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