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Home My WebLink About13288-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Halt Southold, N.Y. Certificate Of Occupancy No...Z,~.2. §.~p ......... Date .............. ~..uff.., .§ ............ 19,8.4. THIS CERTIFIES that the building . .R .e .c.o. n. .s .t.r.~.c..~..~.qc.y.., .D.e, .c.~ ..................... Location of Pronertv 80 (Dwell.~12)Jackson St. New Suffolk County Tax Map No. 1000 Section . .1.1.7. ....... Block .... 1.0. .........Lot ...0.1. ............ Subdivision..(.K.i.m..og.e.n.e..r..P.t.: 1 ............ Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ JO~Y..~ ...... 19 8.4. pursuant to which Building Permit No..1.3.2..8.8.Z. ............. dated ..... .J.u.l.y ....... .1.6 .........19..8.4, 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 ......... .%c..cy....D..~.c.k. ................................................................... The certificate is issued to ANNE POLLIO (owner, fes~e~:~r '~na~') of the aforesaid building. Suffolk County Department of Health Approval ..... I~../.~ .................................. UNDERWRITERS CERTIFICATE NO .... ~./.A. .......................................... Rev. 1/81 FORM lqO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13288 Z Permission is hereby grontegl4~: .~.d....~ ................................................ . ..:..~.~ ........... ~ .......... ~ .................. . , ~ ~ ~ ........~ ..... ~. . · -r~ ...... .~ ......... .~ ........ ~ ........................... = .......................... .=..~;..~. ................... County Tax Mop No. 1000 Section ........ .J../..2 ........ Block ...... /..~. .......... Lot No ......... /. .............. Building Inspector. Fee $./..~..l ............... and approved by the Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topograohic features. 2. Final approval of Health Dept. of water supply and sewerage disposel--($-9 form or equal), ,3. Approval of electrical installation from Board of Fire Underwriters, 4. Commercial buildings, Industrial buildings, Multiple Residences and similar building~ and installa- tions, a certificate of Code compliance from the Architect or Enqineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable, B. For existing buildings (prior to April 1957). Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of Owner or previous owner as to use, occupancy'and condition of buildings. 3. Oa£e of any housing code or safety inspection of buildings or premises, or other pertinent informs- Lion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5,00 2, Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Rev. 10-10-78 Date . .July..1.2, 1984 New Building ............. Old or Pre-existing Bu;lding(X) . _.X ..... :/Vacant Land ' Jackson Avenue, ~;.w_.Suffolk', Kiraogener Point,'~'.'~ ........ Hou~ ~o, ~rr~er Owner or Owners of Property . . ~..~. ' County Tax Map No 1000Section Ii6 an~ Ii7 Block 6 a~ zp Subd v s on N/A . ................................ Filed Map'No. ~y ..... /o~ Health Dept Approval ' ' ................... Labor~Dept Approval ....... Unde~ri~ers Approval ........................ Planning Board Approval ................ , . Request for Temporary Certificate ' Final Certificate Fee Submitted S .......................... and per~i~meets all app~bl~od~s Construction on above described building ~ ~~~ ;nd regulations. Applicant ~±E~' ~SPECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY ~o~ FINAL ADDITIONAL COMMENTS: ANNE L. POLLIO Kimogenor Point P.O. Box New Suffolk, New York 516-734-6696 11956 Town of Southold Building Department Town Hall Southold, New York 11971 Re: Application for Reconstruction of Existing Deck Dear Sirs: In connection with my application for a permit to reconstruct an existing deck, with the same dimensions, I am submitting the following: the Application for Building Permit, a Survey locating the deck, and a Deck Plan showing a top view, side view and step and rail plan, along with all of the construction material. The existing deck is being reconstructed in its exact location and in the same dimensions. The existing deck is now quite old, having been in place for more than thirty years, so that it is now a particular hazard especially for my young children and the other children that play in the area. The decking is heavily splintered, disintegrated, large rusty nails are exposed and there are loose planks, under supports and steps. Inasmuch as my application is merely a reconstruction of the existing deck, I would appreciate your prompt action on it and perhaps some preliminary approval so that I can arrange for the contractor to at least lessen the hazards immediately. You might notice that the method of construction shown in the Deck Plan is quite substantial. Very truly yours~ . Enclosures Anne L. Pollio FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved . .[~. ., 19~.~.eermitNo. I..