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Home My WebLink About32909-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32394 Date: 06/11/07 THIS CERTIFIES that the building ADDITION Location of Property: 2025 OAKLAWN (HOUSE NO.) County Tax Map No. 473889 Section 70 AVE (STREET) Block 3 SOUTHOLD (HAMLET) Lot 22.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10, 2007 pursuant to which Building Permit No. 32909-Z dated APRIL 16, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID & JENNIFER OLSEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~l~ Ayfhor' ed Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 uJS 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 trom 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 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. >h"It'7 New Construction: Old or Pre-existing Building: (check one) Location of Property: ')-();z..~ O~~/........, .J)...,......, ,>._.).).,1,/_ N7 "'i/ House No. Street Owner or Owners of Property: 1)...,.'. vi c7 /)"c.-....... ,t,,. CI J~- Hamlet Suffolk County Tax Map No 1000, Section Block Lot Subdivision Permit No. 3d- 'lD~ Health Dept. Approval: Filed Map. Lot: Date of Permit. Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) ~ Fee Submitted: $ L'5. ~" CD "O)..?, q '1 (2" <. I ci-lc d' ! Applicant Signature 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. 32909 Z Date APRIL 16, 2007 permission is hereby granted to: DAVID W OLSEN 2025 OAKLAWN AVE SOUTHOLD,NY 11971 for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2025 OAKLAWN AVE SOUTHOLD County Tax Map No. 473889 Section 070 Block 0003 Lot No. 022.002 pursuant to application dated APRIL 10, 2007 and approved by the Building Inspector to expire on OCTOBER 16, 2008. Fee $ 200.00 ~u... CrJlfL , Authorized Signature ORIGINAL Rev. 5/8/02 -<, 2-/~ i&- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION 8t [ ] ROUGH PLBG. [ ] INSUL [ [ ] RRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMlNG & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE , FINAL , , r- , ) !)r>& "7 Jfi-,P ( d'? I I / j;(/n rO, //", , ADDITIONAL COMMENTS , '". COMMENTS 10: V"'= '" J'~ n;:: ~=i 'It Vc: (' Go r'~ z 9 9J () q/ Go t!) ~ '" '"' , o y T'- ( ); <' (.-> (, t" ~ - t'" Jt11 <.'"' rti J? Lr ./ ?7 .J '~ ) ') \ r -f ':L () r ~. ') L'l (II CO ::E z m ,/;JJ S\ -' 0.-. ~ '" 0 ~ " ." - c- ~ ;.. i '"' J r - , 0 0<:' z ::ll 7 '" ~~ ,. ;.., -r ::: :;:! t':' .", -J rowN OF SOUTHOLD 8U1LDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold! PERMIT NO. ;;<,109 b 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: Phone /' 1,15 - 9 :1.1 tj , - PR t 0 2C,j APPLICATION FOR BUILDING PERMIT ~ Date 4/3/07 ,20_ 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 propertyhave 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 ofthe 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 c de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) David W. Olsen 2025 Oaklawn Avenue, Southold, NY 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Owner Name of owner of premises David W. Olsen & Jennifer W. Olsen (As on 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. I. Location of land on which proposed work will be done: 2025 Oaklawn Avenue, Southold NY 11971 House Number Street Hamlet County Tax Map No. 1000 Section Subdivision 70 Block 3 Filed Map No. 10723 Lot 22.2 Lot 2 (Name) '" . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Deck ..., b. Intended use and occupancy Enlarge deck 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration X (Description) 4. Estimated Cost $16,900.00 5. If dwelling, number of dwelling units If garage, number of cars Fee $200.00 (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 20x16 Deck 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories 30x20 Deck Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear I 30x20 Deck 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front 125 Rear 125 Depth 335 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~ 13. Will lot bere-graded? YES_ NO ./ Will excess fill be removed from premises? YES_ NO / "?..,,'.,....,. 'I$'~.I> >,,.,s tl'.Io.I_~~.._ 14. Names of Owner of premises -:J.",,..1f, "". ,.~~ Address <;;t1'..)~,I/_ AI'" I"'" Phone No. 710 C_~l..D" Name of Architect Address Phone No Name of Contractor Dan West 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 B.EQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO---.L * 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: COUNTY OF SUFFOLK) David W. Olsen being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Owner (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 before me this 3rd day of April 20 07 ~4q~) ~/ Notary.fl'ubl c David W. Ols~fillature of Applicant LORAA1NE [<LOPFER Nl'Jt2!ry Publie, St,,>e of NawYork 1'10_ 4820373 OualifiPd in Suffolk. County Commission E;.<piws Nov. 30. dtJ09 . .- LOT AREA= 42,~ 13 sq. ft. LOT I'lUWSER 1 J 5 30"14'ZO"E f'... o o ll) I"') I"') D " v 'J ('J o V -- ~ 15 III ::I :::> z I- 9 :~/,,'_#"'_W._~"'-( i -- ............. II! .15.4 kLJ o - ..... ~ co I"') Co CO Z I I '. \11 Z2 Ii Ii I ~ ffi ..., 250.00' LOT NUWBER 12 , 125.90 ------ ~~'f- ')- o o o ll) I"') ..., m ::I :::> z 9 34.4' --- I~ I ~ I "to \ I I"') ) I ~ I I Ul I I : : J I III I Go I I I I I I I I I N 2S23'SO"W 125.00' OAKLA WN A VENUE NOTE: CESSPOOL, SEPTIC TANK '" WATER SERVICE LOCATIONS BY OTHERS. _...._,.._,..__11I-_ IF_.FIItf,____auW._ _--CIII'--1111I)-- ___111_ """""'1 ...- /tIIIi FaR A ....x: ~ IIIIJ .. MD n.hIl '*' /IIIIE. NIJI' _ 1II1U11E lII! __ ,.. ..- __II Ma. -.. PA11CS. ~ -. __ 111 _IUIUII Clll lilt _ ClIlSI1IIlC1lCl _ ~ III __ 111111I _ . A WM11lllllll' IB'IIOII ...-lII'lHE____1JIL 11M la.a ~ ..... ....... .... -..Y 10 1HE: ...... RIll __ 1HE ...,. . ,..... MD ON .. IDW.I'TO 1HE mu: CfIIItMI'. ""'IM'" __~~1J8IIIl__1II_ IIDOIF_ ..- ........ . R J ~ ItIE MIll' mJ .--.E 10 MJDI1IOIML ~ OR - ....~ CllPIIII'" 111I_ _ _ _ _ ~ _...... _ -. III lII,....;Ii<l---AJ IDL...... Nell' . CDI -or TO . " w.>> TIIlLE 0l1II'f. CERTIFIED ONLY TO: DAVID W. '" JENNIITR W. H.S.B.C. SUNRISE ABSTRACT INC. OLSEN " (- --..JJ F'-,....-... P-- G~" I:, ~::, :.,.: ,:: ,:; c;: :; -I " . ,,' ,; '0' , ,,,' , IY,. DC..No. 0489a2.~, HAROLD F. TRANCHON JR. PENr-r.,UC.'Nci.~\l5-E ,..j !. ,- .," ,\ 8-22-2002 FINAL SURVEY 6-4-2002 LOCATED FOUNDATION 4 3-2002 R~SED DWELUNG JOB No. 01-617 FILE No. PECONIC DEYEL. CORP. SURVEYED FOR DAVID W. '" JENNIFER W. OLSEN LOT NUMBER 2 t.AAP OF PECONIC DEVELOPMENT CORP. AT SOUTHOLD SIlUATED AT SOUTHOLD TOWN OF SOUTHOLD - SUFFOLK COUNTY N.Y. SCAlE 1" = SO' DATE 12-20-2001 ALED MAP No. 10723 DATE 12-27-2001 TAX MAP No. (REF ONLY) 1000-70-3-22.2 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER. NEW YORK, 11792 631-929-4695