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HomeMy WebLinkAbout27109-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27809 Date: 07/11/0 THIS CERTIFIES that the building ADDITION Location of Property: 500G25 MEADOW CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 .1 Block 1 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 2000 pursuant to which Building Permit No. 27109-Z dated MARCH 7, 2001 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 CONDOMINIUM UNIT #G25. The certificate is issued to BARBARA DICOSTANZO & LAWRENCE BURKE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r Authorized signature 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. 27109 Z Date MARCH 7, 2001 Permission is hereby granted to: BARBARA BURKE GARDEN CITY,NY 11530 for CONSTRUCT A DECK ADDITION AS APPLIED FOR UNIT #25 at premises located at 500G25 MEADOW CT SOUTHOLD County Tax Map No. 473889 Section 087 . 001 Block 0001 Lot No. 025 pursuant to application dated SEPTEMBER 26, 2000 and approved by the Building Inspector. Fee $ 150 . 00 c A or' ed signature ORIGINAL Rev. 2/19/98 " Form No. 6 TOWN OF SOUTHOLD IT BUILDING DEPARTMENT' TOWN HALL '..) -JUL ! 765-1802 (( APPLICATION FOR.CERTIFICATE OF OCCUPACD 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 b 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, in building, multiple residences and similar building 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. Accukate survey of property showing all property lines, streets, building, and unusual natural or topographic features. 2. A properly completed application and a.cousent to inspect signed by the applicant. If a Certificate of Oect;pancy 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\0 4. Updated Certificate of Occupancy - $50.00 5. Temporary 'Certificate of Occupancy - Residentia $15.00, Commercial $15.00 -Date . �. ). ©�� . .. . ... .. . . . . . . . . . . New Construction. . . . .. . . .. .' Old Or Pre-existin Buijl�din . . . .. . .. . . .. . . . . . n 4 Location of Property... .�.C' �. . .... . . . . bea Yom. .�r� . ..�. . . V �l� .. . . . . . . .. . . ! House No. Street Hamlet Onwer or. Owners of Property. .. .. f3R�P-A2�. . . k1v2 � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. �_ � . . . County Tax Map No 1000, Section. .tf S �n�� .Block. . .��\b� . . . . .Lot. . C. �S . . . . . . . .. .. Subdivision. . .. . ..6+ . . . . . . . . . . .. . . . . . .. ..++pp.��. . . .. .Filed Map. . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Permit No. . . . .. . . . . . . . . . .Dat'e Of PermitY:'! g n . . iD� !Applicant. $ealth Dept. Approval. . . . . .. . ... . . . . . . .. . . . . . . .Underwriters Approval. . . . . . . . . . . .. . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . .. .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . t_/ Fee subigitted: $ .. l• • `��� BOARD OF HEALTH . . . . . . . . . . . . . . . -FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALI. . . . . . . . . . . . . . . . . . . Examined.....q!�......... ".010.1.. q P1 UA MAILTO: . . . . . . . . . . . . . . . . . . . . Approved......q!J....... 1A?( Permit No. Z` ................................... Disapproveda/c .................................. ................................... r,,. 1 • (Buildi•. nspector) 2000 ;111 J APPLICATION FOR BUILDING PERMIT � 7 - Y.7.. . . . . , 209 Q. 1111 . . ==`=� ��� SEP 2 6 tic7�.D INSTRUCTIONS Dat a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the building Inspector wi 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICMON IS HEREBY MALE 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. lbe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i t' ms. C@a .. .................................. . ....... ...... (Signatuurey o'f' applmeant,,/or/ , if - corpor ion) .•:.4� ---"'7 (Mailing address of applicant) "— State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildem ............. . .................................... .kA................................................ ........ Nae of owner of premises ...1-N?1r:rP'lm ... A .................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ................1 111�- ............ .................. (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... -- Electricians License No. ..................... Other Trade's License No. .................... 1. location of land on whi sed work will be done..&J.Q.4�.0 .... •T1 a`�.......................... I�: L ( 71 1111.. ....} da±�?. ft.-.: ...........�f.... House Number Street Hanlet Canty Tax Map No. 1000 Section .Q.(1.�J...Q.1... Block ... Tot 6 Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and cupaucy9�oyf proposed construction: a. Existing use and occupancy ............ ....Q%W.4....A,6,7 1 ...(*?!.avalf .... i� ' b. Intended use and occupancy .............b �... &.............................. .......... r 4 3. N•rfure of cork (check witicli app}[ca)le): New I4nilding .......... Addition ..L(,,,... Alteration .......... Repair ............ Removal `......... Demolition ............ Other Work CA-jtA.P Q.t�.�i�..e,.X.((5jA v Gr - // (Description) d E G 4. Estinnted .}........ fee .............................................. (to be paid on filing this application) 5. If deelling, rxnimr of dwellinglunits ....L..... Njsber of dwelling units on each floor .... rX...... Ifgarage, rxni>er of cars ..... ...(q.6........................ 6. If Ixminess, camnrcial or meyi( od�r specify, nature and extent of each type of use...!.� ,'.............. 7. Dimensions of existing at> tut<eis,lif dry': &on�.....�: ... hear ............... Depth .....C........... Dimensions.. of s... ......... wi Ntnber of Stories ......I............... UcighL .............. stru ture t],h alterations or additions: Front ............... Bear ............... Depth ........ ....... ..... lleirgiL ..................... Dknber of Stories ....... .. fight ... III Front ...�.!.. ...... Rear ............... Depth ...�......... 8. Dinensiars of enure new const.• 1ar�r ur%�Luriea ..................... I " 9. Sire of lot.: Frtmrr ........... i....... Rear .................... Depth ............+........ CLIA 1i�Ay 10. Date of Purchase ....6.....1 .4, ...... Naiie of Former Owner F�IW A a q L:..C �)? V.). U�. ' !$q� Aj+ 14 II. Zorre or use district in wiridn uses are situated ........................................................ .... 12. DoesImo.. ro sed construction violte any zoning law, ordinance or regulation: .....!Y.4P............ F 13. Will lot lie regraded 1Qd ......... Will excess fill be removed from premises: YES NO 14. &mes of (Mwr of premises ........................... Address .............................. Phone No. .............. &ane of Architect. ..............L..................... Address ............... ....... Phone No. .............. &me of Contractor ........ ...I............. Address ................... ......Phone No. .............. 15. Is this pmperty within 300 teet of a tidal wetland? * YES .......... NO ... *TF YES, S XMHD TUM 1ldJS"IPLrS PEM•Jrr KW BE I>rQMRF.D. PLOT DIAGRAM locale clearly and distinctly alI buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and Plock norther or description according to deed, and show street names and indicate whether interior or corner lot. � f. " �0��� II , 5rA'IE (A' NU Y(MZK, ' SS CCJIJNIY (F ....n.... . . . ......�..j. ....... ON. . ' 'fie . .. ... )beirtl; duly sworn, deposes and says that he is the appl.icanL k�C (Name of individual signing contract) above rinsed, /� Ile is the 0 ....... ..........t... ......................... i{ agent, copo( rCl�ficer, eta.)r J (Co tractor t, t (.; Ivl r 0(__ of said owner or o nmrs, aryl is duly auEhorized to perform or have performed the said work six] to make and file this applicatirni; that ell sLatAmnts c xntainet] in this appJication are true to the best of his knowledge and belie F; and LhaL the work will be performed in the 17mner set forth in Ole application filed therewith. St�orn Lo before� me this , .... .... of . ....�... 20.c).o.. Notary Pblic /L`.� E .... RNE .... i 00 h ; ........... HELEN ..0 . Notary Public,State of New York (Signature of Applicant) No.49613 4 Ottalifted in Suffoll 4tn r•r,ti� Commission Expires V t SCD of A [a]V.