HomeMy WebLinkAbout25868-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26646
Date: 08/24/99
THIS CERTIFIES that the building ADDITION
Location of Property: 475 LAKE DR
(HOUSE NO.)
County Tax Map No. 473889 Section 80
SOUTHOLD
(STREET) (HAMLET)
Block 3 Lot 17
Subdivision Filed Map No. __Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 17, 1999 pursuant to which
Building Permit No. 25868-Z dated JULY 13, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The 'certificate is issued to JEAN M ROTERT
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
Building Inspecto/
FORM NO. 3
~OWN 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. 25868 Z Date JULY 13, 1999
Permission is hereby granted to:
JEAN M ROTERT
RAMSEY~NJ 07446
for :
CONSTRUCTION OF A DECK ADDITION FOR AN EXISTING SINGLE FAMILY
DW~TJ.ING AS APPLIED FOR.
at premises located at 475
County Tax Map No. 473889 Section 080
pursuant to application dated MAY
Building Inspector.
LAKE DR SOUTHOLD
Block 0003 Lot No. 017
17 1999 and approved by the
Fee $ 75.00
Authorized Signature
Rev. 2/19/98
ORIGINAL
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF
Thfs application must be filled in by typewriter OR ink
inspector with the following: for new building or new use
1. Final survey of .property with accurate location of
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form)
3. Approval o~ electrical installation from Board of Fire Under-writers.
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 build~
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
%. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
Vpre-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 applica~
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~waning pool $25.00, Accessory building $25.00
Additions to accessory building' $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinz ---$i00'00
3. Copy of Certificate of Occupancy - = .254. ~ ~k
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $,15.00, Commercial $15.00
Da~ ~/[~ :f~ ................
New Construction ........... Ol~d Or Pre-existing Building ................ / .
~oca~on o~ ~roperty ................................ ' ....
House No. Street Hamlet
On.eror O~ers of ~roperty .. ~2..~. . ~ ...r~ ~.. ~..~. .......~ .~g~.. ~t........ . ....................
County Tax Map No 1000, Section-.-Og.~- ..... Block .... ~.O.O~j ...... Lot .... ~-/-'.~. ........
Subdivision .................................... Filed Map ............ Lot
Permit · · -
Health Dept. Approval .... .~.~..~..~. ............. Undervrriters Approval---~Wj ...............
Planning Board Approval ................ ~. ~
Request for: Temporary Certificate.: ......... Final Certicate ...... ~-..
Fee Submitted: $. · · g ....................
.......
Town Hall 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDINO DEPARTMENT
TOWN OF SOUTHOLD
August 18, 1999
Environment East, Inc.
P.O. Box 190
Peconic, NY 11958
RE= Rotert, 475 Lake Drive,
1000-80-3-17.
Southold.
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 # 25868-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
IDENTIFIED 11-16-90
;EE COASTAL BARRIER LEGEND)
ZONE AE
(EL 8)
ZON~
COASTAL BASE FLOOD ELEVATIONS
APPLY ONLY LANDWARD OF 0 0 NGVD
ZONE X
own of
)uthold
~60813
RD ,
ZONE X
DR
ZONE X
ZONE
ZONE X
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FO~DATION2ND [ ]INSULATION
[ ~" FRAMING [ ] FINAL
[ ] FIREPLACE &CHI/MNEY
REMARKS: ~~
765-1802
BUILDING DEPT,
/ SPECTION
[ ] FRAMING [ ] FINAL
[ ] FIRE. CHIMNEy/ ,/--
DATE~'~~/~ INSPECTO~
New York State Department of Environmental Conservation
Building 40 - SUNY, Stony Brook, Now York 11790-2356
Telephone (5161 444-0365
Facsimile (516l 444-0360
LETTER OF NON JURISDICTION -TIDAL WETLANDS
Jolm P. Cahill
Date: May 6, 1999
Ms. Jean Rotert
231 Canterbury Drive
Ramsey, NJ 07446
1-4738-02273/00001
Rotert Property
475 Lake Drive, Southold
SCTM 1000-080-03-17
Dear Ms. Rotert:
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that the property landward o£the bulkhead greater than 100 fk in length
and constructed prior to 9/20/77, as shown on the survey prepared by VanTuyl & Son dated 8/16/71
and I.R. 724, is beyond Article 25 jurisdiction.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661)
no permit is required under the Tidal Wetlands Act. Please be advised, however, that no
construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands
jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that
all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to
the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your
project. Such precautions may include maintaining adequate work area between the tidal wetland
jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a
temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of the responsibility of obtaining any
necessary permits or approvals from other agencies.
