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HomeMy WebLinkAbout30801-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-31102 Date: 08/15/05 THIS CERTIFIES that the building ADDITION Location of Property: 1160 BAY HAVEN LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 4 Lot 18 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 2004 pursuant to which Building Permit No. 30801-Z dated NOVEMBER 29, 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 PORCH ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LUKA & EVA MARELIC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2057176 08/05/05 PLUMBERS CERTIFICATION DATED N/A "'-L ; g� — ;�Xr'i d S' nature Rev. 1/81 t r. f\-) _ Form No. 6 TO«'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL o - i 76_5-1802 00 APPLICATION FOR CERTIFICATE OF OCCUPANCY r This application must be filled in by typewriter or ink and subrtritted to the Building Department witly the following: A. For neve building or nevi use: - 1. Final 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 I% lead. 5. Cormnercial building, industrial building, multiple residences and similar buildings and installations, a certificate 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 April 9, 1957) non-conforming uses,or buildings and "pre-existing" land uses: L Accurate sur ey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properh: 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 L Certificate of Occupancy - New dwelling $25.00, Additions to duelling $75.00. Alterations to dwelling$25.00.. Swimming pool $25.00, Accessory building$25.00, Additions to accessor} building$21.00, Businesses .$50.00. 2. Certificate of Occupancy on Pre-existing Building- $I00mo 3. Copy of Certificate of Occupancy - $25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 r, Date. at ----�J 6--DJt-----New Construction: Old or Pie-existing Building: V (check one) ---------- --------- - / Location of Property: - {/(off House No. [reel // Hamlet Owner or Owners of Property: - �< a_ L�c� (�q-__1` Q elite__---_-______------ Suffolk County "fax Map No 1000, Section_ y3 gS q Block _ a ____ Lot Y Subdivision Filed Map. _ _ Lot: ------------------ Perntit No. ____a C tV1 7� -Date of Permit.—_____- 1pplicant:_ Health Dept. Apptoval: Undeneriters Approval: Planning Board approval: Request for: Iemporan'Certificate Final Certificate: _ _ (check one) Fee Submitted: r Applieatft Signature C��c: b871� Cod 3�t� 2- D r lrJ�r nrlrrrJ��l�I�I�IrJ�r��ncP�lu1I 11:1r: �r3rL3r1cPL3rL3rlL3rL3r3rIrJ�r�rJrJrJ�rJ�rJrJ-r3In�ncPr�rJrJ�r1rJ�rJ�..1:11 rJcnrlcncnrJ�rPrJcP o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 GOODALE ELECTRIC CONT INC EVE MARELIC SP. 0. BOX 1190 1160 BAYHAVEN LANE 5 5 MATTITUCK, NY 11952, SOUTHOLD, NY 11971 C5 5 Located at 1160 BAYHAVEN LANE SOUTHOLD, NY 11971 S SApplication Number: 2057176 Certificate Number: 2057176 j7 5 Section: Block: Lot: Building Permit: BDC: ns11 5 SDescribed as a Residential 0-59 occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5555 front porch,Outside, Porch/Deck, (5 r� 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 5 authority having jurisdiction, and found to be in compliance therewith on the 5th Day of August,2005. 