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HomeMy WebLinkAbout26731-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27342 Date: 10/06/00 THIS CERTIFIES that the building ADDITION Location of Property: 65 BAYVIEW DR EAST MARION (HOUSE NO. ) (STREET) (HAMLET) county Tax Map No. 473889 Section 37 Block 1 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 2000 pursuant to which Building Permit No. 26731-Z dated AUGUST 21, 2000 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 ROOFED OVER PORCH-DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL J THIELO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PL RS CERTIFICATION DATED N/A Autho ized Siature 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. 26731 Z Date AUGUST 21, 2000 Permission is hereby granted to: PAUL J THIELO 65 BAYVIEW DRIVE E MARION,NY 11939 for CONSTRUCTION OF A ROOFED OVER PORCH-DECK AS APPLIED FOR. at premises located at 65 BAYVIEW DR EAST MARION County Tax Map No. 473889 Section 037 Block 0001 Lot No. 001 pursuant to application dated AUGUST 8, 2000 and approved by the Building Inspector. Fee $ 75. 00 Authoriz&d Signatu e ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMCNT TOWN HALL E ` -- _;:_�__;nLD SOUTIIOLD, NEW YORK 11871 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATESEPTEMBER.27� .2000 NEN CONSTRUCTION . . . . . . .OLD OR PRE-EXISTING BUILDING 65 • • • • •VACANT LAND. . . . . . . . Location of Property .BAYVIEW DRIVEEAST MARION NY 1 HOUSE N. . . . • . . . . . . . . . . . . . . . 19391939 . . . . . STREET . • • • • • • • HAMLET Owner or Owners of Propertyol?g'K; PApI, TAIELO County Tax Map No. 1000 Section 37 . . . . Block 01 ' O1_ Lot' . . . . . . . . . ' Subrdivision. GARDINERS_BAY•ESTATES - piled Map SEC*• 2. P/0 _108— .Lot . . . . 110 Permit No. 26731• Z • . . .bate of Permit ,2000.Applicant Warren A: Sambach Sr. Qealth Dept . Approval . . . ... . . . . . . . . . . . . .. . . . . . - - - Underwriters Approval . . . . . . . ... . . . . . pproval . . - _ •• _ Approval PlaaninE Board . . , Request for Temporary Certificate . • - - • • - Final Certificate Fee Submitted : APPLICANT. . V"444 Warren A. Sambach Sr. for Rev. Paul Tiielo (owner) C0 . IO/ 14/88 i TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property tines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 fors). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less" than 2/10 of 1Z lead. 5. Commercial buildings, industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the 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, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other I .pertinent information required to prepare a certificate. +, C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted. and a certified abstract of .title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also ace -any the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling 525_00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building$25.00 Addition to Accessory buildings, $25.00 Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of.Certificate of .Occupancy - $5.00 - over 5 years - $10_00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $ 15 . 00 Residential Commercial i ev. 10/14/88 BUILDING DEPT. INSPECTION [ j FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING �IFFA� [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE � � INSPECTO BUILDING DEPT. NSPECTION [ O DATION 1 ] ROUGH PLBG. [ ] UNDA710N 2 [ ] INSULATION [ FRAMING [ .] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE a IN8PECT0 [ELD_INSYECTION_RFt'ORT DATE COMMENTS -------------------- II ro � it -)UNDAT iONI ST) II II it JUNDATIONION ------ ) _ _ - II II p L� OUGA FRAME & >r a PLUMBING it u u n--- --------------------- v� �. _u NSULATION PER N. Y. STATE ENERGY �� N CODE a ii N II II u i1� ------------------ H FINAL " N J I — ------------------ ---------------------- ADDITIONAL COMMENTS:00 O c z a ra ro BOARD ON HEALTH . . .. . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS J LS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . r BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . S 2000 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . �► S SOUTHOLD, N.Y. 11971 DEC . . ... . . . . . . .. .. . . . . . . . TRUSTEE UL .C,EPT. TEL: 765-1802 NOTIFY: . . . . . . . . . . . . . . . . . . . . . TOWN OF SOUTHOLD CALL .631-734-74.12 • • . Examined ;.l. ..., .c{l."!? MAIL T0: W.•.d salmbach .sr.- Approved '. ...., /fes Perna t No. ........Box .1.Q ...5 ......... Disapproved a/c .................................. Cutcho�ue...NY...1.1935 .. ......................................................� ..... ....... ... .. . .... .. (Buildi I tor) APPLICATION FOR BUILDING PERMIT Date August. A . . . . . . . 20.00. INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 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 promises 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. APPLICATICN 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, housing code, and regulations, and to admit authorized inspectors on premises and in buil ng for necesipry inspections. S K- ..................................................... (Signature of applicant, or name, if a corporation) RQ..]�Q.N..1Q.1� ...7. .ZQ..C!.Q:..LAXLe.Cutcbo5ue (Mailing address of applicant) NY 11939 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluIIber or builder Wa.rr.u.A ..5L mbAch.,2r........................................................................................... Name of owner of premisesPau 1..Th i e.10 ....... ..... .............................................................................. (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 proposed work will be done.............................................................. 65 Bayview Drive East Marion NY 11939 ....................................................................................................................... House Number Street Hamlet County Tax Map No. 1000 Section .3 7............ Block ........ 1...... Lot ...91.......... Subdivision ,Gardiners._BaX..Estates. Filed Map No. Sec• 2 .... I,ot P/0. 108-110 (None) ..... ....... ... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..One .family. . ..residence. . ..... . ..... ........................................ . One Family Residence b. Intended use and occupancy 3. Nature of work which applicable): New l3uilding .......... Addition ... .... Alteration .......... Repair. ............ Removal .............. Demolition ............ Other Work .................................. (Description) 4. Estimated Cost fee .............................................. (to be paid on filing this application) 5. If rk,?elling, nurber of dwelling units ............ Number of d�aU ing units on each floor ................ Ifgarage, nLrber of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Fronp 9.............. Rear ....?9 '....... Depth ................. Height .... .... Number of Stories ..ONE ......... . Dimensions of same structure with alterations or additions: Front ..3.9... .. Rear .... 9......... Depth .34 ............... Height ....12.:............ Nimber of Stories ..ONE......... 8. Dimensions of entire new construction: Dont ..2.6.1.......... Rear ....2.61....... Depth ...7.1........ Height .....1.2:................ Nater of Stories ONE............... 9. Size of lot: Dont ..varies......... Rear .....124..52... .. Depth ..156..14 1........ 10. Date of Purchase ..................... Name of Former Owner .3iU l w ink e l........................ II. Zone or use district in which premises are situated .....R-40 ..........,.................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ...NO...... .... Will excess fill be removed from premises: YES X;D Paul Thielo 477- 453 14. Names of Owner of premises ...... ...... ........... Address .�ay.Y.i.��I.R 1Y�. Phone No. .9. .. Name of Arcl�itectWarren .A:. Sambach. Sr.: .,_ Address 7675.Cox.Lane ..Cutchorgee X734-7492 Nameof Contractor ................................... Address ...............................Phone No. ............ 15. Is Lhis property within 300 feet of a tidal wetland? * YES .......... NO ...XX.... *IF YES, SOIIIIUD TC 4N TIi[1SIII.S PER41T MAY BE, REXR[-. i PLOT DIAGRAM IQcate clearly and distinctly all buildings, whether existing or proposed, and indicate all t-back dimensions from property lines. Give street and block number or description according to deed, and show st t names and indicate whether interior or corner lot. �3 �rr_� i 4t' • ple r ` I NMir / ,h Sfn.lr OF nu Y(XtK, SS � f�•� C"17 or, ..SUFE0.LK.......... d c-3- Warren A. Sambach Sr ..........................................................being duly sworn, de s and says that he is the applicant: (Name of inKlividual signing contract) above named, Be is Lhe ..Consulting Engineer ................................................ .................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perforin 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 he perf-onned ' the mane r set forth in the application filed therewith. Sworn to,Wfore me this ......,1............day of u ......:20.00 . E ORY J.SCNOtAND Notary Public ....... r 'Public.StatOV1`149WYOtk JUL" No.4795237^Suffolk ...................................... T,m�rg_ 3/-Ol �� (Signature of Applicant) Applicant/ n Date Owners Name: aux Reviewed: �L Gtr Architect/ Date Engineer: Submitted: SCTM t<: District: 1,000 Section: Block Lot Project //��,,�� � � Subdivision Location: �5 `0'V,11 kW � -__—_-- — Name: Single& separate Required — – certification: (Yes/No) O Req ' Rcq. -_l0 7onme DistrictC-k—zlv Il.ot size ©�Actual `SI� ILot coverage 'rupu.:cd � Rey j Req. I0 r Req. �S/ -��J / (Front lard Proposed: ) [Side Yard Propose& [Rear Yard Proposed J Project Description: 0JJ- AGENCIUERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Sty p Suffolk County Health Dept. New York State D. E. C. Town Trustees � - Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: IA-4�1177 to • uNDpg�RWRfTERscERTIflGITEOCCUPANCY R A P OVEDASNOTED d� REQUIRED USE IS UNLAWFUL DATE- B.P.i♦` a6 7 3 � WITHOUT CERTIFICATEBY: OF OCCUPANCY 765-1802 91 AMNTOD4 PP FO TH FOLLOWING INSPECTIONS: 1. FOUNDATION • TWO REQUIRE FOR POURED CONCRETE 2. ROUGH _ FRAMING A PLUMBIN 8. INSULATION 4 FINAL • CONSTRUCTION MU BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME l�Z" L Ga &u7 (7_.ruW SyNy, -f _ THE[REQUIREMENTS OF THE Nl STATE 6 40T7EE 0"OGx - '�frf ii CODES• NOT T RESPONSIBLE IEFO CONSTRUCTION ERR q„ 2 x f9 1 DESIGN OR CONS OR P`Y&" V �Gb1Y I' J �nt,frtc0 r - 6P_ (dpi TEGb --.____ - _'24, ' ii i� v m t'+ JGUTH _EL & V.47' r :7 6Q,5 `C r= L. SYA7If7/-1 I IrXS 5Tu ;erKoom JE RoQvn w 6 - � vn 14 u LXIS7IN� 5 C7 M t I o00 Lo% Lp EeMove I r - "' I iT'Y- FL V I r c! I 2✓ kart ♦=.r'F 5 2! A � 'L" � I G E N H N A L N 0 T E S i 1 . 1 contra to s visit jobs site, Al c r to i i check _ where roofed over porch deck is to he ' con 2'l r L'L E06Fµ', TO FI( I S"(f NE, E�EJ.!