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Home My WebLink About33869-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33204 Date: 08/08/08 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 610 (HOUSE NO.) county Tax Map No. 473889 Section 21 THE STRAND (STREET) Block 5 EAST MARION (HAMLET) Lot 1 subdivision Filed Map lIIo. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 2008 pursuant to which Building Pennit No. 33869-Z dated MAY 5, 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 SUNROOM AND FIRST AND SECOND FLOOR DECK ADDITIONS (AS BUILT) TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THEODORE MAGEN (OWNER) of the aforesaid building. ,SUFFOLK COUN'I"! DEPARTMBNT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 124044C 07/10/08 PLUMBERS CERTIFICATION DATED N/A ~riZ~ Rev. 1/81 r5 Form'No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT , I TOWN HALL 7 ,. 765-1802 ~__ .. c~~Jl~APPL1CATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: ..;-.~ C/o",;" {/;? 7 - ,.? /?,S"'" 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 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 d / _ C" 3. Copy of Certificate of Occupancy - $.25 J - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: -teo House No. ~- 16 Old or Pre-existing Building: . c!! (check one) ~m ~~ f: (tc-y\1\2 8 - fJM'('---- Street Hamlet Owner or Owners of Property: 0 Ok ~ JC Suffolk County Tax Map No 1000, Section ~ Block Lot---fllL- Subdivision Filed Map. Lot: Permit No. .3 3 8(;; q 2: Date of Permit. 5 /.t) /),001> Applicant-Xh~,..,d OV€. fYJCj5e,n~ Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ::L5. 0 (') Qj D-2: '3 3 JoY ~ (./1,\1'-\5 Final Certificate: ck one) 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. 33869 Z Date MAY 5, 2008 permission is hereby granted to: THEODORE MAGEN WHITESTONE,NY 11537 for : AS BUILT ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 610 THE STRAND EAST MARION County Tax Map No. 473889 Section 021 pursuant to application dated APRIL Block 0005 Lot No. 001 25, 2008 and approved by the Fee $ 400.00 , Building Inspector to expire on NOVEMBER ORIGINAL Rev. 5/8/02 33~~~ z. TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRucnON REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON ~ ~ 0: ~ ~ ~,~~t ~ /' ~?,~#) DATE ~-~-og INSPECTOR ~~ " or IFIELD INSPECTION REPORT DATE I FOUNDATION (1ST) ------------------------------------ FOUNDATION (2ND) ROUGH FRAMJNG & PLUMBING LNSULATION PER N. Y. STATE ENERGY CODE FLN AL COMMENTS r "."'-) ;g ~~ ~..., ~'" ~ 10--': . c:: r;,-~~ ~~ \ \ Z ~o :::; . . . ---'-- en >-I ~\ ~ ~\" ..., ~ " ~ ~ :I: \ ~ ~\ ~ 1< >-I \ . ~~ . ' ; 0 :r.-IIh1lIY r:; -.U ~ok .fC AA J.., /'U+ J.A-v. ,....R;</iT ~ u YC7T-=- -- . . . . ADDmONAL COMMENTS \.. ~ 1\ ~ ~ m . ;0 ~ ~, & " h, ~~ ~ ~. \ >-I , - (:) ~ '-rI . . ., . gJ I ! ." >-I S.C. HI. NO. DISTRICT: 1000 SECTION: 21 BLOCK: 5 LOT(S): I TIE L1NE- AVERAGE LINE Of BLUff AS SHOWN ON fILED MAP I LOT 132 I ~ S 51001'02" E Z 4. C.L. f . ~ ... "'7 '- 138'" ~ a 0 (/) 0 co I ~ co Z WOOD LOT 131 wooo STEPS j ~ I (/) . 0 ... .... - t") ~ 0) I 0 z 0 EL 57,,) CX) 124'" -l" 4' C.l- a t") ,- -. ....:l z N 49031'22" W I LOT 1.30 THE LONG WAY REAR SET BACK LINE AS SHOWN ON fILED MAP WAll "W I 385.38~ .... 0.7" n..... TaI8ER ""-L GATE !'> ... ..... "! 4O.J' 1000' . --- 2 SlY. FIWIE OW(LUNG . 1ST FL EL 66.2 a ,,.,,, 1 I CONe. SlOCJ( DRI\IEWAY ......, ~.."'-{ ....... '" q STONE WALL !" 6' STOCKADE FE. FE, 0.8'W 381.95' I AREA: 27,229.9 S.F. OR 0.6.3 ACRES 82.0' ....... ... .... <p. I'*~~.''l ...* ;.... . aci . on 11...... ......, / i \. ~o o (;) cO ~WiR r- @ ..."'r.~ ~ :z:.. ..... -< p::; E-4 if] ~ ... ...., .