Very truly yours,
Permit Administrator
cc: Joan Wilson, Field Manager, Environment East Inc., PO Box 190, Peconic,
Bureau of Marine Habitat Protection, NYSDEC
File
DMG
NY 11958
Environment East, Inc.
2885 Indian Neck Lane
P.O. Box 190
Peconic, New York 11958-0190
516-734-7474
Fax: 516-734-5812
Rotert Residence
Lake Drive (Reydon Shores)
Southold
Permit # 25868
August9,1999
Please find enclosed two copies of the plan for the deck we have built on the above named project, These plans
reflect the minor revisions made to the deck as built.
Thank-you
Joan Wilson
765-1802
BUILDING DEPT.
INSPECTION
]FOUNDATION 1ST [ ] ROU~LBG.
] FOUNDATION 2ND [ ] ~I:ILATION
] FRAMING [~I=INAL
[ ] FIREPLA~/~HIMNEY /~,
~NSPECT~
NDATION
,~,,A&~u~-~---~-, ....
~TION' PER
CODE
ADDITIONAL COMMENTS:
EXIST. PORCH
NOTIFY BUILDING DEPARTMEllrr .aT
765-1802 9 AM TO 4 PM FOR I~HE
FOLLOWING INSPECTIONS:
I FOUNDATION . TVVO
FOR POURED CONCRETE
2 ROUGH. FRAMtNG&
~ [NSULATION
~ F~AL - CONSTRUCTION MUST
,BE COMPLETE FOR C.O.
A',_ L CONSTRUCTION SHALL MEET
T'~ PE'QUIREMENTS OF THE N,Y.
$'"~ ~ CONSTRUCTION & ENERGY
~'~ NOT RESPONSIBLE FOR
DE$=~;~ GR CONSTRUCTION ERRORS
OCCUP/~IC
USE IS UNL
WITHOUT
OF OCCUP/~
OR
~WFIJ
ERTIF
~CY
CATE
E~$TING DECK
~2 X S GG4 JOJb~ ~
5M X S CGA DECIOM; ON
2XSGG4JOIb~TS~)
ON ~'2XIO CGA ~ BOLTED
TO 4 x 4 (~CA PO678 31]' M~
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
76S-1802 e AM 10 4 I~A ;Ol~ 1HE
$. INSULMION
4. FINAL. CON~TRU~ION MUST
BE COMPL~,. FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REOUIREMENTR OF THE NoY,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
BLf'
TOWN
FOEH NO. I
TO~/N OF SOUTBOLD
BUll,DING DEDARTHENT ,
TOWN UALI.
SOUTIIOLD, N.Y. 1197 I
TEl,: 765-1802
INSTRUCT! ()NS
BDARB OF UEALTI!
/3 SETS OF PLANS .... ~ · ';
SURVEY
CIIECK < ..... ' ' .... !' ' ~' "~
' SEPTIC' FORH~ '' '
n. 'lhla a ppl tcatlc~
3 ~L~ oF plans, aco~rate plo~ plan to ~ale.
b. Plo: plan ~1~
struts or areas, n~l.
this
C. 'lhe ~ ~r~ I~ ti*is o~)licati~ ~y *~t Im c~*m~I [~fore ismm~e at ~lildi~
i~rmik ~mll
e.
