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HomeMy WebLinkAbout34189-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33632 Date: 04/02/09 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 265 BARLEY LA SOUTHOLD (HOUSE' NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 4 Lot 5.12 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 2008 pursuant to which Building Permit No_ 34189-Z dated SEPTEMBER 29, 2008 was issued, and conforms to all of the requirements of :the applicable provisions of the law. The occupancy for which this certificate is issued i.s ACCESSORY NONHABITABLE UNHEATED TWO CAR GARAGE WITH STORAGE ABOVE (NO ELECTRIC) AS APPLIED FOR. The certificate is issued to CORI & KAREN LANG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A f A hor' ed S' nature Rev. 1/81 DE C E s Form No.6 TOWN OF SOUTHOLD MAR 2 6 2009 BUILDING DEPARTMENT TOWN HALL ► ' 1fiwP BLDG.DEPT. 765-1802 TOWN OF SOUTHOLD ICATION 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 L 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$15.00 Date. I_nArc`I d 5, C)Oo New Construction: Old or Pre-existing Building: (check one) Location of Property: C_ d 6/) -die y l,/;byC- House No. " Street Hamlet Owner or Owners of Property: Co r-1 1 I;W--eA Z,,q�,,► Suffolk County Tax Map No 1000, Section O �� Block ' 000 � Lot 0 CD T�a Subdivision �j C, Filed Map. Lot: ` Permit No. 7�U/ Date of Permit. J__VO Applicant: _ p n f 11�►'VU Z-I xJ l� Health Dept.Approval:- M'4 Underwriters Approval: /L44 Planning Board Approval: JL47- Request for: .Temporary Certificate Final Certificate: V (check one) Fee Submitted:.$ p � 0 a �� Applicant Signat 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. 34189 Z Date SEPTEMBER 29, 2008 Permission is hereby granted to: CORI & KAREN LANG PO BOX 1083 CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. REPLACES EXPIRED BP # 27731 at premises located at 265 BARLEY LA SOUTHOLD County Tax Map No. 473889 Section 059 Block 0004 Lot No. 005 . 012 pursuant to application dated SEPTEMBER 29, 2008 and approved by the Building Inspector to expire on MARCH 29, 2010 . Fee $ 443 .40 i e SNzature ORIGINAL Rev. 5/8/02 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. 27731 Z Date SEPTEMBER 25, 2001 Permission is hereby granted to: CORI & KAREN LANG PO BOX 1083 CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ACCESSORY GARAGE IN REQUIRED REAR YARD AS APPLIED FOR at premises located at 265 BARLEY LA SOUTHOLD County Tax Map No. 473889 Section 059 Block 0004 Lot No. 005 . 012 pursuant to application dated AUGUST 16, 2001 and approved by the Building Inspector. Fee $ 443 .4.0 Authorit S tgnaVre ORIGINAL Rev. 2/19/98 r3f so TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO . [ ] FOUNDATION 1ST [ ] ROU PL13G. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: a DATE 3 1 0 INSPECTOR T65-180: BUILDING DEPT. SPECTION . [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ � FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: cam' c DATE ql�rl�aL INSPECTOR AIAA_ FIELD INSPRCV10N'REPORT 13AT$ :�_.: �• COMMENTS __________________ FOUNDATION ( 1ST)' 0 FOUNDATION—= (2ND)T==== _----=— ____===-----------------------______-_—=_____—=__ x ROUGH FRAME & -PLUMBING ' �:: - •to INSULATION PER N. T. }� STATE ENERGY ] CODE N 1132 FINAI. 