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HomeMy WebLinkAbout36101-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34787 Rte: 01/10/11 T~IS C~TIFIES that the building ACCESSORY GARAGE Location of Property: 820 WATERS EDGE WAY (HOUSE NO.) County Tax Map No. 473889 Section 88 Subdivision SOUTHOLD (STREET) (H~LET) Block 4 Lot 40 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 9, 2010 pursuant to which Building Permit No. 36101-Z dated DECEMBER 17, 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 TWO CAR GARAGE AS A~PLIED FOR. T~e certificate is issued to HENRY P & DOROTHY FLINTER ( OWNER ) of the aforesaid building. S~FO~ C~)~ DBPART~T OF ~nj~{ ~PRO~F~J~ ~C'~RIC3~L C~RTIFIf3%~E NO. PS~ C~TIFICATION D~£~D Rev. 1/81 N/A N/A N/A r~u~or~z d/Sig~ure FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERbIIT NO. 36101 Z Date DECEMBER 17, 2010 Permission is hereby granted to: HENRY P & DOROTHY FLINTER 820 WATERS EDGE WAY SOUTHOLD,NY 11971 for : "AS BUILT" CONSTRUCTION OF AN ACCESSORY GAR_AGE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 088 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 820 WATERS EDGE WAY SOUTHOLD Block 0004 Lot No. 040 9, 2010 and approved by the 17, 2012. Fee $ 616.40 Aut henri zed Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTIfOLD 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, p.roperty lines, streets, and unusual natural or topograpb./c 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 Pl.amfing Board Approval of completed site plan requirements. B. For extsting 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 dwelliug $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Switraning pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 New ConstrUction: Location of Property: Date. I3 ~ l0 Old or Pre-existing Building: (check one) House No. Street Owner or Owners °f Property: Suffolk County Tax Map No 1000, Section ~ ~ Subdi~sion Permit No.. Date of Permit. Hamlet Block /7/ Lot Filed Map. Lot: Applicant: Health Dept. Approval: 'Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: ~/ (check one) App/ffcant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ATION [ ] FRAMING / STRAPPING [/~ FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRE SA,.,- ~ ,f lNSPECTION [ I I:I~E RESISTHIT C~4STR~ I ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAP~NG [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSU..~.ATION [ ~AL [ ] FIRE SAFETY INSPECTION [ ] mE RESiS'rJJIT COtA'TRUCTIOfl [ ] FmRE RESmSTAHT PENE'mATION I*O~qI}ATION FOUNDATION (2~) . ROUGH ~G & STA~ E~R~ CODE ~D~ION~ COUNTS -- " TOWN OF SOUTHOLD BUILDINO PERMIT APPLICATION CHECKLIST Do y~u have or need the following, before apply/ng ? Board of Health N.Y.S.D~.C. Contact: APPLICATION FOR BUK,DING PERMIT. INSTRUCTIONS sets ofp~-, accurate plot plan to scala Fee accordh~.~ to schedule, relationship to adjol.;.~ premises or public streets or b. I4ot plan show/ng location of lot and of buiJclln~ on premises, areas, and waterways. c. The work covered by*h~. ~plication may ~ot be ~-.~ced before issuance of B~ai%~ Permit. d. Upon approval of ~ application, the Bui~ai~ Im~eetor will issue a Building F:.