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Home My WebLink About27902-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28113 Date: 12/12/01 THIS CERTIFIES that the building ADDITION Location of Property: 2845 HOBART RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 65 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 15, 2001 pursuant to which Building Permit No. 27902-Z dated NOVEMBER 15, 2001 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 THOMAS V OLLEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ori ed Sigrfature Rev. 1/81 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. 27902 Z Date NOVEMBER 15, 2001 Permission is hereby granted to: THOMAS V OLLEN 75-26 BELL BLVD - APT 5 E BAYSIDE,NY 11364 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES BP#24879 . at premises located at 2845 HOBART RD SOUTHOLD County Tax Map No. 473889 Section 065 Block 0001 Lot No. 014 pursuant to application dated NOVEMBER 15, 2001 and approved by the Building Inspector. Fee $ 150 . 00 r Ku-thoybe4zed Sigrature ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD T BUILDING DEPARTMENT TOWN HALL 765-1802 '9LD APPLICATION FOR CERTIFICATE OF OCCUPANCY D This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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: 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. 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. Z,'" ()—I –0( New Construction: Old or Pre-existing Building: (check one) j Location of Property: 019/14—,r 3 sozz-RAO Fb House No. Street Hamlet Owner or Owners of Property: I ifouA-o V. OLLF,u Suffolk County Tax Map No 1000, Section Q(o�' Block 0601 Lot o 14 SubdivisionFiled Map. Lot: Permit No. Z, Date of Permit. 13 r'1'$ Applicant: l 40 w .n y, CUL CN Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V"" (check one) Fee Submitted: $ Vim. ay Applicant Signature suauiNc DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & HIMNEY ARKS: p olo .dAe:&� kA locl— 00,2 &X, 4v DATE �INSPEt44 BUILDRINO DIEM INSPECT ION FOUNDATION ROUGH FOUNDATION 1 I IN 1 FRAMING FINAL REMARKSO ly IN suu.uINo DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ y'FlNAL [ ] FIREPLACE 8 CHIMNEY REMARKS: cq. JA /uo- DATE INSPECTOR 1=LD COMMENTS 3 � H FOUNDATION ( 1st) FOUNDATION ( 2nd ) 2. z 0 9�y ROUGH FRAME & fi .PLUMBING y H 3 . rn T, I2JSULATION PER N . Y. • ' .'j ,7[�—V STATE ENERGY CODE x a 4 . y OF FINAL llb , Q . z ADDITIONAL COMMENTS : x . p Cp • H ff�� v1 9 H cl. O _�1 " Z • x ch a r ^o BOARD OF DEALT11 . . . . . . . . . . . . . . . FORM NO. 1 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTIIOLD /SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT ,CIIECR ' TOWN HALL SEPTICFORM. . . . . . . . . . . . . . . . . . . . SOU'['IiOLD, N.Y. 11971 n CCJ+! TEi.: 765-1802 NOTIFY: �..�...�.........�,.�Y•._�.�.�.�..�_..,._,...,.. � CALL a. . . .�4, , �7 .S' y. . F=ined. .�.!. ., 191.! MAIL TO: . . . . . . . . . . . . . . . . . . . . 40 Approved.. ... l ., 19/G? Penni t No. �.1� �� .. .................................... Disapproved arc .................................. .................................... ..'.........................................�ild,ilvt';n ... .. _ ... �... . ..... (Ikcpector) APPiACATiON FOR BUILDING PERMT'f Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'ibis application must be coghletely .filled in by typewriter or in ink nix] submitted to the lkhilding Tnsixector wil 3 sets of plans, accurate plot plan to scale. Fee according to sdhedtil.e. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pubclic streets or areas, and giving a detalled description of layout of property must be drawn on the dlingram which is part. of this application. c. 'Ihe work covered by this application may not be cmmenced before issuance of Wilding Permit. dl. Upon approval of this application, the Wilding inspector will issue a Building Permit to the applicant. Bush permit shall be kept on the premises available for inspection throq#xxit the work. e. No building shall be occupied or used in uclhole or in part for airy purpose whatever until a Certificate of Occupancy shall have been granted by Oce ikhildling Inspector. APPi.Icmam I5 iIERM nNZ to the ikiilding Department for the issuance of a Wilding Permit pursuant to the Wilding Zone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hercin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations,,arxl to admit authorized inspectors on premises and in building for necessary inspections. . .................... .............................. (Signature of applicant, or name, if a corporation) a ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,*general contractor, electrician, plutber or Ixhildet .............................. �.......,.,..t............`.`.....................