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HomeMy WebLinkAbout32046-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34270 Date: 12/09/08 THIS CERTIFIES that the building ACCESSORY Location of Property: 4685 GREAT PECONIC BAY BLVD LAUREL (ROUSE NO.) (STREET) County Tax Map No. 473889 Section 128 Block 3 Lot 20 Subdivision Filed Map No. Lot No. ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 26, 2006 pursuant to which Building Permit No. 32046-Z dated MAY 26, 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 IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to CATHERINE M MEYN ( OWNER ) of the aforesaid building. SuFfOLK COUNTY DEPARTMENT OF HEALTH APPRO~-AL N/A ~L~CTRICAL C~RTIFICATH NO. 85254C 07/08/04 PLIERS C~KTIFICATION DA'r~u3 N/A /~Au t ho r/i z~d S igna t u r e 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 Buildi~ g_D__e?art~ent with the 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. 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 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. New Construction: Location of Property: Old or Pre-existing Building: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ] ~. ~:~ Subdivision Permit No. zq370 Health Dept. Approval: Planning Board Approval: Request for: Date of Permit. ~'-/,~ 'O 3 Temporary Certificate (check one) Hamlet Lot Filed Map. Lot: Underwriters Approval: Final Certificate: (check one) Fee Submitted: $ 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. 32046 Z Date MAY 26, 2006 Permission is hereby granted to: CATHERINE M MEYN 1038 EAST 29 ST BROOKLYN,NY 11210 for : CONSTRUCTION OF ~ ACCESSORY 16' X 25' GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP 29370. at premises located at County Tax Map No. 473889 Section 128 pursuant to application dated MAY Building Inspector to expire on NOVEMBER 4685 GREAT PECONIC BAY BLVD LAUREL Block 0003 Lot No. 020 26, 2006 and approved by the 26, 2007. Fee $ 75.00 Authorized Signature Rev. 5/8/02 ORIGINAL 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. 29370 Z Date MAY 12, 2003 Permission is hereby granted to: CATHERINE M MEYN 1038 EAST 29 ST BROOKLYN,NY 11210 for : CONSTRUCTION OF AN ACCESSORY 16'X 25' GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 128 pursuant to application dated APRIL Building 4685 GREAT PECONIC BAY BLVD LAUREL Block 0003 Lot No. 020 30, 2003 and approved by the Inspector to expire on NOVEMBER 12, 2004. Fee $ 75.00 horized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined :~'- ,20 ~3 Approved .~'/[ o~ , 20~_ Disapproved a/c Expiration [[>o~ ,200~ PERMIT NO. ~ ~ 70~ BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? ~ . Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Phone: Building Inspector '~ ': ~q ~PPLICATION FOR BUILDING PERMIT . INSTRUCTIONS ,20 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 9ommenced 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 commer~ced 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 month& Th. ereafter a new permit shall be requ~ed. , APPLICAT[O..N IS HEREBY MADE to the Building Department for the i~suanqe o,f.a BuildingPermit 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 c~de, an~,~l, tegulations, and~Xdmit authorized inspectors on premises and in building for necessary inspections,~.~~ ~ /~ (S~nature of al~plican~-or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agen~gineer, general contractor, electrician, plumber or builder Name of owner of premises ~a-~kertrl¢ ,/lqeyn (As on thettax roll or latest deed) If applicant is a corporation, signature of duly authorized officer , (Name and title of corporate officer) Builders License No..,~7: 7,~,~ - Afl it Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet CountyTax Map No. 1000 Section Subdivision (Name) Block ~ Lot ,~10 Filed Map No. Lot 2. State existing use and occupancy of premises and intended use, and occupancy ofp.roposed construction: a. Existing use and occupancy b. hntended use and occupancy ~'!,~-~/e ./.~,~,,~,t/~' 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~ ~.