HomeMy WebLinkAbout40842-Z �Q�gUFFOt,��OG� Town of Southold 9/23/2016
0
P.O.Box 1179
d' 53095 Main Rd
�y�►D� �yo�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38530 Date: 9/23/2016
THIS CERTIFIES that the building ACCESSORY
Location of Property: 6910 Soundview Ave., Southold
SCTM#: 473889 Sec/Block/Lot: 59.-9-26.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/19/2016 pursuant to which Building Permit No. 40842 dated 7/19/2016
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:
DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Golz, Evelyn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Autho ' Signature
U Fot,r�, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Ica TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
yip! � .pa4 s
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 40842 Date: 7/19/2016
Permission is hereby granted to:
Golz, Evelyn
PO BOX 209
Peconic, NY 11958
To: Construct Deck Addition to Existing One Family Dwelling.
Replaces BP# 35087
At premises located at:
6910 Soundview Ave., Southold
SCTM # 473889
Sec/Block/Lot# 59.-9-26.8
Pursuant to application dated 7/19/2016 and approved by the Building Inspector.
To expire on 1/18/2018.
Fees:
PERMIT RENEWAL $150.00
Total: $150.00
di ns
pector
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. 35087 Z Date OCTOBER 21, 2009
Permission is hereby granted to:
ARNOLD R GOLZ
PO BOX 1513
SOUTHOLD,NY 11971
for .
CONSTRUCT DECK ADDITION TO EXISTING ONE FAMILY DWELLING. REPLACES
EXPIRED BP # 12272
at premises located at 6910 SOUNDVIEW AVE SOUTHOLD
County Tax Map No. 473889 Section 059 Block 0009 Lot No. 026 . 008 .
pursuant to application dated OCTOBER 21, 2009 and approved by the
Building Inspector to expire on APRIL 21, 2011 .
Fee $ 200 . 00
Authorized Signature
COPY
Rev. 5/8/02
FORM NO. t
$� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y. .� r
BUILDING PERMIT.
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
12272 z Date ...;,t. 7V;a�...A-1,L........ �-�..................
Permission is hereby granted to:
ar:r:.. .................
......:r. :. �1fi.l�"'. ......l. .-��.................
to .... �:T .�'.: t.'..a�:lr: �::....:;=�r:CMZ..... :: ;::$ .:f`.ur:: .......r.Cd......Y ::l. .. c ............
.........fi::`r.. :.......` �' .-.s.y1:1.1.../sem:;.................................... ........................................ ......: ..............
atpremises located at ..... ................................,...,,.JJ............ .....
................................................................................. ............................... ..�!:' .1. r::`. ....�..:~ :..
.................................................................................................................................................................
County Tax Map No. 1000 Section .... /..... Block ......Q5....... Lot No. CJ2.16 ..C'......
cr
pursuant to application dated ........................ 19.: - and approved by the
Building Inspector.
Fee $. . .::'�J..... r ;
/��-1�laz
Building Inspector
Rev. 6/30/60
.-
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Form No.6
TOWN OF SOUTHOLD d
OCT 2 1 2009 BUILDING DEPARTMENT
TOWN HALL
BLDG.DEPT. 765-1802 (��
N OF SOUTHOLD � G
LICATION FOR CERTIFICATE OF OCCUPANCY 7/01
� 4 `�
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 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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 r�f
Jute.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: AgIn
House No. Sffeet Hamlet
Owner or Owners of Property:, +
Suffolk County Tax Map No 1000, Section��9 Block Lot �v
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
5h
Applicant ignature
3ro F 7-Z-- OF SO(/T�, - - -
couMy
TOWN OF SOUTHOLD BUILDING DEPT.
76 5-1802
.INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ION
[ ]
FRAMING/STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: r ��
rl �
DATE S/4 INSPECTOR
SOUT�o!
G Q
cou
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INAULATION
[ ] FRAMING / STRAPPING [ FINAL (p —)
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
r
REMARKS:
t+ `
DATE INSPECTOR - J'
fjf so
TOWN OF SOUTHOLD BUILDING DEPT. "
765-1802
INSPECTION
FOUNDATION 1ST ROUGH PLEIG.
FOUNDATION 2ND NgULATION
FRAMING I STRAPPING FINAL WC14 Pf—r--irVAA000'
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS: Nbo.&v kpm�r ko bg&uJ
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DATE —1 11--y I, (P INSPECTORW-.t/ VA
FIELD INSPECTIyON JIDATE 11 COMMENTS
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FOUNDATION ( 1st)
FOUNDATION ( 2nd )
2 .
ROUGH FRAME &
PLUMBING �p
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INSULATION PER N . Y .
STATE ENERGY .�
CODE A
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FINAL
ADDITIONAL COMMENTS :
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FORM NO. 1
TOWN OF SOUTHOL ovm�rL� /kqc�c�
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 '
Examine �/ . . (JC . ., 19 0.J Application No. . .�� OS. . . . . .
Approved . . Z Z. Ae . ., 19L�Permit No. lald7o
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . . ���� ,. . . . . �. ., 19rz)
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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a.Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted 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 of applicant, or name, if a corporation)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . Q,► \Re . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .
Name of owner of premises . . Ns. N.QxC\. :. . ,?A z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . . . . . . . . . . . . . U) �`:�ET
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Aosk . .
House Number C�Street Hamlet
County Tax Map No. 1000 Section . . d s. 1 . . . . . . . . . . Block . . . .vc\ . . . . . . . . . . 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:
03.
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . .X . . . . . Alteration . . . . . . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . . . . .. . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
4. Estimated Cost . . . . . . . . . . . . . . . . 'g0.0. . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'(Description)
. . . . . . . . .
(to be paid on filing this application)
5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . ..7777 7 7 . . . . . . . . . .
Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specify ature and extent of each type of use . . . . . . . . . . . . . . . . . . . . .
�.5. . . . . . Depth . . . .'.
7. Dimensions of existing structures,if any: Front . . . .�. . . . . . . Rear . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . : . . . . . . . . . . . . . . . Height . . . . . . . . . . y. . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new construction: Front . . . . .46 . . . . . . Rear . . ./.& ./ . . . . . . . Depth . .!<� �. . . .
Height Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front :2 7 ?'
- . . Rear . . .3.2.E. . . . . . . . . . . . . Depth Q`�. . . . . . . . . . . . . . .
10. Date of Purchase . . . . . . . . . . Name of Former Owner
1 L Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . .lX 1� . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . . . . . . . NO. . . . . . . . . . . . . . Will excess fill be removed from premises: YesIND
14. Name of Owner of premises .R F nq} 4. Address . . . . . .Phone No. '.I GZ-. �:'.` c.\. . . .
Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . .. . . . . . . . . Phone No. . . . . . . . . . . . . . . .
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
See Diagram below. Construction: all wood to be C.C.A. Support columns to be
6" x 6"'s mounted on concrete. Cross Stringers : 4" x 6" ' s . 6" x 6" 's x 4" x 611 ' s
bolted with 1/2" bolts. Decking supports to be 2" x 6" ' s on 16" . necking 5 1/4" x
6" (nailed) . All around railing 2" x 4" ' s.
16x � �
STATE OF NEW YORK, S.S
COUNTY OF . . Suffolk . . . . . .
. • . . . . . . . . . . .Z�:Mq w. R.. ,Go l z . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
Heis the . . . . . . . . owner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
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
. . . . . . . . 5th . . . . . . . . . . . .day of. . .April. . . . . . . . . . . .. 19 .83
Notary lPubblic. . . . . . . .Suffolk. . . . . . . . . County
MARYAN RN; ARNO D R. GOLZ (Signatu of applicant)
NO. W4
�` �-
aa��
Southold Town Building Department
���guFfOt,toGy P.O.Box 1179
Permit#: 35087
54375 Main Road
o • Southold,New York 11971_- Permit Date: 10/21/2009
yl ; � (631)765-1802 Expiration Date: 4/21/2011
Parcel ID: 59.9-26.8
BUILDING PERMIT RENEWAL LETTER
Dated: 2/27/2012
Applicant: EVELYN GOLZ
Location: 6910 SOUNDVIEW AVE SOUTHOLD
Work Description: DECK
CONSTRUCT DECK ADDITION TO EXISTING ONE FAMILY DWELLING. REPLACES
EXPIRED BP# 12272
A FEE OF $200.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: EVELYVN GOLZ
Address: P.O. BOX 1513
SOUTHOL,NY 11971
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
r Southold Town Building Department
P.O.Box 1179
Permit#: 35057
54375 Main Road
Southold, New York 11971 Permit Date: 10/21/2009
y1 o� (631)765-1802
Parcel ID: 59.-9-26.8 Expiration Date: 4/21/2011
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 4/23/2013
Applicant: EVELYN GOLZ
Location: 6910 SOUNDVIEW AVENUE SOUTHOLD
Work Description: DECK
CONSTRUCT DECK ADDITION TO EXISTING ONE FAMILY DWELLING.
A FEE OF $150.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: EVELYVN GOLZ
Address: P.O. BOX 1513
SOUTHOLD,NY 11971
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on
the project must stop on the expiration date.
4 9b54
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
TOWN OF SOUTHOLD PROPERTY RECORD CARD
008-
OWNER STREET VILLAGE DIST. SUB. LOT
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55-1802_ 9 AM TO 4 PM F
i G INSPECTIONS:
FOLLOW.N TWO REQUIRED a
1. FO - '� W �;�` �w`r `> �—
FOR POURED CONCRETE �
FRAMING PI-'J
4"
2. ROU A T Int`I A,_•:
3. INSUL ail;i0N MUSTri
FAL c :• ��, 1.
4. IN N N,
�aMP1 F ' 0R C O.
TE ' SHALL '
BE CTION MEET
ALL CONS-fRU N. Y.
THE REQUIREMENTS OF THE
COENERR GY
CONSTRUCTION &
STATE NOT RESPONSIBLE FOR
CODES.
DESIGN OR CONSTRUCTION ERRORS.
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