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Home My WebLink About23630-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25609 Date: 03/23/98 THIS CERTIFIES that the building ADDITION Location of Property: 2885 INDIAN NECK LA PECONIC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 5 Lot 14.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 7, 1992 pursuant to which Building Permit No. 23630-Z dated AUGUST 13, 1996 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 & WINDOW INSTALLATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PETER R STOUTENBURG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A it ng Inspector Rev. 1/81 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) N° 23630 Z Date August 13, .................... 19.96. • ..................................... Permission is hereby granted to: Environment East, Inc. ................................................................................ Indian Neck Lane ............................................:................................... Peconic, N.Y. 11958 ................................................................................ CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS to ............................................................................................................................................................ APPLIED FOR. ................................................................................................................................................................ at premises located at ... 2885..INDIAN,.NECK LANE .. ... ..... .....PECONIC, N.Y. ................................................... NOTE: PERMIT WAS A14ENDED TO INCLUDE WINDOW INSTALLATION ON 5/12/92 ................................................................................................................................................................ THIS REPLACES BP #21762Z .......... ................................................................................................................................................ County Tax Map No. 1000 Section ........$6........... Block ......5.............. Lot No. .....14:�........... pursuant to application dated ......JANUARY.�................................. 19..92 and approved by the Building Inspector. Fee 5.......7.5..00,,,,,, .. .�L............................ ilding Inspector Rev. 6/30/80 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 21762 Z Date. .///f f............................................ 19Y ... e�ace-4- Permission is hereby granted ...................... ............ ....................... .� ...�'.. .......... / ,.. :... ..�.�9r................. to .. .... .... . .... .... ..... . .... c ........... 64 lam.- ...... ..4 r,i. .........�xo......... <........................................................... ......................................000 ............/ ��1/ ... ..... ? 9Z:-................................................................. at premises located at....... ... C-c ... .��'-1 .....h. c!................................... ................................................... ........... ... . .......................................................................... County Tax Map No. 1000 Section ..........F 4........ Block...........57 ............. Lot No. ..... ...................... pursuant to application dated ........ (/... ............................I..........1 19...E ...., and approved by the Building Inspector. Fee$../ ....�.�......... 00,40busy 72� .......... . .. ........................... Building Inspector Rev. 6/30/80 WORK NO. 2, 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) N! 20376 2 Date ....! .......................................... s Permission Is hereby granted to: 0 ........ ............ t0 o= f� � � ��•�••r�l......�� .. .lr.�T.�....., 1...l.�X�.. '�(rJ!',tw .4:.:::fs�. ... .. .. at premises located at ....�..`.�.0... .........r. «......J�. .....!�:. ................... ............................................... ,�� ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ........Ik....... Block ......... Lot No. ......... .�. .. pursuant to application dated .......1/7....................................I 19..1 and approved by the Building Inspector. Fee s.•-•�..