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HomeMy WebLinkAbout27774-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28219 Date: 02/19/02 THIS CERTIFIES that the building ADDITION Location of Property: 400 WATER TERRACE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 6 Lot 13,.28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 2001 pursuant to which Building Permit No. 27774-Z dated OCTOBER 12, 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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JENNIFER BAILEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 585844 02/11/02 PLUMBERS CERTIFICATION DATED N/A "�L )�'-14..(,1, t ized ignature 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. 27774 Z Date OCTOBER 12 , 2001 Permission is hereby granted to: CONTRACTING CORP ZOUMAS PO BOX 361 WADING RIVER,NY 11792 for CONSTRUCTION OF A REAR OPEN PORCH ADDITION AS APPLIED FOR at premises located at 400 WATER TERRACE SOUTHOLD County Tax Map No. 473889 Section 088 Block 0006 Lot No. 013 . 028 pursuant to application dated JULY 16, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Author zed Signature ORIGINAL Rev. 2/19/98 ti Form No.'6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP K u U AA �Q This application must be filled in by typewriter or ink and submitted to the Building Dep t wAh-6 fdl?wing: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, str ts:'• a -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. New Construction: ADO(T/-oJ Old or Pre-existing Building: (check one) Location of Property: 4o✓ W� LP-- TL�k�S I House No. ( Street Hamlet Owner or Owners of Property: ���`'^� 1 3 M L e Y Suffolk County Tax Map No 1000, Section d Block poo f<> Lot 013 :al Subdivision t,�C. C SH O�LG5 Filed Map. Lot: Permit No.��7-7 Date of Permit. f �/ Applicant: � �� r � 3 y Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ c- r/-4Applican S' ature 0E RWR tT QRS PAGE 10Ga0121 L-to 14 TY \ r- '� F��,NSM-YCifN( NY 1`t1f138, F$13 AR'''' 9 , 2 _ )ice 74013202,/02 N 585844 ortl the electrical`e�utpment as descrt7ied beiaTn affi l tttt ©ttueetk,o the appzkant named:.-on the above application number is in the premises of BA Z Y tknY, 4 4 EtR idl`, :.��LD NX int i c r-� OUT he fouorP ng-lo_.gdttta, Q n .lsx i�1, "t_i,end;Fl. section Block Lot was exa+oeinsd on ` � 22 anrt fouctl`ta be in compliance with the National Electrical Code. Rt Tiht 11 i R 1 �5 ` "DW-K9: OVENS GYi1$NCIt$ E HAST iI►NS K:YY, ' :AMT. 'K.w. ' SMT. K.W. 5 t2lt�Ei�S f � �R��r�N �� SP�FAi''RC�pF TAME L' �C$ - 4EL� I1NITkIEA�S fill-Otl'f�k7 DIMiY�aS AMT. K W 1IIl Li Paa. P.AS a: II ., t ieMTsO A 1Yt$ AMT AMP AMI AMPS TRANS. AMT. H.P. 11©. AMT. WATTS SERtC G E R V 1 E AMT: �t = ;. S' ;", OF �C6ND. ::NCi.OF HI-WG OF HI-CA. �EG ?W.-OF iiEllTRALS OF N6UTRAl � I bTHEI�APP/�R7C?41S' �1N ,. �T i CRAL-lYiMAGFER �a. cnG � s Sl w t� i1 rry be{tlAl Dy theft Credent( r. .a BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: L/fZ/O1 .DATE SUBMITTED: 3 1 APPLICANT NAME:,_ E-N W l F-E 1Zk I L�f SCTM# DISTRICT: 1.000 SECTION:0'0 <!) BLOCK: G LOT: (5- z 8 STREET: 4 a)A—i CITY:a,-–Eo SUBDIV.NAME:`St-to PROJECT DESCRIPTION:CoyIE7pe�ri bec A ARCHITECT/ENGINEER: FAST TRACK, lUd SINGLE&SEPARATE CERTIFICATION-REQUIRED? A)O 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) ZONING DISTRICT: A-0 CONFORMING. 