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HomeMy WebLinkAbout25720-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26451 Date: 05/14/99 THIS CERTIFIES that the building ADDITION Location of Property: 970 WATERSEDGE WAY SOUTNOLD (HOUSE NO.} (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 4 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 1999 pursuant to which Building Permit No. 25720-Z dated MAY 12, 1999 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 TWO DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPHINE E PETTIT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBER8 CERTIFICATION DATED N/A N/A 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. 25720 Z Date MAY 12~ 1999 Permission is hereby granted to: JOSEPHINE E PETTIT AMITYVILLE~NY 11701 for : CONSTRUCTION OF TWO DECK ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 970 County Tax Map No. 473889 Section 088 pursuant to application dated MARCH Building Inspector. WATERSEDGE WAY SOUTHOLD Block 0004 Lot No. 014 29 1999 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the build inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lin streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bull. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings Ppre-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 applic If a Certificate of Occupancy is denied, the Building Inspector shall state th reasons therefor in writing to the applicant. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ming pool $25.00, Accessory building $25.0' Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Butldinm - $I00.00 3. Copy of Certificate of Occupancy - , .25~, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction...' ..... Old Or Pre-existing Building ................. House No. Street Hamlet Onwer or O ers of ................................ .... · - .-.- couuty T= ~p No 1000, Sectton..~Lq. ........ Bloc~ .... .~.~. ......... ~ot .... /.~ ......... Subdivision.. fy .~,~f/ ...................... -/- r/~-=,, ~',~v ............. ~ -- -' ......... Permit No ................. Date Of Permit ........ .... Applicant..-.-,-~-~/.~.'.., ~.~.. Health Dept. Approval ........................ .. Underwriters Approval ................... Planning Board Approval ........................ Request for: Fee Submitged: $..~.. ...... Temporary Certificate ........... Final Certicate. ~...~. ..... [ SPECTION R~PORT DATE C(]~fftENTS OUNDATI ON (]ST) OUNDATION ( 2ND ) OUGIt FP, AI,~ & ~NSULATION PER N. ¥. STATE ENERGY CODE FORM NO, 1 TOWN OF SOUTNOLD BUILDING DEPARTM6NT TOWN H, ALL SOUTtlOLD, N,Y, 11971 TEL,: 70,5. 1802 Disapproved o./c ..................................... APPLICATION FOR BUILDING PERMIT Date ...... , INSTRUCTIONS a.: 'flus, apphcation must ba cpm, plainly fill~l tn by typewriter or in ink and submitte~t to the Building Inspector, sets. of ptans, accurate plot ~plan l;o &¢.ale., ,.F, ee accordmg to schedule. b. Plot plan show~g locfft on of ct ~.nd of build~.gs on premises, relationship to adjoining premises or public or areas, and givmg a det~led description of layout of property must bc drawn on thc diagram which is pa~ of thb cation. c. Thc work covered by tMs application may not be commenced before issuanc~ of Bugding d. Upon approval of this application, the Building Inspector will issued a Building ~ha!i be kept on thc premzses ava~abl¢ for ~spection lhroughout lh'¢ work. " . ~. No bulldog shalt be ocgupied or usedJn who!