5 5 Name (ZTY Rate Rating Circuit Type 5 5 Miscellaneous C 5 lights on front porch& 5r 5 move service 5 5 Wiring and Devices r� 5 Fixture 4 0 Incandescent 5 5 Switch 1 0 General Purpose 5 Service 5 5 I Phase 3W Service Rating 100 Amperes 5 Service Disconnect: l 100 cb 5 Meters: I 5 5 5 5 55 seal 5 5 5 1 of I C5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. C 5 5 s�� s���s������s�s�������s���� o 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. 30801 Z Date NOVEMBER 29 , 2004 Permission is hereby granted to : LUKA & EVA MARELIC 213 14TH ST PALISADES PARK,NJ 07650 for PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1160 BAY HAVEN LA SOUTHOLD County Tax Map No_ 473889 Section 088 Block 0004 Lot No. 018 pursuant to application dated NOVEMBER 19 , 2004 and approved by the Building Inspector to expire on MAY 29, 2006 . Fee $ 150 . 00 T Authorized Signature ORIGINAL Rev. 5/8/02 R FIELD ASPECTION REPORT DATE COMMENTS FOUNDATION (1ST) u -------------------------------------- — - -- - JO FOUNDATION (2ND) - -- —— - ----- - - r z % ®s" _ - - - ROUGH FRAMING& 15 PLUMBING 9 — Za r INSULATION PER N. F. '-- -- —--- - "'3 STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 4% .. -- M • C C z m .SY � 1 — � C r Y r S en � o 765.1802 BUILDING DEPT. INSPECTION [ UNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: l �- DATE ' UJ INSPECTOR 30?01 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOU TION 2ND [ ] INSULATION [fiJ'F/RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 1,0113101 INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [� RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR �� 8 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [>1ROUG BG. FOUNDATION 2ND [ LATION FRAMING [ NAL [ ] FIREPLACE & CHIMNEY [ ] F SAFETY INSPECTION REMARKS:—c9-/c,-� c , DATE INSPECTOR / • n r / TOWN OF SOUTHOLD PROPERTY RECORD CARD /OWNER STREET VILLAGE ✓✓ DIST. SUB. LOT ? F 4 : Ed . MAR g6 a4 ue V /,q FORMER OWNER N E ACR. S W TYPE OF BUILDING ----- ZES. /D SE—� +VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 306 911ocZt�pk V, ¢z kesg ' /S�i�.,,o-- zz9;W&iB /r'( Mei✓TiaN4�erW�-Ys L+E. /ylRRe/sem_, 6 o 7a / ,T"' ,pzAiw / , fc 6-4 a,, A/ e- AGE I BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre rillable I rillable 2 -illable 3 Noodland ;wampland FRONTAGE ON WATER t,.ushlnnrl j _ FRONTAGE ON ROAD lye— louse Plot DEPTH 1 �-+ !BULKHEAD otal DOCK COLOR 14 r TRIM 1 1 17F Jim '1 3 - - a4 M. Bldg. .�o ( 3 2 - q/,p yo�p, Foundation pe 1 Bath � Dinette Extension �a i S� / Fu 3 r✓f/ Basement -b.11 Floors (j a ` K. Extension Ext. Walls U/h Cha Interior Finish rZ. LR. Extension Fire Place Heat DR. Pe o 1/ R f / es- S y IType Roof Rooms 1st Floor 1 /2 . BR. Porch Recreation Roo Rooms 2nd FloorFIN. B. Porch Dormer Breezeway Driveway Garage 33 Patio O. B. Total 5��% TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIS BUILDING DEPARTMENT Do you have or need the following,before applying. TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans _ TEL: (631) 765-1802 Planning Board approval _ FAN: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. �Ll, j/moi Check ` Septic Form N.Y.S.D.E.C. "trustees _ Examined__ IAL ,20 0(f Contact: Approved_ _ 11/. , 20_p_q Mail to: Disapproved a _ Phone: Expiration _ , 20 0,(, Building Inspector 1 92" APPLICATION FOR BUILDING PERMIT Date 20 INSTRUCTIONS a. This application MUST be completely filled 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 en 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 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) a/3-/N h St PQ I)soJc-5 ?i IVJ o 7,50 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (h Me r Name of owner of premises uKa ar)rj �%ZC4 NJaFeJtC (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: _--JJ64 -R-j,, uNn L,cinn. Svu� hnl�� House Number St et Hamlet County Tax Map No. 1000 Section__&& Block Y Lot ZH Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ori %/( den e r b. Intended use and occupancy r-i res)dene e 3. Nature of work (check which applicable): New Building Addition_yX _Alteration_ Repair Removal Demolition_ Other Work (Description) ,4. Estimated Cost_ 4�"mo. oo Fee 1/ 56. 