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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 - T � .. GA'ru9�' \\ P1 �o r N QD41 0 eV M eve 1 z%z sror �1 ^ PoXc�t CLOSE s• G i Gvo'oa"rni I � 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 ��55 7