The URL can be used to link to this page

Home My WebLink About27111-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~=qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33900 I~ate: 08/17/09 THIS CERTIFIES that the building DECK Location of Property: 500G27 MEADOW CT (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 87 .1 Block 1 Sutx]ivision Filed Map NO. __ Lot No. __ SOUTHOLD Lot 27 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 2000 purs,,~-t to which Building Pern~it No. 27111-Z dated M3uRCH 7, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. (LrNIT 27) The certificate is issued to EDWARD & JEAi~NE A JOHNSEN ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTI~NT OF HEALTH APPROVAL ~.Rt-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'rKU N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAI~ AUG 1 3 2009 BLDG. DEPT. TOWN OF SOUTHOLO 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. 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: 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. Ifa 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: u'// Old or Pre-existing Building: Location of Property:-d~-~() ~/~(~f(f'b,O (/t ~ House No. Street Owner or Owners of Property: . ?~"-(h ~ ~ ~--~/~ Suffolk County Tax Map No 1000, Section ~ '-~, ] Subdivision Permit No. Date of Permit. (check one) Hamlet Block ~ Lot Filed Map. Lot: Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check 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. 27111 Z Date MARCH 7, 2001 Permission is hereby granted to: EDWARD & JEANNE A JOHNSEN MERRICK,NY 11566 for : CONSTRUCT A DECK ADDITION AS APPLIED FOR UNIT # 27 at premises located at 500G27 MEADOW CT SOUTHOLD County Tax Map No. 473889 Section 087.001 Block 0001 Lot No. 027 pursuant to application dated SEPTEMBER 26, 2000 and approved by the Building Inspector. Fee $ 150.00 ORIGINAL Rev. 2/19/98 FIELD INSPECTION REPORT ' DATE II I~S~TION P~R N. Y. STA~ CODE ADI)ITIONAL C(lll'lglfl'$: FORH NO, ! TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 ~.r~a ...... ..~.g ....... m~.~ Pe~t NO. Disapproved a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CltECK ......................... SEPTIC FORN ................... ,, TRUSTEES ...................... NOTIFY: CALL .................. NAIL TO: .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Thi's application mast be C°upletely filled in by typewriter or in ink and suhnitced to the P~tilding Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show~ng locatiee of lot and of buildings on pr~dses, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mast be drm~n on the diagram ~ich is part of this application. c. 'H~e work co~ered by this application my not be commenced before ism~ance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such permit shall be k~pt no the premises available for inspection throughout the ~ork. e. No building re'roll be occupied or used in ~ole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATIClN IS ltEI1EBY M/~g to the Building Department for the issuance of a Building PenMt pur~ant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable La~s, Ordinances or Regulations, for the cormt~uctiee of buildings, additions or alterations, or for removal or deraolition, as herein described. The applicant a~ees to em~!y with all applicable l~s, orditmoces, building code, ho~ing code, and regulations, a~l to admit authorized inspectors ee premises and.i~ f~ or ne/c~ins~ticxm. (Signatu~f~l~llcant, or naue, if a corporation) (Mailing ~ ess of applicant) State wt}ether applicant is o~a~er, lessee, agent, architect, engineer, general contractor, electrician, pltmber or Imilde (as on tt~ tax mi1 or latest deed) If applicant is a corporation, signature of duly antt~3rized officer. (Nam ~ title of corporate officer) Builders Licerkse No .......................... Pluubera Licemse No .......................... Electricians Liconse NO ...................... Other Trade's L~cense No ..................... ~ 1. lz~.atiee of lard on which proposed work will be deee.-~.../'k..~.(-~.ge...o~.....~..°..t~...~. .............................. ..c)~.~.t...,(..~.y. ....... ~...~e...~....Ge..~ ......... ..se..o.~.~./d~ .... Ag..7., ..... ~1.?.7/.. ....... ' ........ Hotme ~her Street Namlet co~ Tax ~p No. !~0 ~tio....~.7...1 ...... B~oa .... l ........... ~ot.2.T. ......... Subdivision ...................................... Filed Map kb ................ l~t ............... (Na~e) 2. State existing uae and occupancy of premises and intended use and occupancy of propa..~°d construction: a. Existing tree and occupancy ..~l~/.&.r'k.P.f.a/. ...................... :'1.'. ............................ /. - b. Intended use and occupancy ....._.~.~./.,....~._.z_/'~ rA/~ ~ ........................................................ Cnture of ~ork (d~:,ck ~dch applicable): fica* lkdlding .......... ' ' · 3Ad~t xon ......... Alterat mn .......... Repair ............ Remaval ............. ll~nolition ............ Ut er ;~ork ~;~.r,S¢.~.q..O.f'.~TX.~.' !Description) Estimated Cost .~ fee ............... ¢' (to be paid on filing this application) If &~elling, nuttier of d~elling units ..... ./. ..... timber of (kmlling nails on ead~ floor ................ If garage, ntraber of ears ........... ~//r~ ..................... If Ixtsieess, ecamercial or mixed occupant, specify nature and extent of ead~ t-yr~ of use / .~ '"~'-'2"Y .......... Dimensions of existing structures, if any: l?ront...~.q ......... Rear ...i~,~. ....... Depth ..~.Q ............ Deight ......... ..'~. ............. ltm/~er of Stories ...,.~. ............... Dimensions of sara structure with alterations or additions: Fr6nt .~...~'2~... ....... P~ar .~t~e-e~. ....... Depth ... ~ ........ Height ....'la~-~ ........ llaber of: Stories .~ ..... Dimensiorts of entire nc~ construction: Froot ...... ~,//..~ ..... Rear ..~./~. ......... Depkh .,~r.A [lei~lt ....... ........... ~r of Stories....~r. ,/..~. ............ Size of lot: Front .......... ./J//¢l. ..... Rear ..."~./.~.. i ........... Depth .A//~ ............... pete of ,rO,ssc ........ of .o. r ..... Zone or use district in ~hieh premises are slenated .~.~;~.{.:.{¢~.~. ............................................... Does propOSed construction violate any zoning la~, ordinance or regulation: . .~r.~ ................. ..... ~...g~. ......... I/ill e~cess fill be removed frcm premises: YES (~) ~/ill lot be ................ .... 1% ......... Nme of Arddtect .................................... /kklress .............................. Pt~ne 1% .............. l~ne of Contrsctor ................................... /~]dress ............ It~qe 1% .............. · n~ ~zs, samnD ~ae~ Tms~,~S n~rr m~ na PLOT DIAGRAM l~cate clearly and distinctly all L~ildings, ~bether existing or proposed, and indicate all set-back dimensions property lines. Give street and block nt~ber or description according to deed, and sho~ street nares and indicate mtlmr interior or corner lot. C~ of individ~t signing c~tract) is the .~ ..................................................................................... (C~tractor, agent, cor~rate officer, etc.) ~id ~r or ~rs, a~ is duly ~chorlr~ to ~rfom or h~ parfo~ tim ~id ~ ~ to m~ a~ file this 5~licatio~; Olst fi.It stat~nts c~tai~ in this a~lieetlon are t.~ to d~e best of his ~l~ and bel;ef, and ,at the ~rk ~i[l be ~rfo.~l in the ~mueer mt forth in ~be a~llcati~ fil~ tbe~6~. ~m to ~fore ~ this NOTARY PUBLIC, S~te of New York (Si~mre of No. 01BH6038120 Qualified in Nassau County Co~misslon Expires March 6, 2002 L architect 1230 Traveler Street Southold N.Y. 11971 631-765- 5455 Stat~ Building Conetruutio~: Code,'Latest Edition~. 2.~ Cc~tra~tors, sha{1 ve~i'fy &ll,'ff~ldoonditions'and ~imeneions,, and will he re~ponsible f~r easel Any discre?~iee sh~ll be re~orte~ to the. Ar=hitect i~e~iat~ly' 3. Contractors Will uo~erate wi~h ali othe= t=ades ~and will ~ '~their wo=k in accordanc~ wit~ best st~dards'and 4. AIl di~nsion~ are nominal and ~ake' ~rec~de~e ore= scale. All ~breviatfons are standard. 5. All ,it,s of work on the drawings are new, ~!ese othe~fse noted, 6. Proprietary n~e~ identtfyin~ items, of work are used solely to prescribe sfandards of co~struution. Items of e~al ~ality may be s~mitted to t~e Arc~tect for. conside=ation. 7. All foo~inGs shall hear upo~ undisturbed soil,havin~ ~,ass~ed bearin~ capacity of %,000 P.S.F. ~rin~ ca~&city of soil to be verified by the ~ontractor prior to placement of footings. 8. ~1 concrete oonstructi0n~ shall confo~ to tha ~er$can Conprete Institute's "BUILDIN~ CODE REQUIRE~S FO~ REINFORCED CONCKETE , ACI -318, latest ~ition. 9. The ultimate comprass~ve stre~th of conUrete at 28~ d~ye will Fou~atio~ · Footi~s~- 3, OO0 ~.s.i ~ 10. Ail wood fr~e uonstruct~on~shall conform w~th th~ ~eriuan Institute of Ti~er Cons=~uction',s "TI~ER ~ONSTR~CTION ~AL" Latest 1~. All C~ Treated wco~ frying me~e=s shell hays a~: allow~le, f~r stress ~al ,to of ~rea~er than st~ct~raI Gr~ Southern Pine: Fb = 87'~ psi ~V = :8~,~i ,E ~ 1~400 00O ~Si 12. Contra=for to instal~ all new ~terial with details~ eo ~tch 13. Provide 3'-0" hi~ railings as =e~ired an6 as sho~ on the ~aw~n~s with styie and detail to mat=h existin~, 14. Contractor is to dlean-up after all trades on ~ daily basis an~ ~eave all areas free bf d~ris i~ediately u~on final =om~letion. OCCUPANCy OR USE IS UNLAWFUL V ITHOUT,CERTiFiCATE OF OCCUPANCy NOTIFY BUILDING 765-1802 9 AM FOR TNJ FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBINQ X INSULATION 4, FINAL . CONSTRUCTIOM "UAE BE COMPLETE FOR C.O. ALL CONSTRUCTION BHALL Mi"Er THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES, NOT RESPONBIBLE DESIGN OR CONSTRUCTION ~