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HomeMy WebLinkAbout24086-Z �o�rr� SUPF©4�DG Town of Southold 2/27/2021 a P.O.Box 1179 co ` Ph,S 53095 Main Rd y�j�l �ao�titi" Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41847 Date: 2/27/2021 THIS CERTIFIES that the building DECK Location of Property: 41705 Route 25, Peconic SCTM#: 473889 See/Block/Lot: 75.-5-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/23/1997 pursuant to which Building Permit No. 24086 dated 4/30/1997 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: "as built"deck addition as applied for. The certificate is issued to Grimes,Eugene&Mary Ellen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED • uth riz ignature ' FOR! NO. f 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) N® 24086 Z Date .................��.�..: ......................, 19.x... Permission is hereby granted to: :... ., .r�-:...... :. ............................ .. ........ f"'•':�... .°c......�r ....., ..... .. �........,�.�......, ................................................................................................................................................................ ................................................................................. ..,.......... ...:........... ...................................... . at premises located at... <... ®4��.... � ..//:�.: ... .. r—..� � ........................... County Tax Map No. 1000 Section .......Z-1-1w....... Block .. ..... Lot No. .......?Z........ pursuant to application dated ...... /Y...0........d-3..� 19 /., and approved by the Building Inspector. Fee 3../�. .... ............... .. .. ..... ......................... . - B ' ding Inspector Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLAC HIMNEY REMARKS: �� DATE��l✓ INSPECTO 1 l'a BOARD OF HEALTH . . . . . . . . . . . . . . . -FORM NO. 1 3 SETS OF PLANS . . . . . . . . . .. . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . .. TOWN HALL SEPTIC FORM . . .. . .. . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL AN_TJIONY .13.T.OZI LL,P.C. 516-727-8383 Examined...... .. . ....., 19. MAIL TO: . . . . .. . . . . . . . . . . . . . . Approved... ..W,., 19. .� Permit No. .����� .._ANTHONY,B:..TOHILL,P: .. 12 First St. (Box 1330) Disapproved a/ .................................. ... ................................................ ..... ..... (Bui di• In tor) APPLICATION FOR BUILDING PERMIT --Date.-. AQril _23,- _ - 19 97 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be caumenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit'to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLImim IS HEEM MARE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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 forcessary inspections. .............................. (Signature of applicant, or name, if a corporation) Anthony B.-Toh ll 12.First.Street-._ PO..Box..1330 ............. (Mailing address of applicant) Riverhead, New York 11901 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, el" builder. -Agent el" ....... .............................................................................DATE! - .�#. .� Name of owner of premises ...�0� ..Tc�.�.Sl a.1�Ck.................................FEE- ! ®° B (as on the tax roll or latest deed) �'�Py�l1iL'b11VU-0r 'ENT-�►7 765-1802 9 AM TO 4 PM FOR THE If applicant is a corporation, signature of'duly authorized officer. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED n/a FOR POURED CONCRETE ......................................................... MING & PLUMBING (Name and title of corporate officer) 2. ROUGH - FRA 3. INSULATION' 4. FINAL - CONSIRUGTION MUST BE COMPLETE FOR.C.O. Builders License No. ......................... ALL CONSTRUCTION SHALL MEET Plumbers License No. ......................... THE REQUIPEPOENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Electricians License No. ..................... CODES. NOT RESoONSIf3LE FOR Other Trade's License No. .................... DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be done.......... ..................................................... ........A L7 0.5...................14?LA P. RQ P64.............................Peconic...... ic............................... House Number Street Hamlet County Tax Map Na. 1000 Section .....7.5........ Block ......5........ Lot ...1 1.......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Nam) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......VAC.P. t............................................................. b. Intended use and occupancy .....•.S1�b0.ect..tR.Rite_.plan.approval,_:,:retail............. fabric/upholstery 3. Miture of work (d►eck wliidi applicable): New Milding .......... Addition .......... A1Leration .......... Itepair ............ Removal ............. Ikmlition ............ Other Work .................................. Fence and deck (Description) 4. Estimated Cost ....