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HomeMy WebLinkAbout33813-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southald, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32982 Date: 04/15/08 THIS CERTIFIES that the building DECK ADDITION Location of Property: 385 SHORE (HOUSE NO.) County Tax Map No. 473889 Section 86 LA (STREET) Block 1 PECONIC (HAMLET) Lot 4.20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 2008 pursuant to which Building Permit No. 33813-Z dated APRIL 11, 2008 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 REAR DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALBERT J KECK & AVONELLE FAMILY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMKIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~z~ Rev. 1/81 '[.1 R 15 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 /JJvO.AL 35<;" J~fl'\i JU\.- 8-l~ r) / ' 1/95'1 "1': l I I 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 from 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 I. 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. Location of Property: 5SS House No. Old or Pre-existing Building: S~oj(e ~ Street (check one) Peeon; c:.. Hamlet New Construction: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ~G Block Lot I.f. ), () Filed Map. Date of Permit. '-/ )111 ())( Applicant: Underwriters Approval: Lot: Subdivision Permit No. '33"613 S-d~ --------- Health Dept. Approval: Planning Board Approval: --. Request for: Temporary Certificate Final Certificate: )( , (check one) Fee Submitted: $ ;< S - I~M Ci~. NI27 C.o-t-3.).Qf :J.. 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. 33813 Z Date APRIL 11, 2008 permission is hereby granted to: ALBERT J KECK 385 SHORE LANE PECONIC,NY 11958 for : CONSTRUCTION OF A REAR DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED BP # 29616 at premises located at 385 SHORE LA PECONIC Block 0001 County Tax Map No. 473889 Section 086 pursuant to application dated APRIL 11, 2008 and approved by the Building Inspector to expire on OCTOBER 11, 2009 Fee $ 150.00 ORIGINAL Rev. 5/8/02 Lot No. 004.020 33fl) &-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRlJCnON [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] .FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRA110N REMARKS: LtLc-~ DATE INSPECTOR '- ~1&1 ~~.. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] F~ATION 2ND [~RAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL INSPECTOR R d-1~/&:C 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~. L ~h~ ~'-,- ~ Mj' ~ [ ] ROUGH PLBG. [ ] INSULATION [ ...,..-FINAL INSPECTOR ;r~ DATE {}'1 & I G ~ 765.1802 BUILDING DEPT. NSPECTION [ ] OUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ,....-. [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL Id t L(S /_/~__- 4.r~!c~ ~.Jd;-~ 2~~ ~A..~~' -__r?~ -:R0d~~ (lti;-k ~41 - DATE ~~;? INSHCTOR ~~fJ S:I~ trl-k~~- . '-. FIELD INSl'ECTlON Rll:PORT DATE FO~ATION(lST) ----------------------------'---- FO~ATION (2ND) - ' ROUGH F'RAM:QOG & PLUMBING INSULATION PERN. Y. STATE ENERGY CODE FINAL " , , COMMENTS' , ,~ u,)." ~~ - - ...,' vJ.. I.. i , ~ ~, €i3 / ~~ 13./ /" ,I ,,' ...J 2: l (/, r i..or A/, rl'fC:: - , ~ p 1 1 ~dh. N~ .' ~ q )C?~ /i /. ,/^ /./ ~ ~ ..( v. t:i /hr$/~/a. ~.A_ r1 --' "".i" ~ ::'.l -, ~/- --/ . / - ./ '~h L? ~ ~ ~ /2~H/'_ ~ I 'Z>/~.JB'./.?-:...... 7i,,-;6., r- ~ ef' ./ __ ~~//~ /7. ~j.0k '>.-11 , -- ..b~-t.62-' ""~, ,,~ c.. v . A" /--.L :7' ~ / }):\'~ / jf ~J '/./J // '/ V / . 19 II'7n ~ II I , fI /.,.1..~' I.A L '/:r pf~, '/ / ,'/ r# rI'- <f It '-l o/r ( , AJ L. ~ / A 71 --' ""'-- // ./ ./ ~.L,hC1) / / "/o,r/o, 1/ ~ )-:;;', ,/ /,p / , 1.,-' ~- K ADDmONAL COMMENTS ~~ Z' ~m ~ ::u -t , ,- --t~ ---......, I ~~ ':) ..., -"'::<J - , 0 z I ~ ~ t:l ~ -.. -- -- TOWN OF SOUTHOLD PROPERTY RECORD CARD 1000- Be, -1-4_Z-o OWNER STREET . /'. i_) VILLAGE DIST. SUB. LOT ~o .-t FORMER OWNER l~\ 1'1 f+ ' S ' C.i.HYl <<, 11 .s I< E.:: eo - h RES. c7{U SEAS. / S~I .'Y=.;' i- ..., N \ <.:" )f.- iC-- ~ J;:\ L.-! ~f'>'OHcL C /)~;. dJ. r.),.;;~0;1( ('- E ACR. a TYPE OF BUILDING f2, '\12 1/ 2. (;'3 ::, S W VL.~ FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS Tillable Hause Plat FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD Woodland Meadowland To~~ -- JLOR TRIM -{I t,.,. /_( I f,t~~~ - , ! $< "- I: I 1"- I' F r-- I . 'I " rZ I~ f , - h- 1-1 - .-, to ~I I' :AIZI 5 f 86-1-4.20 01/03 13:' :z.. 2-BT'~ 3:2-x ~~ - Cf~~ ( /2/7 6,0 0&15 M. g. 3x"2- - c;, Extension IOXI! -="-lb5" - ~t511t" 'f x/o. -= 40 :> -- In9S tens. n ~9:;' r ('" IgxJi-i=--;;Lt::;;;l. ~ -' '- . Extension Foundation f0- Both Dinette I P5ra;' E'EN L;-Y,? ,.. i!5r~:> ) 1?