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HomeMy WebLinkAbout31260-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31839 Date: 09/25/06 THIS CERTIFIES that the building ADDITION Location of Property: 1010 BRIGANTINE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473689 Section 79 Block 4 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 2005 pursuant to which Building Permit No. 31260-Z dated JULY 11, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEPHEN & LORI GUYER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A A ized igna re Rev. 1/81 Form No.6 TOWN OF SOUTHOLD �( S 2 —� • 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 Date. �7 h(o New Construction: Old or Pre-existing Building: (check one) Location of Property: /010 /3. ;« . ,,,•L r a House No. Street Hamlet Owner or Owners of Property: 5}qAc„ + Lt r, Suffolk Count Tax Ma No 1000, Section Sag County p 071 Block O o O `J' Lot a 3 / Subdivision Filed Map. Lot: Permit No. 3 i b o Z Date of Permit. i °S Applicant: C (2) c— Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ Z_S °° ��C ^� pplican i at e �0-�3183� l I L(P© � 3�'OF SOUT'y0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ =INAL TION FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ' '' DATE INSPECTOR i holy OF SObTyo6 31 �-� o 7 TOWN OF SOUTHOLD BUILDING DEPT. , 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. -7 bs— [ ] FOUNDATION 2ND [ ] INSULATION b b 7 [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: r,,� 61 DATE �r �� INSPECTOR ��`O� 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. 31260 Z Date JULY 11, 2005 Permission is hereby granted to : STEPHEN & LORI GUYER 1010 BRIGANTINE DR SOUTHOLD,NY 11971 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1010 BRIGANTINE DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0004 Lot No. 031 pursuant to application dated JUNE 30, 2005 and approved by the Building Inspector to expire on JANUARY 11 , 2007 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST)-------------------------------------- -- - - - - - - FOUNDATION(2ND) 0 ROUGH FRAMING& --- - �_ � y PLUMBING -- - - - -- M INSULATION PER N.Y. STATE ENERGY CODE &Ajf-- - -- --- - - M J FINAL Q CM& co ADDITIONAL COMMEN S (� -- - - - - - - - -- O -U*) Z -i- m ro 0 d ro -j TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,'NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. 3La-60 � Check Septic Form N.Y.S.D.E.C. Trustees Examined 20 0;� Contact: Approved,20_a_� Mail to: Disapproved a/c Phone: 631 74,S, (-Z(-7 Expiration Building Inspector APPLICATION FOR BUILDING PERMIT Date �z9 120 UJ 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 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,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Signatur of ipplicanifor name,if a corporation) /opo r3rt�w,-�t:•.a d�- SoJ�.o �d N`f (Mailing address of applicant) 1(1-71 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 00 AC-1— rr Name of owner of premises 5+4 Ae_n C . Ck�Nar— (A n 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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on whit proposed Zr.ork will be dope: ' /0/0 3r,'<G.n T;-e- dSo i, House Number Street Hamlet County Tax Map No. 1000 Section -79 Block . 0q &IM•. f Subdivision Filed Map No. Lot (Name) "--• . State existing use and occupancy of premises and intended use and oFcupancy of roposed construction: a. Existing use and occupancy �e5ida��z $i�c `e- F.w.: r,v �cvcc�� b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Worker IL (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 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 G q . 3 Rear 6`f•� Depth .2 1. Height Number of Stories �L Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front e�( ° Rear Depth Do r Height Number of Stories 9. Size of lot: Front I0 0 Rear .1o D. 149 Depth asI . a5- 10. S10. Date of Purchase 3.&>_ Name of Former OwnerU�C � (ted 11. Zone or use district in which premises are situated iZe j 5 f er L' 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 of premises Address Phone No. 