HomeMy WebLinkAbout32149-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
1110: Z-32810
Date: 12/27/07
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 6725 GREAT
(HOUSE NO.)
County Tax Map 1110. 473889 Section 126
PECONIC BAY BLVD
(STREET)
Block 10
LAUREL
(HAMLET)
Lot 19
Subdivision
Filed Map 1110.
Lot 1110.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 13, 2006 pursuant to which
Building Permit Il1o. 32149-Z
dated
JUNE 21, 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 GARAGE WITH STORAGE ABOVE AS APPLIED FOR.
The certificate is issued to DEBORAH SEIDENBERG
(OWNER)
of the aforesaid building.
SUFI10LK COUNTY DBPAR'l'MEI!IT OF HBALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE Il1O.
3044279
08/30/07
PLUMBERS CERTIFICATION DATED
N/A
~~7-
A hor1zed S1gnature
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:
1. 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
Date. I:A / J- 0 ( D 7
Old or Pre-existing Building:
b 7J,5' Pc.cuN\~ I~(),.V /3 f liD
House No. ' Street
/
(check one)
h CA..u4. IE t... AJ i / /9''i'J''
Hamlet
New Construction:
Location of Property:
Owner or Owners of Property:
/J1r"Z
'3. Gl De.. <10 "~e...~C-
I J- b Block , 0
Lot
/1
Suffolk County Tax Map No 1000, Section
Subdivision Filed Map.
Permit No. "?J ?--, I <-I 0/ Date of Permit. c:, (7/ (6 6 Applicant:
Lot:
~Qc.."'Jc...t( tJllL~vnJ:?.,J
Health Dept. Approval:
Planning Board Approval:
rvlfl
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ :J.. ~ oC
Final Certificate:
V'
( check one)
&'x.135'{
Co ~ 3J.~ 10
_R~ iA~
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.
32149 Z
Date JUNE
21, 2006
Permission is hereby granted to:
DEBORAH SEIDENBERG
6725 PECONIC BAY BLVD.
LAUREL, NY
for :
CONSTRUCTION OF AN ACCESSORY GARAGE AS APPLIED FOR
at premises located at
6725 GREAT PECONIC BAY BLVD
LAUREL
County Tax Map No. 473889 Section 126
Block 0010
Lot No. 019
pursuant to application"dated JUNE 13, 2006 and approved by the
Building Inspector to expire on DECEMBER 21, 2007.
Fee $
279.00
~Cu-
, Authorized Signature
ORIGINAL
Rev. 5/8/02
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the appl ication of
upon premises owned by
SMITTY'S ELECTRICAL CONTRACTING
24 COTTAGE DR
FARMINGVILLE, NY 11738
MR I MRS SEIDENBERG
1625 PECONIC BAY BLVD
LAUREL, NY 11948
6725 PECONIC BAY BLVD LAUREL. NY 11948
3044279
Certificate Number:
3044279
Section: Block: Lot: Building Permit: ,J BDC: ns11
Described as a occupancy, wherein the premi?e: ~!c~!~ ~t~ Ic~~ting of
electrical devices and wiring, described below, located inIon the premises at:
Detached Garage, 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 andlor 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 30th Day of August, 2007.
Name OTY Rate Ratin. Circuit ~
Miscellaneous
detached garage & screened
porch
Panels
50
4
Wiring and Devices
Receptacle
Switch
Fixture
Receptacle
Paddle Fan
6 0
13 0
19 0
2 0
2 0
Geneml Purpose
Geneml Purpose
Incandescent
GFCI
seal
I of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
.3 ~I f? z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
rA FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~
/~~-
J~~/~1'
DATE
7---IJ,-Ob
INSPECTOR ~~
J~I'f12
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
~ FRAMING I STRAPPI~G [ ] FINAL
-
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: &-.' Cl-vcl7ls7-~
~ :~r;,a<c1
DATE
7-~7r()h
INSPECTOR ~ ~
pOll If" :L
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING P<J FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~. ~
~ OK,
~~. ~, ~~.;
DATE l~r7 - 07 INSPECTOR ~~
. .
FIELD INSPECTION REPORT DATE COMMENTS W.."
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"1/12...-. Il J./JY R. J - IJ.R ~~~.p -~
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FOUNDATION (1ST) '- ,,/ (/" ....c:.._
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FOUNDATION (2ND) -l,i"l
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ROUGH FRAMING & , i"l
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INSULATION PER N. Y. ~ !;;
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STATE ENERGY CODE ~
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FINAL
,ADDmONAL COMMENTS :t
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
PERMIT NO.
