HomeMy WebLinkAbout19002-z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20713 Date MAY 8~ 1992~
THIS CERTIFIES that the building DECK
Location of Property 1350 OAKWOOD DRIVE
House No. Street
County Tax Map No. 1000 Section 70 Block 12
Subdivision Filed Map No.
SOUTHOLD, NY
Hamlet
Lot 31
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 11, 1989 ~ursuan~ to which
Building Permit No. 19002-Z dated MAY 9, 1990
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 A DECK ADDITION TO AN EXISTING ONE-FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to
DEC 1-4738-00118/00001-0.
JOHN A WOLFTEICH
(owner)
of the aforesaid building.
SUFFOLK COUN~ DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building
Inspector
FO~a[ NO. II
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
No
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
9 0 0 2 Z Do,e ...~. ....................................... , ,9..~..~
Permission is hereby granted to:
...,/f,~. ,/...~ ./.~., \ .................................
,o
at premises located at ..../..~......~...~.......~.~.~)~.~. ............ A'.....::~..~ ..........
County Tax Mop No. 1000 Section .......... ~..~.. ....... Brock ..... ./.....~.... ...... Lot No ...... .~';~'.l ..........
pursuant to application dated ....//..~..//../.. ..................................... , I9..~...~..., and approved by the
Building Inspector. ~C,, ~/::F~'2~/~:>~
Fee , ......... .?.~.~
Rev. 6/30/80
Form No. 6
BUILDING DSPARTMENT ltl?J~ ' ~ ':
· ow~ tm~. ~ "N~ APR 2 0 1992
765-1802
~PLICATION FOR CERTIFICATE OF OCCUPANC~
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:
i. Final survey of property with accurate location of all buildings, property lines,
~treets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of whter 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. Co~ercial building, industrial building, multiple residences and similar buiIdings
and installations, a certificate of Code Compliance from architect or engineer
, responsible for the building.
6. Submit Plauning 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:
i. Accurate survey of property showing all property lines, Streets, building and
unusual nagural or topographic features.
2. A ~roperly 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
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swiping 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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $1~0~.Co~ercial $15.00
. ..... ...................
- ' ,, ~, ' ' '. ................ "~ ............... ~ ~ % · .' ¢.'~T..' ......
~ nouse ~o, Street Hamlet .........
0nwer or Owners of Property ..... ' ........
Co~,~y ~=~ ~ap ~o ~000, S~t~o~.. ~F~ ~ ~o~ .... /.g ........ no~..
Subdivision .................... . .... Filed Map ............ Lot ......................
Permit No./~.~ ....... Date Of Permit .............. Applicant .....
Health Dept. Approval ..... ..
................... Uuderwriters Approval .......................
Planning Board Approval ......
y~rt cate ........... Final Certicate .... ~...
Request for: Temporar
%~ ~ ~ ~PLIC~T~ '''
FOUI~DAT!O.~
~lst)
FOU!fDATIO:!
2.
f2nd)
ROUGH FRAME &
.?LUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
Fi;~AL
ADDITIONA'L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST I- ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~'NAL
REMARKS: _,~:~__.~.,~ ,~., cr-~_~.
Bmld~n~ 40~SUNY~ StOny Brook, Ne~York- 11794
Regulatory Afl rs (516) 751-7900
NO PERi, IT NECESSARY - TIDAL WETLANDS
Thomas C. Jorllng
Commissioner
Application No.
A review has been made of your proposal to:
Based on the information you, have submitted, the New York State
Department of Environmental Conservation has determined that the project
is listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations)
as a use not requiring a permit or notification letter of approval.
Therefore, no permit is required under the Tidal Wetlands Act (Article 25
of the Environmental Conservation Law).
Please note that any additional work, or modification to the project
as described, may require authorization by this Department. Please con-
tact this office if such are contemplated.
Please be further_advised that this letter does not relieve you o~
the responsibility of obtaining any necessary permits or approvals from
other agencies.
Very truly yours,
Deputy Regional (P~rmit Administrator
'FORM NO. 1
TOWN OF SOuTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined ........... 19
Approved ................ 19/?t~. Permit No./~. ~. ~,~r
Disapproved 'a/c .....................................
BOARD OF H~ALTH
suRw X ......
CHECK .......
SEPTIC FORM . ..' .......... :
CALL ..............
MAIh TO:
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Irispector, with 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 appli-
cation.
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 issued 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 HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the consta~to~ian~f,~ku/l~ings, additions or alterations or for removal or demolition as herein described
The pphcant agrees to compf{; w~th hil applicable laws, or&nances, building code, housing code, and regulations, and to
admit authorized inr, t~t*~s,~*l~ffiisesandJn building for necessary~;p~ion%,~ ) ~./ ,../
7, ....... - · - .¥. ...........
