Loading...
HomeMy WebLinkAbout37731-Z gUFF01�- Town of Southold Annex 1/28/2013 'off c�G$ P.O.Box 1179 m 54375 Main Road • g> Southold,New York 11971 y O� CERTIFICATE OF OCCUPANCY No: 36124 Date: 1/28/2013 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 760 Rambler Rd, Southold, SCTM#: 473889 Sec/Block/Lot: 88.-5-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this offfced dated 12/26/2012 pursuant to which Building Permit No. 37731 dated 1/7/2013 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: "as built" deck addition to an existing one family dwelling as applied for. The certificate is issued to Quane,Patrick&Quane, Laurene (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED )4dhzecL,'Signatifre TOWN OF SOUTHOLD eta BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • � � 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#: 37731 Date: 1/7/2013 Permission is hereby granted to: Quane, Patrick & Quane, Laurene 35 Wellington Rd Garden City, NY 11530 To: "As Built" deck addition to an existing single family dwelling as applied for. At premises located at: 760 Rambler Rd, Southold SCTM # 473889 Sec/Block/Lot# 88.-5-20 Pursuant to application dated 12/26/2012 and approved by the Building Inspector. To expire on 7/9/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $408.00 CO -ADDITION TO DWELLING $50.00 Total: $458.00 uil ing Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT ���� TOWN HALL a ' 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 u 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$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. 12 l _L co/12 New Construction: Old or Pre-existing Building: ' (check one) Location of Property: 76 G0 � House No. Street ' ` lv Hamlet Owner or Owners of Property: �/�•"n"�C o (Z_e:Nj� rn �U aN,e Suffolk County TaxMap No 1000, Section Block 05 Lot !moo Subdivision Filed Map. 2q Lot: Permit No. Date of Permit. `� �� /� Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Of SO(/T�ol - - cou ,N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: cv- DATE J3 INSPECTOR DONALD G. FEILER - ARCHITECT 11725 Main Rd•Box 1692•MattRuck,NY 11952•631.298-5453•Fax 298.1380 January 18, 2013 Mr. Gary Fish Southold Town Building Department Southold Town Hall Main Road, Southold, New York Re: As-Built beck Addition at the (wane Residence 760 Rambler Road, Southold, New York Dear Mr. Fish: I have investigated the depth of 4x4 supports at the above mentioned project, and can certify that they are 36" below grade, and are in compliance with the Residential Code of New York State. `SZERE D A,4�:yi G F. 01586 �� � . NO Don i er JAN 2 2 2013 BLDG. DEPT. Y TOWN OF SOUTHOLD FIELD IDtSPE N EI'nRT DATE COMMNTS EOUNDA110N(IST) FOUNDATrON(Z"M m O 3 �ROUGH FRVG& y PLUMBING r ( V CS CG IN$UL•ATION PER N.Y. STATE RNERGY CODE C . 1 FINAL ZZ ADDITIONAL COMMENT S . m e TOWN'OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 1 3 Single&Separate Storm-Water Assessment Form ' 11 Contact: Approved 20 (3 Mail to: POtSP%2 It;] 1 01 Disapproved a/c bull 1.612 WN`n-'rNxAc- Phone: Expiration f Gf_ 20_(�( in n2pe APPLICATION FOR BUILDING PERMIT Date 12/2� , 20 I2 a INSTRUCTIONS a. This "polar Sion MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets -pirnns�urate 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) L 612 M pz--M vc.)� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises PPTKVr—(�- `, �-N CA-t!Nt— U P, /,ice (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. 