33,ios REQ.LOT SIZE: poo ACT. LOT SIZE: REQ. LOT COV. 01�°, ACT.LOT COV. g� REQ. FRoNT__ZCL PROP.FRONT .8"�x Q SIDE T. SIDE. 3�/D_</./ /c�isr REQ. REAR Z.5 PROP. REAR WATERFRONT? Afe DESCRIPTION: PANEL #: FLOOD ZONE: X , AGENCY PERMITS REQUIRED FOR REVIEW APPR VALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES o O (BED#): DTE: / / PERMIT#:RIO- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES NYS ENERGY:YES O . ro �1 EGRESS(18 H min.?4 41, sq tat) VENT(SQ. FT. x 4o ) LIGHT(SQ. FT. x 8/o) BUILDING PERMITS OPEN/I—RED: BP26 -r -Z/C/0 Z- -,5- 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 DT( 8 SF)- (--SF)--_ SF X +$ +$ — _$ M-1802 BUILDING DEPT. PECTION [/] OUNDATIO!N IST [ ] ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � O� DATE 11 INSP a777�� 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSU ON [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 11 � INSPECTOR FIELD INSPECTION RRPOPT " DATE COmNTS �fs�trs�e:��•�.�enasos==e=s=--sem== - n--x=x =a=s--o=a=-._�---'�a-===••-=----a•�--•-m==-s==sa�eneaa FOgNDATION t 1ST)• •ten FOUNDATION (2ND) _ _10, ROUGH FRAME � O PLUMING _ INSULATION PER N. T. i STATE ENERGY Q CODE {� FINAL ADDITIONAL COMMENTS: u 3 P TOWN OF SOUTHOLD BUIL INU PERM11'AiJPLIC NI'ION-C;HLC;K-IST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of lanili ing Plans c,� — TEL: 765-1802 Survey. PERMIT NO. Check Septic Form N.Y.S.Dy-C. Trustees Examined_ ,20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: 7 6.S Building Inspector APPLICATION FOR BUILDING PERMIT. Date, 20�_ 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-ever 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 promises and in building for necessary inspections. 4, J C,. La-JA z�Jc (Signature of applicant or name, ' a corporation) (Mailing address of applicant) State whether applicant is owner,lessee, agent, architect, engineer, general contractor,electrician,plumber or builder 77AWc.-1-6 Name of owner of premises !tel' !�t L-ey (as on the tax roll or latest deed) If app ' t is a co ration, si of duly au orized officer (Name and title of rate officer) ders License No. � oZ Plumbers License No. Electricians License No. Other Trade's License No. 1. Loc atio of land on which oposed work will be done: n 1 T;V&L House umber Street Hamlet County Tax Mw No. 1000 Section Block Lot 3 Subdivision "OL-- sKaA- 5 Filed Map No. s I, (Name) t. State existing use and occupancy of premises and intended use and occap=9"f proposed construction: a. Existing use and occupancy .<'rnfL l4—I4y �6"8 � r b. Intended use and occapaacy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) t. Estimated Costg dz3b Fee (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. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front _ Rear Depth Height Number of Stories. 