The URL can be used to link to this page

Home My WebLink About28724-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33893 I~ate: 08/10/09 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 1100 HYATT RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 50 Block 1 Lot 10 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Petit No. 28724-Z dated SEPTEMBER 5, 2002 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 ALTERATIONS AND A/DDITIONS, INCLUDING DECKS AND OUTDOOR SHOWER, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY M KEMENY of the aforesaid building. (OWNER) SI~FFOLK C~)~ DBPAR~I~T OF }~ALTH APPRO%FAL N/A BI~{L-i-KI~ C~RTIFIC3%]~E NO. N 392194 07/25/96 pL~Ei~S C~RTIFICATION DAq~D N/A Rev. 1/81 Form No. 6 TOWN O~ $OUTIIOLD BUILDING DEPARTMENT TOWN IIALL 765-1802 APPLICATION FOR CF~RTIFICATE OF OCCUPANC' AUG 7 20O9 ,, BLDG. DEPT. TOWN OF SOUTHOLD This application must be filled in by typewriter or ink and submitted to tile Building Department with the following: A. For new building or new use: i. Final survey of property with aceulate location of all buildings, pwperty lines, streetq, and llnusual 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 eomains 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 rezponsiblc for the building. 6, Submit Planning Board ApprovM of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-eonfoming uses, or buildings and "pre-existing" land uses: I. Accmatc survey of property showing ail propezty lines, streets, building and unnsual natural or topographic fcaturm. 2, A properly completed application and consent to inspect signed by the applicant, Ifa Certificate of 0compancy is denied, the Building/nspector shall state the reasons therefor in writing to the applicant. C. Fees ' I. 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 Oocupancy on Pre-existing Building - $100.00 3. Cppy of Certificate ofOemipaney - $.25 4. Updated Certificate of Oceupancy- $50.00 5. Tcmpocary Certificate of Oeeupancy - Residential $15.00, Commercial $15.00 Ne~v Constructi0n:/.,L&,0~ VX Lhq Old or Pre-existing Building: (check one) l.oeation of Property: I\00 ~Iouse No. Owner or Owners of Property: ~{kJ~O~rtl Suffolk County Tax Map No 1000, SeetT6h Street [ ~/ Ilamlet ...... Block ~ Lot ] ~ Lot: Subdivision Filed Map. PermitNo. ~'~-~J Dat~ofPermit, q/5 J~- Applicant: Health Dept. Approval: .................... pl,qnning Board Approval: Request for: T~mpOrary Certificate Fee Submitted: $ '2-- ~ .... Underwriters Approval: Final Certificate: ~ (check one) THE NEW YORK BOARD OF FIRE UNDERWRITERS P^~, z t~85 sUaEAU oF E-ECT.IC,~ ~- 85 JOHN STREET, NEW YORK, NY 10038 ~te ~Y 25,1996 ~ppl~ation~o. on~ile 12~1~796/96 N 392194 THIS CE~IFIES THAT ~y ~ e~t~ ~u~me~t ~ ~ ~ ~ int~ by t~ ~t ~ on the ~ ~t~ nu m~r in ~ p~m~s of MARGARET KEMENY&D.NELSON, 11~ HYATT ROAD, SOUTHOLD, N.Y. in th~ following location; [] B~ser~ent [] I.t FI. [] 2~d FI. .e. ectlon Block was examined on JULY 19,1996 and found to be in compliance with the National Electrical Code. RANGES R EXHAUST FANS AMT. H.P. DIMMSRS [COOKING DECKS I OVENS i~s~ WASHERS TIM~ CLOCKS RSLL UNIT HEATERS MULTI-OUTLET SYSTEMS AMT. AMPS. TRANS. NO. OF F~ET V I C BANELBOARDS: 1-5 CIR. G.F.C.I:-5 BOX 1203 SAG HARBOR, NY, 11963 rhis certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY PLANNER. 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. 