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Home My WebLink About29277-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29731 Date: 09/22/03 T~IS CERTIFIES that the building ACCESSORY Location of Propez~y: 10900 NORTH BAYVIEW RD SOUTHOLD (HOUSE N0,) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 8 Lot 18.1 Sutx~ivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 25, 2003 pursuant to which Building Petit No. 29277-Z dated APRIL 10, 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 NON-HABITABLE, UNT{EATED ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to ALLAN & ELLEN WEXLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALT~ APPROVAL N/A EI~C~ICAL CERTIFICA~ NO. 1165471 09/15/03 PLUMBERS CERTIFICATION Rev. 1/81 N/A Authorized Sign~e FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29277 Z Date APRIL 10, 2003 Permission is hereby granted to: ALLAN & ELLEN WEXLER 305 WEST 20TH STREET NEW YORK, NY 10011 CONSTRUCTION OF A NON-HABITABLE, UNHEATED ACCESSORY GARAGE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 079 pursuant to application dated MARCH Building Inspector to expire on OCTOBER Fee $ 277.80 10900 NORTH BAYVIEW RD SOUTHOLD Block 0008 Lot No. 018.001 25, 2003 and approved by the 10, 2004. ORIGINAL Rev. 5/8/02 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 Plauning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or lmildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, ~treets, building and dnusual natural or topographic features. 2 A p~opcrly conapleled applicatiun and couset~t to inspect sigued by the applicaul. Ifa Certificate of Occupaucy is denied, lbe Building luspector shall state Ibe reasons therefor m writing to the applicant. Ce~lificate of Occupancy - New dwellhlg $25.00, Additions to dwelling $25.00, Alterations to dwelliug $25.00, Swimnfing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2 Certificate of()ccupaucy on Pre-existiug Building - $100.00 3 Copy of Certificate of Occupancy - $.25 4 Updated Cerlificale of Occupancy $50.00 5 TemporaryCertifica~eofOccupanc~ Residential $1500, Commercial $1500 New Construction: ~/ Old or Pre-exiseng Building: Location of Property: ~/? ~OD_ P00r~ ~!_~ House No. Street Owner or Owners of Property:, .~.~' .~__~.~ _ (check one) Hamlet Suffolk County Tax Map No 1000, Section Subdivision Filed Map. Permit No. '~ ~ ~ ~ Date of Pennit.~~ Applicant:~.//~ Heallh Dept. Approval: Unde~riters Approval: Pla~ing Board Approval: Request for: Temporao' Ce~ificate Fee Subnfitted: $ ~. S · ~ Lot Lot: Final Certificate: ~ (check Applicant Signature coe / By THIS CERTIFICATE OF COMPLIANCE THE BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by ALLAN WEXLER ALLAN WEXLER 305 WEST 20TH ST 305 WEST 20TH ST NEW YORK, NY 10011 NEW YORK, NY 10011 Located at 10900 N BAYVIEW RD SOUTHOLD, NY 11971 Application Number: 1165471 Certificate Number: 1165471 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Detached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 15th Day of September, 2003. Name QTY Rathe Rating Circuit Type Amoun Panels I 50 13 $6.0( Wiring and Devices Receptacle 16 0 General Purpose $4.0( Switch 8 0 General Purpose $2.0( Fixture 2 0 Incandescent $0.4( Fixture 9 0 Fluorescent $1.8( Invoice Total $50.0( seal This certificate may not be altered in any way and is validated onlylby thee p~esence of a raised seal at the location indicated. BUILDING pERMIT EXAMINER CHECK LIST DATE REVIEWED: ~_~,~/03 APPLICANT: ~u.~ ~_.o.~ LOc. x~F.~ DATE SUBMITTED: ,~ /~?~_/03 SCTM# DISTRICT: !,000, SECTION: ~t~1 ., BLOCK: ~ , LOT: ~ SUBDIVISION: ADDRESS: . ~_~_~d~2ITY: ~:~.~d~__ BUILDING PERMITS OPEN/EXPIRED: BP~ ~-~-Z / C/0 Z- OP~-I~, 1NFO l:~.-t '~ [1:~/BP BP -Z / C/0 Z- 1NFO / BP PRE CO: Y OR~)_ BP -Z / C/0 Z- ZONING DISTRICT: ~ CONFORMING? -Z / C/0 Z- ,1N-FO -Z / C/0 Z- , iNFO ¥¢5 SINGLE & SEPARATE CERTIFICATION-REQUIRED ~_o NOTES: '- ' LOTS 40,000SF -I 00-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JANA997 100-25. Merger (A nonconfomfing at any time after 7/1/83) REQ. LOT SIZE: ~ACT. LOT SIZE: ~ REQ. LOT COV. ,~9~ ~, ACT. LOT COV. REQ. FRONT ?o PROP. FRONT__~'"~_REQ SIDE_ Z~/2_O ACT. SIDE REQ. REAR 'zm __ PROP. REAR .e- REQ. HEIGHT ~ PROP. HEIGHT PROJECT DESCRIPTION: ' ~ <: {$ P'4lg'Ki~ ,]~ ,t +a, ESTIMATED PROJECT COST: 4 5OE ARCHITECT/~zl.'