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HomeMy WebLinkAbout36782-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 3/7/2012 No: 35477 Date: 3/7/2012 THIS CERTIFIES that the building OTHER Location of Property: SCTM #: 473889 Subdivision: 1460 Hillcrest Dr, Orient, Sec/Block/Lot: 13.-2-8.24 Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this officed dated 10/17/2011 pursuant to which Building Permit No. 36782 dated 10/28/2011 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: construct an accessory sport court as applied for The certificate is issued to Michael & Karin Schaefer (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED -~~o~ed Signature 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 #: 36782 Date: 10/28/2011 Permission is hereby granted to: Schaefer, Michael & Schaefer, Karin 184 N Hewlett Ave Merrick, NY 11566 To: construct an accessory sport court as applied for At premises located at: 1460 Hillcrest Dr, Orient SCTM # 473889 Sec/Block/Lot # 13.-2-8.24 Pursuant to application dated To expireon 4/2812013. Fees: 10/17/2011 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: $100.00 $50.00 $150.00 Building Inspector Form No. 6 TOW~ OF SOUTBOLD 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 o f 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. 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 dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming 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. TemporaD' Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: I ate. 37- // Street Owner or Owners of Property: //~]Z~/L~ ~,~ Suffolk County Tax Map No 1000, Section /3 Subdivision V/ Old or Pre-existing Building: (check one), House No. Hamlet Date of Permit./~ -~ f-// Block ~ Filed Map. Applicant: Underwriters Approval: Final Certificate: Permit No. ~{)) Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ . (check one) ~.~plicant Signature' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [~FINAL [ ] FIRE SAFETY INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined 1-3/).~ . 20 JJ Approved ~¢/,'~'. 20 / Disapproved a'c Expiration PERMIT NO. ~ ~ OCT 17 2011 BLDG. DEPI. TOWN OF $OgTflOtO 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 Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schednle. b. PIct plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, aud waterways. c. The work covered by this application may not be corn menced before issuauce of Buildiag Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sucb a permit shall be kept ca the premises available for inspecfioa throughout the work. e. No building shall be occupied or used in whole or in pan for any purpose wbat so ever until the Building Inspector issues a Ce~ificate of Occupancy. E Every building permit shall expire if the work authorized has not commenced within 12 months aher the date of issuance or has not been completed witbin 18 months from such date. If no zoning amendmeots or other regulations aftbctiag the property have been enacted in the iaterim, the Building Inspector may authorize, iu writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamnent fbr the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suflblk County, New York. aad other applicable Laws, Ordinances or Regulations, for the consmmtion of buildings, additions, or alterations or for removal or demolition as herein described. The applicaot agrees to comply with all applicable laws, ordinaaces, building code, housing code, and regulars, and to admit authorized inspectors on premises and i~). building for necessary inspections. ~ USE tS UNLAWFU= ~'~'ap~i2~,ifaco~oration) W 7'H( c _ Stale whether apphcant is owner, lessee, agent, arclntect, engineer, general contraS, plum~r ~b~der FOLLO~NG INSpE,. (As on the tax roll or la~ ~U~ED OO,. If applicant is a corporation, signature of duly authorized officer 2. STRAPPING, ELE~T~~ 3. INSU~ (N~e and title of' corporate officer) Builders License No. ' ~ ~Or~.~ _:'-E r0h C 0 Plumbers License ~o. ~[L CONS :RucTioN SHA~c t.¥Er THE Electricians License No. REOUIREMENTS OF THE CODEs O~ NEW Other Trade's License No. YORK STaTF NOT RESPONsCB,.E FOR DESIGN OR 30NSTRUCTiON ERRORS 1. l,ocation of land on/which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~,/~ Block ~ Snbdivision . .ff.~zZ. ~'~___Z~,r' ~"J',,~-~ Filed Map No. Lot ,¢/?¢,P¢ Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~/~///f~//-/~g~/~rn, e~ b. Intended use and occupancy ~8/iJr~'~'Ct~ ~,',~/2( ~ //'~,~?'/- ;;~'~'t~v'"~' ~7'" 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost If dwelling, number of dwelling units If garage, number of cars 7. Dimensions of existing structures, il'any: J:~rontr Height. Number of Stories Addition Alteration Other Work /~r~-r~//- ~'~O'Z> (Description) (To be paid on filing this application) Number of dwelling units on each floor I f business, commercial or mixed occupancy, specify uamre and extent of each type of use. " Real: Depth Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories Rear Dimensions of entire new construction: Front Height Number of Stories 9. Rear 10. Date of Purchase 11. Zone or use district in which premises are situated Size of lot: Front Name of Former Owner Rear ·Depth .Depth , ~,,O, /5/r__~ 12. Does proposed construction violate any zouing 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 ofpremises/~tO~O,- ~: ,,Pr,,~/_/t~-Address ,,~4~/d~'/l/t'l,t£~:/, Phone No. ~6- Name of Architect Address Phone No Name of Contractor ~~r ~ Address ~a~ PhoneNo. 15 a. Is this prope~y within 100/~et of a tidal wetland or a l?eshwater wetland? *YES NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED· b. Is this property within 300 tbet ora 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__ NO / · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY /~'~e,..,~E,r,.. ~'~ O~,,~,~,~... being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract') above named (S)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 applicatiou; 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. Eileen DeNarne Not,try Pubtic-State of New York No. If 01DE6122638 Swon~o before me tl~ I-~ day of_{.}' 5}"'-, 20 1/ Notary Public Siguature ~f,~plicant~/~ Qualified in Nassau County Commission Expires February 22, 20/~..~ '3 OTES.' I) SAME AS DIST: ~oo~ .SECT: t~'7~ ,BLK: LOT: ~.-L~ ,ON SUFFOLK COUNTY TAX MAP. THE EXISTENCE OF ANY RIGHT OF WAY, AND/OR, EASEMENT OF RECORD, IF ANY, NOT SHOWN NOT GUARANTEED. SURVEY M I/LC~ST © BY ROBERT B. HOLZMAN L.S. LICENSED LAND SURVEYOR, N.Y.S. LIC. #49176 1029 WILLIAM FLOYD PARKWAY, SUITE 3, SHIRLEY, NY 11967 PHONE #: 631-281-0162 FAX #: 631-281-0292 DATE : ~e_c,'.r. ~c..,~,=.~ I SCALE: I"= '",=,' ~ FILE : Iooc~- ~'~-'-,..- ,~,.~'" I Michael E. Schaefer 184 N. Hewlett Avenue Merrick, NY 11566 October 13,2011 Town of Southold Building Department PO Box 1179 Southold, NY 11971 RE,: Building Permit To Whom It May Concern: The enclosed permit is for the construction of a 30'x 50' multi-game sports court. The court is constructed of a 4" thick concrete pad with a suspended modular sports surface material placed on top. There is a basketball hoop system installed on an 11' high multi- sport pole. The removal of one tree will be necessary to incorporate the court. Thank you for your consideration to this application which will enhance our enjoyment in Orient. Truly yours., Michael E. Schaefer