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Home My WebLink About28409-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28655 Date: 08/06/02 TI{IS CERTIFIES that the building Location of Property: 190 THE SHORT LA (HOUSE NO.) (STREET) County Tax ~4ap No. 473889 Section 30 Block 2 EAST MARION (HAMLET) Lot 10 subdivision Filed ~p No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 2002 pursuant to which Building Permit No. 28409-Z dated MAY 20, 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 REAR DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM SONSTEIN (OWNER) of the aforesaid building. SUFFOLK COLRFiqfDEPART~ENTOFt~%L~{APPROVA~ ELRL-r~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u Rev. 1/81 N/A N/A N/A Autho~rl~~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUI!.DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28409 Z Date MAY 20, 2002 Permission is hereby granted to: WILLIAM SONSTEIN 2 HIGHLAi~D AVE GREAT NECK,NY 11021 for : CONSTRUCTION OF A 16'X 16' REAR DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 190 THE SHORT LA EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 010 pursuant to application dated MAY 20, 2002 and approved by the Building Inspector to expire on NOVEMBER 20, 2003. Fee $ 150.00 Authorized Signature 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. Commemial 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. Bo 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. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, 3. 4. 5. Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $25.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision (? blal _ PermitNo. O-~Oq 'Z, DateofPermit. Health Dept. Approval: Planning Board Approval: ~/~} Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Building: Street (check one) Underwriters Approval: Block ~ 0 0 aq. Lot Filed Map. Lot: Applicant: 6/01,; ,z. Hamlet 010 Final Certificate: (check one) ' Apl~icant~Sib~na~ure TOWN OF SOUTHOLD PROPERTY RECORD CARD .2. -/6 ..,OWNER FORMER OWNER ~ ~ACR. ~OlC~ ~ ~(~ S W ~PE OF BUILDING ~N D IMP. TOTAL DATE R~RKS · - ~/ ~ .... 0o0 Ti lloble FRONTAGE ON WATER Wo~l~nd FRONTAGE ON ROAD ~eodowl~d DEPTH House Plo* BULKH~D To~o I Exter~sion Extension Extension Porch Porch Breezeway , Garage Pati~ o. B. Ac Total COLOR Foundation Basement EXt. Walls Fire Place Type Roof Recreation Room Dormer B6th Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway Dinette K. LR. DR. BR. FIN. B Applicant/ Owners Nmne: Architect/ Engineer: SCTM #: Dis[ricl: I,O00 S¢c~on: ~0 Block: Date 0~;" Reviewed:: Date Submilted: ~ Project Subdivision Single & sepalate Required ~ I cerlifigation: (Yes / No}/~O, Project Description: AGIENC~aPF~RMIT$ REOIJIRI~D FOR REVIEW Suffolk County Health' Dept. New York State D.E.C. ..~ . Town Trustees Town Zoning Board.. approval: Town Planning Board approval: ·/i.-"' ' Flood Plane Elevation ??? Flood Zone: NO permit YES Number 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~~TION [ ] FRAMING [-'JFINAL [ ] FIREPLAC~,E&CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [] ROUGH PLBG. [ ]FOUNDATION2ND,.~.,~ []1~]1 ULATION [ ]FRAMING //__.~ [-]FINAL [ ]FIREPLA~HIMNEY REMARKS: _//)~/~ ~/~,,/ ~'~ FIELD INSPECTION REPORT FOUNDATION (1ST) ......... FOUNDATION (2ND) ROUGH FRAMING & PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE ~D~ION~ COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined )'~oa--~ , 20Da Approved · ~.~,t/ , 20~ Disapproved a/c Expiration #///c~/ ,200.~ PERMIT NO. 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 Ch~k Septic Form N.Y.S.D.E.C. Trustees Contact: ' ,~ Date ~STRUCTIONS IlqTI ! (As on the tax roll or If applicant is a corporation, signature of duly authorized officer 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 pen'nit 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, homing code, and regulat~j~s, and to admit authorized inspectors on prernises and in building for necessary inspections. ~~,.~/ OCCUPANCY OR t(Sign tur " f apl lic- at °r name' if a c°rp°rati°n) USE IS UNLAWFUL , ,...,..,,..,. 16K9; o044, ~lq11 WI/m JUl ~£K/I rlbH/l: 2-'(Mailing address-of applicant) ' OF OCCUPANCY '*: State whether applicant is owner, lessee, agent, architect, engineer, general co~.~]cctrician, plumber or builder Nameofownerofprernises gOt/Itl~w'x 3. ~ot~q{eln ~7~o BY: ~ff~ lates[l~]~ ~lll~iNG DEPARTMENT AT ?~8-1801 I AM TO 4 PM FOR THE (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: House Number Street FOU~ INSPECTIONS: 1. FOUNDATION - TWO REOUII~D FOR FOURED CONCRETE ROUGH · FRAMING & PLUMBING INSULATION FINAL ,. OONSTRUCTION MUST BE ~OMPLETE FOR ¢.0. ACC CONSTRUCTION SHALl. TH£ REQUIHEMENT8 OF: 'ink H.¥. r ,~TE OONBTRUCTION & EN£FtG¥ ODES. 'NOT RESPON$1BI. E FOR ~.. /~i~N O# ~I'RUCTION ERRORS Hamlet County Tax Map No. 1000 Section Subdivision 0,.bble 13~ao~ g"n,-,n (Name) Block ~ Lot Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~1~ ~"nn,~v b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work ~ t ~' [~z ¢ k. (Description) 5 -o (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height t 8. Dimensions of entire new construction: Front [/~ Height Number of Stories .~//a, 9. Size of lot: Front ~, ~t~et Rear Depth Rear Number of Stories Rear /$ ' Depth /6 / 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 X 13. Will lot be re-graded? YES__ 14. Names of Owner of premises Name of Architect Name of Contractor NO ~' Will excess fill be removed from premises? YES__ NO ~/~ tOt[llt~,~ ~an$4~_tnAddress ~~. M~. Phone NoZ~/6) q97-2gqq Ad,ess Phone No Ad,ess Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) 12) ~ t & ,~ ~ ~ ~ berg duly sworn, d~oses ~d says that (s)he is the applic~t (S)He is the ~ ~ . ~Oll~ot, Ag~t, Co,orate Officer, etc.) of said om~ or om~i~ 8~b~ to peffom or have p~omed the smd work ~d to ~e ~d file this apphcm~on; t~t all statemmts comam~~Ucat~on ~e tree to the best of hs ~owledge md beliefi md that the work will be peffomed ~n the ~¢F~ ~~0 apphcm~on filed ~erew~th Sworn to before me ~s ~0 ~ day of~ 20 / ' NoF~blic/- ~S~at~e of Applicant LINDA J. COOPER Notary Public, State of New Yore No. 4822563, Suffolk Co~lnt~ Term E×~ir~$ December ~i, L. ot 15 OINISE [IPOIITO LOT NG~'YIlII.[ filial ill, RidS" AT EAST IUII~I~OLK