28724 Z Date SEPTEMBER 5, 2002 Permission is hereby granted to: MARY MARGARET KEMENY 36 PERRY STREET NEW YORK, NY 10014 for : CONSTRUCT AN ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. REPLACES BP#22758 at premises located at County Tax Map No. 473889 Section 050 pursuant to application dated N/A Building Inspector to expire on MARCH 1100 HYATT RD Block SOUTHOLD 0001 Lot No. 010 and approved by the 5, 2004. Fee $ 150.00 Authorized Signature Rev. 5/8/02 ORIGINAL FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMiT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE ¥~)RK AUTHORIZED) N_~ 22758 Z // Permission Is hereby granted to: / / .//-- \ ....... ............................................... County Tax Map Uo. 1000 Secflon....i...~-?. ....... Block ........... pursuant to application dat~ ....~..~/~...~, ................................. 19...~..~., and approved bythe ,u,,d,ng,n~,or. Rev. 6/30/80 7GS-X802 BUILDING DEPT. INSPECTION [. ] FOUNDATION ZST I- ] ROUGH PI.BG. FOUNDATION ZND [ ] IN~.ATION FRAMING [ i,,]-'FI NAL DATE INSPECTOR 765-1802 BUILDING DEPT. FOUNDATION 1ST [ ,~ ROUGH PLBG. [ ] F~UNDATION2ND ~lON FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. //INSPECTION ~/F/~TIoNIST [ ] ROUGHPLBG. [ ,~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY · ~' REMARKS. ~~~E~~'~ ~ --'-** FIELD INSPECTION REPORT DATE COld'lENTS ,, ,, FO~ATION (~2 ...... " ..... INSUI~.TION PER 14. STATE ENERG'Y , it CODE II II ADDITIONAL CO~IgNTS: FORM NO, 1 APR ! ~ 19,c)5' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 119771 Disapproved afc ................................... ;. (-~luildin ~4'fsp ector) APPLICATION FOR BUILDING'PERMIT BOARD'OF HEALTH 3 SETS OF PLA~S ......... SURVEY .................. CIIECK · .............. SEPTIC ............. t;OTI FY ~ · ............ HAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 2 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 st?eets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli- cation. ' 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 i~sucd a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by thc 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 inspecspec~s. /7 ~ ~.,~' s. . · (Si=*n'ature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai ·contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. E..ct....a_. Licansc No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done · .//.q.q ......... TZ..o' s r/w,-o House Number Street Hamlet County Tax Map No. 1000 Section ...... '~..~. ........ Block :../ ....... '. Lot . j~..../.~. ...... Subdivision ' Filed Map No ............. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constructioni · a. Existing use and occupancy ............ b. Intended use and occupancy ............ 4~f~C' , ' ' ,% ..................................... :. .... ....: ....... · 3.Nature of work (check which apPlicable): New Building ....... Addition ......... Alteration ; ..... Repair .............. Removal .............. Demolition ..... : ......... Other Work .......... 4. EstimatedCost.. ~ 40.OOF-~ " .... ' 7 .~ (Description) ....... ~ ' · ............. Fee ..... .~ ............... ............... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units.. ~ Number of dwelling units on each floor.. . If garage, number of cars ... ~ ..... ' · ............. 6. If business, commercial or mixed occupancy, specify n?ure and extent of.each type of use .. ~ ....... ~ ........ 7. ~i~nsions ~x~st~i~g structures, if any: Front..~.. :... Rear ~ De~th ~ght ...I.~.~0 ....... NumberofStories...~.-~.. ' ' ~'" .......... ~ ............ . ~enmons ~f~o~e structure with alterations or additions' Fr~;'' '~" ........... ~ .... ~" ............. ~epth '~ H~.~, ~ 7C~ ,,' .... ~ ............ ~ear .~. 8. Dimenli;~s;} 'L' ........... . ~" .... 5 ~ ...." ........ ,.,NumberofStofies.. ~.. ' . . 'j~ ,, ennre new constmctmn: Front .~.~. ~oV~; ~ ~ .. ' ........ height ............... Number of Stories .......... j ....................... oepm ............... 9. Size oflOt: Front .... 277...6 ...... i.. Rear..z/.Z.~jjjjjj.j.~... Depth .~:. ..j. 10. Date of Purchase ..... [~ ......... . ......... Name of Foyer Owner 11. Zoneorusedistrictinwhichpremisesaresituated ~l~ D~t ' ~,~ 12. ' ........ ~ ........................ ~... o~/~ Does proposed construction violate any zoning law, ordinance or regulation 13. Will i0t be regraded ~ . : ................... x,~_~ _~ ~ ~ ' ' '. ....b' 'A ........ .' ........ Will excess fill be removed from ~remises- y~ ' ' ' ~; ' 14. ,,~-~m~wnero~premises .~1,~4~ ~ ~ .... ~- ~ ..... Mnm~ ~fA~h'* + ~P~ ,/~ ',i;~ ' --. ~u~ .~p. ~Z.~/~.. Phone NoiCJ4~ ~/~o/~9. [5. Is th~s property within 300"~e;¥ o~' L' 25;'_¢Uu*~s~ '~'' "/]*'c/5~. ~K... Phone No.(¢{6~.J~x~J . · ..Ar yes, Southold Town Trustees Permit may. be reqg g;3j''"" ......... , · -. PLOT DIAG~ Locate clearly ~d distinctly MI build~, whe~r existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y Hnes. Giro s~eet ~d block number or description acco~g to deed, and show street nines and indicate whether ~tefior or corner lot. " ~ ~ 0 ~ I ~ -- ~ ~ ~9 / O~ i -- .-.-_:.- .. rATE OF NEW YORK, S.S OU~y ~ .... ~ . . . . . )OVe ~a~ed. ~ is the . .. . . . (Contractor, agent, cor'porate officer, etc.) said owner or owners, ~d is duly authorized to perfo~ or have perfo~ed the said work and to m~e and file this plication; that all statements contained M this'application are t'rue to the best of his knowledge and belief; and that the ~rk wflI be perfomed in the m~ner set forth in the application filed therewith. zorn to before me this No. 010A5~9~ ' -- ' -(S~n ............... New York State Department of Environmental Conservation Building 40--SUN% Stony Brook, New York 11790-2356 Telephone: (516) 444-0365 ~acs[m£1e: (516) 444-0373 NO PERMIT NECESSARY - TIDAL WETLANDS ACT Thomas C. Jorllng Commissioner Dear,~J$ ~'~m ~a?.' A review has been made of your proposal to: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the project is listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations) as a use not requiring a permit or notification letter of approval. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please con- tact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, MAY · Deputy Regional Permit Administrator ,)¢'~> 4-0 / "T'OW" OF SOUTHOLD OPERTY RECORD CAR OWNER LAND .~Soo 9000 AGE NEW Farm Tillable 1 Tillable Tillable SEAS. IMP. NORMAL 2 3 VL. Woodland Swampland Brushland House Plot ;Tara I TOTAL ~300 13 70-~ / FARM DATE BUILDING CONDITION E LOW Value Per Acre VILLAGE E ,r~ w O, ACREAGE , 2, TYPE OF BUILDING COMM. IND. x~/ : CB. MISC. REMARKS ! / / "'~¢ /7 ,," 1/ ?-'/:~' .-'i "' ~ ~ ' . '. I / ~' COLOR M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Patio O.B. Total I~'oundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer Driveway Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Flora Dinette K. LR. DR. BR. FIN. B. I0 N ~ =jc. at~: ~0'= PLUMBER CERTIFICAT/ON ON LEAD CONTENT BEFORE CERTiFiCATE OF OCCUPANCY SO~DER USED IN WATER SUPPLY SYSTEM CANNOT If ~pper tubing is u~ ~.~ for Water distrib~ing cf WpesK or L ~ UNDERWRITERs ~ERTIFi~A~ 76~-~)2 9 AM TO 4 PM FOR TF~E FOLLOWING ~NSF~CT~O~S: ~:F CC~)FLE~E FO~ ":- /4~', O~ COF~g F~UCTION ERRORS PROVIDE OPEMINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. -- 'r-,a .~'F--'Y T, L :¥1 PROVIDE OPEI~INGS FOR EMERGENCY ESCAPE REQUIRED BY PARt. 7i~ N:Y. STATE BUILDINg IDII' I 7 .I