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HomeMy WebLinkAbout27575-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31139 Date: 08/29/05 THIS CERTIFIES that the building ADDITION Location of Property: 645 GIN LA (HOUSE NO.) County Tax Map No. 473889 Section 88 Subdivision Filed Map No. __ SOUTHOLD (STREET) (HAMLET) Block 4 Lot 6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19, 2001 pursuant to which Building Permit No. 27575-Z dated SEPTEMBER 10, 2001 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THe certificate is issued to HELEN SONITIS of the aforesaid building. ( OWNER ) SUFFOL4~ COUNT"f DEPARTMENT OF H]~ALTH A~PROVAL ELECTRICAL CERTIFICATE NO. PLUMBEP~ CILRTIFICATION I)~£~u3 N/A Authorized Signature Rev. 1/81 Form No. 6 TO%VN OF SOUTHOLD BUILDING DEPARTMENT TOVVN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUt This application [nust be filled in by typewriter or ink and subnfitted to the Building Department with thc following: For new building or new use: 1. Final survey of property with accurate location of all buildings, prope{~y lines, streets, and unusual natural or · topographic features. 2. Final Approval from Health Dept. of water supply aud sewerage-disposal (S-9 for{n). 3. Approval of electrical installation from Board of Fire Undenvriters. 4. Sworn statement from plumber certifying that the solder used itl system contains less than 2,'10 of 1% lead. 5. Conmlercial building, industrial building, multiple residences and similar btdldings and installations, a certificate of Code Compliance from architect or engineer responsible for the bailding. 6. Snbmit Plamtiug Board Approval of completed site platt requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or bnildings and "in'e-existing'' land uses: l. Accurate survey of property showing all property lines, streets, building and unusual natnral or topographic t'eatures. 2. A properly completed application and consent to inspect sigued by the applicant. If a Certificate of ()ccupancy is denied, the Building h~spector shall state the reasous therefor in writing to the applicam. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swiuumug pool $25.00, Accesso%, building $25.00, Additions to accessoD' building $2q.00, Businesses $50.00. 2. Certificate of Occapaucy on Pre-existing Building - $100.00 3. Cop5' of Ceitificate of Occupancy - $.25 4. UpdatedCertificate of Occupancy- $50.00 5. '[emporaD' Certificate of Occupancy- Residential $15.00, I.?otmne~cial $15.(i0 Date. New Construction: Location of Propertv: ~4.~ ~,~ k~& Owner or Owners of Prope~y: ~ Suffolk County Tax Map No 1000, Sectiou ~ ~ Old or Pre-existing Building: Street (check one) Block llamle~ [,~,t OOF_¢. Subdivision Pemfit No. Date of Perufit. ~o/o / Filed Map. Apf, licant' Lot: Health Dept· Approval: U ndem'rite~s Approx al: Planning Board ,&pprox al: Request for: I emporaW Certificate Fee Submiu ed: $ o~,0Z 69 O c_ i )-¢q Final Cedi ficate: (check one) Applica~ Signatare 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. 27575 Z Date SEPTEMBER 10, 2001 Permission is hereby granted to: STEVEN & HELEN SONITIS 157 DEMOTT AVENUE ROCKVILLE CENTER,NY 11570 for : CONSTRUCTION OF A 16'X 32' DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 645 County Tax Map No. 473889 Section 088 pursuant to application dated JUNE Building Inspector. GIN LA SOUTHOLD Block 0004 Lot No. 006 19, 2001 and approved by the Fee $ 150.00 Authorized Signature ORIGINAL Rev. 2/19/98 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~I.~ON [ ] FRAMING [ ~j~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE /1~/-~//,~? I NSPECTOB ~~~,~, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULATION [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY DATE /~¢/ I NSPE~O~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN~.qlON [ ] FRAMING [ ~ FINAL [ ] FIREPLACE&CH~IMNEY REMARKS~: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING ~FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: INSPECTOR ~,~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [~x~ FINAL ,~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: INSPECTOR F'~) II~SPECTION REPORT FOf~NDATION (]ST) FOI]IqDAT~ON ROU~I~t~E & .I~L~ING ~'I~80LATION PER N. Y. STATE ENERGY CODE FINAL ,1 ^ddress~ 645 ?,in Lane Southo~d, NY 11971 ProJectl 16'x32' Free Standing Beck (Addition to Exls~clng House). M~p Number. SubdMslon Numberl Block Number, Lot .u~b~r, SITE PLAN~ P~ge, o~ ?,IN LANE T Exlslg;Ing House N ~ 125~ [~ 