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HomeMy WebLinkAbout36782-Z �g11FFpt,� O Town of Southold Annex 3/7/2012 P.O.Box 1179 54375 Main Road o i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35477 Date: 3/7/2012 THIS CERTIFIES that the building OTHER Location of Property: 1460 Hillerest Dr, Orient, SCTM#: 473889 Sec/Block/Lot: 13.-2-8.24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/17/2011 pursuant to which Building Permit No. 36782 dated 10/28/2011 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: construct an accessory sport court as applied for The certificate is issued to Michael&Karin Schaefer (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED r AuVlVorized Signature _ TOWN OF SOUTHOLD �g�FFD(,�co moo oy BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE o SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 36782 Date: 10/28/2011 Permission is hereby granted to: Schaefer, Michael & Schaefer, Karin 184 N Hewlett Ave Merrick, NY 11566 To: construct an accessory sport court as applied for At premises located at: 1460 Hillcrest Dr, Orient SCTM # 473889 Sec/Block/Lot# 13.-2-8.24 Pursuant to application dated 10/17/2011 and approved by the Building Inspector. To expire on 4/28/2013. Fees: ALTERATION OF ACCESSORY BUILDINGS $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 Building Inspector Form No.6 1 �0 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. . S. Commercial building,industrial building, multiple residences and similar buildings and installations, a certificate of Code Comphance'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$50.00,Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00,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. New Construction: " Old or Pre-existing Building: (check one) Location of Property: �&O House No. Street Hamlet Owner or Owners of Property: �� ou- Suffolk County Tax Map No 1000, Section /3 Block o2 Lot �'. 2 q Subdivision Filed Map. Lot: Permit No. (o �gOZ Date of Permit. /d -07-,R-- I l Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: Applicant Signature SO�T�,olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [?'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: y DATE °L INSPECTOR FIELD INSPEeTIQN REPORT DATE COMMENTS t4 FOUNDATION(1ST) aq - ------------------------------ ci FOUNDATION(M) ��tid • a H ROUGH FRAMING& � td PLUMBING �y 1 C>' �0 • C� INSULATION PER N.Y. � y STATE ENERGY CODE j G . y FINAL ADDITIONAL COMMENTS C� • � o rn C `; i 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 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 - Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined �`� 20 6 nn E Single&Separate Dv U Storm-Water Assessment Form Contact: Approved Gri J"6,20 OCT 1 7 2011 Mail to: Disapproved a/c G.DEPi. TOWN OF SOUTNOLD Phone: Expiration ,20 f3 Building Inspector APPLICATION FOR BUILDING PERMIT Date ��''. �,� , 20� 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. £ 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 regulat. is, and to admit authorized inspectors on premises and in building for necessary inspections. OCCUPAI` UY OIL UI� UI��AVIl�U (Signature of applicant orn e, ifacorporation) INITH0luT CERTIFICATV�rllEwa;, V/k Ah&rz /yj /xpzro OF 0Ck"JUPAIN0Y ASNOMP State whether applicant is owner, lessee, agent, architect, engineer, general contraz-� i, plum�er o`1'bi`Ii "der FEE:—� _ �� NOTIFY B� uILnINr d ("-,- 02'65-18 8 AFA Tn Name of owner of premises CC,/q LEi�- FOLLOWING INSPE( �'c� � (As on the tax roll or late MI -TV If applicant is a corporation, signature of duly authorized officer 2. ROUGH-FRA C0 AMING,Pam, STRAPPING, ELECTRt' (Name and title of corporate officer) 3. INSULATION aULN .vG Builders License No. 4. FINAL-CONSTRUCTC , e ELECTRICAL h9UST BE,,Ors"f' `-� --0, Co. Plumbers License No. ALL CONSTRUCTION SHALL i.