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Home My WebLink About28747-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29025 Date: 10/29/02 THIS CERTIFIES that the building ALTERATIONS Location of Property: 5610 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 4 Lot 39 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 2002 pursuant to which Building Permit No. 28747-Z dated SEPTEMBER 17, 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 ALTERATIONS TO FRONT PORCH OF EXISTING SINGLE FAMILY SEASONAL DWELLING AS APPLIED FOR "AS BUILT" . & AS PER CERTIFICATION OF L.TUTHILL P.E. DATED OCTOBER 24, 2002 . The certificate is issued to WILLIAM BURKHARDT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 061202 08/12/02 PLUMBERS CERTIFICATION DATED N/A i Authorized S gnature 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. 28747 Z Date SEPTEMBER 17, 2002 Permission is hereby granted to: WILLIAM & ANO BURKHARDT PO BOX 1047 SOUTHOLD,NY 11971 for AS BUILT ALTERATIONS TO AN EXISTING RESIDENCE AS APPLIED FOR at premises located at 5610 MAIN BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 078 Block 0004 Lot No. 039 pursuant to application dated AUGUST 15, 2002 and approved by the Building Inspector to expire on MARCH 17, 2004 . Fee $ 300 . 00 riz d gnature ORIGINAL Rev. 5/8/02 17 )2' 2700 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: I. 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. Oct. 24, 2002 New Construction: Old or Pre-existing Building: (check one) Location of Property: 5610 MAIN BAYVIEW RD. SOUTHOLD, N.Y. House No. Street Hamlet Owner or Owners of Property: WILLIAM BURKHARDT P Y� Suffolk County Tax Map No 1000, Section 78 Block 4 Lot 39 Subdivision Filed Map. Lot: Permit No. 28747-2 Date of Permit. 9/17/02 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signat C 0 [i] r�rJ�r rL3PL LrC3jjcPrJ��rJ�rJ��ncnrJ�rJ��nrJ��ncPcncnrJ@nrJ�rJ�r n�l@P�nrJ��Pr�rJ�rJ��nrJ�rJ�r�rJ�rJ�r�rJrJ�r�r��nrJ'r�rJ�rJ�rJ�c rrJr1 SPLr@r ncnr n�Prn 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 C5 BUREAU OF ELECTRICITY C5 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT 7c 5 Upon the application of upon premises owned by 5 5 KATE CARPLUK BEVERLY BURKHARDTCENTURY 21 AGAWAM 5610 MAIN 5 5 PO BOX 2 JAMESPORT NY,11947 SOUTHO D, NY 1197ROAD 1 5 T LD 11 5 5 Located at 5610 MAIN BAYVIEW ROAD SOU HO NY 9 71 5 5 1069428 Application Number: 1069428 Certificate Number: S 5 5 c7 Section: 78 Block: 4 Lot: 39 Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor,Outside, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 found to be in compliance therewith on the 12th Day of August,2002. Name STY Rate Rating Circuit Tyne 5 5 5 No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory condition was found. 5 5 5 5 5 5 5 5 5 5 5 5 5 seal 5 5 5 5 1 of 1 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 CI cn�PrJ�IrJ�rJ�cJ��PrJ�rJ�rJ�IrJ�rJ�r nr�rJrJ�l�Jc!�ntJ�r�r�rJ@P rJ��l�r1J �PJJ�n��l - - 1 ''1 . JMEJcEME�Icnu�lrJ��i�I o LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER " —� n P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 a October 24, 2002 Michael J. Verity Principal Building Inspector Southold Town Building Department Town Hall, 53095 Main Road PO Box 1179 Southold, New York 11971 RE: Premises at 5610 Main Bayview Road, Southold, New York 11971 Owner: Estate of William Burkhardt SCTM# 1000-78-4-39 Dear Mr. Verity, I have inspected the"as built' alterations to the front porch of the existing residence at 5610 Main Bayview Road, Southold, New York. I hereby certify that the alteration is in compliance with all New York State and Southold Town Building Codes as they exist on this date. Sincerely, Lawrence M. Tuthill Professional Engineer 'r { ¢ W 032254.1 �V2� �9oFESS10% o��gOFFO(�-co 0 w Town Hall,53095 Main Road S Fax(631)765-1823 P.O.Box 1179 �' a0�� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 1,2002 Robert Hughes,Atty P.O. Box 128 Greenport,N.Y. 11944 Re: Premises @ 5610 Main Bayview Rd., Southold,N.Y. Owner: Estate of William Burkhardt Suff. Co.Tax Map#1000-78-4-39 Dear Mr.Hughes: As you are aware,before the Building Department can issue a Pre Existing Certificate of Occupancy and a Certificate of Occupancy for the"as built'alterations to the front porch of the above existing residence,the following must be submitted: Certification from a Licensed Architect or Engineer certifying that the alteration is in compliance with all NYS Building Codes. If you have any questions,please do not hesitate to contact me at this office. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Michael J.Verity, Principal Building Inspector MJV:gar OCCUPANCY OR u�iDE + CERTIFICATE REQUIRED USE IS UNLAWFUL WITHOUT CERTIFICATE ASNOTM OF OCCUPANCY DA I •aZ644�� F� 'cc) =h�PL 5610 Main Bayview Rd. 5TH pIFY BUILDING TO 4 M FOR THE Southold, NY 11971 F FOLLOWING INSPECTIONS. 