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HomeMy WebLinkAbout32028-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32436 Date: 06/27/07 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 795 (HOUSE NO.) County Tax Map No. 473889 Section 100 SALTAIRE WAY (STREET) Block 1 MATTITUCK (HAMLET) Lot 20 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12, 2006 pursuant to which Building Permit No. 32028-Z dated MAY 23, 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 ACCESSORY UNHEATED GARAGE & WORKSHOP AS APPLIED FOR. The certificate is issued to WILLIAM J. & BARBARA MEYRAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3032290 OS/22/07 PLUMBERS CERTIFICATION DATED N/A ~~ , r uthorized Signature Rev. 1/81 1.----.- -' r~ . ~ [~ n \g ~ lfu"'N 2~2[ jluJ BLO'~, OEP~. I T WN QF S"~THQ: J ! APPLICATION FOR CERTIFICATE OF OCCUPANCY Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ 775~01 ~7JY rrf5::l. - 3(j'J 7 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/ I 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. ---.JUt'\!, 2. 5 J 2007 New Construction: / Old or Pre-existing Building: LocationofPmp0r~(715 .~""'dI~ tJJ~ . House No. treet L- . - .' .~ :Owner or Owners of Property: WIIII~ 4 'Baibdf-. Suffolk County Tax Map No 1000, Section 100 ~ (check one) Hamlet /Y't.p'r"'" Block ()\ Lot 20 Subdivision S.l'- o~ OateofPermit.,Ll 11 iFf Filed Map. Lot: Applicant: W'\\L~ ~{bI1 Pennit N03l b2.8 7 Health Oept. Approval: Underwriters Approval: Plmming Board Approval: Request for: Temporary Certificate Final Certificate: vi ( check one) Fee Submitted: $ 2'5.00 tJ....~. 7 J.. 7 p; i c () :t:: 3), 1.-( '3 ~ ~~.~ Applicant 19nature 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) 23, 2006 PERMIT NO. 32028 Z Date MAY permission is hereby granted to: WILLIAM J MEYRAN 795 SALTAIRE WAY MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY UNHEATED GARAGE & WORKSHOP AS APPLIED FOR at premises located at 795 SALTAIRE WAY MATTITUCK County Tax Map No. 473889 Section 100 Block 0001 Lot No. 020 pursuant to application dated MAY 12, 2006 and approved by the Building Inspector to expire on NOVEMBER 23, 2007. Fee $ 141.00 ) (;.~ .,/ ,,/ /;::i~ ;JL ( Authorized Signature ORIGINAL Rev. 5/8/02 /OZ) ~ / --z.b I!I.I!I I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ WilLIAM J. MEYRAN WilLIAM J. MEYRAN ~ ~ 795SAlTAIRWAY 795 SAlTAIR WAY ~ I MATTITUCK, NY 11952 MATTITUCK, NY 11952 I ~ located at 795SAlTAIRWAYMATTITUCK,NY11952 ~ ~ ~ ~ Application Number: 3032290 Certificate Number: 3032290 ~ I Section: Block: lot: Building Permit: ').() 'J..-i BDC: n511 I ~ Described as a occupancy, wherein the pre~es electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ First Floor, garage only, Detached Garage, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 22nd Day of May, 2007. ~ ~ Name OTY Rate Rating Circuit ~ ~ ~h~ ~ ~ I 60 4 ~ ~~~~ ~ ~ Outlet 13 0 Fixture ~ ~ FiKture 9 0 Incandescent ~ ~ Fixture 4 0 Flourescent ~ ~ Outlet 17 0 General Purpose ~ ~ Receptacle 14 0 General Purpose ~ ~ Switch 5 0 General Purpose ~ ~ Receptacle I 0 40a Appliance ~ ~ Receptacle I 0 GFCI ~ ~ ~ ~ ~ ~ ~ ~ H~ ~ ~ ~ i I of I ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I 1!I~'ii!lii!.1!I 39-0 .?