The URL can be used to link to this page

Home My WebLink About16747-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31056 Date: 07/25/05 THIS C~LRTIFIES tlaat the building ADDITION Location of Property: 410 SILVER COLT ROAD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 472889 Section 95 Block 4 Lot 18.37 Subdivision Filed~4ap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 19, 1988 pursuant to which Building Perm/t No. 16747-Z dated FEBRUARY 19, 1988 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HENRY & SUSAN BOGARDUS (OWNER) of the aforesaid building. EUFFOLK COUNT~ DEPART~4ENT OF HE~J~TH APPROVAL N/A ELEC~fRICAL CERTIFICATE NO. N-027971 08/16/88 PLUMBERS C~a~TIFICATION DATED 09/03/03 HENRY SMITH, JR. Rev. 1/81 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) N°_I 6747 z Permission is hereby g~ to: ~..~,...~~...~:...~..~,~ __.~..../.'c...~.....~...~__ _ . ....... ~~~..,...~.......~. ......... :. ,~ ,o .,~,~'. ~__~.~~.:...~~~...~-~ ............ at ps -s~mi es ,~ ooc ted o,.....~.~.O:....' ~/'~......~~...~ ................................................. County Tax Map No. I000 Section ..... .~....?.~.. Block ............ ~ .... Lot No....~'..~'.¢.~..~... 7 pursuant ,o application dated ....... ~../..~.. ................................. , 19.~.~, and approved by the Building Inspector. Rev. 6/30/80 BUIL1)UN(; DEPARTSIENq I OWN HAI.I Al'lq I( VIIf}N I:()R ('I,I(flI:IC~.IE()I.'O('('UP:\NI'V This application lnust be filled in by typewriter or mk and subuuited to tile Building Depamnent with the following: For new huilding or new nsc: 1. Final survey of property with accurate location of all buildings, prope~5r lines, streets, and unusual natural or top,,gmphic l'entuies. 2. l'imd :'q i,;~,'.al ft,,m l lc.t/th [)cpi .,I ',.'.itel Ul~l',[7 :did >cV. clitgc chq.,,,.d I.~ ~; l},l'lI/) Apl',i,',',:d O[ c~CClllC,d )l/~[d[l;tlloD ID,Ii/ Itoa[,t ,',1 Fi,c I Indct~v[.itets 4. SXVtq Il ~UttellieliI [IOtli ldutnbcr uctu 17lng that thc s,,ldct used iu sy;>tctn Cc)lttailiS [uss thall 2/l0 of 1 '{ 0 Icad 5. Commercial building, industrial building, tnultqA¢ resideuccs and sinfilm buildings alld installatiot~, a cemtic of Code Compliance front arctfitect or engineer responsible for the building. 6. Subn~t Plamng Board Approval of completed site pl~ requirements. Bo For e.xisting buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land us, 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed apphcation and a consent to inspect sigmed by the applicant. If a Certificate of Occupaiu is de~fied, the Building h~spector shall state the reasons therefor [ti writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0¢ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0 2. Certificate of Occupancy on Pre-existing Building - $100.00 · 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate ofOccupartey - $50.00 5. TemporaD' Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. Old or Pre-existing Building:. House No. Street Suffolk County Tax Map No 1000, Section o~,.~ Block Subdivision Filed Map. Applicant: Health Dept. Approval: ..... Underwriters Approval: (check one) Lot I ~ - 5'7 Plamfing Board Approval: Request for: Temporary CcI"tificate Fee ,qubnlJtlcd $ _Q ~ .~0'-0 Final Cetliticate: ~ (check one) Town Haft, 53095 Mmn Road P. O Box 1179 Southold, New York 11971 Fax (5~6) 765-1823 Telephone f516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION 6epT 03, oo3 Building Permit No. Owner: I~,~ -~o9~°~ (please print) Plumber: /L/~' 5.