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HomeMy WebLinkAbout34529-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33633 Date: 04/02/09 THIS CERTIFIES that the building PLAYGROUND Location of Property: 11280 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET). County Tax Map No_ 473889 Section 126 Block 6 Lot 18 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated '- MARCH 25, 2009 pursuant to which Building Permit No_ 34529-Z dated MARCH 25, 2009 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 PLAYGROUND AND GAZEBO AS APPLIED FOR. The certificate is issued to MATTITUCK PARK DISTRICT (OWNER) of ,the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO.. - N/A PLUMBERS CERTIFICATION DATED N/A uthorized Signature Rev. 1/81 1 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 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. April 2, 2009 New Construction: Old or Pre-existing Building: (check one) Location of Property: 11280 Ct P _ on; Ray Blvd Laurel House No. Street Hamlet Owner or Owners'of Property: Mattituck Park bistrict Suffolk County Tax Map No 1000, Section 1 2 6 Block 6 Lot. 18 Subdivision Filed Map. Lot: Permit No. 3 4 5 2 9-Z Date of Permit. Applicant: . Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: xx (check one) Fee Submitted: $ r �3 �33 � _ Applicant Signature 1 FORM NO. . 3 TOWN OF SOUTHOLD t 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. 34529 Z Date MARCH, 25, 2009 r ti r .-Permission is hereby granted to: PARK DIST MATTITUCK ' PO BOX 1413 MATTITUCK,NY 11952 for . CONSTRUCTION, OF A PLAYGROUND SHELTER & EQUIPMENT AS APPLIED FOR, , THIS REPLACES BP# 27349 . at premises located at , 11280 GREAT PECONIC BAY BLVD LAUREL. County Tax Map No. 473889 - Section 126 Block, 0006 Lot .No. 018 . L pursuant to application dated MARCH ,25., 2009 and "approved, by the Building Inspector to" expire on SEPTEMBER 25, 2010 . Fee $ 0 . 00 Authorized Signature _ . - 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. 27349 Z 5 ag Date JUNE 5, 2001 Permission is hereby granted to: PARK DIST MATTITUCK PO BOX 1413 MATTITUCK,NY 11952 for CONSTRUCTION OF A PLAYGROUND SHELTER & EQUIPMENT AS APPLIED FOR. at premises located at 11280 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 126 Block 0006 Lot No. 018 pursuant to application dated JUNE 5, 2001 and approved by the Building Inspector. Fee $ 0 . 00 Authoriz d Signature ORIGINAL Rev. 2/19/98 SOUryolo 0011mv,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING FINAL �6, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: (Ald '_;7 - ®7 " BATE - INSPECTOR SO(/ryolo cOUM'10cc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING �IXFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: / r �o DATE INSPECTOR oF soti,yOlo �7 3 If courm,��' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING XFINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ' .,,A� d /9 DATE INSPECTOR -%,-iVIELD_INSPECTION_REPORT '- MATE �` COMMENTS �s..r,. . H FOUNDATION ( 1ST) �� I it b FOUNDATION (2ND) _II--- I � C ROUGH FROM & N PLUNBINC �� jj T) ______=___==---------------__=__-________ c INSULATION PER N. Y. I� —il H STATE ENERGY II II CODE II II �I --------=--- --- I -_— _- ---------- I II - IE- H. I II L I _ FINAL -------- u3" _=��o =�___lc_---=_- -�- 17 - _ ADDITIONAL COMMENTS: ro • H /o r, o /� (� / 0 wwv 1V OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N l E . ACR. S W Par k 1 �!s+, TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MILS. Mkt. Value LAND IMF. TOTAL DATE REMARKS 0 U 0 c-all fo 6a, h !'e,' `vjSo-a . AGE BUILDING CONDITION ,NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER -Woodland FRONTAGE ON ROAD Meadowland DEPTH Housed t BULKHEAD Total DOCK .; C■■w■■■w■■■■ ■■■■■■w■■■■■■■.