HomeMy WebLinkAbout36811-ZTown of Southold Annex
54375 Main Road
Southoid, New York 11971
CERTIFICATE OF OCCUPANCY
No: 35293
Date:
11/17/2011
11/17/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
DECK
1910 THE LONG WAY, EAST MARION,
Sec/Block/Lot: 30.-2-128
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/1/1900 pursuant to which Building Permit No. 36811 dated 11/14/2011
was issued, and conforms to all of the requirements of the applicable provisions of the law. Thc occupancy for
which this certificate is issued is:
deck addition to an existing one family dwelling.
The certificate is issued to
Sausmer, William & Sausmer, Pearl
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36811
Permission is hereby granted to:
WILLIAM & PEARL SAUSMER
P.O. BOX 248
EAST MARION, NY 11939
Date: 11/14/2011
Tel
DECK ADDITION REPLACES EXPIRED BUILDING PERMIT # 11712
At premises located at:
1910 THE LONG WAY
SCTM # 473889
Sec/Block/Lot # 30.-2-128
Pursuant to application dated
To expire on 5/14/2013.
Fees:
1/1/1900 and approved by the Building Inspector.
PERMIT RENEWAL
CO - ADDITION TO DWELLING
Total:
$7.50
$50.00
$57.50
Building Inspector
lrO~'~r NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°. 11712 Z
Permission is hereby grante(~
.............
~0..:......~ ......... ~.~.~...G.~.Z~,~
...C...~..~.~...~...: .7..... ........ ....
,o .......... .q...o...~.~o..~...~g.....,~,.m.~.o.:~.Z~....~z.~.~.~ ............
~,,..,. ,~ o,...~.o. ....... ~.....~./..~..~..~......~../z~~.~ y
:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
County Tax Mop No. 1000 Section ....~..~ ...... Block ....c~...(~.. .......... Lot No.
pursuant to application dated ..... ~...7...~.....,....a~... .................... , 19...~.....,~nd
Building Inspector.
approved by the
Rev. 6/30/80
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 folio.wing:
A~ For new building or new use:
1. Final survey of pr°petty with accurate'location o f all buildings, properiy lines, streets, and unusual natural, or
topographic features.
2. Final Approval from Health Dgpt. of wate[ supply and sewerageqtiSposal (S-9 form}.
3.. Approval of electrical installation from Board 0fFire Underwriters.
· 4. '8w. orn statement from plumber certifying that tho solder used in system contains less than 2/10 of 1% lead. .
5. Commercial building, industrial building, mtfltiple 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, 19571 Uon-conforming us~, or buildings and "pre-existing" land uses:
1. Accurate survey of proPerty showing all property lines,'stmots, building and unusufil naturai or topographic
features. '
2. A properIy v4~mpleted app ication and consent to inspect signed by the appl cant If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. F~:es 1. Certitica[e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming PO01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
C¢~-titicate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of. Occupancy - $.25
4. UpdatedCectificateofOccopancy- $50.00
5_ Temporary Certificate o£Occupancy - Residential $15.00, Commercial $15.00
New Construction: ~//
Location of Propeay: I Q / {~
House No.
Owner or Ownet~ ~f Propen'y:
Suffolk .County Tax Map No 1000, Section
Subdivision
Date. Il- tt--I'Zx> t 1
Old or Pre-existing Building: ' (check one)
Stxeet Hamlet
Biock .
Filed Map.
Dat~ofPermiL ~q I ~14 ~?1~ Applicant:.
l-I~lth D~pt. Agproval:
Planning Boa~ Approval:
Request for: Temporary Certificate _
F~e SubmiUed:$ 4~ '¢!4~
(check one)
~ Applicm~ Signature /
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~.~JL~iON
[ ] FRAMING/STRAPPING [//]~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [~ ] ELECTRICAL (FINAL)
REMARKS: ~'~ ~//r ~-_~
FIELD INsfEc2ION
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
FLUMBING
INSULATION PER N. Y.
· STATE ENERGY
C,ODE
FINAL
ADDITIONAL COMMENTS:
FOKM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Ex°mined .............
Approved .~...~r ................ , ....... · ....................................
//
DisapprovelY a/c .........................................................................................
....... ....... ..................
APPLICATION FOR BUILDING PERMIT
Date ......... . .~..a...~ ....~..2. ........................ , 19_.8..2. ......
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with
3 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
giving a detailed description of layout of propertv must be drawn on diagram which is part of this applicetion.
. 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 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 the 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, Suffo{k 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 buildings for necessary inspections.
(Signature of applicant, or name, if a corporation)
GLENN F. HEIDTMANN & SON, IN~:
P. O. BOX 932 COX LANE ...~.~.~.."/~...~.li:~.~.~....'~--....~..C,,~.~. ~,.~'~.~:~J~,~--
CUTCHOGUE, NEW YORK 11935 (Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
............ .g..e.,n...e..r...a. ! ...,C..o...n..t..r...a.,c..t..o...r. ........................................................................................................................................
Name of owner of premises ....... ..~.~..[..]:.~..e..m.....A....S..a....v~....e.~ ..................................................................................................
If applic~artt i§ a corporate~,~nature of duly authorized officer.
~Name and title of corporate officer)
Builder's License No ................................. ..[..0. ....................
Plumber's License No .........................................................
Electrician's License No .....................................................
