HomeMy WebLinkAbout29161-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPAiqCY
No: Z-29982 Date: 01/30/04
T~tIS CERTIFIES that the building Ai}DITION
Location of Property: 2985 KERWIN BL~ID GREENPORT
(HOUSE NO.) (STREET) (PiAMLET)
County Tax Map No. 473889 Section 53 Block 4 Lot 44.31
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRU~LRY 26, 2003 pursuant to which
Building Permit NO. 29161-Z dated FEBRUARY 26, 2003
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 PdDDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WILLIAM B & ELAINE M SCHNEIDER
(0~ER)
of the aforesaid building.
SUFFOLK COUSVI~f DEPARTMENT OF ~IEAL~gHi~-PPRO%rAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATmu
N/A
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. 29161 Z Date FEBRUARY 26, 2003
Permission is hereby granted to:
WILLIAM B SCHNEIDER
2985 KERWIN BLVD
GREENPORT,NY 11944
for
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR. THIS PERMIT REPI~ACES BP#26707.
at premises located at 2985 KERWIN ELVD GREENPORT
County Tm Map No. 473889 Section 053 Block 0004 Lot No. 044.031
pursuant to application dated FEBRUARY 26, 2003 and approved by the
Building Inspector to expire on AUGUST
7 .00
Autho~ zed ~ignat~
Rev. 5/8/02
COPY
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. 26707 Z Date AUGUST 8, 2000
Permission is hereby granted to:
for :
WILLIAM B SCHNEIDER
2985 KERWIN BLVD
GREENPORT,NY 11944
NEW CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at
County Tax Map No. 473889
pursuant to application dated JUNE
Building Inspector.
2985 KERWIN BLVD GREENPORT
Section 053 Block 0004 Lot No. 044.031
6, 2000 and approved by the
Fee $ 75.00
Authorizea~ Signature
COPY
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Th/s application must be filled in by typewriter or ink and submitted to the Bulld/ng Department with the following:
For new building or new use:
i. 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 statc~nent 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 Plamfmg 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 ali property iines, streets, building and unusual nataral 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.
~Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory bu/lding $25.00, Additions to accessory~tilding $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.
New Construction: Old or Pre-existing Building: (check one)
LocationofProperty: ~)7~j~<'~ '/ff~Y-~'z/_~/n ~JF~'t~f ~~ ~ ~ I(~
House No. Street / '/ ~et
OwnerorOwnersofPrope~: /~/t~Z/~ ~ ~/~ ~ ~ ~~/~Z
Suffo~ County T~x Map No 1000, Section ~ ~ Block ~O ~ Lot ~qg~ b~/
Subdi~sion Filed Map. Lot:
Pe~t No. ~ ~ / ~ / ~Date of Pe~t. Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ ~t~ ~
Final Certificate: ~ (check one)
Applicant Signature
~OeNo. AUG-29 ,, . TAXLD. No. 1000-53-04.-44.~1
THE I .r~C~,TIO~ OF ~/~[.L%. 7~rA?ER SERVICE
LIN~, S[,F'TIC TANKS ~ND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DATA 0~A~NF.D FROM
LOTTO
LOT 2~
KERWIN BLVD [ 50']
LOT ~
FILE MAP No. 9107 6/3/91
;ERTIFIED ONLY TO:
WILLIAM ,. SCHNEIDER ~ ELAINE M. ~CHNEIDER/~
Ro~LYN NA'rlON.~- MORTGAGE CORPORATION
FIOEL~' NATION~. TITLE IN~Uf~ICE
,, ' OF NEWYORK
SURVEY OF: LOT 29
MAP OF AUGUST ACRES SEC 1
~,RSHAMOMAQUE,TO~e/N OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SURVEY DATE: 1/28/00 SCALE: 1"= 50'
~ESTIN G.GRAF
/r~Woodlawn Road
Point, N.Y. 11778
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ [3 ~' kc_~[c&~/'-'~r% ~ '~",~\'o. ccx',~m ~¢,u_(~rq~eviewed:~ . -,.Date
Owners Name: ~
Architect/ Date
Engineer: Submitted:
SCTM #:
District: 1,000 Section: '~ ~ Block: k~ Lot: L[O(, ~/
Project
Location:
Single & separate Required dO
certification: (Yes / No)
Zoning District: ~ [Lot size: Actual: ;.~,1~/!
Req - R.eq.
