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Home My WebLink About33114-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 01/11/08 No: Z-32828 THIS CERTIFIES that the building ADDITION Location of Property: 2480 (HOUSE NO.) County Tax Map No. 473889 Section 98 ARROWHEAD I.fI (STREET) Block 2 PECONIC (HAMLET) Lot 18.1 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 30, 2007 pursuant to which Building Permit No. 33114-Z dated JUNE 6, 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES A & DEBORAH VAN DUZER (OWNER) of the aforesaid building. N/A SUF1'OLK COUNTY DEPARTMBRT OF HEALTH APPROVAL N/A BLBCTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A ~~- Authorized Signature Rev. 1/81 Form No.6 C~--;:--I- TOWN OF SOUTHOLD :", ),~- . \ I BUILDING DEPARTMENT '" \ :: TOWN HALL \'JU I .. I O~. ~ 765-1802 GL D:C -;-;~ '~O' D AP LICATION FOR CERTIFICATE OF OCCUPANCY W. ()' " "T, -' i_~...:........ This application must be filled in by typewriter or ink and subnutted to the BuildIng Department with the following' A. For new building or new nse: 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 2/1 0 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: , 1. Accurate survey of property showing all property lines, streets, building and unnsualnatural 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 New Construction: ~ Date, )/"/0 $ I (check one) ~t:t1UIC , Hamlet Old or Pre-existing Building: :;2 '19D #r1'tJ(,V /;114C1 ,L,qM House No. Street (f/; hkf (ftJx,rd!/ IfrJ cLJ07t",c fr/ Block ~'"2 Location of Property: Owner or Owners of Property: /~ Suffolk County Tax Map No 1000, Section Lot Subdivision Filed Map Lot: Date of Penni!. rftl'l _ ApplicanL.a}9;t"~ ~h-V' ~-k Underwriters Approved: Permit No, 3 'SILL Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate ., r"Jr. "0 Fee Submitted: $ ~., Final Certificate: ~--(check one) ~77~.2~ c..O -f: 3:2.~2r 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. 33114 Z Date JUNE 6, 2007 permission is hereby granted to: CHARLES A VANDUZER 2480 ARROWHEAD LANE PECONIC,NY 11958 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2480 ARROWHEAD LA PECONIC County Tax Map No. 473889 Section 098 Block 0002 Lot No. 018.001 pursuant to application dated MAY 30, 2007 and approved by the Building Inspector to expire on DECEMBER 6, 2008. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 - ~- -~---- --=--- --- ~ -.- ......,..- - - )3/1Lf-:z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING jXj FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS: ~. ,F~~~ ;A, tJ,f: DATE 1- y - 0 F INSPECTOR ~~ 331\'-1-2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~FRAMING ~I~ [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPEcnON [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ ~ OK. '~I s- -CJ 1 DATE INSPECTOR ~~ '3 '3 /I Cf- -C- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 .INSPECTION .J!! [~DATION 1ST [ ] ROUQN PLBG. !1w [ ] FOUNDATION 2ND [ ] INSULATION -[~ING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONS1RUCT1ON [ ] RRE RESISTANT PENETRA110N REMARKS: I!-I'ff orf-. - ~,,~ crCC- / -~~ LJ,;"; ~ [~s. J;'7Z4-/JS- ~ /l~~ ' ~ c./ ~- 001S;-S ro Gt~ '7- G?~~ C Y'x y losr,- ..,J<Q"C C&-vu- CtV /crl- Y;Ud~ ~ DATE ~/111 J(JI INSPECTOR ~~ t I -r r--} FIELD INSPECTION REPORT DATE I COMMENTS ..... . - ~~ , . /j/~ /n~ ..JI.. ,OJ< .~ ~I ( / I ~~ FOUNDATION (1ST) .k.-'" {\J"" ---.-------------.------------------ . I I , Viii tV/g FOUNDATION (2ND) v' ~l"J Z I. lad? ~ h-.' '>-i: ~, A~ tJ.ilJ /~( L' ~ l)~ ';L -;'u:IL1 I" _ ,";,._<. 