�.y . fes': .... ... ............... ding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL !> 765-1802 BLD :- APPLICATION FOR.CERTIFICATE OF OCCUPAhIC `` ��"___ •� ._.. A. This application must be filled in by typewriter OR ink and submitted 'to the building inspector 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 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 a 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. �r C. Fees ''� 1 . Certificate of Occupancy - Nev4 dwel iikg $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 - .25e,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,,b Commercial $15.00 Date . . .�.)(. .`1I.tr . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Build nD g. . . .� . . . . . Location of Property. .),e. . . . . . . . . �1��. . . . . . .��. .-. . . . . . . . . . . . . . . . . . t�r. . . . . House No. Street Hamlet Onwer or Owners of Property. P:"a�^`:. . . :. . u !�.. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .Y. . . . . . . . .Block. . . . . . . .'�. . . . . . . .Lot. .C. 0 . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . .. —Lot. Permit No. . . .�P . . .Date Of Permit. . • .� . . . . .Applicant��/✓U��t.0�Jtv►br .6fi ." $t,G Health Dept. Approval. . . .N.. . . . . . . . . . . . . . . . . .Underwriters Approval. . . / . . . . . . . . . . . . . . . . . Planning Board Approval. . . . 0.`.n.. . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Fin rticate. . .�. . . . Cn� � Fee Submitted: $. . . .d . . . . . . . . . . . . . . . . . . . . . . ��.. APPLI.CANT - ' w STN 141!E �- -W -TH I� A,LL. EGR,,:-Ss WlQ0,01,k/s 70 MFF,7 Q) SCALE: APPROVED- ) /J APPROVED BY - -- j' / /� DRAWN BY r DATE: I VZ 4 rkx DRAWING NUMBER CAZ7 Q, (`` CHARRETTE PRO-FORM 920PF PRINTED ON 920H CHARPRINT VELLUM yes-isoz suaniNa DE". INSPECTION [ ] FOUNDATION 18T [ ] ROUfiN PLBG. ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: � DATE L �3 /5?2,--INSPECTOR �'el4M1 n- .yam. _..�....,F. ,.-,�•'.«.,,.A,,.w..,.a-:_..�►. BUILDING DEPT. INSPECTION [ ] FOUNDATION 18T ( J ROUGH PLBG. J FOUNDATION 2ND [ ] INSULATION [4FRAMING ( ] FINAL REMARKS: 19 DATE INSPECTOR v ' I:::.J i�:�;_ �..:_J�i ��J^- =• 1� �U:1i•tE.NT� , i 7OU11DATIOI ( 1 St OU`JDATIOl'd ( 2nd ) 2 r ROUGH FRAME & •PLUMBING ff , 3 . i "loo, a m INSULATI0;1 PER N. Y. I n . y STATE ENERGY II CODE II 4 . FINAL 3 "" ADDITIONAL COM PITS : x� / Z ` , r Qq y H BOARD OF HEALTH . . _ . . . . . . FORM NO. 1 3 SETS OF PLANS . I.` , . . . . , TOWN OF SOUTHOLD SURVEY i_ . . . . . . . . . . . JAN 9 BUILDING DEPARTMENT CII "CK . . . . . _ _ _... . . . . _ _ . . •s ' TOWN HALL SEPTIC PORI . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 7 '7 € TEL.: 765-1802 t:OTI1 'f : 1 � C. l72 . . . . T'�+ I r? CAL Examine . . 19 To : :Spero ed .: l .�. . . . . . . . . ., 19A:<P . . . . . . . . . . . . . . . . . . .. . i[ No. Q .��, . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . .I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B di g Spector APPLICATION FOR BUILDING PERMIT j Date �!. . ..1. ` . . . . . . . ., 19q�� INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of plans.accurate plot plan to scale. Fee according to schedule. o-,. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets +r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 :tall 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 whatever until a Certificate of Occupancy hall 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 '.uilding 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. lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .unit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . .iA V1 A:0.Ck-c,,f' . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,ame of owner of premises . . Q. . . . . .... . . . . . . . . . . . . : (as on the tax roll or latest deed) 7=151T can s r t' , signature of duly authorized officer. (Name and title f corporate officer) Builder's License No. Plumbers License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . • . . . . . . . . . . . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . House Number Street HanrlFt . . . . . . . . . . . . . .. . .. County Tax Map No. 1000 Section . . . .�. �. . . . . . . . Block . . .S_. . . . . . . . . . . . . Lot �'k . 2 Subdivision . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . R-e—s C4�,. . . . . . . . . . . . . . . . . . . . . . . .. b. Intended use and occupancy . . . 