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Home My WebLink About32133-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31709 Date: 07/27/06 THIS CERTIFIES that the building DECK ADDITION Location of Property: 6015 GREAT (HOUSE NO.) County Tax Map No. 473889 Section 128 PECONIC BAY BLVD (STREET) Block 1--- Lot 1 LAUREL (HAMLET) Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 2006 pursuant to which Building Permit No. 32133-Z dated JUNE 19, 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 KATHLEEN COLLINS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Signature Rev. 1/81 cr/7-] L/7-Sl( 3~ I , ~~:oL!) JPPLICATION FOR CERTIFICATE OF OCCUPANCY ----- --- Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 '-::\ [' 1,;'I,f'l I', 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: 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 2/1 0 of I % 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 buildiugs and "pre-existing" land uses: I. 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 I. 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 Date. ~u (1'1 c') I (~OL> L> Old or Pre-existing Building: V (check one) Location of Property: loD \ <;' ~0..."Yl..{ l (t:.. ~I V cl ~ 'i ~ I ~19 48" House No. ~et Hamlet Owner or Owners of Property: l41~'i:-u... M G,i ~. /.).., New Construction: Suffolk County Tax Map No 1000, Section Block 000 Lot (,)b I . Permit No. Date of Permit. Filed Map. Applicant: Lot: Subdivision Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate 1::,,..--,,....- Fee Submitted: $ C>(~ Final Certificate: / (check one) ~I~u (l CJ~ Applicant Signature ~/()~tt? _c:..o ~ 3170 ~ 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. 32133 Z Date JUNE 19, 2006 Permission is hereby granted to: RICHARD K COLLINS 6015 PECONIC BAY BLVD. LAUREL,NY for "AS BUILT" DECK ADDITON TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 6015 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 128 Block 0001 Lot No. 001 pursuant to application dated JUNE 16, 2006 and approved by the Building Inspector to expire on DECEMBER 19, 2007. Fee $ 300.00 I~ ClL~ ! Authorized Signature ORIGINAL Rev. 5/8/02 J 2-/33 i!:- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PLB ] INS ION INAL ] FIRE SAFETY INSPECTION Co cc DATE INSPECTOR ..., .. FIELD INSPECTION REPORT DATE COMMENTS \N l-J~ V:i~ FOUNDATION (1ST) W~ ~.. ------------------------------------ r~ r;r /j:) FOUNDATION (2ND) E. - "l- . 6~ .' - V\", '"' ROUGH FRAMING & Q)g;; -t~ PLUMBING ~ .. , ~ -. (' ~. . ~ INSULATION PER N. Y. ~ 1;; fA'"' STATE ENERGY CODE { ..I,,>-In. ~~r/J / / // dt'l~. ..J~-./ t- . // , ./ >-- ~ "- FINAL t I A::, ADDITIONAL COMMENTS ~ - - . -. ::::, V'"\o - ::E ~. -.;0 . t . -~ "'~ <:L, :< 'l \ ." - ::n~ . '"' - 4 G 0 ....}z :J:l ~ . <:.~ ~ ~~ ." ~ .. , 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: r i ~ 1 - I~ - fr.' r n :',I~ R -.-\ 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SoutholdJ , 6 .' 'J-" PERMIT NO. Jd'{ 3~ e- Examined hlter ,200,(, ~1/1,200G Approved Disapproved ale Expiration /0/1 1- 20.!2J- k;,,-~ . Building Inspectur Mail to: Phone: -< I;), lot>\.j - I \P ~ f!; (L.v ) APPLICATION FOR BUILDING PERMIT Date J lLflC I tp INSTRUCTIONS , 20D....!L 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 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 South old, 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. ~~ A C20fl<iJs (Signature of applicant or name, if a corporation) (Mailing ad.dress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED 1/ f'r;- DATE: .