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HomeMy WebLinkAbout37667-Z 'if FnteaG� P.O.Box 1179 old Annex Town of 4/5/2013 54375 Main Road oy� owl Southold,New York 11971 �r,,,�yFrtr CERTIFICATE OF OCCUPANCY No: 36189 Date: 4/5/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 165 Freeman Ave, Mattituck, SCTM#: 473889 See/Block/Lot: 139.-3-36 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/3/2012 pursuant to which Building Permit No. 37667 dated 12/3/2012 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: open porch repair in place in kind as applied for. The certificate is issued to Shapiro,Ronald&Shapiro, Cornelia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho ed Signature eg7`'a TOWN OF SOUTHOLD FL t cooy� BUILDING DEPARTMENT y TOWN CLERK'S OFFICE y • � �� SOUTHOLD, NY 1 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 #: 37667 Date: 12/3/2012 Permission is hereby granted to: Shapiro, Ronald & Shapiro, Cornelia PO BOX 1576 Mattituck, NY 11952 To: repair an open porch in place in kind as applied for At premises located at: 165 Freeman Ave SCTM # 473889 Sec/Block/Lot# 139.-3-36 Pursuant to application dated 12/3/2012 and approved by the Building Inspector. To expire on 6/4/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $256.00 CO -ALTERATION TO DWELLING $50.00 Total: $306.00 l , 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-digposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4_ "Sw"om statement from plumber certifying that the solder used in system contains less than 2110 of I% lead. . 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliauce-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. 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. New Construction: °' Old or Pre-existing Building: (check one) Location of Property: �S -�C'�� Q ]n I Y 1 �-(t��,t G�— House No. Street Hamlet Owner or Owners o.fProperty- Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. 3 (0,(4P Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ P pplicani Signature OF SO�r�olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ' [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [ FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: v DATE Z4-3 INSPECTOR OE SOUjy�lo �y0oum,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE ��Al INSPECTOR `� FIELD INSPZCT REPORT DATE COIVIlI�NTS W FOUNDATION(1S3) FOUNDATION(ZND) • z C ROUGH FRAMINO& y PLUMBING IMULATION PER N.Y. H STATE ENERGY CbDF, FINAL ADDITIONAL COMMENTS �' r° 0' z m z z TOWN O'r-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 www.northfork.net/Southold/ PERMIT NO. 7(�? Check Septic Form N.Y.S.D.E.C. Trustees Examined 3,20 �2 Contact: Approved 204;�_ Mail to: Disapproved a/c Phone: Expiration 20 r Building Inspector APPLICATION FOR BUILDING PERMIT Date N ply 5WM�'-- 1& , 20 l Z 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 premis;f��,.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 i,§suance 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. y (Signature of applicant or name,if a corporation) NOV 2 0 2012 ©. �x n-1 yew-Nte M�:j l858' (Mailing address of applicant) State 1hether a BLDG. D.EPT. ppljQairit,�6Tpmmer, lesse , agent, architect, engineer, general contractor, electrician',.