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HomeMy WebLinkAbout27454-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33637 Date: 04/08/09 THIS CERTIFIES that the building ACCESSORY Location of Property: 475 SOUND AVE PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 67 Block 2 Lot 3 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 2001 pursuant to which Building Permit NO. 27454-Z dated JULY 6, 2001 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 UNHEATED NONHABITABLE ACCESSORY ONE CAR GAR3~GE AS APPLIED FOR. The certificate is issued to ROGER J OXEE of the aforesaid building. ( OWNER ) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL EL~t-K~ICAL CE~TIFICA]~ NO. PLUMBERS C~K'rIFICATION DA'r~3 N/A 3734 -H N/A ~ori~ed ~ignature 03/14/09 Rev. 1/81 E ,) PEPT. rO'h[~ (i SGffHOLE} Form No. 6 TOWN OF SC IU - $ 2009 ICA' ?E OF OCCUPANCY itted to t 0 gwartment, ICATION FOR CERTI] [th the following: This application must be filled in by typewriter or ink and sub~ A. For new building or new rise: 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). (~39 Approval of electrical iustallation from Board of Fire Underwriters. -47 Sworn statement from plumber certifying that the s~i~l~r ds~d 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 architcct 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 unusual natural or topographic features. 2. A properly completed applicatiou and cousent to inspect sig~md by the applicant. If a Certificate of Occupaacy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - Ne,,,,.' dwelling $25.00, Additions to dwelling $25.00, Alterations to dwclliog $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Ih'e-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: Old or Pre-existing Building: LocationofProperty:___/'~Q2~' ***~CX**~:~O ./~-~ 110usc No. Street Owner or Owners of Property: ~ ~ _t~'ffJ~_¢ Suflblk County Tax Map No 1000, Section '~.'7''~ - ,-~_- '~ Subdivision Date. Permit No. t:~ 7q ~-q Date of Pemrit. (check one) '~ ~ ~C//C,'.5'~-'i t a~_~t Block Filed Map. Applicant: Lot Lot: IIealth Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Te apo ary Ce tificate. Fee Submitted: $ ~.~;' .; , C~.', Final Certificate: one) ~'~q~nt Signature Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York + 11931 Tel: 631-591-3097 Fax: 631-591-3098 Application: 3734-H Date: 3/14/09 Issued to: Oxee Address: 475 Sound Ave Introduced By: Village: Peconic License#: N/A H/O Residential [] Commercial The following was examined and approved up to the above date and found to be in compliance with the NEC: Attic Ist Floor [] 2"d Floor 3rd Floor Garage Conversion Basement Hot Tub Addition Detached Garage [] Pool Switches Receptacle Fixtures G.F.I, Microwave Hood Smoke Detectom 7 12 3 '~ 4, Fans Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Carbon Monoxide Furnace Oil Gas Heat Zones Whirlpool Exit Signs Limited Insp. [[ Final Insp. Meter Amps Phase Motors 3/13/09 ~ 3/14/09 ,Other Equipment: I-Oil Fired Hot Air Heater, l-30A Air Compressor, l-50A Special Outlet Existing Detached Garage This certfficate must not be altered in any manner 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. 27454 Z Date JULY 6, 2001 Permission is hereby granted to: EVELYN A OXEE PO BOX 244 PECONIC,NY 11958 for : CONSTRUCTION OF ACCESSORY GAP~AGE TO ZONING RESTRICTIONS WHICH ALLOW NO MORE THAi~ 20% LOT COVERAGE OF ALL SURFACE STRUCTURES. at premises located at 475 SOUND AVE County Tax Map No. 473889 Section 067 pursuant to application dated MAY Building Inspector. SOUTH/PEC Block 0002 Lot No. 003 25, 2001 and approved by the Fee $ 75.00 Authorized ~nature ORIGINAL Rev. 2/19/98 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ,] INSU. U~I'ION [ ]FRAMING [ .,~I~AL [ ] FIREPLACE & CHIMN_~,,g...t DATE~INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOU/~DATION 1ST [ ] ROUGH PLBG. [ ] .~NDATION 2ND [ ] INSULATION [ r.~FRAMING [ ] FINAL [ ] FI RE PLACE/~ .CH~M,E~,~ REMARI ~r,,,r./u ~ ~' DATE ~////~/~ ,,SPECTO! 