[FrontYar~ .a~ Proposed: /e~ ] [Side yard /~</ Proposed:
Project Description: C°-~ ~ cc /7~ ¢~--.'7,/ ~--
Subdivision
Name:
[LO~ coverage
Req.
Proposed:
-- Proposed:
AGENCY PERMITS
REQUIRED FOR REVIEW
Suffolk County Health Dept.
New York State D.E.C.
Town Trustees
Town Zoning Board approval:
q~wn Plalmlng Board approval:
Flood Plane Elevation ???
Flood Zone:
..NO YES
Permit
Number
Notes:
765-~,802
[ '~ST [ ] ROUGH PL. BG,
[ ] FOUNDATION2ND [ ] iNSULATiON
I ] FP. AMi~G [ ] Fi~IAL
[ ] FIREPLACE & CHIMNEY
iNSPECTION
[ ] FOU~N
[ ] ROUGH
CHIMNEY
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING ~__~INAL
DAT£~//~/
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] FIOUGHPLBG.
I 1 .:ou.o,,'r.o.,,.o
[ ] FRAMING [~'J~INAL
[ ] FIREP~ (~:~IlMNEY
'IELD INSPECTS_OB~ REPORT =DATE
:o~5~ou ___~!~! .....
[NS~TION PER N. Y.
STA~ ENER~
CODE
J~__ -z_,m~_=__~_ ...... -----.----..---.-..--. ..... = ..... = ......
........ ~ .... ,~ ~ ............
FINAL
II ~I'
-FORM NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUT~OLD, N.Y. 11971
TEL: 7652]802
Disapproved a/c ..................................
; ' , i ::: i (Building Inspector)
Ii JU~ - 6 ?.gl] ;
'i.:u,~ ~ ~ APPLICATION FOR BUILDING PE~IT
BOARD OF HEALTH ...............
3 SETS OF PLANS
SURVEY ........................
CHECK .........................
SEPTIC FORM ...................
DEC ...........................
TRUSTEES ......................
NOTIFY:
CALL ..................
MAIL TO: ....................
Date .......... ,..' .... , .WU.
a. This application Ulmt be c~pletely filled in by typewriter or in ink aad submitted to the Building Inspector wi
3 sets of plato, a~curate plot plan to scale. Fee sccording to schedule.
b. Plot plan ~bc~rlng location of lot and of buildings an premises, relationship to adjoining pr~niscs or public
streets or areas, and giving a detailed description of layout of property n~st be drawn on the diagram which is part of
chis application.
e. The work covered by [his application my ant be ceumeoced before issuance of Building Permit.
d. ~ appny~al of this application, [he Building Ins~ctor ~ill issue a Building Permit to the applicant. Such
penait shall be kept on the premises available for inspection thranShont the work.
e. No building shall be occupied or used in ~tuole or in part for any Fax'pose whatever tmtil a Certificate of
Occupancy ~hall have been granted by tl~ Building Inspector.
APPLICATIC[I IS t~REBY MAlE to the Building Deparmnt for the iasannon of a Building Pemit parsuant to the
Building Zo~ Ordinance of dm~ Te~za of Sou[hold, Suffolk Ccmw, New York, and other applicable La~s, Ordinates or
I~gulatioas, for the cor~stmctian of ~i_ldi~;i ~it!~:on'atterati0ns, or for r~oval or damlition, as herein
described. The applicant agrees to ~ly ~rlth all appli~i~ ia~s~ 6niias, building code, housing cede, and
rngulatlons, and to admit authorized inspectors on premises and in building for nectar!tv inspectitms.
.......................
(Signature of applicant, or nam, if a corporation)
(lqailing address of ,~plicant) //¢~
Starae wheti~r applicant is mr, lesaee, agent, architect, engineer,' geeeral contractor, electriclan, plamber or builder
. ./4. f/z ..................................................................
(an oo the tax roll or latest deed)
If appllcant i~ a corppratlon, signature of duly mthorlzed officer.
(Naae and title of corporate officer)
Builders License No ..........................
Plumbers License Ko ..........................
Electricians License No ......................
Other Trade's Mcensc No .....................
!. Location of land an ~nich proposed x~ork will be done ........................................................
Subdivision ...................................... Filed HapNo ................ Lot ...............
2. State existing usa and occupancy of premises and intended use and occulmucy of proposed construction:
..............................................................
3. la. attire ~f ~ork (check ~l,id~ applicable): ~ l~ildlng .......... Addition . .../.. .... Alteration ......