$ca0 D.DLO........... fee .............................................. (to be paid on filing this application) 5. TE okaelling, nuhiher of dwelling units ............ 1luhber of okaelling units on each floor ................ Ifgarage, number of cars ...................................... 6, If business, commercial or mixed occupancy, specify nature and extent of eadh type of use...................... see attached survey 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Deiglht Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Heiglht .................... Number of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Ilei ht _ U,d,e r of Stories see•attached Lorre ................. 9- Size of lot: Front ._s_ur.ve-z......... Rear .................... Depth .................... s 10. Date of Purchase .12./2.3/.88..._..... Name of Former Owner ......P.T.i11Pr.Purveyors,..Inc; 11. Zone or use district in whidh premises are situated ............................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ...11Q.................. 13. Will lot be regraded ......n Q........... Will excess fill be removed from emises• YES NO 4401 W. 163 Pl. 14. Names of Owner of premises .,TQa n.W...SA J,1OCk.__ Address L•cw&I1•,..1ndLana........ Phone No. .............. Naive of Architect ....n/a............................ Address .............................. Phone No. .............. Mme of Contractor ...n a........................... Address ............................ No. . 15_ Is`Lhis property within 300 feet of a tidal wetland? * YES .......... NO .. X...... *IF YES, S(IMI ND MM 7RUSIMS M- MPf MAY BE, WgwRIg). PLOT DIAGRAM Ivcate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nh<nber or description according to deed, and show street nacres and indicate whether interior or corner lot. see attached survey 1 S IA'IL Oh M14 YOVK, COIINIY (A' .,SUFFOL,'K :,.•..••,. SS ANTHONY B. TOHILL being cJhhl - '.•' ••-•. •• •.••.. ............... g y sworn, delxh_ses ahxl satiys that be is Lhe appl i cant (Name of individual signing contract) above iusied, Ile is Lhe ...................agent...._.......... .. (Contractor, agent, corporate officer, eLe.) "'• •.. ... .... . of said owner or owners, and is duly authorized to perform or have performed Lhe said work anxl Lo nuke and file this application; LhaL all staLenents contained in Lhis application are true Lo the best of his knxaaledge and W ief; and that Lhe work will be performed in Lhe manner set forth in Lhe application filed therewitlh. Sworn Lo before me Lhis ........23.z'd.....day of ....April..... 19...97.. Notary Public :�� BERNAD E Mal 6 (S i grunture of Applicant).. .. . Notanj Pubfie,State Pi�,P%4 yd ij NO.4SM7 Anthony B. Tohill q 1-l � of oQ-, 04 -fµ,r vjA-! 1 rtLJJ 'InS C� Mh 1_,%G 0SUB-SURFACE STRUCTURES, WHERE NOT VISIBLE OR READILY APPARANT, WILL NOT dZi BE SHOWN AND THEIR LOCATION AND Zs. Ira WA EXTENT WILL NOT BE CERTIFIED.,, �a k LF Q ,g moa`� l0 1• ` V� 14 �Nr, t�° 1 tetico t .4 ` GN1 pgrlrJ L't a J I Z J q.o g ,�• y `J�� r ` 25fa'C 5 1 1 � , t 1 2.2 p,ArlO - ^ f Lr ODlvd 'O 1 t Unauthorized alteration or addition to this document is a violation of Section 7209 SURVEY OF: of the New York State Education Law. Certifications indicated hereon shall run only to the person for whom it is prepared , ,f and on his behalf to the Title Company,Governmental Agency and Lending �L 1�j�/YL 1 O,L 8 ?AZZ� Institution listed hereon,and to the assignees of the lending Institutions or subse- quent owners. Copies of this document not bearing the professional's Inked seal or embossed seal shall not be considered a valid true copy. The offsets(or dimensions)shown hereon from structures to the property lines are for a specific purpose and use and therefore are not Intended to guide the erection ® �w fences,retaining walls,pools,patios,planting areas,addition to buildings or any construction :� The existence of right of ways and/or easements of record,if any,not s not guaranteed. DESTIN C4. - ;';StJp Y DATE: 3111 q' SCALE: CERTIFIED ONLY T0: DESTIN G. GRAF AY161 fz r LAND SURVEYOR 0 )C 'vC sF'5__3 it By— 73 WOODLAWN ROAD DESTIN G.GRAF N.Y.S.LIC No.50 67 ROCKY POINT,NEW YORK 11778 1AX I D.No. PHONE(518)829-3442 ` 1 non. - -15 — o S —-��--- ------ -- ------------ -- -- ANTHONY B. TOHILL, P.G. ATTORNEYS AT LAW 12 FIRST STREET ANTHONY B TOHILL P. O. BOX 1330 MICHAEL T CLIFFORD TELEPHONE OF COUNSEL RIVERHEAD, NEw YORK 11901-0903 (516)727-8383 April 23 , 1997 Mr. Gary Fish Southold Town Hall Building Department 53095 Main Read Southold, NY 11971 Re: 41705 Main Road, Peconic SCTM 1000-075 . 00-05 . 00-011. 000 Dear Gary: As a follow-up to our phone conversation regarding the Silleck ,certificate of occupancy, enclosed please find a building permit application for the fence and deck together with my check for $110 . 00 ($75 . 00 for the deck and $35 . 00 for the fence) payable to the town. Very truyours, Anthony B. Tohill ABT/bb Enclosures