--l TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING 0<( FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:~ . ~ (9 ~_r~ f::, { ~~ ~,~. ~ UV\A DATE G'iT--tJ 7 INSPECTOR A ~ I 3 ~ r'l ;z.... TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION M FOUNDATION 1 ST [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION I~~ tL- k, DATE 7 ~;-f~ D h ~~ INSPECTOR ,. ?;LOd-~ Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION ~ FRAMING I STRAPPING [ ] FINAL ~ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ;::~ f- ,~- ~~~ Ud- Ok, DATE !f>- ~-O ~ INSPECTOR ~~ FIELD INSPECTION REPORT DATE -1~'2l. "t I -, FOUNDATION (IS1) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE . FINAL . / /1";'- '.... , . 1 v , .AI / /I i' //{ COMMENTS 'AJJ ~ -- 7H4. v V ~_u ~ /f/.,~ "Ill ~ ~ "'V,/ "'-(/ ~~ <>9::l r)J"" . "" ~ en . 't"J -...Jz io-;J6 .tJfo r.... ~ ~'~ J.. _-n.. ~ '. A .A..II..> ~ p A),''-'L.. Y/Oj (/ ".4A",;" ,-Vf)J< //;, ~ (1 <7 ~ >"~ > ~ ~~ ~ ~. j- ~i ~~ ~ := tvl'1> D / T /i / ~'--. 07\ -W'7 :tl/ V O'p-V -r,... ~ 4! 1 ~ - 0 ~~.. ")0 - " -l"i -;>< ~.. ~.... ......3 .::."" . .... -..)0 Z il: l"i ~ "" il: t::I l"i .. ~ /II /lJ.. / ' ADDITIONAL COMMENTS TOWN OF ~Ci)UTHOLD BUlLD!~G DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. J ;}-{)<:L~ l::; 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: Examined Approved Disapproved alc f/()3 IY:> ,20~ ,20~ Mail to: I(f~ Phone: Expiration ,202.1- ----, r? r", ii: ,."': -...... "I il. MAY I 2 ~ ') i, ,-l.~>,; 'I.;" c APPLICATION FOR BUILDING PERMIT ,. I .' _~~:I---1 Dat~7 1"2- ,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 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. APPLlCA nON 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder V II>U ......v- Name of owner of premises ~.. 11 ; Cl._ ~ 1$ ~,....&...,.. M'(IP -ii "'4~ (As on the tax roll or latest de ) 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 ofland on which'proposed work will be done: ? 9 ~- ..J'o..../"I- 4."""W;;'1 House Number Street H'f --'I,' f. ,.j~ Hamlet (Name) 1;" .Lot Lot 2.'2) ." r\ "".'~1 County Tax Map No. I 000 Section / 0 CJ Subdivision Block ~ Filed Map o. , --.-.....- ." > ..- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: . a. Existing use and occupancy 6l t::l ~ tIl. a ~ . I eo.v- b. Intended use and occupancy ().. Q.. r tit. a _ . 2- e!! a r 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work ~ Alteration ~ ?-s-ClO (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars '2-- 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. - (To be paid on filing this application) Number of dwelling units on each floor 7. Dimensions of existing structures, if any: Front I?... Height I":;! Number of Stories I Rear I "2.... Depth 2<. Dimensions of same structure with alterations or additions: Front '2. ~ Depth ~ (.) Height / ., - ~ Number of Stories . Rear 2. '0/ I 8. Dimensions of entire new construction: FrOnt "'2 '( Rear Z <-I' Height I' $- - '3 Number of Stories " .s- -3 Depth Jc.) 9. Sizeoflot: Front I"'~-o Rear / 5-0 Depth CC;O 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated t< ~ " , .~~... i...... I 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO ~ 13. Will lot be re-graded? YES_ NO_~ill excess fill be removed from premises? YES_ NO~ Address >9". 5....#1......, c Address Address Phone No. ecr ~ .32.("" J Phone No Phone No. 14. Names of Owner of premises H~"f';- '"'-'^ Name of Architect Name of Contractor 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. 