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Home My WebLink About31716-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD=qTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-31397 Date: 01/13/06 THIS CERTIFIES that the building DECK ADDITION Location of Property: 425 DIAMOND LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 68 Block 2 Lot 13.2 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 6, 2006 pursuant to wh/ch Building Permit No. 31716-Z dated JANUARy 10, 2006 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 "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARION B GOTBETTER ( OWNER ) of the aforesaid building. SUFFOI~K COUNT~ DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PL~q~BERS CERTIFICATION DA'£~U N/A N/A N/A rized Signature Rev. 1/81 Form No, 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new 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 installatiun 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 iustallatious, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requi~ments. .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 enmpleted application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing ~ the applicant. C. Fees 1. Ce~ficate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratiuns to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Oeenpancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: ~ (check one) LocationofProperty: '~Z~' f'~/~:~OA~' Z.,~A.~? House No. Street Hamlet Owner or Owners of Property: /-~:)~-d'O/(~ ~:~T~7'~/~_ ~X..c2'..3 ~z:~z__/ ,~/-'t'~;;;;; Suffolk County Tax Map No 1000, Section ~ Block ~9~. Lot /,-~. [ Subdivision Filed Map. Lot: PermitNo. -~gO~7-'° Date of Pennit. /.~g/~z/~'/~ Applicant: Health Dept. Approval: ,X,.J,,~ Underwriters Approval: planning Board Approval: Request for: Temporary Certificate Final Certificate: ~,/q/f (ch?/k/one) Applicant Signature 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. 31716 Z Date JANUARY 10, 2006 Permission is hereby granted to: MARION B GOTBETTER 205 WEST END AVE APT llH NEW YORK,NY 10023 for : CONSTRUCTION OF AN AS BUILT DECK ADDITION AS APPLIED FOR at premises located at 425 County Tax Map No. 473889 Section 068 pursuant to application dated JANUARY Building Inspector to expire on JULY Fee $ 300.00 DIAMOND LA PECONIC Block 0002 Lot No. 013.002 6, 2006 and approved by the 10, 2007. ORIGINAL Rev. 5/8/02 Frank W. Uellendahl Architect PO Box 316, Greenport, NY 11944, tel 6.~1-477-86~4, fax 631-477-~997 e-maih fuellend@optonline.net January 6, 2006 Marion Gotbetter Carmen Ramls 425 Diamond Lane Peconic, NY 11958 BUILDING PERMIT APPLICATION - RS-BUILT Wood Deck of the Gotbetter Ramis Residence LETTER OF CERTIFICATION Attached please find the As-Built floor plan and detail of the existing wood deck of the above referenced project. The owners are requesting a Certificate of Occupancy for the deck which was constructed three years ago. The construction of the deck is in compliance with the current Residential Code c~ New York State. I hereby state that the information provided above is true to the best of my knowledge. Copy: Builcling D~par~rnen~: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [/~FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: Frank W. Uellendahl Architect PO Box 316, Greenpor'z. NY 11944, tel 631-477-86~4, fax b31-477-~997 e-mail: fuellend cc~optonline.net Januarv 6, 2006 Marion Gotbetter Carmen Ramis ~,~.~ Diamond Lane Peconic, NY 119.98 BUILDING PERMIT APPLICATION - AS-BUILT Wood Deck of the ~tbetter Ramis Residence LETTER OF CERTIFICATION Attached please find the As-Built floor plan and detail of the existing wood deck of the above referenced project. The owners are requesting a Certificate of Occupancy for the deck which was constructed three years ago. The construction of the deck is in compliance with the current Residential Code of New York State. I hereby state that the information Drovided above is true to the best of my knowledge. Copg: Building Depc~rnent ~'~LD INS~'ECnO~ ~mRT I ~'O~DATION FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE DATE COMMENTS FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAL~ SOUTHOLD;, NY ~1971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ q Examined IlO 20 ~ / Approved t/IO ,20 /., Disapproved Wc Expiration ,20 PERMIT NO. iai ~ ~6'~ Building) BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~':~-./OI, f~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~A.J. ~, ,20~ 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 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 alter 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, ~a~ r/6~ulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature c~ap~icant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder of owner of premises ~____-..~-A..~ ~',0/--//-,~ =f/ /-~,~:9/~/Or~ Name (As on the tax rbll 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. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block d>~--~ Filed Map No. 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 Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~~-~ If dwelling, number of dwelling units /6r~) If garage, number of cars /,~ Addition Alteration Other Work ,ZS>~K~~-~ (Description) Fee ..~tYr ~ (To be paid on filing this application) Number of dwelling units on each floor. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. //~c) 7. Dimensions of existing structures, if any: Front . ,A/t/~) Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front ,~,2¢ Depth Height Number of Stories 8. Dimensions of entire new construction: Front / ~ ~.~ / Rear /~. ~ ~ r Depth Height ~t'7-O .2_.~ a Number of Stories 9. Size oflot: Front /.~-~.~Zt Rear ~--ff~,/ ~ Depth /~'.'~/ Rear 10. Date of Purchase /~'~ Name of Former Owner /~,~zp/,~...~,/Z/~E- ~z::i~-~-.. 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 ofpremisesff42/Og/-~/~/t3 Address 4Zb'-~7'~ tat~:7 Phone No. ~-~/. Phone No Name of Architect ~/4~'~//494F_~// Address ~ ~Yb Name of Contractor Address t/-- Phone No. 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 13EQUIRED. 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 I 0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ~/~lt~ ~' ~"~?~;~zr~ being duly sworn, 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.) 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 tree 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~' ~p day of r~./N.~(~ (J' 20 ~- Not&y)Public ~ONNIEJ, No. 01~6095328, S~k Te~ ~pims Ju~ 7, 20 i~ Si'!~d~/~ature of Applicant '~rl IHOIB&80~ 'fCcF.JOt~ B30Nfl 03133108d 38~ SN011VA31] ~IV ~ ;~00]:1 TIV '~B 'gHfOhSq~Tlfi 'M ~ ~B)~ iHOl~dOO (~) /I