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HomeMy WebLinkAbout28203-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28398 Date: 05/09/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 302 TOWN CREEK LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 64 Block 1 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 2002 pursuant to which Building Permit No. 28203-Z dated MARCH 21, 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to BRUCE FIELDS & PHYLLIS W CUROTT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A (L4L 7 - Authorized Sig ure 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. 28203 Z Date MARCH 21, 2002 Permission is hereby granted to: BRUCE FIELDS 71 GREENE ST 2D FLR NEW YORK,NY 10012 for CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 302 TOWN CREEK LA SOUTHOLD County Tax Map No. 473889 Section 064 Block 0001 Lot No. 012 pursuant to application dated MARCH 20, 2002 and approved by the Building Inspector. Fee $ 75 . 00 f uthorized Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL �G. T. 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,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 Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. _7_2 A-0 `Z New Construction: Old or Pre-existing Buildi (check one) Location of Property: 36A U W V\ Coir e- I(- Y) P OUT f I d (- D House No. Street - Hamlet Owner or Owners of Property: Bruce r; Q1 j S I-- P k`j Niscuv-ct Suffolk County Tax Map No 1000, Section 6(, q Block ( Lot Subdivision Filed Map. Lot: Permit No. -1oZ O0 30 Date of Permit. 3 t O Z Applicant: [�� c v-� Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check o e ) Fee Submitted: $ Applicant Signature BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: /_/02 DATE REVIEWED: 3/,./02 APPLICANT:�,rs$ DAT&SUBMITTED: ,3 /Ze /02 SCTM# DISTRICT: 1,000, SECTION: 6y , BLOCK: / , LOT: /Z � �l STREET ADDRESS: �L IOw (famuy- L+4. CITY: o.rrtcoi_'& SUBDIVISION: PROJECT DESCRIPTION: -4=4 �1b ESTIMATED PROJECT COST:it,$oo ARCHITECT/ENGINEER: N/a FAST TRACK? .✓o SINGLE & SEPARATE CERTIFICATION-REQUIRED? illi NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before.lune 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83; ZONING DISTRICT: A-f0 CONFORMING? N10 REQ. LOT SIZE: -0/0/00,0 ACT. LOT SIZE:Z4?gb REQ. LOT COV. ACT. LOT COV. REQ. FRONT .1 PROP. FRONT�/REQ SIDE - ACT. SIDE REQ. REAR r PROP. REAR WATER FRONT? y ES DESCRIPTION: PANEL #: / FLOOD ZONE: , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE:—/—/ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO SOUTHOLD TOWN TRUSTEES: YES or NO TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO TOWN HISTORICAL PRE (SPLIA): YES or NO NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: a SF FEE FEE FEE 1. ( SF)- ( SF)= SFX$ =$ +$ +$ _$ 2 2. ( SF)- (_ SF)= SFX$ =$ +$ +$ =$ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS "6T 000, 11�� DATE � INSPECT FIELD INSPECTION REPORT DATE COMMENTS .y FOUNDATION(1ST) DO l� y ------------------------------------ C FOUNDATION(2ND) z 0 y ROUGH FRAMING& �y PLUMBING y r INSULATION PER N.Y. ti STATE ENERGY CODE j e i V �c FINAL ADDITIONAL COMMENTS A- O r � z m It � b C' O z x r x e b y 1 v w N Ur TUU 1 t10LU BUILDING PERMIT APPLIC ATION CHECKLIS BUILDING DEPARTMENT Do you leave or need the following;before applym TOWN HALL Board of Health S OUTHOLD,NY 11971 '3 sets of Budding Plans TEL: 765-1802 Survey PERNIlT NO. 3 Check Septic Foam N.Y.S.DX.C. �y 20 Trustees Examinrd n ' COII't9Ct:. Approved 20Mail to:P �,rot C j Disapproved a c4 kit A2 z Building Inspector APPLICATION FOR BUILDING PERMIT 0 Zoe Date_ Mti.+�G © 206Z, INSTRUCTIONS — L—a 1 i s 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 pra=ises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commanced'before issuance of Building Permit. d..Upon approval of this applicatic=,the Building inspector"will"issuo 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 Ocoapan, 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;]rousing code,and regulations, and to admit authorized inspectors,on premises and in building for neoessary,impectio?e0af applicant or name,if a corporation) Soy- "z SDUTO e,p AJ R 71 ad 1=ss of applicant State whether applicant is.owner,lessee;agent, architect, engineer,general contractor, electrician,plumber or.builder 6 w"n. Name of owner of premises P6J R;S CAJV*+ 4- BrU Ce rj Q- J's (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: 3o 7. So wh Cr *-k- L-0-KA. S:)UTtfoL-D House Num er Street Hamlet County Tax Map No, 1000 Section O Block LA "I a j Z Subdivision Filed Map No. Lot (Name) , a,R°, 2. State existing use and occupancy of pten�ses and inteoW nse V oc CtMCY qf1WoSed a. Existing use and occupancy_&6.V- )•eh S kA b. Intended use and occupancy_6-&-o-d or. "d. . 