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HomeMy WebLinkAbout28887-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29085 Date: 11/18/02 T}IIS CERTIFIES that the building ACCESSORY Location of Property: 12250 SOUAIDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 7 Lot 8 Sutxtivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 2002 pursuant to which Building Permit No. 28887-Z dated NOVEMBER 6, 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 ACCESSORY TWO CAR GARAGE WITH STORAGE ABOVE AS APPLIED FOR. The certificate is issued to PATRICK T RYAN of the aforesaid building. (OWNER) SIIFFOLK COUI~i~f DEPART~ENT OF ELEC-x~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~d3 Rev. 1/81 N/A 021017 02/27/02 N/A Authorize~Signature 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. 28887 Z Date NOVEMBER 6, 2002 Permission is hereby granted to: PATRICK T RYAN 460 BOOTH RD SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ACCESSORY STORAGE GARAGE IN THE REAR YARD AS APPLIED FOR THIS PMT REPLACES BP25130Z at premises located at County Tax Map No. 473889 Section 054 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 12250 SOUNDVIEW AVE SOUTHOLD Block 0007 Lot No. 008 6, 2002 and approved by the 6, 2004. Fee $ 263.40 Authorized Signature Rev. 5/8/02 COPY 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. 25130 Z Date AUGUST 25 98 Permission is hereby granted to: PATRICK T RYAN 460 BOOTH RD SOUTHOLD~NY 11971 for : CONSTRUCT AN ACCESSORY STORAGE GARAGE IN THE REAR YARD OF A SINGLE FAMILY DWELLING. at premises located at 12250 County Tax Map No. 473889 Section 054 pursuant to application dated JULY Building Inspector. SOUNDVIEW AVE SOUTHOLD Block 0007 Lot No. 008 6 98 and approved by the Fee $ 125.60 -, 35. O0 Building Inspectoy ORIGINAL Rev. 2/19/98 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't-h-e £ollowin :g+-----.~ 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) hon-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. 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-exist'rog 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 New Construction: ~ Old or Pre-existing Building: Location of Property: ~(o0 /~0~)X ~O{, House No. Street Owner or Owners of Property: ~>~,hr, _ O._xc. Ac.. '"'"~,: '~c- Suffolk County Tax Map No 1000, Section 0 ~ ~ Subdivision Permit No. '~ ~D ~ cA.'"} '7_Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date. i/' iS'ca (check one), Hamlet Block 07 Filed Map. Applicant: Underwriters Approval: Lot Lot: Final Certificate: (check one) Applicant Signature Electrical Inspectors, Inc. 308 East Meadow Avenue East Meadow, NY 11554 OFC: (516)794-0400 FAX: (516) 794-5854 WEBSITE www.electricalinspectors.com E-MAIL in fo@electricalinspectors.com Mail To: County Electric William Oster P.O. Box 12 Northport NY 11768 LICit: 1005E Certificate Number: 021017 Code Southold Inspector 15 ELECTRICAL APPROVA/~ CERTIFICATE Richard M. Bivone P~i~p F Goehring, Jr. President ~tChitf Electrical Inspector I I ?