•..,....................................... Name of owner of premises .......1.1 Q Y as......�f.•....��lrrrti........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of drily authorized officer. ......................................................... (Name and title of corporate officer) iuilders License No. .......Z y Z N 1 ................. Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... --..&.1. (t .C�;,\►(_J,��. ......... 1. Location of land an which proposed work will be done.... V.'.t.-....... ••••••• • .. . ... . ..... ................................5 - ............... llouse Nunber Street i owie� County Tax Map No. 1000 Section ....... ill.ock ......Q.1...... Tat ...��.. ...... Subdivision ...................................... Filed Map No. ........:y..... I.ot ............... (Name) 2. State existing use and occupancy of Pr fflaises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... .............. ........................•................... b. Intended use and occupancy .. '.?!:''..� ....`�..1Z z?p:.... L' L �t Via^-:J................. hha4� r� IPA Rim! ffia ytnUO�71101 hr s sed a 3. Nature of work (d►eck tabid► applicable): New Building ........... Addition ....... Alte tion Iteluair ............ Removal ............. 1)euolitIon , ........... Other Work .... Q ................... (Description) 4. Eat berated Cost .......... fee .............................................. (to be paid on filing this application) 5. If ckrelling, umber of duelling ►udta ..� .E�.., timber of ckaelling units on each floor ................ Ifgarage, ►ander of cars ...................................... U. if Ix►si►►ess, commercial or mixedoccupancy, specify nature sod extent of earl► type of use........ .............. 7. Di'lrensia►s of existing structures, If any: Front................ Rear ............... Depth ................. Ik:ight Nader of Stories .....�. Dimensioc►s of sane structure with alterations or additions: Front ................. Rear Depth .................... Height ...............I.... N►,ruder of Stories .. .... ............... 8. Dimensions of entire new construction: Front ...�J.t.. u... [tear ..�t.';;Qn. �► .. DepU► ..71 -.40...... Ileigi►t .................11....... . Nisduer of Stories ...........-�- / 9. Size of lot: PyrXIC ...l.U. 4Q....... Rear .....�.�/.�`,5 Depth ........... '...70.... .. 10. Date of Purd►ase ..................... Name of Fon►er Owner ........................................ 11. Zone or use district in whid► premises are situated ... 12. Dries proposed construction violate any zoning law, ordinar►ce or regulation: ..... „• 13. Will lot be regraded ........- JQ....... Will excess fill be removed from premises: YES NO M. Nares of Owner of premises t(S ( g) Piue No ''e2.. � �tZ �' t� C(3y. Puone Na. ........ . .....Nne of Arduitecl ............ Adiresa ............................. N,■ne of Cc)ntractor ................................... Acklress ................ 15. is this property within 300 feet,of a tical wetland? * YES .......... Na .......... *IF YES, SCUUNRUA 7Q,N 1MS, ]PERMIT MY RI: RFIXIIW%D. ... PLOT DIAGRAM Locate clearly and distinctly all buildings, wl►ether existing or propo and Indicate all set-balk dimensions frau property lines. Give street and block ander ou description accord o deed, and slow street Herres earl indicate tAietlwr interior or corner lot. i 91'sils (A? NM ••f I -h% duly swcun, deposes aril says Uwt be is the applic:a,it (N,>r►IL' of irxlivickun►L signing contract) alxive uunred, lieis U►e . ..... .......... ( ►tractor, agent,corporate•of.fi(er. 'etc.) •."•.•..• of said cmmer or , "od is duty auUxirized to perforin or hive Ix:rfor►uecl the said work arxl to make and file this algin icatior►; LI18L all slate►nents contained in this application are tnie to the best' of his kuxiwledge and belief; arxl that. the work will lx: perfonned in the manner set forth in Uwe application filet] therewith. :kaorn to before une this ..19. Notary Aub is ... ...... ...... 7S'ij- p,;d.ure of- Applicant r Cc IZE,�eke it IT tr { � 9 3 9 .- 4.0 ' 4.6a r V i .1 .. ` A rr v +'o the, ",So +�l fib, . Sac. Y1t1 AT 50' � '�." c'yr'U �J,•�,ti.,frtf rwGn p+O►r•r1 �C7L1TJwl'� y , •y:•. v.yyn•a Mei t0+i�7 S H N Y, Ll� . LQH,4► .s.�rvarc�ars 'Nm`+'�t ' �S}trQ�s s��J�rvw��4 ha��ltid, 4r�•� r. ; ..•::.•.. !s/•GCH��/"f, Iv. Y, Skpwi.+ 'fg4'*v, ., Map .r A4 � cx�}.�.• `' C� vR M f! ar 35 Mo�R J i r r ASr - ODOR �J!� a g7�-� • _... --PT ty-F%:isEa Vtcc<_ - NOW 0 csomwL � 7WIM ! AN W 4 PM FOR THE - _ # t l�NQg1� - 14lq REGtNREO NOR f01 m 0 I NOWN - I&VON1 PLUMBING — 6 & INKRAWN 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET . THE REQUIREMENTS OF THE N.Y. ® i STATE CONSTRUCTION & ENERGY -„ CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 4 - _ Q ua @I A I LA 'Lot ` { i -17 C17R