HomeMy WebLinkAbout20541-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20651
Date APRIL 16~ 1992
THIS CERTIFIES that the building
Location of Property 450 MAPLE LANE
House No.
County Tax Map No. 1000 Section 35
Subdivision
ADDITION
GR~.N-PORT~ N.Y.
Street
Block 5 Lot
Filed Map No. Lot No.
Hamlet
6
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 8, 1992 pursuant to which
Building Permit No. 20541-Z dated APRIL t3~ 1992
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 EXISTING ONE FAMILY DWELLING TO CONDITIONS
OF ZBA #4087.
The certificate is issued to
BART E. & CHRISTINE A. RUROEDE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspec~
Rev. 1/81
FOB, H NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No-N°
Dote ......................................... , zg~....~.
Permission is hereby granted to:
~..~...:.~~ ............... ~ ................
...~...~..~....~....~......~ ..................................
. ...~~C ~.~.~...~ ~.~
......
at premises I~ated at ....~....~...~ ....................................
.............................................. :~~ ..................................................................................
CounW Tax Mop No. 1000 Section ...... ~ ....... Bilk ........ ~ ....... Lot No...~ .................
pu~uont to application dot~ ...... ~..~.~ ....................... , 19 ......... and approv~ by ~e
Building Inspector. ~ ~ ~ --
Rev. 6/30/80
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DE?ARTMENT
TOWN IIALL
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/lO 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
pro-exlstzng land uses:
I.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 $25.00,
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 - $I00.00
3.Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00
4.Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
· '
Construction.. '/ ' ' ' '' · · ·
0cation of Property. -~.~.9. ......... ~./;/~.
Ilousc No. Street -- ...........
Hamlet
1wet or Owners o Property. . 'p ..... .. .........
,u,,t, ,ap 000, eetion .... $.3 ....... ..... ..... (,*...
bdivtsion ...................
................. Filed FkH) ............ Lot ....................
rm£t No ................ Date Of Permit ............ App .....
.... licant
alLh Dept. Approval...
.................... Underwriters Approwll
,Hlning Board Approval ......
1west for: Temporary Certificate ........... Final Certicate.../.. ....
·
Submitted: $. '~¥'''r ..............
].
FOUNDA'TION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
-PLUMBING
INSULATION
PER N.
STATE ENERGY
CODE
COMMENTS:
FINAL
Ye
ADDITIONA'L
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTbIENT
TO!,¥~N CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
PLEASE TAKE NOTICE that your application dated - '.'~- · -~. -~. ............... 19 .~..:~..
County Tax Map No. 1000 Section . -ff~ ' . Block ~ Lot .
Subdivisio ~ ·.. Filed Map No .... Lot No .....
~ ~ ~ ..... . ............
is returned herewith and disapproved on the follow ng grounds ~ ~
~~- -~r -.: · m~m,~ · · ~. ~..~~ .....
'- . .... ~67. , ~
......................................
................................. .........
RV 1/80
~eet, a Sm-lc ~aml .... ex.c.e?~on uy th~ ~3oard of ~ppeals a.~ mum revision o
reduced Whe,, a,,+~- .... ' as a special exception by the Board A~. ~ ..~-..-~ -- Mae ~ll parking
..... twenty-f lye (25) foot.
lti,~. . P~OVIDED that, in case of a lot
~:,~;~. ~.... hundred (100) feet. a single family
replies by the ~3oard of Appeals as One (1) parking Space for each guest
hereinafter provided.
room or dwelling Unlt~
6--Accessory uses of the same lot ' SECTION 3~0--SIG~N'~--Zn the
With gad customarily incidental to any ~ul~lple ~esidence Di~ the follow-
permitted uae and no~ Involving the '
conduct ola ~epata~ business, lng sig~ are ~rmltte~.
v', ' l~igna ~ermltted I~ a~ "Aa
SECTION aSl~I~lG~T ~ In the dential and Agrlcultu~l District,
building hereinafter erected or altered
shall exceed ii,iffy-five (ac,) feet or
three (3) stories in heigl~t.
SECWION 352--~UILDING AREA--
In the "M" ~ul[~p~e Residence District,
the total building are~ shall no~ exceed
fifty (50) percen~ o~ the 1o~ area.
SECTION 353 -- SiZE OP LOT
2~On premises used for hotel, motel.
boarding and tourist house purposes,
unless otherwise Irovlded as a special
exception by the Board of Appeals as
hereinafter provided, one (1) advertis-
ing sl~n, either single or double faced.
not qxceeding fifty (50) square feet in
area. tile lower edge of which shall be
not less than four (4} feet above tile
ground, and :he upper edge of which
shall no~ dxceed more than thlrW-flve
(35) feet above the ground. Such Sign
'. cessory buildings shall be included in
~,~ computing thc percentage of lot area
~,~. to be buil~ upon and PROVIDED
.-'~ further that no building of any kind
.. . or nature shall be buil6 Within three
(~ feet of any lot line.