1. Location of land on which proposed work will be done: I go O RCS/N-o �-0 House Number Street Hamlet County Tax Map No. 1000 Section Block 0 r5, Lot 2,0 Subdivision Mf-'? Or- IN AT(ZS Filed Map No. q-1 D ( Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy '5+ N I KmE:L-1 dG b. Intended use and occupancy '"'' 3. Nature of work (check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work F'-yi L-T - pax._ 4i (Description) 4. Estimated Cost `ACC) 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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 29 I Rear Dept)i 45 g' Height 25 Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 61 Rear G Depth . Height �� Number of Stories 9. Size of lot: Front Rear. 5� Depth �3 10. Date of Purchase 5 I I G ' `ZW0 Name of Former Owner ��` �o►'�'� 11. Zone or use district in which premises are situated ' I 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_X 13. Will lot be re-graded? YES � NO )4- Will excess fill be removed from premises? YES NO X 14. Names of Owner of premises P. 0 L) Address?ImgrdK ISO,So_rjwwPhone No. Name of Architect plc 1 LBy, Address(rA N 120, i ika iTuc0lione Not Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO >C * 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO X * IF YES, PROVIDE A COPY. CH STATE OF NEW YORK COIblic, t e of Ne Ivota.r•�Public,State of New York SS: No.01 BU6185050 COUNTY OF ) 0ua1isiod in Suffolk county�/ Camrnivsion Expires April 14,2(o 'LINPg O ��1 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is they-�► (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 before me his day of_LU_LfY\.6A 20 bw_ W Notary Public Signature of plicant DONALD G. FEILER - ARCHITECT 11725 Main Rd•Box 1692•Mattituck,NY 11952•631.298.5453•Fax 298.1380 Date ToL Re QUA-tit ��ry Pages to follow C , For your review As requested - Please call at your_convenience.. ommen s: Go IN nn ECE � �IE 13 BLDG. DEPT. TOWN OF SOUTHOLD TOWN OF SOUTH OLD PROPERTY RECORD CARD OWNER STREET rr �,` VILLAGE DIST. SUB. LOT :s. Cl yry U A.- FO MER-OWNE N E ACR. 'e6'�,� ✓hoc u es�c,,�'- Fi-n C S W TYPE OF BUILDING .ES. :4, ; a . SEAS. VL FARM COMM.. CB. MICS.. Mkt. Value . LAND IMP. TOTAL DATE REMARKS ca; L Z 12 7 G i 5-0 o C) G �OG�.C'! n�-Y p ✓. IrJP P�i _ 5 4 e7 Z/g,6 f'7 Z-L/>V a ;, -7"i4 G,_ u 6'S 306 39 d 451 -Ei f, 45, R (I o/iv¢ s Zo hero 9 uv �Uc�:o ��ic�ca 3 ��a 5 �G -1- �5 S2Z - � T I v1NG1� . o lnlcN�P,�- ! c 0 Cfl Ica tr i d ) Roo,*,' D I i m3 P 18 - cO 1) 6?-:5 : N JT �• AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE 'f�rf"563.20 L FARM Acre Value Per Value p Acre '7 7 D 'illable FRONTAGE ON WATER 3 OL loodland FRONTAGE ON ROAD. 5C 4eadowland DEPTH louse Plot BULKHEAD btal - DOCK ,>a 12 gh18 � :c ifY d aunt Fit ar. .A tF' ':•j.: "WADW WA NONE _ k ` ; J- :+f aw. .1:m.. '�p' �t' . S !hey' a...l .. ®I��■!�� SON 0 IS 0 ■!■■■■■!l�I�l�isr,,��!■!■■®■■■■■■! °tut€ -:y. '. ■!■ ■■■■■ll�� .•;Zcl .....sr° a.-'i.•ec it..s >;`. *c' *t£ir..'i3"_`i I' �©�l��■■■■■■■■■■■■ ■!■■■■■■■■�■!E!■�1■■r'. ■■■!■■■■!!I■■��+!!�■■■OEM■■■®■®® : .. !!■■!■■■■E!!lr��!■■■■■®■■■■■■■ ®!■■■■!■■■■■■®■s■■!!■�■■■NM! Extension Porch 'Basement o Breezeway Fire Place e Roof wood Recreation • VIVO aAj LAJ N LIJ .. Slbw404 vv cn ol U. . 46UsE C, .. n Ekj�N5i0 Lo }- i a 6ct NCY 0 , _ �h-IL USA ! ��NUTAN�0��.l Gt� hill WITHOUT CE.: LL1 I . U ` _ O !sue 1�, �' •l-. �- -tom, . `�4-' - - -. " � -:.� ' �- � -- _.- zo I ,. MAP 5/� x b of 3y�.1G, ffc� 29 19 �r�.. .Tt� # Z101 - � � - d 4 Fbs.T ' rE fs,uc 7n �oK,► s U x T ' At DATE: B.P.# x s ' .-. FEE: NOTIFY BUILDING DEPARTMENT AT v 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: . 1 FOUNDATION FOR POURED- TWO REQUIRED ' CONCRETE R,d� .2.. ROUGH - FRAMING & PLUMBING . 3. INSULATION 71 I I 4. FINAL = CONSTRUCTION MUST . I I BE COMPLETE FOR C.O.: ALL CONSTRUCTION SHALL-MEET THE NL. 1-1 61 � L 1/4I REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR.. DESIGN OR CONSTRUCTION ERRORS.