~/~7~ O Fee 5. If dwelling, number of dwelling units ,'(///~ If garage, number of cars, Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories 8. Dimensions of entire new cot~struction: Front / ~' Rear Height ~ /,~' Numberof Stories 9. Size of lot: Front 7~~- Rear 2 q ~ Depth Rear Depth 10. Date of Purchase Name of Former Owner 11. 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 be re-graded? YES__ NO /~ Will excess fill be removed from premises? YES__ NO__ 14. NamesofOwnerofpremisesff*i~O'~ ~0 Address/~$ /:~}th ,~P PhoneNo. 7J~-~ff~' N~eof~chitect~l~ ~ ~,~ Address~/~ ~,n ~ PhoneNo 730-~// Nme of Con.actor ~le~ fi/an ga ~ ¢ Address3~ ~ ~atn ~Phone No. 7~1 'Jr/I 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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 r~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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 ) R~>6~r. ~ ~.~/~ ~r' ~ beingdulyswom deposes and saYs that (s)heis 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. Swom to before me t13~ 765-1802 BUILDING DEPT. INSPECTION [ [ ] ROUGH PLBG. [ ] INSULATION [ c/~lNJc [ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING DATE INSPECTOR~~ 07/21.r2004 Electrical Irtspecfion Certificate ElecMCM Inspection Se~lce, Inc. Applir. at]o~ N~mber 375 Dunton Avenue 8~.540 E~t PMr, hogue, New York 11772 (~t) ~ leau.d To: Ms. Catherine Meyn Street: 4595 Peconic Bay Bird Village: Laurel Zip: Section: Block: Lot: eonmmto . Em, tric (L) 11948 Town: Southold Lic. # 4586-E Was ex~rnined and found to be in compliar~e ~ the N~onal Electrical Code Commercial I j NVDefect~ [:[ Pool IX! latFIoo~ ' ~ Indoor X Bammmnt ~-I HotTub R~idential ~1 DeL Garage ~ At~c i 2nd Floor ~ Outdoor ? Addition [ ! Survey Other EguiPme_nt 11 200amp panel wi-th mare 50~220V ac iii 20L220V air handler garage door opener receptacle President This ce~ci~ate mu~t not I~ altered in any manner. Im, pec~om may be identYaed by their Boulevard Planning East, PC. Architects · Engineers · Construction Management 32645 Main Road Cutchogue, N.Y. 11935 PHONE: 631.734.2011 lntemet: www.blvdplan.com July 6, 2004 Southold Building Department Town Hall 53095 Main Road Southold, N.Y. 11971 - 0959 Re~ Meyn Garage, 4685 Great Peconic Bay Boulevard, Laurel Permit # 29370 ~.~,~.c~c ~[ ~, To Whom It May Concern, I hereby certify to the Department of Buildings of the Town of Southold that I have inspected the above locations; I have supervised the preparation of the building plans as per State Education Laws; and I have determined to the best of my professional knowledge and belief that the structural elements are safe and that the footings, foundations, framing, siding, etc. were installed in conformity, with the filed building plans, the New York Residential Building Code, and generally approved construction practices. If you have any further questions, please feel free to call me at any time. Boulevard Planning East, PC. At~hi~Q~$ · En~neers, Con.moron Mwml~mem 3~ M~n Ro~ Cutc~, N.Y. 11935 PHONE: 631.734.2011 Sowhold Braiding Depeflm~nt Town HaU 5309S Main Roed Southold, N.Y. 11971 - 0959 Propeeed Renovmgoms & Additlom, Meyu bMemee, ~ Geut Per, talc Laurel, N.Y. To Whom it Ma), Co.cm. This letter is ~o s~te filet u pe~ convermtJom with my office, we are ptop~b~g to f from i07.~ rt. from the froe~ property line Io 104.$ R. fi, om b~e front property li~e, Iq& $0.2 fL sbowa a~ ~he e)cis~e4 ~rom setback i, in error due to Lypo~d~icaJ ctm~. The a Ihe cxi~ing s~;tum is 50.0 fl, If you have a~y fUtLIlet questions, plea.~ feel free to call me at any time. ~tember 9, 2003 ~ove the ~ eno~dm the ua/disumcc to /ooo - /,~e-o-.~o /-?',~ J OW N E R LOT FORAAER OWNER RES. ~, id) SEAS. Est. Mkt. Value TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET ~/~p'~5 VILLAGE DISTRICT TOTAL DATE REMARKS . ~ . LAND IMP. 5"0 co 3~-o 0 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total /27 ) ) Foundation Bath xtension xtension xtensi°n reezeway iarage Basement f~(,~ Floors Ext. Walls ' qterior Finish Fire Place 7! ,- Heat Porch1! Roof Type PorchI Rooms 1st Floor Patio /~h( ~. :- "~L Rooms 2nd Floor Driveway Dormer SURVEY FOR CATHERINE Mi MEYN AT LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE : APR, 28, 1981 SCALE: I" =40' NO. 81 - 214 GUARANTEED TO= THE TITLE GUARANTEE COMPANY ¢SHGIIT 3 b: MODdF~TE' , ' .' ,,', , , . ::,WITHOUT 'OF:O( -03 %,, i¸.