125~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY _ A_.P, tDROy£O AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR ~E ~LLOWING INSPECTIONS: FOUNDATION - TWO REQUIRED FOR POURED CONCR~E ROUGH - FRAMING & PLUM~$ INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPO~'SIBLE FOR DESIGN OR CONSTRL~TT~ON ERRORS Lot Number, TOP ELEVATIDN Pege, o~ ~ ' ~cr~m~n~ 38' ~ . ;WEST ELEVATION, S~cruc~ure 2'x4' Cedar 4'~ 1/2 ~Ool~st -Gir~er~ DoubLe 2'x8' ,Pos~s, 4'x6' CCA 6' 0,C. GRADE LEVEL WEST ELEVATION, Ho. md R~II Cedar' Splnd~e~ ~ 4'x4' Cedar Posts Thru Bo[ted 7' D.C, Typ. GRADE LEVEL 36' !al[in§ Helg BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved Wc oo ,2o o/ ,20 o! PERMIT NO. ~UtL,DINO PP. RNII 1 AFPLIC:A'flON CHECK.LIS Do you have or need the following, before applying Board of Health 3 sets of Builfling Plans ,~ Survey. "' Cheek ~ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: m ~ng Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS - 20-o / 20 a. This application MUST be completely filled in b,y typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to scl/edule. 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 shatl be kept on the premises available for inspection througho.ut the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued 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?ounty, New York, and other applicable Lay/s, Ordinances or Regulations, for the c'onstruction of buildings, additions, or'alterations or for removal or demolition as herein described. The applicant agrees to cYmply with all applicable laws, ordinanc?s, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neces, sary inspections. · . (Signatur~/of applicant or name, if a corporation) (Mailing address of ap ic~' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of pi'emises (as 0n the tax roll or latest deed) If applicant is a corporation, signature of duly authori~i~d 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 w. bich proposed work will b~ done.~ House Number Street County Tax Map No. 1000 Section eb:'g' Block Subdivision Hamlet '6t Lot Filed Map No. Lot (Name) ......................... e..c .. eL use and occupancy' ofpropose,~ constructioll a. Ex,sung a~ .md ,:,:cld~.:mcy b. [iltended fist' ~nd 3('-u Nature of v, cd.: !check v,'htch applicable., New Building Addition :t t¢t'alt,,ti Repair ....... P. emo,'al ............ g)etnc, litit:,, _ ......... Other Work[~5~~ ~,~_ _~:.__i.5~... _~ }~ .- Dcscrmtion~ Esnmated Cos~ ................. Fee t to be paid on filing th~s apphcation~ iI'd~elhng, number ofdwelhng units ,., t_,. Numocr ofd',~elhng units on each floor If garage, number of cars t ~'. If business, conmtercial or m~xed occupan%, specie, nature and extent or'each t)pe of use .... :} ...... Dimensions of existing structures, If an,.,': Front Height Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Rear Depth. Height· Dimensions of entire ne~v construction: Front Height ,O2,'B" Number of Stories Size o£1ot: Front /o75 ' 0. Date of Purchase // Rear .3,2 Number of Stories Depth Rear Ax D Depth Name ofFormerOwner /~,)(4..?g~. /..."~t,~.Sob,, rd__ 1. Zone or rise district in which premises are situated '2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded /']/) Will excess fill be removed from premises: YES , / .. / ._ 4. Names of Ov,'ner of premises ~)]Ct, Ol.d,P'[~..tpfl'Address O Oz, z~ &~rb[. Name o f Architect A. / Fff Addres~ Name of Contractor '~,t/ ~' _Address 5 Is this property within 100 feet of a tidal wetland? *YES NO..~,.X'"" · IF YES, SOUTHOLD TOWN TRUSTEES PERIvIITS MAY BE REQUIRED NO Phone No. Z;"I Phone No Phone No. _ ........... 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. ff elevation at an.',' point on property is at 10 feet or below must provide topographical data on survey TATE OF NEW YORK) SS: :OUNTY OF )__, (Name of indivtdual s~ing contract) ¢'lHe is the being duly sworn, deposes and says that (s)he is the applicant above named, (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 apphcat~on: ~at all statements contained in this application are true to the best of his knowledge and belief; and that the work v. iii be :rformed in the manner set forth in the application file~l therewith. worn to before me this dayof_ 9cc/~ _ _20 co( ' ~ublic ~' -'~'t/ .... 3-',..~_../c., Signa(ure of Applicant LINDA J. COOPER NotaW Public. State of New Yore No 4e22563, Suffolk CP~m-tY~x-. ~he sewage d~spes~ ~ct wat. e~ supply inspected by %h~ d~p~r~ent ~d found Chi$~ of'General ~gineeriu~ ,. · Serviues .