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HomeMy WebLinkAbout28537-ZFORM NO. 4 TOW/q OF SODTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-29557 Date: 07/02/03 T~IS CERTIFIES that the building ADDITION Location of Property: 1085 BAYS;IEW DR EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 2 Lot 17.1 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JTJLy 8, 2002 pursuant to which Building Per~it No. 28537-Z dated JULY 8, 2002 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 ADDIION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KENNETH & JUDITH A KORSH (OWNER) of the aforesaid building. SUFFOLK COUI~TYDEPARTI~E/~TOFI~F~%LT~APPROV~J~ EL~t'£KICAL CERTIFICATE NO. PLUq~BEP~S CERTIFICATION D~£F~3 Rev. 1/81 N/A N/A N/A Authorized SignOre FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28537 Z Date JULY 8, 2002 Permission is hereby granted to: KENNETH & JUDITH A KORSH 1 OLD PINE LANE NORTHPORT,NY 11768 for : DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#26549-Z. at premises located at County Taxx Map No. 473889 Section 037 pursuant to application dated JULY Building Inspector to expire on JANUARY 1085 BAYVIEW DR EAST MARION Block 0002 Lot No. 017.001 8, 2002 and approved by the 8, 2003. Fee $ 150.00 COPY Rev. 5/8/02 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) PERMIT NO. 26549 Z Date JUNE 6~ 2000 Permission is hereby granted to: for : KENNETH & JUDITH A KORSH 1085 BAYVIEW DR EAST MARION~NY 11939 DECK ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 1085 County Tax Map No. 473889 Section pursuant to application dated MAY Building Inspector. BAYVIEW DR EAST MARION 037 Block 0002 Lot No. 017.001 23r 2000 and approved by the Fee $ 75.00 Auth~ed Signature ORIGINAL Rev. 2/19/98 TO'~;~N OF SOUTIIOLD BUILDING DEPARTMENT FOWN HALL 765-1802 I APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or i~tk 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. Approvai of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certilying that the solder used in system contains less than 2/I0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Co~npliance from architect or engineer responsible for the building. 6. Submit Plmming Board ApprovaI of completed site plan requirements. 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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: House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Filed Map. _ Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approvak Request for: Temporary Certificate Fee Submitted: $ co Final Certificate: v/ (check one) Applicant/ ()wners Name: Architect/ SCTM ti: Project Description: l)atc Reviewed: Date Submitted: AGENCY PERMITS REQUIRED FOR REVIEW Pe~rmit N.A. N~OO YES Number Suflblk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: ~- : /~/a,~_ ~-.c. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING ['~] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FIREPLAC'~ C~IMNEY /~ DATE INSPE~ BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSU~ [ ] FRAMING ~'~AL [ ] FIREPLACE & CHIMNEY REMARKS: FIELD INSPECTION REPORT DATE COI',~IENTS FOUNDATION (~ST) ROUGH FRAME & PLU~iBING INSULATION PER N. Y. STATE ENERGY CODE BOARD. OF BEALTH ............... ~3 SETS OF PLANS ............... ~'SURVEY ........................ ..'CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL .................. R~-mqned ................. , 20 .... A~oved ..... ~.l.5- ..... ,~-'--~. Pe~t NO..:.~....~.~....Z~.. Disapproved a/c .................................. MJ~IL TO: .................... INSTRUCTIONS hate..~..q~../f. ....... 2Om. a. 'Ibis application nust be completely filled in by type~iter or in ink aud auh~itted to the Building Inspector 3 scts of plans, sccurate plot plan to scale. Fee according to achedule. b. Plot plan sh<~ing location of lot and of buildlngs on premises, relatioaship to adjoining premises or public streets or areas, a~d giving a detailed deacription of layout of property mast he dra~n on the diagram ~aich is part of chis applicat ion. c. The ~ork covered by this application ~ay not he tenanted before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Soch pemit shall be kept on the peuai~es available for inspection throughout the ~rk. e. No building ~hall he occupied or used in ~hole or in part for any purpese ~taatever until a Certificate of Occupancy shall have been granted by the Building Imspeetor. APPLICATIC~ IS ~? ~ to the Building l~parUmnt for the ism of a Building Pemit Parmmnt to the Building Zone Ordinasc~ of the To~ of Southold, S~ffolk County, ~ York, ar~ ottmr applicable La~, Ordinances or I~gulatio~s, for the construction of buildings, ~aitions or alterations, or for r~oval or demalition, as herein described. The applicant agrees to ~,~nply ~rlth all appllcable la~, ordinances, building code, housing code, and regulatians, and to admit authorized inspectors on praises and in building for oncesm~y inspections. . (Signature of applicant, or nan,, if a corporation) State wbether applicant is owner, lessee, agent, art~itect, engineer, general contractor, electrician, plmber or beilde~ ~,~ o~ o~ o~ p~amiscs .. ~ff~... ~..fl.0.. ~. z./~.. A.