Repair ............ ~avai ............. I)amlitica ............ Other Work ............................... >..
~ .(Description)
4. Estimated Cost .. fi' g'OO fee
(to be paid on filing this application)
5. If d~.~lling, r~r of d~elling units . .ff..ff~. ..... l~r of &~elling units on each floor ...x~..~ ..........
If garage, mmioer of cars . ../~./'~-
7. Dimensions of e~dsting structures, if any: lhront .... ~.../ ....... Rear ..a/~.f ....... Depth ..~.'~.,~.
tieight °~f/ ~r of S~tories .../. ................. / /
Depth ....-~,-~ .~>.~ ....... lteight .... Z~ ............ Ixhnber of Stories ...............
8. Oiwessionsofontirenewconstmction: Front .S.(~..~. ........ Rear ~.~5 / ..... oepth~:.~. ..........
of Stories. /
.....................................
9. Size of lot: Fro~t / ~ ?~ ~0 /'... Rear //~ ~/- ~O l~pth ...... , .....
l 1. Z~e or use district in xi~id~ pranises are situated ./~ 7..~.0 ...................................................
12. Ooes I~Oposed construction violate any zoning 1~, ordinance or regulation: . .x~..0. ..................
13. Will lot be regrnded .... ./~.(~ ............ Will e.~ese fill be rea~ved [rcm premises: ~ NO
Na~ of Arddtect .................................... Address .............................. l~hone No .............
Nar~ of Omtractor ................................... Address ............................... l~hone No .............
15. ls this property within 300 feet of a tidal wetland? * YES .......... NO ...../~....
PLOT DIAGRAH
locate dcarly and distlnctly ail lmHding$, x.taerlaer existing or propased, and indicate all set-back d~ensions
from property lines. Give street amd blc~k r~aber or description accoxding to deed, amd show street nazis and indicate
ul~el~ner interior or corr~r lot.
(Nane of individual slgnitg contract)
above na~ed,
tie is the . (~/d') 7b/~ ......
(Contractor, a~nt, cor~rate officer, etc.)
vf ~id ~ ~r ~rs, a~ is ~ly ~thori~ to ~rfom or h~ ~rfo~ ~e ~id ~ afl tu m~ ~ file this
a~llcation; ~at ail stat~ts c~tai~ in ~is a~licati~ are t~ to ~e
~at the ~ w~ll ~ ~rfo~ in tim ~r ~t forth ~ ~e a~lic~ti~ fil~
', N0ta~ Public, Stme 0f New 0ra .................................... (si tum of A~ti~t)
No:
QuaMled in Suffolk ~un~
......... being duly sworn, deposes and says tlmt be ~s the applicant
JOB No. AUG-29 TAX I.D. No. 1000-53-04~44.31
THE LOCATION OFWELLS, WATER SERVICE
LINES, SEPTIC TANKS AND CESSPOOLS
SHOWN HEREON A~E FIELD OBSERVA-
TIONS AND OR DATA OBTAINED FROM
OTHERS.
LOT 27
LOT 30
LOT 28
S 43°09'40"E 164.00'
~EPTIC LOCATIONS
CORNER A CORNER B
SEPTIC 20' 34'
LP1 23' 47'
LP2 34' 43'
LP3 31' 28'
11.~1.~ 21.1 ,~
29.9' I ST FRAME
'~ 12.0 --
O
O
73.4'
WcOOD PORCH PJO
3 STEP
O
LP3
65.0'
WATER
N 43°09'40"W 139.00'
KERWIN BLVD [ 50'
LOT 9 LOT 33
5
LOT 34
DRAINAGE AREA
POND
FILE MAP No. 9107 6/3/91
CERTIFIED ONLY TO:
WILLIAM B. SCHNEIDER AND ELAINE M. SCHNEIDER
ROSLYN NATIONAL MORTGAGE CORPORATION
; FIDELITY NATIONAL TITLE INSURANCE COMPANY
OF NEW YORK
TITLE NO. FNT992¢~
By DESTIN G. GRAF N.Y.S. LIC No. 50067
SURVEY OF: LOT 29
MAP OF AUGUST ACRES SEC 1
ARSHAMOMAQUE,TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SUR'~EY DATE: 1/28/00 SCALE: 1''= 50'
)ESTIN G.GRAF
~ND SURVEYOR
Woodlawn Road
cky Point, N.Y. 11778