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Home My WebLink About26824-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28126 Date: 12/18/01 THIS CERTIFIES that the building ADDITION Location of Property: 4895 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 3 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 9, 2000 pursuant to which Building Permit No. 26824-Z dated OCTOBER 4, 2000 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOAN TYRER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Si ature 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. 26824 Z Date OCTOBER 4, 2000 Permission is hereby granted to: JOAN TYRER N BAYVIEW RD SOUTHOLD,NY 11971 for NEW 20 ' X 35 ' WOOD DECK ADDITION AS APPLIED FOR. at premises located at 4895 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0003 Lot No. 018 pursuant to application dated AUGUST 9, 2000 and approved by the Building Inspector. Fee $ 75 .00 Authorized Signature ORIGINAL Rev. 2/19/98 765' Is� Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 12/18/01 New Construction: %% Old or Pre-existing Building: (check one) Location of Property: 4895 NORTH BAYVIEW RD. SOUTHOLD, N.Y. House No. Street Hamlet Owner or Owners of Property: JOAN TYRER Suffolk County Tax Map No 1000, Section 79 Block 3 Lot 18 Subdivision Filed Map. Lot: Permit No. 268242 Date of Permit. '10/4/00 Applicant: JOAN TYRER Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: %% (check one) Fee Submitted: $ 25.00 Apant plicSignat e Qom• (°o � � � Q0A106 suauiNa DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSULATION [ ] FRAMING [ ] FIREPLACE HIMNEY REMARKS: /?n /'/';- DATE b �� 6� IN8PECTOR M.i80Z BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: n2e ,DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: �.jt7-7 ,DATE lov INSPECTOR _ _ s Ole INDAT I ON ( I II II --�- - WDATION OND) --II ++ 1 _ IGH FRAME & riii >r------ PLUMBING II II Itl JI II II tt----JI II �� II if H it ;ULATION PER N. Y. hi H jj-- 11 H STATE ENERGY u u CODE p n H if u if II a u / 11 H II -� FINAL ADDITIONAL COMMENTS: l - 6 H --------------- H �y z a --- r' BOARD OF 111iA1,'111 . .. . . . . . . . . . . . . . FORM NO. 1 �3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT ---ICHECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . E SOUTHOLD, N.Y. 11971 , ,n TEL; 765-1802 MOTIF ✓—M BLDG. DEPT T01,°1N OF SD UThiOLD CAL p� (� Examined..[ 26 ......... zmo. MAI L TOA7\: 0 `� .v�`/ (f�. . i/e?,? '� I�Approved.... ......., ?4U. Permit No. ..... .. . Disapproved a/c .................................. ......... ...... ..... ... . .. . . .... . . . . .... . . .............................................. ....... (Building.Inspector ' ) APPLICATION FOR BUILDING PERMIT h� Date �1.5?\, . . . . . . . . 20.0.QINSTRUCTIONS a. 'this application must be completely filled in by typewriter or in ink and submitted to the 1kiilding Inspector e- 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 mist be drawn on the diagram which is part of this application. c. the work covered by this application may not be ce menced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to time applicant. Suclm 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 arty purpose whatever until a Certificate of Occupancy shall have been granted by the Buildino Inspector. I APPLICATICK IS HERBY MATE 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. J� (Signature of applicant, or if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plurt)er or build= �'`•�-.�r e .......................................................� ...... . ........... .... . . ... ... Name of owner of premises ... .. .. .. .... :`:1.... .. .....,,��... . .. .... . . . . . . .. . ... . .. as on the tax roll or latest deed) If applicant is a corporation s' ature of duly authorized officer. ' . .......................................... (Nene andtitleofcorporate officer) Builders License No. . 71 Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.. .. .. . �.. .s.......................��. .- ..r� . .... l ... . '�.�. . . r House Number Streetgg Harslet County Tax Map-No. 1000 Section .... ? ...... Block ..... ....... Lot ........ Subdivision dd. \.�.�!):�r�..J!� �{9.OFiled Map No. ............... Lot ...... .... .. . . . (Name) 2. State existing use and occupancy of premises and intended use and noccupancy of proposed constr.:ction: a. Existing use and occupancy L1 ti R.!:.�i,�,yy,.,�. .� ��' �`........ — v�• r �• C�'1!�. b. Intended use and occupancy ........................................ ..........v. �., .. . 