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Home My WebLink About29439-Z FORM ISO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30619 Date: 12/09/04 THIS CERTIFIES that the building ADDITION Location of Property: 52800 CR 48 SOUTHOLD (HOUSE NO. ) (STREET) HAMLET) County Tax Map No. 473889 Section 135 Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 2003 pursuant to which Building Permit No. 29439-Z dated MAY 29, 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 ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRUCE GOLD13LATT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1120842 10/26/04 PLUMBERS CERTIFICATION DATED N/A 774 Sign ture 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. 29439 Z Date MAY 29, 2003 Permission is hereby granted to : WALTER S & AGNES E BUSCH 52800 NORTH RD SOUTHOLD,NY 11971 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR at premises located at 52800 CR 48 SOUTHOLD County Tax Map No. 473889 Section 135 Block 0003 Lot No. 001 pursuant to application dated MAY 29, 2003 and approved by the Building Inspector to expire on NOVEMBER 29, 2004 . Fee $ 205 . 80 Ayhorilzed Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD tiY� BUILDING DEPARTMENT TOWN BALL 765-1802 2320 0 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: L I anal 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations,a certifica 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 Apr1l 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 i denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$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$15.00,Commercial$i 5.00 �l/Y �'UCc7�eri �Llxty o� Date. New Construction: 0 Old or Pre-existing Building: (check one) LocationofP 52�o �D� Gl �ea� ( n /c/ roP�'tl': House No. Street // Hamlet Owner or Owners of Property: , UA, �90 /a im Suffolk County Tax Map No 1000, Section /3 Block ?i Lot Subdivision Filed Map. Lot: Permit No. 'Z5 V 3 9 Z Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Cn � 3OG / 9 COUNTY OF SUFFOLK STEVE LEVY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PUBLIC WORKS RICHARD J.LAVALLE,P.E. CHARLES J. BARTHA,P.E. LESLIE A.MITCHEL CHIEF DEPUTY COMMISSIONER COMMISSIONER DEPUTY COMMISSIONER July 12,2004 Mr. & Mrs. Goldblatt 528 52800 County Rd. 48 Southold,N. Y. 11971 ] RE: CR 48,Middle Rd. v I3 Dear Mr. &Mrs. Goldblatt: This letter is to notify you that the decorative walls that you have built on the County right-of-way presents an unacceptable condition. These walls compromise the safety of those using the county right-of-way and must be removed immediately and the right-of-way restored. Your immediate attention to this matter is imperative. Please call this office at 852-4100 to acquire the required specifications for the repair of this damage. Very truly yours, William S. Shannon, P.E. Chief Engineer By: M.Paul Campagnola Director of Highway Planning&Permits WSS:MPC:GL:ln cc: Bruno Semon, Town of Southold Mike Verity, Town of Southold SUFFOLK COUNTY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER (631)652-4010 335 YAPHANK AVENUE ■ YAPHANK,N.Y. 1 1980 0 FAX(631)852-4150 O r1QPrnrJ�rJ�rJfflPrJ�rJ��PrJr�rJ�cP�PLPLPLrJr�r�rJrJ�rJ�rJ�rJ�r'�rJ@Pr J�rJ��PrJ�rJrJ� cPcPrJ�rJ�r�r�rJ�rJ�rJ�rJ�rJ�rJr�r�cPrJ�rJ�rJ��PrJrJ�rJ�rJ��PrJ�rJM 5O 5 BY THIS CERTIFICATE OF COMPLIANCE THE C7 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY e5 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 Upon the application of upon premises owned by . 5 L5U W ILDWOOD ELEC. 'GOLDBLATT 5 5 P.O. BOX 808 52800 MAIN ROAD 5 18-4 STREET SOUTHOLD, NY 11971 5 5 WADING RIVER, N.Y. 11792, 5 5c Located at 52800 MAIN ROAD SOUTHOLD, NY 11971 Application Number: 1120842 Certificate Number: 1120842 C5 SSection: Block: Lot: Building Permit: 29124-Z/294 BDC: NS11 5 5 5 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 Basement, First Floor, Second Floor,Outside,Attic, �c A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 26th Day of October,2004. 