Loading...
HomeMy WebLinkAbout28218-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28375 Date: 04/30/02 THIS CERTIFIES that the building ADDITION Location of Property: 585 AQUAVIEW AVE EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 21 Block 2 Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22, 2002 pursuant to which Building Permit No. 28218-Z dated MARCH 26, 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 13 ' X 22 ' SIDE DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SUSAN M. FOX (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i Authorized Si ature Rev. 1/81 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. 28218 Z Date MARCH 26, 2002 Permission is hereby granted to: SUSAN M AS TRUSTEE FOX 22 DECATOR AVE ANNAPOLIS MD, 21403 for CONSTRUCTION OF A NEW 131X 22 ' DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 585 AQUAVIEW AVE EAST MARION County Tax Map No. 473889 Section 021 Block 0002 Lot No. 017 . 001 pursuant to application dated MARCH 22 , 2002 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 '7 �-�1 �/►r�I• 1 �D 0 TOWN OF SOUTHOLD 1 BUILDING DEPARTMENT I !LI! 25 2UO2: 7618 20 HALL F; n APPLICATION FOR CERTIFICATE OF OCCUPANCY tTitOLD A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 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 a 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 $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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .2%p 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . , .? , .Z_Do . . . .�. . ... . . . . . . . New Construction. . . .. . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . ��.r, , . . . . .i4 q tl4.✓, . • • • IGLv . . . . . . . . . .. .A. . . . . . . �'45r .^!`ft R�ov . . . . . . . . . House No. Street • • • • Hamlet . . • Onwer or Owners of Property. . .S.U-!A.v. . . . F.o,X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .-. . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .. . . . . . .Block. . . ©. . .. . . . . . . .Lot. . 0.1 . !. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.?l Z�.g . , .iDate Of Permit. . .��. f Z k. . . . .Applicant.K1."� . 0-Z e, Ko!�;SK.: . • . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . �:4.. . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .� . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . C�,c• GfS/i . . .APPLICANT. . . . . . . . . . . . . . . . . . . . . . . . c6 �a$315 0 SS BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 SBUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 5 SCERTIFIES THAT SS Upon the application of upon premises owned by 5 K.DZELIKOWSKI SUSAN FOX 5 5 1000 CEDAR DR 585 AQUAVIEW AVE EAST MARION,NY 11939 EAST MARION, NY 11939 5 Located at 585 AQUAVIEW AVE EAST MARION, NY 11939 5 5 Application Number: 1047071 Certificate Number: 1047071 5 5 Section: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: SBasement,First Floor,Outside, was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 found to be in compliance therewith on the 19th Day of April,2002. SName QTY Rate Rating it i iya 5 Defects previously reported,as items of non-compliance,have been corrected. A visual inspection made of the exposed electrical equipment in L5'J the premises indicated found no obvious unsatisfactory condition. 5 5 5 5 5 5 S 5 S seal 1 of 1 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 a Albert J.Krupski,President Town Hall James King,Vice-President OF C 53095 Route 25 gO`► Q� P.O.Box 1179 Artie Foster Southold,New York 11971-0959 Ken Poliwoda Peggy A.Dickerson CID Z Telephone(631) 765-1892 Fax(631) 765-1366 1 ,� �► BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20,2002 Mr. Kim Dzenkowski 1000 Cedar Drive East Marion,NY RE: SCTM#21-02-17.1 Aquaview Avenue East Marion,NY Dear Mr.Dzenkowski: The Southold Town Board of Trustees reviewed the survey dated August 17.1998 and determined that the construction of a deck to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Town Code, Coastal Erosion. However any activity within 100' of the Wetland line and/or seaward of the Coastal Erosion Hazard Line,would require action from this office. This determination is not a determination from any other agency. If you have any further questions,please do not hesitate to call. Sincerely, AbardPresident, of Trustees AJK:cjc cc: Building Department Applicant/ Date Owners Name: S. Fax '<< Reviewed: 3 Architect/ Date Cngincer: Submitted: SCTNI 9: District: 1 .000 Section: Block: a ut: Project Subdivision Location: ,� tJ f _ Name: Sin&le &, separate Required ccrllrmation: (Yes /No) Req. Rey. ^� � %(ming Oistrict:_ Il,ol size: Acuial: I (Lot co veragc yJ I Proposcd-LJ_ / q /. (Front Yard S v Proposed: (Side Yard`S( Proposed: �' f [Rear Yard _ Propose Project Description: ae_4 AGENC=ERMITS Permit REQUIRED FOR REVIE3N N.A. NO YES Number Suffolk County Health-Dept. New York State D. E. C. .Town Trustees ' Town Zoning Board.approval: ✓ Town Planning Board approval: ✓ T Flood Plane Elevation??? C Flood Zone: Notes..:. . -'z551 V_2 f- �l suiLDi uePr. ECTION F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION i 1 FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: or DATE � INSPECTO � ass-iaoz BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 11 CATION [ ] FRAMIN [ FINAL [ ] FI PLACE & MIMNEY REMARKS: J DATE 8PECT0 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) c� y ------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) of z - - LR o G� H ROUGH FRAMING& PLUMBING - ---- 1 ; �1 INSULATION PER N.Y. - --- — --- H STATE ENERGY CODE - — OF UA FINAL ADDITIONAL COMMENTS \\ f UN z CY Lam' H a H d b H i u wiv Vr 9UU1 nVLU tW LVINki YtsKMII AYYLILA'fION-UHECKL15 BUILDING DEPARTMENT Do you have or need the following,before applying TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building lans — TEL: 765-1802 Survey PERMIT NO. _ . h'a f8 Check Septic Form N.Y.S.D.E.C. Trustees Examined , 20�a Contact: Approved_ �:4 ,20 0 Mail to: Disapproved a/c { Phone: Bu lding iiIAR 2 2 2002 -_i A PLICATION FOR BUILDING PERMIT Date-41—t—_ f , 200 'L INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted 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 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 a Certificate of Occupan is issued 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, 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 inspections. (Signature o plicant or name, if a corporation) 1 000 <-&oAr0- l✓/4 MAr!'{ /O (Mailing add ess of applicant) 1 IQ 3 c' State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician, plumber or builder Name of owner of premises 5-75 A Q UAr V t G CV Ave. . uS j (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriz6d officer (Name and title of corporate officer) Builders License No._ i Z q,6,f 14 T- Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 6�c 2;— A d•aA- V 1e,w At./e, `' eA-5 T— A4,4-Y� !o House Number Street Hamlet County Tax Map No. 1000 Section 0 2. 1 Block 0 2- —Lot—0 � 7 Subdivision Filed Map No. Lot (Name) . ?. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S I ti4 L E F- 1 R G S b. Intended use and occupancy _!, A�G �. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 0Z G l4 1. Estimated Cost ff(BOO Fee (Description) (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front "1 I Rear u Depth 30 Height 2 it Number of Stories_ Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: FrontD Rear_ r Z 7 Depth _577 0. Date of Purchase zs-J'cliv q Name of Former Owner, fA-41 e!� 1.V1 il14 I4.S V v 6T 1. Zone or use district in which premises are situated R - q d 2. Does proposed construction violate any zoning law, ordinance or regulation: /I/0 3. Will lot be re-graded /l/0 Will excess fill be removed from premises: YES 4. Names of Owner of premises SvS-*a- Foy.—,T&ARAddress A v4-+ roGiS! A4.D, Phone No.4 I b -- 2(0 T- f 4 g Name of Architect Address Phone No Name of Contractor,%%,t- Dze vk-ywsk ; AddressC o+r, on. I'r m4olloPhone No. "LI 7 7 -2 y �o S` S. Is this property within 100 feet of a tidal wetland? *YES NO A • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: 'OUNTY OF S vim) 8 1 n1 D ZCiy Ki being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, >)He is the oAT(k4Gro rt_ (Contractor, Agent,Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; gat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be �-rformed in the manner set forth in the application filed therewith. worn to before me this ;day of 11"'t- 20_a �~ Nell otary Public Signature of icant INS NotaJOYCE bllic,Sta el of Newyork No.4952246,Suffolk County Term Expires June I sougo 0VA E N o OF OD \g 10�" lip -ZY IY�e / ii ice_ _�� �\ \` �� i39 . PPSZB // / ��_ / Jf - //j / // / _� YB / \\ _ 40 JO 3234 / l SIO 1 39 cw 40 cw P 1� N m Q same C JoMN ao - OL SAV Y 2� Q I n�k a —:* --- 14J 0 � � 0 CL t h V N. WF 90.00' AQUA V/EW A VENUE SURVEY OF PROPERTY • AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. X000 - 21 - 02 - n.1 SCALE r/ = 40' CONTOUR LINES ARE REFERENCED TO AW.UST », W8 N.G.V.D. ANY AL/TIOUTOV OR ADPTIOiIYy TO THIS SURVEY IS A VIOLATIONOF SECTa��Of Nf�yy EXCEPTLA W A5 PWR SECTOV 7209-StAWMSION 2ALLACERTFTCA�IONS C, SAAO MAP OR COPES BEAR THE A� SED 4P AM COPIES EAL OF HEREOF ON-Y F TH SURVEYOR WHOSE WUTURE APPEARS HEREON S. LIC. NO. 496/8 ADDITIONALLY TO COMPLY WITH,SAAR LAM THE TERM'ALTERED BY' l MUST BE USED BY ANY AND ALI. SURVEYORS UTILIZNVG A COPY ( WtY. P.C..F ANOTHOV SURVEYOR'S MAP. TERMS SUCH AS 'MVSPECTED'ANDBROUGHT TO-DATE' ARE NOT IN COAVPL/ANCE WITH THE LAW, P.AREA 40,817 sq. ft. to tie line R97/ET 98 - 258 j f 1a -- - - - - - - --- 2Ez D%CK�ur -------- -- —— - - —--- --_ - — - ------- - ----- — — � GEJ..(T6'JCS -- -- ---------- _y 4-x4 Poli - - - -- - - -- --- - - - - - - ---- -- -- --- -- - --- -- - - OVED ASNOTED - - --- - _ - + - - - _ .. - - -- -- - -- I- --- - --- --- - - . --- -- - - - --- - - - -- -- -- - ---- -- - - - DATE' 81(, --- -- _-- --_-._.-- --- --_.-- --.__-- - _.-- - s NOTIFY BCJtLMNG DEMUMAEMT-AT - --- - -- - -- - -- - - - - --- -- -0 LOW NG INS EC ONNSS. - _ - -- -- �- - -- --- --- --- -- -� — - - - --- TWO REQUIRED i 1 FOUNDATION 2 ROUGH - FRAMING & PLUMBING INSULATION - - - ---_ -4-FINAL--CONSTRUCTION -MUST- BE COMPLETE FOR C.O. - MEET ALL CIINSTRtt A _ - THE REOUIREM_ .F. t N.Y. - 6' sly s s 7 STATE CONSTRtj ;#14NERGY 7' G"- ` CODES. NQ©O�E: 'FOR 171 ,1411 4 I' —_- DESIGN OR � ERRORS 7 OCCUPANCY OR USE IS UNLAWFUL - -- - - WITHOUT CERTO ri ------ 'n�- z OFA i I I 1 I - TyP h f ----- -------- 4-1 ----- ---- --1 ----- - - --- - ---- -- - -------