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HomeMy WebLinkAbout26318-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27048 Date: 04/19/00 THIS CERTIFIES that the building ADDITION Location of Property: 1225 SEAWOOD DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 7 Lot 61 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 19, 2000 pursuant to which Building Permit No. 26318-Z dated FEBRUARY 1, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GLENN & LORI MCIVER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED ) N/A Au :orized 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. 26318 Z Date FEBRUARY 1, 2000 Permission is hereby granted to: GLENN & WF MCIVER 1225 SEAWOOD DRIVE SOUTHOLD,NY 11971 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. at premises located at 1225 SEAWOOD DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0007 Lot No. 061 pursuant to application dated JANUARY 19, 2000 and approved by the Building Inspector. Fee $ 75 . 00 AuthdLvIzed Si iature ORIGINAL Rev. 2/19/98 Form No. 6 �I !'' .r TOWN OF SOUTHOLD BUILDING DEPARTMENT f�P,? Zuuu 1J)j TOWN HALL ^•� 765-1502 Plt)G. DEPT. T, vd"N F S UTHOLD 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 "tire-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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $$15.00, Commercial $15.00 Date . . . . ✓1.���o/cv . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . �/ Location of Property. . . . .Z?S " $ eac�o �C . . D! . . . .. . . . . . . . . . . . . . . . S-, / kol� . . . . . . . . . . . . . . House No. ��** Street Hamlet Onwer or Owners of Property. . . .4? . . ... . . . � ... . . . . M c. .. ..e... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No lOOO, Section. . o 71 :1 . . 4 . . . .Block. . Qbo 7 . . . . . . .Lot. . . . OGS . • Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map— . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . / a r� Permit No.'Z('.3' . . . . . . .Date Of Permit. . Y1.�/ . . . . . . .Applicant. . G. �`:`� . . �. v`.. . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . 4 . . . . . 4 . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .�. . . Fee Submitted: $. . 2r "`7 aee•S 77 6 . ./"%7.c.04--^ . . . . . . . . . . . . . . . . . . . . . . . . co E:9? r/t 91 APPLICANT Town Hall,53095 Main Road p 1 Fax(516)765-1823 P.O. Box 1179 Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 18, 2000 Mr. & Mrs . Glenn McIver 1225 Seawood Dr. Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26318-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. )ATLON ( IST) j )ATION (2ND) _____________________II it „ 11 11 _. " -__-_-_--_--___--- z 3 FRAME 5 " o PLUMING it--- ij- — ------------- -- — --- If 11 II II H LATION PER N. Y. i NI cHa TATE ENERGYit_ CODE I n H if -JI FINAL �j------—;! �I lu ADDITIONAL COMMENTS: c O z r i •------------------------------------------------- ----- � 1,11,zMw M, M `l dw TL IN u 11 1 'r-, m _t- 7',� 'gin-,. HI(MW T# E S RVK11 COPAPAIN' q,7,r, f "A T 'w TITLE —do t '.L �!Av� OF PlrlOT-Z'ic �eVEY E U SL V D N ;,�_ I , i I - - i<- THE WATERI kg- sysrRms 4T CONFORM 0. SUFFOLK _AYVIE Is) APPI 0-7 TT:tiv'N GF UTI-iOLJ,NAY. v 11. SUFFOLK cr 4 95.? SF R V IC Ei, till CONSTRucyt DATE' -Z APPROVED;.;.-.,N �1* C.L f, 0-D SUFFOLKF DIV. 0 low Pl z . 11 M OCALE-46r _ OWNERS AD D &L A.- 14,501 a r, SO U-4 r. _-7-nn7. pl PF z DEE All- APP ER Al 10111 Z 1126 3 DATE B.P — eeL rz;p BC « FEE: By NOTIFY BUILDING DEPART F. 765-1802 AM TO 4! PM pop �� FOLLOWING INSPECTIONS' ,e 1., FOUNDAT19N - TWO REQUIRE_ t ICED AUG.