00 (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, specify nature and extent of each type of use. V7 Aq 7. Dimensions of existing structures, if any: Front VK.3 Rear V6- 3� Depth 30.07 Height 30, Number of Stories oZ Dimensions of same structure with alterations or additions: Front `r 6. 3 ' Rear %1.3 Depth 39.07 ' Height .30/ Number of Stories c Z 9. Dimensions of entire new construction: Front 3 T/ G Ya Rear 3 -7��Z' Depth 91 Height 6Number of Stories / 9. Size of lot: Front Rear Depth-./,),5 0 10. Date of Purchase / -✓� - N,5 Name of Former Owner 'J 1 e hn nd ch 0,�A eA Nl0 a7 -a rna rn 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO v`- 13. /13. Will lot be re-graded? YES_NO_�/_Will excess fill be removed from premises? YES__ NOS/ ytJ 14. Names of Oc�ncr of premises Lua 4-kya tl uml,oAddressd/.3 /y hSf Pn 1,. ,mKPhone No. o2G/ Name of Architect A nth f Address (rig,n W, &m hone No / c c b Name of Contractor TN r N Address Phone No. 7(a 6' s0'/J<D 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. 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. ;TATE OF NEW YORK) SS: 'OUNTY OF ) being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, S)He is the (Contractor, Agent, Corporate Officer, etc.) -f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application: hat all statements contained in this application are true to the best of his knowledge and belief, and that the work will be erformed in the manner set forth in the application filed therewith. :worn to before me this , S day f :&L JPCY 20 V L/- 4vNo-6ta[r-vpVblic Sigilature of Applicant PAULY.KIM Notary Public,state of New Jersey My Commission Expires February 11,2009 TITLE NO. T1282-3466 IWID WAY FOUND Ve/Elllti6 3 00 LOT m h K� Q N T-o�un S5Y'OS�SO E 125.00, SFT -EL=14.2 EL-11.4 EL•1o.0 LOT 33 _AREA+/7,500 S.F. n � plb ��CD�-�`� V �✓Ge p I. C Etc \ t b aaIWRY FR. HOUSE a am. DWELLING 0 ♦?\`\`\ 318 Cal Q t V I♦ h • I • 2 ALA ♦Y" N 3xi, jig' . I VIv1 ♦ \ � � N EL"12.1 — F1=9.4 FouuD N.SY'05'S0"W. /25.00, SET LOT 34 SR nWEWNG SURVEY FOR LUKA MARELIC 9 EVA MARELIC SEPT.7,1985 LOT 33, "MAP OF BAY HAVEN" FEB. 6 ,1984 JAN.21,1984 AT SOUTHOLD DATE DEC.15,1982 TOWN OF SOUTHOLD SCALE: V SUFFOLK COUNTY, NEW YORK NO. 2-753 R,IUITMMIEED AMPULTION OR ADDITION IO MIS GUARANTEED TO: SURVEY M A VIGLATION OF SECTION 72M OF THE NEW TOM STATE EDUCATION LAW THE TITLE GUARA NY YCOPIES OF MIS "VEY NOT SEAMN THE LAND rPS W Y SURVLYOWS HIRED SEAL ON EMBOSSED SEAL!MALI POT M CONSIDERED TO ML A VALID TRUE COPY NQUARMSEINDICATED DICATED NEURON MALL GUN DRILY WY �YylO W Y OST HEALTH DEPARTMENT-DATA FOR APPROL TO CONSTRUCT ME PERADN FDR MMDu Me SURVEY Is PREPARED O AND OR HIS BLwv TO TME mLt CMPANI',GOVIUM V r M NEAREST SAM rt NIM All.