3. Nature of work (check which applicable): New Building . . . - . - . . Repair Addition , .�. . . . . . Alteration . . . . • - , - P Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . .- • - . . . - . Other Work . . . . . . . . . : . . . . 4. Estimated Cost . . . . . . .'-Do (Description) . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5- If dwelling, number of dwelling units . . . . . R (to be paid on filing this application) If garage, • • • • • Number of dwelling units on each floor : . . . ... . . . . . . S ,�, number of cars . . . . 6. If business, commercial or mixcd occupancy, specify nature and extent of each type of use , . 7, Dimensions of existing structures, if any: Front . . . . ,t��E;C�" • , , Rear ` G « - -r, ` Height .. . :. . . . . . . . . „ Number of Stories . . . , . " ' Ig" ' Depth . . .�d, Dimensions of same structure with alterations or additions: Front . • • • . . • - • - . • • • ' ' , Depth . €0°.®« o�cCt ^ C. . . Height . . . . ! . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . 8, Dimensions of entire new construction: Front . . .1.� ;£�" RearNumber of Stories . . . A).-. �° Height . . . . . . . . ( . . . . . . Number of Stories . . N .: . . . . . . . . . . . . . . . . . . . . . . . . . . Depth. . . . . . . . . . . . . . 9. Size of lot: Front . . . . 'L( ,Q-,,-3.5 10. Date of Purchase Ream. , • Depth 1 I. Zone or use district in which premises are situated - , N e of F Finer Owner . . . . . . . . 12. Does proposed construction v'olate any Zoning law, ordinance or regulation:. . . . egulation . . . nqq 13. Will lot be regraded . . . C3 `v-�.•. , , ... . . . . . . . . . . . . . 14. Name of Owner of remises ex R ,5�u} 5 ' Will excess fill be removed from premises: Yes Ng Premises ?� . . . . . .. . . A )ress 3G i•S, (K&i!an�1 lam• Phone No. Name of Architect • • ' • - ' Name of Contractor b�)u,rnrne E • �cw -t, ' Address . . . . . . . . Phone No. . . , 15. Is this hC • Address�Q lS, }nia�(Jpr� hUne No, 1.�.�— .• property within 300 feet of a tidal wetland? tye$ No *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRANI Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from Property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. OWED AS NOTED w�to st t iRC 0EPAP,I.. 6 T A: �. PF, 4 7"uS ;iTlisi2 - '3 i$3t»••REQU1R,ED ' POP PO4"RED CONCRETE :�. 's?SULAMON' 4- RNA — CONSTRUCTION MUST BE t:Or`3 O ETE FOR C.O- ,dLL CONSTRIIG'rjWl, SMALL MEQ TIDE REOUIREMMEkTS OF 'rRE ;M.Y STATE CONSTRUCT1fl1' & EINERGY CODES, NOT RESPONSIBLE FOR DESIGNI OR CONSTRUCTtOid ERRORS TATE OF NEW YORK, OUNT OF. . . . . , SOS `� �`�{l• •- - , - - - being duly sworn, deposes and says that he (Name of individual signing contract) is the applicant %ove named. is the Q�: tor, gent, corporate officer, etc.)said owner or owners, and is duly auperform or have perfom ed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the irk will be performed in the manner set forth in the application filed therewith. am to before me this . . .day of. - QV; Cx( 99 �2- ra tary PubhG `. . . . . . Conn CLAIRE L CLEW Pbtery Public,State of I4iary York . . . • . . . - _ No., S mof applicant) (Signature of applicant) Commission Evires December%19. -1!54„x4 orz�".DEc�cIr�G _ I - -2-2xro"-B:-IOGIRDERS trl� LTSPL. tAlc EP - JDIST5 2X ro - 8- Io -(s'k600.G, BOLTED HAI LE ECO 4X`{ ._ Po ST t2 C-IRDE4Z 4xjpoST i ! tll ETAtLS �J �Z SCP u� � rn' S N' bCUL 81IFF101 IT CE J�t 6Tra0 Eay �U RGt•-t 11� I�IC R"",,-Ir . t r �,`•• � ;`a'� '„ - Vii- � c / 1 o Gt1 J11/N! f 16 A INI 8 ,.� cl cl , y 14 z.dr�.,��' r 7�� iii✓J k),4 Pi P � ' At /,4,, / / 1 ,y j,ove � �a f f4i _op _ �./�f.;?� �QiVIJ L., l�C. 2f � / .:�i.' fr�'1 /-ea."��' ��Pe7 �',_'`� 1��""I� ,� ru t�'� .LAGfi .+�„e.-,.-�5.---�'-• .:.. ",.. -.. ., ..�.is, �•• r+l�X,{� T � l'' `tt.�i � ��.�'� ' yae�5»_., r _ �� x {>i f g '� 1.,{.9 ry i �I P�yYi�i�-: ^n�� r( ., . , , rv�ra •.'.i k 1 ..cif 'Tf.": T . "vht�� y x§Q§Q #'.fix p1l' .P Y �...('i „h Ns Y4.i^ s4. "e lfn .. 'i A --------------- sy�p�Mrt�a s. _ . P�x t ST. _. &tPr>,.-2- 7-gETAIL,. - -- _ __. --- ---- - ,- -_��c� ov�:�z a�c� �kous� �OUr•��-Z--� ar~� v _ - - { -. - -- --�' -- -- - . f I I i_ ST-ovT� nBUR�K � C:>'�� SCALE:J (/ f = APPROVED BY ^" `E DRAWN BY I "� DATE: - t • —I DRAWING NUMBER