76S-1802 BUILDING DEPT. I, , oiPECTION [ N IST [ ] ROUGH PLBG. i//~)FFRAUMN iDNA~ION 2ND []INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPE~ INSPECTION REPORT ~ DATE FOUNDATION (IST) ~O0~A*ION (2S~) ROUGN FRAI, iE & PLaitING IN~[N.~TION PER N. ¥. STATE ENERGY CODE FIliAL ADDITIONAL Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 July 9, 2001 Evelyn Oxee PO Box 244 Peconic, NY 11958 BUILDING DEPARTMENT N(~I~I~ 8~ ~¢~L~N Fax (631) 765-1823 Telephone (631) 765-1802 Please take Notice that in review of the application dated May 25, 2001 for a building permit for a New Accessory Garage at 475 Sound Avenue. County Tax Map Number 1000 - Section 67 Block 2 Lot 3 An existing structure that is indicated on the site plan submitted to us is in violation of Southold Town Zoning Law 45-8. This violation needs to be addressed before a certificate of occupancy can be issued. If there are any questions you can contact us at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Respectfully yours, Ed Forrester William M. Beebe Builders .... A I')ivi~inn nf ~ ~, 7 RlJild~rs .O. Box 722 · Cutchogue, New York 11935 (516) 734-6681 /-,'//_ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FC~MEa O~NER N S VILLAGE E W DISTRICT SUB. A~REAGE TYPE OF BUILDING LOT / ," RES. ,~/~) SEAS. LAND Form Tillable 1 Tillable 2 IMP. NORMAL VL. FARM TOTAL DATE ~o ov BUILDING CONDITION BELOW Acre Value Per Acre 3 W~odlond Swampland Brushland ' Ho~e Plot ~,~ Tctal ICOMM. REMARKS ABOVE ./ Value M. Bldg.: ~! ~:' ~ f/ z ~ t, ~,~~ ~"~ i] ,% O / ~' tionii C ~ ~ Bath Extension 0 Basement F[~rs Extension ~t.'Walls , ~ ?~ ~ Interior Finish Extension Fire Place--/? ~ He~  Porch , ~ ~, ..,Attic ~ ~ . ,, " ~ L~L' ~' -~ ?~ Porch Rooms 1st Floor Breezewa, Patio Rooms 2nd Floor G~;'age Driveway TOWN OF SOUTHO~D_ BUILDING DEPART ~, NT TOWN HALL SOUTHOLD, NY TEL: 765-1802 Examined ,20___ Approved q ~ ~- ,20~ \ Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Buildinln~,~ctor Phone: APPLICATION FOR BUILDING PERMIT Date ., 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 Bu/lding 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 a Certificate of Occupancy is issued by the Building Inspector. 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 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises :b/~ :7/t/ (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 LicenseNo. Plumbers LicenseNo. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet 0/'7 Block c~ ~: Lot 3 Filed Map No. . Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 4. Estimated Cost ~.O~PF~D 5. If dwelling, number of dwelling units If garage, number of cars ~. b. Intended use and occupancy /~d ~ Natm-e of work (check which applicable): New Building_ / Addition Repair Removal Demolition Other Work Alteration Fee (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 _-~r~ 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 ,-fid) Rear Height Number of Stories 9. Size of lot: Front ~_5'--d-) Rear ~-r_..> Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situ~tted 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded ,/(/~) Will excess fill be removed from premises NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No NameofContractor,9~ ..~*.~z.Z~Je~', ~ Address~tCT~oz2,~'-~z PhoneNo. ~_~.~'-_~/"f,~/ 15. Is this property within 100 feet of a tidal wetland? *YES (~ t[ · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MA'~'~E REQU1RED 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: cotr TY OF % /~ [(- ~ * ff / 2 c~ 02~rl' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the //~ "~ ! QCo~ent, Colporate Officer, etc.) of said owner or owners, andis du y~uthorized 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 befor m~e t~ -- ~_// Notary Public ROBERT I. SCOTT, JR. Nota~ Public, State of New York Qualifi~ in Suffolk Coun~ No. 01 SC47250~_ Term ~pires May 31, ~- APPROVEE~ A~ i'~OTED, _ ~.-.' I FOUNDATION - TWO REQUIRED FOR POURED CONCR~E 2. ROUGH - FRAMING & PLUMBING 4. FINAL * CONSTRUCTION MUST BE COMPL~E FOR C.O. AL~ CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ©OCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE ~? OCCUPANCY 20'- 0"