-....~. :.~.4ff. ...................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly author~sed officer. (Rare 'and title of corporate officer) Builder~ License No .......................... Plumbers License Ro .......................... Electricians License No ...................... Other Trade's License NO ..................... I. l~cacion of lmxl on ~hioh proposed ~ork viii be done .............................................................. ..... /.o. f ~: ................ ~. .,. /.V./. .a:.W. . . . . . .~. .~ ...................... £nS.~ . .~. . ~ /. .e.~. . . . Po~se Nc~ber Street B-~I et Ccunty Taxt4apNo. ,000 Section .... -'~.~ ......... Block Subdivision ...................................... Filed ~ No ................ Lot ............... (~) 2. State existing use and occupancy of prmalscs and intended use and occupancy of proposed construction: a. ~st:ng .~ ~ o~-- '' - ---- ' '~ ,~.~...~..~.~..~. ~..~~..~: ~.~.~ J Pnture of ~ork (d~oc_k ~ich appllc~ble): Ne~ ~ildi~ .......... ~iti~ V Alteration ~ir ~1 l~litt~ ........ 0tber ~ (~rJ pt i~) Estimated Cost ,,,.~..]..~...~...C?. ........ If ~elling, nunber of d~ellJng %mits [ (to be paid on fillng this application) ..... tim~ber of d~elllng tmiEs o~ each floor ..... :7', ........ If garage, number of cars ...... [ ............................... If Ixtsiness, e~mnercial or ~ ~, ~i~ ~ture ~ ~ten~ of e~ ~ of ~ ...................... Oi~nsi~s of ~istJ~ st~ms, if ~: ~t ................ ~ar ............... ~pth ................. I}i~t ......................... ~r of Stori~ ...................... Dimmi~ of ~ st~e ~th slterati~ or ~iti~s: ~t ............... ~ar ............... ~pth .................... ~i~t .................... ~r Of Stories ............... Dilmnsi~ of entire ~ ~st~tim: ~t ................ ~ar ............... ~p~ .............. }~i~t ......................... ~r of Stories ..................... ~ or ~ district in ~i~ pi~,ii~s a~ s~t~ .............................................................. ~s pro.mi c~t~t[m violate ~ ~i~ 1~. o~i~e or ~lati~: ..~ ................. Nill lot ~ ~ ...~ ............ ~ill ~ss fill ~ ~ ~ ~s: ~ ~ ~ oe ~o.t~t .t~.~g0.0N..%fi~. ~.t.4 ~ ........ ~**~ ~'1...~. g(%.&o. ~ ~ ~ .............. ~ o~ c~t~to~ .... ~kff. ................... ~'... ~ ............................... n~ m .............. ls Ods pt~rty~thin ~ f~t o~ a till ~tl~? * ~ .......... ~ ...~ ..... PLOT BI AGRAH locate clearly a~l distinctly all buildlngs, ~berher existing or ~o~, ~ i~icare all ~t-~ d~nsions xm p~rW lh~s. Gi~ st~t ~ bl~ ~r or ~seripti~ ~o~ing to ~, ~ ~ strut ~s ~l i~icate {~tl~r interior or co~r lot. s~rn, deposes and says ttmt he Js tl~e app] Jcant (Co. tractor, agent, corporate officer, etc.) ~aid c~er or c,~rr~rs, and is duly authorlzJ~l to ~rfom or h~ ~rfo~ fl~ ~id ~fi m~ to rake a~ file tlHs llcati~,; that all stat~nts cmta[~ in ~is a~licatim am t~ to ~e ~st of his ~1~ ar~ ~lief; o~ the ~rk witt be ~rfo~l in tl~ mm~r ~t forth in the a~tlcati~ fil~ t~d~. rn to I~fore rr~ U~is ....... ......... UAUREEN MAHONEY NOTARY PUBLIC, State of New York No. OIMA4996384 Qualified in Suffolk County Commi~ion Expires May lB, 20.~ NOTE: LOT NUMBERS REFER TO "MAP OF SECTION TWO GARDINER'S BAY ESTATES'* FILED ON SEPT 23, 1927 AS FILE NO. 275 SURVEY OF PROPERTY A T EA ST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, 000-3?-02- I ?. $CAI.,E: f""30 OCT, 27, 1999 NOV. i, 1999 ( revision 19,761 sq. ft. W ANY ALTERATION OR AOOi iON rO THIS SURVEY iS A VIOLATION OF SECTION 7209 OF Tr~£ ,';E;~/ YORK STATE EDUCATION LAI~ EXCEPT AS PER S'ECTION 2.©§-SUBDIVISION 2 ALL ~RTIFI~A~ONS HERE~ ARE VALID FOP 7;~5 MAP AND C~i~S THER[~ ONLY fF SAID MAP ~ COPIES BEA : ~HE IMPRESSED SEAL OF THE SURVEYOR ~OSE SIGNATURE APPEA~;$ HERE~. CERTIFIED TO: Kenneth L Korsh dudith A Korsh All Island Abstract LTD os agent for Old Republic Nations Title Insurance Company A1A-M-40074- 5 (516) 765 - 5020 P. O. BOX 909 1250 TRAVELER STREET $OUTHOLD, N.~ 11971