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HomeMy WebLinkAbout27729-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28473 Date: 05/30/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 790 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 4 Lot 1.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 2001 pursuant to which Building Permit No. 27729-Z dated SEPTEMBER 25, 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 ACCESSORY THREE CAR GARAGE AS APPLIED FOR. The certificate is issued to WARREN & CARLA R ROSEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2582 05/30/02 PLUMBERS CERTIFICATION DATED N/A Auth ized Sig ture 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. 27729 Z Date SEPTEMBER 25, 2001 Permission is hereby granted to: WARREN & CARLA R ROSEN 50 WALNUT AVENUE EAST NORWICH,NY 11732 for CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR MAINTAINING PROPER HEIGHT at premises located at 790 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0004 Lot No. 001 . 010 pursuant to application dated JULY 13 , 2001 and approved by the Building Inspector. Fee $ 346 . 20 Author ed Sig ture COPY Rev. 2/19/98 Fora, No. 6 7✓ y— �/� TOWN OFSOUTHOLD C Nff-lL 7� \ BUILDING DEPARTMENT TOWN IIALI. 765-1802 � jj,r(JI 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certifrc 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 ust 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 Occupanc 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$25.0( Swimming pool$25.00,Accessory building$25.00, Additions to accessory building$25.00,Businesses$50.0, 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: j/ Old or Preexisting Building. (check one) Location of Property: 4 House No. Street Hamlet Owner or Owners of Property: /- /"q S'e Suffolk County Tax Map No 1000, Section Block 7 Lot �• l7 Subdivision Filed Map. _Lot: Permit No. Date of Permit. Applicant:_ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (/ (check one) Fee Submitted: $ � 0, -2: a 'E q-73 c (V ��� App ant ature Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street • Center Moriches,New York 11934 • Tel:631-878-3500 • Fax: 631-878-3764 Application No: 2582 Date:1/28/02 Issued to: Rosen Address:790 Indian Neck Lane Village : Peconic Zip: 11958 Township:Southold Introduced By: Klein Electric License#:4423-E was examined and found to be in compliance with the National Electrical Code Attic 1st FloorEl Residential0 Pod Det.Garagel] Basernert 2nd floor Corrrnerdai Hat Tub W Defects 11 MH e.in vA. 'ag ME Switches Receptacles Fixtures G.F.I. Microwave Whirlpool 6 8 12 2 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon RangelAmps Monoxide Furnace Oil Gas Circulators Smoke Bell Detectors Transformers Other Meter Amps Phase Motors Equipment 3-1/2Hp Garage Door Openers Out,Res This certificate must not be altered in any manner Building Permit No.27729-Z 4001 „l.. _ - f. TOWN OF SOUTHOLD PROPERTY RECORD CARD FFG OWNER STREET VILLAGE DIST. SUB. LOT nd�'A n Aor FORMER OWNER N E D,�.y ACR. INDi�yyCcKtA, .Louis ZA/nto 0,oq-,VQ S W TYPE OF BUILDING C, w !t'. �NaR ,L Fsk r tES.��O SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ®D /5wD S E 2- i 8 v zI!cx� zl c:) II. is L1ws cao 8 <. p o O 6 g PAO 23cz� �j oac7 300 l Z 283 ' 1718 -��2 - xmrT _l(�f�c� 25z� 00 tf 04 .3 D 9/ BP# 9 e (ac $ Cj YA asa o - L Ilable FRONTAGE ON WATER ood'andFRONTAGE ON ROAD 8;�e / mdowland - DEPTH use Plot BULKHEAD tol �5-�7 N ■■■■■�■■■■■ ■■■■■■■.■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ COME=■■■I ■: :■:::_■■■■■C■ ■...■■.MINE.■■.■■.■.■ ■■ME ■. .■.■.■.ONSO■■■■..■.MMM . ■■.■■■2E■e■■.M .. ■■■■ ■■■■■111e■■■■■■son on ■ 0 111111m ■■■■ISM■ ■■■■■Moll■■■■■■■■■ ■MENO�iI°�I■■■■■■■■■11 !■■■■■■■■ ■■MMM11=M■■0■■■■� ON ME iMMINEMEMMI ■■■■��■■■■■.■■■■■L..,�eeeee■■■Ii■■■■■■■.