~3//~7~' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plu~ers Signatu6e) Swo~to before me thi~ ~ v" - - (,~ THE NEW YORK BOARD OF FIRE URDERWRITERS PAGE 1.001071 BUREAU OF ELBCTRIcrrY ~ ADC, UST ~r ]~85~ JOHN ST~ET, NEW YO~K. NEW YO~ 10038 56451688/~8 N 0~7971 ~IS CE~IFIES T~T H~NRY B~ARDUS, 410 SILVZR COST ROAD, C~C~UE, N.Y. W exam~ on andf~nd to ~ in ~m~iance with the ~ui~?~ents of th~ ~, IqXT~H~I RXTUdlIS RANGES OVENS lYJ4AUST FANS OUTLETS j SWITO~'S ~ ~I'~CONNIC~ $ E I V ! C E (;.F.C. I :-1 SMOKE DETECTO}{ G & $ CONTRACTOR BOX 215 SOUTHOLD, NY, 11971 LICENSE NO. 578 E FOUNDATION (1st) FOUNDATIOU 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE ADDITIO1;~L COMMENTS: 765-X802 BUILDING DEPT. INSPECTION FOUNDATION 15T [ ! ROU~ PLBG. FOUNDATION AND [ ] INSULATION FRAMING [ ] FINAL INSPECTO~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ]INSULATION [ ] FRAMING [~J~INAL REMARKS: &~r/_ ~ DATE INSPECTOR 765-1~02 BUILDING DEPT. INSPECTION [y~//FOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION FRAMING ,r, ] FINAL REMARKS: DATE Examined .~.//.~ ......... , 197.ff. Approved~.~ ............ 19 .~.. Permit No../.~..?.~..7.. ~'~ BOARD OF HEALTH . 3 SETS OF PLANS '~-'~".. 'FORM NO. 1 SURVEY ~: TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 CAEL ................ MAIL TO: Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT 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 giving a detailed 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 any purpose whatever until a Certificate of Occupancy shall have been granted 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 buttings, 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. ~ (Signature of applicant, or name, if a corporation) · .q~ .o., ~ .~.~, ~.~...~..4.., .cv.~..~%.~, W.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. ...... .c?...~..,~ .e..& ............................................................................. Name of owner of premises ...[-fi~...ri~ ..~...q..S .~fi.~.~. .h.."]-~{'X~ .~.d?.; .................................. (as on the Pax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ....... .~. ~ L.L~. .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done~ ................................................. ..................... %.~Lvr.~....c~...u7...k.6 ............ .¢..o..,.~,,~ ..... ~ ............. House Num her Street Hamlet County Tax Map No. 1000 Section ....O...~6.-~. ........ Block .... .~. ............ Lot..C03.~.o..(?.~. ? ..... Subdivision I:23,~..~[¢vO..~';~F~..e~.. ............ Filed Map No. .6~."L.%.~ ....... Lot ...~.. ~ ........ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~.~..~ ~ . .~..~ .~. ................................................... b. Intended use and occupancy ........ .t....O._.~Q...C..O,.e ................................................. 3. Nature of work (check which applicable): New Building' Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Descriplion) 4. Estimated Cost... .j. ·. · .-'~. · ................ Fee .......................... ............. · (to be paid on filing this application) 5. If dwelling, number of dwelling units .~., ~ .ISLP??..~. ~ . .~! ............ Number of dwelling units on eaclt 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 existing structures, if any: Front.. ~:.~.: ........ Rear . .~ .~. ......... Depth ...~.