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 1000-078-04-39 Rj oUI 010� 2 ROUGH - FRAMING a PLUMBING 3 INSULATION t FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. House ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION i ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONZTRUCTION ERRORS Framing: 2x4 construction 1 step: 6" rise Insulstion: 3 1/2" foil face !" Yysoi 00 to An room IN SCy � a ` N 17'4 a • w Y - 613 -0 or 2840 2840 Submittal of this plan bearing the scat of the undersigned NYS licensed Architect is not intended — Q 2002 j to certify conditions that we designed or that we represent in compliance with applicable architectural or engineering standards, or government codes. Y �� Application of the Architect's seal is intended to L .....- -- indicate that this is a truepi on of the current as-built conditions. D O 07— Date ZDate 5610 Main Bayview Rd. Southold,NY 11971 Alteration of an existing"Adirondack Porch" Exterior: Cement block foundation. Windows: front—2 32x48 Sides— 1 18x48 each side Siding: shingle Interior: Electrical: has been inspected and approved by Underwriter. Ceiling Height: 7'6" Walls: tong and grove lx pine W SCy��fi � � N 0 23 i k `r e P :,•bmi?r�1 �f dais plan bearing the seal of the uarder:tgjjed NXS licensed Architect iso o i end to certify conditions that we designed we represent in compliance with applicable architectural or engineering standards, or government,,odes. Application of the Architect's seal is intended to indicate that this is a true drmictionof the current as-built conditions. 1�. .rt F rt E �e 610 Main Ba vi+ew Rd. Southold, NY 11971 w .alteration of the existing (pre 19 7) r _ t". dirondn Porch" to makeit into n fr f'ul1v enclosed room. Al I structural elements remain the same, ipcluding v -r.t- Fill in framing- 2x4 construction Insulation. 1 '' tailback . 76S-11W2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY ARKS: 77 -21�� ,/W�p� DATE q1161l IINSPECT. FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) - y ------------------------------- FOUNDATION(2ND) r z Ell - o y ROUGH FRAMING& y PLUMBING r r INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS O z m 1 ro H O z x r� r H d ro y TOWN OF SQUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DXPARTMENT 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 FAIR: (631) 765-9502 �1 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Exaf mined 9 4} 20 Z Contact: R O bt yam{- 0 of tics Approved_ , 1: 20 2 Mail to: P® &K to Disapproved a/c 6-c&4 p&4 ji . 119K4 Phone: 4 7 7 a 70o Ex Iiration 3 114 20 / F t Building Inspector it Vk � 41 { r)�C � AUG t 5 202 , APPLICATION FOR BUILDING PERMIT Date 20s2, �:• f;� °�; ` ,�a INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 set: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 are ts, 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 ap u;icant agrees to comply with all applicable laws,ordinances,building code,housing code, and regulations,and to admit aut orized inspectors on premises and in building for necessary inspections. I Signature of applicant or name,if a corporation) address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Naive of owner of premises B.E . &y r k k R eA+ (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. Otter Trade's License No. 1. Location of land on which proposed work will be done: 5416 JIMA 9&4Uie41 Ra. .504AL o 11 House Number Street Hamlet County Tax Map No. 1000 Section D 1 —Block p c f Lot Subdivision Filed Map No. Lot (Name) ` I 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Se ry Q r4m,l r OeJP 1 h nA b. Intended use and occupancy g44KJ 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee �3e3Q (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. S:et A-444,e6 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 Zoac 9. Size of lot: Front � -e- Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated e_. 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO 13. Will lot be re-graded?YES NO—A—Will excess fill be removed from premises? YES NO !70 WAbprSSo Sd• 14. Names of Owner of premises 6.f.P�urkh4A+ Address tivai 19.1 AN, 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--,K—' * 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 ) �M/f& Q �e lie I being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)He is the AV4 (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 2062-- Notary Public - a of Applicant LYNDA M.BOHN NOTARY PUBLIC,State of New York No.01 B06020932 Qualified in Suffolk CouarA Term Expires March 8, 2