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HomeMy WebLinkAbout28310-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28450 Date: 05/20/02 THIS CERTIFIES that the building ADDITION Location of Property: 11000 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 8 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 2002 pursuant to which Building Permit No. 28310-Z dated APRIL 23, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CRAIG S & KIMBERLIE JOBES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Wuthorizefd Signature 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. 28310 Z Date APRIL 23 , 2002 Permission is hereby granted to: CRAIG S & KIMBERLY JOBES 11000 NORTH BAYVIEW RD SOUTHOLD,NY 11971 for AN "AS BUILT" DECK ADDITION AS APPLIED FOR at premises located at 11000 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0008 Lot No. 019 pursuant to application dated APRIL 19, 2002 and approved by the Building Inspector. Fee $ 300 . 00 aAut'horiiedre COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD ' ! rte BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ,r t +int 11ct.r:fIt p 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. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial $15.00 l Date. .J /I ? / e) New Construction: Old or Pre-existing Building: ✓ (check one) /� Location of Property: r 0 /V D F CL 1f/e j 0 o 0 %a House No. eet J Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section D 7 Block b DO Lot Subdivision ' Filed Map. Lot: � 4J Permit No. � 3 7— Date of Permit. 3 v Applicant:�_ra�1-�r Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ J sc Applicant Signature 83� 0� ass-iso2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE OS o/ oz IN8PECTOR2���— �� � FIELD INSPECTION REPORT DATE COMMI NTS K b 00 t� FOUNDATION(IST) W G y 4t ------------------------------------ FOUNDATION(2ND) z 0 C CA H ROUGH FRAMING& PLUMBING y P' x INSULATION PER N.Y. t� y STATE ENERGY CODE fi FINAL ADDTITONAL CON MUKNTS 0 z m d b O cw z x y x d b y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMEN r Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined 7 �3 ,20 7 Contact: Approved ,202 Mail to: Disapproved a/c Phone: Expiration ,209 U, C� r ( uilding Inspector APR. 1 9 2002 `L-) APPLICATION FOR BUILDING PERMIT �sz r Date , 20-9-, T Sint 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in 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 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. (Signa of applicant or name,if a corporati ) l ✓() I le (NAiling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Dwvle r Name of owner of premises L ra-,ct `}- K s m. 6 ,4 (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(Sof land on which propo d work will bXfe: ,(� 0,4A it iW 6 v rl oLf House Number Street d QHamlet q County Tax Map No. 1000 Section ~j Block O Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ' ��►�- 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work_ (Description) 4. Estimated Cost /OQQ , O© Fee ' (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 occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height 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? YES NO 13. Will lot be re-graded?YES NO-,X WiII excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO__X_ * 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. STATE OF NEW YORK) SS: COUNTY OF 'So4o r.ro— t D a Ej being duly sworn, deposes and says that(s)he is the applicant (Name of indi signing contract)above named, (S)He is the O`') ✓1 r (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. Sworn to before me this day of 200 -:�2-- 1 Notary he Si tune of Applicant HELENE D.HORNE Notary Public,State of New York No.4951364 Qualified in Suffolk County —;'—z IIAav 22, ld God BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: / /02 DATE REVIEWED: �/2Z/02 APPLICANT: DAT9-SUBMITTED: �/Jg_/02 1. SCTM# DISTRICT: 1,000, SECTION: d—, BLOCK: $, LOT: 1-1 STREET ADDRESS: �u�efi� CITY: SUBDIVISION: � 1 PROJECT DESCRIPTION: 9)«,Tu `yG I� ITtd� ESTIMATED PROJECT COST: F►- ARCHITECT /ENGINEER: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? -tel`—'—NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8: ZONING DISTRICT�FF:''--//��..