'ADDITIONAL COMMENTS: L, • x o LOT AREA■41.248 n ft. 00-54 NOTE:CESSPOOL.SEPTIC TANK AND WATER SERVICE LOCATIONS BY OTHERS. \ LOT NO. 12 DRAINAGE BASIN N.21.50'30"W. 150,00' N / is f m A o .F V � 40.7— 47.2' 1 FRFR I Q LC 2L2' + >J m cww o Z « �s•n&;W:Ch a m r ——ro4 Cn NTS u, C III pg �EV Ru 25.0 ' pp ir Ls 37.93'Z 14.82m =E+ PbPL S.21050'30"E BARLEY LANE IN5-2000 FINAL SURVEY DWELLING-PUBLIC WATER I VACANT 9-25-2000 FmvQATION LOCATION 14-2C100 INDICATk'D PRDP FIE7LL The existence of ri;'a r,i^.;:;:• :,:•::, .,•e�.^.:�ment:. NOTE:LOCATION OF WATER MAINS AND ADJ0INERS WATER of record,if any,'not��i0Yr:1 11:i 4_;::ia:�[LL'(i. SUPPLY.BY OTHERS AND ARE NOT GUARANTEED. ,.. 01i.04 (OR ima"WUNEI cow,.,.,.1<i. ,..�,.....�,. "..,.��. JOB NO. 00-104 FILE NO. GREENFIELDS AT SOUTHOLD NOWN HEREON THE, PROPERTY THE My" RUN ONLY TO TNL PERSON 11 itSCAREE FOTR AT SPECIFICPEMJII PPAAWD MW C WHOM N NA KK4LF M. SURVEYED FOR CORY,9 KAREN,LANG •05i AND USE AND THTREfORE TIC TFPE COMPANY, GOVERwNEN LOT NUMBER 14 %;z NGr INITi.m To GUIDE TIIa TN. Mun 0i ro LEWNG WTI- RECT1�IL OF MCM ffAWNG TLT,ION Us•,rD HTREON. AND TO MAP OF GREENFIELDS AT SOUTHOLD VALLS. MOL'., FX*',�TAtGIM TF' .bz'XNlr3 O:• THE LENCING AMA'. AUD1110N TO EUILLI&CS L[t4111inum. A9ARANTEES Aid ;Rti..rf 0h45C9iSMVXTiVL 0"'. TO ADDiPLFLLL IF:!TITU'fICN: 02 subuQUEN1 SITUATED AT SOUTHOLD JNAUTIIORIZ20 ALTEPATICN Cir W.;"'M AOuIVON TO TILSi WAVY ,u d AOLAT" Or 21TION 7" CI< COPY OF TIBs SURKY Aw Nnr TOWN OF SOUTHOLD-SUFFOLK COUNTY KY. IIE low 1w 6TATd LA01101I{ DEARIRG TIIF LAND SURVEYOR'S SCALE 1" a 50' DATE 3+9+2000 A% INKED SEAT. OR EMBOSSED SEAL ......:,.a•a,,;+...:. :`, .. 3"L NOT D_ CON50M 10 0 AVAI73IM" FILED MAP NO. 6313 DATE II-10.1975 GUARANTEED ONLY'TO CORY 8 KAREN LANG TAX MAP NO. 1000-39-4-5,12 (REF.ONLY)DISK 215 SUNRISE ABSTRACT CORP. HAROLD F. TRANCHON JR. P.C. COUNTRYWIDE HOME LOANS,INC: LAND SURVEYOR 1 866 WADING.RIVER-MANOR RD. WADING RIVER, F�_� fl__ NEW YORK, 11792 f- •v�rf /"""`t/'� I—LIC. •NO.. 048992 516-929-4695 HAROLD F. TRANCHON JR. PENN. LAC. NO. 21115-E TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET "7i_, VILLAGE DIST. SUB. LOT ..'V�l �17 lan.% 12"9,p � k:'?' c. 'r°r,;'a{ ✓ N � a� ''"k FORMER OWNERz"FY14S C t, ��° N E Ac �k.. S W TYPE OF BUILDING �,L.�✓L,'�`[.cam- �,�'°�:�:�:-- RES. d b SEAS. V� FARM COMM. CB. MILS. Mkt. Value LAND IMP. TOTAL DATE REMARKS C) o 't 6 p .T,4�e. 9�a 9/ mil. �ls �Aste -�- �• cc/e� a es Jf d ® i&I,S19 Z-Alm 7 90-0 3 r ©/ 7 oo L lZD zs - o :� �� 3 a 3 - 0' - - Tillable FRONTAGE ON WATER Woodland FRO AGE ON ROAD /moo Meadowland DEPTH ,$ ' House Plot BULKHEAD Total `i` '.GC'aR�`3-9"�4 r 4 TRIM 4U-Q Lk f +� '*..�,yr. .� a. ,'� � rn1 h � ,r �,fl"`�_33'y 1,•""4 f � ��""�^ `e �`�,y1 54-4-5.12 1/01 Extension 2 X 2. = 2� Extension Extension Oq Foundationvp„ Bath Dinette o ch Z /�� 3 Basement Floors K. Porch Ext. Walls Interior Finish LR. Breezeway Fire Place Heat DR. Garage Type Roof Rooms 1st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Driveway Total TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 / Survey 2 PERMIT NO. 7 731 �". Check Septic Form N.Y.S.D.E.C. Trustees Examined • �20 °r Contact: Approved edgre�e• d"6—,20� r;Mail to: Co Lim Disapproved a/c l -1 J��� rl1�1jP� Phone: 65'� �7 6 Buildin s ctor 0til���, PLICATION FOR BUILDING PERMIT Date , 20 Oil ' INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sefs 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 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 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 