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HomeMy WebLinkAbout27139-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27649 Date: 04/27/01 THIS CERTIFIES that the building ADDITION Location of Property: 1610 PARADISE POINT RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 81 Block 3 Lot 19.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 28, 2000 pursuant to which Building Permit No. 27139-Z dated MARCH 14, 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 ON THE SIDE OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES & BARBARA MILLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A //Autrized 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. 27139 Z Date MARCH 14 , 2001 Permission is hereby granted to : JAMES & BARBARA MILLER PO BOX 610 CALVERTON,NY 11933 for CONSTRUCTION OF A DECK ADDITION ON THE SIDE OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1610 PARADISE POINT RD SOUTHOLD County Tax Map No. 473889 Section 081 Block 0003 Lot No. 019 . 004 pursuant to application dated DECEMBER 28, 2000 and approved by the Building Inspector. Fee $ 75 . 00 AuthorizecT Si ature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD APR Z 5 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY 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. 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 - ry .25%0 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 15.00, Commercial $15.00 Date . . . . . . . . . . . . . .. ...? . . ... . . . . . . . . . . . New Construction. . . . Old Or re-existing Building. Location of Property. . . .. . . . . House o. // Str et Hamlet Onwer or Owners of Property. f'^OJ. . • r:'., . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, S ction. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . P.271d.9Z. . .Date Of Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . ./. . . . . ©0 Fee Submitted: $. . � --. . . . . . . . . . . . . . . @�,c 5X13 6 f . . . . . . . . . . . . . . . . . . . . . . . . . . . . en � a7Gv9 APPLICANT FIELA Yw19SPECTION REPORT DATE x COMMENTS T� H FOUNDATION ( IS FOUNDATION I �t1 ROUGH FRAME 6 PLill•D2ING N INSULATION PER N. Y. H STATS ENERGY CODE I' II ' H i I FINAL I' ADDITIONAL COMMENTS: po O� z � ro H -7, 51' 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATI ST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE,& CHIMNEY RE ARKS: DATE INSPECTO M-1802 BUILDING DEPT. SPECTI®N " ' [ F UNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( ] FIR LACE A HIMNEY REMARKS: ,DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: CEJ ,DATE INSPECTORf� FORM NO. 3 9'1 _ TOWN OF SOUTHOLD 2 8 200 , BUILDING DEPARTMENT TOWN HALL SOUTHOLD,NY 11971 { —•�-- TEL:'765-1802 BUILDING PERMIT APPLICATION CHECKLIST: Do you have or need the following,before applying?: Board of Health? 3 sets of Building Plans ✓ Survey ✓ Check Septic Form N.Y,S.D.E.C. Examined / , 200 Trustees Approved 200 PERMI O. Disapproved c Building'Inspect APPLICATION FOR BUILDING PERMIT Date is-a , 20 D0 INSTRUCTIONS a. This application'MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets.of plans, accurate plot plan to sale. Fee according to schedule. b.,Plot plan showing location of lot and of buildings on.premises,"relationship to adjoiningpremises 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 app_jication,maynot be commenced before issuance of Building Permit. Upon on approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premige's 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 . 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.The applicant agrees to comply with all applicable laws, ordinances,building code, o sing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Signature of app ant or name,if a corporation) • � V 1 (Mailing address of applicant) State whether applicim s owner, ssee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises TAMES C. MjLLd9 (as on the tax roll 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. 1. Location of land on which pro osed work will be done: 1610 ?AeAbj�t;7 eh Soo-inal'b House Number Stre t Hamlet County Tax Map No. 1000 S ction Al Block 3 Lot fq,y 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 sjgik jwrr"& b. Intended use and occupancy «rti6 wi7H /L 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ]�gelC (Description) 4. Estimated Cost $ 3�QO,od Fee (to be paid on filing'this application) 5. If dwelling, number of dwellin units ONLY Number of dwelling units on each floor''/42 ov6 6t'0i➢• •TI>,e6r If garage, number of cars_ �-w o _ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.', 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories , Dimensions of same structure with alterations