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HomeMy WebLinkAbout29517-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29589 Date: 07/24/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1225 ARROWHEAD LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 24, 2003 pursuant to which Building Permit No. 29517-Z dated JUNE 24, 2003 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 ACCESSORY ONE CAR GAP~GE IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to DAVID C & PATRICIA O'DAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVi~L N/A ELECTRICAL CERTIFICATE NO. 1148436 07/07/03 pLUMBERS CERTIFICATION D~rmu N/A 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) PERMIT NO. 29517 Z Date JUNE 24, 2003 Permission is hereby granted to: DAVID C & PATRICIA O'DAY 1730 ROOSEVELT STREET WAi~TAGH,NY 11793 for : RENEWAL OF BUILDING PERMIT #27062 AS APPLIED FOR at premises located at 1225 ARROWHEAD LA PECONIC County Tax Map No. 473889 Section 098 Block 0003 Lot No. 008 pursuant to application dated JUNE 24, 2003 and approved by the Building Inspector to expire on DECEMBER 24, 2004. Fee $ 75.00 Authorized Signature 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 COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL PERMIT NO. 27062 Z Date FEBRUARY 13, 2001 Permission is hereby granted to: DAVID C O'DAY 1730 ROOSEVELT STREET WANTAGH,NY 11793 for : NEW CONSTRUCTION OF AN ACCESSORY GARAGE AS APPLIED FOR. at premises located at 1225 County Tax Map No. 473889 Section 098 pursuant to application dated NOVEMBER Building Inspector. ARROWHEAD LA PECONIC Block 0003 Lot No. 008 17, 2000 and approved by the Fee $ 35.00 Signature COPY Rev. 2/19/98 Form No. 6 TOVCN 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: 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 Under~vriters. 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. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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. Fees I. Certificate of Occupancy - New dwelling $2:5.00, Additions to dwelling $25.00, Alterations to dwelling $2:5.00, Swimming pool $2:5.00, Accessory building $2:5.00, Additions to accessory building $2:5.00, Businesses 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $$0.00 :5. femporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.__ lqre New Construction: Location of Property: House No. Owner or Owners of Property: ~_~ Suffolk County Tax Map No 1000, Section __ Subdivision Permit No. Health Dept. Approval: Plarming Board Approval: Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Building: ~ (check one) flr co o eot _ Lane Pecon; c Street o c,d PCL4 iCit:L Block ~ Date of Permit. Filed Map. '.,~1 I~ JO t _Applicant: oy_ llg. fg Hamlet Lot Lot: Underwriters Approval: Final Certificate: (check one) Applicant Signature BUILDING PERMIT EXAMINER CHECKLIST APPLICANT: SCTM# DISTRICT: 1,000, SECTION: _ ADDRESS: )22q BLOCK: ~, LOT: DATE REVIEWED: ~ /.2o/03 DATE SUBMITTED: ~/Iq[ /03 ~ SUBDIVISION: ~,rc~eo~k Co~ta CITY: ~:VOt~q,~ ZONING DISTRICT: __ CONFORMING? )k/~0 BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z / C/0 Z- INFO / BP BP -Z / C/0 Z-____ 1NFO / -Z / C/0 Z- , INFO -Z / C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF -100-24. Lot r¢cognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Mcrger.