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Home My WebLink About25434-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27030 Date: 04/11/00 THIS CERTIFIES that the building ADDITION Location of Property: 285 EAST GILLETTE DR EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 1998 pursuant to which Building Permit No. 25434-Z dated DECEMBER 22, 1998 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 SCREEN ENCLOSURE TO AN EXISTING DECK ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERALD S & BETTY J WELLS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized 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. 25434 Z Date DECEMBER 22, 1998 Permission is hereby granted to: GERALD S & BETTY J WELLS 285 EAST GILLETTE DRIVE EAST MARION,NY 11939 for CONSTRUCTION OF A ROOF & SCREEN ENCLOSURE OVER AN EXISTING DECK ATTACHED TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 285 EAST GILLETTE DR EAST MARION County Tax Map No. 473889 Section 038 Block 0004 Lot No. 010 pursuant to application dated NOVEMBER 2 1998 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD1,\J - BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date C, . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . Old Or Pre-existing/fBuilding. . . �.. . . . . Location of Property. . . :5. . . . . . . . . ....L. ..T. . . . . .. . ./n. . . M. . . . . . . . . .. .. . . . . . . House No. Street Hamlet 4 Onwer or Owners of Property. . . . y�:?`.��. . . . . . . '� .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .. p. . . . . .Block. .�d. . . . . . . .Lot. . . .Q.l� . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . .(.�. .�. . . . . . . . . . . . . . Permit No.a2s. .�QJ. . .Date Of Permit. .��:Z .'... .Applicant. �,IeI� .✓: `v�XT. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . . . a �o3� . . . . . . . . . . . . . . . .. . . . . .� .. �. 5�� a'U APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 4;S TION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECT CoKMEUTE ELr✓ H UNDATION ( 1st) cn A- 1UNDATIO14 ( 2nd) z o � )UGH FRAME & v� -PLUMBING ' r� tl7 CjJ NSULATION PER N . Y. STATE ENERGY CODE x a r , FINAL . z tq ADDITIONAL COMMENTS: W si . cn •v � H � QJ � 1 H ' H O 2 _ x a v R BOARD OF HEALTH . .. . . . . ... ... . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . .. . . TOWN OF SOUTHOLD SURVEY . ... .. . . . . .. . . . . .. . . . . . . BUILDING DEPARTMENT CHECK ..... .. .. .... . .. ... . ..... TOWN HALL SEPTIC FORM . . ... . . . . . . .. .. .. . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL .. .. . ... . .. . . . . .. . Examined.. Z,//7.... ... 191T . MAIL TO: .. .. . . . . . . . .. . . . . . . . Approved.......1q. 1 , 193T Permit No. Disapproved a/c .................................. ................................... ...........................................i ..... O 0 'lding Inspector) APPLICATION FOR BUILDING PERMIT Nov ' 2 1998N Date.QGT4��. .., 19 BLDG.DEPT ! INSTRUCTIONS WN OF SOU LD a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 drawn 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 for any purpose whatever until a Certificate of Occupancy shall have been granted by the guilding Inspector. APPLICATION IS BEEM 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 Leas, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for al or demolition, as herein described. The applicant agrees to comply with all applicable leas, ordinazuces lding , housing code, and regulations, and to admit authorized inspectors on premises and in building ssary i (Signa of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildeu ...........................................C.w2�.F�.............................................�..................... Name of owner of premises . (as an the tax roll or latest deed) i 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 on which proposed work will be done.............................................................. ................, T. ...................��?-%.e;�7e e::vy............ House Number Stree=t Hamlet County Tac Map ND. 1000 Section ....z 1. ........ Block ....:�?.�........ Lot .. ......... Subdivision .....................................4 Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and //in=tended use and occupancy of proposed construction: a. Existing use and occupancy .................J`�`.�l?x�:.....:XT�......l�7�P.%::��........................ b. Intended use and occupancy ............................ .......................................... 1. Nature of work (check which applicable): New Building .......... Addition ..X.... Alteration .......... Repair ............ Pk ooval ............. Demolition ............ Other Work .................................. (Description) i. Estimated Cost ....1'f.0 4[.P....... fee .............................................. (to be paid on filing this application) 5. iE duelling, number of dwelling units . dumber of dwelling units on each floor ...dtYA ....... Ifgarage, number of cars .........../luxlyk ...................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......./,/ell .......... 7. Dimensions of existing structures, if any• 2. p ]?root..... .�... Rear ....6.��...... Depth . Height ....... Y..Ao. ....... Number of Stories ......Q�Gi...... ... Dimensions of same structure with alterations or additions: Front ...J--Ze........ Rear ...vim?.!....... Depth ...... ......... Height ..... ./r......... Number of Stories ..4Q 1f" ....... B. Dimensions of entire new construction: Front .....eF,.?..:..... Rear ............... Depth .............. �. Height ..........l.0............ timber of Stories .....q+i ............ 9. Size of lot: Front .................... Rear .................... Depth ......... ;..,...... 10. Date of P rc hasef.... Nene of Former owner ,lr��e!!retG........... ...:......a..... 11. Zone or use district in which premises are situated rI .. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..........R............ 13. Will lot be regraded ........M0........ Will excess fill be removed from premises: YES -� 14. Names of owner of pr+enises ..�d .Gt�4:llx.. Address 0&.i. No. Name of Architect .................................... Address .............................. Phone 144. ............. Name of Contractor ................................... Address ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... WD .-X..... *IF YES, SQ711m IUM TEWT BS rMflT MAY Be rsqmm. 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 number or description according to deed, and show street names and indicate whether interior or corner lot. C �a 53, srnlr or Nov Y1 RK9 SS O"rr of ....................... ..being duly sworn, deposes aril says that he is the applicant (Name of individual signing contract) above named, Ileis the .............o w�lo `k.......................................................................... (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 b6lief., and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before„rme this . ...day of li!`€ 9.. Notary Public ................... ............ . .... ...... .... ........ ..... HELENE D. HORNE Signature of Applicant) Notary Public,State of New York No.4951364 Qualified in Suffolk County Commission Expires May 22, 19 - - — - - APPROVED AS NOTED - - - v S e DATE: 4 Bp aY 55y NOTIFY BUILDING DEPARTMENT AT 765-1902 9 AM TO 4 PM FOLLOWING INSPECTIONS: FOR THE X 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE C. C,A q`� -� 2. ROUGH - FRAMING • PLUMMING 3. INSULATION \ 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION III ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS I % °p6rwooD Krie le W�u. Z cowl WVous 2xc. 3Z�aYe�s � I(� o� . �NBR7'kI►JG vLP � yjxy Post y � � �i !/j•I _ _ I•I Irl-- fl, : t,---------) � _ �XT'--- -- g J4 ' i 6 c% i ' r I I ! I I �` 6-e to e 77 e I' -n Por c , ' , W-Z- l s - Fasr G ► 11 �1P� Dy-t v-e