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Home My WebLink About31850-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32594 Date: 09/13/07 THIS CERTIFIES that the building PORCH ADDITION Location of Property: 895 JASMINE (HOUSE NO.) County Tax Map No. 473889 Section 69 LA (STREET) Block 3 SOUTHOLD (HAMLET) Lot 24.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 13, 2006 pursuant to which Building Permit No. 31850-Z dated MARCH 14, 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 UNHEATED PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FREDERICK WEBER, JR. (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3040275 07/25/07 N/A PLUMBERS CERTIFICATION DATED ~V4 o. zed Signature Rev. 1/81 ~ ----- -- -- --\ ~ ~ {l:i ~ n W [i --0", Fo,mNo,6 D ~-- - I TOWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 fii...D J DEP";". TOWN OF,5."lJTHO~D ICATION 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 IIse: 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 certifkate 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-confonning IIses, 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 bnilding $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 ofOccnpancy - $,25 4. Updated Certificate of Occnpancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 8/;'7/01 New Construction: ./ Sq:f House No. Old or Pre-existing Building: ::rIfSf--f IN E- Street (check one) Location of Property: L~N~ SOU/I-/ClLi'> Hamlet Owner or Owners of Property: F R E;:' E R It K R. 1/\) F. R E R Suffolk County Tax Map No 1000, Section 0(, '1 Block 000.'3 Filed Map Applicant:_ Lot oa L(, 00 J Subdivision Lot. Pennit No. ,i Ig~O Date of Permit. 3/1 L/ lOb Health Dept. Approval: _ Underwriters Approval: ________ Planning Board Approval: Request for: Temporary Celiificate Final Certificate: (check one) Fee Submitted: $ .J.,uu &J O)~/j / Applicant Signature - ~.I?;O'1~ ('0 -c 3;<SltL( 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. 31850 Z Date MARCH 14, 2006 Permission is hereby granted to: FREDERICK WEBER 895 JASMINE LA SOUTHOLD,NY 11971 for : UNHEATED PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 895 JASMINE LA SOUTH/PEC County Tax Map No. 473889 Section 069 Block 0003 Lot No. 024.001 pursuant to application dated MARCH 13, 2006 and approved by the Building Inspector to expire on SEPTEMBER 14, 2007. Fee $ 150.00 ~/.;~ C~ I Authorized Signature ORIGINAL Rev. 5/8/02 ~4, - 3~ Ztl./ l!I.l!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 ~ ~ ~ ~ FREDERICK WEBER FREDERICK WEBER ~ ~ 895 JASMINE LANE 895 JASMINE LANE ~ I SOUTHOLD NY 11971 SOUTHOLD, NY 11971 I ~ Located at 895 JASMINE LANE SOUTH OLD, NY 11971 ~ I Application Number: 3040275 //--Certificate N~;;'~~~:~ I ~ Section: Block: Lot: (Building Permit: 31850 BDC:} ns11 ~ ~ ~.~ ~ ~ Described as a occupancy, ~;" tRE ~reffiI3e,e1"il"t1r-lcar;y;;;em consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ front porch, Outside, PorchlDeck, ~ ~ 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 25th Day of July, 2007. ~ fojJ Name OTY Rate Rating Circuit ~ ~ ~ Miscellaneous ~ ~ 3-high hats on front porch ~ ~ Wiring and Devices ~ fojJ Fixture 3 0 Incandescent fojJ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 1 of 1 ~ ~ ~ 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 l!I~.l!I 31 rSO ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~LATION [ ] FRAMING I STRAPPING [vrFINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION , REMARKS: /ltPJl) fUstL ~~.... ') ~ ,0h~ ~ DATE INSPECTOR 3J rS-D ;!- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION M FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: I~~ LA- 0 k .-T::iF- ~, DATE 3 --- H ~ 0 ~ INSPECTOR ~~ :?l BSO ~ TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ vi{RAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PlBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: ~,. 'j t/ dL:;1-- . ~ (j DATE 05'/1S- )p(, I ' INSPECTOR ~It/t- FIELD INSPECTION REPORT .1 FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL -", DATE ~../"LL ~Io COMMENTS y?'~ /J: _ 1/.fZ~ :;...., 'f-,,~ /A. ...e-;, # , ( __f ~6 ~~ , I D/r ..-'./ ~ ./ /.... PO /' ....7 . Jf" ....,,-. - ~ k fJ "P F 1'f),,,I/J ~ h.4. /.\./JA",/ ~~n cJ)." J'nL;' t J ! ./ q/(.,lfJ 1 (}1t; A co 'J I II -+- 1/ . ADDITIONAL COMMENTS J_~ /j' -' (/ ~..' ~ ;;:7 , . / w." ~ o<l~ U\- a;; ;;:.2;' ))o.