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HomeMy WebLinkAbout42302-Z Town of Southold 1/23/2018 P.O.Box 1179 53095 Main Rd 1 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39467 Date: 1/23/2018 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 5920 Indian Neck Ln, Peconic SCTM#: 473889 Sec/Block/Lot: 98.-5-17.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/8/2018 pursuant to which Building Permit No. 42302 dated 1/17/2018 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 Bernhardt,Nicholas&Maria of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED IL 00 ho d Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY .Doi 4 rr� � 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#: 42302 Date: 1/17/2018 Permission is hereby granted to: Bernhardt, Nicholas PO BOX 441 Peconic, NY 11958 To: legalize an as built deck addition as applied for. At premises located at: 5920 Indian Neck Ln, Peconic SCTM # 473889 Sec/Block/Lot# 98.-5-17.4 Pursuant to application dated 1/8/2018 and approved by the Building Inspector. To expire on 7/19/2019. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $680.00 CO -ADDIT TO DWELL $50.00 Total: $730.00 Building Inspector 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. 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,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 Date. l New Construction: Old or Pre-existing Building: (check one) Location of Property: L d I����-1 /��� � �� 1 C Hamlet House No. t / Street ) Owner or Owners of Property: -- Suffolk County Tax Map No 1000, Section Block_ Lot _ Subdivision qnN-�__Date Filed Map. Lot: Permit No. of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: heckrnature Fee Submitted: $ Applicant Si RCHITECT MARK SCHWARTZ & ASSOCIATES 2849.1 Main Road• PO Box 933•Cutchoguc. NY 1193.1 - - - - - - 6:31.734.418.1 com January 08,2018 Southold Town Building Department 54375 Main Road Southold,New York 11971 Re: Berhardt Residence 5920 Indian Neck Lane Peconic,New York To whom it may concern, I have been on site to review the existing conditions of the as-built deck at the aforementioned property. We have drafted the plans and to the best of my knowledge,the deck is built to code when constructed back in 1994. Please call this office with any questions you may have. Sincerely, ssww �,y r f. R A�3 �N 23 Mark Schwartz JL all AIA oF so�lyo coulm TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ J FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION ' �dl06A [ ] FRAMING / STRAPPING [ FINAL A A [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE Y INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) ------------------------------------ U C FOUNDATION (2ND) `* O t ROUGH FRAMING& y PLUMBING INSULATION PER N.Y. STATE ENERGY CODE et9ye FINAL ADDITIONAL COMMENTS G 12.Qc r b � O z rn O z d -.01 'OWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING REPARTMENT Do you have or need the following,before applying? TOWN4ALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502t, Southoldtownny.gov PERMIT NO. E'. Seotic Form XS.D.E.C. tees J A N 8 2018 C.O.Application Flood Permit Examined ,20 Single W Separate' - - OPTROLD TrusS'iHAt3"cFt onn form Storm-Water Assessment Form o ' Contact: Approved ,20 Mail to: Disapproved a/c Phone: �� / !f Expiration 120_ R Building Inspector APPLICATION FOR BUILDING PERMIT Date—0 1 , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 strall 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. Y 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,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, aget, architect, ngineer, general contractor, electrician, plumber or builder Name of owner of premises C 6 - (/ tf/J 1, (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. 1. Location of land on which proposed work will be done: 52 L-() k�- 2/9 PzF C C,/ C House Number Street Hamlet County Tax Map No. 1000 Section Block r' ✓ Lot Subdivision Filed Map No. Lot 1 ' 2. State existing use and occupancy of premiss and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration . Repair Removal Demolition Other Work S V (Description) 4. Estimated Cost Fee (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. 7. Dimensions of existing strdctures, 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 9. Size of lot: Front r/ Rear�� Depth 10. Date of Purchase Name of Former Owner C�:--/ 11. Zone or use district in which premises are situated 4Go 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO f 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14.Names of Owner of premises (�'ti1 f' r'1 tJ 1 Address Phone No.A �J Name of Architect C(P-L,-429 yj 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 B�E,REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) c SS: COUNTY OF 674i: 41Z,- vr/ being duly sworn, deposes and says that(s)he is the applicant (Name of individual si ning contract)above named, (S)He is the (Contractor, Ag nt, 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 20-M.TRACEY L. DWYER Y PUBLIC,STATE OF NE YOR NO.01 DW6306900 QUALIFIED IN SUFFOLK COU Notary Public COMMISSION EXPIRES JUNE 30, Si Ore of Applicant � t z ,��•.� � Air �`�� � � ;� �� � Ok ' ' f •+ \�-* ION 4*7 , + tl.'a. r" ♦ `♦'' -,: } .c, .tf +'"4 r. wr:+ ��nAt w .t({�,^` .0- *R:,.:�"'�r''';,,^ '�' 4' v0 t4 l Pill. 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