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HomeMy WebLinkAbout15855-zTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 4/25/2012 No: 35560 Date: 4/25/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ADDITION/ALTERATION 1645 Bungalow Lane, Mattituck, Sec/Block/Lot: 123.-3-20 Filed Map No. conforms substantially to the Application for Building Permit heretofore 1/1/1900 pursuant to which Building Permit No. 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: renovation and addition, including deck, to an existing one family dwelling. This Certificate of Occupancy was corrected for deck addition and replaces COZ-17739, issued 2/3/89. Lot No. filed in this ofliced dated 15855 dated 4/4/1987 The certificate is issued to Joan Whelan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 11/10/88 N-019532 6/28/88 /~enry G. Lange, Jr. TOWN OF SOUTHOLD BUILD1NO DE?AItTM~T TOWN H&LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY APR 2 0 2012 BI DC: DEPI T0W[ O[ SOUIHOLD Tbis application must be filled in by typewriter or i~xk and submitted to the:Building Department with tire following: A. For new building or new use: 1. Final sulwey of property with accurate location of all buildings, propmly lines, streets, and unusual natural or topographic features. " 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 faire). 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. Conmrercial building, industrial building, multiple residences and sinnlar buildings and installations, a certifica[e 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 sulwey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicatiou and consent to inspect signed by the applicant. If a Certificate of ©ccupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees l. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinm~ing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses 550 00. Certificate of Occupancy on Pre existing Building - $I 00 00 3 Copy of Certificate of Occupancy - $.25 4 Updated Certificate of Occupancy- $50.00 5. Temporal>-Ceftificate of Occupancy Residential $15 00, Con~nercial $15.00 Date 4/17/12 This application is to update CO Z-17739 and include the deck New Constmctiou: Old orPre-existing Building: (check one) Location of Property: 1645 Bungalow Lane, Mattituck House No. Street Hain]et Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision James P. Whelan and Joan F. Whelan Health Dept. Approval: Date of Permit Block _ Q3 Filed Map Applicant: Underwriters Approval Lot 20 Lot: Plmming Board Approval: Request for: Temporary Certificate Fee Submitted: $ 50.00 Final Certificate: (check one) OLSEN & OLSEN LLP// 32495MAINROAD '~ ~ PO BOX706 ApplicantSignature CUTCHOGUE, NY 11935 CONSENT TO INSPECTION David Worthington Olsen as Attorney for , the undersigned, do(es) hereby state: Owner(s) Name(s) James P. Whelan and Joan F. Whelan That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 1645 Bungalow Lane, Mattituck, NY 11952 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 123 ,Block 03 ,Lot 20 That the undersigned (has) (have) filed, or cause to be filed, an applicatiou in the Southold Town Building Inspector's Office for the fo]lowing: Tn ,,p~te Fo ~-177q9 r~ ~n~l,_,d~ the deck which w=_s built when the renovation was done, That the undersigned do(es) hereby give consent to the Building h~spectors of the Town of Southold to enter upon the above described property, including any and all build!ngs located thereon; to conduct such inspections as they inay deem nOcessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regnlations of the Town of Southold, The undersigned; in consenting to such inspections, do(es) so with the knowledge and understaudmg that any information obtained m the conduct of such inspectious may be used in s. ubsequent prosecutions for violatious of the laws, ordinances, roles or regulations of the Town of Southold. Dated: April 17, 2012 0LSEN & 0L$ N LLP 32495 ~AI~ ~OAO PO 80× 706 OUTCHOGUE, N¥ 11935 (Signature) (Priut Nmne) (Signature) (Print Nmne) OLSEN ~ OLSEN, L.L.E ATTORNEYS AT LAW gARY FLANNER OLSEN ATTORNEY AT LAW DAVID WORTHINGTON OLSEN ATTORNEY AT LAW 32495 MAIN ROAD · EO. BOX 706 · CUTCHOGUE, NEW YORK 11935-0706 PHONE 631-734-7666 FAX 631 734-7712 olsenlaw@optonline.net April 18, 2012 Re: Whelan to Thomann Our File 9814 To Whom It May Concern: Enclosed please find the following: 1. Application to update Co Z17739 to include deck. 2. Consent to Inspect form 3. Check in the amount of $50.00. Please contact Carll Austin to do the inspection (722-5800 or 516-658-2623). Very truly yours, DWO:lmk Enclosures Southold Town Building Dept. P. O. Box 1179 Southold, NY 11971 '-15A-91D WOR~HINigT~lq O~/~ .