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HomeMy WebLinkAbout24445-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25396 Date: 11/26/97 THIS CERTIFIES that the building REPAIR Location of Property: 1370 LATHAM LA ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 9 Lot 1.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 1997 pursuant to which Building Permit No. 24445-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 REPAIR AN EXISTING DECK ADDITION FOR A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM J. BOYLHART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building InspqZtor Rev. 1/81 i FORM NO.3 TOWN OF$OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24445 Date......OCTOBER,,.... 29 Permission is hereby granted to: WILLIAM J & ANO BOYLHART ..................................................................................... PO BOX 57 .. .................. . .................................................................. ORIENT NY 11957 ......... .....t............. ................. to......REPAIR, AN E.X I ST,I NG..DECK FOR A SINGLE FAMILY DWELL,I NG AS APPLIEDFOR.................................................................................. ......................................... ..............................................................................................................................................I........... .....................I.........................................................................................................I..........I.......I....... .............................................. ............................................................ ................ at remises located at.... 1370 LATHAM LA ORIENT P .................................................................................................... . ... ................................................................................................................................................................ County Tax Map No. ,,, 473889 Section ,,, 015 Block ..,, 0009 fat No. 001 004 pursuant to application dated .,,,,SEPTEMBER 19 19 .97 and approved by the Building Inspector. Fee$......... 5.00. Building Insp or Rev. 6/30/80 r u i iu [v u. u WA`A. TOWN OF SOUTHOLD BUILDING DEPARTMENT S G. 9 OG TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: .l . 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. 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 Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .251�. 4. Updated Certificate of Occupancy — $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 NOV 21, 1997f Date . . . . . .: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . .MQ .IAT> . . . . . . . . . . . . . . .Q$I$1ffs .19,X. . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet• • Onwer or Owners of Property. . . . .1I>:V, ff.J, AQnUM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . .15 . . . . . . .Block. . . .9. . . . . . . . . . .Lot. . .1.4 . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . 24445-Z. . . . . . . . . . . .Date Of Permit. . I N117. . . . . . .Applicant. . ITAIAM.J. .ROXLHART. . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . 25.00 . . . . . . . . . . . . . . . . . . . . 1 .�...� . . . . . . . . . . . APP. . . . . . 5Z, 3 6g 1 . . . . . . . . Cama_S39� BUILDING DEPT. INSPECTION [ ] FOUNDATION iST /IFINAL GHPLBG. FOUNDATION 2ND CATION FRAMING [ ] FIREPLACE & CFIIMNE REMARKS• D/ � oar ll Illdl INSPECTOR I' l 1,1.11 I II'11'IU4 11111 IIIYI'U111 1)6I V. . 1 -•r, l.Ulll 11.11 l,f TI t � vtn w»»..n w..w..»n»»»w -...+..+.^.--..—�r.---.w.n. —----.w....+.rn....----- 1 —.0 1111111:11 1j11A1I1: /. 0 1.1.111111 1 110 -- r ? I II:i111.A'I'(Ilfl 1'Itll 11• Y !i'1'A'1'R 8111-.111:Y 1;11118 Ir I IIAJ. . »w 1'I'1(I►IA1. (;(11R11;11'1'li .....».,�.......w,�..n....»......-....,...,.........».......»..-.r-..-...+..».......n—.n»....n.......nn...—.......w....»ww....».....nnnr..n.....»»- �1I 1 o u f BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . =� 9 1997 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL 3�, 3.� r, . . FxmiAned.l.�d.`6 000 . 19.... MAIL TO: i. . . . . . . . . . . . . . . yy Approved-4l�19.... Permit No. .... .................................... Disapproveda/c .............................. .................................... ............................................ ... ..... ilding Inspector)• •• AP ICATION FOR BUILDING PERMIT q Date. . .l. `. / . . . , 19. .7 INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. the work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HMW MAIL 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on preanses and in biatureo,�-Lr ing finspections. ( name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or builder ..... ?�.�V. �.................................................................................................. Name of owner of premises .... ./A(,„/A.-M. ... •...�D,!L��f��........................