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HomeMy WebLinkAbout31306-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31471 Date: 03/06/06 TI{IS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 210 SOUNDVIEW AVE PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 2 Lot 9 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 22, 2005 pursuant to which Building permit No. 31306-Z dated JULY 26, 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 NON-H/%BITABLE ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. T~e certificate is issued to GEORGE & LORRAINE FREDRICKS (OWNER) of the aforesaid building. SUFFOLK COUNT~DEPARTMENT OF H~%LTHAPPROVAL N/A ELE~-£KICAL CERTIFICATE NO. 6946 PLUMBERS CERTIFICATION DA'£~3 N/A Ol/17/o6 Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APmCAT ON FOR CERnFlCATE OF OCC ANCV This app!~2ion mtrsl b~'~i'led in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: I. 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 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. Submit Planning Board Approval of completed site plan requirements. 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. Fees 1. Certificate of Occupancy - New dwelling 225.00, Additions to dwelling $~$.00, Alterations to dwelling 225.00, Swimming pool 225.00, Accessory building 225.00, Additions to accessory building 225.00, Businesses $$0.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $S0.00 $. Temporar~ Certificate of Occupancy - Residential $1 ~.00, Commercial $1 $.00 Date. ~ -Z~ c).6, New Construction: /'~ Location of Property: 2- ~ o House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: Street 6 7/ Block (check one) Hamlet Lot o'0 ~ Subdivision Permit No. Health Dept. Approval: Date of Permit. Filed Map. Lot: ,7-/~o~-- Applicant: ~e~'O /fie Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~ d~9 Final Certificate: (check one) z~p~icant Signature co 31'f'71 Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878-3500 "' Fax: 631-878-3764 Application: 6946 Date: 1/17/06 Issued to: Gendot Homes Address: 210 Mill Rd Village: Peconic Introduced By:: DeLane Electric License#:4354-E was examined and approved up to the above date and was in compliance with the NEC Attic 1st ~oor [~] Residential[][] Pool Der ~i-~1 Basement 2nd floor [] ~a~J Hat Tub Addition Switches Receptacles Fixtures G.F I Sub Panel 6 5 1 1 Oven Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Furnace Oil Gas Heat Zones Whirlpool Other Equipment: Smoke Detectors Carbon Monoxide Bell Transformers Meter Amps Phase Motors Detached Garage Out,Res This certificate must not be altered in any manner 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. 31306 Z Date JULY 26, 2005 Permission is hereby granted to: JAMES D PAPPAS 10 ADAR LANE EAST NORTHPORT,NY 11731 for : CONSTRUCTION OF A NON-HABITABLE ACCESSORY GARAGE REAR YARD AS APPLIED FOR IN THE REQUIRED at premises located at 210 SOUNDVIEW AVE County Tax Map No. 473889 Section 074 Block pursuant to application dated JULY 22, 2005 PECONIC 0002 Lot No. 009 and approved by the Building Inspector to expire on JANUARY Fee $ 215.40 26, 2007. ~J~ze~ure ORIGINAL Rev. 5/8/02 765-1802 BUILDING DEPT. INSPECTION ~ FOUNDATION 1ST [ [ FOUNDATION 2ND FRAMING [ FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION DATE INSPECTOR TOWN OF $OUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]IN~L~ATIoN [ ] FRAMING / STRAPPING [ ,~J~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ]FOUNDATION 1ST ~ ..... ~'" ]FOUNDATION 2ND [ ] INSUL~I ~/FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION INSPECTOR ~~ APPROVED AS NOTED DATE: B.P. # FEE: . F,,': NOTIFY BUILDING ;:~:",B]MENT AT 765-1802 8AM [O 4P~ FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BF "~'.'~LETE FOR C.O. ' .... ~ '~L;r-T~C~J SHALL MEET THE ~u.