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Home My WebLink About30008-Z FORM NO. 4 TOWN OFSOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29984 Date: 01/30/04 THIS CERTIFYES that the building ADDITION Location. of Property: 580 SMITH DR N SOUTHOLD (HOUSE NO_) (STREET) (HAMLET) County. Tax Map No. 473889 Section 76 Block 2 Lot 15 Subdivision Filed Map No. Lot No. II _ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 2004 pursuant to which Building Permit. No. 30008-Z dated JANUARY 13, 2004 was issued, and conforms to all of the requirements of the applicable li provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN H OLIVER & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ;ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A I Authorized Si ature } 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 Nb'_ 30008 Z DaJANUARY 1 Date J U 3 , 2004 Permission is hereby granted to: JOHN H L WF OLIVER SMITH DR N SOUTHOLD,NY 11971 for CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED ,FOR. THIS PERMIT REPLACES BP#24380 . at premises located at 580 SMITH DR N SOUTHOLD I' County Tax Map No. 473889 Section 076 Block 0002 Lot No. 015 i pursuant to application dated JANUARY 13 , 2004 and approved by the Building Inspector to expire on JULY 13 , 2005 . Fee $ 150 . 00 Authorized Signature III COPY Rev. 5/8/02 �. FOBM EiO. E 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) c� �J . 24380 Z Date ............ . .......... .. ..�.!19 Permpssion is hereby granted to: Alp................... - ........... .................................. ro ., � ............... 1.. . .. . ... .. .. . . ................................................................. ................................ .. p . .. .......... at remises located at........... ..... . ....... ........ . ? ... ......... ............ ... CountN Tax Map No. 1000 Section .......... Block ......�:.... Lot No. ..... pursuant to application dated ..... 19.5 and approved by the Building Inspector. Fee $.I� .. ................... Building t for Rev. 6/30/80 Form No.b JAN T!1'WN OF SOIITHOLD BUII.DING DEPARTMELVTe,_.._, TOWN HALL r 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 fromBoard of Fire Underwriters. 4. Swo'm statement fromplumber certifying that the solder used in system contains less than 2/10 o€1%lead. 5. Ccm nereXal building,industrial building,multiple residences and similar buildings and installations,a certificate df Code Gmpliance from architect or engineer responsible for the building. 6. S ibmit Phinsi ng 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. Accuratc survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. Aproperly 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. T C. Fees j 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.60,Alterations to dwelling$25.00, S�y,n gpool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.00. 2.Pc–rtificate 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. -akn. so, ao0i4 New Construction: IJae ck Old or Pre-existing Building: (check one) Location of Property: 530 Srn:ti °s �r,de (tiiorh> �outl olc� House No. Street Hamlet Owner or,Owners of Property: Jotin aid Ike� ;en�e fll oe� Suffolk County Tax Map No 1000, Section 7b Block a Lot I S_ Subdivision Filed Map. Lot: Permit No. 3o o o 9 - z Aleck Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: i $d` S.o 0 i u� '(2, 64i c3 t Applicant Signature III g1i-) PzAi7 til n C 7 ' X 17' Dec k cc-7k i i *7 r� TOWN O x85-1802 BUIL'DIN0 DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG LBG. I l FOUNDATION 2ND [ ] i ULATION I [ ] FRAMING [ FINAL ,I [ ] FIREPLA'C C JIMNEY REMARKS: % G DATE / INSPECTO pi 765-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ I ROUGH PLBG. [ I FOUNDATION 2ND [ I INSULATION [ I FRAMIN [ �4IAL ' [ I FIR LACE A HIMNEY i REMA 'F �h�t DATE INSPECTO is L , I ` 1!t7 '•�*_ T,thl*"1t` TS'1�"' ^lhT.^ __._�_�.-...__I U'1ifr iSSR ---.