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Home My WebLink About30731-ZFORM NO. 4 TO~[ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~ICY No: Z 30528 Date: 11/04/04 THIS CERTIFIES that the building ADDITION Location of Property: 1150 NORTH VIEW DR ORIENT (HOUSE NO.) (STREET) (H~4LET) County Tax Map No. 473889 Section 13 Block 1 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5, 2004 pursuant to which Building Permit No. 30731-Z dated OCTOBER 27, 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 A~DITION TO EXISTING DWELLING AS APPLIED FOR, & AS PER CERTIFICATIO~ OF JOSEPH FISCHETTI, PE DATED 10/05/04. The certificate is issued to MILLICENT H~4BURGER ( O~*~E R; of the aforesaid building. S~/FFOLK COL~F~Y DEPARTMENT OF HEALT~ APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~1'~43 N/A N/A N/A A~ut/z~/i~at ute Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Sou~hold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30731 Z Date OCTOBER 27, 2004 Permission is hereby granted to: MILLICENT HAMBURGER PO BOX 268 ORIENT,NY 11957 for : CONSTRUCT AN ADDITION TO EXISTING DWELLING - (THIS REPLACES BP #8715Z) (SEE CERTIFICATION OF J. FISCHETTI, PE DATED 10/05/04) at premises located at County Tax Map No. 473889 Section 013 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 1150 NORTH VIEW DR ORIENT Block 0001 Lot No. 001 5, 2004 and approved by the 27, 2006. Fee $ 150.00 '~A/~at ure ORIGINAL Rev. 5/8/02 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TIlE WORK AUTHORIZED) N.o 8715 Z Permission is hereby granted to: .................. .o.~.~.e.~ ................................................ ~o ...~u~.l~...a~..&~l~J.~n..on..exis~l~.&..dw~lling ............................................................. at premises located at ..... ]~.or.~l..~.~.~w..~r.i.v.~ .............. J~o.~ql~..I~ll~s ..................................... ...................................................................... .(;l~_a~t ................................. . ........................................... pursucnt to cppiIcation dated ................................ Jl~' ....... ~ ..... 19....~1~, end cpproved by the Building Inspector. Fee $. JJ. ~.,.Q~). .......... ding n~'specto r TOUN OF SOUTIIOLD BU [LDI,'IC DEPARTMEMT TOWN If&LL 765-1802 3 2004 APPLICATION FOR CERTIFICATE OF'nCCUPA~CY .. ~. Chis application must be filled in by ~ypewricer OR ~nk and submitted co the building inspector with the following: for new building or new use: 1. Final survey of property wi~h accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Hcalgh Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwri:ers. 4. Sworn statement from plumber certifying that the solder used in system contains tess than 2/10 of 1% lead. 5. Commercial building, indqstrial boilding, mul:iple residences and similar buildings and installations, a certificate of Code C,~pliance from archiuect or engineer responsible for the building. 6. Submi~ Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-exis~ing" land uses: 1. Accurate survey of property showing all propcruy lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspecc signmd by the appiicnn:. If a Certificate of Occupancy is denied, the Building Inspecnor shall sta~e the reasons therefor in wri:ing to ~he applicant. I. Certificate of Occupancy - New dwelling $25.00, Additions co dwelling $25.00, Al~eracions 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 Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary CertificaCe of Occupancy - Residential $15.Q0, Commerciai $I5.00 .I Date ...... i ........................ NewCo~$ ~u¢ 5ion ~.. Old or Pre-e×istln~ B~ildimg ..... t ..... ._.~Vaca~t~and : .... ~ ...... Owner or Own*r* of ~roperW ................ { ............................ Cou *s× a o.,OOOSe* o .... ..... :...! ...... ....... l ........ Subdivision ................................. Filed Map ['Jo ........... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... ./ Request for Temporary Certificate ..................... Final Certificate . -A ................... Fee Submitted $~% .......................... PROFESSIONAL ENGINEER 1725 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971 TEL631-765-2954, FAX63~614-3516 , e-mail: joseph@fischetti.com Southold Building Department Main Road Southold, NY 11971 Date: Reference: October 5, 2004 Building Permit 8715 Z Hamburger Dear Sir, I have reviewed the architectural plans submitted xvith the above referenced Building Permit Dated July 8, 1976. I inspected the addition and certify that the construction has been completed in substantial contbrmance to the plans and in conformance with New York State Building Codes of that time. The Permit and construction were prior to the New York State Energy Code of 1979 so no compliance is required to the Energy Code. Joseph Fischetti, P.E. ~r~-/~-/-/ TOWN OF SOUTHOLD PROPERTY RE4:ORD CARD )WNER ST2~,,., [ t~-~O VILLAGE DIST. SUB. LOT '.S. ~/0 S~S. VL. FARM COMM. ~ MISC. Mkt. Value AGE BUILDING CONDITION ~ NORMkL BELOW ABOVE :ARM Acre Value Per Value Acre aodland ~ ~ ~ O BULKH~D t~l DOCK M. Bldg. Extension Extension Exten i~pn Garage O.B. Total '""'"~ . z.." ,'.g ,c./¢-.