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HomeMy WebLinkAbout27753-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28616 Date: 07/24/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1305 BAYVIEW AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 6 Lot 16.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 2001 pursuant to which Building Permit No. 27753-Z dated OCTOBER 9, 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 ADDITIONS OF A FRONT DECK WITHOUT ROOF & SIDE ENTRANCE TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERALD & BARBARA GOEHRINGER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28617 Date: 07/24/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1305 BAYVIEW AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 6 Lot 16.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 2001 pursuant to which Building Permit No. 27753-Z dated OCTOBER 9, 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 AN ACCESSORY CAR PORT AS APPLIED FOR. The certificate is issued to GERALD & BARBARA GOEHRINGER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorizio Sig ature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. / "0'.Q �i BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27753 Z Date OCTOBER 9, 2001 Permission is hereby granted to: GERALD & WF GOEHRINGER 1305 BAYVIEW AVE MATTITUCK,NY 11952 for ADDITIONS OF FRONT OPEN PORCH AND SIDE ENTRANCE TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1305 BAYVIEW AVE MATTITUCK County Tax Map No. 473889 Section 106 Block 0006 Lot No. 016 . 002 pursuant to application dated AUGUST 28, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT '', ' JUN 102GQ2 TOWN HALL 765-1802 Tr', 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. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. New Construction: /r, (/ K" _0Z 1_� Old or Pre-existing Building: (check one) Location of Property: //— Ouse No. Street Hamlet Owner or Owners of Property: �/h�( c6 -, ����j,. Suffolk County Tax Map No 1000, Section 4 b Block 6 Lot �� L Subdivision Filed Map. Lot: Permit No. 'L Date of Permit. 0 !9 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $S0,0z) Applicant Signature �-r 62-069 Form No.6 TOWN OF SOUTHOLD + ," BUILDING DEPARTMENT July TOWN HALL [ _ 765-1802 — i 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. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. ir --oz - New Construction: 1 1/�i//J Old or Pre-existing Building: (check one) Location of Property: /�— 4) 49A House No. Street Hamlet Owner or Owners of Property: �/yL`L�� YS //l � &4 Suffolk County Tax Map No 1000, Section A b Block Lot �� L Subdivision Filed Map.-- Lot: Permit No. �� I)atc of Pcrmit. Applicant: Health Dept. Approval Underwriters Approval: Planning Board Approval _ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $_6©.629 Ae Applicant Signature WARREN A.SAMBACH,SR. r- CONSULTING ENGINEERS - PLANNERS ` Ll 7675 COX LANE P.O.BOX 1033 ----� CUTCHOGUE,NY 11935 631- (3=734-7492 July 19 2002 A/ Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Gerard Goehringer P.O. Box 812 Bayview Avenue Mattituck NY 11952 SCTM: 1000 Section: 106 Block: 6 Lot: 26 . 2 Permit #277532 To Whom it May Concern: Inspection of the wood deck, roofed over shed conform to approved plans and the New York State Building Code and the Town Code . Sin erely, Warren A. Sambach Sr. P.E. was: s A. �` BUILDING PERMIT EXAMINER CHECK LIST �` "'"`' ' "A/10' DATE REVIEWED: 9/ i8/O1 DATE SUBMITTED:8 /�S/01 APPLICANT NAME:Gk�p<� �Et.(�1���> SCTM# DISTRICT: 1.000 SECTION: IOG BLOCK: (o LOT:-( •Z STREET: I X05 �(I Ae CITY:ajff-1111 SUBDIV. NAME: fJ PROJECT DESCRIPTION:aC-Yy 4iZo 0-i p�_r4 c)=�F ARCHITECT/ENGINEER: k) / FAST TRACK? K)6 SINGLE& SEPARATE CERTIFICATION-REQUIRED? OJ NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time atter 7/1/83) ZONING DISTRIC''__T� - O CONFORMING? REQ.LOT SIZE:`//�'ibov ACT. LOT SIZE:3y'gy REQ. LOT COV. 020X/ ACT. LOTCOV. 800 REQ.FRONT ' b PROP. FRONT�_REQ SIDE S/�� ACT. SID; • REQ. REAR �U PROP. REAR - ccJ u1+ CA&& A- tj� poc-cA- ae#toa�A� looks o . WATER FRONT. IKO DESCRIPTION: PANEL #: 13 FLOOD ZONE:____, a6�S iDE AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS RE UIRED: SUFFOLK COUNTY HEALTH DEPT: YES or O (BED #): DTE:—/ / PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES o SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YES OR NO : bLI` q_ EGRESS (18 H min.?4 sq total)�j1 VENT(SQ. FT. x 4%) 0 1 p- LIGHT(SQ. FT. x 8%) N f1 BUILDING PERMITS OPEN/EXPIItED: BP q56 2 2 -Z/C/0 Z-?py�? 