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19740-Z
FORM 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) N0 19740 Z Date ..... .................................. 19. Permission is hereby granted to: to . .. .. . .. 4 ...... �.....- ..�.�C: L ........ .. . . � ........ ...... .. ....... . .... ...... r. .... .... 7 at premises located at .. . .................................................. � ......................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section .....IA. ..... Block ..........14.Z....... Lot No. ..... ............. pursuant to application dated ..... �.. .. 192, and approved by the Building Inspector. r\\ 1 D _ I a� n If 4 L (� Jo Y Fee C>�'� D r V, 4 r Bui g Inspector Rev. 6/30/80 i;OaKMENTS FOUNDATION ( 1st ) FOUNDATION ( 2nd ) _ 2 . ` o n ROUGH FRAME & p •PLUMBING 3 . x r� INSULATION PER N . Y. ti STATE ENERGY CODE 4 . FINAL --tk (DrC..A lCAL" l "Cir r k urn y58�) ADDITIONAL COMMENTS : x • H - V H H • O z � • % x r� y (�7�v 765-1802 BUILDING DEPT. INSPECTION [t-f FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL RE RKS: � t DATE �/77/9� INSPECTOR � �Lh _ BOARD OF HEALTH D U FORM N0:"1 3 SETS OF PLANS SURVEY . , . . . . . . . . . . . WN OF SOUTHOLD CHECK . . . . . , p 19 LDING DEPARTMENT �� ,�' SEPTIC .FORM , , . ,_ . , • TOWN HALL BLDG DAPI $ UTHOLD, N.Y. 11971 NOTIFY 'o ®WN OFSOUT'HTEL.: 765.1802 CALL . . . . . . . . . Examined . . . . , . ., 19 . . . MAIL T0 : • • . . . . . ,3 7 Approved . . . . . . . . . .. 19 . . . Permit No. ll . . . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . ( tiIdi insgect4r� - OPL'ICATION FOR BUILDING PERMIT Date . . .. . . . . . .. ... . . . . . .. INSTRUCTIONS a. This application must be completely filled in by, typewriter or in ink and submitted to the Building Inspector,with 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli cation. e. 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 penni; 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 Occupanq shall have been granted 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 of 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 i ns. bPiL_ t�i . . . .(Signature of apif a Forporation) 35 ka&,t5•b (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrieiarf, plumber or builder. +cvo�. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,�, yuNl Acz�P,E7 fir! . . . . . . . . . . . . . . . . . . . .. .. . . . . . . Name of owner ofpremises {�!f . , . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. • (Name and title of corporate officer) Builder's License No.. .•.4! �� 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 Numbcr Street, •Hafniet • • • • • • • • • County Tax IN-lap No. 1000 Section . . . . . . . . . . . .6 Block . . , • . .4. , , , , . . . . . . . 11 Lot . Subdivision . .�Ui�:SSlJ� FA?/!1,$. . . . . . . . . . . . . . . . . Filed Rlap No. . . . 1174 . . . . . Lot . .r:./.�. .�:'��, • (N 11 . . -. State existing use and occupancy of premises and intended use and oceupaneof propo ed c 5trtcction: dA. ' Existing use and occupancy. .. .. .. . . .. C-�. mom- . . .• . . . . . . . . . . . .. . . . . . . . B. Intended use and occupancy. -7':1�. :�.�.: . . . . . . . . . . .. . . . . . . . . . . . . . ... . . . . .. . . . . . SOUpgol Y ry O Town Hall,53095 Main Road .> Fax(631)765-9502 CA P.O.Box 1179 G :�,' Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 25th, 2007 James Balzaretti 35 Roger Place Floral Park,N.Y. 11001 RE: 680 Sterling Rd. (Porch addition) SCTM# 104 4 8 Dear Mr. Balzaretti, Please be advised that your Building Permit#'19740 issued March 27th, 1991 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of 50.