%lumber or builder �'S- 6ZA . Cz 2 Name of owner of premises F-,0f l Cb0 M L(5� �S ply O (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 wort:will be done: (se F�e_amAA�. R D, TUCIG- NY , 1 (0 S 2— House Number Street Hamlet County Tax Map No. 1000 Section Block 3 Lot 3,0 Subdivision Filed Map No. Lot., (Name) sj' 2. State existing use and occupancy of premises and intended use and occupancy of proposed-construction: a. Existing use and occupancy Sl Q 6-LE F-p4mW ��S'I O Cr✓ ����E- b. Intended use and occupancy StY\JG-tom t /kyA(Ll� KtrSll7ec��. w F esu l UT 1�02C�� 3. Nature of wo (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 MA Number of dwelling units on each floor I\ A If-garage, number of cars &IA- 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 1j A- 1 7. Dimensions of existingstructures, if any: Front 2(�\ Rear 20 Depth - D Height 8. Number of Stories 1 Dimensions of same structure with alterations or additions: Front 2vl Rear �U Depth 7 t-(�t� Height t- it Number of Stories l 8. Dimensions of entire new construction: Front `2--O( 'Rear' 20 Depth Height 9 (.-c1 0 Number of Stories ' ( - 9. Size of lot: Front l00 I UD Rear 100,86 Depth_j(o-7,-1 2 j-M (74,0+ 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 NO 13. Will lot be re-graded? YES NO ✓Will excess fill be removed from premises? YES NO P-0Q Et cotiNtr, 14. Names of Owner of premises SOAP(K c) Address Phone No. Name of Architect Address Phone No Name of Contractor r_-Nd.eitSl- (/\lc— Address F0 eo .X EL 7 Phone No. 73+-74-74 ' pEc'��lG N`E llgS� • 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 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. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Cz 0-MkcTn(Z (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 this D` day of NOVCIi LLe­� 20 1 i i Notary Public Signature of Applicant CONNIE D. BUNCH Notary Public,State of New York No. 01 SU6185050 O,.ialtiiedin Suffolk County Commission Expires April 14,2�/Q1 ' TOWN OF SOUTHOLD PROPERTY -RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT / + Z_ /�. _ `r FORMER OW ER N E: _ . .ACR; yin . S�� - S W_ - E.OIL-DING rF icy RES.* � SEAS. .. VL. FARM , COMM. ._ ,CB. MICS.- 1,5" 021 LAND IMP. TOTAL . DATE .. REMARKS _. ... . r... , - _ n �41a A 7 y -, � 7i9� C � 3&03 y2.00 s/at!9! ,eu,ea �t I'�P1a C-eS 1-7 3-7 0 •. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD. Meadowl.and DEPTH :x o House Plot BULKHEAD Total cp "' DOCK " S �c' k 4t t+r t _ . a ®■■■■Ne■■■e■■■■■■■■■■■■■■■■e■ y_. .� ■■■■O■e■■MEN■ONE■■■■ ■■■■■■O ■■■■■mom■■MEN i■■■NE■■ee■i■■ ME MEN c .. r MEN■®O■■■O®O■ OEM■■®®®®®■■O®O■■ ; ' y ■�■■■■■■■ ®■E■ ■■ ■e■■■■■■ = ~ ; x ENO■■■■ONE■mom ■■O■ . ' ■■■■O®�■®®®®■■0O®®�s■ ■■■■e■e■ OO■®■■■O aA , ■�'�■e■e®■■® i®®■NONE■ ■■■ ■■■O�!■ii■■■■■■iee■■Nee■■�� Oei■� ■■■O y Miii��iiiiw■■iO®®OO®O mom ®® Extension - - a■i■e■■■Nee■■ME ■■ ONE ■■■iNee■�C®®■■NN MEN MEMO - O PlaceFire . .. ®® Is Roof Floor--- • ® •. *pF SO�lyo Town Hall Annex ~� l� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA Southold,NY 11971-0959 0% • �O yCOUNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD March 26, 2013 Ronald Shapiro PO Box 1576 Mattituck, NY 11952 Re: 165 Freeman Ave, Mattituck TO WHOM IT MAY CONCERN: The Foil Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37667— Porch Repair CQ IOAN Y O NEW ASPHALT SHINGLE ROOF l)S RE 11� UNLAWFUL REPLACE DAMAGED 2X6 @ 16-OC RAFTERS m °_.-�I ," o.. ANCHOR TO .^' r°•�`v'. �'. f�'�a� ,- EXIST.FRAMING RAFTERS STRAPPED TO 2-2X8 HEADER EXISTING HOUSE NO CHANGES - APPROVED AS NOTED ®ATE' 1� R,R. 0. REPLACE DAMAGED FEE: RY - 4X4 POSTS W/NEW ®TIFY BUILDING D0ARTMENT AT P! BOLT POSTS TO NOTIF 705=1802 ��.�,, TO PM FAR T["E EXIST.MASONRY F I_OWN0 INSPFCTlr:NS: EXIST.MASONRY k FINAL MUST BE OMELETL FO'kC D ALL ONSTRUCTION SHALL WEI THE REM IREMENTS OF THE CODES OF NEW YOR(STATE, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, EXISTING MASONRY PATIO-NO CHANGES NEW 2-2X8 HEADER ON NEW 4 X 4 POSTS BOLTED TO MASONRY..TO REPLACE PORCH DAMAGED IN HURRICANE. 1 20, SHAPIRO RESIDENCE PORCH REPLACEMENT ENVIRONMENT EAST INC. 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