HomeMy WebLinkAbout25659-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26883
Date: 01/13/00
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 425 SLEEPY HOLLOW LA SOUTHOLD
{HOUSE NO.) {STREET) {HAMLET)
County Tax Map No. 473889 Section 78 Block 1 Lot 39
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 29, 1998 pursuant to which
Building Permit No. 25659-Z dated MARCH 30, 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH AND WOOD DECK AS APPLIED
FOR.
The certificate is issued to LAUREN J. PRAUS & MARK K.
(OWNER)
of the aforesaid buildinG.
SCHWARTZ
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0069
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
01/03/00
N 506735 11/12/99
,11/02/99 PECONIC PLUMBING & HEAT.
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. 25659 Z Date MARCH 301 1999
Permission is hereby granted to:
L. pRAUS & M. SCHWARTZ
275 CLEARVIEW AVE
SOUTHOLDIN¥ 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 425 SLEEPY HOLLOW LA SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0001 Lot No. 039
pursuant to application dated SEPTEMBER 29 1998 and approved by the
Building Inspector.
Fee $ 791.00
/- - --~u~or~zed Signature
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This 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 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildi~
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.
Bo
For existing buildings (prior to April 9, 1957) non-~onforming uses, or buildings al
"pre-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
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25~00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. 'Certificate of Qccupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ....... I .~ L~. X .~..~- ..................
.
New Construction ........ Old Or Pre-existing Building .................
Loo~tion of Froperty ....... ~. .......................
House No. Street Hamlet
Onwer or Owners of Property.. · .... :. ~ ..........
· .7£
County Tax Map No 1000, Section .......... Block ............. Lot ...............
Subdivision .................................... Filed Map ............ Lot ..................
Permit No .... Date Of Permit ................ Applicant .................
Health Dept. Approval .......................... Underwriters Approval ...................
Planning Board Approval .... ~.~. ................
Request for: Temporary Certificate ........... Final Certicate....~.. .....
Fee Submitted: $ ..... : .................
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDINO DEPARTMENT
TOWN OF SOUTHOLD
Fax (53_6) 765-1823
Telephone (516) 765-1802
January 10, 2000
Lauren J. Praus &
Mark K. schwartz
275 Clearview Ave.
Southold, NY 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
XX
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 9 25659-Z
Please contact our office on thi~ matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ~ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ~FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REM KS. ~
765-~.80Z
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] I_~SULATION
[ ] FRAMING /~ [~INAL
[ ] FIREPLACE & CHIMNEY// .~
REMARKS: ~
~__~ , // ~-~/ ,
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG,
[ ] FOUNDATION 2ND [ ] I~IbLATION
[ ] FRAMING ,~[~INAL
[ ] FIREPLACE & CHIMNEY
DATE ./~/I~ INSPEC.TOR~~__~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 15T [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~ULATION
[ ] FRAMING [~"] FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~///
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ~ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ~FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS. ~;~/.~.~ '
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ _] ~~
[ ~j'-INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] F~UNDATION2ND [ ]INSULATION
[//] FRAMING [ I FINAL
[ ] FIREPLACE & CHIMNEY
,,,,,,,,,,,,s,
DATE
INSPECTOR//~~
765-1802
BUILDING DEPT.
INSPECTION
~F~ i
[ ~*'~OUNDATION 2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
ISPECTION
ION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~y~ INSPECT~
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ]/F~AMING [ ] FINAL
[//] FIREPLACE & CHIMNEY
R
DATE
I~qDATION (IST)
UNDATION (2ND~
CO~I~S
FRAME
P~UMBING
ISULATION PER N. ¥.
STATE ENERG'Y
CODE
FINAL
Town Hall, 53095 Main Road
P. O. Box 1179
Southo~d, NewYo~ 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.,
(~lease pFint)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plb~b~rs Signature)
Sworn to before me this
~ day of ~/~ , ~9 79
Notary Public, ~/~ County
PATRIClA C0RWIN
Notary Public, Slate of New York
No, 01C05017852
Qualified ia Suffolk Counly~.~
Commission Expires Sept, 13, __
THE NEW YORK BOARD OF FIRE' UrNDERWRITERS
,1__1185(077 BUREAU OF ELECTRI??¥.' : ,
/ 40 FULTON STREET, NEW YORK~ ~Y~%0038 ,
Date NOV~ER 12,1999 Application No. on file ~64~899/9~, ' ~', N 5006735
the electrical equipment as desc~bed below and introduced by the applicant n~ed bn'~he ab&~e ap~[ica~on number is in the premises
P~US & SC~TZ, 425 ~EPY HO~W ~g, SOUTHO~, 1~?'::' ~:'<
in ,~ following location; ~ Basement ~ 1st FL ~ 2nd FI. O~/A~IC?OtJ~ ~ SeCtion Block ~t
was examined on ~O~]~R 08,1999 attd found to be in cont~lia~e ~ith the'National Electrical Code..
FIXTURE FIXTURES
OUTLETS FLUORESCENT OTHER
53 2
DRYERS
RANGEs OVENS DISH WASHERS EXHAUST FANS
PADDLe. FANS
WIRLPOOL BATH- 1
G.F.C.I,-13
SMOKE DETF, CTOR ~ -6
E
ROSLAKMLMCTRIC
P,O.BOX 164
CUTCHOGU~ NY, 11935-2453
GENERAL MANAGER
Per, 11 , ~'
This certificate must not be altered in any manner; return to the office of the Board ~f inc~rrect~ Inspectors may be identified by their credent als.
' COPY FOR BUILDIN¢ DEPARTMENT THIS ~OPY OF, CERTIFICATE :~.:~?,~N~3-'.B:E'At_T~EREp iN ANY MANNER, ,' ',
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18q2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 29, 1998
Mark K. Schwartz &
275 Clearview Ave
Southold NY 11971
Lauren J. Praus
RE: SCTM #78-1-39
Dear M~ schwartz, ...........
The Southold Town Board of Trustees reviewed the survey dated
and.received, in our offige on September 29, 1998 anddetermined
that your proposal to construct a single family dwelling and
deck to be out of the Trustee Wetland jurisdiction.
However, any activity within 75' of the Wetland line requires a
permit from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to
call.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc. Bldg. Dept.
New York State Department of Envi~onmeqta( Conservation
Division of Environmental Permits
Rm 219, Building 40-SUN Y
Stony Brook, New York 11790-2356
Telephone ~516) 444-0365
Facsimile [516) 444-0360
Comm~elo.er
L~TTER OP NON-JURISDICTION
May 6, 1998
Mark K. Schwartz and Lauren J.
275 Clearview Ave.
Southold, NY 11971
Praus
Re: Schwartz/Praus
S~eepy-H-ollow~Lane-
Southold, NY 11971
Tax map # 1000-78-01-39
DEC~ 1-4738-01941/00001
Dear Mr. Schwartz and Ms. Praus;
Rased on the information you have submitted~ the New York state
~artment of Environmental Conservation has determined that:
Th~ property landward of the 10' elevation contour as shown on the
survey prepared by JoSh Metzger on March 12, 1998 and revised by Mark
K. schwartz on April 27, 1998, is beyond the jurisdiction of Article
25.
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 9rea between the
tidal wetland jurisdictional boundary and your project (i.e. a 15' to
20t 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.
cc: KPK/file
rator
FORM RO. !
'rOaN OF SOUTIIOLD
BUILDING DEPARTMENT
TO~IN IIALL
SOUTIIOLD, N .Y. I 197 I
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CIIECK .........................
SEPTIC FORH ...................
/..~--~--~ .~-_~_.._ TEL: 765- 1802 NOTIFY:
.~ CALI ....................
~ani~l ..... ~ ........... , ~ .... / --~ _ . r, ~ .....................
AH,r~. 7~¢~ ..... ~7,.,i t,' ..~~ ~O/~
Di ~H~~ ........................
.....................................
~9~ ~'~2~letely fill~l i~ l,i':ty~riter o( in lek and aa,nitt~ to t/;e ~',ilding Ins~ctor witl
3 setfi of plmm, accurate plot [}lan to scale. Fee according to schedule.
b. Plot plan ~ho~ing ]oeatlon of lot and of huildlngs on pre~nlses, relationship to adjoining pr~nises or public
streets Or' areas, ,and giving a detailed description of layont of property ntmc be d'rai~ on tim diagr&n which is imrt of
this application. ', '
c. 'lhe work co~ered by this application r~y eot txe commenced before issuanee of lklildiag Permit.
d. Upon approval of ttds application, tile BuildinR Inspector will issue a Building Permit to the applicant. Such
Mmll be kept c~ the premises available for inspection thro~:Jlcx~t Cite work.
e. 14o bailding shall be occupied or used in whole or in part for any purpose ,Amtever ~m~il a Certificate of
0ecupan~;y shah have been granted by tim lkdlditg Inspector.
APPLIC~XTKIq IS I~IIEBY ~ to the Suildlng Department for the issuance of a Building Permit per.~xmnt to the
~ldi[~g Zone Ordinance of the To~n of SoutDold, Suffolk County, Hew York, and other applicable Laws, Ordimances er
for the camtrnetion of baildlpCls, additions or alterations, or for removal or demolition, as herein
aim applicant agrees to ca,ply with all applicable laws, ordinances, beildlng code, t]~tsing code, nc~l
md to admit auti~orized insffaetors on premises and io bail. ' r ne '
(Si§tmture of applicant, or na~e, f a corporation)
(Haili~g address of applicant)
State ~t~etber applicant is ~)lessee, ~eet, ardfitect, engineer, general contractor, elnctrici~, pltr~er or
bailder.
(as on tim tax ~oll or latest deed)
If applicaat is a corporatitm, signature of duly autl~rize~l officer.
(Narc sad title of corporate officer)
]~dlders l,iceose NO ..........................
Plt~bers License Ro ..........................
Eleetrlcians License No ......................
Otlmr Tvade's I,icense No .....................
