HomeMy WebLinkAbout26560-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
CERTIFICATE OF OCCUPANCY
No: Z-27265 Date: 08/22/00
THIS CERTIFIES that the building ADDITION
Location of Property: 795 HOBART RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 64 Block 2 Lot _ 4
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 4~ 2000 pursuant to which
Building Permit No. 26560-Z dated JUNE 8, 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 FAMIL~ DWELLING AS APPLIED FOR.
The certificate is issued to RICHARD A BECKF~NN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATHD
Rev. 1/81
N/A
N/A
Authorized Signa~re
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. 26560 Z Date JUNE 8~ 2000
Permission is hereby granted to:
RICHARD A BECKMANN
SOUTHOLD~N¥ 11971
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING
at premises located at 795
County Tax Map No. 473889 Section 064
pursuant to application dated MAY
Building Inspector.
HOBART RD
SOUTHOLD
Block 0002 Lot No. 003
4~ 2000 and approved by the
Fee $ 75.00
./ AuthorizedN~ignature
ORIGINAL
Rev. 2/19/98
· ' , ~ TOWN OF SOUTHOLD ' ' '=
[ ~--"~-'~i I'~ BUILDING DEPARTMENT
' ~[~ TO~ ~L
..... ?~J?[~E~. LICATION ~R CERTIFICATE OF OCCUP~CY
.... ~O~NO,:SOU~O~ J,
This application must be {illed in by typewriter OR ink and submitted to the bui
inspector with the following: for new building or new use:
i. Final su~ey of.property with accurate location of all buildings, property 1
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9
3. Approval of electrical installation from Board of Fire Unde~iters.
4. Sworn statement from plumber certifying that the solder used in system cont~
less than 2/10 of 1% lead.
5. Co~ercial building, ~dustrial building, multiple residences and s~itar
and installations, a certificate of Code Compliance from architect or engine
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For ~isting buildings (prior to April 9, 1957) non-confo~ing uses, or buildi~
Vpre-~isting" lan~ uses:
i. Accurate su~ey of property show~g ~1 property lines, streets, building ap
unusual natural or topographic features.
2. A propezly completed application and a consen8 to inspect si~ed by the
If a Certificate of Occupancy is denied, the Building Inspector shall state
reasons therefor in ~iting to the applicant.
C. Fees
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0£
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2%
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .............................
New Construction ........... Old Or Pre-existing Building .................
Location of Property ~.~.¢[ ..... /7/28~/~¢~..R¢¢/~ .............
House No. Street Ha~et
Onwer or O~ers of Property...~f.~..~...~ .................. ~.~ ~ ..........
0~
Subdivision .................................... Filed Map ............ Lot .............
Permit No...~..4.~g.'.~. ~ .... Date Of Permit..4I~./~ ...... Applicant ....................
Health Dept. Approval...~f~ ..................... Underwriters Approval.~.~ .............
Planning Board Approval....~.4 ..................
Request for: Temporary Certificate ........... Final Certicate...~. .......
Fee Submitted: $ .... '¢¢¢ ................... !
APPLICANT
6 2c. 39/
c0zx? 65
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTH[OLD
Fax (516) 765-I823
Telephone (516) 765-1802
August 8, 2000
Mr. & Mrs. Richard Beckmann
795 Hobart Rd.
Southold, NY 11971
RE: Deck permit.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
us;of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
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 # 26560-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
BEAM LA'rOUT
CUSTOMER -- DAN Ftc~CHERI
DATE 04/Oz[/O0 REF
.... ~ ~ ' ..............
/,
BEAM BEAM POST POST
LABEL LENGTH COUNT SPACING
RBSC
ROUTE 25
GREENPORT. NY
J' 2 ~/2~
A 37' 9" 6 7' 6 7/8"
B ~'~' 9" $ T 5 7/8"
C 18' :3" zt 6' II ~3/16"
Depth of ,- -- ' ;~-?'_ ~-- ~6 inches.