'tn (;,'. ~ ~A <" y_J2'.fC I ...\=- ~oo /7'i, ~u A,r;-, A~ NOrt? u ~ . ROUGH FRAMING & ulr '~1~' L.uSf'J r,..';.). -' .'\/.?.,/ t~ PLUMBING -!s-o A . d:;:1 , "7 P'fJiA ~ --. o-fr ~ ~ f1 J IV d' 5 -- [ --- -- ----.. - --- I--'--_..~----- ~i -.--- INSULATION PER N. Y. 1 NIP- ~ .., STATE ENERGY CODE /" , ~ . /.#" f J/ q--1 7" 7-, -.!/ c.a..- &' I " I . ' '?rT.:Af\ , v ~. FINAL r L ADDITIONAL COMMENTS ~ _.~- f~ - ~ ? ' ., ~ '>.) l"J S ~ . ~ ("" .., &-0 z ~ Z~ ~ ~; l"J ." ~ .' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold/ PERMIT NO. HI/4-l:- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health X 4 sets of Building Plans Planning Board approval >(Survey Check d-OO. 00 Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~ 20. 07 /(P:2Q~ Examined Approved Disapproved ale Expiration 1;fr",20Q-L Phone:7~r- 73'1.5 (CJ-L- Building Inspector .00 ~ nlt!", "rv 3 0 ~r "/1:", l'ii-1, { . " I, APPLICATION FOR BUILDING PERMIT Date 5-';; I ,20~ 8lU.. Dt:P~ __.T0''II'' OF ~".~"': 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. 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 ,e, and regulations d to admit authorized inspectors on premises and in building for necessary inspections. Z~ Il ~ (Signature of applicant or n INSTRUCTIONS !b61fJY; c2J'i' t?OeJ,v;c.).Jf.j /1'1'58 (Mailing address of appj{cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder CYwliJeJl / 0 e J i3I.Jlih~ ( 1/1,' I J'l'::: f"\ Name of owner of premises C n/!ll/~5 ~ '-'lIiJ -Llt/zt'z (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. ()tJ~J:Ep... Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which propos~ work will be done: :71 to Ar/'tU;A~#tf/ //f1/X. House Number Street dt!V'~/a Hamlet County Tax Map No. 1000 Section Subdivision f8 Block c/ ;2. Filed Map No. ~~~ Lot ~+- *4iIe~d.t Lot (Name) 2. State existing use and occupancy of premises and intend a. Existing use and occupancy ? . k5//t"d~ . use and occupancy of proposed construction: t:c b. Intended use and occupancy Addition Other Work <d~,'i> (To be paid on filing this application) Number of dwelling units on each floor /' Alteration 3. Nature of work (check which applicable): New Building Repair Removal Demolition ~~ ~a:?, oD (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of exjsting structures, if any: Front 6~ , 5 Rear ;;~. S Height '<, c> Number of Stories 7 Depth gs; SS- , Dimensions of same structure with alterations or additions: Front &b' .:f od/'..rE ( ---~, N ~Q... .;).) Height .'""'J-.' umber of Stories , Rear ~~ 5 Depth L 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size oflot: Front ;?/r. 9S Rear 3/;;1. d9 Depth 307,37 . / If''f. 77 ' 10. Date of Purchase ~/ /q 91 Name of Former Owner jlhel:;"".; I I ~ II. Zone or use district in which premises are situated If." Sf 'cP,.,u .;4.-t 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO / 13. Will lot be re-graded? YES_ NO ~I excess fill be removed from premises? YES_ NO ~ 14. Names of Owner ofl;?remises t'h1fk.5l1t/tt1 BVZt'".l.Address{?'1/IJ ~/"w'r"/ t~hone No. '} '3~ 138/ Name of Architect ~f /6yl;.d$ Addresslv,.,.l.u9,(tut'</,U'1 Phone No t:.3/-.;h&' 315'1 Name of Contractor - ~~/? Address - Phone No. - Rear Depth - . , 15 a. Is this property within 100 feet ofa 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 V * 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. 