~,~,.,~ rE.. 2~7/02 Patrick Ryan ~ad / / . AND FOUND TO aEjffi C~MpLIANflE ~'IH THE NATIONAL ELECTRICAL CODE. This is a visual Su~ey in ~ N~ ~ latest edison Chapter 1, Section 1-1, 1-2 Entire Dwelling. Basemen~ Bathroom, Famil~m, Uving Room. 1st Flor: Bathr~m, Be~Dini~ R~m, Family Room, Foyer, Kitten, Living R~m. 2nd Flor: Ba~r~m,~om~yer. 1-1/2 Car D~. lhia ,aflifleata ia not valid E L E C TRI CA L ,4 PP R 0 VA L CE R TIFI CA TE TOWN OF SOUTHOLD PROPERTY-RECORD CARD OWNER STREET / ~,'~-- ~ C) VILLAGE DIST. SUB. LOT FORMER OWNERI'~ .r~.' T I~,./~, N E ACR. J I ~ ~. ~k~, ~ R~ ~~3 S W TYPE OF BUILDING RES. ~ ~ ~ S~S. VL . -?,., FARM CO~. CB. MlCS. Mkt. Valu~ ~ND IMP. T L DATE R~RKS Tilla~l~ ~ FRONTAGE ON WATER W~lond FRONTAGE ON ROAD / ~ / ~ ' ~~ DEPTH f~ House Plot , BULKH~D Total II Extension . Extensi(J~b~ Breezeway Foundation Basement Ext, Walls Fire Place Type Roof Recreation Room Both Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway inette LR. FI.N. B Garage Patio O. B. Total Dormer CERTIFIED TO: COMMONWEALTH LAND TITLE INSURANCE COMPANY TITLE NO.G 628 487 S EASTERN FEDERAL SAVINGS AND LOAN ASSOCIATION MIGNON T. RYAN Prepared In c;ccordcmce witll .the minimum standards for title ~urwye m established by the L. !. ,i~. L. S. and approved a~d adopleJ l~r ~uc~ use by T~ New York State Land Tltl, Alsoclaticm, SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y I000 - ,054 - O? - 08 SCALE l" ' 30~ dUNE 6 , 1986 NOV. ? , 1986 765-180:) BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~//~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS. - /. ~ , DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [. ]~OUNDATION 2ND [ ] INSULATION [/~]' FRAMING [ I FINAL [ ] FIREPLACE & CHIMNEY ~MAR~ INSPECT~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ].~JLATION [ ] FRAMING [ ~ FINAL []FIREPLACE&CHIMNEY REMARKS: ,~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INS~TION [ ] FRAMING [/__,,],~INAL [ ] FIREPLACE & CH. IMNEY~ DATE/.~/~~*~ INSPECTOI -'i~LD i;;S I:£'C~ ..... :OUNDATION ( 1 st) ?OUNDATION (2nd) ROUGH FRAME & .PLUMBING' INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORH NO. I TO~/N OF SOUTIIOI,D BUILD1 NG DE P ARTNF.,NT TOI~N IIALI. SOUTIIOI,O, fi.'/. 1197 I Tgi.: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... INSTRUCTIONS NOTIFY: TO: .................... a. 'ihis application must be conpletely filled in by typewriter or in ink ar~! mdmfitted to the I~dl.ding Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to aci~kd.e. b. P].oC plan si~o~tn~ location of lot and of buildings on preRisea, relationsidp to adjoining prenises or ixd~lic streets or areas, and 8ivtng a detailed description of layont of property ~mt be drmm on tim dtsgra~ d~lch is p~rt of thls appl icatloo. c. 'Hm vnark covered by this application My not lm c~J,~nenced before issuance of Px~lldlng Permit. d. Upon apprt~al of th[s appl. lcatio~, the Building Inspector will~ issue a Ptailding Permit to tl~ applicant. permit shall be.kept on the pr~dses availabl~ for inspection thrcn~aut tl~ ~ork. e. No building slmll be oecupled or used in wl~l~ or in part for any purpose ~dmtever until a Certificate of Occupancy shall Imve been /~rm,ted by rim lhdiding Inspector. AFPLICATICIq IS IEI~J~Y ~ to tim lt:ilding Department for the issuance of a Building Permit purstmnt to tim Ikdlding Zone Ordinance of the To~n of Sca~thold, Suffolk County, ~ York, and otl~r applicable Iai, ts, Ordismnees or Regulations, for the eonstroetion of hdldings, additions or alterations, or for re.oval or demolition, es herein described. 'ltm applicant a&Tc-~a to coigly with all applicable laus, ordinances, building ec4e, housing code, srd regulatlons,~m~l to admit authorized inspectors o. pceu,lses and i~aqi..ldlng for necessary inspections. ·. ,'~..D~....c.~.'..~ ,~..xe.~,e...: ..................... (Signature of applicant, or na~e, if s corlx~ratlou) (Hailing address of applicant) State ~lmtJmr applicant is ~.n~.r, lessee, agent, architect, engineer, general contractor, electrician, ph~nber or I~dhl ~.,~ of o~er of ~ises .'