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HomeMy WebLinkAbout27433-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29230 Date: 01/29/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1625 CHABLIS PATH SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 51 Block 3 Lot 3 .6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 2001 pursuant to which Building Permit No. 27433-Z dated JUNE 26, 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 AS APPLIED FOR. The certificate is issued to SCOTT & GERARDA BOGER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1088164 10/22/02 PLUMBERS CERTIFICATION DATED N/A 01 Aut orized S gnature 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. 27433 Z Date JUNE 26, 2001 Permission is hereby granted to: SCOTT & GERARDA BOGER PO BOX 1603 SOUTHOLD,NY 11971 for . CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR at premises located at 1625 CHABLIS PATH SOUTHOLD County Tax Map No. 473889 Section 051 Block 0003 Lot No. 003 . 006 pursuant to application dated MAY 3 , 2001 and approved by the Building Inspector. Fee $ 88 . 60 Authorize ignat e COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 � a O 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 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 Date. i P,00 New Construction: ✓ Old or Pre-existing Building: (check one) Location of Property: ���L C�,�3Gls A'A9f;v t✓ Ln House No. Street Hamlet Owner or Owners of Property: J/,9nd keweg9 A45c Suffolk County Tax Map No 1000, Section $1 Block 3 Lot 5 Subdivision �U44*9,/wy "a4L ' Filed Map. Lot: 6 Permit No. c?751�?3Z 7 Date of Permit. 6 2 Sr Applicant: c/C'p=ZW4 Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: k (check one) Fee Submitted: $ D9 ado Oe., & 33 b � ApplicanSign ture RI -FL3pL Sr�rJ'�r.PcPrJ�rJ�rJE111211:2915r 111J�rJ�rJr zil 1p�rJ��nrJ�rJE I;I��I:1 11 JAI g 11 1: I m,1:11:PrJ�rJ�rJ@n�nrJ�rJ�cP�rrJ�rJ�r�rJ�rJ��P�nr�rJ� o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 rj 40 FULTON STREET -- NEW YORK, NY 10038 5 5 CERTIFIES THAT S 5 Upon the application of upon premises owned by 5 5 55 55 SCOTT BOGER SCOTT BOGERP.O. BOX 1603 1625 5 5 CHABLIS SOUTHOLD NY 11971 SOUTHOLD, NY 111971 5 SLocated at 1625 CHABLIS PATH SOUTHOLD, NY 11971 5 5 Application Number: 1088164 Certificate Number: 1088164 5 5 5 c7 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 SSecond 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 5 found to be in compliance therewith on the 22n Day of October,2002, 5 5 5 Name (QTY Rate Rating Circuit Type 5 Panels 5011 100 4 5 Wiring and Devices 55 Receptacle 9 0 General Purpose S Switch 5 0 General Purpose 5 Fixture 4 0 Incandescent 5 5 Fixture 4 0 Fiuorescent 5N1 5 5 5 5 5 5 5 SO 5 seal 5 5 5 5 of ' 5 SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S O rJ�rJ�rJ�rJ21�rPrJ�rJnrJZnrJ�r�r�rPrJ�rJ�rrrJ�rJ�rJ�r�cn�nrJ�rJ�rnrrrJ�rJ�r�rJ�rJ�rJ�r3pr PLPLPLLPLrL3o r- LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 `) A GREENPORT, N.Y. 11944 / 14 (631) 477-1652 Mf MtC �� tf ler iA ,/ 0' 'tP/�c• 1"' ,SO /I I vn �../di Attt NJ,?/e R,o IV 71 Re- S � olf aa9e` �,/ h, 9io�e� env /'/) �' �-r/ y / fbP a b eh s , <s <e 9 � e � ` r CohC t S �� � f 4, f x < e ��oar ea o bserr< / gh41 the � ,�/ w'� •- e rae� � qr, � / hS�ecTi� ff�t / en 1411 � ohh 6�/nf 4farenl<^ I � lr�ePM t #y-r /h CCCOr �CnGt �L,n �j ✓�rfM<� 1 t P T sn � . r< /) Qf NEW SCE TLS. � J � < S. # / ui Lu ze JF 031254.1 ®P��FESSI13 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST.STj SUB. LOT ---41 ACR. REMARKS L o TYPE OF BLD. Win 3134qq—L105, PROP. CLASS -51412 LAND IMP. TOTAL DATE Li 2 0 VA -00 c3o 1 (6 o , 0r> o 1 '17 150c) FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL sfY ■■■■■1�■■--(w■a■�1■■■■■■■■■ a • ■■i■i11■■ii16■■■■®■■■■ WW ■■■■■■■■i■iii■■■■■■■ BUILDING PERMIT REVIEW CHUCK US] ApplOwners N / Date Owners Name: �f Reviewed: ((/ ArchitecU Date Engineer. Submitted �a 3 100, SCTM t#: / / District: 1 000 Section: Sr Block 3_ Lot. s 5� Projecte4�X_ �/ -- — Subdivision Locationyw Name: Single & separate Required certification (Yes/No) Req. Req. /.oning District. 1,0(size. _ Actual: (I,ot coverage Proposed Req. Req. Req. (I=ron(Yard Proposed: 1 (Side Yard Proposed: J (Rear Yard Proposed Project Description: AGENC) ERMITS Permit REQUIRED FOR REVIEW N.A. 