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Home My WebLink About28786-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29565 Date: 07/09/03 THIS CERTIFIES that the building ADDITION Location of Property: 5805 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 78 Block 7 Lot 5.2 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 28786-Z dated SEPTEMBER 30, 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARK BAXTER & WF (OWNER) of the aforesaid building. Rev. SUFFOLK COUN~qfDEPART~qT OF HEALTHAPPROVAL N/A BLEC'rRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION D~rF~3 N/A 1/81 ~A'~ u or z re 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. 28786 Z Date SEPTEMBER 30, 2002 Permission is hereby granted to: MARK & WF BAXTER 5805 MAIN BAYVIEW ROAD SOUTHOLD,NY 11971 for : CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR DEC 10-85-1218 TRUSTEES 3/22/88. REPLACES BP 18906 at premises located at County Tax Map No. 473889 Section 078 pursuant to application dated N/A Building Inspector to expire on MARCH 5805 MAIN BAYVIEW RD SOUTHOLD Block 0007 Lot No. 005.002 and approved by the 30, 2004. Fee $ 150.00 ORIGINAL Rev. 5/8/02 lt~OIt31f NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 18906 Z Permission is hereby granted to: ~...~..~....~..~ ................. ~,~.m,,.,,~,~~ ......... .~.....~~.r~ .......................................... ............................................ ~~~ .................................................................................... County Tax Map No. 1000 Section ....... ~.~.. ......... Block ............. Z .... Lot No .......~.~...~... pursuant to application dated ........... ~..~../.. ............................. , 19.?.~..., and approved by the Building Inspector. F,e s....~.~. Rev. 6/30/80 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 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. Ifa 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 $15.00 Date...~ Cl. J~ (check one) New Construction: Old or Pre-existing Building: LocationofProperty: ,.b--~O.~ /~.&t~l House No. ~ Street Owner or Owners of Property: J/]4tt o' J.- Suffolk County Tax Map No 1000, Section ~ Subdivision Permit No. ~ ~/ 7~'~ /~/ DateofPermit.~'~'$Ooq~ Applicant: Health Dept. Approval: 7 OOT_ Block 0 0 B '"] Lot Filed Map. Lot: Underwriters Approval: Hamlet Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,,7,o~ OD / Final Certificate: / (check one) Applicant Signature 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU~H/PLBG. [ ] FOUNDATION 2ND [ ] I~I].ATION [[ ]]~iRRAEMpILNAGcE & CHIMNEY [ '~FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] R~U~GHPLBG. [ ] FOUNDATION 2ND []/INSULATION [ ] FRAMING ~ FINAL [ ] FIREPLACE~HIMNEY //~ REMARKS: ~ ~'"-~ ~ DATE FOUNDATIO.~; (lst) 2. f2nd) EOUGH FRAHE & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE Ye Fi;:AL ADDITIONAL BLDG. DEPT. [ TOW'~ C FzzS 0 U TH~O~D ' 765-1802 Disapproved a[c ..................................... ........................................... ~. ~;;&~ ...... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 11971 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOT Date ................... 1.9 . . . INSTRUCTIONS a. Tlds application must be completely filled in by typewhter orin ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locat/on 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 tiffs appli. cat/on. 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 issued a Building Permit to the applicant. Such 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 m3y purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 constructiori of buildings, additions or alterations, or for ~emoval 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 inspectms on premises and in building for necessary inspections. (Signature ot applic~/nt,. Or names~)f a corporarlon) (Mailihg address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · .................................................................................... Name or owner orpremi= ......... f~4~.7:.e.¥....~.~...¢:. ~.. ~. ............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ........ (Na~e and 'ale of' c;~;ora;e ;m~er> Builder's License No ........................ Plumber's License No ......................... Electrician's License No ....................... Olher Trade's License No ...................... Ha~nlet I. Location of land on w. hich proposed work will be dfg. ge; ' House Numbcr Street. ..... ......... ,~a~ . ,, ~ Cm~sf fc~ ...........~ ..... ? ........ (Name) ~ State existing " use and occupancy of premises and intended use and ocCUpancy of proposed construction: · ntendefl use and occupancy ........... '-.-- · · ' ' , ................. · 3. Nature of work (check which applicable): New Building .......... Addition .......... /alteration ........... Swlm~ing pool. ............ - moral .............. Dcmoht on . .. ............ Repot ....... :.......:: ~t.~. Accessory Building .......... Fence ....... Othe~ Work. ~-~---~ ..... Tennis Court .fi'/ oo.,e F ') ' ' ' ' 4. Estimated Cost ' ' .......... (to be paid on filing this application 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................. If gar=ge, number of ~ars .-: --. ...... '.-;- .-e~if~, rt.,fur- and extent of'eachSype of use .......... ,.l " ..... '- o \ f ~ Rear ./bi. . taeptn . ..g~'.. ~ ....... 7. Dimensions ofexisting structures, ifany: rr nt...'.. 6t ......... ' ......... ~ i, ,* Number of Stones ..................... >-~W' ' ' ' D' ~ ^9'[J' .... /~7 ' . . Number of Stories ........ :' '-' * ',5 ....... Depth . ,~7.3 ................ ttetgnt . .,~u ...h,U,/,) ...... ~.,,, t/O ' g" Depth .iq.'..3 ........ 8. Dimensions of entire new constntction: Front...-~v. ~ ........ ,-'- ..... ' ............ . tteight ............... ,Number of Stories .............. ' ........................................ 9. Size of lot: Front ...................... Rea: ...................... Depth ..................... 10. Date of Purchase . .Name of Former Owner .......................... -' ' · 1 I. Zone or use district in which premises are situated . flow _all O 12. Does proposed construction violate any zoning law, ordinance or regula ....... . . ,.,_ N^ 13. Will lot be regraded .: ........... ,~ ..../. ...... Will excess filJ_b.%remC~V0(4 from prem,ps. 7.~:ffI-e~s~-,~ of Owner of remises Wiz~,u ~ tq;:~t ~"/~'..a~' i~ ~[ddress ~..~.6..rf(q~. Phone .......... ,'o .... 14. Name P ........... Phone No ................. Name of Architect ........................... Address ................... · ddress ...... Phon~No ..... *.-. ;-- ' ·" Name of Contractor .......................... ~ ' L ....,~." 5'~'~ 'wetland? ~*IgSo . ..NO .Is this property located within lOB ~eet o~ a 15 mil yes, Sauthold Town Trustees Permit may be required. PLOT DIAGILAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property tines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. AP. PROVeD AS NOTED DATE:~ B.R # e x~(/~.. NbS,FY ~UIL6JNG 765-1802 9 AM ~ 4 PM FOR FOLLOWING iNSPECTIONS: 1. FOUNDATION ~O REQUIR~ ~R POURED CONCR~ 2. ROUGH - FRAMING & PLUMSI~ 3. INSU~TION 4. FINAL CONSTRU~N MU~ BE COMP~E FOR C.O. ALL CONS~U~ON S~ M~ THE REQUIR~E~ ~ THE N.Y. STA~ CONS~ON & ~E~ CODES. N~ ~S~SIB~ DESIGN OR C~U~ON ERR~ STATE OF NEXV YORK, S.S COUNTY OF ............ ..... ppli .......................................... being duly sworn, deposes and says that he is the a cant (Name of individual sigmng contract above named. lie is the .... ) (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 m~ner set forth in the application ~lcd therewith. , ' Swam to before N ta~ Pu lie, , ........... County . ~ ~m~ ~.~ (Si~amre of applic~t) ~ 4~78~, ~ / x ~' / SU~Y F~ ~u,';'_: · , . ' ~ ,' ,..:.. ~,~.~,c~ MARK BAXTER ' "- ~ '~ AU~ ~ ~ 1~9 , JU LY~I 1988 ~, ~:._ ', .... ~,:~ .~ >T;: ' MAY ~, 988 . ,; .~ ~.: .. - ; ,~ . h,, ~;$ ~WN ~ SOUTHOLD ..q '~'" SCALE: I"= I00' ~,. ..... . ',. ... , ,,-:ru~.: ~r~q/~ j SUFFO~ COUNTY, NEW ~K NO. 88-O355 DEPARTM[NT-DATA F~ APPR~ ~ C~STRUCT ~ ~w~ ~g ~HOM THE SU~EY IS PWEPAWID YOUNG YOUNG ~DEN W.~NG, P~FE~IONAL ENGINEER LOT NUM~RS S~WN THUS: (71) HEREON REaR TO ~ND ~NO SURVEYOR N.Y.S. UCENSE NO. 1~845 ~DIVISIO~"MAP OF GOOSE NECK" FILED IN T~ O~ICE OF ~ERK OF SUFE ~. ~ NOV. ~19~ AS FILE NO. I~ ~W~RD W. YOUNG~ ~NO SURVEYOR La~ ~ ~W), ~lC TAhiti ~) MN el~ N.Y.S. LICENSE NO. 45893 BR&NDJS & SONS INC. ]*046