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. I. Location of land on which proposed work will be done.............................................................. .1.- .7.®.kr4?.f:�9. ... :.............................................................................. House Number Street �--• Hamlet Canty Tax Map No. 1000 Section /J ..... Block ... .... Lot /• Subdivision 1 .x• ��;Pl1 �5....�..�u,-lam....... Filed Map No. ............... Ivt ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... :�.?.r .�I.�.Q� :. `T. t��. .,T, ?"•...(ia L b. Intended use and occupancy ......5 ........................................................... 3. Nature of word (check ubidt applicable): New Building .......... Addition .......... Alteration .......... ^ Repair ....�....... Removal ............. Demolition ............ Other Work .................................. ter' (Description) 4. Estimated Cost ..:-. .1.....;:Q.......... fee .............................................. (to be paid on filing this application) 5. If (welling, number of dwelling units ............ dumber of dwelling units on each floor ................ Ifgarage, number of care ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Dont................ Rear ............... Depth ................. height ......................... Number of Stories ................... Dimensions of same structure with alterations or additions: Dont ............... Rear ............... Depth .................... Heiglht ..................... limber of Stories ............... 8. Dimensions of entire new construction: Dont ................ Rear ............... Depth .............. 1168)ht ......................... Number of Stories ..................... 9. Size of lot: Fant .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate arty zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .. ............. Will excess fill be removed from premises: YES NO 14. Names of Owner of premises ........................... Address .............................. Phone No. .............. Nameof Architect .................................... Address 1/...... / ....... Plane No. .............. Name of Contractor ...u .. eC.�L:�: ............ Address ..........�w/.�rU n! .. .Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SOLM] [D IUM '1411MMS PERNIIT MAY BE =�JIRF1). PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set—back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPRO ED AS NOTED DATE: B.P.# FEE, cta B NOTIFY BUILDING D E AT 765-1802 9 AM TO R THE FOLLOWING INSPECTIONS: 1. FOUNDATION • TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. :NSULATION 4. FINAL m CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS SI'AIE OF NV. yow, SC.' �� CU1NlY (Jt: .. ��:��... SS U ! LL7Ze Xl...\/.:.* © ��'......being duly sworn, deposes and says Uiat he is the applicant me (Naof individual signing contract) above named, Ileis the .......... .!' `....................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are,true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .......�.�:T;`...da Notary Public . ... ELIZAB NotaPublic- Steteoff4�ANN N wYork '(Signa(ure•. lic. or518125850, ruffolk CountV 31,1 4t ? \ �i6 k.. 0 . , a 1 :5 T T,, N ZB $ 'Q /7-to 0 �, ,4-•4=r v 9,y.. m :Z/ n, 4 7 ja ; o 27 c v: ' r .Y H:68`57'b0'W. tio.aa'' Ks Z?o,oa, ��w r a• � ---�. � /,,. . ia,l 13~4 3% , 5L P4 wrUDM 114N�. ::... M� C4. /k1G11 t N5 4KSrr_rF_ _pTo. :'., PAN 40 LIWWI PVV W (fill SURVEY FOR Wl i W&M �M tTU JeN. I2, I,0f tAO. 4 "LANdS C-NV" Aug. 4, OG'f. 9, AT OKI ANT DATE: C7 Y,M 9 . TOWN OF . 50(JTU0t.P SCALE: I"or AO' SUFFOLK COUNTY, NEW YORK NO. Bt-1102-1 M UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW . M COPIES OF THIS SURVEY NOT KARIN$ THE LAND S�P�E OF NF►Y y SURVEYORS INKED SEAL OR EMBOSSED SEAL SMALL O NOT 8E CONSIDERED TO BE A VALID TRUE COPY PFtD W, K GUARANTEES'INDICATED HEREON SMALL RUN ONLY TO O`� &- THE PERSON FOR WHOM TILE SURVEY IS PREPARED EPARTMENT-DATA FOR APPROVAL TO CONSTRUCT AND ON HIS ![HALF TO THE TITLE COMPANY,GOVERN- WATER WA1N_MI.! KSOUNCE OF WATER, PftIATEPYKIC. MENTAL AGENCY AND LENDING INSTITUTION LISTED TAX MAP DIST IQ Z SECTION_ BLOCK LOT1HEREON,AND TO THE ASSIONEES OF THE LENDING RE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS R SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES -RM TO THE /TANOAROS OF THE SUFFOLK COUNTY OEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC �$9f- SERVICES. PURPOSE ART HEUSED TO ERECTIONESTABLISH ERTYLINESOR FOR OF FENCES FAYAMf S f��O� 400 OSTRANDE: _- - T�� YOUNG . & ..YOUNG ��03Tw RNEAD, NE 51c'1N Mar`LptIRs;.CMQ':.�r{fiU7au�1uex`ot�rc� : .. „ � � r r ,• ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S.UCENSE:No.12845 vk. f w, r' HOWARD W.YOUNG, LAND SURVEYOR l iKiNOF11GLL(MI),fEPTIrTANKISTt�tEssPooLslsil. NowN,MERca+ . ;41.S.LICENSE NO.45893 -1ELO OOSERNETIONS ANO ON DATA ODTAIMEWPOIDW"OTNERi 494 121�,�'t'4n�' 7i�"•. •S •L'�`Nl�r1��7 "4 + t 'r: Y .,�f'� ti` t, � ��+ , ••... 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