18. Are there any covenants and restrictions with respect to this property? * YES_NO ~ * IF YES, PROVIDE A COPY. NQY9AN J, NAGY orary F'ub/l No. 48967350 Slate c:>t New Yc:>r~ g:':ed In SuffC:>lk Cc:>unty lasJon expires May 20a!]. being duly sworn, deposes and says that (s)he is the applicant contract) above named, (S)He is the () u) YJ,e V\ , (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. Sw= ,*,,~m'ilii~_ :L:;YOf _ 20fd- " N~IC~ 'F 1,ffLlPS /lARCO PA TRJCIA ~~ N 01"15'30" W -~, _"""'.00'. 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Zclili~ 6 .. ~, !I"!i' ; / / / " o i /' /1 'I . ,: !e -.,) "~-...~ nO!' 2gE .., ~~R ~:r::>" _ nr, l'=',," ~<z "O zo 'O:o~ Zen o~::c ~. ~ I o o ~ , /~' 312.29' /--( ! , . ~ / . / \- ~ , @ ~ Z tJ ~ ;t> Z z ~ s ~ o > ~J~~R ~~ ~> ~~',i:''''D ~'"l'l--i ;'% 5 ""~m~_ > --i ~ 0 ~ 0 >-:l CJJ g~",,,,-,,,~ ~^::f lJjl;:~ we ~~"~g8:L zcoz.",;";,;", ~ :;l'NOU~:on OOO~~ r:rJt;Nrrl' -.J~8G" C'i ~ ~ . C"""::J -; ~ >- ::..J-< ?'io",g~~"'-C;3.Vl9t"<J<:ioc Cl~~~:;g -~go--<o~tJ~ ~R'o 8o.];v; Z!"II 00_ Cn:t.~() ""l :,:~~[j~~~~-.b~,*,:i -;~ 0 N ~~'~~~,::'g '? I ~::2 :.. ~ ~ '~~~'i~; 22-<Q ~ ~5~':;~~n ~lc ~~o~~~ OO-.J~ ~g~~ ~ j;im r- -. NY' ~~ , , > ~ \ ~'::!~.'.' G\ :\\'/J I ~ Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does. this project meet the minimum standards for classification as an Agricultural Project. _ .Note: If. you answered Yes to any of the above, a Storm.water, Grading, Drainage & Erosion Control. Plan Is not required. ------------------------------------------------------------------- ACTIONS. REOUlRING THE SUBMISSION OF A STORM-WATER. GRADING. DRAINAGE. & EROSION CONTROL. PL.AN CERTIFIED BY A DESIGN PROFESSIONAL. IN THE. STATE OF NEW YORK. 7. 8. Item Number: (A Check Mark (J) for each question is required for complete application) 1. Will this. project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the. permanent creation of impervious surfaces.) Yes No t/g GJ7 / B~ ~ [d- [d/ g/ [d/ bJ/ Note: If any answer to questions 'One through eight Is answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit. 2. Will this. project require any land filling, grading or excavation where there. is. a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? ------------------------------------------------------------------- 3. Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? 4. Is there a Natural Water course running through the site or is this project within One hundred (100) feet ofwetJands or a beach? 5. Will there be. site preparation on slopes which exceed fifteen (IS) feet of vertical rise to One. hundr\'d (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? Will this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? (This item does not Include the installation of driveway aprons.) Will there be site preparation within the one hundred (100) year floodplain of any watercourse? STATE OF NEW YORK, TbatI...~~.. (Name of individual signing Docum ) And that He/She is the .....Uw,n'e.i.i':'- ss . iP../!1:J'"'ing duly sworn, deposes and says that he/she is the applicant for Pennit, (Owner, Conlractor, Agent, Corporate Off1cer, etc.) Owner and/or representative of the Owner or Ovmerls, 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 tlie best of his knowledge and belier; and that the work sill be performed in the manner set forth in the application filed herewith. Sworn to before me this; m......cR 100,",", ....... }/;ta1 NotaryPublic ..~kl'91201~ .....20C/! ~ /// j). ~~~"t~~~~~t8 fN ~HiSi~1!:1:iP~ No. 4896735 0 em ,ork Quallfl~ In Suffolk County Commission Expires May 20a2.