-` - } Wim✓ i� '.unlmn'rlurt t t •'rJ ' s C �ovtron'Ctd1rJ (211Jr) O 11IMI FRAIM R MAJI In I IN: {w{ 5t:;Ur.d7rtnlr ttt.rt tr. S•1'ATr rXERUY - f ..CIMI, - 2 1 7W — �� i FI i ty i 1i VVIIx YuYS.:a•' x._Ea " BOARD 4F HEALTH t FORM NO. I 3 SETS OF PLANS ;a TOWN OF SOUTHOLD, SU1tVL+Y . . . ; . . . BUILDING DEPARTMENT CI CK TOWN HALE:' SEPTIC FORM . . ._ SOUTHOLD, N.Y. 11971 h TEL: 765-1802 NOTIFY.: BLVG_DEP1: C �•' ! 3 bP ,UIdiLPL6t., �� CALL '�RA� Fx�rauel .a?�/ 1'k-.• ,.. - MAIL TO • - PProoed '; f , 13 Permit NO. -. .... ..___... .. ... to Disapproved,a/c ................................... W1. (Building Inspector) 4 i F.if:i1TIQN FOR HDTLDINC PERMIT Date. . . . .. .. . . . . .. . . 119. . . . 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 scheduler - b. Plot)pian showing location of lot;and of buildings an premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of this application_ c. The- 'K k covered by this application maynot be comenced before issuance of Building Permit.. d. Upon, approval of this application, the Building Inspector will issue a Building.Permit to the applicant. Such 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 whateveruntil a Certificate of Occupancy shalt have been granted by the Wilding Inspector_ _ APPLIC1i CN IS L3EBM MALE to the Building Department for the issuance of a Building Permit pursuant to the ,Building Zone Ordinance of the Tam of Southold, Suffolk County, New York, and other applicable Laws, ordinances or liegulatians, for the construction of buildings, additions or demolition,.alterations, or for,removal or demolition, as herein: i described_ 11* applicant agrees..to comply.with all applicable laws,. ordinances, building code, housing code, and regulations, and to admit authorized inspectors on promises and in building for necessary inspections, (Signature of applicant; or name, if a corporation) ................................................... (Mailing address of applicant) !State,whether applicant is owner, lessee agent, architect, engineer, general contractor, electrician, plumber or builder. of _......ham. ..f. r........................................ / _J ._... Name of owner of pn3mises �...._ H•(�/i V..Y' LZ.. t-f GU t I (as on the tax roll or latest deed) if applicantis a corporation, signature of duly authorized officer. I.............................................. (Nave and title of corporate officer) 4 Builders License No. Plimbers.License No. ........................ + Electricians License No. ..................... � Other Trade's License No. ......-__...... ...... 1 . 1,ocation of land on which proposed work will be.done.._.............................................. . .._ .................. ......._. ............... / ... fhs "l�v�✓ (r1!�Nf�� ouf/o/4' /�y �I ••-•llouse NLuber Street .._ .. o .. ............ et �. County Tax FlapNo ]DOG Sectionbp' Black ' Iot5 �.. �9 Ivh Subdivision ______________ _ Filed.Flap SubdivisionND ✓l':�a, _.....�, I�t_S_ 9.. .:lt:..�� 2. . State exist use and occlipanxy of Premises and intended use and occupancy of proposed construction: 4 a. Existing use and occupancy ....iSf�)5It—f-viiij ....... .................................... b. Intended use and occupancy ........ 2n.�'fla ,alu k tv Rci wZ3€aaSE 3_ Fiture of w<idk (check i,Aiich applicable): New ViAlding . . Addition ...Y A1Lotrariion'._ ..,3••E - ..._ bawl it ion. ....:.. ' `ilte�wir ._...._-._:.. Itmr7val :......,. ..... Ot her l+kxk .... ..... (Ilescrlptlon). 4. Estinatel Cost 1 !� ... ....... .._.. Fee .,.. ...f.. i '.(to be paid on filing this (application) ) . 5- If Avelliop, notiber of &elling units -._...._:>.,,(tuft-ter of duelling units (xi etach,f%ao ...............i_'... if garage, nniier of cars. _ .....r.;............... .._ 16. if, lxisiness, cdmaaercial orYat"fired cLciipancy, specify matte and extent of search type of use:...... - f7, t z si ting sL'nic,tuKes, if'any: 1?'t oril .t _....: Rear .T.,�......_..: Depth .: "�.-. ........ `. ,tlm�ensiats of exls Clei bt 19dnlier of Stories ... g •- i -• i� tlxarr�resio4s aLsare sP.rriclure.:utitz alleratlonsor A&IR ons Front Bear ...:•._. ..:..: . ........... ldeiglat l4iiiber of Stories ............... i R. iiieus;ion tilf entire new CCXmtruCtiap: lroiit .._...t.!y_...._ (tear ..:...... Depth ... ....... tie i, ............. Umber of Stories ..................... 