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HomeMy WebLinkAbout28407-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29115 Date: 12/11/02 TI{IS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 25220 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 18 ORIENT (STREET) (HAMLET) Block 6 Lot 7 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 2002 pursuant to which Building Permit No. 28407-Z dated MAY 20, 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 AND ALTERATION TO AN EXISTING TWO FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERARD E LEHNER & ANO ( OWNER ) of the aforesaid building. SUFFOLK COUI~TY DEPARTMEI~T OF I~E~J~Tt{ APPROVAL ELEL"rKICAL u~TIFICATE NO. PLUMBERS CERTIFICATION DA'r~3 Rev. 1/81 N/A N/A N/A Authorized S~at~re FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUITDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28407 Z Date MAY 20, 2002 Permission is hereby granted to: GEP~ARD E LEHNER PO BOX 104 ORIENT,NY 11957 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 25220 MAIN RD ORIENT County Tax Map No. 473889 Section 018 Block 0006 Lot No. 007 pursuant to application dated MAY 20, 2002 and approved by the Building Inspector to expire on NOVEMBER 20, 2003. Fee S 150.00 ~A~tho~~% Rev. 5/8/02 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ? , APPLICATION FOR CERTIFICATE OF OCCUPAI~/~¢:::~ ' ': 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. Bo 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-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: Location of Property: Old or Pre-existing Building: House No. Street Suffolk County Tax Map No 1000, Section ~ O,,3~ - I ~ Block Subdivision Permit No.~ ¢07~- - ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ D_ ~, oo Date of Permit. :3 Filed Map. Lot: ~/~-v/o~ Applicant: C-~<~!~ ~a~C Underwriters Approval: Final Certificate: (check one) trnattlr BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: ~__ SCTM# DISTRICT: 1,000, SECTION: I~ , BLOCK: ~_, LOT: DATE IS'SUED: / /02 DATE REVIEWED: ff/~.~/02 DAT~'SUBMITTED: ~/~,/02 STREET ADDRESS: PRO JEC T n E S CRIPTION :~{~.g._ CITY: 0 e{~0ll- SUBDIVISION: SINGLE & SEPARATE CERTIFICATION-REQUiRED? 100 NOTES: LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/5 ZONING DISTRICkT: t'F~'~7~ CONFORMING? ,,4tO REQ. LOT SIZE'~o(~ACT. LOT SIZE:o,3~ REQ. L~ ~OV. ~o~ ACT. LOT COg. REQ. FRONT ' ,t/tO PROP. FRONT_ /_REQ SDE /;"'/gD ACT. SIDE REQ. REAR J'O PROP. REAR / / - WATER FRONT? PANEL #: ~ DESCRIPTION: FLOOD ZONE: /~ , ~- APPROVALS REQUIRED SUFFOLK COUNTY HEALTH D___EPT: YES or~) (BED #): DTE: TOWN SEPTIC RECEIPT: Y q~) ~ -- NEW YORK STATE DEC: v~c 9n/*s YES o~'NO.~_ SOUTHOLD TOWN TRUSTEES: YES or~ _ TOWN ZONING BOARD APPROVAL: YES or~[~ _ TOWN PLAN. BOARD APPROVAL: YES or~ TOWN HISTORICAL PRE (SPLIA): NYS ENERGY: YES OR NO : ~ / EGRESS (18 H min.? 4 sq total) ~ VENT (SQ. FT. x 4%) BUILDING PERMIT_S OPEN/EXPIRED: BP -Z / C/0 Z- Haw PRE cpKt, OR N S'Z_z BI'- -Z / C/0 Z- NOTES: / / / PERMIT #:R10- LIGHT., (SQ. FT. x 8°/~/.q_,_ . FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: /4 ~ 1. ( SF)- ( SF)= SFX$ SFX$ 2. ( SF)- ( SF)= SF SF SF SF SF =$ =$ INIT FEE +$ +$ OTHER TOTAL FEE FEE +$ :$. +$ = $ ~T '~cole ; ~fC)'= I" ]65-1802 BUILDING DEPT. I CTION [ ] ~ 1ST [ ]ROUGHPLBG. [ ] D 0N2ND [ ] INSULATION [ ~ III [ ] FINAL /]FIREPLACE&CHIMNEY ~.~~-~ ~_ ~2.~ ~ DATE ~~ ~I~PECT~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [[ ]] :ORAUNMiD~ION 2ND [[ ~ATION ] FIREPLACE~&/CHIMNEY REMARKS: .~~~~~~~~~ DATE //7~~~~PECTO~ TOWN OF SOUTHOLD BUll:DING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined ,20 Approved /~e ,20 7... Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Buikllng Plans Planning Board approval surveY Septic Form N.Y. SZ).E.C. Trustees Contact: ,aato: Po } ON APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date _%~.O ,20 o 3-- a. This application MUST be completely filled in by typewriter or in ink and submitted to the Bmlaing Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and ofbuildin~ on premises, relationsh/p to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commealced before issuance of Building perrmt. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a perrmt 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 thc work authorized hah not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendmenls 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 shAl~ be required. APPLICATION IS H~RIq¥ MADE to the Building Department for the issuance of a Building Permit pursuant to the Bu/lding Zone Ordinance of the Town of Southold, Suffolk County, New York, andother al~licable Laws, Ordinances or Regulations, for the construction oflmildlns.% additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable hws, ordi-Anees, building code, housing code, and regulations, and to admit authorized inspectors on preml.qe~ and in building for necessary in~ections. ( 'gnature of applicant or name, ifa corporation) (Ivlailklg address of aPPlicant) ' State whether applicant is owner, lessee, agent, architect, e~neer, general contractor, electrician, plumber or builder Nameofownerofpremises ~ctZeJ'~e- ~), R{(~q$ (As on the tax rollor late~t deed) If applicant is a corporation, sib, nattu-e of duly authorized officer (Name and title of corporate officer) 3uilders License No. T* b~ ole-J~',n~, . ?lumbers License No. JV/A ~lectricians License No. A//~ Yflaer Trade's License No. ~f~ Location of land on which proposed work will be done: House Number S~ ~ ~'y County Tax Map No. 1000 Seotion Subdivision (Name) Block Filed Map No. Lot ~ Lot State existing use and occupancy of premises and intended use and occupancy of proposed ce~t act~n: a. Existing use and occupancy r<¢ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost J~ ~ ~ 5. If dwelling, number of dwelling units If garage, number of cars --9. ~10. -11. 12. Add/fion Other Work Alteration '~/ ~r (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extealt of each typo of use. Dimensions of existing structures, if any: From Rear Height. Number of Stories I ~/9-- ' Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Dimcmsions of entire new construction: Front Rear Height Number of Stories Size of lot: Front } 9o 0 ' Date of Purchase Rear Depth Rear I O' Name of Former Owner .~ic~c~ C/cr~rv~gt.rk_. Zone or use district in which promises are situated Ioo0- 1% - C.o--~- (IC~ Does proposed construction v/01ate any zoning law, orain~nce or regulation? YES NO Will lot bere-g, aded: O_2_.Wm be mo ed om ! ?YES/ Name of Architect " Address ~-D(~, ~j l~°t ~L-.Phon~ No Name of Contractor Address Phone No. t 5 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * ~ YES, SOUTHOLD TOWN TRUSTEES & D.E,C. PERM1TS MAY BE 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 di.qtances to PrOl~a~y 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STAT]~ OF NEW YORK) SS: COUNTY OF ) ~ t.q-2_e, ff~ b. ~P (~'~ being duly sworn, depos~ and says that (s)he is the apphcant (Name of individual signing contract) above n~med, (S)He is the (~t.~) ~ - (Contractor, Agem, Corporate Officer, otc.) of said owner or owners, ~ud is duly authorized to perform or have pea'formed the said work and to make and file ~is apphcation; that all statements contained in this application are tree to the best ofbl.q knowledge and belief} and that the work will be performed in the manner set forth in the application filed therewith. 20 o0L ,o si~,anr~of.4t~licant LINDA J. COOFER wNe York Notary Public, State of No 48¢.2563 Suffolk Ceu~t~ DO oo ,? / ///// / / /// / / / / / / 0 0 0 L6'9 L6'9 ~Z I 80X~0X~0£ 8X~X~ 0~'09 §g'L ~Z 8 0IX80X$0£ 0IX8X~ L6'I£ L6'I£ ~Z I 8IX~IX~0L SIX,IX2 0~'8£g 06'gI ~Z §I 0IX90X~6 0IX9X~/~ %~£OL ZDIHa XLI~N~N0 ~MS NOIL~IHOS~ Z~XL qOOM :~Z~ ~O/LI/~O ZLLZ%~S ~S~ 8L~I MOISSZ~MOD ~S~ L0I G~O~ ZAI7 ................................... 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Dep~:h of cencre~:e foo~:e~s --- 3(; inches. 8' 5 I/2" PLAN VIEW CUSTOMER -- SUZETTE DATE 05/17/02 REF Deck02137 RBS ROUTE 25 GREENPORT NY G31-,~77-10S8 LOAD AND SUPPORT: Your deck will suppor~ a 106 PSF live Icad. Pos~s have 36" below-ground post support. DECK AND POST HEIGHT: You selected a height of~ from the top of decking to level ground. The top of the deck support posts will therefore be ~" above ground level. Your salesperson con provide information for uneven or sloped ground. C~.~.$" JOISTS: Set joists on top of beams, 16" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items. The suggested design is not a finished building plan. You are responsible for all measurements being correct, for verifying that the design [and any substitutions or modifications that you make) meets all local building codes and requirements, To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction site, review the design with your archi[ecL Aisc consult your archiEec[ fo[ p~oper cons[ruction and use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. OUT LOST CUSTOMER -- SUZETTE DATE 05/17/02 REF Deck02]37 RBS ROUTE 25 GREENPORT NY 691-477-1038 LABEL LENGTH A joTs~:, (6) 4' 7 ]/2" B Fosce B ledger 4' 7 C Fascia 9' BEVELS FO S45 F45 S45 LABEL C ledge~ D Ledger E ledgem LENGTH 8'9" 5' 4' 7 1/~2" BEVELS F45 SO