Loading...
HomeMy WebLinkAbout28625-Z FORM NO. 4 i TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30236 Date: 1§_L28/04 THIS CERTIFIES that the building ADDITION Location of Property: 425 SLEEPY HOLLOW LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 1 Lot 39 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 2002 pursuant to which Building Permit No. 28625-Z dated AUGUST 5, 2002 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 TWO CAR GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEVEN M & MARGARET SCHOCHET (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1190848 05 21 04 PLUMBERS CERTIFICATION DATED N/A uth ized 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. 28625 Z Date AUGUST 5, 2002 Permission is hereby granted to: STEVEN M SCHOCHET 425 SLEEPY HOLLOW LANE SOUTHOLD,NY 11971 for CONSTRUCTION OF A GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 425 SLEEPY HOLLOW LA SOUTHOLD County Tax Map No. 473889 Section 078 Block 0001 Lot No. 039 pursuant to application dated JULY 30, 2002 and approved by the Building Inspector to expire on FEBRUARY 5, 2004 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD ` BUILDING DEPARTMENT / TOWN HALL 765-1802 720 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 I%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 dwellin,,�$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. 6 New Construction: ✓ Old or Pre-existing B 'lding: (check one) Location of Property: cJ l FxeO w J d /'`t 8�� House No..' Street Hamlet SOwner or Owners of Property: . Myrr- a � SC Suffolk County Tax Map No 1000, Section 7a© Block d Lot Subdivision 0 Filed Map. Lot: Permit No. Date of Permit. O r o Z Applicant: _fie llyc Aj(?7qA- Health Dept.Approval: A)/,q Underwriters Approval: }de s Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Q�A o L �� � p scant Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY S � NY 10038 5 40 FULTON STREET — NEW YORK 5 5 CERTIFIES THAT S Upon the application of upon premises owned by 5 5 STEVEN SCHOCHET STEVEN SCHOCHET 5 5 425 SLEEPY 425 LANE HOLLOW NY 11971 LANE SOUTHOLDY HOLLOW 5 Located at 425 SLEEPY HOLLOW LANE SOUTHOLD, NY 11971 5 Application Number: 1190848 Certificate Number: 1190848 Section: Block: Lot: Building Permit: BDC: nsl1 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 5 First Floor,Attached Garage,Outside,Attic, 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 21st Day of May,2004. Name OTY Rate Rating Circuit Twe 5 Panels 5 1 30 5 Wiring and Devices Outlet 8 0 Fixture S Fixture 8 0 Incandescent `1 Outlet 12 0 General Purpose Receptacle 7 0 General Purpose Switch 5 0 General Purpose 5 Receptacle 1 0 GFCI 5 .. 5 seal 1 of 1 L5� 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. 5 FROM :SLEEPY HOLLOW HM IMP FAX NO. :6:;1 755 4096 May. 04 2004 01:30PM P1 "000� ` r ,Plm,f &� 1 7 S eve— Woc-A-e- 7Tr -r Applicant/ Date Owners Na.i»e:s -- `;' 2eMwed: v ArchitecU .,G� p� D ate C;n . gineer -Of SI-M ft uistrim 1 ,000 Sectljon: 2 block Lol13 Project Subdivision Location: � �Ot_c! __ Name: Single � separate Required (ertification. (Yes l No) Req. Req. /-cluing Oislrict IIAt size _Awml_ Lot cuvcragc I i rg Req Req, � Rcq 1 It=root Pard _Propose3 d: J ISidc Yaid rroposcd Rcar Yard s 1 � ,I rOq Project Description: AGENCN'..PERMITS Fermi REQUIRED. FOR REVIEW N.A. NO YES Numb 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: b 9N . , New York State Department of Environmental Conservation Division of Environmental Permits Rm 219, Butki)ng 40-SUNY Am Stony Brook,Now York 11790.2356 Telephone 1516)444.0365 Facsimile 1516)444.0360 John P.Cahm Comrnkaionar LVITTRR OF NQU-J'URI9DICTION May 6, 1998 Mark K. Schwartz and Lauren J. Praus 275 Clearview Ave. Southold, NY 1197 . Re: Schwartz/Praus Sleepy -Iiollow- Lane Southold, NY 11971 Tax map # 2000-78-01-39 DEC# 1-4738-01941/00001 Dear Mr. Schwartz and Ms. Praus; Spsed on the information you have submitted, the New York state ;p&partment of Environmental Conservation has determined that: Thar property landward of the 10' elevation contour as shown on the survey prepared by Jo4h Metzger on March 12, 1998 and revised by Mark K. Schwartz on April 27, 1998, is beyond the jurisdiction of Article 25. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundaryy and your project (i.e. a 15' to 201 wide construction area) or erect3,ng a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. V y yours, ns ministrator cc: KPK/file suauINa DEPT. INSPECTION [ FOUND ON 1ST [ ] ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE C IMNEY REMARKS: Z9 4::X�- Ade�r t oc DATE / � SPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDA N IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE RIMNEY REMARKS: DATEX;�lYlU�SPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROIJliFI PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ti DATE INSPECTOR. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE -4 O INSPECTOR X65.,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 SULATION [ ] FRAMING [ FINAI�p [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: c,,e2 DATE L� o INSPECTOR '� ', FIELD INSPECTION REPORT DATE09 CO1V '�NTS t� FOUNDATION(1ST) y -------------------------------- CIO FOUNDATION(2ND) z 0 x ROUGH FRAMING& y PLUMBING . i x INSULATION PER N.Y. STATE ENERGY CODE FINAL ` I ADDITIONAL CONIlViENTS . o z • m Q� x m d TOWN OF SbUTHOLD ------ ____ BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTME ; Do you have or need the following,before applying . TOWN HALL ? Board of Health SOUTHOLD,NY 11971 U E c_, ) 3 sets of Building Plans TEL: 765-1802 Survey F FER,WrT-Nd. check Septic Form N.Y.S.D.E.C. Trustees Examined 7 20D Contact. Approved 20 Qt? Mail to: Disapproved a/c t7� Phone: Building Inspector APPLICATION FOR BUILDING PERIVIIT Date `� 2002- INSTRUCTIONS 0 ©2- 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 Occupancy 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,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (C7 ignature of applicant or name,if a corporation) OdailirVad&ess of applicant) State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician,plumber or.builder C10A)lL Name of owner of premises 4V e /UIeW� Cc (as on the 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 lanclon which pro s work wi be done: 'J dcJ /lam House Number Street Hamlet a County Tax Map No. 1000 Section Block r Lot Y'V%. Subdivision Filed Map No. Lot (Name) 2. State existing use and.occupancy of ' es and intended a and occupancy of proposed construction: a. Existing use and occupancy DQ t tJ;; e b. Intended use and occupancy GaAor4 44 AO-4 3. Nature of work.(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ��6�' Fee F- 6 (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 Pxistil ^-pictures,if any: Front _ _Rear Depth Height �C . Number of Stories t �f- ��` �Y ' .� Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear O? Depth y Height APPlu X n Number of Stories t cPw&c•9G,(-- 9. Size of lot: Front ra -Rear, ' 7 Z Depth 7� 10. Date of Purchase 2 /Z z /0'0 Name of Former Owner i d cP,fl&u Rte✓ 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 SA f4 14.Names of Owner of premises` 7 #oc Re* Address -Cc9a Phone No,6 7A1' i 7 Name.of Architect _ _Address Phone No Name of Contractor Address Phone No: 15. Is thisply o within 100 feet of a tidal wetland? *YES NO I/ In • 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,must provide