The URL can be used to link to this page

Home My WebLink About34840-ZFORM NO. 4 TOW/q OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33871 Date: 08/03/09 THIS C~KTIFIES that the building DECK ADDITION Location of Property: 4415 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 3 ~t 14 Subd/vision FiledMap NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 2009 pursuant to which Building Permit No. 34840-Z dated JULY 8, 2009 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPIJED FOR. · ~ne certificate is issued to JOHN H & REBECCA J BECKER ( OWNER ) of the aforesaid building. SuFMOI~K CO~IFFY DEPAR~qT OF }~J~TH RT.RC'~RIC~kL C~TIFICJ~11~ NO. PLIERS CKMTIFICATION DA'i'~U3 N/A N/A N/A Authorized Signature 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 Building Department with the following: 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. Commemial 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 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: Old or Pre-existing Building: (check one) Location of Property: 'H~use No. ' S(reet Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision ~TQ Block ~'~ Lot / q Filed Map. Lot: Applicant: Underwriters Approval: Permit No r~ ~V?r-/D Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Tempormy Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34840 Z Date JULY 8, 2009 Permission is hereby granted to: for : JOHN H & REBECCA J BECKER P.O. BOX 368 SOUTHOLD,NY 11971 AS BUILT DECK ADDITION AS APPLIED FOR at premises located at 4415 NORTH BAYVIEW RD County Tax Map No. 473889 Section 079 Block pursuant to application dated JUNE 29, 2009 Building Inspector to expire on JANUARY 8, SOUTHOLD 0003 Lot No. 014 and approved by the 2011. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ROUGH PLBG. INSULATION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ~ j~ FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION DATE 7"' ~k~"- ~9 ~ INSPECTOR~/~'-~ PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK11971 TEL:631.765.2954 · FAX:631.614.3516 · e-mail:joseph@fischetti.com Southold Building Department PO Box 1179 Southold, NY 11971 Date: Reference: June 18,2009 4415 N. Bayview Road Dear Sir, I have inspected the rear wood framed deck at the above referenced location. While the deck has not been constructed to current Building Codes, I certify that the deck is in sound condition and is adequate to support the anticipated loadings for the use by a family. Fi~eAi, PE Joseph : DLLOW~NG *tq S'~',-:C ~. FOUNDA~ :; -'}'V',- REQUIRED FOR PCdRED CO~CRETE 2. HOUGH - FR,:'.L4;;<3 & PLUMB',NG 3. INSULATION 4. FINAL * CON'TRUOTION MUST BE COMPLE1E FOR C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR BESIGN OR CONSTRUCTION ERRORS. ALL ~,ONo ! RU,.;! iL:N SHALL B,_,.~ i-EREOUq*, ~ ;I-q(':T ' ' '; ~ (7': : CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. RETAIN ,STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODF. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined '-'/ { ~ , 20 ~'Z'~ Approved "[ { ~ ,20 ~'£/ Disapproved a/c Expiration I I ~'' ,20 [ I JUN 2 9 BLOG. DEPT. TOWN OF SOUTHOLD PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans 2<,. Planning Board approval Survey Check '~ L~ 1DI~ Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form co., Phone: Building InspeCtor 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 4 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 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 promises 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 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, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premisesZ~'d'L-A"~'~.xT6'~',,,,V/¥ ~,~'~.~.~,~,~,~,~ce- ,~ Q- (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 License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ?~', Block-.~-- Lot Subdivision Filed Map No.~/7..?~:;'~ ~' Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ---~ CJ~ 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work 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/~ }'-/~ Rear /~/-,'a' _Depth Height ,~'/,,~>,Z/'.t ~- Number of Stories . 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front Rear _Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories ~ pth Rear : · De Rear 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__ 13. Will lot be re-graded? YES __ NO V" Will excess fill be removed from premises? YES__NO 14. Names of Owner ofpremisesk-Oede~,:,*o~'~:''Z~ AddressX'o,~r/q~,~,¢v'//q7/ Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a 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 ora tidal wetland? * YES__ NO p/ * 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 · IF YES, PROVIDE A COPY. NO v/ STATE OF NEW YORK) COUNTY O F~ t,cdQ~ ~ I(-S)S: ~ o¼ex ~ eT- 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 tree 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 .Oq da~.x .,...,~o.-.v.-~ 20 O~ ota~ ~uu.c ~ ~o. 01~619~6 ~ uual~ed in ~k ~un~ remission ~pims July Signature of Applicant ZI 12 -]5. 57' 5o" w. b. Ill