HomeMy WebLinkAbout31310-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32157 Date: 01/23/07
THIS CERTIFIES that the building DECK ENTRY
Location of Property: 1930
(HOUSE NO.)
County Tax Map No. 473889 Section 126
LAUREL
(HAMLET)
Lot 21
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 25, 2005 pursuant to which
Building Permit No. 31310-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 FRONT & SIDE DECK ENTRY ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to EDWARD A HANUS JR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~riZ~
Rev. 1/81
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:
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.
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 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
Location of Property:
Date'(J:ln lS. 200 I.p
(check one)
New Construction:~L
Hamlet
\.h e... u -::,
Lot C) ~ \. OOn
Lot: (0<=\ ~. "1 D
~..t-.::u~ ~.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section \ "2.lo Block Ot. 00
Subdivision O~ e<::-,'f ..I \'0\1-\ \ LL Filed Map. %to \.
Permit No. 3\ 3 \0 Date ofpermit. -1. ZIc' 0-5" Applicant: iliwo....:- J...
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
2-/
Fee Submitted: $ "J
Final Certificate: .X
(check one)
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Unautho~d 811emtlonor~
fO this survey Is a violatiOn d
Seelion 7208 of the New York State
r;ducationL..aW.
Copieloflt1l8SUl"18JmlPnoIbeaIfng
tlo)elandsurveyor'sln1c8dJ8llor
ernbOSSld .............consIdlM8d
tli:Ibeavdd_ClCIPfo
GuarIJ'lIe8IlrdcItICI....ahalltu
onlyto1hlper8Oftfotwhamthel&/fYflJ
is prepared.8ndonNlb8hlltD1M
titia company. governmenieI agency tnd
lenCllnginstltUtiOl'llbAedhet8Clnand
te t.'1e cssignees of the JendIng mil-
tulier.. Guaranteesar& not tfI,I'lSferabIe
to aOditional in:;titutlons Of subsequent
oW'\ers
'Scale; 40',. I"~
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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.
31310 Z
Date JULY
26, 200S
Permission is hereby granted to:
EDWARD A HANUS JR
1930 BRAY AVENUE
LAUREL,NY 11948
for :
CONSTRUCTION OF DECK ENTRY TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
1930 BRAY AVE
LAUREL
County Tax Map No. 473889 Section 126
Block 0007
Lot No. 021
pursuant to application dated JULY 2S, 200S and approved by the
Building Inspector to expire on JANUARY 26, 2007.
Fee $
lS0.00
!~~
. Authorized Signature
ORIGINAL
Rev. S/8/02
3)3/02-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMA
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[ ] ROUGH PLBG.
[ ] INSULATION
M FINAL
[ ] FIRE SAFETY INSPECTION
[] RESISTANT <noN
DATE I - ;).... ~ 0 7
INSPECTOR
~~
313/02-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTlON
~
REMARKS:
.-
,
--
4~
[ ] ROUGH PLBG.
[ ] INSULATION
[X FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PE ETRATlON
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1~~19-0~
DATE
(
INSPECTOR ~~
- - .~~-~-
313/0 1-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
p<\ FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REM
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DATE
(
INSPECTOR ~ ~
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31310 Z.
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
D<( FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
RE~
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DATE I' - ?-")... ~ os INSPECTOR~'~
FIELD INSPECTION REPORT. DATE
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FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATIONPERN. Y.
STATE ENERGY CODE
FINAL
COMMENTS
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Un8uthorlzed8h8I1Jf1CW1ar.~
to this SUN8yls a vIolaliond
Section 72DB of 1he New York Slate
r~duc8IiOn Law.
