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Home My WebLink About32375-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 09/28/06 No: Z-31866 THIS CERTIFIES that the building CHIMNEY Location of Property: 445 ISLAND (HOUSE NO.) County Tax Map No. 473889 Section 57 VIEW LA (STREET) Block 2 GREEN PORT (HAMLET) Lot 27 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18, 2006 pursuant to which Building Permit No. 32375-Z dated SEPTEMBER 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" CHIMNEY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT J & CELIA SWING (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 Form No.6 TOWN OF SOUfHOLD 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: 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 Planuing 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: 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 reasous 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 New Construction: xx Old or Pre-existing Building: Location of Property: 445 Island View Lane House No. Street Owner or Owners of Property: _0. ~_r +- :r + Ce Suffolk County Tax Map No 1000, Section is I Subdivision Permit No. ?~~I c:- Date of Pennit. Cj -I <; -D ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ;) ~ .0 D U:J 2 ~\~V V6c 110/,L Underwriters Approval: Final Certificate: x .J 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. 32375 Z Date SEPTEMBER 19, 2006 Permission is hereby granted to: ROBERT J SWING & WF 28 DYKE ROAD SETAUKET,NY 11733 for "AS BUILT" CHIMNEY AS APPLIED FOR at premises located at 445 ISLAND VIEW LA GREENPORT County Tax Map No. 473889 Section 057 Block 0002 Lot No. 027 pursuant to application dated SEPTEMBER 18, 2006 and approved by the Building Inspector to expire on MARCH 19, 2008. Fee $ 300.00 1~-4'~ 121 A.-=- Y Authorized Signature ORIGINAL Rev. 5/8/02 . . FIELD INSPECTION REPORT DATE FOUNDATION (lSn ------------------------------------ FOUNDATION (2ND) . . ROUGH FRAMING & PLUMBING INSULATIONPERN. Y. STATE ENERGY CODE FlNAL . ._,~ . . . "I 1.1"> t . COMMENTS . , HC~ ' .l. r/J c / ~. 1)-,' / / / 1"7) 1/ . ADDITIONAL COMMENTS . . . .. . . .. . r~ \ ~ +> .., (}\ f ) o ~ :t -' -' ? .~ o - ::E ~' W- e "" 4 UJ~ .--:. "T:l -n'" \ ~ o .., '" <>\,0 z ::= ~ '7 ~ ..., -::= ~~ ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board ofRealth 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoIdI PERMIT NO. ;>0+-3 75-C Examined Approved Disapproved alc V~:~~~ Expiration ?j/1 ~ <V ./,,~ <{:<,~\ \\\ ~{\/' . C ",/ ~^~- . ' 't? ~- . .,' \ CO /APP s13 . '\ " /(c"_: ""V :.,:.:::'(S~- ,\0" INSTRUCTIONS / I~A. I Building Inspector Mail to: Phone:IO::; I 0 ~ d-d.. Date , 20 {J t CATION FOR BUILDING PERMIT /1 a. This applic . nMUST 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 oflot 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 regula . ons, and to admit authorized inspectors on premises and in building for necessary inspections. State whether applicant is owner, lessee, agent, architect, engineer, genera Name of owner of premises , (As on the tax roll 0 If applicant is a corporation, signature of duly authorized officer . (Nam~ and title of corporate officer) ,:- ". B 'Id .1 ,. m ers License No.' Plumbers;ticerise No. Electricrnns Ljcense No. Other Trade's License No. . ,'f I 1. Location ofland on whic~ro~osed ~ork will be donr: l-jy.5' ~ \J levu Lo.r'\J.. House Number Street County Tax Map No. 1000 Section Subdivision ,-~/"1 .,,..:-' 'i'v:"-\ ~,:;.1'-' :3lo10:^,:' /7 7 BlodiM , 'e'!'....'"Oli" ,'16J<J!:bt d Filed Map'No.... " :",.;....., Lot {};));;j .~; ','J., ..",:11(' "~l.. ",'''"in'.')..:) (Name) \ dre~ 09a;jicant) I I 7 / IV, contractor, electrician, p ber or builder \ ~~~oi2J- 2. State existing use and occupancy of premises an intended use and occupancy of proposed construl1lion: a. Existing use and occupancy . b. Intended use and occupancy 4. Estimated Cost ...-- Addition Other Work ~f 8~tJO ~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 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. If business, commercial or mixed occupancy, specify nature 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 Depth 8. Dimensions of entire new construction: Front Height Number of Stories Rear 9. Size oflot: Front Rear Depth 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_ 13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No 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 REQUIRED. J ) ...-' b. Is this property within 300 feet of a tidal wetland? * YES_NO - !IJ I- -/"11. _. * IF YES, D.E.C. PERMITS MAY BE REQUIRED. ft ~ ~ I 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. STATEOFNEWY being duly sworn, deposes and says that (s)he is the applicant amed, (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; an that the work will be performed in the manner set forth in the application filed therewith. sw\~ before me t~ri.--~\~ dayof~20 0,,= G->-.~~ Notary Pub \ CONSTANCE SZYMCZAK *'-'Y PublIc, Stale of NMw YOlk No. Ql828125618 Quallfted In Sullolk County c-nlnlan Exllires AllriI18. 200ll l\.t ,I ", ," ~ . J f ~' u t . ..I'. -0.;' / ISLAND VIEW LANE $. 85'40'30' Eo ~ 75.00' Po a" ff!tIfi' lION ' ~ ~' - Ql' c "i ~ \ ,. < . ... > - .. .. .. ... > < .. fe' . ~ o.r..r;:A '0 1 o _.-"G_. Q..:,--;.;;..... '7.,,' , t ..or ,~ I IffY. FIL ,... l. .. I~ >-;--;;, ~' . ~ t . ': r=r. -..:0.-,. .. /101'" :: Ql, l7"iIV~b 1f. "".- 'L .IIj, ' ., ,I::) ~' ~ . .. ~" :;;,~, { $ v- y 291.24' ~ ..,: ~ \ l~ l'"~ ~, ' 1-', ,~ ' -,:\, . -.".' , " ~' '. " " j ~,. i ~ -.l ". -, ,""\; ",..' ~_' ~.. f ~ ~' ""-.....,-1,. ., SURVEY OF ,PRt!JPERTY AT ARSHA~ TOWN OF SOt./fHOlD SUFFOL"K COllN1,! N r: 1000 - 57-..,... ;u $CAI..E,r':;. ' OCT. N, .. June /3, 2000 {qdditionl . AREA = '7.-84 ft;m tie line .,IWlf~fr= ,~',' .",,' ",~~,V'" 'fl1.s.,'~,~,','WIft,"',~,'. ~,~Br ,,', ' , ,~. ~ ~ AS 'MnCTED' AND '- , Nt1T IN'~ /1m( TIle LAW. . Y.S. LIC. NO. 4M. .c. stREEt 119t1 99 - 306