3. Nature of work (cheidc wl►id► applicable): New Building .......... Addition }� Alteration ..... . Repair ......... ... Removal ............. Demolition ............ .Lci .......... Other Work .. ,,,,, , �.......... fee ....*?`j...... (Description) 4. I:stin><►te<1 Cost: ............................... (to be paid on filing this application) 5. 1 f diol I ing, ►tomer of dwelling units ....!....... Ikvber of dwelling units on each floor ................ Ifgarage, rxn6er of cars ........A............................ G. If Ixrsi-ss, atmiercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... lk igi►t ... .... . . . ............... Number of Stories .....I................ Dimensions of sire structure with alterations or additions: Front ............... Rear . Depth .................... Height . Nuber of Stories ............... 8. Dimensions of entire new construction: Dont ......... Rear .......... Depth .j9-n-YO,.. 11 Height ...�. .�.... ... Ninber of Stories ... .. 9. Size of lot: Front Larrs.- .............. Rear ..� �:.a� ..... Depth .....1.?0.......... IO. Il:ute of Rurchase ... "r.�lr! ........... Name of Former Owner ..1 Ee...�W. Pn/`.T,19e4eC�77ES 11. 7cx►e or use district in wind► premises are situated ....tSPE ........ ......... .. .. ... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ...... 13. Will lot be regraded ...No ........ Will excess fill be removed YES...... pq ses: O 14. Names of Owner of premises CuvE,+ �o J,, TY��,�„ Address `� .`....... Y��:?�.�, ,, Phone No. 05 30 .7-. Name of Arcl►itect ....P/A......... ............... Address ........................ Name of Contractor 1v. .vw. „M/�C �11�.... ... Address � , OI:D S jpY�4R� - Phone No. 3Vb8 .Phone No. 14 .... 15. is this property within 300 feet of a tidal wetland? * YES .......... ' 1!A *IF YFS, WnUD MM 'IRII M43 PER4ff MAY BE WgHRED. ... ..... PI.O'r DIAGRAM Incate clearly and distinctly all buildings, whether existing 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 1,Awtlwr interior or corner lot. SI'/1113 (A' N1 �I,rUC,' CUJNI'Y Ol', .L�� 1• ... .. .�\ f..bei ng duly sworn, deposes and says that he is the applicant Nxrre of ind" aa1 signing contract) above ru-med, Ile is lie (Ccnrtractor, .gent, corporate officer, etc.)' . of said owner or is choly authorized to perform or have performed the said work and to make and file this application; that ill sLatarnnts contained in this application are true to the best of his knowledge and belief; and shat the work w l 1. be perfonrred in Lire manner set forth in the application filed therewith. Shorn to before nor th i s ��•"•'\ - illy of .... ,,.. 20 Notary N is ... .. ... - . ..... Nof yrk (Signature Of App 'cant)Wj . No.01GL4879505 Qualified in Suffolk Cou Commission Expires Dec.8,- - S:a Meadow- -P*iii PYGperf .. S. 66'137' 30 ,E. I68.55 ~ ' Ui r.. d 40�, a � N It PAC E5 - �/ pizopos «. Lj i (J ECKf Q 4 - ------ T1' 1 � N, z `• ., N. I08'37'30"fid. 176:77 Meadow Poin+ Properties , Inc. i { MAP OF LAND {� SURVEYED fiC� i _ AT } S S O UT H OL D !' TOW W OF SOUTH OL D, N.Y. I Guaranteed toThe Title Gvaramtce pip t" laj SCALE Co. ndthe Southold Savings Bank c Iron pipe as serve ed Maq 2S 1965 j VAN TUYL 3. SON TITLE s-419 IZA-7'396 `! Licensed Land Sot• 6eu, rs r Grecn owl-, New York, t—� Applicant) Date Owners Name: Ou/h Reviewed: Architect/ Date Engineer: Submitted: g- 0`0 SCTM #: District: 1,000 Section Block 3 Lot -1 Project P Subdivision Location: - _,--�, -- Name: Single& separate Req Ll certification (Yes_ Ir X ¢�) Ilcy eq• a - O /onmg District r �-' I l,ol size Actual ] (Lot coverage f*+ Pmpoad— Rey Req i El Req / [f=ront Yard Proposed: > J [Side Yard Proposed ] [Rear Yard,' Propo;rd—'lU ] Project Description: 1-jeew A66 AGENC)UERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: A�LtT/irt- C aA 111-6 APPROVED AS NOTED DATE: ?A716 0 A 60 B.P. # _ `4�44� FEE: BY: '' {:?.tet EL Lv— NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE + I / FOLLOWING INSPECTIONS: I 1 FOUNDATION - TWO REQUIRED /-,*C �'�- 4e-� RETE NC - MING & PLUMBING 2 ROUGH FRA --- - ----�� 3. INSULATION FINAL CONSTRUCTION BE COMPLETE FOR.1 O ALL CONSTRUCTION C HE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY i CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ER - mss ROBS Orfluluu T UR L LIA ,,. � -e,T_._. a.,--ter .. . _ - •_ ry.�� ^} 0 '47;'3 �y. T ^�'-^L�_ - =��- - .._ -- in-+m,ar..Ys - .mr�zur.w�..we,-rw.+•er.r a.m�rr..vl�e+r t o u UL THOUT CERTIFICATE - I j 11 OluuUPANUel DO NOT PROCEED WITH IT, ,�} � FRAMING UNTIL SURVEY - _ - - - OF FOUNDATION LOCATION _ t - '! V HAS BEEN APPROVED. 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