3. Nature of work.(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work COO d (Description) 4. Estimated Cost COO Fee d a —' (to be paid on filing this application) S. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any. Front 12 Rear_ )2 Depth to Height lot Number of Stories 1 Dimensions of same structure with alterations or addFdons: Front Rear Depth Height Number of Stories S. Dimensions of entire new construction:Front l Ir Rear OL Depth U • Height .. 101 Number of Stories 1 9. Size of lot: Front �2(0 Rear__ 1 J Depth ).V 10. Date of Purchase­f4Z LEG Name of Former Owner to A U 11. Zone or use district in•which premises are situated_ 1 apo ty��i-�• 12. Does proposed construction violate any zoning law, ordinance or regutatiori: AQO 13. Will lot be re.graded VM excess fill be.removed.from; m premises: YES / IO 14. Names of Owner ofpremises Aadress,�o�-Tam �' Phone 7 :�— 'G Name.ofArchitect No. 3t Address S �f• Name of Contractor 'W • • �ISM�,ddress Phone No 1 v Phone No:. - 15. Is this property within:100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE \ IRE 16. Provide survey, to scale, with accurate foLmdation 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. STATE OF NEW YORK) SS: COUNTY O /^� W IrD being duly sw (N e of individual sigtrin9 contract)above named, orn,deposes and says that(s)he is the applicant (S)Re is the W 110N� (Con#ractor,Ageat Corporate Officer,etc.) of said owner or owners, and is duty authoi7yed to that ail statements contained in thispedo or have pedformed the said work and to make and file this application; per_fermed in the apphcana are trued t the best of his knowledge and belicE manner set forth in the application.filed thetcyvith; and that the work will be Sworn to before me this ? day of Notary Public xie Applicant MARGARET C. RUTKOWsla Notary Public,State of New York No. 4982528 Ouallfied In Commission dume�S,: THE COLONIAL BARN I ` BUILT ON SITE ADD 15% SIZE PRICE ApSlaydbibn IV IF HWVK 4z inTrn 2085. D 5. 14 2495. � I :, N 00. 7 5-1802 ®,l41 4 M FOR Tl F €#�, 1 ` 435. FA, FOR NCRE E 2675. 2. ROUGWING k PLUMBIC 00.4, FINAI TION Y 150. BE COI OXWOR C. 3525. :a T ION HALL ME T040 The S ATE CbQ� ACTIO & ENE 1 95• $'X 121 Colonial Barn CODES. �Djj1 ESPO SIBLE FQ$205. D This Colonial lookin barn has enou h space for the moc 1 685' ern day homeowne0 ' M eludes room fc 12X1 6 4040. shelves, a loft, a � u'll enjoy the 12X1 8 look and get t "" h x12' �:,i.� 4355. pcqqh}�s g 12X20 4660. two windows' Wi �ti llir+� FREE Delivery in Suffolk to Your Pre %Pd''Ste. Note: 12' wide or larger MUST be built on site, which is reflected in the cost. Higher Walls add $6.50 running foot (must be considered built on site add 15%). Our floor dimensions are full size, not like our competition which is smaller. PRICES SUBJECT TO CHANGE. s �a ReR I 'nim , n 3 g�' THE TALL BARN BUILT ON SITE ADD 15% SIZE PRICE 8X10 1975. 1 8X12 2195. 8X14 2495. 8X16 2600. 10X10 2195. \ \I 10X12 2395. _ 10X14 2675. 10X16 2900. 10X18 3150. 10X20 3525. The 1 OX22 4040. 10'x 12' Tall Barn 1 OX24 4195. High sides and double doors make this shed great for 1 2X1 2 3205. storing equipment and tools of all sorts. This shed is 1 2X1 4 3685. over 10' high. Shown is a 10'x12'. Doors are 5' wide, 1 2X1 6 4040. T111 . 12X18 4355. COMES WITH ONE WINDOW. 12X20 4660. F ECcT.?2iG . !;MV!P'!,,,fFIT[RS CERTIFICATE 5URVEY OF PROPERTY SITUATE: SOUTHOLD N TOWN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 03-14-02 W E SUFFOLK COUNTY TAX # 1000-64-1-12 CJ GERTIFIED TO: PHILIP B. 5TANTON JENNIFER LAMBERTS STANTON LAND NOW OR FORMERLY OF PEGONIG A55TRAGT, ING. EDWINA 6 LATSON d ALMET R LAT50N III GITIBANK, N.A. S86°42'00"E Fey — — _ — — 169.61 o?E 1 WOOD FENCE ON f I M I � 1 r'! � SHEEN �1 , • E 0FIAA v 3E 1 \ \ FE (�l I 1 O 1 LINE E-W �r S 7 FE Q \\ 11 1 as , N86OV 1'00„w 91•I O' ON LUNE E-W ] Y` O O W r N B \ 3 \ 3 � A o FRp,ME u � z HOUSE � z I'n51(7 W I_ Q D1 ~ I ;? t1i 70 �o �rn n� r '< o 10,rvi TO of RiG T� REF H"3 A pk�e�� goo O'N gC5 25.19' •62, o R �u �H4CO F NOTES: rnYin�)snni�frYn ".3omNn.e.l to M+ ,`vsP m GONGRETE MONUMENT FOUND 0 PIPE FOUND A ,`P Mml 50202 "�� b`I,r nCSY��ana of In Mm nr)I elti`I m,gfnrtlll nn O `^n fJV ,I,m,Tn rol tr,m.,n.,blw k,arMlRYwml h,tllnllw, AREA = 24,160 5F OR 0.55 AGRE5 JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC, SGALE 1"=30' RIVERHEAD,N.Y. 11901 i 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\02-129.pro