~D-'I'N'[~R: ':l~,~ ,a~*~ FAST TRACK WATER FRONT? k/~ DESCRIPTION: : _~ APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or ~(BED #): __ DTE: / / PERMIT #: TOWN SEPTIC RECEIPT: Y or{~) NEW YORK STATE DEC: pRE-DECg/I/75 YES or SOUTHOLD TOWN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES or.~ TOWN PLAN. BOARD APPROVAL: YES or I~r}. TOWN HISTO CAL PRE SPLIA : YES NOTES: 2.(_ 3.(_ FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: ll' ( SF)-( ¥oo SE)= £'?g __SFX$ SF)- (__ SF)= SF X $ SF =$ +$ nxflT OTHER TOTAL FEE FEE FEE +$ = $ SF)- (- SF)= SF X $ =$ +$ +$ FINAL TOTAL: 76S-1802 BUILDING DEPT. ~ ~NSPECTION [ "J*'"FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL R~K/S. ~~[ ] FIREPLACE/.& CHIMNEY /~ 765-1802 BUILDING DEPT. I PECTION [/] ~JNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. //INSPECTION ~ORAUMN iDNA~ION 2ND i ]~ ~NSAU~ATION FIREPL~.~&_CH 1~4NEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOU~ON 1ST [ ] ROUGH PLBG. [[,~RAU~IIDNA~ION 2ND [[i IF~NSAU~ATI 0 N INSPECTI BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] RO~PLBG. [[ ]]~ORAUMNiDNA~ION 2ND [[,~] F~NSAU~ATION [ ] FIREPLAC~ CHIMNEY REMARKS: ~ 76S..1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH. H/pL~Gi [ ] FOUNDATION2ND [ ] IN/8~I.ATION [[ ]] ;i RRAEMpINLAGcE.~& CHIMNEY ~i~INAL FIELD INSPECTION REPORT y DA'I~E ~- COMMENTS .......................................... ~ ROUG~ & ~S~ATION PER N. Y. STATE ENERGY CODE ~DmON~ COUNTS TOWN OF SOiJTHOLD BUII..DlrNG DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Examined__, 20__ Approved .20 Disapproved a/c Expiration 20__ Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before ~tpplying? Board of Health 3 sets of Building Plans planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and subm/tted 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 par~ for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permfit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 construction of buildings, additions, or alterations or for removal or demolition as herein described. Thc applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in bnilding for necessary inspections. Si~gn]!ture~o f app~lic an~t or¢ ( amc, if a corporatmn) (Mailing aadress of applicant) / ~'0 [/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ,~[ l 1(¢~ (As on the tax roil or latest deed) if applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Hamlet Location of land. on ~hich.proposed work wilj, be tdone: House Numbbr ~S~l:eet~ - ' '- County Tax Map No. 1000 Section 7 ~ Block Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ lq ~ b. Intended use and occupancy ~ra~. /~'~l'a ct~,/ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~Bt~]0"0 5. If dwelling, number of dwelling uni~. If garage, number of cars --~¥ Addition Other Work Alteration Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 9. Size of lot: Front Rear 10. Date of Purchase ~1,9-~o ~ '~ ~ ~ Name of Former Owner 11. Zone or use district in which premises are situated /~ ~ Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES NO V/ Will excess fill be removed from premises? YES __ NO ¢-/ I4. Names of Owner ofpr,.e~.ises /q I1~. I gll~u ~J~?._Address ~05" {,O 20'~ ~/CPhone No. z2~?tz 8ff,~o 7 /Tq?~sq7'/~ Name of Architect l~x,~4'~': ~T'~ ~.~t~.0,fr'i Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) ^~ I lfrne~of~!di~vi2a~:~4~l ~'- being duly sworn, deposes and says that (s)he is the applicant (N ' ' ' al signing contract) above named, (S)He 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 manner set forth in the application filed therewith. Swo~ to before me this -- ~"('"N dayof_ ~:Ic~. 20 JOYCE M. WILKINS Yerm Ex~lre~ June 12. Signature of Applicant