-IF ET THE Electricians License No. REQUIREMENTS OF THE CODES OF NEW Other Trade's License No. YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 1. Location of land o which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 1 3 1316ck"' '�` Lot SubdivisionSi� Lot p 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 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work /6(�� aarl Oo/� Cou�Ci (Description) 4. Estimated Cost FeeJ� (To be paid on filing this application) 5. If dwelling, number of dwelling units ;; ' ?; 1-Number'of dwelling units on each floor If garage, number of cars ! d f 6. If business, commercial or mixed occupancy, specify nature and gxtent' of each type of use. 7. Dimensions of existing structures, if any:_F,Xol2t_. ': :'_1 -A Read 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 • �� /QC� 10. Date of Purchase 9 6U Name of Former Owner 9, �iQGlle/ LLz 11. Zone or use district in which premises are situated 11960 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 14. Names of Owner of premises/ eR.4f- E Pcc+4eF4LAddress 144MI W d j/ //s66 Phone No. S/G-P7.-177& Name of Architect Address T-Phone No Name of Contractor 6-014i SroT Coc eu Address 6P 044�61 a4 Phone No. 7/0 D . �/ucyriNG77✓ Spa, /Vy//?yb 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? '''YES NO * 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. 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. 18. Are there ariy;covenants', and restrictions with respect to this property? * YES NO IF YES, PROVIDE A COPY. : ; "J, STATE OF NEW YORK) ASS: COUNTY OFJ� ,,,/� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signlp c666act);above named, � .' ®(NGI(S)He is the °. �•;,;s `� (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 contamed'ii this application are true to the best of his knowledge and belief; and that the work will be performed in the manner,s`et'forth in the,application filed therewith. Sw do before me tl �� day of , 20� Eileen DeName v blic-State of New York 2 Notary Public No.#01DE6122638 Signature of Applicant Qualified in Nassau.County Commission Expires Februaty 22,20p R` CRE t �D go " 1,J co 4 0 o I 4-Co S �q STO.V..E SET o.t'S ST AV-E SE.Z Mo F,.10 ce�W►oG.. Ge. --a~�—�—t S `` O.S'S c.1.LA••.. L\�.a� FE S'S - ,11 "e•Q•S � cj '1'� - pP PLO PJ�v y d U O aa c'P 0 Avaa ,fir• n'` C Q ' r d d�1 0 0� m �; d1a " 3x p � 1 0 o s s 4D, d a 0 .o r D 3 2.\ J Q 1 O {.. Jam. a o t s F~F'� pM��•. y N 0 T E S �S P'O♦i 1) SAME AS DIST: logo SECT: l'-� BLK: Z 1 S LOT: 8.'L4 ON SUFFOLK COUNTY TAX MAP. y� �c�ft NEW of LoT 22 Sde:,oIV lSlo N'-1'a.r- pP '. 2) THE EXISTENCE OF ANY RIGHT OF WAY, AND/OR, EASEMENT �. �P (B.Ho 1..1 // LL CREST esmT&S. OF RECORD, IF ANY, NOT SHOWN NOT GUARANTEED,'_ CIO 9j S�c_`I l o I—L l 3� Cm tuo%GQ.tr_­S #ARI pAZE. oR Fll_II.�G� ALIL-acJST 15� lQa� FLL.Eo MAP �Lo.Z21$ O¢IE-_i-t-i Tov lis of SoL1T \oL_o S�►�GOL_1c .CauIvT`( h1�\cl �oizlt to- \o- \\[ POOP• SPe¢ZS ce. oo o.Eo. �� '�Ltit O 2011 � 'UNATMORIZED ALTERATIONS OR ADDITIONS TO-THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. /j/ 4849A Vvy © By R O B E R "T Q Y.: H O LZ 7M e N M I�" . L S•" 2 0 1 1 'COPIES OF THIS SURVEY MAP NOT SEARING THE LAND SURVEYOR'S INKED SEAL SMALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. C� LICENSED LAND SURVEYOR, N.Y.S. L I C --.#"49176 'CERTIFICATIONS INDICATED MERLON SMALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON THEIR BEHALF TO LAND 1029 W I L L I A M F L O Y D PARKWAY SUITE 3 S H I R L E Y- _ THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LEADING INSTITUTION LISTED HEREON,CERTIFICATIONS ARE NOT TRANSFERABLE TO . N Y-11967 ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. i �'' � _ .� 'THE OFFSETS FROM PROPERTY LIMES RMO NSTRU TIO ARE NOT INTENDED TO GUIDE IN THE ERECTION OF FENCES,RETAINING WALLS,POOLS, �I:/' PHONE #: 631-281-0162 FAX #: 63:1-281-0 29 2 BUILDINGS.ADDITIONS,AND OR OTHER CONSTRUCTION. ' 'COVENANTS AND RESTRICTIONS,IF ANY,NOT INDICATED OR SHOWN UNLESS REQUESTED IN WRITING BY CLIENTS OR THEIR REPRESENTATIVE _ PRIOR TO SURVEY BEING DONE. DATE 0 A I)COPYRIGHT BY ROBERT B.HOLZMAN LAND SURVEYOR,AS PER ORIGINAL DATE SHOWN ON SURVEY. • SapT• l a�'�I l SCALE: 1 u= 4 O' FILE-: 1000- l3 -1 - •�••4 Michael E. Schaefer 184 N. Hewlett Avenue Merrick,NY 11566 October 13, 2011 Town of Southold Building Department PO Box 1179 Southold,NY 11971 RE:Building_Permit:_ To Whom It May Concern: The enclosed permit is for the construction of a 30'x 50' multi-game sports court. The court is constructed of a 4"thick concrete pad with a suspended modular sports surface material placed on top. There is a basketball hoop system installed on an 1 l' high multi- sport pole. The removal of one tree will be necessary to incorporate the court. Thank you for your consideration to this application which will enhance our enjoyment in Orient. Truly yours, g�r Z S✓�jp L"�_ & Michael E. Schaefer