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) f) SS: COUNTYO Vr'::OUc..) eN,' /I.."-.........~. /,?., 6 I'-A...... being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing co tract) above named, (S)He is the ~ "" n- of? 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 t~before me t~ 3:- ,"YO~~ ., . , Jh\Ul. - ~ .) Not P. blic 20~ t:v -<."# -?:/ ~____ Signature 0 pplicant MElANIE DDROSKI NOTARY PUBUCbState of New'tlllll No. 010 4634870 Qualified in Suffolk County '- ~ 7\( CommIssion Explres Sepl8mb8r 3O,.Q.l.IU';::> I --~/' p-l - . , "f I +11 'm. I , I _.___.1. I ...... w Zu WZ ~~ <<,..-, Ita tlI '--' ;-+..;: L~ t;-_;~ '2 '.:Ot,.,i \ I o g o ' , N.75 00 30 E. f / / 3 , ! . , , , i i I 3{ :~ $. "') t9-!;,~c~'w \- ? ~;' \ $ ~-~ i.L.... E12 -ro'~p F5ALTAif<cE E':;TArES" FILED IN -----'-------.-.....;.-- "..----.--. ,---- ,ctef2k'.'e; QFf'ICE A.?i'1':\E"~9A~~, . n_ Ai2.E F"120M SUFF. CO. D. P. W. AlJ2IAL SUrlVEY:, -.--.-.----- -. -. ------------._-~ A LEVEL, .,.-.---- "~1 f -~---------2:(i).O-1 ' ~---50" . ,," I i i ".."et-.1Ue r~IO_\l\eW ,=,Ou"" ~--.~. -------- ------ ---~_. " ~ (VAC:A!-l1) S5 ti; \. 2- 0 \ , , 1---;- ....' <:6 - r , , ~ - - <i :t () "1 (j) >0 I~'::' ''0 -- '0 ' :22> \.....y IlGESlDE~E) " i III lil .. t !J;. - / ~ -~ ~r . o o ll) )- 1 j ,/ ---.- I .[ , ! -~ ~N . '- ~~ //' , SUFFOLK COUNTY DEPT, OF HEALTH RIVERHU,\ N.Y. 11901 / , i / " MAP or mdf?t~y'At'86 ') , I I I SUf2VEYED \1 'II i !^t\./1 \ .r'/ \_. L 1--\1 " I -I 'jJ AT '....J --- z MATTIT~CIl UJ ~ I TO.Y'!-NO,f'SOUTH0LO, NY. [j I ONLY '-,> ~' SlNGLE,~~~ LY~E6~~EGOF APPROVA EX IRE6~QY~. .. I 6 ! ! FOR.. MEvr2AN .i ~ [} . EXCAVAI ''''NSPECTION RmiliED / , IJ.J I' '-~ D;I ~ \ u ill D' . ..... . ~-- 'I'::" . SCALE. 40" ( / ~12EA '90~Q:JO 5.F. / u'MQNUMENT .. -,"" 1-. r '. '" ,"',' -1't", . A5SU~.~~K ~ TUVL.f!f"IQEi6 '..~ ~ ~,~ LICENSED LAND SURVEYORS GRItENJI'OfItT . NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. ~ '(.-+f ~ Cae'! JI- ---t\ ~ ~ v....(.J ~~/ o~\ ST ATEMENT OF INTENT THE WJ\TEIt SUPPL Y AND SEWAGE DISPOSAL SYSTEMS FOR THIS RI'SIDIINCE WILL CONFORM TO THE ST ANtrAftDS OF THE Sl.1F'FOLK CO,'DE~PT, OF HEALTH SERVICES. IS) /.....- jlf~~ '7?1';-~/\.-a.-<.- APPLICA ~ , SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPRO~L OF CONSTRUCTION ONL Y /r~/, 'j-h DATE ----&-" I,,). H. S. REF. NO --<1.~r S Ii ,,-<< / I "!fROVED ~ ...':1..~~'511 ~ SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PeL. i:DO iLD 20 OWNERS ADDRESS: :aJ ~'~.T:::J .~_~L;-_.~J~2.j \(f':._y!' t~~j J _ pggr 'v-1f:-.'5i-III--lGT'::n.i NY. J 1050 ... "'," .._.J...-....::.._.__.__..___..____. '._ 88S-75l5 ._-~ DEED: L. lEST HOLE --FROM MAP OF SALTAtllE eST --TOP 50 I L P. STAMP SAN D, G12....VE L II .CtAY Un;;''f"O''";~qd alt~&ts.,n Of a6:1itlon t.o this surv/llY i. II vi~tion Of S~ctiol'l nee of th. NeW' York a.Ie Education uw. Copi~ ~ this survey mep not belrinl ttll"c land 9UI'Ve'\'Gr'Slnlmd. _.. ! embossed.... $hdl noI:Mt.:Ol Un"" to be .It valid true COfIt. ! __lndic8tod --""'i, ., 0riIy io th. ....... for """'"'... ~ "~~d~ title company. gonrnmenhll qencr . lending institution liated hereon and to the assignees of the 1endtnI.... tution. Guarantees are not....-n to addition"! institution. or .cc U-L-~___--~1 " I I CLAY, . 5MAUAM OF SA,ND SAND, LLAM' oF CL..... Y 6.9 COAI<5E: SAND II GlU\VE L ,jt. ~ \ ,-c,