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Home My WebLink About28455-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~LRTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28507 Date: 06/12/02 THIS c~KTIFIES that the building Location of Property: 405 OAK RD (HOUSE NO.) County Tax Map No. 473889 Section 110 ADDITION NEW SUFFOLK (STREET) (HAMLET) Block 8 Lot 12 subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 2002 pursuant to which Building Permit No. 28455-Z dated JUNE 11, 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 JOSEPH & JOSEPHINE FALLER (OWNER) of the aforesaid building. SUFFOI/( CO./FIef DEPARTMENT OF ~[FALTH APPRO%r~Ju ELBci'KICAL CERTIFICATH NO. PLUMBERS CERTIFICATION DA'r~m N/A N/A N/A //zed Signatu 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. 28455 Z Date JUNE 11, 2002 Permission is hereby granted to: for : JOSEPH FALLER PO BOX 596 CUTCHOGUE,NY 11935 CONSTRUCTION OF AN "AS BUILT" DECK ADDITION AS APPLIED FOR at premises located at 405 OAK RD NEW SUFFOLK County Tax Map No. 473889 Section 110 Block 0008 Lot No. 012 pursuant to application dated JUNE 10, 2002 and approved by the Building Inspector to expire on DECEMBER 11, 2003. Fee $ 300.00 ~~// / C Rev. 5/8/02 ORIGINAL 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 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. Be 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 Date. ~ f//O' 0,~ (check one) New Construction: Old or Pre-existing Building: Location of Property: L~(~~ (.~C~ {~ House No. Street Hamlet Owner or Owners of Property: --~'-~D~x nc- ~-'~(3~?~, ~ ~~ Suffolk County Tax Map No 1000, Section ~ Block <~ Lot I~- Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Date of Permit. Filed Map. -Applicant: Lot: Underwriters Approval: Fee Submitted: $ Final Certificate: (check one) ' ~plicant Sign~ BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: ~ / ! I/02 DATE SUBMITTED:~ //0/02 SCTM#DISTRICT: 1,000, SECTION: I{O ,BLOCK: ~ ,LOT: !2.- STREET ADDRESS: 'qo~- C7')~ c'~L. CITY: ~,~~S~DWISION: ~ %d EST~ATED PROJECT COST: ~ ~/~H~T/ENG~ER~~~ FAST T~CK? Mo S~GLE & SEP~TE CERTWICATION-~Q~D? Mo NOTES: ~ ~TS 40,000SF -100-24. ~t reco~ition.(C~ATED before June 30, 1983), ~DERS1ZED LOTS FROM JAN.1997 100-25. Merger.(A nonconfo~ing at any time aft~ 7/1/83 ZONING DISTRICT: ~-~0 CONFORMING? REQ. LOT SIZE: ~ tooo ACT. LOT SIZE:2z,~oo REQ. LOT COV. REQ. FRONT 'qo PROP. FRONT ,,," REQ SDE REQ. REAR ~o PROP. REAR ~ REQ. HEIGHT ACT. LOT COV. ACT. SDE / PROP. HEIGHT WATER FRONT? /~/O DESCRIPTION: PANEL #: ~5-o [ FLOOD ZONE: rX , ~a~PPROV~ALS REQ~.IIREI~ SUFFOLK COUNTY HEALTH DEPT: YES or(~ (BED #): TOWN SEPTIC RECEIPT: Y or NEW YORK STATE DEC: P~-Dec 9m7s YES or~) SOUTHOLD TOWN TRUSTEES: YES TOWN ZONING BOARD APPROVAL: YES . TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES NYS ENERGY: YES ORN~: __ EGRESS (18 H min.? 4 sqtBtal) ~u[~ VENT (SQ. FT. x 4%). BUILDING PERMITS OPEN/EXPIRED: BP HAVE PRE CO'S: Y ORN BP NOTES: ~o/'.~ ~ ,zo DTE: / / PERMIT #:R10- -Z / C/0 Z- -Z / C/0 Z- LIGHT (SQ. FT. x 8%). FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 1. ( ~ SF)- (_ SF)= SFX$ 2. ( SF)- ( SF)= SF X $__ SF SF SF SF SF =$ +$ INIT OTHER TOTAL FEE FEE FEE =$ +$ +$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 PERMIT NO. Examined ~/t ,20 ~,- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ~Vtt~ ~" IL"O-~*e't-[ Approved Disapproved a/c Expiration ~-/~ ,20 - Building Phone: 7~,~'"- o~ II ? APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ,20 0,2. 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 pem~it 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 ora 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. /(~'a'~f aptplicant or name, if a corporation) (mailing add~ess of &pp[i~an0' - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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. Location of land on which proposed work will be done: 4/.05' Oral4 House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block tO~ ~' ' Lot Filed Map No. . Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Existing use and occupancy 4. Estimated Cost 5. If dwelling, number of dwelling units if garage, number of cars Addition l< Alteration Other Work [~te. Jc. - £~ t$4/,,a (Description)~ Fee f:~00 a2 (To be paid on filing this application) Number of dwelling units on tach floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~:~.~H'~'~%ear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front Rear Depth Depth Rear 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated $ t, ¢ It ~'a,~, I,,/ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES 14. Names of Owner of premises Name of Architect Name of Contractor __NO ~5 __NO X __ Will excess fill be removed from premises? YES__ Address Phone No. Address Phone No Address Phone No. NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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 ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO )( 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 ) ~)~ Ig. ~- I~"~-I/~1 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Cohtract'or, 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 .ff / d> day of (-;/t~ Z) 'Tt ~_ 20 O~.~ Notary Public ' - -- ELIZABe'f H A STATHIS NOTARY PUBLIC. State of New No. 01 ST6008173. Suffolk Co_u, gty Term Expires June 8. $ 75'2 '; 'O0"E ~ 23'2 t 'O0'~V I ?ES~L~kNCEI ~ .I I OAK STREET 150 00' ~ OONO~HUE /'Iff= ! 4.7.26' NEW SUFFOLK, TOWN OF' SOUTHOLD SIJF'FOLK COUNTf, N,Y. 405 Oak Dr. APPROVEDAS NOTED ~,~.... ~~B.,.,~=w Suffolk, NY NOTIFY BUILDING DEPARTMENT4/~t~,tt.~ ,4 765.,8,, AM TO, P. FO. W~UU- ~ 10-08-012 FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O.n ALL CONSTRUCTION $1'~.~.LL MEET THE REQUIREMENTS Ol~T,u,=,. STATE CONSTRUCTION ~ ENERGY CODES. NOT RESPON~rBLE FOR lrad~ng DESIGN (pR CONSTRUCTION ERRORB , , elevation: 32"// ~ 4x4 post set in 3' concrete OCCUPANCY OR USE IS UNLAWFUL W~THOUT CERTIFICATE OF OCCUPANCY house ~5/4x6 decking,..-~ I _ 2x6 12" oc ~_ _,--" ~joist 'T / _~ hangers ~stairs: 7 1/2" rise 9 1/2" tread ~railing: 30"- both sides footing rear yard