-�L FOR POURED CON(;RETE L95§31 C. 4 9s5 SAN : 2. ROUGH - fRAMING & PLUMBING /3. INSULATION 4,FINAL - CONSTML _v TZ OR -§EcOmPtETEf_08C0e-'A'-! IE,A L 7- ALL -N—STRLI--CTION SHALL T NLAWFUL THE REQUIREMENTS OF THE N-Y "W STATE CONSTRUCTION & ENERGY � IHOUT CERTIFICATE .. . ... 'RODERICK VAN TUYL,PC CODES. NOT RESPONSIBLE' F.9r. OCCUPANCY UtblUN UP CONSTRUCTION 'EPP k #ID a ------------- 411 Z1„ . 4 C� lL-.Zyq ccA �Ba, Q �SE 3 ' '/Y RoA s/`/X cc oK Ic1+' 7Yr - 2.X 10 8o x L{fF+� 2X$ FF..r 7wif qxq 2xl2 STry yu VC Z XIo rAtA-JS XI ti 3 r tri r �°A+sK beep F, 4- T F`i'S. -rye. ie�ti �z�e— PP77 765-1002 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�INAATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �v! DATE INSPECTOR ' BOARD OF HEALTH . . . . . . . . . . . . . . . FORM N0, 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y, 11971 TEL: 765-1802 NOTIFY: r1 CALL . . . . . . . . . . . . . . . . . . ExaminedR. . :!�' , 2l't..... MAIL TO: . . . . . . . . . . . . . . . . . . . . .......Approved -Ar..., � Prit No. !!'Y�. / :Cr. ................................... Di ................................... ................................... .. ...................................................... (Building Inspector) �A APPLICATION FOR BUILDING PERMIT • 1 Date. . . . / . . . . . . . 20.4 O INSTRUCTIONS a. 'this 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 building for necessary inspections. -.. cam-...................... (Signature of applicant, or name, if a corporation) ...!LW. /�v� c- ...Uoke�..ro�,/V• ..... ................... .... (Mailing address of applicant) // '711 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0.w.1!JL:A ..........................................................................I........................ Name of owner of premisesg.(e"K - L";i"; M c -ry e" ............................ ........................................................ (as on the tax roll or latest deed) r 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. ,/C!................ 1. location of land on which proposed work will be done.............................................................. 1ZZS Sem . o �r 5©mold ` House Number Street Hamlet County Tax Map No. 1000 Section ...!�75....... Block ..y/............. Lot .. FC Z.......... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use acd ocanpancy of proposed construction: a. Existing use and occupancy ...5::�$. w �y (.... � 9 ...........................J......................................... b. Intended use and occupancy ....:S.uwy.�t'.;..� .'t.':':u.�. ... wCla T J. ROL worK uu Raroval .I'�icable/: New building .......... Addition .......... ;Alteration .......... Repair w ......... DOW] ............ Other Work on) 4. Esti Wescriptr ......� MEstimated Cost .�.�:5�: ark li........ Fee .............................................. (to be paid on filing this application) 5. If &,elling, rxnber of dwelling 'traits ...` ..... Umber of, dwelling units on each floor ......, Ifgarage, number of cars ......1 -........................... 6. If Ixhairess commercial or nmur¢d'ioccupancy, specify nature and extent of each type of use...................... � r Height s, if any: I+ront....`/o,....... Rear !/�.......... Depth ..3�?........... 7. Dimensions � existing structure, Umber of Stories ... � Ilei rt I Di ensions of sane stricture witim alterations or additions:..Front .....`(°........ Rear ...9.q.. ........ Depth ....A............. Deighit ....A S:............. Number of Stories ../.t ....... 