HomeMy WebLinkAbout25632-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26475
Date: 05/24/99
THIS CERTIFIES that the building ADDITION
Location of Property: 270 HARVEST LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 120 Block 3
MATTITUCK
(HAMLET)
Lot 8.15
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 2, 1999 pursuant to which
Building Permit No. 25632-Z dated MARCH 22, 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 R~TSTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EUGENE R & RUTH SCHUMANN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
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. 25632 Z Date MARCH 22 99
Permission is hereby granted to:
EUGENE R & RUTH SCHUMANN
270 HARVEST LANE
MATTITUCK~NY 11952
for :
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR.
at premises located at 270
County Tax Map No. 473889 Section 120
pursuant to application dated MARCH
Building Inspector.
HARVEST LA MATTITUCK
Block 0003 Lot No. 008.015
2 99 and approved by the
Fee $ 75.00
2/19/98
ORIGINAL
ONI)ATION (IST)
DATE
~HDATIO~ (2N~)
,UGtt FRA14E &
PLUMBING
ISULATION PER N. Y.
STAT~ ENERGY
CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
['~X.'..' APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. Th£s application must be filled in by typewriter OR ink and submitted to the buildin
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property lines
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form)
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of i% lead.
5. Commercial building, industrial building, multiple residences and similar buildt
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 a
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 applican
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
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory build{ng~.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate 'of Occupancy on Pre-existing Buildin~ - $100.00
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
Date ....
New Construction....w~.. ..... Old Or Pre-existing Building .................
Location of Property .................................................................... .
House No. Street Hamlet
Onwer or Owners of Property ............................................................. .
County Tax Map No 1000, Section. ~zo o0o~ oo~,ol~
............. Block ................ Lot ...................
Subdivision .................................... Filed M~p ....... Lot ..................
Permit No...----?f-''..Date Of ~ermit ................ appizcant ..........................
Health Dept. Approval ........................ .. Underwriters Approval ................... . ·
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ...............................
......... ...........................
O APPLiCA
765-180~Z
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH~,~--
[ ] ~U~I-ATION
[ ~,]'"FINAL
REMARKS:
] FIREPLACE & CHIMNEY
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG,
[ ].,~UNDATION 2ND
[ ~]~ FRAMING
[ ] INSULATION
D~TI~ '~/~ ~ ' *SPECTOR ~c-~,~.~,
765-1802
BUILDING DEPT.
INSPECTION
[ O,.-'FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLA.~?,B~& CHIMNE~Y
REMARKS: ~~
INSPE~~~
A_PPg(WB AS NOTED .
FEE: '~ 7,~.c~ BY:. ~
765-1802 9 AM TO 4 PM FOR THE
FOLIXIWlN8 ~
I F~ - TWO RE(IUIREO
FOR ~ t:QNClIETE
~. ROI~N. FllAIII6 &
3. INSUUalO~
4. FINAL - MUST
ALL SHALL
OF
CONSTRUCTION &
NOT
RIVERHIEAD
1093 PULASKI ST
RIVERHEAD, NY
CUT LIST
CUSTOMER -- CHARLiE ZAHRA
DATE 02/24/99 REF 95053150.ZI
RIVERHEAD
393 PULASKI ST
IlVERHEAD, NY
LABEL LENGTH BEVELS LABEL LENGTH BEVELS
A ,lo~-~t (14) 11' 7 ]/~"; F cop j~o, 4 J/~ FO S45
~ 9o$c~ 12' FO S45 F section 3' S
? Jedge~ ]]' 7 ]/~" 6 cop 8' 5 3/~' F45 SO
C ¢osc~ aO' F45 S45 G section 3' 9
C ]edge~ Jg' 9~ H cop 8' 5 J/a" FO S45
~ ]edge~ ]J' T ]/U' J cop ]U 4 ]/U F45 SO
E Jedge~ ]9' 9" ] sec~lon 3' 8
BEAM LAYOUT
CUSTOMER -- CHARLIE ZAHRA
DATE 02/24/99 REF 99053150.ZlP
RIVERHEAD
0093 PULASKI ST
RIVERHEAD, NY
10' ]i
i' 1/4'
BEAM SEAM POST
LABEL LENGTH COUNT
A 19' 9" S
Pest spocing is me¢su~ed oen[er~te-ceater.
Depth of po$~-in-conc~ete footers --- 36 inches.
POST
SPACING
9' 8 @/4°'
FORI4 NO.
TO~N OF SOUTHOLD
BUILDING DEPAETt4ENT
TO~ HALL
SOUTHOLD, N.Y.
TEL: 765-1802
OABO oF .............
sBTs oF PLANS . : .L.
SURVEY ........................
CHECK ...
SEPTIC FORI4. ............ ......
NOTIFY:
I~AIL TO: ....................
Date ................ ,19 ....