- tU 172- Basement ~,-L{ Floors K. I l2><;1:.3 Porch Ext. Walls ~LCI~t( ( Interior Finish LR. I Breezeway I, 3 y; JJ, =- ,i)q5? 1,25 141 Fi re Place Heat Qr1/J DR. I :1 Garage Type Roof Rooms 1 st Floor " BR_ 2- < Patio Recreation Room Rooms 2nd Floor FIN. B O. B. d f1r" A,~ Dormer Driveway '-"~ "M) Total l1//l{ --;c OJ) .'-- --,,,,.. .,-.----..---- - <,ct< PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval ~9'1't' ~~:; Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: TOWN OF SOUTHOLD BUILDING DEPARTMENT . TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoIdJ Examined <?:/s. Q;1,j... I Approved Disapproved ale ,20~ ,20~ Expiration aJ-I ,20--5- Phone: ._._._-~._.._--_... , f Sf":":) APltLICATION FOR BUILDING PERMIT Date 7/2./ Ie, c3 / ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 Pennit. d. Upon approval of this application, the Building Inspector will issue a Building Pennit to the applicant. Such a pennit 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 pennit 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 pennit for an addition six months. Thereafter, a new pennit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ofa Building Pennit pursuant to the Building Zone Ordinance of the 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ ~ (Signature of applicant or name, if a corporation) , /Jvl3 V j ST ~ /f./jP II?r& /- (Mailmg address of applicaht) State whether applicant is owner, lessee, agent, architect, enginee , general contracto , electrician, plumber or builder Name of owner of premises A L f!> G" R r t( G" c../\ (As on the tax roll or latest deed) . s a ofJl ation, signature of duly authorized officer Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 7>91 }II /y;; I. Location o!J.lmd on which proposed work will be done: ? ~~ ShOll:!' /..../'t , House Number Street So c<- n d t..-./J Hamlet County Tax Map No. 1000 Section Subdivision 9;6 Block I Filed Map No. (Name) Lot Lot L(.:JO 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy / r/:;it'>'? ILY LJ tv ~LL/ /V-' b. Intended use and occupancy .51'1 nnF . 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work LJ$C~ 2~ Ox ~'" ' (Description) 4. Estimated Cost f S rrO 5. If dwelling, number of dwelling units If garage, number of cars Fee (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. ~,A. 7. Dimensions of existing structures, if any: Front Height Number of Stories Depth Rear Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Depth Rear 9. Size oflot: Front Depth Rear 10. Date of Purchase Name of Former Owner II. 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 be re-graded? YES_ NOt- Will excess fill be removed from premises? YES_ NOK- 14.NamesofOwnerofpremisesA[B~r ff>ftl;Address Sho/f6 1.14 Phone No. Name of Architect Address Phone No Name of Contractor /301'3 i3oJ,AJ Addressf" 134,1( s:-r Phone No. 7t.,,r )/19 ;0,4"0 IV 1<- 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.e. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES _ NO---+- * IF YES, D.E.e. 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 ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 ex I day of 0..Iu 20.Q,;L r f ~ ~/~ . fJU'fPA_1 otary bite Sik.. LINDA J. COOPER Notary Public, State 01 NewYofk No. ~22583, Suffolk Co~ t9. DO b Term Expir811 December 31, '""7 ~ ';;{~& i:;:\oJ ,)0 0:12>- Ql tii:' oS- ~~5, ~ ~~w nO ~ ~<; ~~~~ ~i ~!l!t';. ~~~~ ~~ ~~~! ! ~o ." ..... . ~~, i..,ig l'5~~~ ~~: "'5~ p;~ - Z: '" o~ti: u~ :.g..,8 u~...~ "'0 "'"" U 0-< 0:: \~ \ /// \/ .....\-G"'" /' \"'\:.;...... .-'7:) '\ ,I'.., ..' ' , I\v 'Y.t~. . , O<l.~' " , V / <2~", O\-~', :" ~ // c;,~ ,.~.~' "y/ , ....... ',.~J!G . . Cj~+ . "'0"'''' ~) ,,~ s / // / Lor@ . (11) Go1~.. '0 0, Ul Ul ~ @ '" o --' )';,8" __ --- ~ '0 o '0'\ o ~ .- <f) ~ ~ ~ ~ ~ ~ / / / / I I ~.. . :.9,,- l'~ ~ ) (~ ~<<'. 0;> ~ 1,a~ . ~1 ..,\ . " "<?,' ~\'-~~ ~~\l S~\'- ...~ / FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. 1> \ "'?:J 1:J'!:J BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29616 Z Date AUGUST 1, 2003 \ Permission is hereby granted to: ALBERT J KECK PO BOX 443 PECONIC,NY 11958 for : CONSTRUCTION OF A REAR DECK ADDITION AS APPLIED FOR at premises located at 385 SHORE LA PECONIC County Tax Map No. 473889 Section 086 Block 0001 Lot No. 004.020 pursuant to application dated JULY 21, 2003 and approved by the Fee $ 150.00 Building Inspector to expire on FEBRUARY ORIGINAL Rev. 5/8/02