// ,/?,r~i = ¥/7 171fy ./ /,/,¢-', COLOR TRIM :oundotion Basement ~t. Walls Fire Place Cype Roof ',! !.,I ;~, L J, ? . ,Y'IIII III I I Both I Dinette Floors Oa ~'-'~Lr... K. Interior Finish 4eat Rooms 1st Floor R';creation Roorr l Rooms 2nd Floo~ Dormer Driveway DR. TOWN OF SOUTHOLD BUILDING DEPARTMENT TO%VN FLkLL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~vw. northfork, net/Southold/ Examined 10[ 7 ,200¥ Approved__tO / aq 9 ,200 ~e Disapproved a c Expiration ,20__ NO. 367 _3) BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.$.D.E.C. Trustees Contact: Rudolph H. Bruer, Esq. Mailto: p_o. Rnw l&fifi Southold, ~Y 11971 Phone: 765-1222 Building Inspector APPLICATION FOR BUILDING PER31IT Date INSTRUCTIONS ,2O. 04 a. This application MUST be completely tilled in by typewriter or in ink and submitted to the Building Inspector with 4 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 the Building Inspector issues a Certificate of Occupancy. f. Ever3' building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months fi.om such date. If no zoning 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 six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY M,M)E to the Building Department tbr the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Somhold, 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 nccessaw inspections:'~) , , ?~1~"" [ ~Sighamre ofap~ca~-t'orname, it~corporation) it P.O. Box 1/466, Southold, NY 11971 (Mailing address of applican0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ruddlph H. Bruer, as attorney for Executor of the Estate of Millicent Hamburger, deceased Millicent Hamburger Name of owner of premises (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. l. Location of land on which proposed work will be done: 1150 Northview Drive Orient House Number Street Hamlet County Tax Map No. 1000 Section amSubdix,ision. e) 13 Block 1 Filed Map No. Brown's Hills Estates Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family dwelling additional living area b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Addition xx Alteration Repair Removal Demolition Other Work Estimated Cost $ 9,000. O0 +/- Fee $150.00 If dwelling, number of dxvelling units 1 If garage, number of cars garage under (Description) (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 Lvpe of use. n/a 7. Dimensions of existing structures, if any: Front 27 x 38 Height. Number of Stories Rear ~Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories 8. Dimensions of entire new construction: Front 16' Rear 16' .Depth Height 9' ~" Number of Stories 1 Rear 21 1/4' 9. Size oflot: Front Rear _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO xx 13. Will lot be re-graded? YES NO__ Will excess fill be removed from premises? YES NO xx Millicent 1150 Northview Drive 14. NarfiesofOwnerofpremises Hamburger'deceas~ddress Orient, NY PhoneNo. WameofArchitect Todd gohmqdi- & A~c,e. Address Clevolmnd. OhSoi PhoneNo NameofContractor DeVoe Construction Address 3630 Orchard 81. PhoneNo. 323-2783 Orient, NY 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES__ NO __ * IF YES, D.E.C. 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 fe~ or below, must provide topographical data on sum'ey. STATE OF NEW YORK) SS: corrm OF .Ga ., ~.~ ¢///~,.L~ being duly sworn, deposes and says that (s)he is the applicant ~me of ~di~dual sing contract) above named, (S)He is the ~~ ~ ' ~] [} (Comractor, Agem, Co¢omte Officer, ac.) ofs~d owner or own~s, ~d is duly au~ofized to peffo~ or have peffomed the said work ~d to ~e and file t~s application: ~t ~ st~t~ts conmin~ ~ t~s applicmion ~ toe to ~e best of~s ~owledge and belief; and that the work will be perfomed ~ the ~er set fo~h ~ the application filed ther~vith. S~vom Lqjpefore me thi~-'. ,$ / 1._'35'~-'- day of _..Y~D/I 20 ~'&[ ~ / Not~' Pub~ CAROL A MILLER Notary pu~;c. State gl New York No. 01M 6003086 CommiSsion Expires FebrUa~ , ~ ,/ \ '1 Signature of Applicant , / ?LAM ALTERATIONS & ADDITIONS TO THE RESIDENCE OF MILLICENT HAMBURGER NORTH VIEW DRIVE. ORIENT NEW YORK .~. ,-...~-P'-L I'4,.,¢I M~',A; M~-~V MA~b4Z7 WALL- existing library / A Z 0 Ld ~ .2._ A1 , / CAll.-- S~LFf'N P~L.P_.VATI ON I ,,, I -,7 J ELEk/ATI~hJ A2 ,,I i ' hall ". 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