(A nonconforming at any time after 7/I/83 REQ. LOT SIZE: " ACT. LOT SIZE:~_ REQ. LOT COV. ~>~ACT. LOT COV. ~ REQ. FRONT ~ __ PROP. FRONT ~" REQ SDE__/$/~I'~ ACT. SIDE ~ REQ. REAR__.~ PROP. REAR ~- REC~)~I~"E'~GHT PROP. HEIGHT PROJECT DESCRIPTION:~ ~bb~o/~k[.'~ _Th ~ ,'1~'~ ESTIMATED PROJECT COST: ~,=_ ~NGINEER: ~'?W'lJt¢ ~i WATER FRONT? /k/O DESCRIPTION: -- - PANEL # FLOOD ZONE: ~aS~FFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): __ ~TO~VN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DECg/I/75 YES 0~'~ APPROVALS REQUIRED DTE: SOUTHOLD TOWN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES o~_____~ TOWN PLAN. BOARD APPROVAL: YES or~__a~ TOWN HISTORICAL PRE (SPLIA): YES or{~.~ / / PERMIT #: DTE: / / PERMIT #: DTE: / / PERMIT #: DTE: / / PERMIT #: DTE: / / PERMIT #: NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO · FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 1. ( SF)- ( SF)= 2. (_ .SF)- ( SF)= 3. (_ SF)- (~ SF)= SF SF SF SF INIT OTHER TOTAL SF FEE FEE FEE SF X $ =$ +$ +$ = $ SF X $ =$ +$ +$ = $ SF X $ =$ +$ +$ = $ FINAL TOTAL: $ BUILDING PERMIT REVIEW CHECK LIST APPLICANT NAME: SCTM#--- DISTRICT: 1,000 SECTION: ~ BLOCK: ._2 LOT: DATE REVIEWED: / /2~/o/ DATE SUBMITTED: ,'/ PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTION: _ADD ,ALT,~R N/D: ~ STREET: /5Z-..2~' /"~,-o,a Z~-.tJ ~ ,~ CITY: ARCHITECT / ENGINEER: '-,.~"OJ~.4 .~' 7~a,~,,m~ SiNGLE & SEPARATE CERTIFICATION-REQUIRED: YES c~'0~NOTES: LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JIN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83 SUBDIV. NAME: FAST TRACK: YES o~--~-~ ZONING: PERMIT ESTIMATE AMOUNT:_$ f~ OOo .00 PERMIT USE: EXISTING: ~'~"~¢ INTENDED: ZONiNG DISTRICT(R40,"RS0, AC, CONFORMiNG: YES o~_.~ REQUIRED LOT SIZE: /,.. WHERE ACTUAL LOT SIZE FROM?TaX CAPm ?/~ ,~/,~r ~-, ACTUAL LOT SIZE: REQUIRED REQUIRED REQUIRED FRONT: qO ' PROPOSED: ' SIDE YD: /.~ '/ $~ ' PROPOSED: __'/ ' REAR: .~'O ' PROPOSED: LOT COVERAGE: ALLOWED: 20 % EXISTiNG:/4,,~O sf % NEW: _g,92~, sf CORNER? YES OR ~ WAT ~ ~'RONT? YES o~-DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: ?~ FLOOD ZONE: ~<' , .SQFT. SQFT. % TOTAL:/~;2~sf R- % AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APPliCATION TOWN SPETIC PERMIT: YES or~~ SUFFOLK COUNTY HEALTH DEPT: YES or bJ_.0,} (BED #):__ NEW YORK STATE DEC: PRE-~EC 9/1/?S YES o~ SOUTHOLD TOWN TRUSTEES.~-~T~ YES or.~:z~'~xx TOWN ZONING BOARD APPROVAL: YES o(L~,Q3 TOWNPLAN. BOARD APPROVAL: YES oNff~ NYS ENERGY: YES OR ~) NOTES: DTE: / / PERMIT #:RI0- FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : 3 8 ,P. -- SF SECOND FLR : SF TOTAL: SF SF)- ( _SF)= SF X $ =$ iNIT OTHER TOTAL FEE FEE FEE s. ~4.o9'5o' w. LOt ~ CAMPFIRE LANE CERlTFIED TO' DA VID C, O'OA Y PA TRICIA M. O'DA Y COMMONWEAL TH LAND TITLE INSURAN c~ COMPANY MERRILL LYNCH CREDIT CORP. SURVEY OF LOT 8 , "MAP OF ARROWHEAD CO VE" ~ .IUIVE~O, ~ MAPNO. A T INDIAN NECK TOWN OF SOUTHOI D SUFFOLK COUNTY, N Y. 1000 - 98- 03- 08 Scale.. 