APPROVED AS NOTED
NOTIFY BUILDING DEI~ARTNI~}NT AT
765-1802 S AM TO 4 PM ~ THE
FOLLOWING INSPECTIONS:
1 FOUNDATION - 1'1N0 REQUIRED
2. ROUGH - ~ & IqJJMSING
$. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMfq.~; e FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N,Y.
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
OCCUPANCY OR
USE IS UNLAWFUL
~.¥1THOUT CERTIFICATE
OF OCCUPANCY
?
/
SITE PLAN
SCALE · 1" = 20'- 0"
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INS~TION
[ ] FRAMING [ /~'~NAL
[ ] FIREPLAn. CHIMNEY
REMARKS: ~/~ ~
DATE
INSPECTOR,/~/R~~
765-1802
BUILDING DEPT,
INSPECTION
[ ]~ouNDATION 1ST [ ] ROUGH PLBG.
NDATION 2ND [ ] INSULATION
[ /'~ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
FIELD INSI~CTION R,~ZPORT DA'~E COI"fMENTS
FOUNDATION
FOUNDATION (2ND)
PLUMBING " ii
ir
INSULATION PER N.Y. , Ii
STATE ENERGY " I{
CODE {{ ii
FINAL ~ II
ADDITIONAL COI~yIENTS:
FORltNO. I
TOI~I OF SOIITNOLD
BUILDING DEPARTHENT
TOI~IBALL
SOUTHOLD, N.Y. 11971
TEL: 765-1802
BOARD OF IlEAl,TH .............
3 SETS OF PLANS .............
SURVEY ......................
CHECK .......................
SEPTIC FORH .................
NOTI FY: '~x~,~
l'fA I 1, TO: ................
/ (Building Ins~tor )
APPLICATION FOR BUILDING PER, lIT
INSTRUCTIONS
a. This application mt~t be co~letely filled in by t'ype~riter or in ink and subraitted to tile t~lildiag lnsr~2c
3 sets of plans, accurate plot plan to scale. Fee according to scbedule.
b. Plot pla~ ~o, ri~g location of lot arid of buildings ua premises, relationship to adjoining premises or Ix~hl
streets or areas, and giving a Oetoiled 0escription ut lal~t of property rrnsr be dra~a on the diagram ~fich is par
this application.
e. The ~ork covered by this application my not be ccraseneed before issuance of Building Permit.
d. Upo~ approval of this application, the Building Inspector ~ill isa a B~ilding Penuit to the applicant.
pemit shall be k~t on tim' in"~mlses available ~or inspection thmugh~t the
e. No Ixiilding shall be occupied or used in rdaole or in part for any purlaose ~/aatever unr il a Cart i f icate of
Occupancy shall have been gra~ted by the Buildin~ Inspector.
APPLICATIC~I IS lt~_a~I tial2E to the Building Del~-t~eut for the issu~ce of a l~lilding Permit purs-uam to the
Building Zone Ordim~-x:e of the To~ of Sour. hold, 0uffolk Co. mO/, Ne~ York, and other applicable
l~gulations, for tl~ eeestructio~ of buildings, edditio~s or alterations, or for raroval or derrolition, as herein
described. Toe at~plie~t agrees to ~,~.ly ~ith all applicable la~s, ordinances, building code, hc~sing c(~ie, and
regulations, and to admit authorized inspectors on irr~ises and in building [~r neeessaryt in~-r~ctions,
(Signature off applicant, or mrs,, if a corpara~
(l, iailing address of airplicanl)
State '~bether applicant is o~er, lessee, agent, architeet, engineer, general cc~tractor, elect titian, ph~ber
Name of o~er of pr~nisea ..~. J.~..~.~.~..~..°~.~.?.4oZ°..~..~...'(~. f;~.~...~f] .~/~ ~ ......................................... (as on the tax roll or latest deed)
If applicant ia a corporation, sig~ator~ of ~ull authorized officer.
and title of. corporate officer)
Pluat~rs Lie~ase Itu ...................... ...