5. HAVE PRE CO'S : Y OR N BPS _41j5-2- -Z/C/0 Z-q X022 NOTES: _ _ 'Rfl � F Lori ado cfo — oto �< < C -4 A /S /1 � t tdC- ♦ fl ESo /kV �� f�fi FEE STRUCTURE: FOUNDATION: Sh FIRST FLOOR : SF SECOND FLR : SF tz INTI' OTHER TOTAL TOTAL: 02 4a SF 1.gro FEE FEE FEE 3 'OT02H a SF)-( SF)= SF X$ =$ +$ 1,5-0 +$ Dte rra.,� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [`-4 FINAL [ J FIREPLACE & CHIMNEY REMARKS: DATE 7�L�o� INSPECTOR FIRU INSPECTION REVORT 1JATE CONM$NTS F; FOUNDATION ( 1ST)' _ �q c FOUNDATION (2ND) -- � O — ROUM FRAME h PLUMBING G c INSM ATION PER N. T. F.+ STATE ENERGY CODE OL / orr 1 2 ids FINAL a A�J /APDITIONAL COMMMS/:L -A C ee o,I e I/. *,kt D0.* d m rw..� � / "!fir-� .d..Joe ////A.2-lece1$r 4Q A/fw✓e _ oFe /v 14jlea� N/�/LeY7r /^a_ erose �ee / e T or* 2-'r0 f aircO /�GS h.Xi�/� C 7 ;- 0 vY� Z.GZCr. 14 Q TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying' TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Bmlding PP h— TEL: 7654802 Survey PERMITNO. 1>>S3 Check �p 1 Septic Form N.Y.S.D.E.C. Trustees Examined. 10e/9 20 of Contact:- Approved. ontact:Approved 16L9 ,20 O/ Mail to: Disapproved a/c Phone: Building Inspector APPLICATION FOR BUILDING PERMIT. ��.�. Date, POP 202 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 Occupanc. 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, code, re ons, to admit authorized inspectors on premises and in building for necessaryinspections. (Signature of applicant or narneM a corporation) Z (Mailing address of app cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises cc ca' (as on the tax roll or latest d 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!2i; ed work will be done: d L House Number Haioret County Tax Map No. 1000 Section la4 Block 6 Lot �G Z Subdivision Filed Map No. Lot (Name) :. State existing use and occupancy of premises and intended use and occupancy of proposed constriction: a. Existing use and occupancy b. Intended use and occupancy /� Nature of work(check which applicable):New Building Addition Alteration Repair ir Removal Demolition Other Work (Description) k Estimated Cost D lll� Fee (to be paid on filing this application) i. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars i. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front _//O Rear �D Depth 36 Height Number of Stories 9— Dimensions of same structure with alterations or additions: Front Rear Depth �r�_Z Height 7 14L1V6 d '_ Number of Stories. 3T44-6 '/4 D:-- �(i 3. Dimensions of�eg�tire n�w construction: Front 4/0 —Rear Z70 Depth V Z Height 71%x/.rfD f/ Number of Stories 9. Size of lot:Front 30 Di LI '/- - Rear Depth 10.Date of Purchase 77 Name of Former Owner zywvi 11. Zone or use district in which premises are situated /e 12. Does proposed construction violate any zoning law, ordinance or regulation: 40 13. Will lot be re-graded ,///O Will excess fill be removed from premises: YES L 14.Names of Owner of premises Pj V Address 4 a Z Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 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,mus provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)g7nained, (S)He is the A/D Contractor,A t,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 this day of 20_iLL Notary Public Signature of Applicant PATRW C.LCPAR0 )Po NorARrPuNo. wNMrYak MY CommlNwn EMpNw J�wy 2 Dc� z ✓1/H✓/ /l7/ /c-/G K/1✓ �.00, op �r�o� w� /moi= FRAME SHED CV J Q An _n I J,% A Y I .t vH .oma OCCUPANCY OR USE IS UNLAWFUL ecj)" �, APP OVED AS NOTED WITHOUT CERTIFICATE ?VaJ Ff�s� u, �`��' OF OCCUPANCY B.P.5f 5 02 BY: o i.���Q�, NOTIFY BUILDING DEPARTM T AT UNDERWRITERS CERTIFICATE 0-7 To r AcE 785-1802 9 AM TO 4 PM FOR/,THE REQUIRED / FOLLOWING INSPECTIONS: - �/� 1. FOUKIDATION,` eWlRaYi5�t-) FOR POURED CONCRETE 2- ROUGH - FRAMING ✓k PLUMBING I INSULATION PROVIDE OPENINGS FOR 4. FINAL - CONSTRUCTION MUST EiFRIaENCy ESCAPE AS BE COMPLETE FOR C.O. ALL CoNsTg PEOLLIRFa THE REQUIREMENTS OFT STATE CON E N.Y. N.Y. STATE BUILDING Coo CODES. 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