8. Dimrensions of entire new const 13( rulcLion: Front ......19......... Rear ...y... Depth ......"/ ........ height ........z Y Umber of Stories .....� �` .......................... 9. Size of lot: IYrxmC ...... /QF?�m....... Rear ...Y. ? ...... Depth ..,/ 5 S 7j f �/ p ........ 10. Date of Purchase ....1 b y...}..... blame of Roamer Owner lT...,/.�.0 �S L'..................... ui II. Zone or use district in which premises are situated ..., sf/.. / ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ 13. Will lot be regraded ....6� �.. i ..... Will excess fill be removed from premises: YRS ® ZyY Jy6 7 14. Nacos of Owner ofi �J" �= 4 ....... Address 12 wi�(t ym� . CT (�p e pl y No. Z- ....... proemses .�P..:............ Ilam of Architect ..........,.: '.;... ✓............. Address .............................. Phan No. .............. Name of Contractor ... '�,r �..... ..................... Address ...............................Phone No. .............. 15. Is LhisPrnPe7 YES rtwithin 73l e00 feet l a tidal wetland? * YES .....,.,.. bA .Ale.... S PERMrr MAY BE WkIMRED. PI.OT DIAGRAM Locate clearly and distinctly al� 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 corner lot. SIKIE OP P8W Yow, SS Oumly OC ....................... ... .. 'I..................being duly sworn, deposes and says that he is III,- applicant (Name of individual signing contract) above named, lie is the ...... © w N ...........��L.................................................................... ............. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed Line said work and to make and file this application; that. all statements cuntaiT,I in this application are true to the best of his knowledge and belief; and Lhat the work will be performed in the manner set Forth in the application filed therewith. Sworn f .daySof: .... .... ..I;.. �0....... Notary Public ... .........�/�••.•• �— .............................. HELENE D.HQRNE (Signature of Applicant) Notary Public,State of New Y�rk No.4951364 Qualified in Suffolk County's Commission Expire,May 22,a�P d� 77 T WOOTT4 tof A-00 Ww-il IT' ti.-S. No 5 VE�y 1-j- ED IT ATAIEME%T OFAHTTEN THE WATERASUPPi YANO SOWAG'k DtsPOS I . < 60 'SYSTEMS FOR THfS RESipt*-'j, W1 w;! (% A7 COI`+FbRM TO THE STANDARDS OF T SUFFOLK CO. DEPT, OF HEALTH SERVIt. *Y EX VEW (S) � APPLICANT 141.07 QV/N CF SOUTHOLID NN SUFFOLK COUNTY DEPT. Of HEAL SERVICES — FOR APPROVAL CONSTRUCTION ONLY DATE: to H. S.REF. NO.: M-S0-14'; ----------------- APPROVED: 0 0 4� 74 IT) SUFFOLK Co. TAX MAPDEStGmAT- 'N tot4: Z pDIST. SECT. BLOCK PCL -0 -9 L 1. -0 �AS ADDRESS: 1OWI& 944 (P) 7) M,aEE5E 72, )YACA14T7 'tit � 6'w- -Wo ik, M-1 re. k r, o llmb�,4�alnot becorgAdered t.ts n vad t�copy. k wmdnstmk in only w-&.a Sem,on for vAlowitim va,w AUG5DLzsw�arsll.and mfisbamiftoito . ix9. tn;o commny,omemnlemi oaaw and ding lWitufm fistedheireMod ort C. n� assivne cf the hanarw imti- transfamble -yi vy M MEAN' 5f�TA LEVEL SEAL nika&&MV.To-wfc�GOJTTLE 14' AbJ LD Applicant/ Date w Oners Name: `'��nr1 Reviewed: Architect/ Date Engineer: -_ _ Submitted: SCTM It: G� r District: 1.000 Section: l Block Lot: �! _- Project _ j�� 'G Subdivision Location: a 5awl� 1-� �bw � Name:_--__-_----- Sin&le&separate Required 100 certification: (Yes/No) ---- -- Req Zoning District �O [lot siu0 O�OV Actual/�3o1__I [I of coverageProposcd L 0 Req f A Req b �� Req / [Front Yazd Proposed: [Side Yard /L7 Proposed tJ [Rear Yard _J5' Proposed. '_ J Project Descnption: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. v New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Note