or additions: Front Rear bepth Leight 'Number of Stories 8. Dimensions of entire new cons�lruction: Front Io' 6" Rear lo' 6' Depth f ' Height Ig" of Stories 9. Size of lot: Front 231 .,55C I Rear ,2oa11'0 Depth 9a 10. Date of Purchase 6116 Name of Former Owner zi urbrt t Af2D 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded Uor Will excess fill be removed from premises: YES 14. Names of Owner of premises 'r1]6mes miva L Address 16io +7RakhSN gjo Phone No. 765-333( Name of Architect "i/A Address Phone No Name of Contractor 111& Address Phone No. 15. Is this property within 300 feet of a tidal wetland? *YES`. NO, • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, indicate scope ¢f project, to scale, with distances to property lines. 17. If elevation at any point on property is at 10 feet of below, must provide topographical data on survey. STATE OF NEW YORK) C r/ SS: LINTY OFA C ' being duly sworn, deposes and says that(s)be is the applicant" (Name of individual signing contract) above named, S)He is the IVI�R�eaN7hu'/2 (Cont'actor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly athorized to perform or have performed the said work and to make and file this'applicati.on; 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 tl�e application filed therewith. Sworn to before me th' day of C 20&V Notary PUtliANNE D."us Signature of Applicant Notary Public,State 44f NewYofk No. OIKL504g798 Qualified in Suffolk Coun Commission Expires Marsh 20, 0 f EYS17� r'o E o I I I TYf'. Ys4 D1S o'�RE Y puK�A i i I L6o i I 1 I 1 SIDE vl&v✓ SCALE: I' B �� APPROVED BV: DRAWN M DATE: REVISED 2-R'1^00 DRAWING NUMBER Y4 APR0 1�110�Ep DATE:_ d 3 ewsT,w4 rC6 l HouS� N IFEE T BUILDINti A 755-1802 9 AM TO M AOR Tin FOLLOWING INSP6p10N3: 1. FOUNDATION •TWO REQ FOR POUREDCl7E 2 ROUGH - FRAI • & INSULATION I DOOR I wiuDOw 4. FINAL - CO ,zxg T z°e. BE COMPLETE1bR CA, xY' ALL CONSTRUCMN SH SRS' 39� rn�pocr THE REQUIR , sa"0G STATE CONSTRWION& CODES. NOT NESpONSKg FOR DESIGN OR C "&UM H8" o a K o c ugg USE lo� Al WITHOUT QF 0CCo,U -aR.,mI10. y psm"5P2.$ � 9 SII o TaP V yew O SCALE. 11 y _ I I APPROVED BY: DRAWN SY DATE: I n-� O O REVISED DRAWING NUMBER S�ONc <o 0 4 wPv � _' � AO � '• ur \ 4r � a � �• p p' Pk ro tb y O }g R _ of 0 + V 7�t r + ®p N 3 _ fir o w .. ;A PP 4ox ToP Oc _ ro i fs ��Nr O o i Z I b rq�r i Z6 r,ftr- v4'e xx � 4 ;T C•uctam q _ N/Bp TIDE ' t_(NE N/GN T/Oc+- by 1Z .Yawe Tl�l99G _ sx F,�-�- Sou t4p ! N/F CAL119 n\r� m•u 1 NOW o2 FO2M�2LY LAND OF .ToHtA `i SCAN PETROCSLL_I (DW ELL.) 654.79 M1 I aLcc, �/I ^ ]Ani.0 nv Pi.rL er DEFAIL � N. SG ALS) I I ly s I O I / e I PL I FouNo MEM. c oc BAF MAS. o V• //� I[eN PIPS, nT aert NFC 4635 �- oo I� E . 3a97ti fe `�j I � l� PIeR 72 5 . 92' 44 3' �I I G�QJ C` 135 r f t C �. • IB1� / � Ql .# FR GPC p` A P O 9 V �_ PIE¢5 2'i1' 4 I / .0 4Lq• - .N J I0 O e� CRUSHED i 4 GAC Z �O L S N sTnuE z..e• II H2.1• Z o / la'i W q ` q Q4 "e_1LL 14 1 c I / p.w. 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Y W 1 NEW oft F'02ME2LY 1,AND GF CRIL6EKT ti W \ PWELL) v z 71 o In a W - AREA: 190j684SF• 0 •oo Aczws5 sULY Z2, 1997: FIELD S.v EP£cTroN RcvlRe Gr Aowy UNAUTHORIZED ALTERATION OR ADDITION TO MIS SURVEY IS A VIOLATION OF SECTION]eW SUBDIVISION OF THE NEW YORK TATE EOUCATION LAW COPIES Of THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY SENT IFICATIONS INDICATED HERECA SHALL RUN ONLY TO THE PERSON FOR WNOM THE SURVEY IS PREPARED ANOON HIS BEHMF TO THE TITLE COMPANY GOVERNMENTAL AGENCY AND LENDING,INSTTUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS EASCMENTS AND,OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE HOT GUARANTEED UNLESS FHYSICALLY EVIDENT DN THE PREMISES AT THE TIME OF SURVEY THE ]FFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY L INES TO THE STRUCTURES,ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY UNEl OR TO GUIDE THE ERECTION Of FENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT 6EACH RPUBJfC A __T.NAVAILABLE O. WELL WATER 0: NDIVIDUAL SANITARY SYSTEM SANITARY SEVVER COLLECTION SYSTEM AVAILABLE ❑ CE.Q�p ELEVATION$TO_ -- DATUM OFFSETS TOFOUNOATION UTIUTYEASEMENTS IFAHYNOT SHOWN. USSTD.MEASURE 1� SURVEY OF: D`P4kr R 10.8 n P2ppFjLj!y -.._ .__ CERTIFIED TO: MAP OF: _—_ - _._.__ JAMIE% G { INAQeyP__WA t4363.y FILED : _ _ -__ ____—_ ..__._ F'LD6LITY NAT•Lo111�AL MTF jI ' ]HS. S.C.TAX MAP: 1 C� rJ�A_� a 1 - - 7 9.RL ----- ._____ r-0OpHB W Yo a Ic SITUATEDAT: .._ _.,.RL`•'VTMOI.DA _�_,_� , . ._.._ ._ __ ___ ___—._._—____ __. __._ T WN F: 900T $ Fg I.KC. N.Y. KENNETH M. WOYCHUK L.S. msinlalvina the records of ROber! 1. Revnesq Lend Surveying and Design C►Iverton, New York 11933 / (516) 727-5127 SCALE._1--H- +0 FILE DATE, T`_ME 116, 1195 • C NO' 50227