-
Other Trade's License No ................................................... / ~ __ __
1. Location of land on which proposed work will be done. Map No ....... .g~....'.~..~....~., ................ Lot No...~ ............
--~/~/0 Peble Beach, East Marion ~ ..~...~MC.Z..~..~.~ '
Street and Number ..~. .......................................................................................... : ......... ~ ................... ~'~'::":"~'ii{; ..........
2. State existing use and occupancy of premises and intended use and occupancy of 15roposed construction:
Single Family Dwelling
a. Existing use and occupancy ....................................................................................................................................
b. intended use and occupancy -~3¢~z ~ C~--- (~'~-_ZC~/ -
3. Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration ...............
XXX
Repair ......................... Removal ........................ Demolition ........................ Other Work ....................................
and Replace (Description)
4. Estimated Cost ........$..2...,.,3..6..8......0..0. ................... Fee .,...~.,1..5......0..0.. ..............................................................................
(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 occuoancv, specify nature and extent of each type of use .....................................
7. Dimensions'of existing structures, if any: Front 14 ft. ,, 14 ft. D -tL 20 ft.
..................... r~ear ........................... ep. ...................................
Height ....2..1.....i..~.c._h..e..s. ................................... Number of Stories .............................................................................
. . 16 ft. 16 ft.
Dimensions of same structure with alterations or additions: front .......................... Rear .........................................
Depth .....2..4....,f..t.... ............................ Height .....2...1....i...q.c..b,.e..~} ................ Number of Stories ........................................
8. Dimensions of entire new construction: Front ......................... Rear ............................ Depth .................................
Height ................................................. Number of Stories .......................
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: ............. .QO ..........................................
none
13. Will lot be regraded ................................ Will excess fill be removed from premises: [ ] Yes [ ] No
14. Name of Owner of premises ~.W..i.~.~..~.~.m..m..~.A.~:~.S.~.m...v~....e.~.r~.5..8.~.H..m.~.z..e.~.~.w..~.~p..d.~.D..r.~-~.~bp~*~^~~ .............
(Address) {Phone No.)
Name of Architect ~S~t~e~v~e~G~-~T~s~n~t~a~k~i~s~z~-~P~-~E~-~-~M~a~t~t~i~t~u~c~k~-~2~ ...............................
{Address) (Phone No.)
Name of Contractor Glenn F. Heidtmann & Son - Cutchogue - 734-7484
{Address) (Phone No.)
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate wheth-,
er interior or corner lot.
Attached - 3 copies of Deck
Rear dimension of House 42 feet
Deck to be located centered
STATE OF NEW YORK, )
COUNTY OF ................... , .S..U.. ~. ~:.Q .~...k.. ............... ) SS
Glenn F. Heidtmann
............................ i~'~'~'~'~ ~'~i~i'~'~'~ '~';~'~'t')'~';'~ 'i' being duly sworn, deposes and says that he is the applicant above named.
Contractor
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 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.
........... ............. ,, --
............ ............
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
PLEASE TAKE NOTICE that your application date~...
Location of Property
House No. Street H~mler
County Tax Map No. 1000 Section ..... ~ ........ Block ..... ~ ........ ~t . .~ ..........
Subdivision ................. Filed Map No ................. Lot No ..................
is returned herewith and disapproved on the follow~g ground~C~.
Phone (516) 734-7484
Night (516) 765-1128
GLENN F. HEIDTMANN & SON, INC.
BUILDER
COX LANE, CUTCHOGUE, NEW YORK 11935
June 1, 1982
Town of Southold
Building Dept.
Main Road
Southold, New York.
11971
Re;
Sausmer, Deck Permit.
The Long Way
Pebble Beach
East Marion, N.Y.
Location of
Property,
The Long Way
Pebble Beach
East Marion,
11971
County Tax Map ~
Sec. 30
Block 2
Lot 128
1000,
Subdivision, Pebble Beach, East Marion.
File Map ~, 6266 June 11, 1975
Lot ~ 46
MAIL ADDRESS
P.O. BOX 932
CUTCHOGUE, N.Y. 11935
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
)SS.:
NOV 1 4 2011
BLDG. DEPI.
TOWN OF SO[ITHO[D
William A. Sausmer and Pearl H. Sausmer, his wife, being duly sworn, depose and
say:
We are both over the age of 18 years and reside at 1910 The Long Way, East Marion,
New York 11939 (hereinafter "the premises");
In June 1982 we hired Glenn F. Heidtmann & Son, Inc. to expand the existing deck at the
premises;
That Glenn F. Heidtmann & Son Inc. applied for a building permit from the Town of
Southold Building Department on June 8, 1982 (No. 11712Z);
That the deck extension at the premises was completed on August 26, 1982.~A
~'); and
That we make this affidavit knowing that the Town of Southold Building Department is
relying on the truth of its contents;
WILLIAM A. SAUSMER/
Sworn to before me this
November, 2011
Notar~
day of
JENNIFER B. GOULO
Notary Public, State of New Yo~k
No. 02GOSO24640-Suffclk Count'/
Commission Expires March 14, 2.0
Phone (516) 734-7484
Night (516) 765-1128
GLENN F. HEIDTMANN & SON, INC.
BUILDER
COX LANE, CUTCNOGUE, NEW YORK 11935
MAIL ADDRESS
P.O. BOX 932
CUTCHOGUE, N.Y. 11935
"'lQ - o 4..