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Home My WebLink About27280-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~-NCY No: Z-28601 Date: 07/17/02 '£~£S CERTIFIES that the building ADDITION Location of Property: 730 WABASSO ST SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 3 Lot 49 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 19, 2001 pursuant to which Building Permit No. 27280-Z dated MAY 1, 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 DECK ~JDDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KENNETH M & LISA A BURNS (OWNER) of the aforesaid building. SUFFOLK COU/~TY DEPART~ENT OF ~ALT~APPROV~L ELEC~I~IC~%L CT~RTIFICATENO. PLI~MBERS CERTIFICATION DA'£~3 N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIT~ING PEP~MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED PERMIT NO. 27280 Z Date MAY !, 2001 Permission is hereby granted to: KENNETH M III BURNS 350 WABASSO ST SOUTHOLD~NY 11971 for : NEW CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 078 pursuant to application dated MARCH Building Inspector. 730 WABASSO ST SOUTHOLD Block 0003 Lot No. 049 19, 2001 and approved by the Fee $ 75.00 · Authorized Signature Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO.tN HAL[, 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCYI 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. Approx~al 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 topograpliic 2. A properly completed application and a consent to inspect signed by thc applicant. Ifa 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 New Construction: Location of Property: Date. Old or Pre-existing Building: (check one) House No. ' - Street ' Ha~et Owner or Owners of Property: _ ~/~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~- Health Dept. Approval: Planning Board Approval: Date of Permit. Block Filed Map~ Applicant: Underwriters Approval: Lot Lot: Request for: Temporary Certificate FeE Submitted: $ ~x.~, ~lro Final Certificate: (check one) A~pp~i~ant Sig~ature BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: 5/1/01 APPLICANT NAME: BURNS DATE SUBMITTED: 3/19/01 SCTM#--- DISTRICT: 1,000 SECTION: 78 BLOCK: 3 LOT 49, PROJECT LOCATION AND TYPE OF PROPOSED WORK: ~x DESCRIPTIOIj'~,ALT, ACC oR N/D: DECK PROJECT STREET:__730 Wabasso Street ARCHITECT / ENGINEER: CITY: Southold SUBD1V. NAME: FAST TRACK: YES o~ SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES OR~--~ 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: PERMIT ESTIM~ATE AMOUNT: ZONING DISTRICTQ~RS0, AC, CONFORMING: YES oR~ REQUIRED LOT SIZE: WHERE ACTUAL LOT SIZE FROM~ ACTUAL LOT SIZE: REQUIRED REQUIRED REQUIRED FRONT'~ ' PROPOSED$~ ' SIDE YD: ?o '/ .9~ ' PROPOSED: ,,~'~/.~" REAR:~ PROPOSED LOT COVERAGE: ;~J~LOWED:~.% EXISTING: -- sf .--~% NEW:-- - sf CORNER? YES o~_~ WAT ER FRONT? YES ~ ~)~--SCRIPTIOI~ FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: /~ FLOOD ZONE:,~ , .00 PERMITUSE: EXISTING: ~¢'f~ INTENDED: fl~",t3 ~'o SQFT. SQFT. TOTAL;~o stY~' % AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APPIACATION TOWN SPETIC PERMIT: YES or~ SUFFOLK COUNTY HEALTH DEPT: YES or~Q~, (BED #):.__ NEW YORK STATE DEC: Pm~-Dzc 9a/TS YES SOUTHOLD TOWN TRUSTE---'E~: -- YES or TOWN ZONING BOARD APPROVAL: YES TOWN PLAN. BOARD APPROVAL: YES NYS ENERGY: YES O~: EGRESS: NOTES>//)/ _,~--f~ ~.~ ~- DTE: / / PERMIT #:RI0- VENT: LIGHT: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : 2-8~9 SF SECOND FLR : SF TOTAL: ,&r~O SF 1NIT OTHER TOTAL FEE FEE FEE T( SF)-( SF)= SFX$__=$ +$ 2-~ +$ :$ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~~INAL REMARKS: [ ] FIREPLACE & CHIMNEY DATE ~/ INSPECTOR FIELD INSPECTION P,E~PORT - DATE ~ COI~ENTS FOUNDATION (IST) I{ FOUNDATION (2ND) II II II II II Ii II II II II !i ............ , ........ ~ ~nlTIO~ Cffi~S: BUILDING DEPARTMENT TOWN HALL SOUTttOLD~ NY 11971 TEL: 765-1802 Examined Approved Disapproved a/c : i ~Uil~DINt/F~l~lll AFFLICA'flON CH~CICLIS <: i Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey.., Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Ins~ctor APPLICATION FOR BUILDING PERMIT Phone:. Da¢ ~.1 ~ 2001 INSTRUCTIONS a. This application MUST be completely filled in by i-/pewriter or in ink and submitted to the Building Inspector with3 sets of plans, accurate plot plan to scale. Fee according to sel/edule. b. Plot plan showing location of lot and of building~ .o..r/'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 I~ector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection througho.ut'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 Occupan is issued by the Build!rig Inspector. ..... A~ PLIC~A,T. ION IS .I~.~_BY .M~D~ E .tO the Building. Department for the issuance of a Building Permit pursuant to the ~unamg/_.one urainance olme lown oI~outhold, SuffolkCounty, 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 cohxply with all applicable laws, ordinandes, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for ne~sa~y inspections.: ($i?atur~ of applicant or name, if a corporation) " (Mailing address of applicant) State whether applicant is owner, lessee, agent, architec~ engineer, general contractor, electrician, plumber or builder Nameofownerofpi'emises R~n,,-[~. ~& ~4 "J~orrl~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authori~-cl o.fficer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be do.ne: House Number Street County Tax Map No. 1000 Section Subdivision (Name) · ' Block_ 03> Filed Map No. Lot "'~'"~ ~^,~_(,'~ ~ "'~ o,~up~cy oi premmes and)nte~ded use and o¢cupanc of ro os - · ~x~sung use aha occupancy .. ~ ~ .... ~ ~.~ ~ ~ ,, Y p p ed construction: b. Intended use and occupancy~~eS~~ 3. Nature of work (check which applicable): New Building_- Addition Repair Removal Demolition Other Work 1. Estimated Cost OD Fee if dwelling, number of dwelling units If §arage, number of cars ,. If business, commercial or mixed occupancy, specify nature and extent of each type of use. '. Dimensions of existing structures, if any: Front_. /', 3 ~ ' Rear & ~ z Depth Hei§ht .Number of Stories_ I - Dimensions of same structure with alterations or additions: Front ~e-,,,,~ Rear Depth .Height ' Dimensions of entire new construction: Front ,9..o t Height Number o~Stodes '. Size of lot: Front ,~q~t. Rear Depth 0. Date of Purchase .Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation:. 3. Wilt lot be re-graded K}0 Will excess fill be removed from premises' 4. Names of Owner ofpremises~e,,~t -~lx:~g~,_.Addre~ g0~.~q.~6 ~ .~o~.]~one No ~76~ff'- Name of Architect Address_ Phone No Name of Contractor d5/u ~4r' Address .Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO X · 13' YES, $OUTHOLD TOWN TRUSTEES PER.MITS MAY BE ~KEQUlt~D 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 'FATE OF NEW YORK). SS: :OUNTY OF ) - /';~rt~ /4~ ~c~,,5 beingdutyswom, deposesandsaysthat(s)heistheapplicant (Name of individual si~ning contract) above named, 3)He is the (Contractor, Agent, Corporate Officer, etc.) Alteration (Description) (to be paid on filing this application) Number of dwelling units on each floor Number of Stories, Rear Sa t DePth lq,4 ~ f said owner or owners, and is'duly authorized to perform 'or have performed the said work and to make and file this application; tat all statements contained in this application are true to the best of his knowledge and belief; and that the WOrk will be erforrned in the manner set forth in the application filed therewith. worn tobefore me this _ /~ day°f ///~gq]~2/'7'', 20.O_f~ -~ NotaryP~blic ' "-' - ~' J ELIZABETH A STATHIS NOTARY PUBLIC, State of New Yod~ No. 01 ST6008173, Suffolk Count~ Tram Expires June 8, ~ Signature of Applicant