��Ac- CONFORMING? YDS //llvtogo REQ. LOT SIZE:� ACT. LOT SIZE. REQ. LOT COV. ACT. LOT COV. REQ. FRONTS PROP. FRONT REQ IDE _ACT. SIDE ✓ REQ. REAR PROP. REAR WATER FRONT? XG DESCRIPTION: -� PANEL #: FLOOD ZONE:_, APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or O(BED #): DTE:—/—/ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y or 1v NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or do SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES oe NYS ENERGY: YES Opg!V:Al 11Z.- EGRESS (18 H min.? 4 sq total) 4-VENT (SQ. FT. x 4%) Q' LIGHT (SQ. FT. x 8%) W BUILDING PERMITS OPEN/EXP D: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP _Z/C/0 Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: 'SSS SF FEE FEE FEE 45190-111 1. ( �S� SF)- ( SF)= SFX $ =$ +$ +$ / v =$ j�o 2. ( SF)- ( SF)= SFX $ =$ +$ +$ =$ WARREN A.SAMBACH,SR. G CONSULTING ENGINEERS•PLANNERS r, } . Uj ► 32102 7675 COX LANE • P.O.BOX 1033 CUTCHOGUE,NY 11935 6 3 1-(ZA 734-7492 May 7 2002 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Craig & Timberly Jobes 1100 North Bayview Road Southold NY 11971 Permit #283102 SCTM 1000-79-08-19 To Whom it May Concern: The installation of a wood deck at the above conforms to the Building Code, Town of Southold and the New York State Building Code. Sincerely, i��A C ' �' �� Warren A. Sambach Sr. P.E. was: s 'y 1 n g'oGat�o�b toll trKno v ow 68' \ R AIA-6 1 R� 6A.07 3 0 NO � \ \ A0, I j 4G CERTIFIED TO: CRAIG S. JOBES i►� \/ KIMBERLIE J. JOBES /esf bori/'9 ISLAND EAST SERVICING CORP. e f SOUTH BAY ABSTRACT h,a �/ } alr.Ar.,ba c/dyer ! 7� 9r. � rw � I cao-r3e Y' Sand The wafer supply and sewage disposal i systems for tak residence wriN conform A / to the �1QirN4r+esbe of The Suffolk County ! ) �' v Depaertmwl of Health Services. I SURVEY FOR CRAIG JOBES A T BA YVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. I" - 79 - De - 19 5 Scale. 1// - 60' Feb. 17, 1993 N/oFWF . _"• 79.sT2O �.a July 14, 1993 (ftp 1. ) R�EipT 96 62' w Dec. 12, 1993 (final) April 5, 2002 lftn(# deck) ELEVATIONS ARE REFEREMCED TO AN ASSIMED DA TIMSUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Qf NEW FOR APPROVAL OF CONSTRUCTION ONLY ���� t. MET yC� 93 $0 36 The locations of we 0 and cesspook �0 � r��4 shown hereon ors' #om Held obser DATE Hs. REF. No. and or from data obldmd from o�Iisr APPROVED CONTOUR LNrES ARE REWM W �� Lx ma 496f8 TO THE F/VE EASTERN TO>>b►i18 TOP06RAIM MAP. ARS, P.C. = 2.2721 Acres ' rs/e� Tss - , vsa AREA P O• B'OX 909 WAY ACAD /IYIs�¢. . ,� /�►� . SOUTHOLD, N.Y. 1/971 93 - 135 OCCUPANCY OR ARROM2 Z ASNO?FQf USE IS UNLAWFUL WITHOUT CERTIEIC;JE b NOTIFY BUILDING N A OF OCCUPANCY 765-1802 S AM TO S PM RM TNt FOLLOWING INSPECTION& 'L FOUNDATION - TWO REOUIREO FOR POURED CONCRETE 2 ROUGH - FRAMING aI PLUMBINQ & INSULATION 4 FINAL - CONSTRUCTI" allgT BE COMPLETE FOR C.O. ALL CONSTRUCTION SH MEET THE REQUIREMENTS OP THE N.x STATE CONSTRUCTIONENE Y CODES NOT ' RESPONSI E DESIGN CONSLam w . . r _..,... .....x r.. _ .. , s i j " V " k r ` � a c # III e _ 71 � w n C y ; 7 t� a i I � r4 ", 44 5 � ! i t _ 7 } Y f° -_ t Ac 0 'N AF PpiHR IYACCEPTANCEAND U `�'�+�IABjW,jY AGEr ^, N EES TO LIM TNESE PLANS TME OWNE COCOMACTow * , CON. 7�NO ENGINEER H S PV--q o EF j-o N A,SAMBACH SR. OF ER:;OR SUCH THgT THpTq%CEG�AS TO NEGLECT,ACTS A.SAMBACHCONSULTING ENGG�IEER ANALL D H!S EMPLO NO7 E:,CEED THE TOTAL FEE FOR SERVICE$REND U L FES PROJECT. ON TNS �"{{/'` w�J� �} �"✓