-4,v 3-G" NIi-[ 1. ,Cont actors, work is ko con;osdi with all local ordinances & Ne York ' >-}�v v�:: K- ". - _ � �- 9tate )�ulldiis4 Constructioas[ 'CodeLatest- Edition. - - .2 . C'ontracpota' ahall verify all 'field conditions and dimsnsione, and,will _ r - - _ --*r------,- , be responsible for' Some. Any"discrepancies °shall be reported to the - - e_ K 1 NSG '�-�' --j` '.�. _ - - - - - 'the"Architect Ymmed_iately. - - ' I� , tF_'x [%'T IF,IG ' � s .— � � - � _ ` � � � 3, Contractors .will -� codperaCe' with allother trades and will complete" their work in aacdrdanca' with beet- etand'arde and prsicticex. _ x, l -•ri n-x ,c, •t_a..l� � ���,o yA.� - 4. All dii4insions are nominal and take preceden" over scale. All . • - -� - - - - abbreviations are. standard: _ A 1Iti--E .�„ � _ - � � � 5 . All -items �'oE' work on tfie 'drawings -are new, unlace atherwies noted. 6. Proprietary , natriesv identifying , items of •work are used solely to prescribe standards Of constru'ct'ion., Itema of re'qual, 'quaiity may • be - aubmi teed to the Arc4teet for consideratioai: All footings ahall bear upon undisturbed Soil having an a"=ed bearing - - - - - capacity of •4rOQ0 P:S i1P, '.' gaarkn4 capacity' o€ soil to be verified by - - - - - - the contractor prio.; to placement of footings. - - � 1 tiA Gr - 4 - - - - - 8., All concrete -oonatruotion shall conform to the Amerigan' -Concrete xnatitute's " 73VS&DTNG„ CODE RLQDIRENE,NTS , FOR '03flbbidED CONCRETE ACEs 318, _letent' &d_ it ,��!!^^, '� // '-{•".T I -"`�'� . s, :v _ Rhe ultimate .comgi�eeaive strength of concrete,it -ion date will be.R''. �,. _ : Foundon Footsn.&- ga at `�iT sl :s a l0-' All wood frame construction shall conform with the . American- Institute of Timber Construa'tibis,'s "TT4NEER CfSNSTRV�TEON NAN'UAL" Latent i4itiou. . - - - - - - - - - 11. ',-All ¢OA;-Treated wood_ framing.(nembsre shall have an a116wAble , exttsmm' iS-a I - _ - fiber -atrese to= 61-'greater. than structural grade Southern 'yel low ' �"_ G_.a_ � :c�•�"_';.." � _ - G � ; z:� : - .jrb ' . ,"5 oei,3!v • 85 'Psi . . $' 1 400 004 'ggi � - .--- _ - - �-- .cls:<v . ,-- - 2- 'Nts, a" [..v -" - - :o ,t, 1-1- 1 � [-t - _ 12. ' Conttaetor, tc''�inataIl ell. now., material with details to ' matci� . sxi'eting (typical) . fti yv k '1 Q ' ,c cv zy a, ��A 13. 'Provide, 3' -Q" - hi h nai'linga- ae required and as shops on the drawings _ with Style and detail. to match -oXiting: ' to �Ad�'r{:..F�'Y .11�E0 6r t[L t�E.� !:tea l-'r g-sem' � -, 14 . Contractor is to clean-tip after all tradeson a daily basis and leave' _ - all areae free of debris immediately upon final completion: �X [�'r 1Nlo: 4_- - ' t�..X'C "cam' - `: - - �-'p,p -r'T' - �' 'i'Y l'1 �/a f �,X ♦'�T 11--1�",E.' 1%6>--GrfL r,.T'�U,�G YC12-�- � - - u t,.- v-s k'..+ �. 'L_ 1 F,..s �. - - - aP R vEo as woTEn ' co e.aAQ to FM,IA� /5'd• BY., -- e /r 141, ^ -} ' NOTIFY BUILDING DEPARTMENT ENT AT G-+�G..�' /� t 783-7807 Y AM TO 4 PM FOR THE OCCUPANCY OR FOLLOWING INSPECTIONS:. I. FOUNDATION - TWO REQUIRED v�.I rk ' , r • h.-- . USE IS UNLAWFUL FORPOUREDCONCRETE > WITHOUT CERTIFICATE a ROUGH • FRAMING i PLUMBING INSULATION OF OCCUPANCY � �4 FINAL • CONSTRUCTION DUST - 1 - - - - .-ti.irr_�V...,z:E�B • 47�u":� 0 EF C. . BEC MPLEr Ofl 0 tr_ "I Lt N�`r - ` c�*na s7 G-�- ih,•�[+IUE ALL CONSTRUCTION SHALL MEET 'FSU 1 L_t71 h-[ -rr+ t.�.is-"rG.t-1 _ eta t-�i's'.�w/4t•t--•J- - - - pa`-rte' - - ' _ - THE REQUIREMENTS OF THE NX r - .1cCA•lrl'1-s - �'4 - - N U-E'� p� STATE'CONSTRUCTION S ENERGY y - .- \'/A: ..l CODES. NOT RESPONSIBLE FOR I %-4 DESIGN OR CONSTRUCTION EIiRWIS - - T." GFS^-..7.�5•U-`� -- ' "Ne=w z;cG GGA v�GIC. - J.9l�r'3 �. Eu`"/� tv/G{�LA/• ` tp 1 j + FL;.0 bri Cw1CPl tE;C _ - - - - _ - 'JOIbT 'YH 2.IJ 'F3kl.YL:*C? ''T�3, 4C s� �iL�A� --_. •� Ps4T *x s u.. ._� A2" s t' •�?- 6LJ FF`J,'i-�. L.J _)t-a 'Z-"C TA. X //'-Ai' 1J. 2 - I .7JJ - ®7J". - P1 - 2$ - �is�,otr..r�_^�-- 1�a= Gly Rt�i7'kT1aIJ \S�ERED ARCH/ F-p 7i- [.1 N i 'f Iva 2 g - ro.o�-r�`�;v%Izi.� a-oT.�v . .-'... .sem,;..• e��eE 1 tq 'Fcr 'T {�) G r7 �/ . ,4T . 'a'e� L1 '�' ISI rJ L G' Aryl GA R,R � TT A.. STRANC • . 1 ,! , 'F[r..1�L I toc.,.oN S.�L1 F-[<.7, L t� N 6�1 ace , �t�✓{T" -G♦?'r1_L"r..l� ' fG1lE A b R.1 J..r& 'R'L IIEO PRGM'I NG H! 6� 1230 Traveler, Street Southold N.Y- 11971 lq-. IS'- Is�v� raz vee sT /� c015244 tv _ sf41, OFNeN'kcs 631 - 765 - 5455 nRawNRr A 3 � � 01