The URL can be used to link to this page

Home My WebLink About28190-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF 0CCUPAiqCY No: Z-29113 Date: 12/11/02 THIS CERTIFIES that the building ADDITION Location of Property: 2705 NORTH BAYVIEW RD EXT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 2 Lot 11 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 15, 2002 pursuant to which Building Permit No. 28190-Z dated MARCH 19, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM J & MIRIAM PRATT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~RAL'~'~ APPROVAL ELECTRICAL CI~I{TIFICA~ NO. PLUMBERS CERTIFICATION DAT~ Rev. 1/81 N/A N/A N/A Authorized SignOre 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. 28190 Z Date MARCH 19, 2002 Permission is hereby granted to: WILLIAM J & MIRIAM PRATT 46 NIKIA DRIVE ISLIP,NY 11751 for : CONSTRUCTION OF A REAR DECK ADDITION AS APPLIED FOR at premises located at 2705 NORTH BAYVIEW RD EXT SOUTHOLD County Tax Map No. 473889 Section 079 Block 0002 Lot No. 011 pursuant to application dated MARCH 15, 2002 and approved by the Building Inspector. Fee $ 150.00 Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Departmen[ 3~ith the foltowir~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, indnstrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fi.om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Bo C. Fees I. 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 . New Construction: Old or Pre-existing Building: I,/ (check one), Location ofProperty: c~70~5''~ '~ &~/~/~/~)(7'-- House No. Street Hamlet Owner or Owners ofProperty: ,~//tL~/t,~r~] 'X7" f/f/~t///~/t,~ Block Suffolk County Tax Map No 1000, Section Subdivision Lot 0ti, O0 0 Filed Map. Lot: Date of Permit. ~/~¢,.2 Applicant: ~//~ [T~Jq"~ Underwriters Approval: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: APPLICANT i SCTM# DISTRICT:_I,000, SECTION: ~ _, BLOCK: ,~ , LOT: STREET ADDRESS: ~-5~Off"~ /~' ~ff~ ~ CITY: ~g./O~ ~ PROJECT DESCmTION~K ~I¢1~ / /02 DATE REVIEWED: -~/I q/02 ISAT~SUBMITTED: ~< / / ~'/02 SUBDiVISION: / ESTIMATED PROJECT COST: <'~/2 o ~ ARCHITECT / ENGINEER: w,~ FAST TRACK? SINGLE & SEPAtCATE CERTIFiCATION-REQUIRED? /Va NOTES: '-'"" LOTS 40,000SF -100-24. Lot recognition.(CREATED belbre June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/831 ZONING DISTRICT: LOT SIZE:-- REQ. REQ. FRONT WATER FRONT? PANEL #: /~ ACT. LOT SIZE:/~ ~d2. REQ. LOT COV.,_29_~ACT. LOT COV. PROP. FRONT ~REQ SDE /~/:~ x'-- ACT. SIDE / PROP. REAR / /p~a DESCRIPTION: FLOOD ZONE: / , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or{~, (BED #): TOWN SEPTIC RECEIPT: Y or~ NEW YORK STATE DEC: PR~-O~C 9n/rs YES )x~) SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES DTE: / / PERMIT #:RIO- NYS ENERGY: YES ORd.: ' EGRESS (18 H min.? 4 sq total) ~. VENT (SQ. FT. x 4%) ~ LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP HAVE PRE CO'S: Y OR N BP -Z / C/0 Z~ NOTES: FEE STRUCTURE: FOUNDATION: 1.( f~'TSF)-( ~ SF)= .~ 2. ( SF)- ( SF)= SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: .~'_,¥y SF SFX$ ~ =$ SF X $ =$ INIT OTHER TOTAL FEE FEE FEE +$ +$ -.-- = $ / +$ +$ = $ 765-1802 BUILDING DEPT. / ~~/~] FOUNDATiOSN 1PsTECT[ I] ROouNGHPLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEYy~ DATE ~~ I~~~N ~ PECT~~/U~+ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~'~AL [ ] FIREPLACE~& CHIMNEY 765-1802 BUILDING DEPT. INSPECTION []FRAMING ~ [ ~INAL [ ] FIREPLA CHIMN~ ','=.A,,,~S~~-~ C~ ~ DAT£.~//~ FIELD INSPECTION REPORT ! ~DATE i COMMENTS FOUNDATION(1S~ _ ~~)?~~~~' ~ FOUNDATION (2ND) ROUGH F~G & PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE F IN~ ~~~ ~~ ~DITION~ COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~[~. Approved Disapproved ,20 ,20~/~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health ~: 3 sets of Building Plans ~r- Survey ~- Cheek Septic Form N.Y.S.D.E.C. Trustees Contact: Building ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~?'3'-'~ ,20 O2_~ 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 m 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 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 a Certificate of Occupancy is issued 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 cormtmction 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 regulation~sNand to admit authorized inspectors on preraises and in building for necessary inspections.//(~~~.~~. ~/--~6/~ (Signature of app'Iicant or naIoe, ifa corporation) it /ql (Ma'fling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (as on th~/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. Location of land on which proposed work.wiJ~be done: House Number StrUt- Hamlet ., /lq / County Tax Map No. 1000 Section Subdivision (Name) Block O~. Filed Map No. ?/ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed consmacxio, n: a. Existing use and occupancy 3. Addition / ~teration Other Work b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (Description) (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 Rear Depth Height. 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front Rear Number of Stories Rear Depth Depth 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: 13. Will lot be re-graded Will excess fill be removed from premises: YES NO (14 Names of Owner of premises /°~e2fT~ Address ~°VT/OC~) A/t///q?/Phone No. 7& S'"-& ~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. .1~7. 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 ) /4.),]/_ (~/.~Jq ~ ]~)~ff~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the t'"'~J~ (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 be-~re me this , / ='~--dayof /0'~tg.~t.ff4 20 Notary Public HELENE D. HORNE Jotary Public. State of NewYol~ No. 4951304 Qualified in Suffolk Count~ 7:~ssion Expires May Siglt~uge ~icant GVOH ~HIAAV~ 3 H,I, HON 3 ,,O"k,gE.g'O S