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Home My WebLink About37465-Z giE OF Town of Southold Annex 11/2/2012 �o�o cd�y P.O.Box 1179 y �t cm y 54375 Main Road • �� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36026 Date: 11/2/2012 THIS CERTIFIES that the building PORCH Location of Property: 1240 LONGVIEW LANE SOUTHOLD, SCTM#: 473889 Sec/Block/Lot: 88.4-45 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/1/1900 pursuant to which Building Permit No. 37465 dated 8/23/2012 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: screened porch and deck addition to an existing one family dwelling as applied for. The certificate is issued to MICHELE MOFFITT, (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED r AutU6rized Signature o sFFo�' TOWN OF SOUTHOLD BUILDING DEPARTMENT T TOWN CLERK'S OFFICE o �rfi SOUTHOLD' NY bye ao�.s} 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#: 37465 Date: 8/23/2012 Permission is hereby granted to: MICHELE MOFFITT, 191 THIMBLEBERRY ROAD MALTA, NY 12020 To: CONSTRUCT SCREENPORCH & SUNDECK ADDITION TO EXISTING ONE FAMILY DWELLING. REPLACES EXPIRED B.P. # 9885 At premises located at: 1240 LONGVIEW LANE SOUTHOLD SCTM # 473889 Sec/Block/Lot# 88.-4-45 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 2/23/2014. Fees: PERMIT RENEWAL $7.50 CO -ADDITION TO DWELLING $50.00 Total: $57.50 Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N;. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9885 Z Date ... ............... 19.7//. Permission is hereby granted to: 11CA . ......�. .......... . . ..................................... C 4) e—e, ax t-. at premises located at ?�..AF �. ... ............ .... .......................:................................ ................................................................................ pursuant to application dated ........ . .......................... 1971., and approved by the Building Inspector. Fee $.L.. .............. Bu' di Inspector I (( �� J 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 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 2l10 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 eompleted 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. New Construction: Old or Pre-existingBuilding: g r (check one) Location of Property: House No. / Street Hamlet Owner or Owners of Property: �� f1I-�v� Z` Suffolk County Tax—Map No 1000, Section Block Lot �S Subdivision E' ( c:��7` `�s Filed Map. Lot: Permit No. 7 G Date of Permit. g' Z 3'/Z Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ r CG' a '� ` ` ' = S Applicant Signature of so�Tyo � o a TOWN OF:SOUTHOLD BUILDING DEPT.. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION . [ ] FRAMING]STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION,: [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ .] ELECTRICAL (FINAL) REMARKS: co 1-7 DATE 7 INSPECTOR OF SO�r�olo 3 -7 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 [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS,- DATE s l `� INSPECTOR FORM NO. Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .. ....................... 191(1..... ✓� �� . _ Application No. ?4? .............: Approved. ............ .. 19. a.. Permit No. .. .. ..... ..... Disapproved a/c ............................. .................... .... ...................... . ................. ........................................ ................................. .... ........ ... .... .................... (B Iii ns ector) APPLICATION FOR BUILDING PERMIT - Date ......... ... .. .......................... 19 ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate 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. Z. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 buildings for necessary inspections. 'r ........ `.. ...................... ...... .... ... ......... .. ... .. . .... (Signature-of appli�'a t, me, if a corporation) ' . ` ....... �97 tee .. (Address of applicant) ; State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. •............. ...............:............................................................................................................... Name of owner of premises 13/� If applicant is a corporate, signature of duly"authorized officer. ........................................................................................ (Name and title of corporate officer) ®p y Builder's License No. ... .�i..�jr.................................. `T`� � Plumber's License No. ................................................. Electrician's License No. ............................................ OtherTrade's License No. .............................................. 1. Location of land on which proposed work will be done. Map No.: '.q: . .......................... ...... Lot No. ......................... . Street and Number o" Municipality 2. State existing use and occupancy of premises and intended ,ase and occupantylcf%proposed construction: Q. Exisiting use and occupancy .......... ..... . / ........ ;; .. �. �1.. .. ....... . r b. Intended use and occupancy ............... ..... ..................?