1' = 40' ,April ~0, 1997 AREA = 23, 0~*1 sq. ft. ~r ~,u~ or ~ ~m ~ ~s u~ ~ ~ c~er $OUTHOLD, N. Y. 11971 iS. LIC. NO. 49618 97- 153 765-1802 BUILDING DEPT. [ INDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP~A/~.~& CHIMNEY ~/ REMARKS. ~~~/~-~.~__----~ DATE 765-1~02 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ].~,~JLATION [ ~.~ FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE INSPECTOR FIELD INSPECTION REPORT DATE COI~IENTS STA~ E~R~ CODE FINAL FORH NO. I TO~H OP SOtFrHOLD BUILDING DgPARTHENT TOtm HALL $OUTHOLD, M.Y. 11971 TEL: 765-1802 Disoriented alt .......... BOARD OF HEALTH .............. SURVEY ........................ CHECK ......................... SEPTIC FORH ................... · RUS~ES '- ..... NOTIFY: CALL .................. HAIL TO: ..................  :~- - (Buildin8 Inspector) APPLICATION FOR EUILUIHG PERItlT Date 2C a. llhi8 applicati~m ~mt be ~pletely filled in by tlq)e~riter or in i~k and an~itted to ~e I~dldi~ I~spector, 3 ~ets of plans, econ-ate plot pl~ ~ ~ale. F~ ~i~ to ~le. b. ~ot pl~ ~ l~s~im of lot ~ of ~il~ m p~, ~lati~ip to ~joini~ p~s or ~lic ~is a~li~cim. c. ~m ~ ~ ~ ~is a~li~ci~ ~ ~C ~ ~k,,~ ~fo~ isle of ~ildi~ Pemit. d. ~ ~1 of ~ia ~liotim, ~ ~ildi~ l~tor idll im a ~ildt~ ~t to t~ ~li~t. ~t ~1 ~.~t ~ ~ ~ ~il~le for i~ttm ~t ~ ~. e. ~ ~ildi~ ~11 ~ ~i~. ~ ~ in ~le ~ tn ~ ~r ~ ~ ~t~r ~til a ~nificate of ~ IS ~ ~ ~ ~ ~ildi~ ~ng for ~ is~ of a ~ildi~ ~t ~r~t to t~ ~ldi~ ~ ~ of ~ ~ o~ ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~li~le ~, ~i~s or ~ati~, ~ ~ ~ti~ of ~ildi~, ~itt~ or altera~i~, or ~ ~al or ~litt~, ~ ~in &~i~. ~ ~i~g ~s W ~y ~& all ~li~le 1~, o~i~, ~i~ &, ~; &, ~ ~i~e of or nam, if a co~oratian) ......... .... ......~...~_....~.. ~. ........ (~iling address of ~plicant) ~tate Mmtber applicant is .~ner, l.es~e, a~ant, architect, engineer, general co~tractor, electrician, phnber or boild~ .,, .............. ................................................................................... ~-_ of ~ of ~ ...~.~.¥~d. ...... /.a .... ~. ................................................ (as cn fhe tax roll or latest deed) If ap~lic~t is a corporatien, signature of ~ly a~fl~orized officer. (Nm~ aed title of corporate officer) Electricians Li ~-,~e NO ...................... Otber Tr~'s License No ..................... I. l~'-atian of land m ~dflch ~topoaed ~ vi11 be done .............................................................. ...... ........ ............. .... .............................. lkn~e lq~ber Street D~let c,.~ ,~,,,, No. ,ooo s~ti.....~ ...... ~l~ .... .~ ......... ~ot...e~. ....... ,U,d~a*oa .~trx~.....k..~.~ ..... ~.~.~.~. ..... ,,i,ed,~ No..~.~..~. .... ,~t ..~. ......... 2. StaCe.exlatin~ use and Gccupat~y of premises and inter,led use and ~o~cupancy of proposed cmstructian: a. .... .... ..... ...................... . _ ~ ....... r~.z~ ...... c.~..~/.~ .....t~:...l~.~ ........................ (Descript ion ~' xd 4. Estimated Cost . .~. .......... LG.t~...~..C~.. fee ............................................ (to ~ ~id ~ fili~ this a~li~ti~) 5. l~ ~lli~. ~,t~r of ~lli~ ,mits . ~... ,~r o~ ~lllng ~its ~ e~, fl~r ..