5 5 Name OTY Rate Rating Circuit Type 5 Alarm and Emergency Equipment 5 Sensor 1 0 Carbon Monoxide 5 5 Sensor 3 0 Smoke 5 Appliances and Accessories Oven 2 0 7.9 KW 5 Dish Washer 1 0 1.2 KW Exhaust Fan 3 0 F.H.P. 5 Furnace 2 0 Gas 5 Time Clock/Switch 1 0 Air Conditioner 1 0 36.000 BTU Air Conditioner 1 0 24.000 BTU 5 Wiring and Devices 5 5 5 Outlet 68 0 Fixture C5 Fixture 59 0 Incandescent L�+J 5 Fixture 9 0 Fluorescent 5 5 Outlet 107 0 General Purpose 5 Receptacle 44 0 General Purpose seal rrr+++ Switch 67 0 General Purposes Continued on Next Page 1 of 2 5 c� This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Or�r!rJ�rJ�cPrJ@PcPr�-IiirJ�rJ1PcPrJ'r IarJ�rJ�rJ�rJrJ�rJ�r faiJc fcPrJ�rJ�rJ�rJ�rJr� rJ�r l acPrJrJrJ�tPrJ�r�arJ arJ�rJ�r�rJ a cPi1 acPrJ�r�cPrJcPcPrJ�rJVEC] 5 5 THIS CERTIFICATEOCOMPLIANCEE NEW YORK UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 e5 5 CERTIFIES THAT Upon the application of upon premises owned by WILDWOOD ELEC. 'GOLDBLATT 5 P.O. BOX 808 5 1OROAD 8-4 STREET SOUT OLD N 971 S C�rrr5 WADING RIVER, N.Y. 11792, Located at 52800 MAIN ROAD SOUTHOLD, NY 11971 SApplication Number: 1120842 Certificate Number: 1120842 5 Section: Block: Lot: Building Permit: 29124-Z 1294 BDC: NS11 5 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement, First Floor,Second Floor,Outside, Attic, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 26th Day of October, 2004. 5 5 Name QTY Rate Ratine Circuit Type 5 Paddle Fan 7 0 5 Receptacle 1 0 20 amp Laundry 5 Receptacle t 0 30 amp Dryer 5 Disconnect 2 0 60 amp Air Conditioner 5 5 Receptacle 10 0 GFCI 5 Service 5 5 1 Phase 3W Semite Rating 300 Amperes 5 Service Disconnect: 2 150 cb 5 5 Meters: I 5 5 5 seal 5 2 of z S c, This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. v �j 5 s Jul -30-03 11 :45A K R Davis AssociatesAvchs 516-329-0460 P.01 K R Davis Associates Architects 91 Gerard Drive jUL 3 0 aW E.hlamptan,Wll1937 = j 631 . 329 - 0460 Kenneth R. Davis, AIA July 28, 2003 Building Department Town of Southold PO Bos 1179 Southold, NY 11971 AM: t)nm6n RP.: (joldhlntt RmUdencn Porch Addition footing-foundation inspection To whom it may concern, This letter is to confirm the conversation we had over the phone,that I was on site for the excavation , forming, pouring and reinforcement of the footings for the porch and I here by certify that they were executed in conformance with my drawings and details as filed. If you have any questions please feel free to call. Sincerely, 4;0 EKcJ „hh,ry� . VAS EiM R. EP Kenneth R. Davis,AIA • 1 / leer hhr Sf,hi�� '. FORMER OWNER ' N E ACREAGE F t C? Y / 2go TYPE OF BUILDING RES. SFAS. V,C. FARM CO/Am. I IND, I CB. ISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS S P 4 32c ,, 3Aof G G 00 31. a t/4'o0 76 0 0 VI �IOT— NEW A' c C' o AGE ' c oB LDING CONNORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 _ DOCK Tillable 3 Woodland -- / Swampland Brush!p�d✓' House Plot Tota I TOWN OF SOUTHOLD PROPERTY RECORD CARD YWNER STREET ' , �F �y I VILLAGE I DIST. I COUNTY TAX MAP NO. xIIG�. 0. I �i f �p� I SQU rna LAND IMP. TOTAL DATE REMARKS: 10- _ 1p as�95 L l l739o73c1- G Seg �u fo PouSC 1, fw�a�so�a H 0(- 1 I of - AW I GS L _ 0 0 - aka 17T 99/-6msc/, *Ad as 4ks#es /6 a 1f or- oDo f — BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: _/ /03 APPLICANT: DATE SUBMITTED: _/_/03 SCTM# DISTRICT: 1000, SECTION: BLOCK: . LOT: SUBDIVISION: ADDRESS: CITY: ZONING DISTRICT: CONFORMING`' BUILDING PERMITS OPEN/EXPIRED: BP_ -Z ' C:'0 Z- , INFO ,BP -Z,'C'0 Z- , INFO-- BP NFO _BP -Z : Cr0 Z- _, INFO_ BP -Z/ C,/0 Z- INFO PRE CO: Y OR N BP -Z !, C'0 Z- SINGLE & SEPARATE CERTIFICATION-REQUIRI-D NOTES: LOTS 40,000SF-100-24 Lot recognition(CREATED before June 30, 1983),UNDERSIZED Merger.(Anon conforming at any nme after': REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. _ACT. LOT COV. REQ. FRONTPROP. FRONT REQ SIDE ACT. SIDE REQ. REAR__ PROP. REAR REQ. HEIGHT PROP. HEIGHT __ PROJECT DESCRIPTION: ESTID-f.ATED PROJECT COST: ARCHITECT/ENGINEER: FAST TRACK WATER FRONT" DESCRIPTION: PANEL #: FLOOD ZONE: CONIPLLANCE: _ APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #) DTE: _ __ PERMIT TOWN SEPTIC RECEIPT: 1" or N NEW YORK STATE DEC: PRE-DEC 9 1 r 1'ES or NO _ SOUTHOLD TOWN TRUSTEES: YES or NO _ TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: )t'ES or NO TOWN HISTORICAL PRE (SPLIA): YES or NO NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: - -:7 SF FEE FEE FEE 1. ( /03G SF)- i SS O SF1= /J'� SFX $ 3" 3- 4 s apses 2. SFI- i SF1= SF N X S $ +$ = . 