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Z. 3. Nature of wort: (check which applicable): New Building . . . . . . . . . Addition.. . .,rAlteration . . . . . . . . . . Repair . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition' . . . . . . . . . . . . . .Swi:nnifr" pool.//� Tennis•Court . . . . . . . . . Accessory Building. . . . . . . . . .Fence . .Other Work:f! fl,IPA tpj . . . . . .. .. . . . . . 4. Estimated Cost . . . . . . Fee . . . . • . '(to be paid on filing this applications S. If dwelling, number of dwelling units . . . . .�, . . . . . . . . Number of dwelling units on tach floor Ifgarage. number of cars . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . • • • . • . . . . . . . . 7. bimensions of existingres if an Front . .10.1. . . . . . Rear . ... . 1 Q. . . . . . . p .�. . . . . . . . . . . Height . . . .L 6� . . . . . . . . Number of Stories . . . . .i. . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . I . . . . . . . . Dimensions of lame structure with alterations or additions: Front . . . . .9.0. . . . . . . . . . Rear . . .t Q, ,.. . , , . , . . Depth . . . . J�. . . . . . . . . . . . . . . . Height . . . . I . . . . . . . . . . . . . . . Number of Stories . ... . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . ...... . . . . . . . . . . Depth . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . I'm. . . . . . . . . Rear . . . .�.�.�. . Depth .1Qz�.A.1. . . . . . . . . . . . 10. Date of Purchase . . . :. .�1.4 S? . . . . . . . . . . . . .Name of Former Own r /, ►'l9, I>���DQ►y . . . . . . . . . . . , 11. Zone or use district in which premises are situated . . . . . . ./ .�? . . • • • • • • • • • • • • • • • • • • • • . 12. Does proposed construction violate any zoning law, ordinance or regulatiori: . . . :A).Z?. . . . • . • • • • • • • • 13. Wilt lot be regraded . . 0. .Will excessliill be removed from premises: Yes . . No'V 14. Name of Owner of premises Jif '}�`5 . �. �. Address �.5 t- -Phone No. :�3�:Z�g',• . . . . 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: may be. required: PLOT DIAGRAM 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. 1 Of STATE OF NEW YO K, s.s COUNTY �OF,. .�VS!t✓, �e . . . , . . . , . . 1 `. ? Y.! . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applican (Name of individual signing contract) above named. Ikeis flit . . . . . . . . . . . . . . . . . . . . . : ACPt�I (�c��IF . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. (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 thi application; that all statements contained in this application are true to the best of his knowledge and belief;and that th( work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . .day of�. . . . . . . . . . ., 19 L Notary Publi , . . . . . . . • • • • • �'..•. •.• County ROBERT STACK NOTARY PUBLIC,State of New York. ignature of applicant No. 30-3801135 Qualified in Nassau County Commissicn Expires March 30, 19q-/ uF�l Southold Town Building Department 54375 Main Road Permit#: 19740 Southold,New York 11971 Permit Date: 3/27/1991 (631)765-1802 Expiration Date: 9/27/1992 Parcel ID: 104.4-8 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 3/8/2011 Applicant: JAMES E BALZARETTI Location: 680 STERLING RD CUTCHOGUE,N.Y. 11935 Work Description: PORCH CONSTRUCT A SCREENED ENCLOSURE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT, THANK YOU. Owner: JAMES &DENISE BALZARETTI Address: 35 ROGER PLACE FLORAL PARK N.Y. 11001 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. Li Q� ---- - - 7010 0290 0002 -8968 2147 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. R " FOTJT®WNOSOfLD �v i i s MALIBU SCREENROOM • a. Y�,,,.