SEC~ON 310 ~ O~-S~EE~
~', PA~I~ING AREA~n "A" Reside~-
ti~/ and agricultur~ Districts,
building shall be hereafter erected o~
nllered or added to la exce~s of
{50) percen~ of its area prior ~o
, adoption et this Ordinance. unless
' ,x. , lcsa tha~ one iD .parMnff apace ~or
} esch f.~ ly unit therein shall be pro-
vi<ed for. ~or all places of public
~embly including auditoriums churches
d si mhar pub{ c gathering places
erected there shall be'provided not
Ie~ than one (1) par~g space flor
. each seven (7) ' permane~ seats
,~ such buildings or for each part of the
total ~ea within suc~ ballding or
' structure as Is or may be made avail-
able for seven (~) permanent or
, , temporary seats. Wile formula for pro-
'vd ng ~ adequate parking area
~,?e an area of three l~undred thirty-four
coat of the required rear yard up to area of l&ss than tx~el.~e thousand five
· an average height of elgltteen (18) feet., hundred (12,500) square feet and a
Tile yard area allowed by such ~c- · frontage of less than one hundred
GOO) feet,'
~ SECTION 354- PTtONT YAI%D ~
In the ,,,'vi,. iVIultiple Residence District,
the required fl'oat yard shall be not
less than thirty (30) feet.
' '" 034) square Ieee.per requi~'ed motor the "M" Multiple Residence District,
· ' vehicle unit. . ' · there shall be two (2) side Yards, one
~ -+~,/. '(1) on each side of the buildings, the
- ARTICL~ lI~l
,'.e';~. :~_~ SECTION 35~.rn the "M" Multiple
total aggregate cf both side yards shall
be twenty-five (25) feet and no one
(1) side yard shall be less than ten
(I0) feet. '
SECTION 35g--REAR ~I'ARD ~
the "NU' Multiple Residence District
there shall be a rear yard havinR
minimum depth Of twenty*five (25)
feet.
SEC~ON 359 ~ OFP-STRE~
PA~I<ING AREA ~ ~n the
MUlHDlo Resident0 Dlstric~, no build-
ln~ ~hall be hereafter erected or altered
0r sdded to tn excess 0f fifty
pcrcc~t of Its area prlor'~o the ~dop-
tt0~ of this Ordinance, unless a mini-
ducted on the premises, and shall be set
back not less than five (51 feet from
all street and proper/ir lines.
ln~' sllall be hereafter erected or altered
1--All rmrmitted uses In "A'* RosS.
cupled by not more than four (4)
families.
, 3~Beardlng and tourl$~ houses.
~llh and customarily incidental to any
permitted uses ,~d no~ lnvolv~g a
BECKON 3~I~AII premises In the
"~-I" Multiple Restden~ District shall
comply wl~h the provisions cC ArMcle
lira with res~cg to bufldin~ height.
parkinff area and ~igns."
' , .;,,. ARTICLE IV
SECTION 400--In .the '*B" Business
Distric~, no bulldin~ or premises shall
be used, and no building shall he here-
for one (1) or more of the following
~e~ldentlal mid Agricul/~aI. "M"
~uslness District.
4~Expre~ c~rtin~ or hauli~ oElce$
Ir
765-1802
BUILDING DEPT.
INSPECTION
'FOUNDATION 15T, [ )' ROUGH PLBG.'
'FouNDATION ZND [ ]'INSULATION
FRAMING [~I~AL
REMARKS:
DATE
{, 4~0 ~4~ L~~ -~4DD ~. D. ~s~. _
' ' -,' ' , , (~1'~7~1~) facilities for this location have
A~:
D~:~/~ ,L.,..' - ' ' .' ,,."." . -. . Chief. of General Engineerin~
, . ,. ., ., .~, , .... ~ ' ,'~ ,:~.~ ~c,'L ,~ ,~'
. ~,-.~-. ,':;:-~4~ - ~S~4~ ?,:-'~? ~. ~ ........ ~ v?,~ ,,'x~ '.. '.y~:' :-"
:~,~',.~,,; ....... ~', x ~ ~ ,~ , . .: ~ ,~, , , }[.- :.,..~. -,~ . .
':'~0~ ':'? 's '>~' ' ~-I ~ ?. u ~, "~ ~"~ '~' ~' ~ . '- ' [[
....... s :h~ .... .0 ..... '~~':~X~: .... ,..dm.. ~ ,.. ;'-~:::s .~.~ ......
