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HomeMy WebLinkAbout36743-Z SOF K Town of Southold Annex 4/23/2013 �Gy P.O.Box 1179 VJ 54375 Main Road 0 .Z" oy • o� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36176 Date: 4/23/2013 THIS CERTIFIES that the building PORCH Location of Property: 330 Village Ln, Orient SCTM#: 473889 Sec/Block/Lot: 25.4-8.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application'for Building Permit heretofore filed in this officed dated 9/26/2011 pursuant to which Building Permit No. 36743 dated 10/7/2011 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: REPAIR FRONT PORCH ON EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Mould Jesse A Revoc Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut r' ed Si)4natur4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 36743 Date: 10/7/2011 Permission is hereby granted to: Mould Jesse A Revoc Trust 330 Village Ln PO BOX 445 Orient, NY 11957 To: repair a porch addition per Landmark approval as applied for At premises located at: 330 Village Ln SCTM #473889 Sec/Block/Lot# 25.-1-8.2 Pursuant to application dated 9/26/2011 and approved by the Building Inspector. To expire on 4/6/2013. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $216.00 CO -ADDITION TO DWELLING $50.00 Total: $266.00 '' Building Inspector 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. 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 I% 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 l. 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-existing Building: (check one) Location of Property: 33 6 U/L f,�d�6- [,dN 6 Q 124 6W-r N', i4 f House No. Street Hamlet Owner or Owners of Property: )Fa-e S'S 6 A ~g 4,C) Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. 33 e7 VS Date of Permit. a ( llj Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (ch ck one) Fee Submitted: $ Applic t Signature �o��pF SOpT�,olo cDUN1Y,Nc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ZFOUNDAT-ION 1ST [ ] ROUGH PLBG. [ ] FOUM1 ATION 2ND [ ] INSULATION [ �MING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: d-C�2- c /-�- DATE - ./Oa� 0 INSPECTOR OF SOUry - • aQ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION-- I FOUNDATION 1ST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ,J ) DATE INSPECTOR r /l FD%MR iN$PE d RWORT DATE CONIlVMTS. . . F01PNDPATION(IST) drrr�}Mr�r�r}}wpr�rwrrrrwr��rrrKr .. .. .. .. 114'1`TNDATT(W(2ND) �ti POUGBt FRAWWC& PLUMBING � T INSULATION M. Y. y STATE EMAGY CODE. . FINAI, ADDITIONAL COMA NTS . z . . . . Qom• 4-w cc 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. \`T 1� Trustees i ! I� -- Flood Permit Examined © 20 { Storm-Water Assessment Form 1 SEP 2 6 2Q11 ontact: Approved 0 ,20 �, Mail to: BLDG.DEPT. Disapproved a/c TOWN OF SOJTHOLD Phone: Expiration 120 Building Inspector APPLICATION FOR BUILDING PERMIT Date , 201� INSTRUCTIONS a. This application MUST be completely.filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 ode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections., CA A(67 (Signa of applicant or name,if a corporation) R®. jjR/CA" AQ. 114,r (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Od Name of owner of premises �6SS6 A• �llEhl� (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-.