---.. It:l 00 o <D '--" ... ~ == E-4 ......... ELEVA TlON OA TUM, _________________________ UNAUTHORIZfO AL TERA TlON OR ADDmON TO THIS SURVEY IS A VIOLA TlON OF SECTION 7209 OF THE NEW YORK STA TE fOUCA TlON LAW. COPIES OF THIS SURVEY MAP NOT BEARIfIG THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONS/DERfO TO BE A VALID TRUE COPy. GUARANTEES INDICA TED HEREON SHALL RUN ONL Y TO THE PERSON FOR 'M1D1.1 THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TmE CDI.IPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS o.~ DIMENSIONS SHO'MI HEREON FRDI.I THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDfO TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES. ADDmONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUefURES RECORDED OR UNRECORDED ARE NOT GUARANTEfO UNLESS PHy'sICALL Y EVIDENT ON THE PREMISES A T THE TIME OF SURVEY SURVEY OF: LOT 131 MAP OF: PEBBl.E BEACH FARMS FILED JUNE 6, 1975 AS #6266 SITUA TED AT: EAST MARION TOWN OL SOUTHOLD SUFFOLK COUNTY, NEW YORK FILE N 27-118 SCALE 1"=30' DATE OCT. 22, 2007 ~,tf<t/~ N, Y. S. ltC NO. 50227 CERTIFIED TO: KENNETH M. ll'OYCHUK LS. Land Surveyinl and Desl&n P.O. BOl< 3, WatUtuok, New York 11952 PBONB (Bal) 21llI-111118 FAll (Bal) 21llI-11188 mainlalnlnl the record. of R(lberl J. Henne.., -,- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.N orthFork.net BUILDING PERMIT APPLICATION CHECKLIST Examined rI~ I .., UL.; , , Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form NYS.D.E.C Trustees Flood Permit Storm-Water Assessment Form_ PERMIT NO. --:;. <;~?:1 b-- ,"' :...... 1 Contact: S2 Mail to: ftl4IfL (fIzv,fl{. Tl Approved Disapproved alc Expiration ,20 Phone: 7J-I -{'-/?5' '- APPLICATION FOR BUILDING PERMIT Date 04/ tf/IJP ,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. 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. State whether applicant is owner, lesse , agent, architec , engineer, general contractor, electrician, plumber or builder f&t>tU 7:J} {(;72 tfocv~ (Mailing address of applicant) Name of owner of premises k 0 ,;tt "" GE AJ (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 Licenst;>/'!o. Electricians LicenSe No. Other Trade's License No. 1. Location of land o!!,....which proposed work will be done: (, ( () fife:.. s Tie M..IL:? House Number Street E4J'T /f(""~ I~,d Hamlet County Tax Map No. 1000 Section Subdivision '2/ Bl k -"'l 5J:'i"",,," at DC VAll1 18....2 :)l~ v~/~ f' Filed Map No _'M"t~ '-, It <r' t,: _~ ;'lll...oO 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S/ IJ G '- E F A/It/ L II te C J , b. Intended use and occupancy SA.41E- 3. Nature of work (check which applicable): New Building Repair Removal Demolition A ~ Alteration Y S' ~ t3u /(,,J T (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commt<rcial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions d&;'ng strC~e~~ront Rear Depth Height Number of Stories 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 SE- E.. Su(Z. V~ 9. Size oflot: Front Renr Rear Depth Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated e40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_ NO ;x: Will excess fill be removed from premises? YES NO-.X J(,? /'41t!t(. ~ Jovnr- 14. Names of Owner of premises TIE 1:/ ~-A:-c'W Address /.)1, IJ'I / ~Ol t; Phone No. ')17- 7]7- 74->'3 Name of Architect ,/!1MJC- Fe Ifw,lfd rl.- Address ' , Phone No 7'J,4 - 4/lf Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X 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 X 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. 18. Are there any covenants and restrictions with respect to this property? * YES_NO 1 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS' COUNTY OF Yvtf;/k. )JJ ~,l/e~ !jw~ 7Z- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ---- 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. . at...... jlt1Wl1_ 't - .1rt8l*lll ClIuIllW . ^ c-....,. l"t"~""""_1OJ.l)