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HomeMy WebLinkAbout27748-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28117 Date: 12/14/01 THIS CERTIFIES that the building ADDITION Location of Property: 325 OAK DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 1 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19, 2001 pursuant to which Building Permit No. 27748-Z dated OCTOBER 1, 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 LUDWIG C HASL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized gnature 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. 27748 Z Date OCTOBER 1, 2001 Permission is hereby granted to: LUDWIG C HASL 275 OAK DRIVE SOUTHOLD,NY 11971 for ADDITION OF WOOD DECK TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 325 OAK DR SOUTHOLD County Tax Map No. 473889 Section 080 Block 0001 Lot No. 032 pursuant to application dated N/A 61, 1981 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature COPY Rev. 2/19/98 t Form No.6 TOWN OF SOUTHOLD -- BUILDING DEPARTMENT TOWN HALL 765-1802 1 APPLICATION FOR CERTIFICATE OF OCCUPANC So ajm* .. This application must be filled in by typewriter or ink and submitted to the Building Depart 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 I%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. A�cQM a(`7'z l 0, ogkn1 New Construction: Old or Pre-existing Building: // (check one) Location of Property: .307 `S C)q< 1�2� V�= j pts('j�-fl Cy /\! �7 1 I y`7 / House No. Street / Hamlet Owner or Owners of Property: � U D w t 67 �-{ q SC_ Suffolk County Tax Map No 1000, SectionWff,?5, Block (j -/- 3: Lot 3 4q- Subdivision ¢Subdivision - —`-y Filed Map. Lot: Permit No.a77 4'-z�7 Z- Date of Permit. /O / D/ Applicant: /ecu14 C./`1!1 s Health Dept.Approval: /V` Underwriters Approval: AV/,!J Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �.- 0,/� 2- 2 � lr� e I C4 L �`o C 1 Applicant SieOure Ile 2_77wa-a BUILDING PERMIT EXAMINER CHECK LIST a//, DATE REVIEWED: 'S 40/01 .DATE SUBMITTED: /�/O1 APPLICANT NAME:. �Du�l4AP6L SCTM# DISTRICT: 1,000 SECTION: 00 BLOCK: LOT: 3a STREET: p2 ,' � I R . CITY: SUBDIV.NAME: � 5 PROJECT DESCRIPTION:LD ac t, ARCHITECT/ENGINEER: yne FAST TRACK? SINGLE&SEPARATE CERTIFICATION-REQUIRED? _NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) f ZONING DISTRICT: 4 o CONFORMING? 00 � REQ. LOT SIZE.1°(°O0 ACT. LOT SIZE:3y,1REQ. LOT COV. °?° ° ACT. LOT COV. ) � �(o REQ. FRONT yo PROP. FRONT *95,- REQ SIDE i3- ACT. SIDE =`ia REQ.REAR -PROP. REAR_Y_1576 �35-� fag JA. WATER FRONT? do- DESCRIPTION: PANEL #: /6 FLOOD ZONE:_, AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REOUIRED: SUFFOLK COUNTY HEALTH DEPT: YES ori (BED#): DTE:—/—/ PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES o SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES o O NYS ENERGY: YES OR NO EGRESS (18 H min.?4 sq total) VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) EGRESS (18 H min.?4 sq total)-A BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : SF SECOND FLR : SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE OT(o�w_SF)- (___—SF)= SFX$ =$ +$ I-5'o +$ _$ c�0 M-1102 BUILDING DEPT. NSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REM KS: 15;0)0711 DATE 2 IN8PECT0 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE CHIMNE REMARKS: DATE INSPECTOR FIM INSPECTION IRMPORT tiA a' COMMENTS' . j.. 1 FOUNDATION ( 1 STYwo ,q U FOUNDATION ) - a BOUGH FRA14E & (� PLUMBING C� --�-- t--_– s=ue=--_-- ---- -----�— '� .c INSULATION PER N. T. STATS ENERGY CODE 1117 H FINAL � ADDITIONAL COMMENTS: r �y c� . m TOWN OF SOUTHOLLD - BUILDING PERMIT APPLI:,ATITON CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 setsof Buil ' g Plans TEL: 765-1802 Survey _ PERMIT NO. Z 77,�9 Check# Septic Form N.Y.S.D.E.C. Trustees Examined / _,20 J_ Contact: Approved 20 o/ Mail to: ' Disapproved a/c �T- Phone: n n, Building Inspector f I trE %i I 1;1' i } .1 APPLICATION FOR BUILDING PERMIT L T �­LDG r ,: Date C , 20 y/A/' ?_DC INSTRUCTIONS a.This 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 schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. 