�..^•"'rJ`X�..•- `9�'7 �..- rf � it �_ �'�'-��+ �� ��"'.""'-w....,� -`'�-�",�`"�".-,."�"�^-�.•-wOr Eits�wCEn - W ..^ ...'h � 4�.�'�•-� , 7CMF ML4 n7Mf.1 M.]L6f'CCM IS j � ..^"�- i :M i �'"�^=:•'.�'���:�M '..Tt'.$ _��,+.`... c e y s�t�� 1 :' � '{ , i - � � ),r..�•�„.....EPY.�v:.x:.'seM«1a.srE'.�-as i 9�i � i - yI i �:� i x� '� I r f ,�,' t � � •h � � I � I r 3 yyI 1 7 f r �,”" `-'•. fT jv R. -;LZ �.""•""'^thy. a �nc..a t � .- '_ r � _r+ 13� ILn. _ '4i._'�'�'.4'.� �:•rr.Aa�isM:s;a-r,u,.W.a;�Cr+~ `� ,.,_...r-."",...-- - Vie.. PLOD: +arA VI E•0$a t� `v7 r 4 F-�,- . - - .._�: if�� - - - _€jt>�`l'S_ .����^•T1.h_� •ri47... Ca,J. tl,(}Pli ;:d j _ t t Y l si t R y TPAB E G �9 - } - z .t.�,t 'r,`•c. 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TAX SE LOTS P�O'..,;/40 i { t .. - Y BLOCK �4 ,t °_ NA55Av F;4 PMS -*MAP OF' ' /" 20; �' //79 FILED'' MA/PCN 2B -ci9�5 SCALE FILED'MAP NO SITUATED AT.': TOWN OF . $D!/TNOL O $lJFFDI K C'O N y �.:ISPf/,, r SU.Pf,4 CC . - i t T —l— :M�: . , /b '... . �+` 8til O./! rOOD =lnCF ` .:- -. . S /25:00 Ong�z iNE E C -.` s :' 0.. 0 o `r ' �. r ��. F�..7 , <' sT�o �,} I r . ,} . .. 5 cos T av 8 2 — �c / .r ;i,:- ^i- - G� „✓•�� iii T/G 1 ,. _ 68 I M 5 0 , s yo �4�= ,�E� m. �. 0 r m. I` o: i � pis/.�Eti/CE � `'- 5 F.v1 Eiv r �: ! 'l }'� I i �.L !! P M�TPL 2G -, G 2_1 i J ' t 4: E 1 T., �. �.r7 "' d� -ri s V 11 *--' �� �t,s - -:< .p - . y �, _,: :. , V �r I , q: `` 0 �• Q �\ . . :- . , . „ , . ,: .- _ �. ,I :. - . . - _ �� P/D LOT`' /GO , _. - . .. _ - ', _ T:. . , , ' oo^^ tlJ .. - - i .. ,. v.�n/ , - , S0 ®4�.S " /00..00 . . . P/a •or iso - ;. _ GRADES TO,,., q fkt�' , DATUM:. sI ti ,,• _ ' - ROADS MAINTAINED BY rOW " r JEROME D'AMARO ? t1/ `T iNS P rv; �.N i i' �w r PROFESSIONAL ENGINEER& LAND SURVE O L.4 YELPS. E L.O.P , O,tr Y. .RS CO GUARANTEED TO CEn/TF.P BANK MO.PTrsf1GE .G'O �Q O,0t: RAgf,�� .f N Y.$ LIC.,NO PEL 037209&"LS 049684 �j ,�.v e Q _ 800 SUNRISE HIGHWAY OEn/%'SE° B.4LZ.4{PETT/ WEST BABYLON N Y'rtt704 ,/.4 ME5 6A L Z.-e T'r/ ,'° c n (516) 321 4488 1 S"89 0'490 �� �: j SURVEY NO:. t - ��� !� A 3�ry�� z `, O,t� ��,�C SURVEYED SEPT. /, i989 EL-O w CHEG,KED BY,;; SS7pPo�i 61i�tiE OCATtON SUR t B/t(" " NAL SURVEYVE L'EN. L Y ION FND) �: DRAWN BY'., - F, . Y.. .. . .— I•-,r 4 i:-•t: `f -� y a ilriauth.Wmed alterations or-addition toahis survey is a:violatlon;oh section•.7209 ofYthe New;YorkState,Education L'aw Copies of thisst3rL -m r at:... . .., ., :. eY,..aD not,bearing rfe larad surveyor's-inked seal orrmbbssed.seal sh,.' not be tonsid':ie 'to,be.a,yal,d-copy Guarantees_.or cerRtiCBi.ons.ind�cated hereonshall run onjy to the person for whom.thesurve ":is r �. ;y,�, „ Y-. .P epared and on;his:beha,lf to_.the`htle company.;` overrimen sl n x,. .:+ .:.., 9. ._. . . t cy'am lendinin5titutlon'listedhereon,andto°the'assigns!,..._he<., ,...'institution Gua'--1'-,.or certtficattonsareno(transferable-.to di i ""'" r' ,, 9 a•y , .,w;, nststution o .;ubsequerit owners - -�. .> .,, ._.a. •, _.•. r:: : .;, . l 1 5.— �lti.x...i°X sg. ,1 c r t .ad _: W,.: ? �',, . �. tonal i rii ;to establish•. r.o f:t.":;;I,nes. •.r.:- .,�., rrf ,v' v.is g1 'R' 1 4.tri r i S wx ,,,: ''? �_1. 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'�'"a""� `i r ,i.9+`;U.��li?f.€ 'Tf:3 REQUIRED : 3^ *„ a.Q .� k ,` F0'2' POURED CONCRETE P pi 2,, ROUGH - FRAMINGt?s PLUMBING 31, INSULAT10114 CONSTRUCTION MUST �• L BE COMPLETE FOR C.O. Vl�!li uW �_ ipl OF^ 6?� ISTi��IG�' i • ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS �--- LMS or IJGV/ fir, A°�✓E i