~:~:~',~' ~, .,:;, -,., --. j--':-r', x".., .. ~'. ~"': :' ~.:~~~'~
, ..-:~L~?("E~:,::;~;Fd~ff~l:'~. ' .' (p~v~) ~.'' "~,". ;-',' ~ ~..",~. r;..,~ '
'/~%';~'?/~,-~"',,:'~ *~'.L ~'~.'~>~. x'~L.' , ~ ~o~ ~ '~:,C~~
.. ,-e~ ~-.,.,~ ",'~.~ '' '~ ' .'~'~ ?. "~:~ ' ~ , '~ - ~ ' '~ ~'~
FORM NO. 1
TOWN OF SOUTHOLO
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined .... .3. .......... , 19 ?..¢~
A pp ro yea../.~.~./.~.../_?..~ ....19 ~.~.'. Pe rmit No. ~ ~ ~. ~
...........
:Z~ ~3./,~'~'~'-
~.<,.j, APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CIIECK ....................
SEPTIC FORH ..............
~,0~ ~ FY:
CALL
....
INSTRUCTIONS
,a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
als 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
,r, areas, and giving a.detailed description of layout of property must be drawn on the diagram wliich is part of this appli-
ation.
c. The work covered by this application may not be cbmmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
hall 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 o£Occupancy
hall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
',egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in building for necessaryjfi~pect~n~ ~,~ /7
· C:_.. ..................
-- (Signature of aplilicant, or name, if a corporation)
.:....//.
(Mailing"" '~q~ "address of applicant)
Rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
lame ofownerofpremises ~..~.~t ff f.~.,~.~.l'.$:~/..~...~..~.~..F.~.4.~' ...............................
(as on the t.a[x roll or latest deed)
f applicant is a corporation, signature of duly authorized officer·
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electric'an's L~cense No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done. ~.~,[.~. ~-~lte~ ~/oM~..~..azt.~ ..~.~.'..~/.~..~...~..~.....
House Number -- ' Street Hamlet
County Tax Map No. 1000 Section ..... 55 ......... Block 'Or'- Lot,.
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
Locate clearly and distinctly all buil¢ings, whether ~xisting 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 coruer lot.
3. Nature of work (check which applica!le): New Building ...... Addition . . wA~rteration ..... ~ ....
Repair .............. Removal . ,i ......... Demolition .............. er ork .~.
· . (D~;crJptio)
..'2-. n
4 Eti dC t ~..~. " ....
· s mate os .......... ; ................. Fee · o~.~ .... .
i! (to be paid on filing this applidation)
5. If dwelling, number of dwelling units 1 ............... Number of dwelling units on each floor... '. ............
· If garage, number of cars ......... ! ...............................................................
6. If business, commercial or mixed occ0pancy, specify nature and extent of each type of use ....................
7. Dimensions of existing structures ifahy' Front Rear
............................... Depth .............
Height Num her o ~ Stories
Dimensions of same structure with alterations' or additions: Front Rear
Depth H~ight .......................... ' .......
............................................ Number of Stories ....................
8 Di.mensions ofenti onstructi ~: Front Re Depth
· re new c o ............... ar ............................
Height ........... , ....Num her o,f Stories ....................
9. Size of lot: Front ............... i ....:;-. Rear ...................... Depth ......................
Date of Purchase .......... N of F rmer Ow
·" · ....... ......... ame o ncr ....................... ~ .....
one or use district in which prem~se~ are situated .............................. ~,. .......
Does proposed construction violate any zoning law, ordinance or regulation: ..... ~..e~i~, .~.~ ........
Will lot be regraded . ' ' .........
..... · .......... ] ............... Will excess fill be removed es: Yes
marne oi uwner et premises ..... ·, Address .............. Phone No
Name of Architect ~ .
.............. ~ ............. Address ............... Phone No ................
Name of Contractor ............. ~i ............. Address ................... Phony ~ ...............
Is t:hJ.s propert:y w±th±n 300 feet: of a t:±da± wet:land? ~Yes .....
al£ yes, Sour:hold TownlTrust:ees Perm±~: may be requ±r~I.' No...'~¢- .....
PLOT DIAGRAM ~ '
APPI OVED AS NOTED
7~5-I802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
l, FOUNDAT C)N '~0 R '
- ' EQUIRED
FOR POURED CONCRETE
2, ROUGH - FRA~NG ~
3, ~NSU~TION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL ME~
THE REQUIREMENTS OF THE
CODES· NOT RESPONSIB~ FOR
DESIGN OR CONSTRUCTION ~RRORS
;TATE OF NEWYORK .... S
(Name of ihdividual signing clontract)
hove named.
is the '
i (Contractor, agent, corporate officer, etc.)
sam owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
oplication; that all statements containe~ in this application are true to the best of his knowledge and belief; and that the
ork will be performed in the manner setl forth in the application filed therewith·
worn to before me this