/1 "� 2_ All lumber wtohbex rade marked, Douglas grade marked, Donglae fir, 1450 psi_ 3. Concrete footings to be installed on undisturbed soil. 4. All poste to be CCA with metal angles to 411x 4" FO>'S n;d y '0'Y 1'0'v S' (Ohie 2@TE h attach to concrete. 5. Railing design to be selected by owner. (Mood or plastic) / 6_ Number of ricers for steps to be determined ib the field due to grade and PRIM PAUL U slope. IQ I..�.`) 7. Gutter to be equipped with two down &AYVI EW D I-LIVe spouts, one at each end. BAST NlAL7)ciJN fly t1g39 8_ Close each end of porch above ceili t TLA }—� � CITCHDGHE r _. .. .-- . SAMBACM SR. . - - ' - EnSln+a k�WanMr.. . P.O. Box 1033 7675 Car,LL��Rm� , NEW YORK 1,10 y"a::no *E DATL-- ' 'i-2G-2a-.r, tic=vs' Lhr ,4� U4,lnl Pay' 9p GH40 ray' Se �Ob qa; S'Jp0 ....,...:,_.,,. ._ AL A5 >IJBWU Lgw4 Al2.: t a• 1 ' l VxFat,Ts Ir21^ G VN eVT ROW 411 KIP94 buT°kt ' - RY-f}de t I �f It—r_. -Jf __ i _ I -� - - I{ • 1 � � }PiNF f,m,G�E • „ pV4tGH 48451' Mtl a "- "f,�;�•; 'Kr *94 -1 r� 64t }o`ld% {24, Sal a b J �X 15(!N(„ Wd�� � j EX15TfN &1 3(TfJTlaaf+ EXt5T1NEi L: /INET R+279l11 11 S sXISTiN6 42, 1 fA M11.4 - S CTM 11 "1 19010 I-or.. I.p Q"k CCA g4 ` P,aM ova 1 1 0 -.lie_.�!_" I� ,_..__ .....w._._•.._..;,.�:,._.�.;^'.�.^+1'-� \ � ``t, I1�2" ^j!IP' I 71..1©^� ._.,__� -J.-p` —'��, . LVC, lV — ;Z674FF- p L�41.1 r to be grade, ,Marked I Dari " sit job site, a ec 'raofo pn ch-dagk ime 0 b�! �I" ,ih#t lad r th p7ciibY.hg en8ettr_uctiatt.. 2Nr ULE OGi FZ To EX I,STI F ,5; E5E 4/A0 Sol ��V "4#ht ,''c"kklWaatin9s to be installed on �R •gquif�jv(illsbRd soil. Ci7ti tirfth metal angles to "4'IK 411 o6z5 OA4 }1d"YVOYV [,C•me V_g^I'.E � F ': gtidll� t'kl„ noelCrete'. , P �7kLlk #0 design Fo be. selected by .ownek. ",tri' iv __ _ __ . _ al� gY ..., 2,k 6` -• ,.1 �r'glgG. of pldldkiC� Rlw Of:F_F_ ./ OV EP-, �.%Enr— _ rise%* for steps to, be {Itnaa, $0 t#A' flaid' due to grade and JAIM ? U L TH 4 F LCi � tee to. be- pgRd rtC7a two sown . . ___:.. -.,.... _ "�� ° GX4 VIES DfZIV� Y IrPjr�4t .ose at ,e:nb ett+f. F1:G�Iokl e �79en- each , end ode .Parch' above neiliinyr' fi1�S dY SAMOA* q� "mor b FUN ' CSt 7676 Sr-Al-f- 1/4"M NO W' Q / AUG 29 2000 I';_J PATG : 1-26-2”" Ctevv 9•z3z�zv Gtr.D w Se Joo u Q.. 7Cp A}}2x - r !j xl _ r s t1�41c4;{ tt ?kru#aL JSMAM P+?air- suWa l AN01,111A r Al N izkot'/2•s h4«vNsa5 �� fit I r r I 4 6X S71NGr P.aC'D DM I EY157l i'{ �t � R '` EXIbTfIa C-rIV C7 RA4/n a _ _ 4 l w - > Ao' r✓{ d � c.+rlenH4 -... Rv iF¢ I Ml ly l`I V o 4a? Yaor veer, s c7 m , I o00 $ tm � �EcTtof,{ t 037 r .v p -q+N6° CGA 09 Ee'M ove 1 r' a_M�'Y"jM* aG'1312., 1 � SCK GrDfrR ,� "�l"ki5TN6i4 ) �y x i 1A E^0.1LN fill D aooR vvi -7 A, , ;. -^ - - - pLnT SLA 1--4I i w o 'x 8 s s I 1 . all contractors to Visit job site, chock _ - ...._.-,.--�._..-=^-..,=-••. ^.:..=.. . _... ...� .�.-.-{I- k� 4'S0£ i. y�., ch-deck fa to be i _ ¶ over porch-deck fir --.;ry.�• with 4*iflti.hg- consttruction. r1/L�, � p, TO 1iI$Tl94 e JA d. All 1>fabor. to be raii aarlil DbuM as 1' p coal "fsotinga to be installed on w' r 4, 130 1* Nd m 4 ` y - m -' - ii "#y. lrt$`, o Da'cAiritbmetal angles to 1t '11b��dekeCt9d by ollnet. {hood oar Pitt 'i- E 4+r1,r1.", Dtill aia%�"rJ, Ow u?I`p"iti A, _ � . . ,¢"..d.^1'ioS.`P,� 48�7fr9arr� � rlk� pst�du to; be � � •-- aat«{ n&d s end' auB to grade and lV1iiiiiilM FAU L 'i)J► E Lii �..,_ -- It#' eco hb padrith.two do 2YWCW DSI an �tdF tib' dtr r #W�� gik--P fJiR�r) ?N My , 09,51 .I LIP kW 1 r- :.^ ./�t �'.'}-( - - r+M yY , T._.—..—..�..._.......,.- '�� i,...:'_'.. r i y rpr.:rG` ' �W�t qA fin✓ e, i vt!� �}hlf + t � r Iny' Y VATr , .a -.:. X�1 '�'.Ti�t"?'.�'b1`/• ,�'� ' ''.t fab l�A'♦., �".!.�F�E� , 77