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: