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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.