■ ....■..■■.■ ' ■ ■■■w■■■swwwswiiiwiwwNo ■■■ ONE No ii■■■■■■■ww■■■■■w■■w■ w■■■■■ ■■■■■■■■■■■■■■■■w■■w .■=■ww■w . 77 ON w■ww■�w� ���w■■■■,��i1.���■■■fl■■wl - ■®■■■©�37�wE ■■■■■■■ww®■■■■wl�■w ■■■wwwwwiw■■■■■■■w ■■■■■wlf �w ■■■�i■ 'MEN®®■■■■■■■■■w ■w■■■w ■ww■a■■■■■■■■■■■■w■■■■■■■■■w - Foundation; - III Q elpe A Basement •• WallsInterior - • _� Fire Place Type Roof Rooms I st. Floor Dormer FA �` ,5 �o• lox s MA T TITUC PARK J' .�� • r . DIS T, ti - . & , �2 17 2,6A(c) yolo r`� 6 E_� 0 TOWN Ok'SU U'1'riUL•iP.-- tg— i�/ L� 13UILJJLNIJ rbiCV111 ArrLit-A i iu1v urirk,iu,ib i BUILDING DEPARTMEN Do you have or need the following,before applying? TOWN HALL o[ ��� Board of Health SOUTHOLD,NY 1'1971 ,.,_. n_ T_ ss 3 sets of Building Plans TEL: 765-1802 Survey �i"`"""�"pn i- . 1VIIT k 0. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved ei 209 Mail to: Disapproved a/c Phone: Building ks ctor APPLICATION FOR BUILDING PERMIT Date , 200/ 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. 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 or name,if a co—oration) (Mailing 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 the tax roll c6 JAtest 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 hich propgsed work will be done: /J 6112 House Number Street Hamlet A{ 3. acre,,, County Tax Map No. 1000 Section l7�(o —Block ' Lot Subdivision Filed Map No. Lot (Name) llV v 3,/ 7 2, c �. s 7 1 J � a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building � Addition Alteration Repair Removal Demolition Other Work im (Description) OUP 4. Estimated Cost �/, Fee L (to be paid.on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor ilirn 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 Rear Depth , Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height �D '� Number of Stories / 9. Size of lot: Front 3 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: /r 13. Will lot be re-graded ; GG ��.0W/1 Will excess fill be removed from premises: YES �O 14. Names of Owner of premisesfC "Address -0 D ���� 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 ) i being duly sworn, deposes and says that(s)he is the applicant (Name of indi dual signing contra )above named, OHe is the (Contractor,Agent, Corporate Officer, t . 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 (5�`" day of 200 otary Public Signature of pplic BET7y Notary Public, No.482881 Qualffiee,in Suffolk Co MI g�o�a r J O O r O :- 0 z w L // \\ \ o u o ELI \ Q m } ELEVATION a a SCALE: 114" = 1'-O" 0 L1 0- ROOF FRAMING PLAN SCALE: 114" = 1'-0" MRFED IS rIlTo— �DAT ll E: 01 B.p # 99- 0, FEE: AV- NOTIFY BUILDING D ,'ART NT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 12'-3" 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING TYPICAL FRAME ROOF: 3. INSULATION 12 0225 ASPHALT SHINGLES ol6-O° 4. FINAL - CONSTRUCTION C�'lJ5'i S[Z 1/2" ROOFING; PLYWOOD BE COMPLETE FOR C.O. 2x8 RIOGsEBOARD ALL CONSTRUCTION' SHALL MEET " O.C. THE REQUIREMENTS OF THE "!.`�, 2x6 RAFTERS m 16 2x4 COLLAR TIES .C. o.c, w1 STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FG- DESIGN OR CONSTRUCTION EAROP S 4X4 Cr--A POST ON ALL CORNERS -4X6 BEAM TIED INTO 4X4'5 WITH 48 DEGREE ANGLE ; ON BOTH SIDES OF O 4X4 TO SUPPORT ` BEAM TYPICAL CONCRETE PIER: D D D D 10" dia. 12EINF. CONCRETE PIER 3 FOOT DEEP -----------------J.. .n 'n n .n GROSS SECTION SCALE: 114" = 1'-O" BEAM LAYOUT SCALE: 114" = 1'-0"