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Home My WebLink About32855-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33423 Date: 12/09/08 THIS CERTIFIES that the building FOUNDATION REPAIR Location of Property: 1600 WATERVIEW DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 7 Lot 33 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 2007 pursuant to which Building Permit No. 32855-Z dated MARCH 28, 2007 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 FOUNDATION REPAIR TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LINDA S CARLSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 Form No. 6It TOWN OF SOUTHOLD i U Ii BUILDING DEPARTMENT _ TOWN HALL DEC 4 2008 765-1802 bdy,�.DEPT. APPLICATION FOR CERTIFICATE OF O CUPi .�F.S� ='-T �! —' 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 afl 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. Corninercial 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: L Accurate survey of properly 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 t11e applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling$25.00, Swirruning 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, Conunercial $15.00 Date. /a —pC/f 0p -&4100` New Ccnstru, tion: Old or Pre-existing Building: (che k one) Location of Property: a, r ad L �(� House No. Street Hamlet Owner or Owners of Property: nG-P- S Suffolk County Tax Map No 1000, Section Block Lot - 3 Subdivision r� Q Filed Map, Lot: Permit No. � O�-0 S Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Wignature Fee Submitted: �12QG5�� A 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. 32855 Z Date MARCH 28 , 2007 Permission is hereby granted to: LINDA S CARLSON 1600 WATERVIEW DRIVE SOUTHOLD,NY 11971 for REPAIR A FOUNDATION ON AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1600 WATERVIEW DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0007 Lot No. 033 pursuant to application dated MARCH 26, 2007 and approved by the Building Inspector to expire on SEPTEMBER 28, 2008 . Fee $ 200 . 00 horize Signature ORIGINAL Rev. 5/8/02 OF SOtl,yO�o cOU�fi`I,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PL13G. XFOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [X FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION A � REMARKS: L a G r � � DATE INSPECTOR- 1 - FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION IST ------------------------------------ FOUNDATION (2ND) z o a ROUGH FRAMING& PLUMBING ZdL y L r INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS O Z � b O H O z x E� d b y TOWN OF SOUTHOLD n � i BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT - i Do you have or need the following,before applying? TOWN HALL '' Board of Health SOUTHOLD,NY 11971 MAR 2 6 '2�' ' 4 sets of Building Plans TEL: (631) 765-1802 ! Planning Board approval FAX: (631) 765-9502 Survey www.northfork.net/Southold/ PERMIT NO. ,c �S' Check o! Septic Form N.Y.S.D.E.C. Trustees Z Examined ,20 Contact: Approved 320 Mail to: Disapproved a/c Phone: Expiration ,20 Building Inspec APPLICATION FOR BUILDING PERMIT Date , 20 dy) 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 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 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 regulatio and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applic or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician,plumber or builder 1 Name of owner of premises C- �"- (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 whic .proposed work will be done: /BUD GJele� &; t S50�ltiv/� i House Number Street Hamlet La q County Tax Map No. 1000 Section 11-7'Er Block:. -r,ra Lot Subdivision Filed Map No. J Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5 r b. Intended use and occupancy 3. Nature of wo k(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost o�SC�C�e Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor 1 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 structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front P v A_ Rear Depth Height , 1 Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear 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? YES NO__<__ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO_�k- 14. Names of Owner of premises 4,Piles (] /SGI--AddresVdAj1 rrCJ� C —Phone No. 6S1 ws '?9)/ Name of Architect Address Phone No 613 i 65 SdC� Name of Contractor Address Phone No. 6 31 Sq� '5 S2 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO_X� * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF-YES, D.E.C.PERM-ITS 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 OF)(�i�1a� 114k 5 111ar LlrLl being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the �Q/1/�e r r. (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 before me thi 4_ day of 20 Nota blic Signature of Applicant �/ MELANIE DOROSKI NOTARY PUBLIC,State of New York �a r r No,01 D04634870 Qualified in Suffolk County Commission Expires September 30� � . : _. _!a 10 o 4,-Ac, 4�m -Tw ;n` ; c 2.6 do OCCUPANCY OR ay �� - - E IS UNLAWFUL -I w - --- , US - ,g �'" �. e _ �_ p WITHOUT CERTIFICA ''$ ojOF OCCUPANCY ar - - - ,� CONSTRUCTION SHALL �S ''F��,®� ------- - - - - - -- - ALL MEET THE-REQUIREMENTS OF THE. cc ,► CODES OF NEW-PORK STATE. , 0 ApX - - -- - sstio CAI�r -- g - - - APPROVED AS NOTED - - DATE: B.P.# �LS� FEE. BY: --- - -- - -- NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-- TWO REQUIRED - FOR POURED CONCRETE -. - -- -- - - 2. ROUGH FRAMING,& PLUMBING i --3. INSULATION------ - - �- 4. FINAL - CONSTRUCTION-MUST BE COMPLETE FOR C.O. _ '- - --- — - - - ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR ' SIGN-OR CONSTRUCTION ERRORS. `- 2J�VEi k Cosy 1. I __..-- - ---- - - -- - - - _ JOSEF'ri rISCHE- Tf PROFESSIONAL ENGINEER 172 616 5 HOBART RD/PO BOX SOUTHOLD, NY 11971 631-765-2954