-,:~ to the applicant Such a pen~t ~h.n be kept on the pr~ml.es awO~le for inspection throughout the work. . e. No builS~-~ shall be occupied or used in whole or in part for any purpose what. o-ever until a Certificate of Occupancy is issued by the BVil~%v Inspector. APPLICATION IS IiBREBY MADE to the Bui]~l~%~ Deparmaent for the issuance ~f a Building t~etmit purwant to the Bu/3~%v Zone Ora~ne~ of the Town of Southold, Suffolk County, New York, and other applicable Laws, Or~*ne~s or Regulations, for the construction ofb~l~; ~dO~tions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, buiJeli~ code, housing code, and reg,~a.~ons, ~a to admit anthorized inspeeton ~n pr~mi~es and in brfila~g for necessary'inspections. / ' / . ~ ~ of %~ur-t(a~z~/ K/5' I Iq-'71 State whether applicant is owner, lessee, agent, architect, mgineer, general eontra~r, ekctrieian, plumber or builder Name ofowncr ofpremi,~es E M k~/ (as onthe tax roll or latest deed) If applicant is a coq~oration, dgnature of duly authorized officer (Name and title of corpo.~to officer) Builders Licons¢ No. Plumbers License No. EleetricJa-~ Liconse No. Other Trade's License No. 1 .' Location of land on wl~ich proposed w ~osk?~Jl .be ,do, ne:, House N~m~ber Street Co,u~.y.T. ax ~ No. 1.0,00 Section Sut,aivis,on ia/~¥ State existing use and occupancy of t~mises and intended use.and occupancy of proposed construction: Nature of work (check which applicable): New Buflalng Repair Removai Demolition i. E~mated'C~st O 5. If dwelling~ number of dwelllng units If garage, number of cars F6'~ Addition Other Work Alteration' (Description) (to be paid on filing this application) Number of dwelling units on each floor 6. ffbusiuess, commercial or mixed occupancy, specify nature md extent of each type of use. 7. Dimemsions o,f ?ffdug stzuctures, if an3c. Front. Height I I' ~ Number of Stofles Dimensions of Same structure with alterations or additions: Front Depth -~-D.'~" Height $. Dimenszous of entire new construction. Front Height Number of Stories ' Depth 10. Date of Purchase Depth A2' 7 ·Rear Number of Stofles [ Rear Depth 11. Zone or use district ~n which premises are situated 12. Does proposed construction violate any zoning law, ordinance or re~tlation: A//) 13. Will lot be ro-graded /~v/ O Will excess ffil be removed from premises: YES ~O~. ·, - i4. Nam~ of Owner ofpremi.~es/~£~ ky i~ / ~-[ ~ ~//~t~v Phone No.C ~ / ?/~ ~- -~ ~L-~ c} Name of A~chitect Address Phone No Name of Conmmmr Address Phone No. 15. Is this prop~ty withln 100 fl~q: ora tidal wetland? *YES · · IF YES, SOUTHOLD TOWN TRUSTEES PER_MITS QUI~D 16. PrOvide survey, to scale, with actuate fouadetion plan and distances to property lines. 