Copies of IhIs IUMlY map not bearing
1heland IUfVI)'OI"sInlced"'or
~mbosUd_....notbeconsidlrod:
to be avalldlrUlClClWo
~uaranl8eS............tIhaII ru
only 10 the penon tarwhelm the survey
Is prepared. and.... hII blhalloltIe
tnie company. goyemmenIII agency and
Ient!inginstltuticnli5tedhereonand
t~ the c.sslgnlt8$ 01 the lending Insll-
tuller.. Guaranloesare not tranSferable
to additional jn::ill1.utions or sub3eQl,leflit
Ow:lers
Scal",,; 40'E ,"
t!J:.-~~;I-"";~c>"'lt:t-;"t
Gu""c....deed 'TQ +11e Gu.......,,+ee.d Ti+1.e Qiv.-
Al't1ev~cart l!-fte ~-~-Su\ro-+!:::e G:w-::pOiy;,w: Cl.S
suvve4ed Oc.+obey IT, \968. '
VAN Twv," ;f 50"1
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Llc::.ensed Lo~d Sf,t"vveuoY"$
G'<'eeKf'OV+. New YOYk.. -
PERMIT NO.
?/3(o~
.,.
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:
,:>
TOWN OF SOUTH'a-D
BUILDING DEPi\.R'_ENT
TOWN HALL .
SOUTHOLD, NYlI971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoId/
Examined
Approved
Disapproved ale
?~r ,2ofK
t 'J4,20~
Phone:
I~
f Building Inspector
ATION FOR BUILDING PERMIT
Date~l1\j LO
,2005'
INSTRUCTIONS
a. This appil ation 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 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 b~en ~nacted 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.
'I-~----? ~ ~
(Signature of applicant or name, if a corporation)
PQ3:> ~~~ue L.uu,e~ KJ'f- 1\9'+8
Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
QDre<
Name of owner of premises
A. t-\1f\ t0U S --J I<. .
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
E-nvJ\\>R-\,,)
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
\0?:D De~~ A-veNue
House Number Street
L.a-u Ie \
Hamlet
County Tax Map No. 1000 Section \ Q to .0 b Block 0"1. Del
Subdivision '3ec-r. Ore- 0 ~ '?te.o~.e\\/ D<;: Filed Map No. 9>(0 ~
I-eo (Namel-
"l ~ ' 'l\..l1\-\iLL 'Z--r-. A( -
Lot b2..\ -COO
Lot loCI -\ qo
:;
.,..
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ \ 5(X) -
Addition
o.therWork -:I)eCK
Alteration
ttJT\Q.~J l1) tlDu. <;e.-
(Descriplion)
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 nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Y t \
Height Iq Number of Stories
Dimensions of same structure with alteration;:l or additions: Front Li 1"
Depth 51- ' Height 1'1 ' Number of Stories
Rear
Lf11
1[5'
Depth '1
Rear L\T\
I
@
Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
100
\
\
Depth ~ ~
10DI
9. Size oflot: Front _
10. Date of Purchase :)' 16 . CYLo
Rear
Name of Former o.wnercne~}.. M.o.<\ OY\
I<' 0\ CLC"Ly 1<-
II. Zone or use district in which premises are situated Qe.~'\ t:R /J-\1'Q \
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO. L
13. Will lot be re-graded? YES_ No.---.LLWill excess fill be removed from premises? YES_ NO..X_
. r_ \A'::,~01.. I i\.Ill"e \ .
14. Names of o.wner of premlses t:"J.)w-It-RD flr .+W\/-J Address /93::> 6>2*-( A\.e,-'.Ylione No. 015'-'2J-\~L\
Name of Architect LPr02.R..y. llAltllu Address 7 o iOO)(. \\.0'2.. e-.~honeNo L-l,-:r. II~S'2..
Name of Contractor Address Phone No.
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO. .2<i-.
* IF YES, So.UTHo.LD To.WN 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)
SS'
COUNTYOFSuffo/( ).
E<iuJa rd 4. H {Jnu~, :;;. being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
n v.. ~ V\.-1l. r
(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 pefore me this ()
;),~^- day of t11 2005
/7~dj( 7J1 dUXl.-I--
Notary Public
.~-?'~ ~,~---.,~
Signature of Applicant
MELISSA McGOWAN
Notary Public, State 01 New York
No. 4995913
Qualilied in Suffolk County 0' ..
Commission Expires May 4, 20~