HomeMy WebLinkAbout32625-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32171 Date: 01/31/07
THIS CERTIFIES that the building ATERATION
Location of Property: 6370 GREAT
(HOUSE NO.)
County Tax Map No. 473889 Section 128
PECONIC BAY BLVD
(STREET)
Block ~ Lot 2
LAUREL
(HAMLET)
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
DECEMBER 29, 2006 pursuant to which
Building Permit No. 32625-Z
dated
JANUARY 9, 2007
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 ALTER & RECONSTRUCT AN EXISTING ENTRY WAY STOOP AS APPLIED FOR.
The certificate is issued to HELEN A COSTER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
~~~
Authorized Signature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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 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 I
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
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.~0,
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
I~01
(check one)
Date.
1.,~10
House No.
Old or Pre-existing Building:
'Peeonlc 1lo..y Blllor'
Street
~\ en A C o~'T -e.Y
1:1. f'
,/
New Construction:
Location of Property:
1-4 l( re}
Hamlet
Owner or Owners of Property:
ootJ .;z.
Suffolk County Tax Map No 1000, Section
Block
Permit No. 3.:l 1,2. 5" Z
Date of Permit.
Filed Map.
12. - f. q -Ol..Applicant:
Lot ~ 0 ;;),)
Lot:
r\.e.\~ ft CosT-e.r-
Subdivision
Health Dept. Approval:
-
Underwriters Approval:
'--
Planning Board Approval:
.--
Request for: Temporary Certificate
Fee Submitted: $ ~ ;J.f !Z.
Final Certificate:
.J
(check one)
/~a~
Applicant Signature
~. 7/753
QO~32JTI
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.
32625 Z
Date JANUARY
9, 2007
Permission is hereby granted to:
HELEN A COSTER
PO BOX 533
LAUREL, NY 11948
for :
ALTER AND RECONSTRUCT AN EXISTING ENTRY WAY STOOP .REMOVE BILCO
DOORS AS APPLIED FOR. REPLACES BP# 22710
at premises located at
6370 GREAT PECONIC BAY BLVD
LAUREL
County Tax Map No. 473889 Section 128
Block 0002
Lot No. 002
pursuant to application dated DECEMBER 29, 2006 and approved by the
Building Inspector to expire on JULY 9, 2008.
Fee $
150.00
.~..~
Authorized Signature
ORIGINAL
Rev. 5/8/02
3 'J-b ~s Z-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSlRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
t,><1 FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
DATE I ~ I '1". () 1
INSPECTOR
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INSULATION PER N. Y.
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CODE
FINAL
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ADDITIONAL COMMENTS:
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FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENI
TOWN HAll
SOUTH OLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 22710 Z
Date ..............~/?........................... 19..9.{
Permission Is hereby granted to: .
...4I/I/.~......L....~~..... /('?'...
...I?.a.. .49:r...... .?#..?... ................. ... ....................
...~~.?.........~~....../I?/"/!.............. . ,
to ....d.~.........&aI.......~~~~-=.......dZrL..."~..o.~.,,
~L.o/~......~!!:........~C.........................,...;,..............d~....~
~..............~?...~?..........~~€)............d~..~..................................................
::.:.:==:~;~2EJ~z~~::~r
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,I,1.f' d"L 072.:
County Tax Map No. 1000 Secflon ......................... Block .......................... Lot No. ............................
pursuant to appllcaflon dated ..........~~........................... 19....~. and approved by the
Building Inspector.
F~$.....74::~......, N
~
~~~i~mm
Rev. 6/30/80
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 27th, 2006
William F. Coster III
P.O. Box 533
Laurel, N.Y. 11948
RE: 6370 Great Peconic Bay Blvd. (alteration existing stoop)
SCTM# 128 2 2
Dear Mr.Coster,
Please be advised that your Building Permit #22710 issued April 28th, 1995 has
expired. According to the Code of the Town of South old, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $150.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Albert J. Krupski, President
John Holzapfel, Vice President
William G. Albertson
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New Yodc 11971
Telephone (5 16) 7~5-1892
Fax (516) 765-.823
BOARD OF TOWN TRUSTEES
TOWN OF SOU1HOLD
April 5, 1995
Mr. William F. Coster, III
P.O. Box 533
Laurel, NY 11948
Re: SCTM #128-2-2
Dear Mr. Coster,
According to the information and the copy of the survey
submitted on April 5, 1995, the Southold Town Board of Trustees
have found this project out of our jurisdiction under the Town
Wetlands Ordinance.