9' size of lot Front �0� Rear .. �`.. _ Depth . i 4ilT4,, i e yy,;�� (1 bAt,ii 'if Purchase ..®G7"1,5 cam„ �`ti-'nae of Former iXafier ' 11_ Zinn or use district in taliiela premises are.situated ......................................'-_...._---------------- 4 9. [a n •12. I)rres proposed,cmastroct!on violate,any.zoning law, ordinance, ordinae or regulation: ....'19... 13_ brill lot be rel;raded _..[Y.b Willexcess fill be removed frow premises YES Ow (.5-16 - Ii Names of (Raier of premi ses .fN .......... ✓ef AddressS..... Y/ JOl... ...... J(.S 9ol� liaiieI of Arch itect.:s_p.............. ............... Address ....... .......... lion No. ........... N;nie of C tractor l"�{':;� ��i4/�t•LOI�IGCIa _....... Address biSSPttl.f_�[1.f..scct /1a�c.._Thone No. 15 Is'lhi:s .property. within 3(1(1 feet of a tidal taetland? * YIS .......... M *IF YES, S()(111'C171 UN llltlS[M $Et1,11'P MY RR RrQI1RC11._ PLOT DIAGRAM locate clearly and distinctly all lxiil:dings, vAiedier existing or proposed, and indicate all set-back diiiiensions from property lines. Give street and block nniieer or description according .,to deed, and sbow street names and indicate IAietber, interior or corner lot. _ q ,_. �� 32,` ' dry 37 ;far u ie. ? �3' �Yj-rte o1wzn, � IilAll� OF 1wtr"c,nn // . Lc t`. l �1 Ax.iiq, duly sworn, deposes and says thathe is the appl.icauC. (llrrarq of individual. signing contract) above iidnrsl, - -i kk is the (Cmatric¢or,.agent, corporate officer, etc,) i of said oxner, or wix:rs, and is duly authorized) to perform or have perfonareil the said work mid to make and file this appd.icatiori; tkat allz`stateireiits contained in this appl icatibn,_are true to the best of his ktxvledge aid belief; awl. that the work will be performed in the ucinner set. forth in the application filed therewith. - &xirn to befog fy� �e this, G� --•----.`? `.�_6•`._ 1-7 day of ..• ,.":_..L ,.:.19..1... [kitary R .die .%Lt�C-�J � �LiYJ L (Signat:ure (If Applicant) - �/16Badory NeW16At 9(/� GUARANTEES INDICATED HERE ON SHALL RUN - ONLY R) THE PERSON FOR WHOM THE SURVEY - - - 1S PREPARED, AND ON HIS BEHALF TO THE - - - TIRE COMPANY, GOVERNMENTAL AGENCY, - LENDING INSTITU➢ON, IF LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUROM LOT 95 .n - GUARANTEES ARE NOT TRANSFERABLE TO N 51'00'00"W 150.00 - ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. - PIPE FRAME PIPE FOUND SHED FOUN { UNAUTHORIZED ALTERAAON OR AD IRON TO THIS p - SURVEY IS A VIOLA DON OF SECPDON 7209 OF O .6 0 FErvCE p 11 - THE NEW YORK STATE£DUGADON LAW. as' COPIES OF THIS SURVEY MAP NOT BEARING Z f'4 ROOF 1,4' OVER THE LAND SURVEYORS EMBOSSED SEAL SHALL o NOT BE CONSIDERED TO BE A VALID TRUE - lv CONC. COPY Z o .0' LOT 124 » ONE-STORY 5; RESIDENCE `F B a-38.7p W 6.0'�/ CPRAGEQ LOT 925 - 22.2' 2 3 NO +/ pRN�` w W O O fn a O V I rvJ m NOTE: PREMISES SNOW COVERED THIS DATE. Z PIPE # PIPE FOUND - - FOUND i - S 51'00 00 E i 50.00 o / LOT 92 w .SURVEYED: 21 JANUARY 2004 8 MAIN BAWIEW ROAD SCALE I"= 30' - - . AREA = 15,000 S,F. - FM# 1663 OR DATE FILED NOV. 22, 1948 SURVEY OF - 0.344 ACRES TM# 1000-076-02-015 LOTS 93 & 94 IN MAP OF GOOSE NECK SURVEYED BY SITUATE STANLEY J, ISAKSEN, JR, BAWIEW, TOWN OF SOUTHOLD P.O. Box 294' NEWSUF/ OLK. N:Y. 11956 SUFFOLK COUNTY, N.Y. 111 --S7 -5s3s GUARANTEED TO: JOHN H. OLIVER SURVEYED FOR: JOHN H. OLIVER ADRIENNE a. OLIVER ADRIENNE B. OLIVER — _ CENSE A YRRNYS Lic.No. 4927291 -CG^ Y14� G�/ � �t?ply � iA.ut'a Ue. ✓�1c+�'�- _ i ry� � -- --�1n�5PA <,C.C � �d+n JCs, 9/a91t17 �4e T M TO A flHSF -,TgCiVA, 7 .;,'.,NDA.- ieq,, '111WJ R}'-'t2UIRE0 'CW:HFC I't NCRETF „ 1''CIH - f;l;AN'Ifwl, �, P!_U1r1v:Nr i^,on,g1511 TJ '.hl. frig➢`+TTa.tlfTICR1 NQJST Q�ICCd�P:�G�CB� C'� , r1hnF.ETEI=ORC.r1. — — USE SS I+," R�R�lwFUL u + ( IvssRucTrs N Swr.I I. hrET u = R'Lt2kllRE-"FNTS OF THE N.Y CERTIFICATE TATE CONSTRUCTION & ENERGY I _. .. . -- .- OF OCCUPANCP +.'i%f 7Y i. NOT RESPONSIBLE FOR r "o, - - -- n1 S1i3N OR CONSTRUCTION ERRORS I 4" 4 it I j i � I I I i I -)x6 cop M '{ <ea �,. ., l li•V aro S'o"n.E. LLJ I ' . l; ,ciyFrn� lonG. .r�lsor '�v ,rri ihj 7{4n�!✓ 1 -