,f J-I.{ 7 1::;
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:
G/V; ,20-4L
~ />-( , 20.f2L
I
Examined
Approved
Disapproved ale
Mail to:
Expiration
I
/yl.r( ,2007
,
Phone:
~
..----:- \? \'.~ - \
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V.' j\)~ \ ~ " Date b /19 lo~
" ...--' . .' " INSTRUCTIONS
'. ...-" C
~~;;:: 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.
APPLICA 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.
t:~ {A/#~
(Signature of applicant or name, if a corporation)
tO~~;{Cb IA.lIC '~v'131J1u MftU
(Mailing address ot applicant)
,!~
~uilding Inspector
,20~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
0eMnA t CCN\.,-lYo.ckv-
Name of owner of premises ~bn r(GI. h
Y,del-1~
(As on the tax roll test deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. 3S-~;2 ~ -
Plumbers License No. !:>5 ~.;t 'f
Electricians License No.
Other Trade's License No.
t-I
J/Y1 r.
1.
amlet
House Number
CountyTaxMapNo.IOOO Section_12~
Subdivision
Block Lo
Filed Map No.
Lot
Lot
L'
(Name)
2. State exist!n~ use and occupancy of premises and intended use and occupancy of proposed construction:
a. EXlstmg use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
,/
Addition
Other Work
v
Alteration
4. Estimated Cost
tf 2-. e> 0 cJ
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars I
(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 '2.4 I Rear
Height I <-f - OJ Number of Stories I ~-z-
.
Z-.'-fl
Depth
30 I
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear
Height I L{ - <3f Number of Stories I I-z.-
l
Rear~~ 7.flJ3 Depth
Depth
9. Size ofIot: Front
0'tJ 3 \
'tb-J b ~
10. Date of Purchase
I 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X
13. Will lot bere-graded? YES_NO ~Will excess fill be removed from premises? YES_ NO X
Phone No. ,11- "01- 2'isq
PhoneNo~
Name of Contractor Address Phone No. -
15 a. Is this property wit:n 100 feet of~t~.~~:tand 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.
Address
Address
14. Names ofO"lller of premises
Name of Architect
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 1 0 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)Heisthe f u ';) 'jell 01/ lie.{ w?)Ok/-
(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 koowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn t~before me this
/.3 day of
~ --;f/{/
Notary Public
20~
f~~ Ja~
Sigoature of Applicant
KEVIN POOI.AS
Notary Jllutl;t;, State afNIIW York
No. 0108132008
Q\~.l\lf"d 'n Suffolk CounlY22 2009
MyOommlslllqnExpiresAuglat .
'..
June 20, 2006
LOUIS J. SANTORA, A.I.A.
ARCHITECT
5 BETHPAGE ROAD
COPIAGUE, NY 11726
631-254-09J30-
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Town of Southold
Building Department
53095 Route 25
P.O. Box 1179
Southold, New York 11971
Re: SEIDENBERG RESIDENCE
6725 PECONIC BAY BOULEVARD
LAUREL, NY
NEW DETACHED GARAGE
Dear Sir or Madam:
Please note that the new detached garage is designed for a 120 mph wind load as per the
NYS Residential Code.
Please also note that the building will be constructed so as the height from average grade to
the mid point between ridge and fascia will be no higher than 18'-{)" as per the Town of
Southold Zoning Code. I will instruct the contractor accordingly.
Please do not hesitate to contact me if you shall need any additional information
Sincerely;
Louis J. Santora, AlA
Architect
ee) Deborah Seidenberg, owner
Russell Williamson, contractor
.
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TOWN OF SOUTHOLD .tOPERTY RECORD CARD
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RES. '2!t;) SEAS. VL. FARM 'COMM. I IND. I CB. I MI?C.
LAND IMP. TOTAL DATE REMARKS
SO () .,.. ').. 0 0 '2-7 # 0
3 '3 tJ6 v
0 0
'S610 4000 4-~cilil)
STREET
i:P-eC:6Jf1/ 'c
Blvd.
AGE
NEW
BUILDING CONDITION
BELOW
NORMAL
ABOVE
Farm
Acre
Value Per Acre
Value
Tillable 1
Ti liable 2
Tillable. 3
Woodland
Swampland
Brushland
House Plot
rota I
VILLAGE
DISTRICT ilJll. , LOT
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ACREAGE
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TYPE OF BUILDING
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I Est, Mkt, Value
FRONTAGE ON ROAD
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DOCK
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t Bldg. I Foundotion ~.. .. y Both (
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xtension :2.~ X ..e4- ,/~~ ::2 \ q,72- Bosement f~ Floors P) .
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xtension <~U> '" IZ '"-.;. 312 -=-;2 \\70 I Ext, Wolls Interior Finish ',:' < , .....u~
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xtension Heot ..-
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reezeway Patio ~ Rooms 2nd Floor
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1000 - 126
Scale: 1
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