~.~..~.~..-~.'.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... 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 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 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. 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, buildj!~code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necess~_. ~ ~-d~ .-, ~Signature, of a_pp~can[ 9~r ~ame, if a corporation) ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, a&tect, en ,neer, gener conq;ac r, yctr=n, pf, mbehr' uilder. Name of owner of premises . Anne. L.. Po~lio ........................................................ (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 .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No. ¢oD.t.~¢.t.ox..-..5.5.987HI Location of land on which proposed work will be do~n~. G.a. ? .k.s.o.n...~y.e.n.u..e.,..N..e.w..S.u.f..fg.l.k' t..K.i.m.o, q?.n.e.r. .... Point, S.E. Corner, Anne L. Pollio, House, Dwelling No. 12 House Number Street Hamlet County Tax Map No. 1000 Section . .'"~;~1~ .... }.l.-I ..... Block .4~;g:WI~. )..0. ....... Lot .~j~]~ii~...1 ......... Subdivision .. Iq/A ............................... Filed Map No..1.0.0.0. ......... Lot . .2.4..a..n.d..1. .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... Reaide~tial .................................................... Residential - Reconstructed Deck (same place and dimen- b. Intended use and occupancy 'sion's) ............................................................. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ... X ......... Removal .............. Demolition .............. Other Work ............... Reconstruction of existing deck (same place and dimensions) (Description) 4. Estimated Cost $2,500; 00 Fee ..: ...................... q. (to be paid on filing this application) 5. If dwelling, number of dwelling units...N/A ......... 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 .. Iq/.A ............... 7. Dimensions of existing strUctures, if any: Front..24. £.eet ..... Rear . 2~..£eet ..... Depth. ,L3. feot~ ..... Height .... 1. £.oot .... Number of Stories Dimensions of same structure with alterations or additions: Front ...2.4...f~.e.t~ ...... Rear... 2.4..fee.t ...... Depth . ,L3. feet~ ............ Height .. 1..foot ............. Number of Stories One 8. Dimensions of entire new construction: Front . .24. feet ..... Rear .24. feet ...... Depth 13 feet Height 1..foo.t ....... Number of Stories One (see deck diagram attached) 9. Sizeoflot: Front * - ...................... Rear ...................... '~epth .............. 10. Date of Purchase .J..u.n.e..2.4.,..1.9.~.2 ............. Name of Former Owner .O,. Xlodq~..l~err. eira ........ 11. Zone or use district in which premises are situated., residential ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . Ale ............................ 13. Will lot be regraded .. N/.A ...................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Al~r~e .Lo. Y. olliq... Aaar,~o Kimos[enor Point,Phone NoSlfi.-~34-6696 ~-0. Box, NeW Suffolk,~,N_Y.. 11956 '' Name of Architect ........................... Aooress .4~none mo ............. Name of Contractor Erank. Polist~_na*..* ...... Address ................... Phone No ................ · Part of cooperative of The Kimogenor Point Company-7.2 acres - dimen- sions approximately 589 feet, 918 feet,by a radius of 375 feet,by 189 feet (tie line 291 feet,by 302 feet)(see PLOTDI~GRAM survey attached] Locat~e 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. · * American Exteriors, P.O. Box 667, Mattituck, New York 11952, License No. 5598-HI Plot Diagram Attached STATE OF NEW YORK, COUNTY OF. SUF~.OLK ....... S.S ...... F..l~A..N.K..P.Q.L.I.S.T..E.N.A. ......................... being duly sworn, deposes and says thal~he is the applicant (Name of individual signing contract) above named. He is the ........... C91~.t.r.E~q .tg~ .................................................................. (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 Notary Public, . ...... ~.~ .-~. ....... County Notal7 Pubilc. 8tat~ ~/~lew ¥or~ ....... No. 30-4667945 · . ..... OIla[Ified In Nassau County (Signature of applicant) Ce~iflcgt~ Filed fn New Yor~ Co~ln~! I~.~m~'~slon Expires March 30, ,,-,h,L.~,,. -~ ~ / ~ .~.~. rE~':._/_O,-'"- ,V;. _b, c. ~, _ 76S-180~ g AM TO 4 PM ~OLLOWING INSPEdTION~: T, FOUNDATION - TWO FOR POURE~ CONCRETE ~. ROUGH - FRAMING & PLU~ING 3. INSULATION ~. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C, O, ALL ~ONSTRUCTION ~HALL MEET THE REQUIREMENTS OF THE N, .6TATE CONSTRUCTION & ENERGY ~ODES. NOT RESPONSIBLE FOR DESIGN OR CONSTEUCTION ERRORS. Deck Plan I~- DWELLING NO. 12 KIMOGENOR POINT ~ Existing Deck JACKSON AVENUE, NEW SUFFOLK ' /Same Dimensions DECK PLAN " 24 x 13 TOP VIEW LAMS 6pc 2'x 6~t,~/ )~STS l~pc 2~6-1~' SIDE VIEW ,,c,~ " ' ' '~c~ ~gc'2x ~--J~' ~ X ~ DECK TOP