If you have any questions, please call our office.
Yours truly,
a,/v.4 ~ ~. 9.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
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.
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UNATHOR1ZED ALTERATION OR ADOmON
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SUFNEYOR'S INKED SEAL. OR
EMBOSSED SEAL. SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
GUARANTEES INDICATED HEREON SHALL RUN
ONl,( TO THE PERSON FOR WHOW THE SURVEY
IS PREPARED, AND ON HIS BEHAlf TO THE
TITLE COMPANY, GOVERN~ENTAl AGENCY AND
lENJ;r~G INSTITUTION USTED H.EREON. AND
~O i-he.. ~GNEES ~- ,I1E lE.hOlNG INSTI-
n.mON. GUARANTEES ARE NOT 'TRANSFERABLE.
THE EXISTANCE or RIGHT or WAYS
AND/OR EASEloIENTS or RECORD. Ir
ANY, NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR mu: SURVEYS AS ESTABUSHED
BY THE L1AL.S. AND APPROVED AND ADOPTED
FOR SUCH USE BY THE NEW YORK STATE LAND
Trru. ASSOCIATION.
N.V.S. Lie. No. 49668
oseph
Land
A. Ingegno
Surveyor
'rveys - Subdivisions - Site Pions
Construction Layout
.16)727-2090
Fax (516)722-5093
MAILING ADDRESS
~-1L BrnL..1
LOCATED AT
lion Square
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. FORM NO.1
BOARO Of HEALTH ........
] SETS OF PLANS ........
SURVEY.....__..........
CIlECK ..................
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CALl. 1?J........ ~W. . .
HAIL TO:
.. -5.
TOWN OF SOUTHOLD
BUiLDING DEPARTMENT:
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765.1802
....~,__... __"T ..,_,_.~.__.~_._. ____.,
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EX:;i~~d .. . .:/%ff... .., 19 ~r
Approved. " .5:y:7.r:... . .,1;1,( Permit No. -?~?//?t:;. .
Dis3pproved 3/C ............................ . . . . : . . . .
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .
.. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .
............................... ...~#;>t.i........
APPLICATION FOR BUILDING PERMIT
Date. . . .. . . . ; . . . . . . . . . ., 19. .
INSTRUcri,ONS
I a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 street
, or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appL
~fu~ . . .
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 issued a Building Permit to the applicant. Such permi
shall be kept on the premises available for inspection throughout the work.
e. No bUilding shall be occupied. Or used in whole or iIi part for any purpose whatever until a Certificate of Occupanc:
shall have been granted t.y the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department fo~ the issuance of a Building Permit pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 0
Regulations, feft 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 te
admit authorized inspectors on premises and.in building for neces~~~. i.n~.r::~~ . . . ... . . .. . . .. . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
.. PO: R~. ~~~: .?-.~~~.e;'.,. ~). .I.I~~~.;.......
(Mailing address of applicant)
..
State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician, plumber or builder.
. 0 tv NGlZ. . t~:r. ::,,~fl;i
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1>. .'" t ~:'~ -_~- '-;.0 . . . . . . . .
N,m, of o.""f ,.m;,,, .H"'tN ~... /";~ . ""IJ>(:;~~';h,;;;::;;;[_~:;j/Oi-
if applicant is a corporation, signature of duly authorized officer. ~ / II'(: ',/ , 7~
NOnFY BUILDING DEPARTMENT AT
788.1802 8 NA TO 4 PM fOR THI!
FOLLOWING INSl'EC11ONS:
1. FOUNDATION. TWO'REQUIRED
FOR POURED CONCRETE
2. ROUGH . FRAMING . PLUMBING
3. iNSULA1lON. . . .
4 FINAL . CONSTRUCTION MUST
. BE COMPLETE FOR C.O.