~. .......... Height ~ I Number of Stories Dimensions'of same structure with alterations or additions: Front ... ~,.~. .......... Rear . .~. ~ ............ Depth ....'3..~ .............. Height .... .'2-.O. .............. Number of Stories ..... I. ................ Dimensions of entire new construction: Front ... } .~. ......... Rear .... I..~ ......... Depth . .3.Z. ~ ......... Height ~ Number of Stories 9. Size of lot: Front . } .c[Q,. ~ ........... .').q ............. Rear ...I..q~.-.~.~ Depth . .~,,.~.O't,.?-r.~'. ........ 10. Date og Purchase ...... I .%.. [ .~..2r .............. Name of Former Owner ............................. 11. Zoxe or use district in which premises are situated... ~ ................... ?.9 ................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~.. ......................... 13. Will lot be regraded ..... ¥.~ ................... Will excess fill be removed from premises: ~ No 14. Name of Owner ofpremiset-[~..c.'1 J0~..~..~,.cd~.. Address .~, .o..~.t[.~.e.~..~,~..~.~.0. Phone No Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address .... : .............. Phone No. 15. Is this property located within 300 feet of a tidal wetland? ~Yes ..... No .'~.. ........... · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. '8. '3_ STATE OF NEW YORK, S.S COUNTY OF.. ~ug.t'.o3.1c ....... ....... .l-I.e.n.ry..~:..Bpg.a.v.d.u.s ......................... 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 tlxis 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 .... ~b ............... day of... F~bru~ry ........... 19 88. Notary Public .... :.. ~l~f~p~,k . County 13[~:,~0[IT£ t TP, P~ ~I .................. ~ul ,, PdB~,~, S!ate o~ N~ Yot~ ~..d;ng In SJ ,~ C~.;~ty ~ ~ ................. ~n [~e~ ~. 19 ~ (Si~atu~ of applic~t) ,cZ>,/ z M ,~. 2854 Grand Avenue --1 $ ~ .... OCCUPANCY ~ i ~ USE IS UNLAWFUL ..... WffHOUT CERTIRCATE F BY? · -~ . ___,, ,. NO~I~'~ING DE ~[U~Ui~ ~6B-1~2 9 AM TO f~ ~e~ di~lbuting , FOLLO~NG INS~NS: ~tem; Plpl~ Ihall ~ FOUNDATION ~ ~ ~1 ~ or L onl~ ~R ~ED CO~ET~ ~UGH FRAM]~ ,~., INSULATION PLUMBER CE~ON r,~ ~U~e~NTS ON ~AD ~ BEFORE c~ ~o~ CERTIFI~TE OF ~UPANCY ~,~ ~ F ¢-- OdT L. L L'-,,/,L,T: 0 LJ __.j. ~ 5 eL LLLV'&T/O~.J~''-I ...... :_r 1) All work shall be la amcor~mce with the New York State O~ifo~ Fire Preve~ltlon an~ Buil~g Co~e, the New York. State ~ Coa~rva~ton C~e aha any other agen~y/c~e 2) AIl electrical work shell be In accordance w~th ~he Natior~l ~ll plmmb~ng wc~k s~ell he ia stric~ accordance ~ ~l 1~ au~. 4) ~S~ ~ ~ ~¢ity - 2 ~/~.ft. 5) ~1 f~ti~s ~ Cest ~ ~n, ~st~ ~1. 6) ~1 ~ ~1l ~ ~e~ot~, ~11~ s~ ~e~ ~v~g a ~ ~&~si~ s~ (~c) of 2,500 P.S.I. at ~ ~. ~ 1~ s~ ~ ~F~r ~. 2 or ~t~ ~ ~ 1,100 P.g.1. E ~ ~,400,000 P.S.I. 4'. Pr~ ~~ at 8'-0" o.c. ~. ~ng ~s ~ ~ ~ at 4~-0" o.c. ~. ~le Floor (livir~ area) 40 ~. 10 lb. ~3r60 ~r (el~t~ ~) 30 ~. 1~ lb. ~360 At~c (~ e~r~e) 10 lb. ~ lb. ~240 Attlc (s~r~e) 30 ~. 10 lb. ~240 ~ (~ f~. ~il~g} 30 ~. S~ 15 lb. ~240 ~f (~ fla. ~l~g) 30 lb. S~ '7 lb. ~180 . factor, ~s a f~nct/on of tool pithh. 12) ~s h sid~igh~, 's~r ~ md eliding glass 13) P~tde a ~n~ of one s~gle s~on ~ ~ting ~17.3e of ~ N.Y.S. ~f~ Flre Pr~tion ~ (~ages in or at .t~h. ed be one an~ two family d~/llags sh~ll he provided with ff~ze se~arations la accordance with Section 717.3F of the N.Y.S. Ontfom Fire Prev~ttca a~ l~tldlag for ~ ~lgn ~ l~tton ~ ~ ~l~ ~t. 17) ~ ~hJ*~t~ S~ on ~s ~J~t ~ ~ ~ ~ ~r~, ~ ~e ~s ~ i~ ~ ~ s~l ~t r~l~ ~ ~a~r ~ ~ ~[llty