¢ 9r in p~l for. any pMrpo~¢ wh.at¢~r Until a Ceaifi¢at¢ of O¢¢u shall have been gr~.~.d ~y th~ B~ id~ng inspector APPLICATION IS HEREBY MADE to thc Build~g Depmmeal for the cssuancc of a B~Iding Building Zone Ordinance of the Town of Soulhold, Suffolk Coun{y', New ~ork, ~d other app~ca~le Mws, Ord~ R~?ladons, for the const~ctioa of bu~d~gs, additions or altcraHqms, or for removal or demo~on~er~ d~sc i'h~ a~p~cant agrees to comply with ali appli¢abJ~ laws, orSinaflc~s, bu~dmg ..... ~ ..... ~'~L~%'''~ ........ (Mailing Cress of applicant) 2,a:~ whe,her applicant is owner, l~ssc,~aicnt, arc~~ general contractor, el,c~rician, plumber or bu ¢¢/~ ~/~. ,/ ~xame oi owner mpr m~ses .............................. ~...{. .............................. (as en the tax roll or late~t deed) ![ appiican[ is a corporaHon, signature of duly au¢iorizcd officer, ' (Name and title of corporate officer) Builder's License No .......................... Hamlet County Tax Map No, Block Lot ........ . _ ' 'r ' '<~'~;,;~;' ~ ............ ~p ..~.'.......... Lot ' · '~' '1 ',"' "' Subdivision qta~ ~xJs~mg usg and occupancy O[~retnisus and mlcndcd usc and occupancy Of proposed ~onstruction': . ' ' '" N'" U ....................... ~,=t=~lt~",',; ............ 3,i N-.IAure of work (check which applicable): New Building .......... .\ddition . ..,,. Alteratmn ..... ,~ Rep.~ir .............. Removal .............. Dt:molition .............. Other Work 4, Estimated Cost ..... 1 ................................ Fee ................................ (to bo paid on filing this applic,~tion 5. [[ dw0t[t~.~g, kumber of dwelling units ..... , .......... Number o f dwe[ting units o;} each floor ........... ..lr garage,: r{umber of ears ......................................... ' .......................... 6. I}' business, commercial or mixed occupancy, spec[~t, rtatu.r.e and extent orqpct~ type of use ,.. :'... ,...... 7. Dhnensions of existing smlctures.~f,nay: Front . .~.~..O. ........ Rear .~.G....O ......... Depth ~.O. ..... Height ..... : ......... Number of Stories . · .~. ............... fo ............................... Dimensions of same structure with aRerations or additions: Front , .~t,4~, i ,., ........ Rear ............ Depth .... ................... Height .......... ' ......... .., ~'~urnber of Stories ......... '., '.'. 8. Dimensions of entire n¢~v construction: Front ....... Height ........... ,.~. ,N,u, mber o f S£ories ........ 9, Sizeoflot: Front ..t.{~.,'.'l'~ ......... '... Rear. [0. Date of Purchase ............................ ] 1. Zone or use district in which premises are situated .. ........ Rear ............... Depth ......... Name of Former Owner gq]'{~. .................. /2. Does proposed construction violate any zoning law, ordinance or regulation: ............................ i3. Wilt lo',t bc r[gi~r~::' ...... ,..j~.~o ................ Will excess rill be removed from prcmi~cs~ 14. N~e~fOwnerofpremtses~.'~ ............. Address ................... PhoneNo... . ~... ~ or a~i~=t~..~ ........... '.... A~,, ...~ ..... &.~ .... ~ho~ So.~,~...~.. .5,' IS this proper~y within 300 fee~ o~ a tidal wetland? ~fi~.