■■■ , `` - - ■■■■MEMO■■■■■■■■■■I■■■■■■■■■■ • ■ ■■■■■■■■ ■■■ ■■■■■■■ ■ ■■■■ ~' � - ■■ ■■■■■■■■■■■ INEEME■�■■■■E mom Interior Finis . Fire Place __s. . BUILDING PERMIT EXAMINER CHECK LIST p. DATE REVIEWED: o /3//01 I 1 1 �+ DATE SUBMITTED:-.7 APPLICANT NAME: WARRSO s l ill lA s0k) SCTM# DISTRICT: 1.000 SECTION: 74 BLOCK:- LOT: � �d STREET: kl -c% LA CITY: L SUBDIV. NAME: PROJECT DESCRIPTION: ACCEssoizy GhR+4G€ ARCHITECT/ENGINEER �u./ FAST TRACK? 10° SINGLE &SEPARATE CERTIFICATION-REQUIRED? N° NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LDTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: CONFORMING? t S wo'cro 126,,04& e REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. 1° ACT. LOT COV. ` REQ.FRONT Co PROP. FRONTREQ SIDE -2 a ACT. REQ.REAR 2� PROP. REAR Z/5- -r /5- <ocgrvp /n/ QFr�vi�¢E7� R�q.e !'9�D •4� 2i9ST20 �,eaM y�.eD c�.vea WATERFRONT? AVO DESCRIPTION: PANEL #: 16a FLOOD ZONE:, No ¢000 $ve r2 y At/if /Lq�C� v �S7- ��SI - i�Zo,00O C,C.p2gfz� y CFFn2S AGENCY PERMITS REQUIRED FOR REVIEW APPA2YAtS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES o(NO, 0kD#): DTE: / /_ PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1175 YES ordtn SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or IM TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY: YES OR NOP EGRESS (18 H min.?4 sq total) /t- VENT (SQ. FT. x 4%) "' LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXP D: BPA-113---Z/C/0 Z- 2261-79 , ('11) Z5E HAVE PRE CO'S : Y OR N NOTES: v IA,,- i� ✓tom i3s. FEE STRUCTURE: FOUNDATION: F FIRST FLOOR : SF SECOND FLR SF INIT OTHER TOTAL TOTAL: / I D SF FEE FEE FEE OT( SF)- �_ - SF X$ 3o =$ +$ +$��D = a74e�-0 �t- ?s 3�- 7GS-1802 BUILDING DEPT. PECTION [ ] UNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: za� �Y o 01 DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ) FIREPLACE & CHIMNEY REMARKS: d� DATE INSPECTOR %✓ �' FIELD INSPECTION REPORT VATS {l COMMENTS - --}ee=avooe=aeo====aaee=aox_a=-axas------aa=--aaaaaax J FOUNDATION ( IS FOUNDATION 2ND) a ROUGH FRAME ° PLUMBING S d n 3 INSULATION PER N. Y. e(lZ STATE ENERGY # H CODE _ o Ds� Dry C o FINAL o c„ ADDITIONAL COMMENTS: RRR 5 A P o r+ C o `^ z � I TOWN OF SOUTHOLD BUILDING PERMrr APPLICATIM CHECKLIST BUILDING DEPART / Do you have or need the fonowiag,before appbft? TOWN HALL Board of Health SOUTHOLD,NY 11971 "�q 3 sets ofBuildingPlans TEL: 765-1802 q PERMIT NO. Check � Septic Foms N.Y.3.D.E.c. Trustees _ Examine �r 20� contact: Approved �— 20_aL Mail to: Disapproved a/c Phone: Building 9spector i f f 3 APPLICATION FOR BU]MMING PERM 71.L__..__._____ nr n-. Date, � 200 � INSTRUCTIONS a.This application MUST be corppletely 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.Plat 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 iced 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 piemises and in building for necessary'inspections. (Signatarc of applicant or name,if a corporation) bi- (Mailing address of applicant) State whether applicant is owner,lessee, agent, architect, engineer,general contractor, electrician,plumber or builder Name of owner of premises 6k c A V l/,fRA E7L/ oSF-�+'J (as on.the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate ofacer) 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: Q 79d �iy��Rn� N�cK eft 4 �Ldryrc House Number Street Hamlet County Tax Map No. 1000 Section S'(o Block —7 Subdivision Filed Map No. Lot v (Name) e existing use and occupancy o£premises and intended use and occ gianey of proposed construction: Stata. Existing use and occupancy b. Intended Use and occupancy 3. Nature of work(check which applicable):New Building 3 Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost o o 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 _3 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 pepth Height Number of Stories. 