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HomeMy WebLinkAbout30446-ZFOP/~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30309 Date: 07/23/04 THIS CERTIFIES that the building ADDITION Location of Property: 300 HOLDEN AVE (HOUSE NO.) County Tax Map No. 473889 Section 110 Subdivision Filed Map No. CUTCHOGUE (STREET) Block 2 Lot 9 (HAMLET) Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J-JATE 23, 2004 pursuant to which Buildln~ Permit No. 30446-Z dated JTJkrE 28, 2004 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 "AS BUILT" HOT TUB AS APPLIED FOR. The certificate is issued to JOHN E & CYI~THIA M KISTNER JR (O~¢NER) of the aforesaid building. ~uFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELE~-£KICAL CERTIFICATE NO. N 486605 04/23/99 PLUMBERS CERTIFICATION D~rmu N/A ~/~i~nature Rev_ 1/81 FORM NO. 4 TO~q OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin9 Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30308 Date: 07/23/04 T~IS CERTIFIES that the building ADDITION Location of Property: 300 HOLDEN AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County T~K Map No. 473889 Section 110 Block 2 Lot 9 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Buildin9 Permit heretofore filed in this office dated J~/NE 23, 2004 pulsuant to which Building Permit No. 30446-Z dated ~-trNE 28, 2004 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 "AS BUILT" DECK ~DITION TO ~? EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to JOHN E & CYNTHIA M KISTNEH JR ( O~NER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALT~ APPROlrAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£hS3 N/A N/A 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. 30446 Z Date JUNE 28, 2004 Permission is hereby granted to: JOHN E JR KISTNER PO BOX 339 CUTCHOGUE,R!Y 11935 for : AS BUILT DECK ADDITION AND HOT TUB AS APPLIED FOR. ADDITIONAL CERTIFICATION MAY BE REQUIRED at premises located at 300 HOLDEN AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0002 Lot No. 009 pursuant to application dated JUNE 23, 2004 and approved by the Building Inspector to expire on DECEMBER Fee $ 300.00 28, 2005. ~, Au%hori~gnature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~2N HALL 765-1802 APPLICATION FOR CERTIHCATE OF OC~UP)g2q~CY TC~., .' £ ~LT?~C LZ'~ This application must be filled hi by typewriter or ink and submitted to the Building Depamnent with the following: For new building or new use: 1. Final sunrey of property with acemate location of all buildings, property lines, streets, mad unusual natural or topographic features. 2_ Final Approval fi:om Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electricai installation from Board of Fire Underwriters. 4_ Sworn statement from plumber certifying flint the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and shnilar buildings and irmtallations, a certificate of Code Compliance from architect or engineer respo~mible for the building. 6. Submit Planning Board Approval o f completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate ~urvcy o f property_ shox~Sng all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa 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 dwelLuig $25.00, S'~ifimrning pool $25.00, Accessory building $25.00, Additions to aceessory 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 ofOceupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Home No. Owner or Owners of Property: ~-- ~ %~/- Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-ex/sting Building: Permit No. ~'~ °u/~ Date of Permit. Date. Street Block Filed Map. (check one) ~m[et Lot: Appl/cant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ' ~' © ~ Final Certificate: -x~ (check one) Applicant S-.)~mtVure THE NEW YORK BOARD' OF FIRE UNDERWRITERS 1~O10~3 BUREAU OF ELECTRICITY ~' 40 FULTON STREET, NEW YORK, NY IOOSS Dale kPRIL 23,1999 Appliea~o, No- o, file 18063899/99 N 486605 THIS. CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named o. the above application number is in the premises of JOHN KISTNER, 300 HOLDEN AVENUE, CUTCHGUE. NY in the following location; [] Basement [] 1st FL [] 2nd Fl. OUT Section Block Lot was examined on APRIL 19,1999 and found to be in compliance with the National Elect~'cal Code. FIXTURES RANGES ¢OOKINGOECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE RECE~ACLES SWITCHES OUTLETS FLUORE~ENI' ~ OTHER E R C DOROSKI ELEC. INC. 425 HONSELL. LAB-E · CUTC~O~U~, ~, 11935 GENERAL MANAGER ~. ~s ce~lflcot~ musl not be ol~md In =ny ~nner ref~n fo the office of ~he Bo=d if Incprr~f. In~ectors moy be identU]e~ by thor c;ede~fiols. ~II~RoBI~RT O'BRIEN RE. CONSUl-TING LCNGINF:ER|N(~; -c:;:RV|CE.C~ 2074 MAIN ROAD, P.O, BOX 456, LAUREL. NY 1194B 631-298-5252 ,/ ' 2 ~ Ju~e 22, 2004 Southold Building Department Town Hall Southold, New York Kistner Residence Certificate of Occupancy for As-built Lower Deck on Grade 300 Holden Avenue, Cutchogue, New York Gentlemen: I hereby certify that the lower deck on grade at the above-captioned property appears to be structurally sound. Further, that it was constructed in accordance with the building codes in effect in 1998, when it was built. Very truly yours, Robert O'Brien P. E. Sports Series Models Page I o:~' 2 Caprice Click image for larger view HOME Size: 84" x 84" x 34" Deep Weight: (Lbs.): Dry: 575 Full: 3,885 Gallons: (US): (Approx.):420 