3. AFI SF)- SF k $, - - FINAL TOTAL: SOS- - Ri ARKSt:-. ),7 !„_, 76S•1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE � jj � INSPECTOR FIELD INSPECTION REPORT ATE COMMENTS b FOUNDATION( T IAc FOUNDATION(2ND) z U o ROUGH FRAM3 NG& PLUMBING JQ INS7ENERGY y STA FINAL ADDITIONAL CON3MNTS r r ` c QL z tv m z "4 a y O z ltv yM TORN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDINGtDEPARTNIENT Do you have or need the tollowutg, before applying'.' TORN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans_ _ TEL: (631) 765-1802 Planning Board approval_ FAX: (631) 765-9502 �[ q Survey_ w-*�w. northfork.net/Southold/ PERMIT NO. 9 Check Septic Form N.Y.S.D.E.C. e., � Trustees Examined ✓ ,20 Contact: Approx ed 20 _ Mail to: Disapproved a C _ Phone: Expiration20t Building Insp i. t ; APPLICATION FOR BUILDING PERDZIT Date .1/( a�i , 206 INSTRUCTIONS s application MUST be completely filled in by typewriter 'ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to sche b. Plot plan showing location of lot and of bui i , e ationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application m e 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 Every 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 from 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 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-wdth akl-*pplicable laws, ordinances, building code, housing code, andgulations, and to admit auth�lrized inspectors on pretiiisea.and in building for necessary inspections. 2 - (Signamr of pplicant or name, if a corporation I - - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plum er or builder Name of owner of premises 132ye.,s �pOG�, 37 (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 which proposed work will be done: House Number Street Hamlet County Tax Ma N 1000 Section Block Lot _ Subdi-isionFiled Map No..-Lot (Name) 2. State existing use and occupancy of premises d intended use and occupancy of proposed construction: - a. Existing use and occupancy 'Sly ff/7f�/G f✓ //.��itxG b. Intended use and occupancy 5110&eGe 3. Nature of work (check which applicable): New Building Additions Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ��/OLEO Fee (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, specik nvtur d extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth �Z S Height Number of Stories Dimensions of same structure with alterations or additions: Front S .. Rear Depth /®(. O Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Mum Depth MPI ly 10. Date of Purchase Name of Fo % 1�1, 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—Will excess fill be removed from premises? YES_NO 14. Names of Owner of remises lvG�t7fF7Tddress !Z T�ii�� Phone No.S/6 -�S Name of Architect/�/L rJ�S~.,42W 5 Address `T o e No 2 O Name of Contractors Gf rJ�_ Address ,Na /L�/Nb L'D,r/T/Lfa;7q/L5 2r/2 /yW7/-)/ 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 of a 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 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY OF 60F�49 7 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe (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 this day of 20 0� otary Public Sigfiature of Applicant JOYCE M.yVILKIN3 NoState of Now York ry49 2248.Suffolk CouMY TwmEmirojun912. P..-va3 y: COMPLY WITH ALL CODES OF APPROVED AS NOTED NEW YORK STATE & TOWN CODES I 5129132�y3y_, AS REQUIRED AND CONDITIONS OF FLOODZON N DATE= S P.9 - d _ N/A SOUTHOLDTOWNZSA "COMPLY WITH CHAPT 'qg - FEE:` „C�$0 - sW, Jd'J�-- - FLOOD DAMAGE PREV NTION - .NOTIFY BUILDING 'DEPARTMENT AT SOUTHOLDTOWNPLANNINGBOARD SOUTHOLDTOWNCOD y65aeoz eAMI rd aPfP FOR THE - ' ' SOUTHOLD TOWN TRUSTEES' sr FOLLOWING INSPf�CfibN I 1. FOUNDATION = TOf1 IRE6b1F1fiD t7 t RED' C FOR GH U FRAM NG F1uN9NG/i {}Tj ZJ p �ra3"" HAL M CObES Op NEW OIR!( STATE HE �/ I -{E 'I . FINAL . CON°T 110N"NU .: INGI FF z�C`��. 1 �0.cs e 6A 8E COMPLETE R � UCTI SHALLEET THE I �1-P %J�LP!. I'+/+ I� ' Y?t WWW,N kX!'�'Y" E NTS F .HEC DES OF NEW ' .'�kVLc t+ 1 OVI,UPANV - -- - — - -- — 6 I : _ ° E N T E �N Ie�E F , ' , USE IS UNLAWFU WITHOUT CERTIF CATE OF 0 CCUPI NCY { �I ' { !' � �13 I - �/�'',i.—•I;- L! 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