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot:Front Rear Depth 10.Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded A1() Will excess fill be removed from premises: YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. feet of a tidal wetland? *YES NO 15. Is this property within'100 f 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 OF5,4q Lj JA$0C , L-Cc IIKD being duly sworn;deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the C-0'-J T/ZC-T-6' (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 before me thi `� day of 200 � 4 Notary Public Signature f licant LYNDA M.BOHN NOTARY PUBLIC,State of New Yo* No.01606020932 Qualified in Suffolk Couritz Term Expires March 8,2 l(a LV.1 AMt:.A a.JJ.000 sq, tt. ,k AZ, ;...t LOT NO. 3 WATER TERRACE RRIfINI� M01N twil STK- S. 58.01'20" E. 165.00' STK. g I p 145.72' Od o � N X N Q R. IIto ao' 2 STY.FR 3U` — DWELL SET N . 2nd.sty.OJi STK. SET JIcw. e� r e fx STK 0 NJ1 � - = c: cu trtif f' � 3 io io in ai L to M1 M 0 1 Z N C SET sm N. 58.01'20" W. 165.00' STK, c _ 3 -a o , z 4D 0 LOT N0.30 LOT NO.31 LOT NO.32 i:: r o CJ cd u SET PROPERTY CORNER STKS and STKS ON LINE 'S-9-2001 CESSPOOL, SEPTIC TANK and WATER U FINAL SURVEY 10-10-2000 SERVICE LOCATIONS ARE BY OTHERS r ,� �- 0 'FOUNDATION LOCATION 6-2-2000 VISEO 0WELLJM 3 -ZZ- ZUoo 49 VtFSEtS (OR 'tMtty 1 ) UWAR •HOWN HEREON FRUM THE SHAD. RUN ONLY TO TIE 1lRfON JOB NO. 99-982 FILE NO. ANGEL SHORES .TRUCTURES TO THC• PP.OPEF.TY •. FOR WHOM THE SURVEY 15 1MtE• INNS APE FOR A tPEC-19C FUR- FAQ, AM 0-4 HIS BEHALF To SURVEYED FOR JENNIFER BAILEY 'OSS AND USE AND TI?E!M'l Tin: T.TL@ G:11Pold7, OO411to EN tltC f* t�lTt?:)'J TCJ Cu^.' T:i? iAl f.' ' :' !I'D t^dDINt3 INSTt• LOT NO. 26 fiECJti01! C?= FFp"9" TF,6 TL•T:C'! LI-F! t:t_2Eo 1, Awl TO VfdrS, FCO?S, Fit;:r :yTit'.=J ?.' :>'t: 'r 'i° Iii: Lif'SI►1� MAP OF ANGEL S 1L AS, f 9✓r!:P! i i 8' il.id!'rb l:STEi :YUA3Ail .E? A.11 _iR'APFlQ1ii_r.CO;ti'??tJC7TfUP:. !i•::? '.:,r',(_a,c TJC r'.'4Lii7ti/•d JIdAUTWORIZED ALTERATION.OR Cja as. SITUATED AT SAYVIEIN 10DITION TO THIS SURVEY iS A 'IOLATION OF SEMUN 7209 OF CC:!CS L: 'HfiS SL:�r:Y i�f1P i;:: Jgll kips( $TATE mDLr_4jW SEARiNG THE LAIRD SUi EYO-1's TOWN OF SOUTNOLD-St"FOLK COUNTY-KY. INKED SIAL OR El180Z-9D SEAL $MAtt NOT m mictu S2 TO a SCALE 1" = SO- DATE II-29-1999 A VAI!/J T11F CCPv GUARANTEED ONLY TO FILED MAP NO. 9729 DATE 8-23-19M JENNIFER BAILEY TAX MAP NO. 1000-88-6-13.28 (REF. ONLY) DISK 193 SUNRISE ABSTRACT CORP. HAROLD F. TRANCHON JR. P.C. CENDANT MORTGAGE LAND SURVEYOR ' 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 HAROIQ F. TRANCHON JR. N.Y. LIC. NO. 048992 516-929-4695 PENN. LIC. NO. 21115-E TOWN OF SOUTHOLD BUIW NU PbRMI'I'AIJPLIC,;PION;kIEC:KLIS'I' BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN MALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 7654802 survey, PERMIT NO. awok tP- 7 Septic Form N.Y.S.D.E.C. Trusteos Examined 20 Contact: Approved________.20 Mail to: Disapproved a/c Phone: r7 65 Building Inspector i APPLICATION FOR BUILDING PERMIT. ; T-'OLD Date. 20 -L 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-ever 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'nspections. 