Horsepower: 6 hp Total Jets: 28 Water Voltage/Amps: 220v/50 amps Seating: 6-7 Adults & Children Size: 79.S" × 75.5" x 33" Deep CJJck image for larger view Cirque Click image for larger view Quest Click image for larger view VITA SPA Weight: (Lbs.): Dry: 475 Full: 3,225 Gallons: (US): (Approx,):335 Horsepower: 4 hp Total Jets: 18 Water Voltage/Amps: 220v/50 amps Seating: 5 Adults & Children Size: 78.5" Dia. x 35.5" Deep Weight: (Lbs.): Dry: 450 Full: 3,483 Gallons: (US): (Approx.):275 Horsepower: 4 hp Total :lets: Deluxe: 20 Water Classic: 17 Water Voltage/Amps: Deluxe: 220v/50 amps Classic: l:10v/20 amps Seating: 4-5 Adults and Children Size: 74" x 64" x 30" Deep Weight: (Lbs.): Dry: 350 Full: 2,176 Gallons: (US): (Approx.):220 Horsepower: 3 hp http://vitaspa.com/SportS eries/moflels.hlm 6~23/2004 Page 1 o'i'l · http://vitaspa.oom/SportScri¢~nnages/mirage.jpg 6/23/2004 · _ 138.43' - '"" N 65'40'~0"E i).[C.~$, I~oINT ItOAD · =HDNUNENT TO SUFFOf 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]I/~S~LATION [ ] FRAMING [/~ FINAL [ ] FIREPLACE & CHIMNEY [ ]_FIRE SAFETY INSPECTION REMARKS: ~ // DATE INSPECTOR FO~ATION (1S~ FO~DATION (2~) ROUGH F~I~G & ~S~A~ON PER N. Y. STATE ENERGY CODE TOWN OF~SOUTHOLD BUII~DING DE?-ARTMlgNT TOWN.HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/S outhold/ PERMIT NO. Approved _/ ,~c~ ,20 Disapproved a'c ,205 BUILDING PERIVlIT APPLICATION CHECKLIST Do you have or need the follo~;ifig, blfere applying? Board of Health 4 sets of BuiI~ng Plans Planning Board approval Sm'~-eh~ Check Septic Form N.Y.S.D.£.C. Trustees Contact: Ma/1 to: Phone: · ' ' :; APPLICATION FOR BUILDING PERBllT JUN 2 3 2004 ~ ~' .... , ,, -~I INSTRUCTIONS Date ,20 a. Th.is application IvlUST be completely filled in by t~pewriter or in ink and submitted ro the Building Inspector with 3 sets of plarm, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of build/rigs on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work coYered by th/s application may not be commenced befo;e issuance of Building Permit. d. Upon approval of this application, the Building Inspector wiil issue a Building Permit to the applicant Such a permit shall be kept on the premises ax~ailable for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever u~atil the Building Inspector issues a CertLficate of Occupancy. f. Every building permit shall expire ffthe work authorized has not commenced wi~tfin 12 months after the date of issuance or l~s not been completed within 18 months fi.om such date. If no zon/ng amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition s£'cmonths. Thereafter, a new permit shall be requh-ed. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordirmuce of the To,~m 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 her(m 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. J gnature of apph~nt or name, ifa corporation) (Mailing address of app~can~ State whether applicant is o~mer, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder Nameofow-nerofpreunises -J"o~,~ [ ~'-~. ,* ~-,./~*hiA U1, t,(i~+~,o0 (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 land on xvhich prol~osed xvork will be done: ~'-. House Number Street I-~mlet County Tax Map No. i000 Section I ! ID Block ~. Subdivision Filed Map No. (Name) Lot Lot q State existing use and occupancy of premises and intended use and occupancy of proposed construction: a_ Existing use and occupancy ~'i~[-- ~,tn}l~ tD~,tel{;~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building R~pair Removal Demolition 4. EstimatedCost ~ L'4; ooo, oo 5. If dwelling, number of dwelling units If garage, number of cars Addition !~o.._cJ/-- Alteration Other Work 14o4 '[~t[a (Description) Fee ~'3~o. oo (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing sta-uctures, if any: Front 2 I. O ' Height. Number of Stodes I ,9-?_ Rear 2 l. 0 ' Depth Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stories~'' '~ Dimensions of entire new construction: Front '- Rear D~pth Height Number of Stories Rear 9. Size of lot: Front 2//.~.5~ Rear 10. DateofPurchase 19-[2t Name of Former Owner (.? 4 {~. Se C,u_ [,~e ix 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~ 13. Will lot be re-graded? YES__ NO t,-~Vill excess fill be removed f~om premises? YES__ NO ~ I4. Names of Ox~mer of premises ~- C Name of Architect Name of Contractor Address .3 o o Mo I,te,q ,A,~-~ Phone No. (_/, 3 I_} Address Phone No Address Phone No. 15 a_ Is this property within 100 feet of a tidal wetland or a t~eshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE KEQUIRED. b_ Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E_C. PERMITS MAY BE REQUIKED. NO 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 topograpkical data on survey. STATE OF NEW YORK) COUNTY ~ ' · ~0 )F)~' J_/Ct'J- ~q2~----beingdu[y sworn, (Name of indi~dual sing con~act) above ~ed, deposes and says that (s)he is the applicant (S)He is the (Contractor, Agent, Corporate Officer, etc.) of safd own~ or owners, and is duly authorized to perform or have performed the said work and to make and file th/s application; that all statements contained in this application are true to the best ofkis lcnowledge and belief; and that the work will be performed in the manner set forth in the application f'fled therewith. Swomlo before me tl3is~-, 2' l':,Tot ary Public Signam~'of Applicant