I. I~caticm of land on whid~ proposed ~ork will be done ............................. '2 ......
.......................... i i i ............
I~ ~r Strut _ l~let i~ ~
,
Camry ~ ~p ~. I~D ~tia~ ............ Bilk ............ l~t ....
~l~ivision ...................................... Fil~ ~p ~ ................ l~t ...............
2. State exiat~ ~ 0~ ~Y o~ ~i~a .az~ inte~ ~e and ~c~r~ of pro~ c~mt~ctlon:
.............. , ......... Other I~ ..................................
~ ~ (to Im ~id ~ filing this alqfl, icacJ~)
Din~rmi~m of s~m s~n~re wi~h altera~itms or m~iCion~: Front ............... ~ar ...............
~.le of {hltracl:or ............ ~ ....................... ~klress ............................... Hiot~ ~ ............
[ PI.fir I)IAGRAH
properly line~. Give sCi"eeL and
inter|or or eon~r loE.
,~['^'IE OF HEM YO~,
Ik~ i~ Lbo
(CxmtracLor, ngen~, ~or~raCe oFE~eer, eLe.)
off said t~er or ~ers. atgl is duty ~thorJr~I ~o I~rFonn or Imvo l~rl:o~n~ Lhe ~id ~rk argl ~o ~ke a~l file I.hls
IhaC tho ~)rk will I~ I~rfon~l in t.hp ~wm~r ~C forth in the appl ~cat~on fil~l tl~r~[lh.
.%orn Lo Imfore n~_ this / i
motary Pubhc, State of NeG York
ResMing in Suffolk County
No. 52-58959~ i
Commission Expires April 30,~
CONTOUR UNES ARE REFERENCED TO N.G.V.D.
.AREA = 40,051 sq. ft.
'\
SURVEY OF PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK. COUNTY, N Y.
1000 - 78 - 01- 39
SCALE.- 1" = 30'
MAR.'I2, 1998
ANY AL TERA TION OR. I~DtTION TO TH!S SURVEY I$ A VIOLA TION
OF SECTION 7209 OF' ~ NEW YORK ~TATE ~CATION L~I, -
EXCF--PT 4S. PER ~¢ECTION 7209-SUBDIVISION :2_ ALL CERTIFICATIONS
~-~REON AR~ VALID FOR THIS ~ AND COPIES THEF~EOF ONLY IF
SAID Iv~P OR COPIES BEAR THE E~,E..,,~,SED .SEAL OF THE .SURVEYOR
I~.IOSE SI6NA Ti. IRE APPEARS ~EEDN.
ADDITIONAL~.Y TO COMPLY M~-I') SAID LAIr/ THE ?'ER~ "AL ~ BY'
MUST BE USED BY ANY AND ALL SUI~VEYORS UTIUZIN6 A COPY'
~ "~TI'mR .~IR~ m't'OR~'$ ' ' =. TI~'~ .~: ,SU~-I-I '~ 'lNC~,:;',~TKn' · ~O
S. LIC. NO. 49618
· I I ~ ~ tl .
/ g~
' ~/ / ~' ~ ~ -~ ~ ~
_~ / y/" , ~ - ~ ~ '-
~.~,'
LAWYER~ TITLE ~SURANCE CORP. ,
CONTOUR LINES ARE REFERENCED TO MG.V.D.
AREA = 40,051 sq. fL
ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION
OF SECTION 7209 OF TH~ NEW YORK STATE EDUCATION LAW,
EXCF--.PT AS PER SECTION 7"ZOg-SUBDIVISION 2. AIL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP ~ND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE ~iIPREE~ED SEAL OF TIlE SURVEYOR
WHOSE SIC-IdA TI. IRE APPEARS HEREON.
ADDITIONALLY TO COMPLY WITH SAID ~4tF TIlE TERM 'AL TERED BY'
MUST 8E USED BY ANY AND ALL SURVEYORS UTILIZING A COPY
SURVEY
OF .,PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 78 - 0~.- 39
SCALE.'bi'! = ,30'
MAR ~12, .:1998
NO. 49618
/0
SLEEP y
CERTIFIE~ TO'
MARK K. sCHWARTZ
LAuREN J. PRAU$
KTG ABSTRACT COR?.
,LA WYERS TITLE INSURANCE coRP.
THE SUFFOLK cOUNTY NATIONAL BANK
cONTOUR LINES ARE REFERENCED TO N.G.V.D.
AREA = 40,051 sq ft.
OR ADDITION TO THIS SuRvEY IS A VIOLA TION
~ SECTION ~ZO9 ~ ~-~UBDtVIS~N E ALL ~RTIF~A
Ex,PT AS P~ ~CTlu~ ~ ~ '
EAID MAP ~ COP~ ~ ~ ~'
LL Y TO C~ ~6 A
ADD~ ALL SURVEYORS U
iO0'
LANE
SURVEY OF PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 78 - 01 - 39
SCALE: 1"= 30'
MAR. 12, 1998
$~P--T, I1, 1998 ( gravel drive )
April /5, 1999 (Foundation Lo-etlon)
DEC.
P