~ac~rI~
E~IRQNMEN~ · EAST: ;INC
P
' S~.~e
GENERAL CONT~Q~
(as ~ tl~ tax mil or latest d~)
~{lders License 14o.
- Plu,~r~ -Lice~ ~ .....................
I,~nl'i~ of la~ ~
(~)
2. State existi~ u~
.
3. r4*ltt.-e of ~otk (d ~dlidl applicable); ~ l~Jllding ........... AxJdltion .......... Alteration
6. Ii I~mheaa, ~mercial or ml~ ~qm~y, a~ei~ ~Luve a~ ~tent of ead~ ty~ of u~ ...... , ..... .
8. I)i,e,mlam o~ entire ~ ~mt~l~ia~ tka~C ................ ~ar . ~l'~Ov ~l)Lh
~. si~ of Iot~ t~tmt .............. ; ...... ~av ... '. ~pt'h ~Ok, ~ ~ ~,~ '
II'. "~ or u~ district In d~ld~ pre~l~ a~ ot~t~ ................. '. ' *' r ' ~ ; ,' ~
12. ~mn propel ~mt~ti~ vlolat~ an2 ~ung ~ o~t~mn or regdati~t .... {y.~ ........ ~ .
13.;~' ~lll qot'l~ re rm~ ..... ~...~ ....... ~111 ~ean .~111 Im rm~ ~oa pr~d~nl ' :~ '
· .:, ......... . ......... ~lre88 ...... L, ~ '~y,k~u~ r
., , , ,, ...... H~e ~ ...............
~' 'Eas~ · .$no, .... aklress .P:40., ~ O. 9a; RO~9 , 7
[ ' I)IAGRAH '
,' ; PI,Of . .... ~ ", ~ ~. .~, ~-.:: . s
I~aLe clearly amH dl~tl~ti ~ ' '" "' '. '~ ~: :' ........ ~"" ;~'"'~ ' ~
.... , -. , , y all.~i!(ll~e, dmtlmr ~lscl~ or pro~,,md:lallcate,atl ~C-~ diuril
;dmtlmr Interior or corotar loC. ~
.......... ~r ~.. Stoutenburqh
...................................... lining dul~ ~,, del~a m~l m~ys that he la tim
·m[e ()f iixltvl(hmt siflni,g ctmtract) ; appl, l(~Jnl:
~ is the ..General..Cn~trao.tOX.. '
((kmtractor, agm~Cgcor~rate offlcec, etc.) .......................................
~ ,aid ~mr or ~r% m~l la duly m~tl~rl~ ~o I~¢fon, or lame Ix~rlbr,~l the mild ~tk taxi to a~ke m~l
mL th~ ~)[k will I~ ~r~on~l j, the .urn my ~ ~orth in the appllcation ~il~ tlm~[Ut.:
...... ~ .... ; ....day o~ . . ".19. . ' ' ~ . .... .'"~ .:'.
HELENE D, HORNE
NotaW Public, State of New Yor
No 4951364
Qualified In SuEolk Coun~
~mmi~lon ~pires May 22, ~9 ,/~
LOT 3
~'t'
LAKE
c c~ 'DRIvE
~RIVE )
ELEVATIONS AND CONTOUR LINES ARE
REFERENCED TO N.& KD.
FLOOD'ZONES FROM FIRM COMMONIT)",PANEL NUMBER
36081,7, 0079 D
I:'
SURVEy OF ,:::., ,.,..:
. LOT. 4 "
" MAP OF RE-$UBDIV SiON'OF
~ , ,,~ :.'~:
OF MAP OFREYDON SHORE,S ' :,,
A T'. BAYVIEW' .
SUFFOL COU Y,U.Y.
' I000'
080 '" '03 .~,..' , 17
'SCALE I"-'"30 ':".
FEB.. 16, /998, .. ,...
~7 '- 658.