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: Notes.: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION AM ( FRING ( FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r �� o'k DATE 0/ / o 3 INSPECTOR �� � ..FIELD INSPECTION REPORT DATE COMMENTS yU NIS I� if H W FOUNDATION OST) {t 11 677 _— 1�1 y FOUNDATION (2ND) I{ �I 11 ROUGH FRAME h PLUMBING pp it 11 I 1e.I if INSULATION PER N. Y. Is` H STATE ENERGY CODE II {{ II q fro, II If FINAL IN----ut I_ {I a6 xxxx=ex._xxxxxxxxxx�x-_—�x=xxxs_—�— —=ecr=x_v====c====�e=a=xxxx�xxx - ADDITIONAL COMMENTS: tam H ~ O 0 z � � 1 TOWN OF SOUTHOLD BUILDING PERMrr APPLICATION CHECKLIST: BUILDING DEPARTMENT 1 Do you have or need the following,before applying TOWN HALL i7 J Board of Health SOUTHOLD, NY 11971 - — 3 sets of Building Plans __." :" —._• _Survey Chec it yg Septic Form N.Y.S.D.E.C. Trustees Examined -,10' � 20 Approve /'4'` 20_Rl PERMIT NO. DisapprovgKc Buildin pecto APPLICATION FOR BUILDING PERMIT Date 720 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 sale.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,andgiving 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 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 whatever until a Certificate of Occupancy shall have been granted 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 premises and in building for necessary inspections. k t (Signature ap 'cant or name,if a corporation) N ailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises SETT A,1.j0 �jE�AreA� F� (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. Loction of land on which proposed work will be done: 1 U5 TABUS QR1I4- sovTiaot.� ' House Number Street Hamlet County Tax Map No. 1000 Section S1 Block 3 Lot 3 ` Subdivision eNAe ouuav WooDS Filed Map No. Lot 6 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ST02A4F_ 3. Nature of work(check which applicable): New Building V1 Alteration Repair Removal Demolition Other Work t, (Description) 4. Estimated Cost -7 ©00 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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 48.�Rear 48 Depth 486 Height 24 Number of Stories I Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 32 Rear "3 2 Depth z Height LO Number of Stories / 9. Size of lot: Front 1/q.62, -Rear 492.5 Depth t Qo ` 10. Date of Purchase zlz#. 9g Name of Former Owner ,Seo 7- 11. Zone or use district in which premises are situated A&<JQ 1ITiAt�- 12. Does proposed construction violate any zoning law,ordinance or regulation: 13. Will lot be re-graded_ /VO Will excess fill be removed from premises: YES 14. Names of Owner of premises,�� EgmajiwAddress 162r GF1gB>a r done No. 766-37&/y/ 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 N/ • 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: CO being duly sworn,deposes and says that(s)he is the applicant (Name of in vid signing contract)above named, (S)He is the WVITAG'T71Z— , BW hJ60 (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. Swcyn to re me this �g dayof20<�3 Notary Public '�igWe of Applicant HELENE D.HORNE Notary Public,State of NewYcrlt No.4961364 Qualified in Suffolk Cou Commission Expires May 2Z 6d�y� hqq�r�o�4G gA L=,17 2� s25� J FautiA��/ S 10 � � U H � 4 (, 10� ��9ED LANO� 1 .?G J , LEWq�`'�A p O o\ 7�• ` 3698 i P OF NEW Y O vs' c�e• �aTT �'E�'.�/e0/P �GEr,� �vo�`•r v�e�v�.E�i La T• G�Cao9.9T✓�uUTiSbtO �q�! O,�]/}� Gd.9,Pr9urE�oTc �ccTr-�'GE•e�r+eov� re T�.t�icr�r�ar8.�r ,dC.s�ie�t Tires/aVae,®.ucb ,�cwpvr�avlc�vriav�'��,y�' p5�rE�-c'e•� 71911 I I / ayf ^os I Wlih3 a P { at6 A I` I i I ov�nl ' .L :F1 � r 41 iL i AP RRO EDASNO1E7 303 {J z BA B.P,! fme'0-40 BY- NOTIFY BUILDING DEPA ET / ( � 798-7902 9 AM TO 4 PM FO THE N �� '1 ? (� FOLLOWING INSPECTIONS: t FOUNDATION - TWO REQUIRED f L ��•t N ' FOR POURED CONCRETE P. ROUGH - FRAMING & PLUMBING ") I INSULATION f- A B 1 s� 4 FINAL • CONSTRUCTION MUST I � {�` BE COMPLETE FOR C.O. "• _G `' ALL CONSTRUCTION SHALL MEET {�-'� € _ THE REQUIREMENTS OF THE N.Y. u `� oazz=n i ci $TATE CONSTRUCTION & ENERGY op � ,!' ,✓IONQLYfIfIC Pdu o �Go,VCrET• _ 9�FfSSIOHP� CODES. NOT RESPONSIBLE FO I /Z,o , wak ` .A C C J ✓S ,cavnN Far/w•� ��)]/ DESIGN OR CONSTRUCTION ERROR 4B JL OCCUPANCY OR >- __ �B ' cLfNJ � .L - wEL USE IS UNLAWFUL I f WITHOUT CERTIFICATE OF OCCUPANCY A j I ... .. . _., , .r :yb '''r4 - f {S ., , t i.-a ..' S j-o - > ,. „ 1 N.; r. 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