~',~OT!,'t~ k~ ...... . ' "": .....
a. This application must be caupletely filled in by typewriter or in ink and suhtaitted to the Building Inspector ~rltl
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan six.lng locati°n Of lot and of buildings on premises, relationship to adjoining premises or public
streets~'br areas, and giving a detailed description of layout of property mast be dra~n on the diagram ~ich is pert of
this application.
c% The ~ covered by this application ray not be cce~aenced before issuance of Building Pemit.
d. Upen approval of this application, the Building Inspector ~ill issue a Building Pennlt to the applicant. Such
permit shall be,kept on tim premises available for inspection throughout the work.
e. No building shall be eecupiad or used in ~anle or in part for any purpose ~hatever tmtil a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATIfll IS lt~-~Y I4M~E to the Building DeI~. t~ent for the is ,~umme of a Buil~ding Permit porauant to the
Building Zone Ordinance of the To~n of Santhold, Buffolk Coonty, ~ York, andother applicable Laws, Ordinances or
Regulations, for the construction of buildings, add[kiOi~ or iI~eratl,ons, or for ran°Val or demolition, as herein
described. The applicant agrees ~ cc~l~ ~4th ali applicable ,~la;- ordlnatmetr,
regulations, and to admit authorized inspectors on premi,~e$ and in building for r~c~ry inspections.
· ' ! (Signature of applicant, or name, if a corporation)
. ~ : ',~ ;(Nailing address of applicant)
State '~hether applicant is cs~er, ,le~se~., agent, a~hiteet, engineer, geeeral contra~ctor, electrician, plud~er or builder.
. 0 ~ ~'EA i ...... . ..................................
~ of o~er of premises ...................................... ~ ....................................
(an on the tax roi1 or latest dce~)
if applicant is a eerperatioh, 'signature bf duly authorized officer.:
(N~ and title of corporate officer)
Buildera License No..~. ......................
Plmbera License ~
gl~trici~ Lie ~. ... ............ - --- --
~r ~'s ~ ~ ................... · ·
I. ~ti~ of 1~ ~ ~i& ~ ~k ~11 ~ ~ ..............................................................
~ ~ ~ ~. I~ ~i~ ......... BI~ ............. ~c .............
~ivisi~ .....................
2. State ~st~ ~ ~ ~ of ~s ~ int~ ~ ~ ~ of ~ ~st~ti~:
a. ~s~i~~ ............................... .. · ..... ... -., ' ................................
I0.
II.
12.
13.
14.
15.
NaLure of work (check ~ddch aPPlicable): New Ihilding .......... /~dditian .......... Alteratioo ..........
Repair P,~maval ~ llemol itioo Othor l~ork
I ' i .iptio.) ............
/t4oo . oo
Es~ime~ed Cost ................ , ......... fee..... .............................. . .. ... . . . .
; (to be paid on filiug this opplication)
If d~elling, r~ber of d~lhng anita ............ l~k~ber of ~elling anita oo each floor ................
If gars§e, n~ber of cars ..........
If business, eemnercial or mi~d occupancy, specify nature and extent of eadJ type of use ......................
Dimensions of existing structures, if any: Froot ................ Rear ............... Depth .................
Beight ........................ !. Ix~d)er of Stories .....................
Dimensions of sam structure with alteratioos or additions: Front ....... Rear
Dapth. ................ . . . Reight . . hk~ber of Stories .......
D[mecaioos of entire ne~ co~strectioo: lA, mt ................ Rear ............... Depth ..............
........................ ~. Nadaor of Stories .
Size of lot: Front ........... ; ......... ' Rear . ................... Depth ....................
Date of Pordmse = Rare of Pormer O~er ......................
Zane or use district in ~ldch prmises are situated .. A c
· . i
Daes proposed co~tructxoo wol~te any zooin~ la~ ordlu~ce or regulstioo: ........................
.......... .......... ~ill excess fill be renoved frc~ premises:
Naves of O~mer Of premises . ! ~-PE i2,· ~CHuHaK~J ,Nldress .................... ~' .........
~ of Architect ....................... Nldress Phone
Is this property within 300 fee of a tidal ~etlaed? ~ YES .......... ~'~.
~/~ether interior or corner lo~,
PLOT DIAGRAH
I~cate clearly and distinctly a~l buildings, ~bether existin§ or ~o~, ~ i~icate ali ~t-~ d~nsions
~ p~r~ li~s. gi~ s~r ~ bl~ ~r or ~scripti~ ~co~i~ ~o ~, ~ ~ st~t ~s ~ i~icate
SS
(IlIffl¥ (IF .......................
...................................... i .................... being dul.y sworn, deposes a~l
(~ of i~ivial si~iog c~tract) [
a~ ~,
I~ is the ............................ ~ ......................................................................
(~tractor, e~nt~ cO.rate officer, e~c.)
of ~id ~r or ~rs, ~ is ~dy ~thori~ to ~rfom or h~ ~rEo~ Om ~id ~ mg to ~ ~ file this
a~l. icati~; that all stat~nts c~ta[~ in ~is a~l. icatian are t~ to the ~st of his ~1~
that the ~rk will be ~rfo~ iU tlm~mmmr ~t forth in ~e a~[ieati~ fil~
,9.om to before me this /_
....
Notary Public, State of New York
No, 4952246, Suffolk Coun~,~
Term Expires June 12,
(Signature of Applicant)
THE LOCATION OF WELLS, SEPTIC
TANKS AND CESSPOOLS SHOWN
HEREON AR,','t ?[~ii,D OBSERVATIONS
AND OR ~b.,~ ¢A Oi~TA~N~!3 FROM OTHERS.