17. If elevation at any point on propexty is at 10 feet or below, must provide topogra~hicai data on survey. STATE OF NEW YORK) H~ ~..V . FL I y'~_~_._ being duly swom~ deposes and says that (s)hc is thc applicant (Name ofi~divkh~! mgni~ cod~ ~'t) above ~med, . (S)He is the _f~ h/^/P~-- (Contractor, Agc~t, Corporate Officer, ~tc.) of said owner or owners, and is duly authorized to perform or have p~formed the said work and to make and file this application; that all statements contaiued in th!,~ application are tree to the b.e~., of his knowledge and belie~, and that the work will be Performed in the ~er set forth in the applic~tion'filed therewith. ' ' Sworn to.before me this ~ /.o/ dayof t~ b/g4////~~/ 20/d . BUILDING PERMIT EXAMINER CHECKLIST Applicant: ~CTM#1000- ~' - Property Address: [~uilding Permits (Open/Expired): BP__-Z / C/0 Z- , Info: BP__-Z / C/0 Z- , Info: 3P -Z / C/O Z- , Info: BP__-Z / C/O Z- , Info: BP__-Z / C/O Z- , Info: __ ~ingle & Separate Search Required? Y o~)Determination: IBQ. LotSize: _ ~o__~ : ACr.~LotSize,~?79:~Y_,~. ~-~P~E~Q. LotCov. ;x~ ACT: Lot Cov. IBQ. Front 3~ ACT. Front kRE_Q Side ~ AC~. Slain- lb ' REQ Rear ~r'~ PROP. Rear Naterfront? Y o~(N9) x / tTes, water body:~ Panel// ~ (e ~ Flood Zone: /~/ Bulkhead/BluffDistance: *Date Submitted: / ~-~] 0 -/0 Date Reviewed:  Estimated Cost: Subdivision: ~ ~ Zone: ~ z ~o Conforming?. ~_ Pre COs? I.DDITIONAL APPROVALS REQUIRED Inltolk County Health: Y o~_.~}- If yes, '~Bed#: *Date: / / *Permit#.' - If no, certification required: Y or N Received: Y or N By: DEC: PRE-DECg/1/75 Y orN~ Date: ;outhold Trustees: y o~- Date: __ ~outhold ZBA: Y or~ 7 Date: / __ louthold Planning: Y or~- Date: __ __ ['own Landmark C of A: Y o~.~DTE: /__ Town Septic: Y or N / Permit #: Permit #: Permit #: Permit #: / or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: *NYS CODE Compliance (page 2)~r N totes: ~ee Structure: :oundation: SF ~irst Floor: _~3 SF :econd Floor: SF )ther: SF ?omi: SF Calculation: 3 SF X $ ,bio =$ + Initial Fee: $ + Addition~al Fee ( ): $ SFX$ =$ + Initial Fee: $ + Additional Fee ( ): $ [00 , 0 v 616,40 NEW YORK STATE CODE COMPLIANCE CHECICLIST CLIMATIC/GEOGRAPHIC DfiSIGN CRITERIA: .Groun/i Snow Load: ~0 Wind Speed; 120MPH. Seismic Design Category." B Weathering: Severe .-Frost Depth: 36" __ Termite: M-H' Decay: S-M Design Temp: 11 -Ice Shield Underlay: YES l~lood Haza/'ds: USE/OCCUPANCY CLASSIFICATION HEIGI:IT/FIRE AREA: . ~ TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/pREscR~TiVE FULL FP, LAMING DESIGN ELEMENTS: y/N HEADERS: Y/N WALL STUDs: Y/N CEILING JOISTS: YiN FLOOR JOISTS: Y/iN LU~IBER SPECIES AND GRADE: YiN GIRDERS: Y/N ROOF RAFTERS: WINDOw AND DOOR SCHEDULE! .[M[ISSLE TEST REQUIREIV[ENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: YfN PLUMBFNG RISER DIAGI'CAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: YfN TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N COMPLIENCE~/(9/lXl (RETURN TO TOTAL PAGE ONE) '1- .-j E LE ',//4 Tt oD :! ,I, - ELECTRICAL INSPECTION REQUIRED L Jr ':1009 NMOI ~HI JO 9gZ ~tlclYH90l iNVNS~/ld ~TA~N STORM WAT~ RUNOFF PURSUANT ~0 CHAPTE~ ~ ~ OF THE TOWN CODE. ~v .... '., , CA,.. & TOWN CODEs AS REQUI~EC ANONo T[O~F -- ~ SOUTHOLD / ~ PPF~OVED AS NOTED ~,~ ,~ /~VT~/~ #~, /o / h ,T~ff BUilD NG DEPARTMENT AT 7%4d02 8 AM TO 4 PM FOR THE F u~ L,'%VlNG ~NSNSpECTIONS: FOUNDATiO~ TWO REQUIRED FOR POURED CONCRETE ~OUGH-FRAMING, PLUMBING, STRAPPING ELECTRICAL & CAULKING 3 INSU~TION 4 FINAL-CONSTRUCTION&ELECTRICAL MUST BE 60MPLE~ FOR C,O' ALL ~ONSTRUCTION ~ALL MEET ~E REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT ~8~NSIBLE FOR OESIGN OR CONS~TION E~OR8