5qJ C�. LE6-JA-+-,D , T-JC , (Signature of applicant or name, ' a corporation) 3 c1JC ! 5-2- -5 6J J l-/c)C-0 (Mailing address of applicant) State whether applicant is owner,lessee, agent, architect, engineer,general contractor, electrician,plumber or builder L'r�-JTr�f�C i i3� Name of owner of premises (as on the tax roll or latest deed) If app] ,is a co ration, Sig of duly authorized officer (Name and title of rate officer) ders License No.Plumbers ff- Plumbers License No. Electricians License No. Other g'rade's License No. 1. Locatio of land on which proposed world be done: O r 6 � House umber Street /Hamlet County Tax M 2-9 No. 1000 Section Block b Lot 3 Subdivision (fc,tsC— $?-io Filed Map No. ;$; Lot-' u (Name) AVY W.., :t r. >.. State existing use and occupancy of premises and intended use and occupanq of proposed construction: a. Existing use and occupancy ��.��C� F47ND(N���—� b. Intended use and occupancy 6�6m r<� LJ i- �� �'R r 3. Nature of work(check which applicable):New Buildings Addition Alteration Repair Removal Demolition Other Work (Description) 1. Estimated Cost $ v� Fee (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. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories. 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded /Y V Will excess fill be removed from premises: YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property wit bin 100 feet of a tidal wetland? *YES NO • 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_5,4 I� ) / C—e6oAd being duly sworn;deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the C 42> J T-9A C-7-6/Z— (Contractor, (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 toobbefore me thi day of 200 ) Notary Public Signature f licant t NOTARY PU DA M.BOHN e ew No.01 BO 020932 1 Qualified in Suffolk Cou Term Expires March a,2 l(a f � - P7 to ki FvIA.NE. L<I-TTic� ri./ cE+�.aFi 512'n ��� \ j 1 J '�- Z� to ✓lrI 9 2r i �— a� x IN num A. RUH 11 DAM-10/14o1 . i Go0`i '71-i 1J � j Fm () BY: �'j,(,,cy 77y--- ---- NOTIFY BUILDING ❑ ."M°NT AT C 19y, (U LyI!•.Y1 I 765.1602 9 AM TO -1 "3i! F"1I'd THE y6 FOLLOWING � I� FiuT 1. FOUNDPTEl1 dl - Tlr;n 0 FOUR 2 OUGH - FRAIoItlrdG llF'LUN'.C:!h1G ✓� �v1 �� 3. INSULATION r l/LNI TT --��INAL - C,OMM+!!"7JC id P!1UST ALL CONSTRUCTION '.�LL MEET --2x9 I.141L£2 THE REOUIREMEfJT^,• 1'[i F. N.Y. 811 I_,,,-SII WI 2x2 tF(XoCa STATE CONSTRUCT 04 "'IdERGY CODES. NOT R"c.SP :7 hi& E FOR 5U1 K 1 211 DESIGN OR CONST RUf,"i ON ERRORS )(44CG G7 — rl FAZ;,& C MRTa! t�x15`f(o) / W Z Nom. wP->6,P IJ Ix fWp- _ - 2 2 r�12 » > 71/1 CAI, G N 0 ¢ a Pi x1 NC�) IZn�,I o� I�j,EI✓.G�1,.1 vI � N = ,I X4. 0'el V( CEDPli 't��ieaL �.,�- ------ -� 2)C!© mor ✓iv�GC r= i/L M 6cTU-I E;XIST<i — `vV i i' _ — ��_ �(/ W U w 1 WWz - - 1-1tsCE '. I x C� Fr1<o1�t --------- --- ---- - - ----- / _ U g z �o FL-ASh1 Cdr P->=G�l� I EDA �o� N OA"I1�rI MATGL-I Ar�L Ft,OJ ISNES �^'�/E31f�II-o �' W L E � t5T1�ka