~o.~. ..... *If yes, Sou[kold Town Trustees ?ermfe may be required. ~OV mac ~! Locate clearly ~ distinctly ~I build~g~, whether cxistina or proposed, ~d, indicate ~l scl-back d~ensions >rope~y ~nes, Giw street ~d block number or deschption accord~g to deed, and show street nines and indicate whr · ILoo ',x o ,XTS o~ NsW ¥O~X, Si: ~ ...... <Ug~g ~r igdi,la~=~ signin~ contract) ,.," ~: (Contractor, agent, corporate officer, otc.)= :aid owner or owners, and is duly authorized to perform or have performed the said work and to make and fir hcation; tha~ all statements contained N this applic=uon arc truc tO tile best orl is k ~owledge and belief; and will be perfo~e}l in the manner set fordi in thc applicat~on filudtherewith: . , .,, m to before md this AREA = 18,019 sq. ft ANY ALTERATION OR ADDtTION TO THIS SURVEY I$ A YfDLA TI~V OF SECTION 7~09 OF THE NEFf YORK STATE EDUCATION LAFf, EXCEPT AS PER ~CTION 7209-~F, JJ~fVl, gON ~. ALL CERTIF1CA T/X)NS HEREON ARE VALID FOR ThIS IdAP AND OOf~lE.s ~OF ONLY IF' ~ ~4P OR CO~E$ ~EA.~ ~ IMth~'SSED SEAL OF TPIE .~I./RVEYOR FII~OSE S1GNA TLIF~ APPEARS NEREON. AI3/)i'T/ONALL Y TO COMf~ Y ~/ITH ~ LAFf THE TER~ 'ALTERED BY' IdUST 8E LIE:ED BY ANY AND ALL SURVEYORS UTILIZIN~ A COPY OF ~IOTI-IER ~URVEYOR'$1,44P. TESMS SlJC~ AS 'IN¢PEC t ~u' AND "J~ROUGHT-TO-DA TE' ARE NOT ~ COM~f_I,4NC~ ~/fTH Th~ LAW. FLOOD ZONE A,J "t fL. 81 COMMUNITY-PAhlf~ L.~0 360813 0079 D I om familiar wlfh lhe STANDARDS FOR 4PP~AL AND CONSTRUCTION OF SUBSURFACE SEI¢~O~~ DISPOSAL SYSTEMS FOR SINGLE FAI~L Y RE~NCES ond will oblde by /he conoYttor~ set forlh therein ~ e~ rite permll fo consfrucf. SGDHS Ref. # RIO ~ 97- 0065 Zt SURVEY OF LOT37 "BAY HA VEN" FILED JAN 22,1959 FIE NO. 2910 A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000-88- 04- 14 Scale: 1" = 30' Mar. 20, 1997 JUNE 19~ 1997 ( revised JUNE 30, 1997 (ret/ised septic NOv. I0~ 1998 ~ conc. round, lion M~r. I, 1999 (f/no/) 13' Test Boring 0 Br, ?[ayey Loo~ OL I' Br. Loomy Clay CL 3,5' Br. Fl~e lo 3.8' ~. ~ S~ 6' Co~e ~ SW NO TE~ SUBSURFACE SEWAGE DISPOSAL SYSTEM DESIGN JOSEPH FISCHETTI, P.E. HOBART ROAD SOUTHOLD, N.Y. 11971 1516) 765 - 2954 The /oCaNon$ ot we/Is ovid cesspools I~~~C~IS. LIC NO. 49618 shown hereon ore from ,eM ob~ervolions ~~ Z4"~/ ' end or from ~t~ ob/~ne4 from o/~rs. 1~5-f~R STREET ~A~ A~ ~ TO N,~V~. SOUTHOLD~ N, Y. 119~1 97-/43 e~ APPROVED AS NOTED DATE: '~;)~"~°] B,P." FEE: "~ BY: NOTIFY BUILDING DE~~ 765-1802 9 AM TO 4 ISM FOR '~'HE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIREO FOR POURED CONCR,- ~',- 2, ROUGH - FR~&MING & PLUMBING 3~ INSULATION 4, FINAL. - CONSTRUCTION MUST BE COMPLETE FOR ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STAT.c- CODESI DESIG~ ~ONNNoTSTRUCTION & ENERGY RESPONSIBLE FOR OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ./ ~o,c. BUILDI NGPERMIT REVIEW CI-IrK LIST Application Name: Architect/Engineer: Q SCTM#: District: 1Section: 8g Block: Lot: .,000 l Subdivision Name: xtA� Req. f� Req � Zoning District:�O [Lot size Proposed: /4 v� J [L.ot coverage Proposed:�� Req. R a 1 �V Req. (Front Yard Proposed: J (Side Yard T— Proposed: J [Rear Yard � Proposed: Project Description: � z i5 � � •r/ � lG x z 3 ' AGENCY PERMITS Permit REQUIRED FOR REVIEW YM Number 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: Notes: