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HomeMy WebLinkAbout24444-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25631 Date: 04/06/98 THIS CERTIFIES that the building ADDITION Location of Property: 1340 KIMBERLY LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 13 Lot 20.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29, 1997 pursuant to which Building Permit No. 24444-Z dated OCTOBER 29, 1997 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 S ARTHUR & LOIS G LAMIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ui ding Inspector Rev. 1/81 t FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UN11L FULL COMPLETION OF THE WORK AUTHORIZED) Date......OCTOBER.......29 19...97.. . 24444 t Permission is hereby granted to: S ARTHUR & LOIS G LAMIA ............I.........I I ............................................... 101 SHARON LA .......................................................................................... GREENLAWN,NY 11740 ............................... .......................................................... to......CONSTRUCT A DECK ADDITION TO AN EXISTING S I,NGLE„FAM I LY................. DWELLING AS APPLIED FOR. .................................................................................................................................................................. ..................... ........................................................ ...................................................................... .................................................................................................................................................................. ................... . ................................................................................................. ... ................................... atremises located a 1340 KIMBERLY LA SOUTHOLD P t........... ................................................................................................................... ................................................................................................................................................................ County Tax Map No. .....473889 Section 97 ........... Block ......0013....... Lot No. ,.020,.,012... pursuant to application dated .....N./.A.............................................. 19................ and approved by the Building Inspector. Fee$..,....223.40 ....... h��) ............................... uilding Inspector Rev. 6/30/80 Form No. 6 f S 2 73" TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building 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 buildings 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 and "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 applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0.0, 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 Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 i Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . onstruction. . . . . . . . Old Or Pre-existing Building. . . . . . . ion of Property. . �,.btp . . . . )41.m--.TI:�J`.--' . . .l.- r1 . . . . . ©!^ . . . . . . House No. Street �} Hamlet or Owners of Property.!JJ'?�) . . '. . . G::� ` !. . .'. .. . . . . . . . . . . . . . . y Tax Map No 1'-000, Section. . . .L. . . . . . .Block. . . . l. . . . . . . .Lot. . �'. .� . . . . . . . vision. : :��!.'.Y.� .Filed Map. !./ Lot. . . . . . . . . . . . . . . . . . . . . . t No<z�_/. -/- V.f. :_t_.Date Of Permit. .l�� �F!. .Applicant . . . . . . . . . . . . . . hDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . ingBoard Approval. . . . . . . . . . . . . . . . . . . . . . . . st for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . ubmitted: $. . . .:2 . . . . . . . . . . . . . . . . . . . . _' • 6� s 1 A3 APP NT. . . . . . . . . . • . . . . . CO OSC31 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL L [ ] FIREPLACE A CHIMNEY REMARKS: t;�.. . Vt v DATE y INSPECTOR suu.otNa uewr. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ✓ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTORS •lELI D i,:S: ECT ION' JIDATE COMMENTS FOUNDATION __. ( 1 s t ) FOUNDATION ( 2nd ) 2 . ROUGH FRAME & -PLUMBING y 3 . INSULATION PER N . Y. ` STATE ENERGY CODE 5 a 4 . /z9" ►-� FINAL z ADDITIONAL COMMENTS : x 31-17 L-96 i� x -o ' H y H O 2 s y �A C MIs BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT Cl1ECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN MALI. SEPTIC FORM .... . . . . . . . . . . . . . SOUTIIOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: - CALL . . . . . rw�ninccl.....1.� �/•. 19.` MA7.1. TO: . . . . . . . . . . . . . . . . . . ApprovM1.....� .... 19l.� Permit No. l;;J; .................................... Disapproveda/c .................................. .................................... ...................................................... ....ylJ ..... ...... (ilrrildir , ns tor) APPLICATION FOR BUILDING PERMIT •Date. . . . . . . . . . , 19� INSTRUCTIONS a. 111is application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to scixxhrle. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or plrl�lic streets or areas, and giving a detailed description of layout of property must be drawn on the diagram Whirr is part of 11%is application. c. The work covered by this application my not be cormenced before issuance of Building Permit. d. Upon approval of t1lis application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection thmr>glxrlt the work. e. No building shall be occupied or used in whole or in part for arty purpose whatever until a Certificate of Occupw, cy shall have been granted by the Building Inspector. AM.TCNrIGN IS IL.M. fY MM- to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or. Regulations, for the construction of buildings, additions or alterations, or for rermvval or demolition, as herein described. The applicant agrees to comply With all applica79!;E.-i4 'ng , Ing , and regulations, andito admit authorized inspectors on premises cti c ., ••;•if•a'corporation) �A.6.;RM4 l !J7Q 0 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pl-sober. or Wilder. ................ .. ........................................ ............................ Name oowner of ln-emises ! -/! � '• -� .. .. f: (as on the tax roll. or latest deed) • p li� if applicant is a corporation, signature of duly autlx)rized officer. 1 0 now AMON (Name mxl title of corporate'officer)... - •.VjJVVPAN.IY OR �� USE IS UNLAWFUL Builders License No. .....................WITHOUT CERTIFICATE - hl,., rg License No. .....................OF OCCUPANCY 4. FINA1. - COMM MUST rlectricians License No. .....................'TW 0��� 011ier Trade's License No. .................... ALL C �ALL MEET THE REQUIRIMUM OF THE N.Y. 1. location of land on which proposed work will be done............................f�-A VF.C0%STftti 'S•ENERGY NOT RESPONSIBLE FOR .......... 1!.��.r. :!-.'• ...�1!.1:........ �... "'`�'�c>r•:-rWr c-R-CONSTfFI�IETION ERRORS Ilouse NArrber Street Cg. Cormty Tax Map No. 1000 Section ....70....... Block ....� !........ Int .CZ��:l.�. Sulxlivision ...................................... Filed Map No. ............... Int ..../ ..... (Name) 2. State existing use and occupancy of premises mxl interxled use and occupancy of proposed construction: a. Existing use and occupancy ...........(.�........ ...................................................... b. Interxled Irse aril occupancy ....�. ..1....' ,Y ......... .... .4.. .......... ...�.. 7. Maltise Of w(Isk ((1►eck wlti(Jt applicable): NLu Iluilding .......... AMILIon ..... Alteration Alterati_ n j N.-pa i r ltnutwal ... Daisal i t io(► ............ Other Idol k �/ ......... �q (Descript:ion) 4. Estimated Cost � ............. fee .............................................. (to be fetid (III filing this application) 'i• If (Mel l int;, seiner of. (knell-h% (suits ............ Nml)er of A-el I Ing units on each floor ................ Ifgarage, lumber of cars ...................................... 6. If. Ixtsiness, (xnnnercial or mixed occupancy, specify nature six] extent of each type of use...................... 7. Dittensions of existing structures, if any: Front................ Ilear ............... Depth ................. IleI j I L ......................... Umber of Stories , Din►ensions of sane structure with alteratims or (xklitions: Front ............... near .........t.