- es V rrq Plum bers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 'l,td KizeA 6 g, z to 4)s tAG,jr House Number Street Hamlet County Tax Map No. 1000 Section L.T` Block Lot Subdivision Filed Map No. Lot 2. State existing use and-occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy _rlAw b. Intended use and occupancy 3. Nature of work (check which applicable):New Building Addition Alteration Repair Removal Demolition _ Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number off 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 Rear Depth Height Number of Stories c Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front /3; Rear Depth 204 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? YES NOk/ 13. Will lot be re-graded? YES NO i/Will excess fill be removed from premises? YES NO . 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name•of Contractor „s��Y'��, «S�,✓ Address X4k Id aA1,�T1Phone No.JA - W-L!/,6 \ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.. b. Is this property within 300 feet bf a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY-B.E,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_� * IF YES, PROVIDE A COPY. STATE OF NEW YORK). SS: COUNTY OF ) ,q 1eAWMrA/sv4/ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH (S)He is the C Atg 0e2i Notary Pubiee;State of New York (Contractor,Agent, Corporate Officer,.etc.) - No.01BU6185050 Co Q'alffied in Suffolk County of said owner or owners, and is duly authorized to perform or have performed the said worTnq1Raq$�%MrAJL4tlis_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 this day of S 1 ,t��Q�✓ 20 Notary Public Sign re of Applicant . j,i- ' T I ,1'',i l I 1-1 11 - - �/ - 1 Y. [I w ,. t RRRJJJJ j i Y . /• ::} '! '-j' _ t v'{• I i. .r '.Y. t 1. '� .! t k u . V . t%., .I' .1 I t�1Iz� i ' ,f �. f n +t . ,__. f' Q f1. ''i pL`.'.i_ .i S `' { .; y 6�ii9 '!'J�r_i�:j i C J..tw ,ca .f.'.F..�',.�jr{ ) i 4 ,�_ .g. 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"`-:a . l T ADDITIONAL,INSTITUTIONS OR SUPSCQUEN[ % - .1 t '.I WNERS, - - ._....- ....-. �.___ .._ - 'j �..._... ---- ..,..............._...-- ..,r. .-,--.. .(,,.:.,.....i,. ...-.- --...-._ e....._._.Y.....-.-.. .-r..:-.._L_.._�._.., M _ , r -F f»t RESTORATION cm HISTORIC HOUSE Xx OF A HISTORIC 2X8 HOUSE BEAM PORCH J 19 1 4 14 76 ; El O U w MOULD cn m w O d- o oc,LRESIDENCE WOODEN PORCH o 21 DECKING TO MATCH EXT'G 5 ORIENT, NEW YORK U Z O N o ARCHITECT g FRANK UELLENDAHL cm P.O.BOX 316 GREENPORT, NY 11944 TEL: 631-477 8624 l_ W 20 105 4 60 60 4 OWNER J 129 o JESSE A. MOULD FRAMING PLAN ORI VILLAGE LANE ORIENT, NY 11957 TEL: 631-323-2751 Y EXT'G HANDRAILS, POSTS AND CD SPINDLES TO BE SAVED AND "� ��- RE-INSTALLED. e n�nt r i ROTTEN PARTS TO BE REPAIRED a AP. . . JEDS RIOT DD ICK PATH DATE Z10 7 B.P. 7 FEE- BYlk �- NO F� BUILDING nF ART � PICKET FENCE 76�. I ao2 8 a�r ; "v1 DECORATIVE APRON TO BE , ��::.. _.,,^,� z c� o o TRACED AND DUPLICATED 1. F OUNDATI- OUIRt` w PROPERTY LINE. _ FOR POUR-L .,urJ� TE _ _ _ _ _ _ _ _ _ _ ° _— — — — — — AB44 STAND-OFF POST BASE SECTION PORCH PLAN STRAPPING. ELEC AULK WITH 1 2 DIA. ANCHOR BOLT 3. INSULATION 4. F'NAL-LONS T 4uc-,c ELECT RIC AI_ 44 X 2'-0" DEEP TRT'D POST r4-) MUS'BE ".t['..=-_= R C 0 z \ ALL CONSTRu.''IOh ��ALL "r i rHE PROP. 4X4 TRT'D POST REQUIREMENTS OP THE _OES 3P N:t',A1 ON 8" DIA CONC. FOOTING YORK STATE NOT REST v� c_E POR ` DESIGN OR CONSTRUCTION c;lkOR5. o DATE: 09/12/2011 O SCALE: 1/2" = 1'-O" RESTORATION OF AN HISTORIC PORCHCD STRENGTH = 3000 PSI AT 28 DAY ASTM ; I�--�.,� s t ; I� HISTORIC C-94 READY MIX CONCRETE. � ��' Y ALL FOOTINGS FOUNDATIONS, ETC SHALL P R H PERMIT APPLICATION PORCH ` i l # A�r RESTORATION REST ON UNDISTURBED SOIL. ' a e f`e,r' 1 r N ALL FOOTINGS AND FOUNDATIONS SHALL Cq ' :.a ' SEPTEMBER 12, 2011 DWG. NAME NC BE FORMED. '` ' ' ` FRANK W. UELLENDAHL, ARCHITECT - P,O.BOX 316 - GREENPORT, NY 11944 C A-1 ©� DWG. NO � h .. .�„-�.—r- - ate. c, j THE MOULD RESIDENCE 330 VILLAGE LANE ORIENT, NEW YORK