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 a 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 what-so-gv5r until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE 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 premises and in building for necessary inspections. e. (Signatdrh of applicant or name,if a corporation) X175 Cp<c. I)e. SyuTUCz A Al V (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0&) I(=le Name of owner of premises -�UV QJ/ 6- . 114.5L (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. � , Q`7 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: a 15— 0 p/aA_- �0 v;7?-t0 c© �S� �i'91/ House Number Street Hamlet County Tax Map No. 1000 Section 0,7-3ZA1ff Block �p, - /-,3„1 Lot 4.3 -C-44- Subdivision C-4¢Subdivision X&Noc,A,j Filed Map No. 6.3 i Lot ¢3 f *,- (Name) � r 2. State existing use anofoccupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 4X b. Intended use and occupanc- 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work D'L r�,►e,, '0os (Description) 4. Estimated Cost Fee �'V/(> e?12 v CSL .3 o b (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. r ' 7. Dimensions of existing structures, if any: Front '�0 Rear Depth �o 3 Height f Number of Stories Dimensions of same structure with alterations or additions: Fronto Rear Depth 60 '3 Height Number of Stories 8. Dimensions of entire new construction: Front —Rear U" 1 Depth Height Number of Stories 9. Size of lot: Front .5 �• 3 4- Rear d Depth 3 o rJ J 10. Date of Purchase l Name of Former Owner �/��" 72 4 11. Zone or use district in which premises are situated /C4�_VO©a/ J 4�75 12. Does proposed construction violate any zoning law, ordinance or regulation: A/p 13. Will lot be re-graded Will excess fill be removed from premises: YES NO✓ 14. Names of Owner of premises 1,0wi4 C-,1141 t Address d7J(_'W D/1 Phone No. 6-4/ '1 E�j-964L Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO "ter • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name o individua gning contract)above named, (S OH is the 0qJ'V6_;e_ (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,, fore me thi ¢ day of f 20o f Notary Public Signa a of Applicant HELENS D.HORNE Notary Public.State of New York No.4951364 Qualified in Suffolk County, ^ommission Expires May 22, 0_0 6 ANY AL TERA TION OR ADDMON TO THS SURVEY IS A VJ LA TVN Of SECTION 7209 OF TW NEM' YORK STATE MCA TM LAM', EXCEPT AS PER SECT iON 7209-SU90IV/ M 2 ALL CERTFICA TM WXON ARE VALD FAR THS AAP AM CAPES TAFREOF QAC Y F SAD AAP OR COPES BEAR TiE""RESSED SEAL OF TrE SURVEYOR pSURVEY OF WHOSE SKATURE APPEARS tEREOnL ADDIT1iBE U Y TO COAPT r M7TH SAD LAW RTtES TERW 'AL TE�En BY• LOTS 4 3 & 4 4 Aiusr BE c�sEO BY ANY Ann ALL s�RvEYaRs uTIClZIN�A COPY . QF ANOT}ER SURVEYORS AAP. TERNS SULT/AS ViVECTED•Ann WOUGHT-TO-DA TE-ARE NOT AV CAIPLOACE WTH THE LAW. FROM MAP OF Lor 42 "RE YDON SHORES" 254'6 MA. ?' FILED JUL Y2,1931, FILE NO. 631 . M tn AT SOUTHOLD TOWN OF SOU THOLD .32,00. �, ��� SUFFOLK COUNTY, N. Y. 77 �. CA P u�o- �e L 1000 - 80 - 01-//32 �/ SCALE: 1" T0' /L � ,�+. �3 eoL, 1� Y JUNE 28 1995 J h LOT @ 9'p o -�� 1'' , " Nov. 26, 1996 (Shed locvilon) � V �• �' �� LOT 44 QQ�O �• rn �o 64 60 O �� M•'�� 6LOT o Q 36. O 0 o,t- RF)40pN S�oRFs 5 -p • . Q CERTIFIED TO l MALCOL M FRA SER LIC. NO. 496 JANET C. FRASER PHH U.S. MORTGAGE CORPORATION ECON1 , P.C. FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK Z o i 3561 (5161 765 - AREA = 30,439 SQ FT P. 0. Box 909 1230 TRAVELER STREET c off 6b ��,►2c�us. Loo �. �?E►r►o.vE k—x1s"'riA16 3-0 0o d,e 1AIS7414 4NDFt9EN (v POT)0 400e - -MSfAcL eo�� L'1iag�dxyi Coo eN a Cox CCA fi o ST C'�A a x a `L04de JC3/5fs goo uQlc'ca xr / -7-- �J `2G�1 hTYv N '0 � Oe-144&-)d /" r-�s : , (�a,.��j w -/Xa�� Y S's C a. / �;Ovmb 3 F\Z'__ool rep FN all APPROVED AS NOTED 1-�"cy OR DATE: ° ,P: FEE: `�/SQ eo BY: UL Y S N 1 _ NOTIFY BUILDING DEPARTMENT AT - �� 765-1802 9 AM TO 4 PM FOR THE CERTI y h aFOLLOWING INSPECTIONS: 3 y 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION UNDERWRITERS CERTIFICATE 4. FINAL - CONSTRUCTION MUST REQUIRED 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 i I .I _ Styx � C�ATo� CCA Ao o f Jo1,9-S /P "OcZ. o� ooudLE axjz. teA a 45 x JAA Ab SIC s , rGQ �•r� � � nW a x 8"�.,XoF �o7�ivG S'