..--~.....~m-'-.X.... .... .....:---- ..~....~.~m .......................................................... (aa on tim tax roll or latest deed) If applicsnt is a corporation, signature of duly surly)tirol officer. and title of corporate officer) l~filders l,icense No .......................... Plumbers Licenae 1% .......................... Electricians License No ..... ~. ............... Otl~r Trade'a License No ..................... I. location of land on ddd~ proposed ~ork will be. ,t-~;~, ~ L ..................................... Ilause l~ber Street limtlet County Tax ~p ~. I~ Mtim . ~.~ ......... Bl.~k ~ivisi~ ...................................... Fil.~ ~p ~ ......... ~, ..... l~t ............... (~) 2. State existi~ u~ ~ ~ of ~i~s ~ inte~ <~) ~ ~: ~ I ........ a. FMsti~ t~ aM ~y ........ ~..;... ~ ................................. ~ ~ ~ , : ...................... b. lnte~ u~ ~ <~ ............................... ;... ................... ~',t,,'e o~ ~ork (d~eck diich applied_hie)'- I~ Building .... '.{~.... Addition .;.~ licpair ............ lksuoval ............. Ik~,~lirlon .. ........... Ori~er gork Esti,,~,ted Cost ~.~~.~....~.. ...... fee ....................... (to be paid o~l filing If ~kaellil~, ixmi~r of d~elllng traits............/ li,d~er of. (Lelling Lairs (x~ If garsL~e, tired)er of cars ...... ~.~'~ ............................. if. Ixmioess, o~mmrcial or mixed'occupancy, specify ~Cure m~ ~Cent of ead~ type of u~ ...................... I~i~,c ..... <~ .............. ~,,i~r of Stories ...................... I)inenai~m of ~m aCne,re ~lth alterations or amities: Fr~C ~..~ ~ ...... ~ar . :~.'. ~-~ .... I~pth .................... l~{~lc .................... Kml~r o~ Stories ............... .~/..7~... ..... I~ar .. ~;-. .... fi. I)iuenal~ of enti~5, ~ ~t~tt~: ~ont ........... ' ' ~ of Stories*. .................... ,k,~,c ......... ~.~ .......... Rider ,o. .... D ........ ,~.~,,~ ,,e n,,~,,~ .. X~.$.~ .......... ~, oe ~,o,,,,~ ~ ~%~:...~,k~.n. ~ ....... I I. ~ or u~ di8trict In ~{tdl pr~l~n ~ ,t~t~ . :~ ES. ~.~.~~ ..... ~:.~.~. ................... 12. ~n pro~{ ~mt~ti~ violate nny ~ing i~, ordi~me or regularly: ..... ~. .............. I]{. Ui{l lot Im r~r~ .................... ~ill ~eaa fill Im r~ · ,~e of C~tr~tor ................................... ~ren$ ............................... I~ ~ ............... 15. ls this p~rty uithin ~ f~t. ofa riehl ztl~{ ~ ~ .......... [~ ..~ ....... PI.OT DIAGRAH- l~cate clearly and distinctly all buildings, ~lmtlmr existing or proootmd, and indicate aTT act-back dir~ensions property lines. Give street ami blnck md)er or description according to al:cd, an~l.sl~ ~atreet rimes arxl indicate ~dmtlmr interior or corner lot ............ ¢, /LP~/, O S'I'^'Iir, 01: M'.'~ (XIJNIX (X: ....................... (N,',~e of. i,~lividtml signing ecmtract) ~rn, depo~,e~ taxi ~y, tlmt lie i~ the 8ppl. icJ,~t Ue is tile ................................................................................................... (Cxmtractor, ngent; corporate officer, etc.) (il: said (~nx~r or ~rs, nfzl is ~ly mLl~rJ~ to i~rfonn or ht~e perforn~ the ~tcl ~rk m~ to nnke ami file thi~ nlq)l icati(nG that all 8Catemnta ~tal~ in this nlq)licatlon are t~ to U~e l~8t of his h~l~e and tmliefi t. xl thnL tl~e ~rk ~ill I~ ~rfon~l in tim u~mner ~C forth in the appl. icati~ fil~ tler~tfll. ~ to,fore ~ Uda ~ ~,, 7//11~/~ , (Siipmt:m'e of Al~dicsnt) / /~