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HomeMy WebLinkAbout35316-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Tow~ Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34191 Date: 02/12/10 THIS U~I(TIFIES that the building ACCESSORY TRELLIS Location of Property: 290 TOWN HARBOR TERRACE SOUTROLD (ROUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 66 Block 1 Lot 33 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 15, 2010 pursuant to which Building Permit No. 35316-Z dated JANUARY 25, 2010 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" ACCESSORY TRELLIS AS APPLIED FOR. The certificate is issued to JOANN WALKER of the aforesaid building. ( OWNER ) SUFFOLK CO[~qTYDEPART~I~T OF HF2%L~APPRO~l%L N/A ~.Rt-rKICAL CERTIFICATH NO. 132648C 02/05/10 PLU[~ERS CERTIFICATION DA'£~D N/A Rev. 1/81 8LDG. DEPT, TOWN OF SOUTHOLD AI~PLIC~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 TION 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 o f eleatrical 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. If a Certificate of Occupancy is denied, thc 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: ~ 3(- ~?~, >~ //r~/~>' ~ ~'tb'~c House No. Street Owner or Owners of Property: ~]-~c~ /'~ ,"3 ~c/,:~. (/(, ~ Suffolk County Tax Map No 1000, Section ~ ~' Block / Hamlet Subdivision PermitNo. 35~,~;~/~' DateofPermit. /- :v--l: Filed Map. Applicant: Lot; Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~.. Final Certificate: (check one) Applicant Signature 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. 35316 Z Date J~LNUARY 25, 2010 Permission is hereby granted to: for : "AS BUILT" JOA/gNWALKER 730 PARK AVE - # 19C-PH NEW YORK, NY 10021 ACCESSORY TRELLIS IN THE FRONT YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 066 pursuant to application dated JANUARY Building Inspector to expire on JULY 290 TOWN H3tRBOR TERRACE SOUTHOLD Block 0001 Lot No. 033 15, 2010 and approved by the 25, 2011. Fee $ 200.00 /~ri~ze~dSignature Rev. 5/8/02 ORIGINAL Issue Date 2/5/2010 Electrical Inspection Certificate Electrical Inspection Service. Inc. Application Number 375 Dunton Avenue 132648C East Patchogue, New York 11772 (631) 286.6642 Issued To: Joann Walker Street: 290 Town Harbor Terrace Village: Southold Zip: Section: Block: Lot: Contractor: P. O. B. Electric Inc. 11971 Town: Southold Lic.# 4473-E was examined and found to be in compliance with the National Electrical Code. Commercial Residential i NV Defects ,I Pool ~ 1st Floor [] Indoor [~ Det. Garage [] Attic ~] 2nd Floor ~ Outdoor [] Addition Switches Receptacles Fixtures GFI Heaters 3 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Furnace Oil Gas Circulators Smoke Detector Television Meter Amps Phase UG/OH Jacuzzi / Bldg. Permit: 35316Z Other Equipment Hugo S. Surdi President Trellas- 3 Well Lights Basement ~ Hot Tub [] Survey A/C Fans Microwaves Bell Transformer CO Detector Rough ~spection: ~ Inspector: .~John Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. ~', ~:LrPIN~cTIoN REPORT I DATE] FOUNDATION (1ST) ..... ~ ................... ~. FO~A~ON (2~) · ROUGH ~G & pL~G STATE E~R~ CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined Approved Disapproved *ftc PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: ~  / Building lnspe~otor 3)~///11 APPLICATION FOR BUILDING PERMIT I ~ INSTRUCTIONS ......... ~ Scompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 l'g'6-Fplans, 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 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 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. Thereat~er, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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, housin,~,..oo~, an~gulations, and to admit authorized inspectors on premises and in building for necessary inspections. '"Th'q'~ature 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 r', ..dFX' . Nameofownerofprem,se~ ..]Oho u t,..-O ¢xu\(-~F~ (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. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Subdivision Section (,~ ~ Block Filed Map No. Lot ~ .... Lot 2. 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 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If §arage, 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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear , .Depth 9. Size of lot: Front 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 __ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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 of a tidal wetland? * YES NO * 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 STATE OF NEW YORK) SS: COUNTY OF .... V(~ q,[( ~rq (- .~.~'~.~/7.~_ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above n~d, (S)He is the (Cohtractor, Agent, Corpor-at~Dfficer, 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. Sworrkto before me this / ~[..~) ~4~. day of-'~J, tq ~ 20 } ~ / / -- '~ta~ Publid Signature of Applicant IG & CONNECTIOI~ REQUIRED. 1000-66-01-33 !~ DATE: 1-15-2010 WALKER RESIDENCE ~:~ ~:,~%~,~,~ o:~ AS BUILT TRELLI'S ~'. ~?/~.~;I .-,, SK 1 z-¢. ~; ~,~::~:? .~ SOUTHOLD NY - '~': ?[t~?' '~CHORNO ASSOCIATES ,%, % ,.9 % ? / TEST HOLE DATA (T£S7 HOt£ OOG BY ~cOONA£D GEO$C~ENC£ ON SEPTEMBER 20, 2005) % NOTES' SURVEY OF PROPERTY S£TUA TE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-66-01-55 SCALE 1"=20' JULY 51, 2006 SEPTEIvlBER 19, 2006 ADDED DRYWELLS & PROJECT LIMITING FENCE OCTOBER 25, 2006 ADDED NON-DISTURBANCE BUFFER MARCH 12, 2009 REVISED PROPOSED POOL OCTOBER 5, 2009 FINAL SDRVEY JANUARY 8, 2010 UPDATE FINAL SURVEY AREA = 52,560 sq. ft. (TO TIE LINE) ].202 ac. 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM 2, FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103C0158 G ZONE AE: BASE FLOOD ELEVATIONS DEIERMINED ZONE X' AREAS D~TERMINED TO BE OUTSIDE $00 YEAR FLOODPLAIN. NYS L[c. No. 50467 Nathan Taft Corwin III Land Surveyor PRONE (631)727-2090 Fox (551)727-1727 26-BS~H