topographical data on survey. STATE OF NEW YOFX) COUNTY 012�`4t being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (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 to before me C, dav of 20(s V ' Lcicdz� ()Notary Public Signature of Applicant LYNDA M. BOHN NOTARY PUBLIC,State of New York No.01 806020932 Qualified in Suffolk Cou Term Expires March 8,20� SC1HS REF. # R10 98 0069 `Off :50 pEVR RRtIONTT-0 0, `E' S Cd- sv7040 `- ,VCJ- =' F /e -17 ` \ S c'a� �. / NE i Q 2 �� �G• 1 N Pp7 8� V 1 l'g �4q. 4p O 44 i V 24. (05 h O py I V I 't I t 00' -- 'V y6o8 � r y o0 -- _ Hp«0►�/ CERTIFIED To' lqN MARK K. SCHWARTZ LAUREN d.. PRAUS KTG ABSTRACT CORP. LAWYERS T(P_E INSURANCE CORP. THE SUFFOLK COUNTY NA TONAL BANK SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD CONTOUR LINES ARE RE.FERENC_D TO tV-G.V.D. SUFFOLK COUNTY, N Y _ 1000 - 78 - 01 - 39 SCALE 1" = 30' MAR. 12, 1998 :;ERT. /1, 1999 ( gravel drive 1 AREA = 40,051 sq. ft. Avrl+ 15, (999 (Foundation Ln^Ghon) DEC. 15, 1999 ( gnat ) 1dAY 22, 2000 (contour lines 1 TDR[ I SEPT. 17 2001 I prop. 9,v,,9- {<'-•^^ ANY ALTEWATION OR ADDITION TO TMS SURVEY IS A VIOLATION OF SEC7�N 7209 OF 7hlE IOW YORK 5TTE EDUCAT/Of✓LAW, EXLEPT'AS PER SECTION 7209-SUBDINSION Z ALL CERTIFICATIONS ryl^`�fI HEREON ARE VALID FOR TMS MAP AND COPIES THEREOF ONLY 9= N.Y.S. LIC. NO. 496!8 SAID MAP OR COP/E5 BEAR THE IMPRESSED SEAL OF THE SURVEYOR - WHOSE SIBNA APPEARS /�RtOK j ._ . __ c:. P G.-, . S YORS, F.C. ADDITIONALLY JSTEUE TO COMPLY AL SAID LAW TSE TERM 'ALTERED BY' ( '. i . ,¢i5 MUST BE USED BY ANY Atb' ALL SURVEYORS UTILIZING A COPY �� OF ANOTHFrR SURVEYOR'S MAP. TERMS SULH AS �JSPELTED' AND �. Us'AiT1X . 11 !Gf"tI1P✓� - z — xT ( rOL � gHo m �e :. 12 0 a 4 A --- 7 Z W W �- n •" to '� C7 1�t- I O a r -- -- - - - z z 1 � C? e D AS NOTED DATE-.'=O-,- B.P.a Fl86—Low E ARTMENT ANOTIFY 765.1802 9 AM TO 4 PM FOR THE - - FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING & INSULATION 4. FINAL • CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET UNDERWRITERS CERTIFICATE THE REQUIREMENTS OF THE N.Y. REQUIRED STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR Irl EOF NEW), N OR CONSTRUCTION ERRORS NIM ,Lo 3P h y f W f� W - ,� fE5510 � OCCUPANCY OR PROVIDE 3, HR. FIRE 71 y7/D'- USE IS UNLAWFUL - RATED SEPARATION TO WITHOUT CERTIFICAT w PART. 717.3 (f)(1) OF OF OCCUPANCY N.Y. STATE BUILDING CODE. I r , "vr a " ---- — -- IT LU cc x d r s V � a .• �, a. ' � � Y F 77 G Of MEN � cl f I 4 6 v w „ y f 1 �f1, l.'ulit24m w rrr Y" tl by I 2 � a i � I 44,14 T — - - — _ _ J Y4QF NEW),, � I ZCE koull v axis�n r�► -- �- *- -- �I" �oa;r �I tit w , Ol r C(1 F4 r'yy V I I iY r 11 r� L N z - rQR3 O N 0 m r hy ui k i I L tP W � n Q � }r) j .7�%'I�'c`.T.lIF"� Ir-j� �•/ {'_I �� ; rte L - � /� t -I l l jl Q o F _ -r lY. L i' i O o •i l ��'i� 2 o' x2, v r.l�� j �-l - �� I^, � { ' Ir w o jt J ti" k - j� � { j , Vol r �L .I(fGap}^-J��— . .._.— ._.- --_ _.� � �� � �� ✓� � �l l sJd k U- '� Eve ��_ Ibl �Lr'�LC � � -,�' 2'j�4 'w ij fA U� W� -----Gjf -' -'----` A Lw I � i • �/o q 2rL4 y ; '9pFess�o � .s �/L r ti k7 �� uF �� r � ..w..xunn+..ur..ww�m�+w•r^y.'^n""rrw�-...r.mw.wx�wt�n�ww..+w.mrwm*m+....+w.ewr..v..✓n�.r.n�rvrv-..v.�rw.rv�nr.rrvm-/��.w.ru.,arwrni,.mr.rv�rw.+nw..n+..+w�Wswrr�nevrnn�.•mwn.rnwnrv_m� =mrrr-m,n�r+'.r...svM+nnLvo-n.n_vy.-rnv.va..nm.M.,.v�-�mru-_..,..n...re.....r. I I -1 r� r ^ � x . - O N O m �j m O m r Q N I W u Ir xx Y a I I CFiLnJGIUJ �i I � - , to --- I ,. , r-- N' th W s �pF NEW yp O W r_ _W 1 /'�.; / C• ah k w (4 CL d t �� TZ ` n t'{/ �'-' Ear"hFii.I�_-- L..IWL.u�s<G'•P�u� 10 L�14%GIE —� X450" 1 WS (a0 Ihb'&' Iz' � G � � It i3f � .��� .' .. . #I� StpF NEW), y1��NCE . T0.9'F' b f bM171&ML .'�. ' � •^q�Ff4510M��� ' a O Q wl.