~ ' '~30~ THECg~ESOFNEW YOqK ~;r,":i. NOT F;:.3FO~SIBLE FOR DESIGN OR CONSTRUCTION ERRORS, COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF GERTIFICATION OF NAILINB &CONNEOTION$ UNDERWRITERS CERTIFICATE REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. FLOOD,ZO~ COMPLY WITH CHAPTER "46" FLOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE . , O FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTIt~LD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration 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: Phone: gS/' 763"- ,5'5-3 Date 7-30 ,20 0~ ,~, o ~I 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 w6rk covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of tiffs application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available tbr 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 1- months after the date of issuance or has not been completed within 18 months from such date. L 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 o f app ,cant or r~e~,t~/.~;r~.t~on) (Mailing address of ap~icant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name owner o pr mises eorSe (As on the tax roll or latest deed) If applicant is a corporation, signature of duly author/zed 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: .2/0 ...¢oo,'aY ,o ,/5Pa`, House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block 2 ~,:, * .: Lot :~.~t Filed Map No. - ' ~: Edt' "i' 2. 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 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ..,,l~dr/D/t~ 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Other Work Alteration ( Description ) (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. 7. Dimensions of existing structures, if any: Front Rear ........ Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Height 7oc / Number of Stories 9. Size of lot: Front ~',5- ' Rear 10. Date of Purchase /~//5"/6.~' Name of Former Owner Rear 2Z / Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO t-'" 13. Will lot be re-graded? YES /NO 14. Names of Owner of premises Name of Architect Name of Contractor 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. Will excess fill be removed from premises'? YES NO Address ¢o,,~1~¥/ a/y/lC)/ Phone No. Address ;~Yf~2 a~,~ Phone No. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. I 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) S: COUNTY OF ~/'Te~orj;r' ,/~e~,'~*'/~,'c,~-..f' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor,/A"~Corporate Officer, etc.) of said owner or owners, and is duly authorized to pertbrm 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this NotarydayOf Public LYNDA M BOHN NOTARY PUBUC, ~ of ~ Yo~ NO. 01 B~32, S~lk Term ~lres M~h 8, ~ ant''gn pp ' ' ~.._. ...... ? i'~! ,~ ',' ~,: ~,:~;o.~!a~ ~ ':~'?'I ' : ': Pappas. Jmnes D Roll Year: ~0~' Next Y[ Res vac land 210 Soundview Ave ~ard S ze:~ 6O.aCm~ '.~.,;;. Owne~ Total: I Taxable Value County: 800 B ocli: 2 School: 800 ~ -..~:. 00137 Addl Add~: Street: 10 Ada[ Larm PO Box: City: East Nmthpmto NY Zip: 11731- Sale Total: 0 Book Page SaleDate SaleF:'fice Owner Exemplion Total: 0 Term Code Amount Year Schcoi' Southold School Land AV 800 T oral .L.'v' 800 Bank: Schl after Star: 80§ Acct No: ; 0 Site I ol 1 Land 't~ 'of'ii .... Prpcls: Re~ ,,,ac land Nbhd Cd: 0 Bower: Water: Utilities: Own Building 'Fatal: 0 Pct Special District Total: 3 Value / ~* Impiovement Total: 0 Code Units Pct Type Move Tax iiiJ Type Name Dim1 Dim2 FD028 Saulhold FD .00 .O8 .00 ~ SW011 SolidWaxte I .00 .00 .00 ~ SQFT Yr Built : SQF, t. OT AREA 29,232 ~ F.FL. EL 16.0' NOTE: NOT IN FL,. Dt .NE - SEE PANELS 4aO_ Z Z Hedge ~E~s~oo~ 0 LOT NUMBER 48 MAP OF PECONICHOMES SECTION TWO DWELLING-WELL GUARANTEED ONLY TO 05-173 05-269 [ EST HOLE by McDonald Ge0soence 10/22/2004 ELEV. 9.4 ,0' 1 Dork brown loom OL Brown day CH NOTE A elevation of water in pipe (6.6} elevation top of pipe (12,7'] elevation of grnd at pipe {10.2') SEPTIC SYSTEM NOTES: I 1200 gallon septic tank 6- 8 ft. dia., 2' h,gh conc leaching (13.0) propost ,: c evafion 7-12 20C5 ADD PROP. GAR 5-11-200§ TOPOGRAPHICAL SURVEY 8, REVISED SANITARY SYSTEM ~2-6-2004 REVISE LOCATION OF PROP WELL S CESSPOOLS JOB NO. 04-415 FILE NO, 84-2 F SURVEYED FOR SITUATED AT PECONIC TOWN OF SOUTHOLD - SUFFOLK COUNTY, NEW YORK SCALE 1" = 40' DATE lO - 12 - 2004 FILED MAP NO. DATE TAX MAP NO. lO00 - 074 - 2 - 9 (REF. ONLY) DISK247 N.Y. LIC. NO. 048992 HAROLD F. TRANCHON JR. PENN. LIC. NO. 21115-E HAROLD F. TRANCHON JR.P.C. LAND SURVEYOR P.O. BOX 616 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 631'929-4695 '0'0 ,,RI' 1~181308 ~OHONV .gig 1 / 22'-0" 5'-0" KNEE WALL / / I / ' I RAILINGS --'- "~-- ..... 3-1/2" X 16" 2.0 E LVL RIDGE BEAM rn KNEE WALL / /.~ * = / 22'-0" 2'1 '-4" 4" ^ I 3-2)48 FJ ............... I- t .......... / z 00~ ~ oo ~ _-oO