Electriciass Lieeese Ixb ......................
Other ~'s ~ ~ .....................
1. ~i~ of 1~ ~ ~ieh ~ ~ ~11 ~ ~ ........................................................
...... 7. 7 ....................... .......................... ..................
~ ~r Strut ~et:
~ T~ ~ ~. I~ ~ti~ ..... ~.~. ..... BI~ ~ I~t .~..
~ivisi~ ...................................... Fil~ ~ ~ ................ lot ...............
(~)
2. State ~isti~ ~ ~ ~ of ~s ~ inte~ ~ ~ ~c~ of pro~ consl mcr
a. ~sti~ ~ ~ ~ .... A.~.~.[e..~.~.~LF..~A~e ...................................
................................... ~:? (~'-',~ ', '? ~' ",: ....... ~ ":t ..............
}Zepai r ............ P~va l ............. Demal it i(~ ............ Otl~r ~ ..................................
~ ~rJ pt i~)
4. Est i,m c~l G~sl ........... ~ ............ f~ ..............................................
(~o h Did ~ fili~ ~hls a~lica~i~)
5, If ~lI ir~g, ~x~i~r of ~lli~ ~its ............ ~r of ~11ing mits ~ e~ fl~r ................
If garage, {~d~r of cars ..~. ...............................
6. I{ Ixmi~ms, <~n~rc[ai or mi~ ~m~[~, s~ci~ mture ~ ~ent of e~ ~ of ~ ......................
7. l)i,~nsi~m of emisti~ s~n~res, if m~y: ~t ................ ~ ............... ~pth .................
Ik, iO~t .... ~ ................ ~r of Stories ......................
Din~nsi<~s of ~ st~re ~ith alterati~ or ~iti~s: ~t ............... ~ar ...............
~pth .................... {~i~t ...~ ............. ~r of Stories ...............
8. Di,~nsi~s of entire ~ c~st~ti~: I~t ................ ~ar ............... ~p~ ..............
{~[~t ......................... ~{~r of S<o~e~ .....................
9. si~ or ~o~= ~ ..Z~Z ............ ~...../~ .... ~........... mpm ..Zh? .............
I0. ]~)te of [Mrcha~ ..................... ~ of Four ~r ........................................
I1. ~m or u~ disCr~ct ~n ~fi~ pr~i~s ams~ ..............................................................
12. ~s propel c~L~ti~ ~iolate any ~i~ 1~, o~i~e or ~lati~: .~ ....................
r~r~ .~ ............... ~ill ~s~ fill ~ ~ ~ ~sL ~
13.
lot
~*. ~, o~ ~ ~ ~i~, .,~,..,.,,,~,~.~,,.~..;-.-~... ~,,, ........................ ~ ~ ............
15. Is this pc~rty within ~ [~t of a till ~tl~? * ~ .......... ~ ~: . ..
PI.OT DIAGRAM
locate clearly and distinctly all L~ildings, whether existing or proposal, ~ indicate all set-ba~k dlmensio~s
property lines. Give street m*d block mtmber or description o~:eordlng to deed, and ~now street ms ~m¢l indleare
~d~ether interior or comer lot.
O0{INIS' 047 .......................
........ .................... ,,
(~ of i~ivi<h~l slgniug c~tract)
of ~td ~r~~nor ~ ...... , m*I Is Ikity ~thor.~ to ~rfom or ll~ ~rfo~ tim ~xd ~ ~ to m~ ~ file this
a~llcatk~; that all statc~mnts ctm~a{~ in this a[~l. lcati~ are t~ to fl~e ~st of his ~1~ a~ ~lief~ m~
that the ~rk will I~ [~rfonx~l in tim ~mn~r ~t forth in ~e a~l. lcatlm fil~ ~.
(Slgnamm of Apptie~nt)