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Home My WebLink About28158-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29161 Date: 12/30/02 THIS CERTIFIES that the building ADDITION Location of Property: 905 BAY HAVEN LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 4 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 2002 pursuant to which Building Permit No. 28158-Z dated MARCH 11, 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 "AS BUILT" DECK ADDITION AS APPLIED FOR. The certificate is issued to MELVIN & DIANE PARKER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ,,I ; /, h ized SIgnature 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. 28158 Z Date MARCH 11, 2002 Permission is hereby granted to: DONALD D ZIMMER 905 BAY HAVEN LANE SOUTHOLD,NY 11971 for . "AS BUILT" REAR DECK ADDITION AS APPLIED FOR at premises located at 905 BAY HAVEN LA SOUTHOLD County Tax Map No. 473889 Section 088 Block 0004 Lot No. 034 pursuant to application dated MARCH 6, 2002 and approved by the Building Inspector. Fee $ 300 . 00 Authorized S gnature 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 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$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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. j' / �O / 2 o irL New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: alt ,t'i7k' e&C Suffolk County Tax Map No 1000, Section Block L1 U U e/ Lot > y' Subdivision Filed Map. Lot: Permit No. Z Date of Permit. Applicant: -We U,-)U6ys/y> Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: —/—/02 DATE REVIEWED: �/02 APPLICANT�.kl �"'�� DAT6SUBMITTED: 3 /6 /02 SCTM#DISTRICT: 1,000, SECTION: 88 BLOCK: �, LOT: _ STREET ADDRESS: Sof .3ay+�L-.,j L-A . CITY: SUBDIVISION: PA A PROJECT DESCRIPTION: k z1a " L_ ca f i 4 i-n Zak/ ESTIMATED PROJECT COST: ARCHITECT /ENGINEER: J4(V)A CTZ- FAST TRACK? V0 SINGLE & SEPARATE CERTIFICATION-REQUIRED? �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 7/1/83) ZONING DISTRICT: -9 0 CONFORMING? O o REQ. LOT SIZE: o 000 ACT. LOT SIZE:IS,63$ REQ. LOT COV. 2c'016 ACT. LOT COV. REQ. FRONT 51, PROP. FRONT 5 4, REQ SIDE I°/ZS ACT. SIDE .S 7Q.e REQ. REAR ; PROP. REAR 3$ WATER FRO //a DESCRIPTION: PANEL #: FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES orOBED #): DTE:_/_/_ PERMIT #:R10- TOWN SEPTIC RECEIPT: Y ?ti NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or *_ TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES O NYS ENERGY: YES ORKK,.? EGRESS (18 H min.? 4 sq total) A,,A VENT (SQ.YT. x 41yo) ,✓ ^ LI HT (SQ. FT. x 8%) ^� BUILDING PERMITS OPEN/E D: BP Z/C/0 Z- t HAVE PRE CO'S : Y OR N r BP -Z/C/o Z- NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF 37,c SF INIT OTHER TOTAL TOTAL: 3Z o SF FEE FEE FEE 1. ( 3 2 a SF)- ( SF)- SFX $ _$ +$ +$ _ $ i X 2. ( SF)- ( SF)= SF X $ _$ +$ +$ _ $ v v5 Pari/ L 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE U,3A410-2- INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ 1.INAL [ ] FIREPLACE & CHIMNEY RE ARKS: OF DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;FINAL INSU N FRAMING [ [ ] FIREPLACE A CHIMNEY REMARKS: DATE I / 0 i/ INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS �d t� FOUNDATION(1ST) Ql� 4t -------------------------------------- FOUNDATION(2ND) c fi Z O y ROUGH FRAMING& PLUMBING y A c S x o y INSULATION PER N.Y. � STATE ENERGY CODE :S7' G t)3 ° ol FINAL D/div � 6 gel 1h _ / IOAL COMMENTS o Z m X y Wo 1n� � x f � x e Wo y TOWN OF S6UTH6LD BUILDING PERMIT APPLICATIOX CHECKLIST BUILDING DEPARTMENT Do�ou have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1$02 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ' 20 Z Con act: Approved 20� 1 Mail to: Disapproved a/c j Phone: 7/p Expiration 120 ding Inspector �: L l�y' �,IIaR 9 20 APPLICATION FOR BUILDING PE T � S1.:; � ate 3 t o 20 nZ c _cfurrsp�o INSTRUCTIONS 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, l 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 issuan e of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Buildi g Permit to the applicant. Such