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Home My WebLink About31628-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31574 THIS CERTIFIES that the building ADDITION Date: 05/23/06 Location of Property: 4515 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 3 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 22, 2005 pursuant to which Building Permit No. 31628-Z dated NOVEMBER 23, 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 SCREENED PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELLEN LOVE of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 (OWNER) 2084421 01/13/06 C Form No. 6 TOWN OF SOUTHOLD 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: A. 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 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. 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 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 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 LODate. � r New Construction: `� Old or Pre-existing Building:: V/ (check one) �,, Location of Property: ,51t) 1st✓ s—�{ �� 4,/� 1TtJVf, House No. Street Hamlet Owner or Owners of Property: I_0V4e' Suffolk County Tax Map No 1000, Section , Block Lot 15 Subdivision may, Filed Map. Lot: Permit No. r' (o Date of Permit. Vl7 I 05 Applicant DDt4P%r0 T;i::;l 1, Y Health Dept. Approval: W, Underwriters Approval: !ysl� Planning Board Approval: N pe Request for: Temporary Certificate Final Certificate: (check e) �6a1 t Fee Submitted: $ Qk Applicant Signature ' CO -F- 3),5 q BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by STEPHEN O'CONNOR 1195 SHIP'S DRIVE SOUTHOLD, NY 11971 ELLEN LOVE 4515 NORTH BAYVIEW AVE SOUTHOLD, NY 11971 Located at 4515 NORTH BAYVIEW AVE SOUTHOLD, NY 11971 Application Number: 2084421 Certificate Number: 2084421 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: screen porch, Outside, Porch/Deck, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 23rd Day of January, 2006. Name OTY Rate Rating Circuit Type Wiring and Devices Switch 2 0 General Purpose Fixture 3 0 Incandescent seal I of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 31628 Z Date NOVEMBER 23, 2005 Permission is hereby granted to: ELLEN LOVE 515 E 89TH ST NEW YORK,NY 10128 for : SCREENED PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 4515 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0003 Lot No. 015 pursuant to application dated NOVEMBER 22, 2005 and approved by the Building Inspector to expire on MAY 23, 2007. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH LOG. [ ]FOUNDATION 2ND [ ION CATION [ ] FRAMING/ STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE /n% INSPECTOR >2 - TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 SPECTION []'FOUNDATION IST [ ] ROUGH PLBG. [ ] FO _ _ ATION 2ND[ ]INSULATION [ RAMING TRAPPING ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE �3 US INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) ----------------------------------- W� FOUNDATION (2ND) �o C 1 ROUGH FRAMING & PLUMBING O Uyy l y INSULATION PER N. Y. STATE ENERGY CODE y FINAL ADDITIONAL COMMENTS G Z " — m � ro N W Z� W W TOWN OF SOUTIHOLD BUILDING DFVARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined h , 20'bL Approved I,, 20 a s Disapproved a/c Expiration S '1 , 2019 2 2 20055 BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. 3J6,L-7 -Ci t -t& Building Inspector Do you have or need the following, before applying? Board of Health 4 sets of Building Plans_ Planning Board approval Check Septic Form N.Y.S.D.E.C. Trustees Contact: M I•*lam. �. I APPLICATION FOR BUILDING PERMIT 2005 i INSTRUCTIONS -yThis upplicatioyMZZlie 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 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, hoytsfng code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. � ^ a of applicany`o j name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises YF, (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. PC* Q 