• Ikkpth .................... ileigl►t .................... Maher of Stories ..... �sr)G.Ut?M t 11. Din►(:nslot 6f entire new conaLrluction: front ................ Rear .............. o�i111{� olk i* `vr� �i�,�rtai�r Ileif(1►t ......................... Umber. of Stories.�...([.....}}.��.............. of COMM mmev It* 9. Size of lot: Front .................... � VtlCf tl It irtADeptIt ...... iNvf �"iroM N wast 10. Iklte of 11■rchane ..................... Nat iii .L V In 11. 74x►e or use district in wiuidl pranises aremeQi�. r.v r........ . � 12. Ibes �proltosed construction violate any mi r or Illation: .... � ll � b Ia. Wilt tut he regraded .................... 1 r e(I fi-an •e+ni 14. Nares of (kn►erof preinises �!?�k':1�l� F-T.17"!� . kiresa Name of Ar(1►itect ...... ................ Arkiress ................ ...:... ho �... Milne of C(xtt:ract'or ................................... A(klress ........................ .......... 15. is (Isis property within 300 feet of a tidal wetlan(1? * YKIS .......... NO .......... *IF YI3S, Ixullifin jinn 1vaisms vc-ti4 •1' MAY ic, RapiitlJ). PLOT DIAGRAM Locate clearly and disL'inctly all buildings, wl►ether existing or proposed, arxl luxlicate all set-back dimensions fran profx!rty lines. Give street aril block nuniuer or description according to (lecA, and show street nares atxl irriicate ubether interior or corner lot. r 51•A'll? (M' "'M A IK S,S7.... ... tip' t1JIINIY (N' .. .. ..... ........ ............... ..................................Ixvis►f, duly :awllrn, (lelx►nes nowt says that he is Ilse appi icI►ut. (Nane of imlividual nipninf; coati:rayl:) Ikti:I Its(! ....................... ........ ...... ..................... ((knitraclor, ■ul,ent,•corlxtrrtte of firer, (Ac.) ul' Ita►id (MIJUT' or (MK:rs, n(xl Is duly itwhoriz,-A to iterfotr►t or have Ix!1•Io111M!(I ■he raid work JIM Lu nrike JIM file II►in appl ical ion; Ibal. all rttallmrnirr coulaincll in Illin IsppI icnl ion are lltx! to Ibe Will. of hio klxpwl(411,(, JIM lx)l IOf; 1110 that lite work will Ix: Ilerfomed in [lie manner set forth in the applicnli(x1 filed tl►elvwlth: :1•.nnn to lwlom u■! Thin ........d;ty If . .......19.9.7.. / N)I ary IN I is?�KATH .... •• .�" M.KUFS (Signal.ure of Applin,( tt-•Pu ;State of New York ` "�. OI KU5030964 ( . + Phssau County pf' COMMI"fUlI LAPH-eS July 2S, 199 0 .ry.Trq AR e-qbR-vgt MCI � l� 411 40 l �' N � .� ' �,► 5� c, Ell. hse 000 10 N � 07 O �7y• V D-V ! K 0x�' � LWT IYC6, ?A- DT<t05, c �� �� - -- - GReun19 �✓� 4 x4 ��nk-moi OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFIC OF OCCUPANCY (a� axis C�UMO I.Z7-11a-, A-q z ` tc C= COO CL* crn c M�1 00 Q , 8 ' O7 ' N ° !74 tplo"A) O A 0 SCDHS. Ref# RIO- 94- 0035 - OXANNE ��� m z 3 e ` v Q _ 3117-09' �— `' � —` •� I am familiar with the STANDARDS FOR APPROVAL o �. AND CONSTRUCTION OF SUBSURFACE SEWAGE 0 - J :E^-�•= o DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES c g4. 22, 201� �� — �, m and will abide by the conditions set forth therein and on the _ N fir J ca permit 10. construct. AREA = 4/,617 SO. FT. - i 65.72g4.22�2p_rW LU C `� S a •r :ice 4,: iii W 1 �` �• � � t Lam', l+ SUR VE Y OF 20 witT� ���� -�� _ r: PROPERTY =F ` AT SOUTHOLD TOWN OF SOUTHOLD uK \ CERTIFIED TO, SUFFOLK COUNTY, N. Y. OVERLOOK COURT DEVELOPMENT CORP. 1000 - 70 - 13 - 20. 12 l vevTTLW ;aARTHUR SSMA T LAMA Scale 1" = 40' COA04ONWEALTH LAW TITLE INSURANCE COMPANY NO V. 7, 1,988 Mar. 24, 1994 Dec. 9 1994 Foundation Oct. 24, 1996 (Under Construcfion) 70-f 00, 70•. r _ FIRM ZONE A4 EL. B 8 ZONE B c 10101196 AAD CE1?7FIG4 T IONS 06/04194 STAKE BLDC% ENVELOPE The locations of wells and cesspools O J; shown hereon are from field observations �KJ 0510_'/94 REVISE WELL LOCATM `^ �,� and or from data obtained from others. u r Prepared In accordance with the minimum '4 LIC.L/C, N0. 496/8 slandords for 11I/e surveys as established � PECONICQ `tJRWE RS P.C. NOTE, LOT NUMBERS REFER TO 'ANAP OF PARADISE BY THE BAY' by the L./.A.L.S. and o�proved and adopted `•- • F1LE`D. NOV. 4T l97G FILE NO. 6463 AT THE OFFICE OF THE for such use by The New York Slate Land 15161 76 -='5 2 SUFFOLK COUNTY CLERK. ELEVATIONS ARE REFERENCED TO MG.V.D Tills Asroclollon. M N0. 80�909 MAIN ROAD SOUTHOLD, N.Y. 11971 88 - 677