a permit shalltbe kept on the premises available for inspection throughout the work. I 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 issuapce 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 9r 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. (Si a of aFp]iC& of name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder pWrj FA Name of owner of premises ►j1 M F—g 1, 0o6j*c6 (As on the talc roll or latest eed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. :lectricians License No. ether Trade's License No. I Location of land on which proposed work will be done: qo5 13AVHAJF- PJ LA1J S0u7440co House Number Street Hamlet County Tax Ma No. 1000 Sectio Block `7 Lot 3 y Co ty p Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy.of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1 Fhnat L Y S 0 e N C b. Intended use and occupancy I F/►M 1 L V 2 £S 19 r-rJ C F_ 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 74966w" f x Is Ti nh, O 'C i2 (Description)'''1"5AS s£ 4. Estimated Cost 600 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling unfits Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed o eupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear 'Dept Height N mber of Stories Dimensions of same structure ith alterations or additions: Front Rear Depth Hight Number of Stories 8. Dimensions of entire new construc 'on: Front &2 Rear Depth n�o— Height Number of Stories 9. Size of lot: Front S.0 ' Rear I � 1- oo ` Depth 12 S-00 fi 10. Date of Purchase a e0 0 Name of Former Owner SC is FM(32 1 PO&I 4 1 11. Zone or use district in which premies are situated 12. Does proposed construction violate, any zoning law, ordinance or regulation?YES NO X 13. Will lot be re-graded?YES NO X Will excess fill be removed from premises? YES NO X -2-042SA AorlA'-/J 1ovTIT"L0 14. Names of Owner of premises N A Addressga� &ft`/1 iaufYnl L-A Phone No. Name of Architect M n t2 U ( T 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 TR STEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet o 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. STATE OF NEW YORK) SS: COUNTY OFS ) I being duly sworn, deposes and says that(s)he is the applicant (Name of inlIdi''vi signing contrac above named, (S)He is the t-it Q n e=j/ (Contrac or,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 thea plication filed therewith. I Sworn to before me this � r» day of /17ARc,x 20Z4 a L C)L 'K.c��' N tary Public Signatur of Applicant vorn,eeyypoet -Ooi q 46SSr 9�y 'S 4 r 0 k,)Eur j�o+t iC �– i All O 9� v • SQ .. �Y �? •�� /� r.-� � � F rel'AA AAY / NZ C O o Oo, C-i 5�� a 109 m[ a ov anrt or win NiD t�ttwrrs a r . Mor rawM Mc Ma►°E0DM0w�urrrw. Submittal of this plan hearin; the scar �) ie undersigned NYS licensed Architect is not intended 905 Bay Haven La. to certify conditions that we designed or that we Southold, NY 11971 represent in compliance with applicable architectural or engineering standards, or government codes. Application of the Architect's seal is intended to 1000-88- r�PANCY C1 p OVEQASNOT® indicate that this is a true depiction of the current � as built conditions. 020 —p2 ��E $� � �� all � B.P. DA nate °�T CUA CERTIFICWJE � 8T of OCCUPANCY Np IF1(� BUILDINGDEPA TMENT AT house 7e5-1802 9 AM TO 4 PM FOR THF �D 4"4" 4"4" 4"4' 4" 5" FOLLOWING INSPECTIONS: �I ,TWO REQUIRED 3'6�0�3'4�®�3'6�tgr-3'6�� FOR E�DCf�cRErE elevation - 41" I I I I g�yafiOgr,}{;gp MING & PLUMBING 5/4j6Fdgokin ONSTRUCTION MUST IIITfl 4x4 T FO 0EET III I (as C.O.WNM N.Y. 2x 1�41i"lelbEb0My 2x ODES. NOT RESPONSIBLE FOR 2x6KWjbQR CONSTRUCTION ERRORS `D D D 4x4 set in concrete 1x6 fascia �I312 Railing: entire deck. 39 1/2" high. 2' turned balusters 6" oc � 0�000�0�0 �—elevation - 52 read - 9"/ rise - 5 1/2 ,:%x"' , elevation - 50' 5 wide stair case �Sp e3 Ac w/railings on both �; �ti IN Scy� <\ tread - 10 1/2" / rise 8 3/8 sides tre d - 10 1/2 / rise - 7" 20,1 4x4 post e rear yard Qx�4 J223 {o T� Os� t:'�,« R N (2) 2x S SEAM 2x 6 x,01r," i < . ty s �. i' tt 1 : ---------f OF NE D w 0525�� A'QOFESS1ONP� 7 210 2 a Y ,y��/ElY G1Y