~o ~'s-~ Z o 00' S) (J\ '" .., LI~ c .., U' 2 C-' ~ r ~ ~ t'" ~ .., ~ r' .,' r- ~ ..J ~ c::o.... ~, ~,. p ~,\O '::!i: r z " m h;>J \' 7' cE ~ :>< -SJ." \ - -c ~ \ ::l Co 0 -JZ == <-, ~ -.!-< - .., ..p== o ~ ." ~ ------ ./. -90..Ja- ~S..f.la_ <'"1<> ."". '~I"~~ ~Oo' ~lA ~ i!!~ ~"'.,... L07(j) , , 31.3' '5" --....:::.., ~ I L~~r!1 . :: ---- .s ' C:e",/C ~. _ "'-0.' I\:: ~__ - ."'.", -"'~O.,,- ""'Q' ... ~ F/.O 1<'0."". - _ ~ ~ Itt[ 8~ C~ 1M IDuIJons 0/ .._ and ~oJs 6bQwn _H/I lITe from fieJd CJb6ervtdlons DIldOI' from dtJ/a obIaJned from ttIher$. SllF'FOLk COlNTY DEPARTWEHT OF HEALTH SERVICES FOR Af'PRQV Al Of' CONSTRUCTION OK.. Y DATE 93 SO /9 nEVA noNS ARE REFFRENC€D rOAN~DATI.AW. "is. REF. NO. APPROVED , C'I) ~ ,,~ ~fi Qg l~ l!sS' J AREA = 17,661 sq.ft 't " ~ ~ TM waler .IIppI, and ....age dkpo.aI .,.,.". lor ". r.61Hnc. will toIIltHm to //HI ./andlJrfh 01 The Suffolk Counly !hparJmenl 0/ Health S.,.vicu. SUffOLK COUNTY DEPARTMENT OF HEALTH SERVICES SINGLE FAMILY DWELLING ONLY . Appnwal IIf Constructed Works H.D. Rd. No. 1, so /1 Tt!! SC"'I",", ;l,:>-ro~~: i'mj iNIItef $U;lPIy faClliti~ at tI1is location t:~~. lIa:r" wr:~i."" ,,;..~ctBd by this O~t-iitment ;;1m! art In CUfIljlllanCe \1,tn u:':It ~~bUllt pl>llis f'E DEC. n " W ','-S- ',;",- Cl.. c;;;,. J . . DATE Ot t CHIEf Cr l:il;M:Rfil EN;;INE.ERltll> SEIW:;;ES SURVEY OF LOT 1 "AW' OF SOUTHOLD l'UA~ SECTJON TWO" FUD Al,Q ~ _ fIE NO._ AT SOUTHOLD TOWN OF SOUTHOLD. SUFFOLK COUNT~ NY. 1000-70 - 01-/>/0 lJ Scale: 1" = 40' Mar. 15, 1993 Aug. 24, 1993 (fOUlrd.tion) Nol'. 18, 1993 (final) r:? 93j ':oYI . "",,"""'\W.' 1i'V/\F~!W!:, \Hh-lo\"',;,~ ~ lk71-V ~!;>1- 1iBJl. Prepored In tJCCDI'dt1nc. wllh ,he minImIHrI sftlndordG for IlIIe lUf'Vel1 tJ$ NlabIlshed by Ih. L./.A.L.S. ond approved and _'.d for such 1/$. by Th. New York S/l1le [and TINe A.sfJcktllon. "'0" ,C. OEP '<t~\Ct.S ~",L1\I SL Ltc. NO. 496/8 C P.C. 15161 P. o. AlAIN ROAD SOUTHOLD; N. Y. II 9n TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SoutholdJ PERMIT NO. ~{(ro 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 ISu, G " Septic Form N.Y.S.D.E.C. Trustees Contact: 3f~'200~ , I ,20~ Examined Approved Disapproved alc Mail to: Phone: Expiration 1 k-, 20~ [; , {CJL Building Inspector ---...------, MAR I 3 lex., , , APPLICATION FOR BUILDING PERMIT i I D~ I ,20_ , ~ INSTRUCTIONS r .. 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 tD adjoinin~1Jremises 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~~~ (Signature of applicant or name, if a corporation) 895 :rI'lSfhlN':o hA. SouTI"old N .'-(. 11'111 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder APPuC/"'-'T ,s ow.....~r<... Name of owner of premises FA,;;:Q('lLlO<. R vJE6E:" (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, 1. Location ofland on which proposed work will be done: 89S :fAS(Y\/I'vE: hl'l House Number Street Hamlet County Tax Map No, 1000 Section Subdivision G,<1 Block 3 Filed Map No, ,I;ot~, ~ '~L. 'Lot "'1.j~;,:"'~;;.,,, (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy \Z~S' OENC~ b. Intended use and occupancy f'/2"oNT 70 P--c...1-\ 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition X' Other Work Alteration 5000 ,/ (Description) 5. If dwelling, number of dwelling units If garage, number of cars Fee \ So .00 (To be paid on filing this application) Number of dwelling units on each floor 4. Estimated Cost 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. Depth 25 7. Dimensions of existing structures, if any: Front 35 Height 2- L/ Number of Stories Z. Dimensions of same structure with alterations or additions: Front '35 Rear 35 Depth .fJf31 Height 2'-1 Number of Stories Z. Rear 3 5 8. Dimensions of entire pew construction: Front 35 Height 'is . Number of Stories Rear \ Depth 4;J 9. Size oflot: Front Rz.i.c.'1 .', ~ Rear_ \ Le.' Depth I CO I 9 0 10. Date ofPurchase~Cl'3 .._Name of Former Owner NEw 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO 1 13. Will lot be re-graded? YES_NO L 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 L * 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) SS: COUNTY OF ) F'(.l..r:OE.lt.lc.iL Q. WE.~R.... being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Ov-lNE.(.l... (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 6~ (').. ~~~-<ili Notary u hc ~) Qu.ftJJ--- Signature of Applicant 1..1)_ _ SlIII.....M 11I.0 __il~ C I . :. .r. ,