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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.