Loading...
HomeMy WebLinkAbout24643-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28850 Date: 09/06/02 THIS CERTIFIES that the building ADDITION Location of Property: 1150 LAUREL AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 2 .28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1997 pursuant to which Building Permit No. 24643-Z dated FEBRUARY 6, 1998 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to JOSEPH & ALLISON CONWAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 1 Auth ized Signeaure Rev. 1/81 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) Date .....FEBRUARY........4........................... 19...9Q.... 24643 Z Permission is hereby granted to: ......................... .......?Q...WX...9.92..............................................I........... ........5RIJT.HQ.InJ) MY... 1197.I 1........................................ to .....Q.QKiT.RQ.QT...0...DEQ.K..ADDZ.T.�.QN...QN..AN...F.XI. T.I.N.G...5Z.NQ.1,F...FAM.I.IT.Y....QWF-L-L, NG .........AS„oppL7. E P..Em...1.1.05..W.T.LJ.."........................................................................................... .................................................................................................................................................................. ............................ ..1................................................................................................................................. .................................................................................................................................................................. at premises located at................1150 LAUREL,,,AVE SOUTHOLD . .. . ................. ,................................ ..............................................................................:................................................................................. PountyTax Map No. ....473889 Section ...056............. Block .....0001,........ Lot No. 002.,028 pursuant to application dated ..,SE,PT,EMBER...i6.......................... 19......97..... and approved by the Building Inspector. Fee$........75.00..... ............. .... . . . . ................. Building Ins p or Rev. 6/30/80 Form No. 6 _ TONVN OF SOUTHOLD i Y) { BUILDING DEPARTMENT TOWN BALL 765-1802 SEP — 20OZ ! ";'j 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certifies 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 toApril 9, 1957)non-conforming uses, or buildings and"pre-existing" land use 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant.If a Certificate of Occupant 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$25.0( Swimming pool'$25.00,Accessory building'$25.00,Additions to accessory building$25.00,Businesses $50.01 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. New Construction: 41 cXadddleG or Pre-existing.Building: (check one) Location of Property: JS;D. Noose No. Street Hamlet Owner or Owners of Property: PL tsu�- Suffolk County Tax.Map No 1000, Section ,�(p Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit, a &bn Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) D t7 Fee Submitted: $. App ' ant Signature Co an50 7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS• DATE 2 �° �� INSPECTOR__�y T65_1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL/ l J [ ] FIREPLACE 8. CHIMNEY REMARKS: /( //� � �C7• DATE 7/f'-/�49 INSPECTOR_176�4�^��� FIELD I;:S1'ECTIUy JJDATE COMMENTS y' -c CIS m 1 . HW FOUNDATION ( 1st) c FOUNDATIOtd ( 2nd ) .— � 2 ." z � ROUGH FRAME & PLUMBING ' c a . 3 . m INSULATION PER N . Y. STATE ENERGY CODE Aj r 4 . FINAL •�- �i z ADDITIONAL COMMENTS : xC44:7 H a z tr7 r a v . m b a -' BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . . . . . . . . ... . . . . 'I TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . 7 BUILDING DEPARTMENT CHECK C "}j ... 2 199 t %j TOWN NALI. SEPTIC FORM . . 1. ��.� I . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 _. l3hhG.DE!>f. TES.. 765-1802 NOTIFY: '0 To At!!OF 9CrJ1!_,i}7!_[3 � -7/ � / �Sl.!• - --- w CALL la4tini ned... lR........ Approved...-­0 la......., 19.7 r Pennit No.44Y Y3:-.t . .................................... Disapproved a/c .... ............................................ . ....... e .(Building Inspector At ' .ICATION FOR BUILDING PERMIT Date.. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'lluis application must be canpletely filled in by typewriter or in ink and stAxnitted 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. c. 'llre work covered by this application may not be commenced before issuance of luilding Permit. d. Upon approval of this application, the Building Inspector will issue a luilding Permit to the applicant. Such permit shall be kept on the premises available for inspection througJia]t.the work. e. No building shall be occupied or used in w1iole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Iknilding Inspector. API11.1caiIcI IS HEREBY MAIIE to the Building Department for the issuance of a lkrilding Permit pursuant to the IkAlding Zone Ordinance of the 'Town of Southold, Suffolk Ccxnnty, Neva York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or derolition, as herein described. The applicant agrees to car,l>ly with all applicable laws, ordir ices, luilding code, housing code, and regulations, and to admit authorized inspectors on premises and in luilc for necessa I sections. / (Si nature of applicant,•or name if .orporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumi>er or builder. ............................-- .... n .._ ................................. Nano of owner of premises ..�Q CQ�? ... ..!Y: ......... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ................... a (Nam and title of corporate officer) Iknilders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... L I<)cation of land on which proposed work will be done............................ ............... ,�� �............... � �.� , :�...._r -, ......................... Raise L �� ................... Rae RxJ)er Street // llanl.et Ccxnty Tax Map No. 1000 Section ...�k.......... Block ....l........... Int .�.��.�.....Subdivision ............... ...................... Fi]ec MapNo. ............... Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy J........................... ........................................ .. t>. Intended use and occupancy ..... .'.4. ?!.... ...... .... ..... . e t N 's strtB ADM i?0 .'.i ",''I vAvJ');1r'nui h4 t� 3. Mature of work (cheek which applicable): Nexw Iktilding .......... Acklition .......... Alteration ... i(elkiir ............ Rcinoval • ........ Denmlition ............ Oilier Work ................................... (Description) � 4. l:stimatecl Cost ......................... fee �36.......�?...................................... (to be paid on filing this application) 5. if dtmlling, rxnber of (1welling units ............ flusher of ch,,elling units on eacl, floor ................• Ifgarage, rxnber of cars ...................................... G: If lxisiness, eornnercial or mixed occupancy, specify nature nix]extent of each type of use...............:.:.... 7. Dimensions of existing structures, if any: Front........ ..... Rear ............... Depth ................. ile-Wit ......................... Minbter of Stories ...... ............ Dimensions of sane structure wiLh alterations or additions: Front ............... Rear ............... Depth .................... lieiglrt ................ / Nuriber of Stories ................. Ii. Dinrnsiais of mire coxlslnicL'icxi: Front ....! . v... Bear �...... Depth 1.O!::....... Ileil1111 ....... .G/.......... Umber of Stories ...../............. 9. Size of lot: Fruit Rear .................... Depth .................... 10. iat:e of hirclrase ........ Maitre of Dormer (?weer ........................................ II. Zone or use district in which prenises are situated .............................................................. 12. Does proposed constnrction violate any zouing law, ordinance or regulation: ........................ 13. Will. lot be regraded .................... Will exress fill be removed from premises: YES NO 14. Manes of Ucnuer of prenises ........................... Address .............................. Phone No. ............. Nameof Architect' .................................... A(klress .............................. Phone No. ............. Marne of C"tractor ................................... Acklress ............. ........."lone No. ............. 15. 'Is Lhis property within 300 feet of a tidal uaetland? * YES .......... N0 ..4�..... *IF YJ,S, S(><JiJIND 71714N 'IRUSSII-M9 PEIMIT MAY IE, RC()I1IRIU). PLOT DIAGRAM Locate clearly and distinctly'all lxiildings, whether existing or proposed, and indicate all set-back dimensions Fran properly'lines. Give street and block runner or description according to deed, and show street names and indicate ubether interior or corner lot. • 4© N i C't 1 dvos< S[A'lli (H' ";.w Y()IIIC, ...... � `�.. f ..l�!�1 �� /...... s�.•......... duly sw)rn, (lelx)ses and says, Lhat he; is Lhe appl i cant (Mate of individual. signing contract) alxive im ed, lieis Lhe .. ................................................................................ (ConLracLo ', agent, corporaLe officer, eLe.) of: said owner or owners, and is duly aul.hor".ed to perfonn or have per.forned Lhe said work and to nuke and file this appl.icaticm; that: all sLaLonenLs conLainecl in I:Iri.s application are true to Ilie hest of his kncml.edge nod ixilief; atxl that Lhe work will. be perfornted in Lhe nooner set forth in the application filed therewith. .Munn 1.o 1 fore mr Lhis .......C:2— .(lay o .., NoLary I'ti Lie . ••••• �Q !C ~(Si ;uature of Applicant) 1FInJSluff York 9605�olk Co(mtY Expins Dec.S. --f—i— . I M 0 Ico Oj I N CY) N I �, N 0 c Q . I I I i . I 12 .3' ao of a.aFOUN DATION N O 25.7' Uj 41.0� L0 � o t` Zr•! u .Cd N. 130.04 00 W. 150.00 PROPOSED WATER -M41N AVENUE .. j I 1- ~1"• .� I, I I � I -I µl j ' I I I I' I: •I -- �� =.� ! I i + AR�9� 1 n ■ I� `� I ' I •I I'• •��: I 1- � I I ' ' I �i ' I- I ' I ' -- ' �l a it I Opp l i � 1 1 "rP•@ltC 4 uv ! I j --- j j { I I I I j j '• -I i I i � .�� � •It@ t7�S;�L�,(�. I ' I I I. ' ' i I j i I I 1• ,e 1�6�,QiCll �� i 6�'►i,!a•�c6 i I I_i:1;'§�• ' b �I I '� ' i I I ---- j' I6 �+vl. � � i FFI�• `L- —�P U°U ' � i _J ----� A�..... TTlFY. BUILDIN D�P 111 c T AT: Ito -P Plyl FOR -- i E — 1 _ j I FQLLdWING INSPECTIONS: ' ! I I i I.;FOU, NDATION - TWO REQUIRED -- ZOO POURED CONPRETE j ?_. :ROUGW FRAMING & PLUMBING + — -_--- - 4. FINAL CONSTRUCTInv 'MUST J" I 'RE CAMPLEfE F OR C.Q. �1J - --- THE REQUIREMFNT,S OF THE STATE' CONSTRUCTION & ENERGY "� � - — - -- jDES NOT ROSPONSI LE FUH DESIGN OR CONSTRUCTION ERR0 R S � -- . i I I i �' i •� •-- . i rl - �, --- , I � I I I I - 1 ! � I I ! ! I I I � i I I I 1 I F i I I I I � • I i ! � ! j ) j I �.: I I I � - -- ! !� - ( - 1 • I i � ! I I• I � i i I ! � 1 '- I I I I I I I � i , I I. 1 � � , • - a� AY2 y -- --- - A.. ---T- - -- alSt3 �S !q_ inc t --------------- - I -.._ - I