Loading...
HomeMy WebLinkAbout27746-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29169 Date: 01/07/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1060 JASMINE LA SOUTH/PEC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 69 Block 3 Lot 24 .14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 2001 pursuant to which Building Permit No. 27746-Z dated OCTOBER 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 ACCESSORY GARAGE IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to LYNN A WILKINS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1093678 11/08/02 PLUMBERS CERTIFICATION DATED N/A A horize4d Signature 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. 27746 Z Date OCTOBER 1, 2001 Permission is hereby granted to : LYNN A WILKINS 1060 JASMINE LANE SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 1060 JASMINE LA SOUTH/PEC County Tax Map No. 473889 Section 069 Block 0003 Lot No. 024 . 014 pursuant to application dated JUNE 29, 2001 and approved by the Building Inspector. Fee $ 329 . 40 Autho zed Si nature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD ;,N 6 BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 I: 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. ,G 3 New Construction: Old or Pre-existing Building: (check one) Location of Property: /060 JkSAYJne /Ane House No. Street Hamlet Owner or Owners of Property: Sy.7r) 15� Lv;/ .s Suffolk County Tax Map No 1000, Section Block 3 Lot c,2 Subdivision Filed Map. Lot: Permit No. 77y/ Date of Permit. Le Applicant: A. jd/ /K•?x Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ a�7yp pplicant Signature Co 3151 n a� 1A i O L3PLrL3rrl�PrJ�rJ�r�rJ�rJ�rJ�rJ�cPrJ�rJ�rJ�rJ��P�PcJ�r�rJ�rJ��Pr�rJ�rJ�rJ�rJ�rJ�rJ�rJr-r 1� rL3rLrJL3rL3r L3PLrr�r3-PLr rL3rLJ� r woLcPr�cPEJ��rJrr.Pr�rjrJo 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY S 40 FULTON STREET -- NEW 5 YORK, NY 10038 rj 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 55 5 LYNN ECKHARDT LYNN ECKHARDT1060 5 JASMINE SOUT OLDNLANE 1971 SOUTHOILANE D, NY119715 5 Located at 1060 JASMINE LANE SOUTHOLD, NY 11971 5 5 Application Number: 1093678 Certificate Number: 1093678 5 5 5 5 Section: Block: Lot: Building Permit: BDC: NS11 5 5 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: rj 5 First Floor,Second Floor,Detached Garage,Outside, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 rj found to be in compliance therewith on the 8th Day of November,2002. 5 5 Name OTY Rate Rating Circuit Type fj Panels Ej 5 1 50 13 S 5 rj Wiring and Devices 5 Receptacle 13 0 General Purpose 5 5 5 Switch 13 0 General Purpose 5 Fixture 6 0 Incandescent 5 5 Fixture 8 0 Fluorescent 5 5 Receptacle 5 0 GFCI 5 5 5 5 5 5 5 seal 5 5 5 1 of 1 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ] rJPn �rJ � P7� nP� rJ�r �r7ncPrrrnrJ�J�J�J�J�rJ�PLrJ-L3rL3j-L3rc nrrr nrJ7rJ�c r�rrrJ��n EJ�rJ�rJ� Cl r STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: That deponentLT f pa is over the a e of 18 years and resides at 2 2 S' rA/t/ zCRC ef6 r ? _ + / That on the /G U day of v�Y 290adeponent pA1 ' /engineer, licensed by the State of New York, hereby states that,91he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- (cq- 3 — let j+ , street address tom 'O JA6H l KI F- L / �jpcTfIc tZ> - t/Engineer Sworn to before me this 1(� day of_C� 2001 NEVI), NIUEIIEEN Na 30-4916018 S.SANTORA gr),D ' ARY Nof Chwiffiod Commirion Eapinary, f 1/ Notary ttaPfub�licC , n � ' r us z � `rFo 032251.1 p9OFESSI 'A cc: Applicant BLTII�DII�TG P�I�T��T IZLVILW C`z��L�: L.