� 3. Nature of work-(check which applicable): New Building. .................. Addition .. Iteration .................. Repair .................. Removal ................... Demolition.................... Other Work ................................... �:K .. (Description) 4. Estimated Cost .......,, .........................:..........Fee .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ ...Number of dwelling units on each floor, ............................ Ifgarage, number of cars .............................. .............................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ........�.6............ Rear .....�(g..,.................. Depth f,.-.60........... Height .•fq.. .a....... Number of Stories ....�. r ..... .. .......................................................................................... Dimensions�of some structure with alterations or ad itions: Front ...J.......................... Rear ,�p..�P..r............... Depth .... W..A.................. Height .... .��.. ............Number of Stories ....1.� .. ° S. Dimensions of entire new construction: Front ....L7......................... Rear .1.2 O..................... Depth .•�.................... HeightJ.w ............ Number,.of Stories .............................................................................................. 9. Size of lot: Front ......../A f....................................... Rear ../A.d............................. Depth ..1,Sv. .................. 10. Date of Purchase ......::... ...........................................Name of Former Owner ......................................................... ... 11. Zone or use district in which premises are situated .... ..... ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..............4)....................................... 13. Will lot be regraded. ...........04/1a1......... Will excess fill be removed from premises: ( ) Yes 'I"'No 14. Name of Owner of premises ..'!. .��Zv�4r�-rT....k,o.t/.C,!' 4.... Address 44.675!�20XLI.IftlPhone No. ...................... Name of Architect ...............................�.................�......... Address .�............ ..�Phoney No. ..3. ..:...�.. { . ..... Address Phone No. 7 Name of Contractor (G+�O�� '1................. ....°S .............. �........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and. indicate whether interior or corner lot. CAP, 5V1.V,"17,� ' 14to 1,0, STATE OF NEW YORK, Z S.S COUNTY. OF ..5 ........f ..................... ....., 12 ............being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis 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 than the work will be performed in the manne,r'set'forth in the application filed therewith. Sworn to before me this .............a...... day of .... :S' ......... 19. . .. Notary Public. .................S.L4J0 V-Lk........... County .......................G -1 :... ..... ..jliican�t) . ....... .................... (Sin e o a ram ' WOTA13y; �y Suffo:- wtc:o of.r1aK.Yo , t'o1i7m' No. :72-57J2E00 3swo.:::xpires Marcli 30. 19 (��/ TEL. 765-1802 TOWN OF SO UTHOLD 01-1.10"' Or BUILDING INSPECTOR. t= P.O. BOX 728 TOWN MALL SOUTHOLD, N.Y. 11971 i This is to advise you that the o.b under building permi. r. no . 9885Z issued to Bruce Lucka on 81 17g_� for Addition is completed and n final inspection lids ( ) has not ( X been done . AnPlease supply Underwriters Certificate if necessary rn order to complete this file , it is necessary that a Certificate of Occupancy be issued . Please fill out the enclosed form , return same to the above office with a check for $25. 00 Payable to the Town of Southold . Please indicate to Whom the Certificate of Occupancy is to be mailed , and arrange with this office for an inspection (late . Occupancy or use in unlawful without a •Certificate of Occupancy . Please. help u9 to clenr up this matter two tlint lep-11 :action does not. have to be taken . ; Thank you for y0dr prompt attention . Very truly your , Victor Lessard Executive Administrator VL gar enr_ l . T5 ro SURVEY IS A OF E t,z'N STATE SECTU�, 7209 OF Th FDUC,'!ON LAW. C"OPIES OF THIS Ni; in THE rl > r A: GLIAPANT-EES ONLY '.Cy ADLITIONAt jr LZ > ON �7 so e/ c- 5, re e;,po k, 7—ax- lycv�-- A-'r- WILLUM J. JACOss BUILDER DEPOT LANE A F CUTCHOGUE, NEW YORK 11935 11 734-5815 Ll r A P OV ' AS DATE. 7' /0 C4<. FEE: (r BY: [1 11flTlFY BUILDING DEPAR MENT AT e !' Z'��a-�, 765-2660 9AM to 4PM FOR REQUIR- �c ,_ 1. BEFORE BACKFILLING FOUNDA•, ^ - 6pox TION OR START .FRAMING �• li0. / �• . 2. FZAMING INSPECTION 3. BEFORE COVERING PWS ANY. KIND A. FINAL b` HDI 3 COMPLETE I NOT ItiE5P0 ISLE FOR DESIGN �( - OR CO Ia3CTIE36'd ERRORS �iTS 5. ALL NSTRUCTION MUST MEET Cb'� UIREMENTS OF 'N.Y, STATE CODE Y AW) TOWN OUSNG CODE & ZONING ),V` t-ST77 ��"5 AjatweL n s, C, f �A . 1 35 a ' I h � S 1 I _ f r m .. s • . . . C3 Ulm � � Lnr Postage $ Certified Fee rl k p Return Recelpt,Fee OCT 2 p (Endorsement Required) O Restricted Delivery Fee O (Endorsement Required) �D O Total Postage&Fees rl � -- ret,Apt.No.j ED ........ ` - Sent � or PO Box No. City,State,ZIP+4 i/p.r�� •�•�`�� ; i