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HomeMy WebLinkAbout27080-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28162 Date: 01/10/02 THIS CERTIFIES that the building ADDITION Location of Property: 8310 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 7 Lot 29.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 2001 pursuant to which Building Permit No. 27080-Z dated FEBRUARY 22, 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 "AS BUILT" DECK ADDITION AND GAZEBO ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & SHELIA SCHUR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /, C�, )6", Authorized signatAre 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. 27080 Z Date FEBRUARY 22 , 2001 Permission is hereby granted to: ROBERT & SHELIA SCHUR 8310 SOUNDVIEW AVE SOUTHOLD,NY 11971 for AS BUILT DECK AND GAZEBO ADDITION AS APPLIED FOR. at premises located at 8310 SOUNDVIEW AVE SOUTHOLD County Tax Map No. 473889 Section 059 Block 0007 Lot No. 029 . 006 pursuant to application dated NOVEMBER 17, 2001 and approved by the Building Inspector. Fee $ 133 . 80 Authorized Signature COPY Rev. 2/19/98 *Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC This application must be filled in by typewriter or ink and submitted to the Building Dep 'e`rt witho�o A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets;'and u m§iml n4ural tr 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: Z310 __� �[1 T h�Po—s.�c M� 1v 219V House No. Street Hamlet Owner or Owners of Property: /CA =" Suffolk County Tax Map No 1000, Section_ Block Lot Subdivision Filed Map. Lot: Permit No. a (�O Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ a� pplicant Sign ture � s vin lL ft/ Ilw' �e,s6-art Cmc Applicant/ Date Owners Nang �l_ T__- SC Reviewed Architect/ Date Submilled Engineer: _ _ I'CTNI /I Dismo, 1 ,000 Section 5"9 _ Block ( I.o(49A j 1'10iec1 Subdivision I oca,ion U s�Nj vI9M &I au (�_ Name Single & separalr Required cerltltcalion Yes/ No) AA Rcy /onmc DIlrllcl �q 11.0(stzc 9-6 IRcy. Rey Rcq Acwal 1Lol coverage � / hopo-w-d--_- I / eq 1Prom Yard Proposed �1 (Side Y1 30 � Yroposcd 3d 9� IR ar Yard �J 1 ( Proposed —336-1 c f� r��Oc% - A (�O Project Description: /`F-�' ar' o 9.44-eze /-� sor <r- AGENCAPERMITS Permit REQUIRED FOR REVIEW N.A. NO Y S Number Suffolk County Health Dept. New York State D. E. C. Town Trustees f Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: to • � /7� e. . Z X.2-0 = sg. 9-0 fSS� 133.w a BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREP CE CHIMNEY ARKS: X� b DATE l 11e;7 (191 INSPECT FIELD INSPECTION REPORT DATE COMMENTSNj �1 =cx==x====xx=xaax=xx=sxxa�xxxax=aass=xxssxxaasaxaaa==asays==asaas=====sagas=ss=xsa=sax'�sa� II FOUNDATION ( 1ST) qj FOUNDATION (2ND) II II t a II n —'f o' ROUGH FRAME & tt— O PLUMBING n ----------------------___=________=== =r�====__— Z I INSULATION PER N. Y. STATE ENERGY n H _n CODE u ii Im 4- 0 IN--- —If v FINAL if n --i ss=x=x=saax�-mxxaaaxxxxc�asaa Y--axxsxmaxaessasxx=essx=sassaaxxsass=xaasaxxxxsasxxxsx f ADDITIONAL COMMENTS: asasxxx=axis=x=xsaxxce=xaaasaax=xxxM�xxsasxxe=a --xxas�=asaasx=sasaaxxassasxxasaaxaa 'V N � � N r � ro H TOWN OF SOUTHOLD SURVEY .. .. . .. . . BUILDING DEPARTMENT CHECK ... . .... . . .. .. . . .. . . .. . . . TOWN HALL SEPTIC FORM . . . . . . . . . .... . . . . . . SOUTHOLD. N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . .. . . . .. . . . . . . � MAIL TO: . . .. . . . . . . . . . . . . . . . . Examined....... ....., 1. AL. Permit No. . �14. .................................... Approved.....Z/�2...... �®. Disapproved a/c .................................. ................................... ................................................ (Building Inspector)........ APPLICATION FOR BUILDING PERMIT Nov 17 A•�v:. 1.7. . . . . �d v r Date. • • G.DEPT INSTRUCTIONS TOWN OF SOUT14OLD! . YEA a. This application must be completely,filled in by typewriter or in ink and submitted to the Building Inspector w 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 dram 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 fog• 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 pursuant to the Building Zane 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, horsing code, and regulations, and•to admit authorized inspectors on premises and in building for s inspections. .. ..... . ......... ••Lure of applicant, or name, if a corporation) .......�Ja .';Q4. .0.,Al.� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build( ....................... . ................................................................................. Name of owner of premises ....� .�L4t.. ... ............................................... (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. 1. Location of land an which proposed work will be done......................................................... ...V.- ..11�Z�................... House Number ...... Street Hamlet County Tax Map No. 1000 Section .... ........ Block _7.......... Lot ..q2P,.Z ...... Subdivision ...................................... Filed Map.No. ............... Lot ............... (Name) 2. State existing use and occupancy of premisaandnt ded ts and occupancy of proposed construction: Aa. Existing use and occuprauLy ...... ..... .....................................•b. Intended use and occupancy .......... . .Y... �l�ta...... .............................. jute�nyt �� ;ar9t R�,r! *W W?M} '10 YSAT03 3. Nature of work (check which applicable): New Building .......... Addition ... ... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) 4. Estimated Cost .. j.P 1�......... fee ............................ ............... (to be paid on filing this application) 5. If duelling, nurber of dwelling units ............ Nwber of dwelling units on each floor ................ Ifgarage, number of cars ....................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front.A;.1......... Rear ........ Depth .. .. ..... . Height ......................... Number of Stories ....�............. . Dimensions of sane structure with alterations or additions: Front .... l..... Rear ..yq.... . Depth .................... Height .................... Number of Stories ............... 8. Dimensions of entire new construction: Front ... �......... Rear ...1.Q.1....... Depth .9. b BeiHeight leer of Stories .......... t ......................... `.......... q 9. Size of lot: Front ..jwr jr4A /.... Rear ..161.s.rzt7....... Depth 10. Date of Purchase .....� 77........ Name of Former Owner ..... . ....................... 11. Zone or use district in which premises are situated ................................................................ 12. Does proposed construction /eviolate any zoning law, ordinance or regulation: ....NQ............... 13. Will lot be regraded ....,,L'!G........... Will exice fill be removed from premises: YES ND 14. Names of r of premises,// !^J: -<�' t`lG�� Address .O s 1 Pashe No. 7jW7 Name of! � ? .1:1,l�. �.�4E�r�.t ttt�. Address 7ki. .• . • Phone No. Name of Contractor ................................... Address ................ ............Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... ND ..1�..... *IF YES, SQTMD MM MMMS PERiyIIT MAY BE ice. 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 mranber or description according to deed, and show street names and indicate whether interior or corner lot. Sl'A1T Or NUJ , SS O"Y OF ... .... .....� ........... ...........being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, Ileis the ........Llp.A.P1e— ......................................... .............................. (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 applicatimi; that all statements contained in this application are true to the best of bis 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 ......����.....da f ... ... NotaryPublic ... ... . ... ........... LYNDA M.BORN .... .... .. .... NOTARY PUBLIC,State of Now York signature of n Iicant) No.01 B06020932 Qualified in Suffolk County Term Expires March 8, 20!U ,`, � � !rrlevrt 5�rk,Go� o� q �,4ddY":u: I e Cn,F•te?tI(+De�rl•'�+r'""'o�(�'a °_ INC wa l m' t=er Ak�?mvai %,6wa _,(t&CHC (()m4f 1wa 5. ,.5e+:w- •� •- k• _ - • . s�airr� {pr oris reaidan� wt!l cor7orn'E 14 ° v fro ?ke MAWddral6 t'%ffYr� 5 !h Co. iffiffe!z a yj n Gs)ota0 ro',roedve 1 q 3T.roZK�V dA:b..w ° !' -, Ilk, . f M06AS 6S INC. P. 3 Ciel"j ' fi� . 1:2�mr1 I ( Y'. Scale: tODj,M. ':F: „ ` A44P cap• P*OPEQ7Y 5UQVEYE-D F= f . AmV �•le7t.nAe.•o 'cam �7,08G2T . ,$- St"L'-_t.._14 . c4'rILj AT w SOU7"HOUD SQFFOLH COUNTY REACTS DEPUTMF, Ce.D.HW. ..M SUf,K Coclhl�Y,N.Y. i a�F✓1dC�<'�+F+"' =K, r r.amF NOV 2 t 1978 H. D. REF. 8^SQ-YO. _ µ S s« Eadj� .�\ `� Qe•• s3 - r ' �.1 ::d e•ater.'suoply` 1:? 1 1 ,• _t7e;, have been dear.` :Lt"aT d Pon d — N AGK�2 , be ..tis! or, � Chief of Central Engineering EMAUTHORIZED ALTERATION OR ADpITIOn /.c�• 't} A Services - ' �p'L1, TO THIS SURVEY IS AVIOLATION OF V. A \ryf •) I L .� "R'i SECTION)i:9 OF THE NE YORK STATE �' WWW `'�. EDUCATFQN LAW.. W" -�.. M •IV / ' ,'' �- f .f1 � W eORIES,C-fT`Is':L;.v.�1•NA�NOi� `RING V`. p / 1 �, 'j i .I. •. THEO•SED S-AL SHf{I rp j p�O 70 BE A VALID r.>t'a�s o OKY TO ersp�l A4 T'TO Ak rc. xT For-,..E�f�rM YE@ %y .L` ' !l: �1 ttr--++LE 1 1\ ' �•. � .. '1 .i VY� • ER�ARi� A+.'D ' Oit CCi.PA>\Y..w^.L;';p4WAi'. I V * t �y LEW LIQ��•�U!E(]Ei - . . S 7 10 FM ASM Ad J jjjlf C jto 141) 1 70- 1/`5(1'30w- { - Ir Tf�!e Np?7-5-76260 { \; 40ING Kow,S�:.SXI 1 GZ0quRM J 4COSI4: 1ATftA � 1' E +MOr8tZt5 . (iflRrifgllL'tq YrA �' , �{, - i t • 7�° � - ,• '� .� � . r. �vic:�^irnrrs�t ,6s�rr .,s..�*�; ;. 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I rt` I I i ry Or � �m�o;'c � i i `YrC i-".'>_✓' PO'.T i � �_ Y�-�-a.-.a'- V L 0 r^ i \� — — V,' APPROVED AS NOTED s' # . {' DATE: b12 a/ B.P# a�oPo FEE. , . °rte 8 . p p ru Y G�©�AC � �%!r�'I/lt!�,{i �!✓ —, ` /— G� x /iL� - '� 'I '�1 �. i I NOTIFY BUILDING DEPARTMENT `� ',/ TA°EATE"O FOLLOWING NS TO 4 PM FOR THE /" ' ,5:AT5 — 51¢-"��.'OYJti//,(!f�* r� FOLLOWING INSPECTIONS: 1. FOUNDATION '- TWO REQUIRED FOR POURER CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION N 4. FINAL - CONSTRUCTION MUST i ,yy� r i, ;w BE COMPLETE FOR C.O. t,"FMY ALL CONSTRUCTION SHALL MEET /� ys I ' 3 'y Yj 'fl THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY J CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS " �,++`- *' Tmr rw✓ f k-5 r Is I �ryry i r f� _ � • J Y "x A r, " ,'� 3199G X' 'k, OCCUPANCY OR /,. ¢ `�e� �u�� — i 4�ss� ' `� �,.' r 'Y USE IS UNLAWFUL �E�r�r� { IMP 0f' L��" j.31��hRS4 A1C�'�.r ca I i � 7,17U UNDERWRITERS CERTIFICATE .TF REQUIRED I " AfA e6 ./' r T ` SEC 710H -A "A . 77 ' k C,AI :Z _. . 7lrB