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Home My WebLink About42429-Z �gupF04" TOWN OF SOUTHOLD BUILDING DEPARTMENT C* 2 TOWN CLERK'S OFFICE o . SOUTHOLD, NY �pp!- BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZE ) Permit#: 42429 Date: 3/5/2018 Permission is hereby granted to: Phillips, Gabriel 166 Smith St Apt 3A Brooklyn, NY 11201 To: construct interior alterations to ex' Ing single-family dwelling as applied for. At premises located a . 1060 Se nd St, New Suffolk SCT #473889 S c/Block/Lot# 117.-7-25 PursZnt application dated 2/26/2018 and approved by the Building Inspector. To expire on 9/4/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $260.00 CO -ALTERATION TO DWELLING $50.00 Total: $310.00 LJ Bu pector 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$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$15.00 +' Date."A(,�K New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: 10(o0 /F,L�OE4� S-Z 0EUj S0 FF6c l<. House No. Street Hamlet Owner or Owners of Property: V l Gto(U A 6*A9VL_-7_Z14 L l AS Suffolk County Tax Map No 1000, Section Block 07 Lot 1.9 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: EUT�14$��flh 'I'l�otiuPS-00 Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature 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 Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20� Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved 3� 5 _,20_10V Mail to: Disapproved a/c Phone: l Expiration .. ,20 D9� '7[2 di g ns or DDFEB 2 3 201 PPLICATION FOR BUILDING-PERMIT Date ZLZ320f_ KT U,1UNG' +E: INSTRUCTIONS TOWN OF SOUTHOLD 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. P.No building shall be occupied•or used in whole or in part for any purpose what-so.ever until the Building Inspector issue`s a Certificate of Occupancy. £ Every building permit shall.expire`if the work authorized has not commencedwithin 1.2 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or na ,if a corporation) . t1��7 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Qe-4 I T CX Name of owner of premises VI C-To fU (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 which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Block D7 Lot Z Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Q'e-'r't v?eyC45 b. Intended use and occupancy Isp (tq C rAM((,y �(Q 9*1 C4c 3. Nature of work(check which applicable): New Building Addition Alteration_ Repair Removal Demolition Other Work (Description) 4. Estimated Costya►o Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. r---' i 7. Dimensions of existing structures, if any: Front 3e ( Rear Depth S r Height Number of Stories Z- • r r Dimensions of same structure with alterations or additions: Front Rear 'S8 Depth Height 2,41 Number of Stories-.,, 8. Dimensions of entire new construction: Front RearDepth Height Number of Stories - t I C 9. Size of lot: Front '41(P , Rear Depth O I 10. Date of Purchase Name of Former Ownery� _:~ _7 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� \,(,e 7T 21A 4A0E-06L IV&0 SGcpob S-T 14. Names of Owner of premises j!91 u.l Y S Address Nf w Su F Folic Phone No. t OS-4 to-SOS Name of Architect_5;tazAR e-rH '(NaM o�r�Address p•o.3.464 ofd sNT IyfPhone No 917-1�4T -ICs" Name of Contractor;PETI-'R- :Tba Gzg so U Address Phone No. r1r L., • 801- Z2-(Pg;; 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_y * 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 any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, - 0QIdN1E D.BUNCH S He is the Notary public,State of New York tie (S) (Contractor,Agent, Corporate Officer, etc.) 916tS5050 Glualified in SUuffolk Ceunty d Commission Expires April 14,2— 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 efore me thi�ACAVVvl-- d' day of 20 Notary Public cT Signature of Appliclit APPROVED AS NOT D DATE: -s B-P:# °2 02 BY: "NOTIFY BUILDING DEPART T 'AT 765-002"'SAM TO 4 PM 'FOR THE ° ELECTRICAL FOLLOWII46ANSPECTIONS: INSPECTION REQUIRED 1. ,FOUNDATION-= TWO REQUIRED FOR POURED CONCRETE 2. -ROUGH "' FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Blower door ALL CONSTRUCTION SHALL MEET THE and ductwork REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR testing required. DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF _0MLLTUN r)TnAAA1 IDA �� 7 � n rnieini of anlnlinlr RO AR JVV i ES �tl�BE6� OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. -WOW 2Oe I PAR rlrlow'�_? Tr (':�C 1d Cz. 7 (01-1f1HOa , rotz A P°c( ow a I w vw, 14 3 1 + y 3 3 r 1ZX fra�. itl 3C P -2FA 'rte it l{ � i � E f _ ;— ' -1 1 Job Date Elizabeth Thompson . Architect p rjr;W ��)F �� P f 250 Mercer St. B806 917-848-1541 Title Scale New York, NY 10012 www.elizabeththompsonarchitect.com