�[��t, . Applicant/ Date Owners Name: ill/ S 4- a✓t Reviewed: d Architect/ Date Engineer: �. Submitted: �O D SCTM #: / q !i District: 1.000 Section: l (31ock: 3 (.ot: T Project Subdivision Location: 10 (off 1 ASM1y1 L , —� _— Name: Sin&le&, separate Required q certification: (Yes/NO) 00 Rey. Req. Zoning Districc A (I,01 size: /0 0 ZJ'D Ae1ua1: -_I (Lor coverage m�Prolxssed f a _I Rcq. Req. / Req, f r (From Yard Proj�osed: I (Sidc.Yard Proposed:_ _) (Rear Yard _f:L Proposed V V— Project Description: Air—' / &el e=- AGEHCWERMLTS Peg:rnit REQUIRED FOR REVIEW NA_ NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation Flood Zone: 13 ' + 1�6 Lejz av O n �1 — �/ o I �� 765-1802 BUILDING DEPT. r 1-NSPECTION [ t.]' 0- UNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS: � 1 DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ j FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: J11,9 -41W.4 DATE �� Y INSPECTOR M-lW2 BUILDING DEPT. INSPECTION [ ] FO=NDATION TION 1 ST [ ] ROUGH PLBG. [ ] F 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 84 CHIMNEY REMARKS: Ole- DATE DATE .S Z INSPECTO ��%� � M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE l t � INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TI [ ] FRAMING [ FIN L J� [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR FIELD IN^+.PECTION REPORT DATE COMMENTS _ r7.4J� :( FOUNDATION ( ISTY p .q Z FMeATION . (2ND) ROUGH FRAME PLUMBING INSULATION PER N. Y. STATE ENERGY € J CODE l 3 03 FINAL ADDITIONAL CUNT c V' m TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST: BUILDING DEPARTMENT Do you have or need the following,before applying TOWN HALL Board of Health SOUTH_ OLD, NY 11971 3 sets of Building Plans Survey ✓ Check-t 5 2 Septic Form N.Y.S.D.E.C. ' Trustees E '"P' ,OLD Approved' _ G�� 20_12/ PERMIT NO. 7 7 -e,— Disapproved LDisapproved a/c Build'Buildifig Mtor APPLICATION FOR BUILDING PERMIT Date 11/e )streets rINSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building I3sets of plans, accurate plot plan to sale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or porareas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this c. The work covered by this application may not be commenced before issuance ofBuilding Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. itshall 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 shall have been granted by the Building Inspector . APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant tolthe 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 of 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 inspections. A44-L (/8ignature of applicant or name,if a corporation) icl,47 941puln t 1,4,0e So�4oid IVB/ 1197) (Mailing address of applicant) y State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises JgLV-,V td,4,1,5 (as onthe tax roll or latest deed) 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: {� /dGO .57-4Sn/iy e G,9.�✓B .Jpd)i d House Number Street Hamlet r County Tax Map No. 1000 SectionBlock 3 Lot T Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy N /A b. Intended use and occupancy c,- is R 19 G L 3. Nature of work(check which applicable): New Building V Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 1 a,voi 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 9. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. i✓`ft 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 21,0 Rear a u Depth 3 Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase S! 98 Name of Former Owner yC% v SA e%/� 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 Will excess fill be removed from premises: YES NO 14. Names of Owner of premises Address Sloe Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 300 feet of a tidal wetland? *YES NO/< • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, indicate scope of project, to scale, with 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 IrC J,)/iv(a N S being duly sworn,deposes and says that(s)he is the applicant (Name of'dual signing contract)above named, (S)He is the 6W IV E 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 belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn too be ore me thi q day of 200 / NPublic Eic c Signature of Applicant NomryPWSIM 3�co�T ft Ouallfted in Suffolk wm cothmkiwon v. Nip�F RU , • s, r2.4s�o0440, ,4 3' E ^ol' cc O� 9009, Pty sc "sem N AP lot m � by o� a b' ' iJRVEY OF a f`° Apr LST 14. e� 1S11. 