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HomeMy WebLinkAbout31071-ZFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30980 Date: 06/13/05 THIS CERTIFIES that the building ADDITION Location of Property: 1805 BRAY AVE LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 126 Block 8 Lot 13 subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 22, 2005 pursuant to which Building Permit No. 31071-Z dated APRIL 22, 2005 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 ENCLOSED UN-HEATED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · "ne certificate is issued to GEORGE TAPFAR & WF (OWNER) of the aforesaid building. SUFFOLK COUI~TYDEPARTMENT OF IIEALTHAPPROVAL EI~gC-i~ICAL c~KTIFICATE NO. PLUMBERS CERTIFICATION DA'~'~u3 Rev. 1/81 N/A N/A ~t/~~t u re FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31071 Z Date APRIL 22, 2005 Permission is hereby granted to: GEORGE & WF TAPFAR 1805 BRAY AVE LAUREL,NY 11948 for : CONSTRUCT A SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPI~ACES BP19341. at premises located at 1805 BRAY AVE County Tax Map No. 473889 Section 126 pursuant to application dated APRIL Building Inspector to expire on OCTOBER LAUREL Block 0008 Lot No. 013 22, 2005 and approved by the 22, 2006. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 IeO~M NO. ~ TOWN OF $OUT~OL~ BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) No- , 334 Z ~te ..... ...~./..~..A ................................... Permission is hereby granted to: . ~ ~,,~ ,~,ed ~ ........... ~...~~ ...................................................... County Tax Map No. 1000 Section ....... ./...~....~. ..... Block .......... .~... ......Lot No ........ ./....~... ......... / pursuant to application dated ........ .?/....~.....'~.. ................................. , 19~.., and approved by the Building Inspector. Fee s...~~ Rev. 6/30/80 TOWN OF SOUFHOLD · '., BUILDING DEPARTMENT TOWN HAd~L 765-1802 ~ ...... APPLICATION FOR CERTIFICATE OF OCCUPANCY Tilts application must be filled in by typezq-iter or ink and submitted to the Building Department with tile following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natm'al or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 from). 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 o £ 1% 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. Subruit Platming 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 dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimmmg pool $25.00, Accessory buil0ing $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, Cotmnercial $15.00 Date. ~ - ]/~ 0,5--" New Construction: Old or Pre.existing Building: ~'/ (check one) Locationofmroperty: ]~0,~' Ate.la,-/ ~1/~___.... House No. Street Hamlet O~nerorO,vnerso£P~roperty:_G~'oR-De' ~- ~/, :z.~e'P"~ Suffolk County Tax Mt/p No l000, a~cfion_ /Z~/~.o ~_ _Block 0 L~' Subdivision Filed Map. _ Lo ' Pernut No. '~ Vh~ ~ Date ofeermit. Applicant: '~-L Health Dept. Approval: Underwriters ApprovaI: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Q.~_5'-' 0 0 Final Certificate: I,~ (check one) .I '~ '~ ~foNUMEN SURVEY FOR MARGOT OSBORNE ~ATTITUCK TOWN OF SOUTHOLD SUFFO~..K COUNTY., N. Y. SCALE: I''= 30' oCT. 23,1967 ~IOV. 21, 1967 DEC. 2~,1357 MAY 3~ 195B GUARANTEED TO, SECURITY TITLE B GUARANTYO souTHOLD SAVINGS BANK LAND SURVEYOR hI.'~.S. LICoNO. RI VERHEA D~ N. Y. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [,]~.ULATION [ ] FRAMING [,.~'~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR~-~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING '~X~'FINAL [ ]FIREPLACE & CHIMNEY [ I FIRE SAFETY INSPECTION REMARKS: Fi£LD ~ FOUNDATIO:~ FOU~;DATIO:! ROUGH FRAME & .PLUMBING (1st) f2nd) INSULATION PER N. STATE ENERGY CODE FI:~AL ADDITIONAL COMME~;TS: ^pproved.. ...... Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ MAIL TO:[/ . ~ . ... Z/:f.'. J.~./..7 .... INSTRUCTIONS a. Tills application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street: · or areas, and giving a dora/led description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 aoy purpose whatever until a Certificate of Occupancy shall have been granted by th~' 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 z:emoval or demolition, as herein described. The applicant agrees to comply with all applicab~le laws, ordinances, building code, housing code,, and regulations, and to admit authorized inspectors on premises and in buildin=--for necessary i/3,~tions. lds~,'nature ot applicant, or na_m~..if a cl}rporanon) ............. ·.. ,~o.