#061 0001 008.001
Dear Ms. Burns,
Please be advised that your Building Permit#24960 issued June 16th, 1998 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit,please submit a fee of$35.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions,please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
16 s /_Oa/TOWN OF . SOUTHOLD PROPERTY RECORD CARD J
)WNER STREET Z 5 VILLAGE DIST. SUB. LOT
:ORMER OWNER N :. _ E �j ACR.
S W TYPE OF BUILDING
e � R nr Jl ii�
:t
SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
7•5 �'�.d J Z/y0/ �12 117f. gglys ,N. -.LIZ
�� — ✓ 6 J 'O CoNC�P N S'--Y O o
� 512. el2, C vert barn fo Joe�� C �l(0
1 n�� LSU� UU 5 z 3�7��� P /I`��G4'� Crn6f�• i� �� o /c .�d 74 a t— O b-;L jgg53
AGE BUILDING CONDITION
qEW NORMAL BELOW ABOVE
=ARM Acre Value Per Value
Acre
illable 1
illable 2
illable 3
loodland
Nampland FRONTAGE ON WATER
rushland FRONTAGE ON ROAD / p L-p
ouse Plot DEPTH
BULKHEAD
' , . �--t ■■■■.■ ■■■Aw■■■■■■■!■■■MEMO
MENEM
• � ■■■MOM■ IE■Mir.■■■..■.■■.■■■■.
Foundation
Basement
Ext. Walls Interior- Firfish
Fire Place
a- Rooms Ist Floor
`��-Driveway
-
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eve 1 z%z sror
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CLOSE
s• G i Gvo'oa"rni
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fiS.NOTED
B.P.#
ageiMMG ENT
f!/d 10 4 T14L
CiIONS:
rM REQUFREI,
AT �NCIIETE
".-WWU*d 7�a rA7r, 7/ �uur�il'
U 7- 1_ %..J
CONSTCRUP&��c r�y 417d
tlr,�01�n C v., FOR c.o..
AL fbN/TAliCTlO � ' :<qs S'urvcc�� 4�Z-77 6, /96-
MOINIIEMENTS OF f;..
SG c// �O /� INSTRUCTION ty 7-4Jyc- SGN
NOT RESPONS-=�,
7-7 ✓rr.,c"r77` L%4�✓ L,ai��Sui�V� ar
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