1 (s C� Plumbers License No. Electricians License No. 1 Other Trade's License No. 1. Location of land on which proposed work will be done: 4515 N P---�AVV/av Rcoo a House Number Street Hamlet TH3HM AI3I9iA9 County Tax Map No. 1000 Section —7 *hog vi Btst2�, , J$Y+btett rt?L1A n Lot_ Subdivision raim 'pi1LdM8v1:10: "` Lot (Name) 115 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy St n G L -.F, �X^�'N I LA.) Qptl�ViNCo b. Intended use and occupancy St>'M i= Nature of work (check which applicable): New Building Addition '� Alteration Repair Removal Demolition Other Work 4. Estimated Cost 2p�OpU Fee (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units t 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. 7. Dimensions of existing structures, if any: Front (.0 Rear G Depth Height 7-+ Number of Stories I Yz 50 Dimensions of same structure with alterations or additions: Front 60 Rear 6 O Depth Go Height Number of Stories 8. Dimensions of entire new construction: Front Rear 15 Depth Height I + Number of Stories I 9. Size of lot: Front � - Rear I Z"I Depth 10. Date of Purchase G O Name of Former Owner 11. Zone or use district in which premises are situated R-te it • 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO X to 13. Will lot be re -graded? YES_ NOh Will excess fill be removed from premises? YES NO x. 14. Names of Owner of premises I:Lt,Cnl We AddressN B KOew ltd Name of Architect Db K AW rte— Address, Name of Contractor I Address No. 76 S 6 t 41 No 7,9 0 X49 No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * 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 X * 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 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) T� STIP 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 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 nuc Notary Public 10 a Ir -ll U p/so0.t Fcrl Ina P �- �-x lsTlr y i97F 'yi r — 7 i -'77 tx 1�,dd'C) L-Y.I=,T INGI I(: IV sr H%na n I_oT H 4o' �iGj'T x ml,: p {L IOM o79cc'o3,x•ol5acb ZOr�tE F4a pS p?{LY-T GhF INr � LFl> 5/g" F, t t, r, / t jx(p CJ -V, jr- '_-)C}-ZEr'Icr� 12 4'k (t) BEb"TO WDLL — LU5 14 S) •L/'DLUM 4UT{�Ii �°LoNTIN. 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En�sT,BFDA� C,�� R,k, -) f �GK,t;Erles',� �bF�.GI� \"J v� I 4w4 fmi'Kn :)Cz) �x F, _) i I I I"A2G�.M/RAP (TY PIcPk� ALL CONSTRUCTION SHALL .4'-9 " 51-e"" ,}'_y ^ PIEE"i THE REQUIREMENTS OF THE -- --- CODES OF NEW YORK STATE. He:" FBF -Tap C>F 'Fi0C,?_ To -------- MEM E>FIS(, pOFGN/HO Wit emF i CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. 1� - ALipRAUED�AS NOTED ATE: 3 .P. # EE: Y: NOTIFY BUILDING F 4RTMENT AT 65-1802 SAM TO 4 rM FOR THE EL OLLOWI - NSPE�I!nl!S . FOUNDAI ION - T'.V', RE OU,RED _FOR 'CL"r✓`."ITE ❑� ROUG PJG ,' PLUMBING .INSULATION . FINAL - CCNSTF'UCTION MUST BE C roTC-O—__. LL CONSTRUCTION SHALL MEET THE EW "1171 On ;YORK STATE. NOT RESPONSIBLE FOR VSE IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. WITHOUT'GtOIFICAT ERWRITERSCEATIFIr,ATE A�JT �-E V� T I r M b%40CCL1, nNCY REQUIRED CROSS SECTION �I �I il�j 33� iQ' i97F Fl l'i ± 7 i -'77 , 1. OAu , END VIEW— __ILS I I I I I ; �OUTk ti<L E\/bT10N A CROSS SECTION END VIEW 14' g„ iZe+newe. En�sT,BFDA� C,�� R,k, -) f �GK,t;Erles',� �bF�.GI� \"J v� I 4w4 fmi'Kn :)Cz) �x F, _) i I I I"A2G�.M/RAP (TY PIcPk� ALL CONSTRUCTION SHALL .4'-9 " 51-e"" ,}'_y ^ PIEE"i THE REQUIREMENTS OF THE -- --- CODES OF NEW YORK STATE. He:" FBF -Tap C>F 'Fi0C,?_ To -------- MEM E>FIS(, pOFGN/HO Wit emF i CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. 1� - ALipRAUED�AS NOTED ATE: 3 .P. # EE: Y: NOTIFY BUILDING F 4RTMENT AT 65-1802 SAM TO 4 rM FOR THE EL OLLOWI - NSPE�I!nl!S . FOUNDAI ION - T'.V', RE OU,RED _FOR 'CL"r✓`."ITE ❑� ROUG PJG ,' PLUMBING .INSULATION . FINAL - CCNSTF'UCTION MUST BE C roTC-O—__. LL CONSTRUCTION SHALL MEET THE EW "1171 On ;YORK STATE. NOT RESPONSIBLE FOR VSE IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. 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