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 ✓ * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE�EQUIRED. 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) SS: COUNTYCO1 r l V_ [��Ln c. &)y C4— being duly sworn, deposes and says that (s)he is the applicant (Name of i dividual signing contract) above named, (S)He is the ID w nti kr— (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. Svigratbefore me this _ �7VV day of 1 is(t 20 41 Notary_Vubhc ' Signs e o plicant MRANIE IWppY PUBLIC,State 01 New"" No.01D04634670 s ionOEVimsSWIA W 0l1�.. TOWN OF SOUTHOLD PROPERTY RECORD CARD Al-7 �Or STREET VILLAGE DIST. SUB. LOT R ER OW E N E ACR. 9 � �U nta,nAv106,G r( JiJ lDkse>7 S w TYPE OF BUILDING �� RES. p?(c7 SEAS. ( VL) FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS Z o c s a o 3 6117dl / S ! / Ov_ — �i}� t d f [u '-7-o- ,A i r7i.r d4rpw zdo ��oa az Llo et -4, 97, 5z)o � ��alz� nzi 411-7, 5(06 76�-33 CIO 4,3, o -L 2-175 l0 SOb AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK i zY �_ 1■■■■■■■■■■■■■■■■■M■■■■■■■■■■■■ i __Basement Floors. ,-0 ILDINB IM- Applicant! r Date. Owners Nati7e:,. Reviewed: Architect/ Qate Chgitteer:. w .'•Q _-- Submitted: SCTM #: District: 1.000 Section: 1310c'k: Loi: __ I'tojectp� 0 _ SuUdivision Location: G _ _ 01—r w i . Name: Siqic 8-, separate Required cetltfcatiolt: (Yes I No) _ Req e Ilcy. ZttNing Olsvict:a (t of slu: Aclttal: �' f 1 (I of coverage — I`ri�t�u�c Req. ��� Rcq. r ,,•,j Rcq. � �,/. (J-'root 1',Yrd �`!Proposed: J' (Side Yard ��� Proposed: J (Rear Yard 4 _ I'roltoscd• Project Description: tk ItE UI<lt>�b FOk2 ) VFW N.A. N YES I�Iuarber Sufolk County Health Dept. N6w York State. Da Ej C. Town Tnwtees Town Zoning Board approval: Town Planning Board approval: . Flood.Plane Elevation??� Flood Zone: __ c _/6 o� [/ /OT / 49 �JY O��Iv DO / [[y�¢Q'L[` �l 4 2p89O, Al ST <OT SC �. ��k �'.n.��...CP t> )cP �' gym• 42 c�0�44 h• N1 \ ti o its;to "Y � _O, DoT S,• �2r.2�,, �^°' F PROPERTY IS IN FLOOD ZONE X, OUTSIDE 500 YEAR FLOOD, PER FLOOD INSURANCE RATE MAP COMMUNITY NUMBER 360813, AREA: 21,508 S.F. = 0.494 AC. PANEL NUMBER 36103C0167G, DATED CLEARING AREA: 18,760 S.F. = 43.1% MAY 4, 1998. CERTIFIED TO: SURVEY OF STEHAN C. GU LORI A. GUYER YER LOT 50 SUNRISE ABSTRACT CORP. MAP OF SUFFOLK COUNTY NATIONAL BANK HARBOR LIGHTS ESTATES EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED SITUATE AT ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF THE SURVEY: BAYVIEW GUARANTEWHOM THE SURDVEYT SD PREPARED, AND ONRUN HIS BEHALF TO THE TITLE)oFOR TOWN OF SOUTHOLD PANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ONS LISTED HEREON, SUFFOLK COUNTY, NEW YORK AND TO THE ASSIGNEES OF THE LENDING INSiTURON. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO SCALE- 1 '=40' DA TE: APRIL 23, 2001 THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE- FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING S.C.T.M. DIST, 1000 SEC. 79 BLK.04 LOT 31 WALLS POOLS, PATIOS, PLANTING AREAS, ADDIDONS TO BUILDINGS AND ANY OTHER CONSTRUCTION. JOB NO. F3524 , MAP N0. 5147 `` Q FILED:AUG. 7, 1968 :.:. REVISIONS: 132 way He on Bo N.Y. - 46 REVISED: 05/22/2001 L10, r (63I) 7 8-5330 CERT'S ONLY 06/25/2001 REV. PROP. HOUSE 07/10/2001 Marc E. Charest, L.S. REV. PROP. HOUSE 08/14/2001 P �> Successors to STAKEOUT 08/15/2001 UNDER CONSTR. 09/13/2001 + ,�' Paul T. Canallzo, L.S. Robert A. Kart, L.S. FINAL 01/12/2002 Goad Ground Surveyors, P.C. FENCE LOCATION 01 30 2002 license no. 050149 '= PIS . , �'i Yy w =$ tl`�':' .itr Fn '' F° i .P;.. - ,.I�' �' ":'}"-' 1J. : , ° _ " r �'.. 'W ' x, l' _ �:.' . 3,tit,_ , P .'.;qtr r"r"'/' �,. . ' `s✓ 'k'�,':y ' , - *r. ,r',;y c^Xr .t. ,el m;]r� '. a s��L ' rr a {, r u., ,"* ' -S f :�:• 4 'W+ t^r { n P: :,_, s: -;;• , , :-�.:a .. ,a9 . .amu , -. ^- :p .a;;,._ .,.P. e��,a +"�`�� •y n +� ,-w �"s o � r� h A.v k ry, ++� � r� , , ... fi T v ,,.. t2 � .� .. _ ... , ,.�.,.', .�;'"�k .- . ..:. _ .. 'r., .,' . r •,' Yc:. ''�. �. 3 `,.FSU r 3d 'ifPr 1 Rr' S- v - v>by r 5r , r, ,` ," st . v.r Je . .,.. '.'. „w.�,' ,4 - u'..' IF e:",<, ' -.•.'� x. 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