ALL CONSTRUCTION .SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION . ENERGY
CODES. NOT RESPONSIBLE FOR
1. Loc3tion of land on which proposed work will bedone. .:........."...... DESlGN'OIl'CONSlltUcmoN, ERRORS.,
. . ~.~?!? .. . ., . . . . . .. . . . . . . .Pt:':0?~I~. .~fl:1. . ~.l:-~~..:. . . . . . . . . ,I.., (})J.12..8... . . ~ i. P.9.Y.8. . . . . . . . . .. . . ..
House Number Street Hamlet
...... ... ................... ....... ............
(Name and title of corporate officlJCCUPANCY OR
Builder~s License No. .............. -USE 'IS 'UNLAWFUL
Plumber's License No. ........,.... WITHOUT CERTIFICATE
Electrician's License No. ........... .OF.-OCCUPANCY
Other Trade's License No. ....,.............,..
County Tax M3p No. 1000 Section ...:. .I.~.3: . . .. . . " Block '" ./?'l:-. . . , . . . : . " Lot.. ~ ~. . . . . . . . . . . . .
Subdivision........,... fY~{..... ,.....,.,.. ,. Filed Map No, . .~........,. Lot........,......
. (Name) .
2, St3te existing Use and occup3ncy of premises and intendcd use 3nd OCCup3ncy of proposed construction:
a. Existing use and occupancy... .f~l,~I!'T~.. ~~~I,?~.~e;.,............... 'W',',. ".1"..............,
b. Intended use and occupancy ~,ff/.1 rf. i\t~ ..,-' (; . . . .. YllA!~"
: . . . . . . . ',.' . . . . . . . . " . . ',' . . . . . . . . . . . . . . '~,'f!'l Y'l.>-':~~;:,\':' ~~-:"~: ',;:~~~:r-'. '~,'~_~ . . . . . . . .
<j',
,3. Nature of work (check which applicable): New Building . ~........ Addition.......... Alteration r.':'.;'..:..
Repair .............. Removal.............. Demolition ....:.......... OtW~~................
4. Estimated Cost '. . ~ 1. PP? j;, . . . . Fee.. . . . . . . . . . . . . . . . .. . . . . . . . . .e~~~I~~I~~~ . .
(to be paid on filing this application)
5. If dwelling. number of dwelling units'. . . . Qi'!.l( . . . . ". Number oj' dwelling units Oil each floor. . . ."7'. . . . . . . . . . .
. If garage. number of cars ............... ~. . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . .
6. If business. commercial or mi.xed occupancy. specify nature and cxt':nt of.each type of use. . . . . :7. . . . . . . . . . . . . .
7. Dimensions of existing structures. if any: Front. . . . . . . : . . . . . . . Rear ............,. Depth......,.,.,.,..
Height ............... Number of Stories. . . , . : . . . . , , . , , . . . , .'. . . .. , . . . , . . , . . . . . . . . . . . . . . . , . . . . . , . .
Dimensions of same structure with alterations or additions: Front ...,.,....,...... Rear...............,..
Depth....., .........,......., Height......, ~ ,.:. .......,..; Number of Stories......... .'.;. i;........
8. Dimensions of entire new construction: Front. . , , . ." . . . , . . .: Rear............... Depth .......:.,.....
.Height ...:........... Number of Stories. . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . .'.;-. . . . . . , . . .
9. Size of lot: Front.. . . . .. .. , '.1 . . .. . ..: .. Rear........."..,;.... ~ ... Depth ........... ~ .. .. . .. .. .
10. Date of Purchase J:1I1-:j.. .I~~:!:. . .. . .. .... . .. . '" Name of Former Owner ,..,... .1:I~CTV<i'~. . . .... , ....
11. Zone or use district in which premises are situated.. . ~~.'.. . ...... . . . . . , ... . . .. . . .... .. ::.......
12. Does proposed construction violate any zoning law. ordinance or regulation: . .I')1P,. . . .. . ......~... . .. ........
13. WilII6t be regraded ...... .hlP. . . . . , . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No
14. Name of Owner of premises ~ .fl~ . r.pe~'!-l\;'.rr: . Address. .: . . . .. .. . . . . . . . . . Phone No. .... . . . . . . . .. . . . .