• If SQUIRM ft MTJ P�LLIC_ MENTAL ASENCY AND LENDING INSTITUTION LISTED Y WF CO T" NTla99-SECTIN SIOCK Z MMM,AND TO TME ASSISMESS OF ME LENDING ET rt THERE AM NO DWELLER$ WITHIN 100 FEET OF TMS PROPERTY INSTITUTION. GUARANTEES ARE MOT TRMYERANIE [ OTHER TNM THOSE SHOWN HEREON. TO ADDIDMAL INSTITUTIONS ON SUBSEQUENT M THE SAM SUPPLY ARE AEHISEE DISPOSAL SYSTEM FOR MIS ROMAINE OYHIEaf OF"CONFORM TO THE tiAMOAROt OF THE SUFFOLK COUNTY DI STANCES (MOTH MEMON FROM PROPERTY UMES TY DOARTYERT TO EXISTING STRUCTURES ME FOR A SPECIFIC ti0 4 OF TM SERVICES, "ME AND ARE NOT M SE USES TO EfTABUSH AIILICICMA PROPERTY LINES M FOR THE ERECTION OF FENCES 4 WIr"10 ADDRESS 400 ENUE YOUNG a YOUNG RRIVVERHE°SAD,�w" roRlK ■-MONUMENT 0-STAKE ALDER W.YOUNG,PROFESSIONAL ENGINEER SUBDIVION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR PROFESSIONAL E ENGINEER 15 SUFFOLK COUNTY ON JAN.22,1959 AS FILE NO.2910 HOWARD W.YOUNG, LAND SURVEYOR .rRM=Tuo=LIWI,rmCTANNS"O=troaaDsl BM 8 NMNEM N.Y.S.LICENSE NO.I5893 Mc rROM nw orLN TMINS AND OR an MTAMe FROM DTMERt URANDIS L sons. IND. RAN• f I ,� i i Ii. "l , i' r' r � 11. hk1 � � IIi , ' N .1 � : _ , i I__.L 11 _I L ,. 1 _' Iii .L J. �'1, ,� �I - � 1 < T T-' I i 7' , I I 1' T O ' LI � Ii Tai III r I :'Ii 1 � .7 � -.�.1r7-�r�.ir° 1 1 � .,I .�i� .� I , I ipf_ ' Ih �_. (.fll � -1_I � I I � '71 - ' 'I-LSI � i �.b-.�..jrl, i ice..1. 1 � 1 LI � ' I IJ,, I - I I ��'. irI If..L� l-..1 I ri:�!�; Q o ' � r�T� � �. -�- 1 .I .� iJ f � � .. � 1�1 , � 11. 1 I .. � 1 � ,I '--. 7 - I i b � � i � 1 > In i � , 12 i ;L 'I .� i J 17 T I. I`lw I t I Iv r r I , I � �1 ° � � i ] I 1 w r - T T 7 I ] - T 'j* r i'"t i I -�- C I r _C, L a 1 . I _ i .L l -I L L L l i r. ,l r � 1 I i i I d r, 1 i 1 r i ii. jrT I . J 1_.! li 1 , L.i f' I 1 ill l _.� i d, J� l 1 l i + L. - III -f i- i I I T I 1 I' j -i 1 1 L.,.1 f r r T i r`T rl_ r �r � 1 1 , ' —LL 1 I f frJ t J t T, -f _ 1' , 1 c i A � -r t i"I 12 .. �,� i�' I. .I 1 I III I r, 2 _ vfaP 1 � I I I 1T r � F; { I ' Ii w wlw _ L�I:_ _ h'_^t _ ! _ FfPON 60X PLAIN 0p I 0 _ ,J PANEL COLUMN O �q _.. r _ ...PN EN NEWEL HT -0028BALU5TER5 W � ' f/� ! 3 3 Ia _ 3' MIN kAILMG HT _ p04 NEW yW f co xI y C:I 0 _-_ z rz a E=RONT ELEVATION 2 SCALE: 1 /4" s I '-C" - I I I ' I a - - -- - - -- . � cn y � UJ � z ..I w ! ' I z - I � z OCCUPANCY OR • o I I � USE„IS UNLAWFUL _ Q WITHOUT CERTIFICATE z OF OCCUPANCY - - w -3�(p - � w :@ APPROVED AS NOTED - — RP DATE:-11L* B.P.• - FEE: BY: NOTIFY BUILDING DEPARTMENT AT A- 765-1602 B AM TO-4 PM FOR THE FOLLOWING INSPECTIONS: ' CERTIFICATION OF 1. FOUNDATION - TWO REQUIRED, _ NAILING & CONNECTIONS FOR POURED CONCRETE - REQUIRED: 2. ROUGH - FRAMING 8 PLUMBING .. 3. INSULATION 4. FINAL - CONSTRUCTION MUST - UL BE,COMPLETE FOR C.O. p ALL REQ 'CONSTRUCTIONCODES MEET THE RIGHT ELEVATION REQUIREMENTS OF THE OF NEWE �flSCERTIFIC � YORK STATE. NOT RESPONSIBLE FOR �oOLWO�E g oSCALE �4r I 1OlUIRECOMPLYITH HAP ER DESIGNOR CONSTRUCTION ERRORS, u_ FLOQp DAM LD TOWN CODE. 4 1- 7 1 I . 1 {-I I'•, [� I II - i , y IIT17. Ai LJ ,_7 1 1 1 ii1 , I [ � r jr 4I A L ISI , - L Lf ! q iI , �IIf IYIT'! � L .I ,l� 1 41!, L . � .II [ �[ 4 '� �, _t__[Tr_rj [,l , tI_L ,� `L I l _ _ p � 1_r i+Tl '1.-i w � r�..hlfLJ � ll. al .L � L. r fl . ., [ l 11 LI ' Ali 1. -I - 4r T r r ;„ I LI ''O , 1 T T T L1 ; r rvr lIL1 .L1T1 , 1 l.` !. '[ I I , � I � I l { I I 1 1 ' r ` r' ll-I , I I ! t [ � I I 1 I i � i: IJII ;IIII 1' `T P '� i r 1 -I , I r - i t I 'T I I 1 , lel '1 1 .1 I _� r L [ 7111 I { II Ir,,i�:[ �I , i ' I , r '�11 -r I I T ” "I C I 7 s r, 1 I; .r 1 . 'L, .lg ' 1 �7 ` � .I I 1 1. . ( I l f r 1 I I I _ - , Ip Ul 'n Im [ _ I ! 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