11 'a`�� Mac"TMV0N fpm , V�!� 3z = a A T S00THOLD TOWN CSF.SOUT,IIOD o OUNYUAOKC `"N Y fr ;,•; 1000 -"j0 41 'A/0 Sa .,i N" s air .f;�yd .+�. ,4 �1 ,/9. ,�;, • MFT' „ y..,q:� ., �. ,..,•�...�. ,hrr•^•.. > iF�. ? 7r a= k: , � '? ,... ... \ 3 / oX No v. 19,1993(final) ti � y�Qr fs• s�/ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES S. OV Approval of Constructed Works �2 \<��,, coH.D, Ref, No, +r?p ;,� The sewage disposal and water supply facilities at this location pad' have been satisfactorily inspected by this Department and are 2700 Q� In Compliance"With these as•built plans O. ko o` f1FC O 9 1A99 DATE I CHIEF OF,GENER L ENGINEERING SERVICES CERTIFIED Top JON F. BAKER SHEILA L. ELLISTON The locallons of wells and cesspools THE LONG ISLAND SAVINGS BANK shown hereon are Irom tied observations SUPERIOR ABSTRACT j „ U 11a1 and or from data obtained from others. IE AREA = 29,626 sq,ftF Ve 1 Prepared In accordance wl/h the minimum standards for lllle surveys as eslob/lahed a by the L.IA.L.S and approved -and adoptedll Of gG for such use by The New York Slate Land . --- Tlt/e Association. �O ARID The water supply and sewage dlspoaol ays/ems for 1hk resldence NQ conlor c� § to the standards of The Suffolk Cou SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Department of Heallb Sdrvkea. aA'' FOR APPROVAL OF CONSTRUCTION ONLY 93 N Y.S, L/C. NO. 49618 4 ' DATE WS. REF. NO. SO 32 EYORS? P,C. 020 l5/6J ' ELEVATIONS ARE REFERENCED PJ Qat BOX> 909 APPROVED TO AN ASSUMED DATUM. MAIry ROAD sou N! 1/971 I 2 12 Nk 71 , - - _ NOnA N ILDINO DEPAFOR AT 7SSASOt S AN TO • P - - FOLLOWMOMSPECTIONS: __ OCCUPANCY OR ti FOUNDATION - TWO REQUIRED 1 J FOR GH - FRAMING TE USE IS UNLAWFUL a INSULATION• FRAMING i PLUMBING �� T— WITHOUT CERTIFICATE a FINAL -oN . { �,; 4 FINAL - CONSTRUCTION MUST - _ . . OF OCCUPANCY BE ALL CONSTRUCTION SHALL MEET - _ - THE REQUIREMENTS OF THE N.Y. of NEW o STATE CONSTRUCTION 8 ENERGY, P CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS � v � f 03415 -0 d � UN FD FI RTE oEEss�p / UNDERWRITERS CERTIFICATE REQUIRED 7 'Gaf1clI 7P 1�ITcl G4iCrl�tti;D� . �' �j G+u a}� '��srx'. Irl jjr_e S 46 Ve?j's 4 t�tlVc� �tKl Vt2TJ(� To It 41lt r47 .rlc ?. 4>' l0 1{s t Lai 4 Ir wT Ja'uN Ce, QaSae IIU�rsa+ ., T Sr „ W t u ra � j ��', 1��'IR�I��'.r� tkd'�F{; _ . � � � NI✓aol �- tyiuo�.ac. �' � �F f � I . I ' UP ol Iml2„'r. .!t11�'fe 4, 2 i� L }? � 5 T � p�IJkl MMra f:12 _ r 3 .r�Y1trZ � j ep, © ' " I, Ye�„�=G7' �i o .. .��. �° �r�ur �Q rte. y rsn _ r OF NE1yy rc RD 0332511 ?V v y 1 bp�t�i=ENI i gFr: � j . >2u,+" -tK� ktaa-o Wl001-+"6) u 2ro �3 1 , f 12" Au47WE Lf--eV Ht4rEras A1441 12" �`_'--- ' " t,-��/�YI/�•'� ' LVL ,clG�l�`+ I ! -- � } ' L3✓ (� 2FDal.16Aw-u ,rYrr; rzce�u `+ I PLw, r 2x toIM0IUlOX�, - o 40 IJ� to q:5:5 Ts C.�/i LPflal L '�'rf" S�.1w .'R I-Id t�l•�a C G L.c.'G�i'J �� °�:� � �' � � �l � i � iv :�,� ��' � d � � o � I h 5,-� 14 PluTsD � y1 Y7, e�lJtgl% '2 I��{, klI 'LVL C\trz D - 2x4"sn r I.Ja15 .I ' � � � � ; ' � f'�'""• I I I I i ro �2r 4, ��� . / — - - — �J Ql Jaz u oiJ SOF NEW yo -�+-1 Y-+ F`1�v��-c X31-1 ay�j IL� �%'�✓�`�� e w 032254-1 pgOFESSW' 2 , 1 a I I .. I j — --a — -- -- -- - r — - - - - -- -- -- - -.- tx _ I a W� *' u�1 i 1P 11u • 1 I 4 ��v21=r Gor.JG� �='�F;- i � �f � i,�i �iol �-� �, i�r''ae,. �` ' Al i X11=0(z6 to LJ Trl I ,f LJ4f2G-' 'M�--M� } , Z4• z- ne4 G I ! 2- �/ '/2' 1T � f I 4 X f , ' I1 v^wti� -21 n 4,J94� 1•�F3.br� (. �Y"90 a-�i�.F Hlcar.� c '� {tr)D47- f=I t;i- E`:LL44Ut4l J SOF NEVI yo 2 0322511 ��Y / G✓ /� /'� A ®A AOFES510N�' 41, Ulm d m"ke &ckbvvdt ��I- 2p►4.