"fo. -j...f. Name of Architect . SeJ::. B ~uJ ,of.lffTll:(/1-tiQ. . Address . . . . . . . . . . . . . . . . . . . Phone No. . .. . . . . .. ..i. .. .
Name of Contractor . . . . . . . . . . , , . . . . . . . . . . . . . . Address ... . . . . . . . . . : . . . . . . Phone No. ................'.
15.' l.s this property within 300 feet of a tidal wetland? *Yes........ No.........
*If yes,' Southold Town Trustees Permit may. .be required. .
. . PLOT DIAGRAM
Locate clearly and distinctly all buildings. whether existing or proposed. and. indicate all set.back dimensions from
property lines. Give street and block number or description according to deed. and show street names and indicate whether
interior or corner lot. SEe A1'T'A-c../-h;!) Co Pi Or. ~F'-OV-r <5u(J..vt:'~ . .'
III L.:i.JI: frrv'T.,11 &Iu~i U/1SO;JfCj CQNsr~,1(.1IoJ - ((fMO"~ .811<.0 DWe. /.l'>-I.l> '8t-....... "P
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. . , .w. \' ,t ( .l.Q~', '~"'Co.s* ( .....-1 t( '. : ;. , 'b-eihg duly sworn, deposes and says that he is the applicant
' (~a,me o~ind,i.vip.ua),slgning contract)
lbove named..... , " ',' /.. .. .. ,
, i., " . f'-..r ,,,\..., ,,{' .
'Ie is the. . . . ..' . . . . . . . . . .l.-!.~ ~\-X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . , . . . . . . . . . . . . , . . . . . .
. . , (Contractor, agent, corporate officer. etc.)
)f said owner or owners. and is duly authorized to perform or have performed the said work and to make and file this
Ipplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
.vork will be performed in the manner set forth in the application filed therewith. .
;worn to before me ttk /
......... "~9'/ .... .dael;..... '" .. L ./.. ....191>
~otary Public .... .L;~.. ... ..,. County
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(Signature of applicant) .
CtAIM l. GlEW
IIOI'AllY PUBLIC. Slate of New YorlI
No. 487950S
Qualified in Suffolk County ,~(.
CommiSSIOn bplles DecemlIe< 8. 1~ 't'
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BUILDING CONDITION
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10. Date of Purchase .~1l4. ,l~i}.q..,.." ........... Name of Fonner Owner....... .11~'-t-VtlJ~.........,..
II. Zone or use district in which premises are situated. . . i2.r;!;.1.~ .'. . . . . . ., , . . . . . , . . . . . . . . . . . . . . . : : . : . . , . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . .1')10. . . . . . . . . . . . . ~ . . . . , . . . . . . . . .
13. Will lot be regraded ....,. .hII'. . , . . . , . . . . . . . . . . . . Will excess fill be removed from premises: Yes No
14. Name of Owner of premises ~ ,tl~ . WP+',",I\:",rr: . Address. .. . . . " " . . . , . . , . . Phone No. .... . . . . . . . ; . . . .
1-f.-f. Name of Architect. Se:13:. B i3hc.4. oof.{7TT?I:tfbrO.. Address.. .. " . .. . .... .. . . . Phone No. ...........'....
Name of Contractor . . . . . , , . . . . , , . . . , . . . . . . , . . Address . . . . . , . . . . . . ; . . . . . . Phone No. ..........:....
15.' I,s this property within 300 feet of a tidal wetland? *Yes........ No.........
. *If yes,' Southold Town Trustees Permit may be required. '
.' , PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines, Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot. SEE' ,4n7\-c-IM Co Pi osr 12iCGOV, Su(2 vt:'-<i , .'
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STATE OFNEW YORK, .S S
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being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
Ibove named.
'Ie is the, .', . '. _, . . . , , . , , . , . . . , . . . . , , . , . , .. " .. , . , . , . . . .' .. . . , . , , . , , .
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NILLlAM COSTER
ELEVATION
IDEA "2"
v
W ENTRANCES
WARRFN A, SAMBACH sn
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...-51995
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