~/~ ...... ~ptl .................. ~i~,e .................... ~r of Stories ............... IO ~te of ~rdmm ~ of Four ~r . . l I. ~ or ~ district in ddd~ p~i~s a~ $1~t~ ....... ~.~ ................................................. 13. ~111 lot ~ ~ ...~ ........... ~ill ,~ fill ~ PLOT DIAGRAH I~cate clearly and distinctly all buildings, ta~eLl~r existing or proposed, and i~licate all set-back dimensions [,u:~ prol~rty lieea. Give street ~nd block r~her or de~eriptlon ~:eording to deed, ~d sJ~x¢ street frames ~d indicate ~hetlmr interior or corner lot. rrKiE OF M,~ ~I]NI'I' OF ../:.'.. ,). ~. ~ .......... ....... · J~-~. ........... :-/-~...?.?.~..~- ................. Imi~ duly ~ro, ~po~s ami ~ys ~,- of i~ivi~l si~ing c~tract) ..................... .............................................................. (C~Cr~tor, ~ne, cor~ra~e officer, etc.) ~ ~id ~r or ~rn, a~ is ~ly ~tl~ri~ eo ~rfom or h~ {mrfo~ tl~ ~id ~ md to ~ a~ file this ~llcntlon; that nil ~tat~nt~ c~ta[~ in this a~licati~ a~ trim to fl~ ~st of his ~1~ [mt t~ ~ viii I~.~r~{~ iu tim m~mr mt forth in H~e a~llenti~ fil~ tlm~H~. ...........k Od.d ............. :~ T~ Expires June 23, ~ IGg. SG' 50" 54. I 5TORY FP-.AME , HOUSE &O. Fo' 172. 23' 5 &4° 09' 50" W CAMPFIRE LANE ~ AND ZONING DATA .ONING PJ~QUIPq~M~NT~ R.40 - ,~Xi~TiNG CONOITiON~ PI(OPO~I!IDC, oN~TPJJ~flON ~ v~ ~ ~, 53, 3 ~, 5~: 3 ~L ~~ IS~. 25, 5 ~, 25.:5~.,. APPROVED AS NOTED DATE: '/~'/~'/ S.E # ~ ?~L FEE: .~1 B¥:.~-- NOTIFY BUILDING DEPARTMENT AT 765-1R02 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: FOUNDATION - T~VO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMIP;G & PLUMBING 3 INSULATION FINAL - CONSTRUCTION MLJST BE COMPLETE FOR C 0 ALL CONSTRIJCTION SHALL fiAEET THE REQUIREMENTS OF T!-I~] ',1Y OCCUPAI~,ICY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. ADDITIONS & ALTERATIONS TO THE O' DAY RESIDENCE ARROWHEAD LANE PECONIC, N.Y. S.C.T.M. # 1000-98-03-08 REVISIONS DATE; JOHN E. STUMPF, RA., PC. ARCHITECTS ENGINEERS 44 COI:L~GE PLACE ROCKVII,I,]~ CENTRE, N.Y. 11570 GARDEN C1TY,N.Y, ROCK'V. iI,LE CENTRE 516-538-7048 516-766-3433 SOUTHOLD, N,Y. FAX NUMBER 5t6-29§-0088 516-536-4090 Internet: www. blvdplan,eom .~,,01,~.,.~. ~ ~o,~ ,..~,.~,.. ,.~. ~ ' 'PROJECT NuMBER SHEET NUMBER 2036' 1 3~ T~M TO MATCH TYPICAL HURRICANE CLIP DETAIL N.T;6. CLIP NAILED TO ~FTEt~ 4 PLA, TE TOP PLATE5 NEW 1/2" PLYWOOD 5HEATHING TEP-.MITE SHIELD DILL 5EALEIt ~ FINLDHED FLR~ ELE¥. +~'-o" -- (2) 2x4 .40 PP-.~DDUPd~ TP-.TD. WD. DILL PLATE ANCHOP~D TO CONC, FNDN. WALL W/ I/2" DIA. A,B, ¢ ~,'~" O~C, MINIMUM I 2" EMDEDMENT (NOT MOR~ THAN EA WAY FP. OM GxGx I O/I 0 W.W.M. OVER, G MIL, ~OLY~THY[.ENE VA?OR, DARP-J [P-, FLOOR PLAN R, OOP - COLO~ TO 'ERFECTION" 5MINGLE5 WI,pAINTED CORNE~. DOARD5 - COLOR, BY OWflEE LEFT SIDE ELEVATION GENERAL NOTES GRAVEL FILL &" P.I P. CONC PNDN. WALL OVER 5"D x 1'-4" CONT. CONC. PTG. TYPICAL GARAGE FOUNDATION DETAIL - , "~ ..... '' "'/ ~ FOUNDATION WALL CONSTRUCTION BUILDING SECTION NEW GARAGE AT THE O'DAY RESIDENCE ARROWHEAD LANE CUTCHOGUE, N.Y. REVISIONS DATE; FOR CONDTKUCTION I 1-30-99 BOULEVARD PLANNING EAST, P.C. ARCHITECTS ENGINEERS 3~64fi MAIN ROAD CUTCti0GUE, N.Y~ 11985 Telephone Fax 631-734-2011 516-536-4090 Internet: www,blvdplan.com 2036',