HomeMy WebLinkAbout44081-Z �egfFUj, Town of Southold 10/11/2019
P.O.Box 1179
a
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40765 Date: 10/11/2019
THIS CERTIFIES that the building DECK
Location of Property: 12585 Sound Ave.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 141.-3-38.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/19/2019 pursuant to which Building Permit No. 44081 dated 8/19/2019
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:
DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Penny George L Inc
r
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A o ' d ignature
rte` TOWN OF SOUTHOLD
��o�q�FFnl, BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
WP • �s
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#: 44081 Date: 8/19/2019
Permission is hereby granted to:
Penny George L Inc
Attn: Geo L Penny IV
PO BOX 171
Southold, NY 11971
To: Construct a deck addition to an existing one family dwelling as applied for.
Replaces BP# 42031
At premises located at:
12585 Sound Ave., Mattituck
SCTM # 473889
Sec/Block/Lot# 141.-3-38.1
Pursuant to application dated 8/19/2019 and approved by the Building Inspector.
To expire on 2/17/2021.
Fees:
. 1
PERMIT RENEWAL $25.00
Total: $25.00
Buil or
�g11FFnt,f- TOWN OF SOUTHOLD
��o a BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy.• 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#: 42031 Date: 10/6/2017
Permission is hereby granted to:
Penny George L Inc
Attn: Geo L Penny IV
PO BOX 171 -
Southold, NY 11971
To: construct a deck addition to an existing one family dwelling as applied for. Replaces BP
16420.
At premises located at:
12585 Sound Ave
SCTM # 473889
Sec/Block/Lot# 141.-3-38.1
Pursuant to application dated 8/28/1987 and approved by the Building Inspector.
To expire on 4/7/2019.
Fees:
PERMIT RENEWAL $25.00
CO -ADDITION TO DWELLING $50.00
Total: $75.00
u g Inspector
FORK NO.
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)
N2 16 4 2 0 Z Date ... ... .. 4:.....V......... 19.2.7
Permission is hereby granted to:
,7........... ... .j'��
. . .........f.. . . ................
lr.R ..... . ...... .. .....................................
t '
to .. .................wr...q.....444..... '11n. :s..... . . . .. ....�... .... �..
. . .�. . . . ...q,. .. ... .�... i-=k
..... . ............... . ....... ......................
at premises located at ..�oZ„ . .....ST.....^. .... .. ..... ...... .........................
/.5,....4.x......... X....?1........ ...... �V...i..................................................................................................
County Tax Map No. 1000 Sect* ........it........... Block ........... ...... Lot No. ... ........l........
pursuant to application dated .... .. ........ .,�:t.:a ....a,` .......... 191.1., and approved by the
Building Inspector.
Fee $..� •.`• .........
........................... ..... ............................................
Building Inspector
Rev. 6/30/80
j 1 ft�--
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. [O l (p U 7
New Construction: Old or Pre-existing Building: W-11, (check one)
Location of Property: ll Q , mc"A t�V C.J<
House No. Street Hamlet
Owner or Owners of Property:G(an e— L �e r n 0�/ lex_-
Com.
v
Suffolk County Tax Map No 1000, Section ( L [ Block 3 Lot 3 .
Subdivision Filed Map. r� Lot:
Permit No. RpL{ZO Date of Permit. l $7 Applicant: /j'1 . 1'Q n
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ So . Op
Applicant Signature
pE 50Ulyolo
H O
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND ASULATION
[ ] FRAMING / STRAPPING [ FINAL I)-ezA
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: I -.C� 6/- ZPi1M
y 4a4tob 6 Co
DATE L INSPECTOR
qo V souls
hod o�
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION��ii
[ ] FRAMING /STRAPPING [ ] FINAL J/Q�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
' nMAMAe
, r QA- -Aly 6vh/3s
R 4
RCAL& cqy� DO& Vw/
DATE B INSPECTOR If"64
��OF OUlyo
# * TOWN OF SOUTHOLD BUILDING-DEPT.
coum 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING IV FINAL l�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
4A J
DATE 0 0/2e
INSPECTOR
i LS11ECT10N JJDATE OOilMENTS T_
x
FOUNDATION ( 1st)
FOUNDATION ( 2nd )
2 .
z
o
ROUGH FRAME &
-PLUMBING
H
rn
IIISULATIOPI PER N . Y. • • y
STATE ENERGY
CODE
x
a
4 . _(y
• du [as cDMrw
FINAL K,
I IGri•
jo
z.
ADDITI NAL COMMENTV. x
H�
z
H
- - x
- v
H
BOARD OF HEALTH . . . . . .
3 SETS OF PLANS - . - - - - -
FORM NO. 1 SURVEY . . . . . . . . . .
-TOWN OFSOUTHOLD CHECK - - - - - • - • .;-
` BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . .
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL • - - - • - - - • - • • • • • -
• - MAIL T0 : - ,
19$� 4
Examined . . TQ11-�L - S/X/0
Approved . . . ` . . ., 19*??. Permit No. .j.
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
(Building Inspector)
` APPLICATION FOR BUILDING PERMIT
Dat ,u�v . ., 1991
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 planshowing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such permit
shall be kept ori,the premises available for inspection throughout the work.'
e. No building shall be occupied-:or, used in whole or in part for;ariy putpose whatever;until a Certificate of Occupancy
shall have been granted by the Building Inspector. }
APPLICATION IS HEREBY MADE to the Building D"apartment for the issuance of a;Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, arid•-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;applicaple laws, ordinances,.building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildingr:for necessarns . . . . . . . . . . . . .......
is. .- -
�! r? . . . . . . Y".^`.4 . ._. . . . . . .
. r (Signature:of applicant, or name,if a corporation)
(Mailing address of applicarit)•
�f /,i 1, �' � 7 .r,
State whether applicant is owner„�1es'see,,�vagenf;-architect,+;engineer, general contractor, electrician, plumber or builder.
.ij.
. . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c--`I' j � SFJ .���: j�1 f •fS n,Y tit t�, �� '
Name of owner of<pferriises4 < ` : .,. flr:=: J _J,.,.f. :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . .,. . .
If (as on the tax roll or latest deed)
If a licant is a corporation, Signature'o'f,duly-)authorized-,officer.
In • , . -_
(Name a d title of corporate officer)
ALL CONT_RACTO_R' S MUST E SUFFOLK COUNTY LICENSED
Builder's License No. .�. ;,�1 T -- - -
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's 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 . . . . �.7. . . . . ..._. . . Block . . . .3 . . . . . . . . . . . . Lot . . . . .�a �. . . . .
- Subdivision . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . :. . . . Lot . . . ... . . . . . . . . .
(Name) -
2. State existing use and occupancy of premises and inte d use and occupancy of proposed construction-
a. Existing useand-occupancy . . al:, . . . . . . • . . • , . . . _ • • • •
b. Intended use and occupancy . . . . . . • . . . . . . . . . . . . " .• . . . . . . . . . . . . • • • • •
11 ,,.
3. Nature of work (check which applicable): New Building . . . . .*. . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . .
Repair . . . . . . Removal . . . . . . . . . . . . . . Demolition , . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
,_ (Description)
4. Estimated Cost . . a . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling, er of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . .
If garage, number of'C*&s,-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .
.,
6. If business, commercial or m occupancy, specify nature and extent of each type of use . . . : . . . . . . . . . . . .
7. Dimensions of existing structures,i Front . . . . . Rear Depth . ... . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number of?Stone . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or a ons: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . Number-of Stories . . . . . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . ear . . . . . . . . . . . . . . . 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: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be.regraded ' . . .. . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill,be removed from premi Yes No
14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . phone No. . . . . . . . . . . . . . .
Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . .
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . . . .
*If yes, Southold Town Trustees Permit maO be required.
AM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
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UISE
n"RTIFICATE
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"PANCY
OCCU
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STAT OF NEW YORK, S•S•7 !!o
COUNTY OF . . . . . . . . . . . . 1 U i'i.t r
. . . . .�l.� 0 I M. . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)(
above named.
Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . .
(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
. . . . . . . . . . . ... :. . .day of. . :, 19 7 _
'�
Notary Public, . . . : . . . . . . . . . . . . . . . . . . . County
HELEN I.DE VOE . . . . . ... . . . . . . . . .. . .
NOTAPUBLIC,
6�LICC,�eof�uvYork (Signature of applicant)
-- Term Expires March 30,1
i
-
APPHOVOASNOTED
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aEc NEEPTHEREOUIREORKSOFTILE tom` s WILLIAM P COLLINS,
ALLOWS*PUciIW SMALL IEEi THE COCEBOF NEW YOPI(STATE. \� /ABpN�DUs \. t [XISTIxc OFFICE BU�IONC TO REMAN ` AIA
s B RTE.Hai nESPDxv6at°fL Fon G� ?O, 7)CATUN DEC&GS OR Too TOWN OF SOUPHDLO A R C H 1 T C C T SL L P
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USE IS UNLAWFUL PROPOSED tao-o MWOPOLE
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C LlxuGS TO RENNN L BE NSRED AJ PFOXG LY ONCE A MOH,H FOR NNNTENANCE PURPOSES EREFORE
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IXISIIMO PFLIRE Y® MREOpE 419E BE NO COMEACK ON RETRO SIGNS,NOR SPEC6IL LIGHTING FOR THE FeY IM`R
®ga,yA // OSfD SIZE,
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_ GO1 4,S•B e' Q THE ANTENNA ..MOUNT EFRUI.—OEAGN BY DINERS SHALL w.—HATE 9R2'
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