~~ Br# Name of owner ofprernises LatnlE~ 1\ ul LlttV FEE' pv (As on the tax roll or ImlF4eOOLDING Di.:~t-C:TMENT AT If applicant is a corporation, signature of duly authorized officer 765-1802 8 AM TO 4 DM FOR THE FOLLOWING INSP~:' liGNS. 1. FOU'~DATION . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSULATION 4. FINAL . CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK TATE. ~p,T RESPONSIBLE FOR D OR q>AJ~ UC11~~RORS. Hamlet (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. done: County Tax Map No. 1000 Section Subdivision l(51)tl Block P G' Filed Map No. (Name) Lot 1-/ Lot 2. State existing use and occupancy ofprem' es a. Existing use and occupancy E- b. Intended use and occupancy d~ --- 3. Natl.lfe of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify natl.lfe and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Depth Rear Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Depth Rear Depth 9. Size oflot: Front Rear 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO I . 13. Will lot be re-graded? YES _ Nd _Will excess fill be removed from premises? YES_NO _ " 14. Names of Owner ofpremises~Address lPol';-~Uo( ~Phone No. (0""2./ d~-lJlI1Y Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO I * 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. 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) OOUNTY~t~ E A ,~I Ltrti being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the OWIlU"'" (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 tplbefore me. "\1-- day 0 20I)h _~1i<CR A Co L Signature of Applicant ---- MELANIE OOROSKI NOTARY PUBLIC, State of New York No. 01004634870 Qualified in Suffolk County .......J'A I Commission Expires September 3"O.au.J \::) ..1.0'-:Q"_- TION OF . ..iI.. E. .CTIONS '/"lEa .\0',.,0'1.. '. ~\' e,,,.,'4bf1 ,&~. . APPiO~D AS NOTED ~J. ,,/q? B.P.# 3df33 F~~ ,?>oi). BY . NO BUILDING DE P.RTMENT A 02 8AM TO <M FOR TH WING INSPECTiOi~S: 1. UN DATION . TWO REQUIRED R POURED C0NCRETE UGH. FRAMiNG & PLUMBING 3.. ULATION 4. , I AL - CONSTRUCTION MUST i COMPLETE FOR C.O. ALL' ONSTRUCTlON SHALL MEET E R . IREMENTS OFTHE CODES OF W TATE. NOT RESPONSIBLE t4. OR CONSTRUCTION ERROflS. do ::; o . '-9 ~ r'RD-M \N~ t'~t:\ . ?;frr;;'ioJ'''-O " OCCUPA~CYOR ~ USE IS UNLAWFUL /~ WITHOUT CEBTIFlCATE OF OCCUPANCY ..rnm. ,. \ "....1 _.&J....~..._.r...It_m__- Ll\./k -l--'. 'l~-r'Y.. .... u~ti&..c.R}::~~~i~L~-l'{'1' . ! * 2 '1-f> (r1..o;i,\) 4)( 4- fO":'T -~ . - 5/4-i'-G> ~~ __.-\::014'-1 21<- -~\t.. bEGK FLAN ?:il,.,. '" Ii .. J,,,,,, .'-0. .. :'2.:#p0>-1l:-% '. ( 1'1 I I I I J:;::.CTION . / - 11"-1-.- l-r -J[....._.....I1I.nl ~/T5t~. 'b I: ~..g ~: (j \! -~ It Z I' ~f $ iO ! ~ ~... ~ , "- , ~ ,~ :. ~... 6--. I:J .-..~ -'~1f& I I I I I b-- d) I 1 I ~~ lJ -.ll I ~-"' ~ I, n _ 0 1>-' ~'9><Z;: .Ii=!=-=--- --.:. c.- Hsn,d o -<l J -~-'3."!Z- ~--! 4o'. 0 - 0 ; tr'o~, ''9F oc ~ 1 "l ~ ! .~ I " I -rl I ~! *6:.1 ....~I 't.!~ i 29 ~;-';\ ~ "- ~' '.2. ~ .I .a .} ...._,.~.. 0, D b ~~ \)-~ --h. ~~ -z - --z ~ JL- .~ J..::.. .11) ~ I 1 ~ 0 . - , .,~ t5 ~ ~ !!I ~ w - c,/. . ~ ~ tt i3 .~ . CJ l:'l t~~ l~ ~ ~~ ~"t . I I ! ' r7J jJ< :r 1. ~ ! It ~ i.... . . ~ (;1.. , ~ ~ i .' 3~' S~ SURVEY OF PROPERTY SIlVA TE: MA ITllUCK TOWN: sournoLD . SUFFOLK COUNTY, NY SURVEYED 06-23-2004 SUFFOLK COUNTY TAX # 1000-128-1-1 ~_edFor:: RichanI Collins NOTES, . MONUMENT FOUND AREA = 25.000 sf or 0.51 oGres GRAPHIC. SC.ALE 1"= 301 ".. o ,",v, ~0-<..() 0' 'v <- "*'" 0' (,"" O~ 0"' i) ~ O.J 0" 'v 'v ~ ~. ~ ~ .~~ ~~ ~ JOHN C. EHLERS LAND SURVEYOR N.Y.S. LIe. 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