;~I,'~lg~'~iX,:"(~'",j":::'"'',. ' ~ ~ignature ofapplicant,/rpame, ifa corporation)
.~.~ ~ . I. lvlalung aa(~ress m applicant)
State whether applicant is owner, lesse.,e,,Bgent, ~architect, engineer, general contractor, electrician, plumber or builder.
(as on the tax roll or latest deed)
If applicant is a co~}$ral~l~'fi~,Pt~i~flatUyb of, duly authorized o~ficer.
ALI. CON, TRACTOR*S MLIST/BE SUFFOLK COUNTY LICENSED Builder i License No. ~ff/.O.~ .kOc<L '<---
X ......................
Other Trade~ License No ......................
I Location of land on which proposed work Will be done ' '
House Number Street Hamlet
County Tax Map No. 1000Section ...(Z¢ .......... Block ./~ ......... Lot -~ [ '
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .~.~.~... ~ ~ /A ~W~ L 7~ &
ntended use and occupancy ,~Z~ ~& ~ A ~ &
Repair RemoVal
............................ Demolition .............. Other Work ...............
.·
i · (to be paid on filing this application)
5. If dwelling, number of dwelling units '~'. ..... Number of dwelling units on each floor ~
If garage, number of cars .:... ~ ..................................................................
6. If business, commercial or mixed' occupancy, specify nature and extent of each type of use . :".:: .......... ,.
7. 'Dimensionsofexi~tingstrnqture~ if any: Front .~,i-R' Rear ~'~- n~*h~ ~
D~ensmns of same ~tmcture with alterations or additions' Fr~-t f{~ ' 2~- ~ ~ ..........
Depm ~ ./~g~. ;. He~t~d~//~ ~0' Number of stero, ~F / ~ X~/~2~
8. D~ensmns of entire new construction' Front ~ / , ~,~ ~ ~ -- ' ' ' '~';/' ' ~-/
,, . _ ~./~ . · ..... ~ ................. ~ ........ ~epm .... ~. ~ ....
ne~gnt ....... ~?~ F. Number of Stories. 5 ....... - .........
9. Sizeoflot Front /~/ :' ~-.' /~ ..... &":,''"~'h'> ..............
..... '"~I',/T/L ........ *xua~...~. ~ ....... ~epm .~p.U .........
11.10' ~ oIv~;c nase.., t<~..,~/.q l: ............... =. Name of Former Owner .~. ~ ~ ~ ff.C~ ~
eor district in which premises are situated ~)tO~.~ ~,z~ ~ ~/rW~ ~ .....
12. ' ............ ' ...... :~ ...............
Does proposed construction violate any zoning law, ordinance or regulation: . .~.~ .......................
13. Will lot be regraded ... ~.... .................. Will ex~ess fill be re~ov.ed from premises: ~ Yes, ~
........... , ................ Address .... '.;; ............ Phone No. ~ .....
Nme of Contractor .......................... Address .... ; ...... ~.. ~o~1~ ....
~X~ ~
Locate cle~ly ~d distinctly ~1 bu~d~gs, whether existing or proposed, and, indicate ~1 set-back d~ensions from
prope~y Hnes. Give street and block number or description accordNg to deed, ~d show street names and indicate whether
interior or corner lot.
AEPROVED AS NOTED
765-1~102 9 AM TO 4 PM FOR 'tHE
FOLLOWtNG ~NSPECTION$:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH -FRAMtNG & PLUMBING
3. 'INSULA?~ON
4, F~NAt. - CONSTRUCTION MUST
BE COMPLETE FOR C,O.
ALL CONSTRUCTION $HAU., MEET
THE REQUIREMENTS OF ~ N,¥,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONEIBLE FOR
OES~GN OR CoNSTffiJCTION ERRORS
STATE OF NEll' YORK,
?outcry OF 0 .,iR'..
.... ~ .... ~" .'~$'~¢f~ ~. .............. being duly sworn, deposes and says that he is the applicant
: (Name of individual signin~ contract)
~bove nanled, i
te is the
(Contractor, agent, corporate officer, etc.)
)f said owner or owners, and is duly !authorized to perform or have performed the said work and to make and file th. is
pplication: that all statements contained in this application are true to the best of his knowledge and belief; and that the
~'ork will be performed in the manner set forth in the application filed therewith·
,worn to before me this
.... , ...... l (~ ,'4.~ .......day, of...(~.C~-t.-qO.q ~.. ......... 19 ~.q
;otar~ Public,, - ,~ · ~= ..d..~;-~.tjiiNE E. 8AYRE ,, ......... ..County. '~'~f(//d'J"°tft' .(~.,.'/~ ~..~. '
~o~a~ Fu~o, Stale of No~ Yor~ .........
. No. 404~5 t// /'U / (Signature of applicant)