o6name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises K­t 4,qiv (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. I'1 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: I 1 E� 16-f L� � 10 U O 0 House Number Street Hamlet County Tax Map No. 1000 Section �'``�"''.."Lot—, ��/ Block �'' _ _'Lo`t; 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 b. Intended use and occupancy � � � iO e447-(-c-Ae 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work �y�� (Description) 4. Estimated Cost �� ��O Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units 4 Number of dwelling units on each floor If garage, number of cars ?:Cyr Vus kyrt 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ju,� 7. Dimensions of existing structures, 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 Rear Depth. 10. Date of Purchase MAW Name of Former Owner ?_A)w,4, 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 IVS4 Address Phone No. 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. 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 ) Cc) L A-VU L being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the o w pu e c (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 this Z y of CJ \ Notary ublic Signature o Ap is EIJZABETH A STATHIS NOTARY No.011 ST 008 73,Suffolk Corny Tenn Expires June 8,20_1-PZ-. LDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: !/�_01 DATE SUBMITTED: /1,6 /01. APPLICANT NAME:.k:a� ' C.oe% SCTM# DISTRICT: 1.000 SECTION:5'7 BLOCK; LOT: • .(Z STREET: ���. kR�_(� CIT �-, up-tokY SUBDTV.NAME: PROJECT DESCRIPTION: CQsso2�1 ARCHITECT/ENGINEER: FAST. TRACK? 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: -4° CONFORMING? Es yo, 000 y� 33� i ��,� -761 REQ.LOT SIZE: . ACT. LOT SIZE: � R LOT COV.oZ'. ACT. LOT COV. 1 0 REQ.FRONT �-o PROP.FRONT SIDE , J . ACT. SIDE REQ.REAR PROP. REAR WATERFRONT? DESCRIPTION: PANEL #: 11-41 FLOOD ZONE:,_, AGENCY PERMITS REMD FOR REVIEW APPROVALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE: / / PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or i i SOUTHOLD TOWN TRUSTEES: YES o / TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES of NYS ENERGY: YES OP4657 / EGRESS (18 H min.? 4 sq total) �ENI(SQ. FT. x 4%) JUGHT (SQ. FT. x 8%) rG BUELDING PERMITS OPEN/EJXP D: BRQQ'al -Z/C/0 Z-'aqU93 HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- , NOTES: zo FEE STRUCTURE:. FOUNDATION: SF cj;// FIRST FLOOR : BC��{ SF SECOND FLR :8fi}{ SF INI T OTHER TC TOTAL: SF ,9 63 v FEE FEE FEE OT MRSF)- P��SF)= SF X$: $ , - , r s i - 4 i Y i• ..♦ : _ a 4 1 - , ¢T - x x; r ~4 a �Y ,1 , P. •s -1• r - pY - �2 r 4 a 4. , 7, - P , U , G - A C y r4v G E ,U P R , fi ASH 0a t, TEp C WITHOUT, D �( A P. -a x 0 F�OCC , •t _ 0 T TI _ tv+•f`F ,K e WI NG N, G D EP R. T 65= AM T T M FOLLOWING f0 LL T OWING Mt INSPE S. r 1: FOUNDATION NDATIOr WO REQUIRE' g' FOR P 4n . POUR 0 R CONCRETE _ OUCH FRAMING MING 8 - a IN PLUM s _ S BI rr . U N CATION 0 4. 3 FINAL P' _ C 0, N S. x , T R , C T,{ E 1 0 N M Cl' .z< S P ,e „ _ . e _ LET , E FOR - A C.O.- ALL `a _ 0 ;.n wry- , N s ' .. TF - C T t 0 < Sli A T L. , L .. - -. E` MEET E , W 0 EFf - MENT STATE S OF TH ATE CONSTRUCTIONE N.Y..:: CODEN i - z ES. NOT RES ERGY.-.:: „ DESI PONSIBLE GN OR CONS FOR ON oft w € r F! DO ^f� T f�f� ' ED V f f F h Fit � . , f , �ff�G t - F1 ... V�I�F �F 1 � 4 a .. ., " QP QCAT t J' HR EE „ r(. 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