~,~z,..,¢..r.. z,. z :/ .... (Mailin=in~" ,address of alSplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................. Name of owner of premises..~O~.. ~.'~...~//5~ ................................. / ' (as on the la~roll or latest deed) - If applicant is a corporation, signature of duly authorized officer. (Name and title of co.orate officer) Plumber s License No ..... ;~ .......... Electrician's License No ..................... 1. Location of land on which proposed xvork will be done, llouse Number :street, Hamlet County Vax MapNo. 1000S,ction "~ ~ ' Block f Lot../~7 Subdi ision Eilcd Map No. . Lot (Name) n State existing " use and occupancy of premises and intended use and occupancy of proposed construction: z ........ A. Lxlst~ng use and occupancy .............................. B. Intended use and occupancy. .................. ~~'~ ~ ............. 3. Nature of work (check which applicable): New Building .......... Addition . · ~ ~ter.'lt~o~t' .. ~..: ...... Repair .............. R~moval .............. Demolition .............. "' '?t~1 ............ Tennis Court ......... Accessory Building .......... Fence ....... Other~t-lt~. ~ ....... 4. Estimated Cost ..... .~f~...~,79~..Oii ................... Fee ..................................... (to be paid on filing this ~p~/icatio? 5. If dwelling, number of dwelling un.i~j~/,~;../. ...... Number of dwelling units on each floor, a/~..../~t5'. (.5~/V/3,... If garage, number of cars ..... .,~. t, ............................................................... ' 6. If business, commercial or mixed occupancy, specify natus.e and extent of each type of use · .~% d-~. -~.,.... ......... 7. Dimensions of existing structures, if any: Front ...... .,~,~. ...... Rear ..-~'.~. ......... Depth . - .'~.4~.~-~ ....... HcDht /~./ Number of Stories ..... [ ................................................... Din;ensions of same structure with alterations or additions: Front ... ~..,~. .......... Rear . .4,..'-2: ............. Depth ... ~. 7'/~. 4; ............ Height ....Z?f ............... Number of stones ...... /- · ./, ............ 8. D~mens~ons of entire new consm~cUon: Front ..... ~.~ ...... Rear ...o~ &. ........ Depth ................ Heieht ..... ,/,~f ...... Number of Stories ...... / ............................. _-..: z' '.-, .............. 9. Siz~oflot: Front .~.5.:,>../.'~.0. .......... Rear .... /..o¥:."/? .......... Depth /..~/.f~4-v .............. 10. Date of Purchase ............................. Name of Former O~ner c)5.,~.a~e,,4/~. ................ 11. Zone or use district in which premises are situated ...................................................... . 12. Does proposed construct on vie ate any zoning law, ordinance or regulatxon: .../~. ¢~14~ ......................... 13. Will lot be regraded ..... ,/~..O. '.'.., ............ Will excess fill be removed from premises: Yes .... No.. 14. Name of Owner of premises~.ffx~:. · .~q- .~.":~/.~. ~'~r... Address~tz.Y/./~F~ .Z'.~.~6q-.~. L. Phone No ................. Name of Architect ...... ~... ................. Address ................... Phone No ............ : .... 15.Is this property located within 300 feet of a tidal wetland? ~YES .... NO.."...- · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from lines. Give street and block number or description according to deed, and show street naraes and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. / ............................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. 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 tliat the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... 19/, o N ' County (Sx~na'tu of apph OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY NOTIP( T~UI~- D~PARTM~,j;V~~ I. FOUNDATION . ~ REOUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING ~ PLUMBING 3 ;NSULATfON ~ ~N~ CONSTRUCTION MUST BE COMPLETE FOR ALL CONSTRUCTION SHALL 7HE ~EOUiREMENTS OF THE ~7;~T[ CONSTRUCTION & ENERGY C~"~;~S NOT R~SPONSIBLE FOR ~F ':~'~ (~R ~ON~'FRUCTION ERRORS