8. Dimensions of entire new construction: Front Rear �P Depth Height /7 'C " Number of Stories l 9. Size of lot Front 310. g6 Rear a 9 � - SFS Depth 10.Date of Purchase d © / Name of Former Owner lou d c P 2� 11.Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: Al O 13. Will lot be re-graded 66 Will excess fill be removed from premises: NO Itf ��,ddress �9d �Dl+fr(IVecK Phone No. 63c-73�(-`{0l4• 14.Names of Owner of premises nR R�k/�`�t2c 4 Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES O • 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 propetty is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) COUNTY OF �AR5 being duly sworn;deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the /) WA/E2 (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 belies, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me y of 2 otary Public gignature.of Appiic LYNDA M.BOHN NOTARY PUBLIC,State of New York No.01 806020932 oualified,in Suffolk County, Term Expires Mach a,20 f 1 I ' I I 1 I 242.5 ut m M I I.�P h� FIL w 942 ws erl. i3bi vscrc • sc t 0 s,�* OCCUPANCY 0R USE IS UNLAWFUL Iss`3 . Yd6TOF OCCUPANCY OUT A�� r2o 310,S1� WINDOWS TO BE EQUIPPED WITH LOCK LATCHES AT A MINIMUM OF 40" ABOVE FLOOR EUT-VAT1ON;ALL DOORS LEADING TO FOOL AREA BE SUPPLIED WITH SELF-CLOSING, ;SELF-LATCHING DOOR DEVICES; SLIDING DOORS TO BE EQUIPPED WITH SELF-CLOSING, SELF- LATCHING DEVICE, APPROVED AS NOTM D TE IthL B.P t! _M&O..76 NOWY ROILOING DEPARTMENT Al 9 ANI TO 4 PIVI FOR THE FOLI DINING INSPECTIONS. �)UNCTATIUI•d - TWO REC1tJIRF:C7 FOR POURED CONCRETE 2. ROUGH • FRAMING I?g t'I..11MF31NG 8. INSULATION d 4. FINAi. - CONSTROCTIC)N MI IST BE ("ORPIPL.EI'F FOR cx) ex ��,�OCQO� ALL CONSTRUCTION SHALE- MEET pyEcnvAlp N 1,1I�t�C;ECONSTRUr IO t� THE EPJERC;Y ;IPSf.ORE' Aja CODES. NOT RESPONSIBLE FOR OE.SIGN OF? CONSTRUCTION ERRORS ' I EST — .. — _ —y71 �� f♦ .. � - - y 'ti. \ . 'a is WXY Li Lj t'J.66 OC-C l' �i—L r r ) .+2""'" a SKr+••_�. ♦ � � � '- - . + •( '- y. • VD lip ID t Y:,. .1 -� y Cjj • rte—'. . _ -..i�`i . x } � F' : �_l.l� 14 as • S gg,IfA 7 w G•"T•# df `Y i 16 �t 17, 4-^ U Y"'# -+.. _ i ,} -�4 .=�li'L1N�"W a -7 } �• 1 �5..,- � '.'r" a >�3z .-8- ' _-*..e � � :.- S � 2 4 • i;yi.f a ,.�':` .� .. Ty -t�( I'-r 4f�'r c y -_ ,IIrLI�vF.I-1�u �-IR�I�h�iD -II -7r` -- I� -I' r_- =-- - - --- - IT - - _ I - � !- I , I j1 I X 1 +-U_1 - - - - - - - - - - i� - m O SLE^ aF f n / P _t � i4 = � �I' w r , r, Y -- 0 3 i 8 a<cc z z AY"' 61, D AS NOTED DATE: rte/ D/_B.P.S z77.2Yz2 FEE'.- NOTIFY _`_'_-_--_-'_�__ _ NOTIFY BUILDING 01 NT AT - 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: r - 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING & INSULATION { t I I 'I�I 4 FINAL - CONSTRUCTION MUST �- BE COMPLETE FOR C.O. f ALL CONSTRUCTION SHALL MEET V - � THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION i ENERGY CODES. NOT RESPONSIBLE FOR a ^� DESIGN OR CONSTRUCTION ERRORB WW f OCCUPANCY OR - - -- - -- - - - Op NE w USE IS UNLAWFUL goy ITHOUT CERTIFICATE OF OCCUPANCY w w n z J` 0]]R54-1 �ZU OFETS10NPy 5 0 \ C' w O 6U R ' a a oll C yup Vate � ;I �, I I I. j•� I� e I I I. I - i i I ; _ � . • ! it p i it I i I I i I E I tof NEW y� x { F 022541 s op9pFESS1�NP� LL ^Y O 1�V\ a N Q m 1 -- I_._ -j — � — __ - - - - - - - - - - -� i �- - i I I • � I � � � w 4 j I, Li n �l l Z m m I 1 W N L ❑ i I I I L ---1- S G O L__I l o > o BIW Q 1 — I I I +-N w n 1 � uNu — 'rinOp 031151-/ �yV G:/��� ll4l=1 �k AOFESSIONPy Is o � w � o, a El a a u r a i /� J� < may_� } �I1• �1 �I 1 Ls"I' JI' Q _ �1 "JUGA t�t c4)It i �y�4uull?�'b 1 2 '1x ID � � 71 � > CL1, IZA � - =s I 2j1x«" �1 E'•° �' _ _ ! 'k°w�21'LIr�C,E� _ --'-- --��!'Y12�'�Jnr.�E�7 N� -- i � � _Q � � x cc © mw J r + Z V4 I 1 21'ci'<21��1', �`�e�l _ � 1 raa�auc z I3/al'X t LVL �IrnrF� { 1 i -7/0 i'+la 1 ��x -o 't'In 's n d A. 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