¢oUPANCYOR USE IS UNL&WFUL WlTHOUT CERTIFI~TE OF OCCUPANCY / ~ -/2,~ -.a -~ I~OPERTY RECORD CARD OWNER TOWN OF SOUTHOLD N VI LLAGE E DISTRICT .... ACREAGE _ 0.50 TYPE OF BUILDING RES. ~/O~ S~S. V'. ~ARM COM,~. J'ND.CB. I M,SC. L~ND IMP. TOTAL DATE REMARKS /2 ~ o /6-o 0 LOT AGE NEW 7¥0° / BUILDING CONDITION NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable I Tillable 2 Tillable 3 Woodland Swampland Brushland ~ · House Plot Toro I Exten~ssio,~' ~ /3 =- /o ~'/.,,~'/35/. 3~---~ ~ 7[ Basement ~oJ[ Fl~rs Extension ~t. Walls ~¢~. ~;~, Interior Finish Extension I Fire Place ~ He~ ___ ~ ' /~ f:~ ,~ 9~ Porch Attic Porch Rooms 1st Floor Breezeway Patio R~ms 2nd Floor Garage ~ V~ ~7 ~ ~ V~ / ~ ~/ ~ __Driveway FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17739 Date FEBRUARY 3, 1989 THIS CERTIFIES that the buildinq. Location of Property 1645 BUNGALOW LANE House No. County Tax Map No. 1000 Section 123 Subdivision RENOVATION & ADDITION M~ITTITUCK~ MEW YORK Street Hamlet Block 03 Lot 20 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 30~ 1987 pursuant to which Building Permit No. 15855-Z dated APRIL 4r 1987 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 RENOVATION & ADDITION TO AN EXISTING ONE FAMILY DWELLING The certificate is issued to HAROLD & JOAN WHELAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-019532-JUNE 28~ 1988 PLUMBERS CERTIFICATION DATED NOVEMBER l0w 1988-HENRY G. LANGE, JR.  Building Inspector Rev. 1/81 FOIL~ NO* O. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 15855 Z Date ...... , 19 Permission is hereby granted to: ,~ ~.~..~.~ ...... ~...~ ............... ,o~~..~...."~. .... ............ .-.~"':'"'""":~: ....... ::'~..~' .~..~.::.~..,...~.....~~.~. ................ , ................................. , .............................. ,,t pre,-,,,,,, ,oco,ed ,,t ...~.~,.~.~':....:~.ff.~...~.---..",~,---.....~.-~ .............. County Tax Map No. 1000 Section ...../....c~.....~. ....... Block .......C?....~ ....... Lot No....~....~.. ............ Building Inspector. Fee $ ...................,..~..~-~ '''~;~.. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDINC DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE .... .~.~..~.~..~..ff. NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.-~-'~----VACANT LAND ........ Location of Property.~. ~/..~.-~. .... ~.~'~.~.~.~Z~..~...~.~..~.... HOUSE N0. STREET HAHLET o~ o~ o~ o~ ~o~~ne~..~..~.~n~..~ ~ou~ ~ ~ ~o. ,o0o ~o~ Z~. ~o~ .~... ~o~ ..~P... Subdivision ....................... ~iled ~ap ........ Lot Permit No/~.~: .~Date of Permit ~ f. Applicant ~ .......... Health Dept. Approval .................. Underwriters Approval .... ~ ....... Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate .~.'. ............ Fee Submitted: $ ............. rev. !0/14/fl8 THE NEW YORK BOARD OF FIRE UNDERWRITERS t~ 1 ~02] BUREAU OF EI.ECTRICITY ~- 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT ~ examl,~ on JUNE 0 2 ~ ] 9 8 8 andf~nd to be in compliance with the require,hen,s of th~ ~. FIXTtJI~ RXTUEE$ RANGES OVENS EXHAUST FANS 39 DRYERS RJIN&C! MOTORS FUTUI! AI~UANCl FIIDIIS TIM CLOCKS MULTI.(WTIIT DIMMERS SYSTIMS NO, OF PIIT SIRVICl DiSCONNeCT SMOKE DET~:CTOR: .- 1 S E R V I C E 1 THREE "C" EI~EC'CR[C ~T~ ]~, BOX 45M SOUND AVENUE RIVERHEAD~ NY. 1190~{ LIC~NSE NO. 3327 E Thi~ ~i~ ~ ~t ~ a~ in any ~n~r; r~ur. to ~ off~e of t~ ~ard if incorr~. In--rs Per be their credem'~ls. DEPARTMENT. THIS COPY OF CERTIFICATE MUST HOT BE ALTEIEF. D IN ANY TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HAI..L SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /.~,~-~--.5~ (please print) (p~ease print} I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swor~ to before ~ this /'~ day of~, Notary Public ~ ~plumber s si~at~e) County TO' 'N OF $OUT]/OLD OI:PlCI~ OF ~UILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 TEL. '~ ~'~ ,65-18(,_ February 1, 1989 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. ~_~/ An application for Certificate of Occupancy is l]ot on file. _A..~.L. ICATIqN E. N_~CL_~__O.S_=E=~D_ /_--/ NO Underwriters Certificate on file. ~/ The check i:;(outdated/not on file.) $25.00 /'~/ No Ilealth Dept. Approval on file. ~ ........... /-_'/ No final inspection has been made. P 1 ease Thank you for your cooperation. Ihiilding Permit Il 1__ .5__ .8 .5__ 5__ Building Dept. contact our office on this matter. Z Plumb,'2r :3older Certificate on file. all permits involving plumbinu being issued after April 1,1984 ) OUNDATION /~(lst) OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION ?ER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 76S-:1.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND ~NSULATION [ ] FRAMING FINAL DATE BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST i H PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: · ,,~ FINAL / INSPEcTO~ ~J~l 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~J'ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~- ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [/~FOUNDATION 2ND [ ]INSULATION []FRAMING []FINAL // / .... .~.~~~ YOUNG & YOgNG SURVEY FOR: HAR,,.,,_u H. WI'JELAN ~ JOAN F. WHEL~N AT MATTiT~CF~ ,.qOiJTHO LD SUFFOLK CO., N.Y. ,AUG 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL P~,OUTHOLD, N.Y. 11971 ', TEL.'. 765-1802 Examined..~...~...., 19 .~.7 Approved ~...~. ..... 19~ 7. Permit No. ?.~7.~.~..~...~. 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp.ecJ4~ns. .// ~,.~ / ~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ .................................................................... Name of owner of premises .,~../~..~..~..27...~.,...-7('...~. ~ .~.(~....,ff..~,....~../.~..~.~..'.~. ~ .................... (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 ...................... 1. Location of land on which proposed work will be done .................................................. ................ : . . . . .Z,. . ........ rx/. .r:. . . .'. .... House Number Street Hamlet // County Tax Map No. 1000 Section ..... .'~.~..~. ....... Block ... _Z~ ............ Lot..~...cp. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premise, s and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~....~.//?~.~'../f~./.,~'~ .......................................... b. Intended use and occupancy . .'.~..~..< .~'.'-.~. ?./..'.~.. ..... . .~......~.....~. ....................... 3. Nature of work (check which applicable): New Building .... ' Addition...~'.. .... Alteration .......... Repair ........... Removal ......... Demolition ' Other Work i,/ /q-T/~A/ ~.,,x[ DD aP/,( (Description) 4. Estimated Cost ..... ~ ............................... Fee ...................................... ~ (t p g thi ppli ) .... o be aid on filin s a cation 5. If dwelling, number of dwelling units ........ ; ...... Number of dwelling unit~ on each floor ................ If garage, number of cars ............................................. : .......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ ~ ...... Depth .............. Number of Storie~ ' Height Dimensions of same structure with alterations or additions: Front ............. i. · ... Rear ................. Depth ...................... Height ...................... Number of gtones ............. ~,. ..... 8. Dimensions of entire new construction: Front....~.~../ ...... Rear. ~.C2./..: ...... Depth . .~...~. ....... h Heig t ............... Number of Stories.. ,g'. ....................... : .......................... 9. Size of lot: Front .... ~.~..r. ............. Rear...~.~.t. ?..~. ........... Depth . .~:..~..~.,.~.~rf.'~. ........ 10. DateofPurchase ..~..~.~.,..~.~.~.~ ........... ,,,Name of Former .O~yner ...d~..,ff~'T..c'.~/.~,.~..~/~-~.~/M'... 11. Zone or use district in which premises are situated..,~'..~--~?.~..~.~..~/.~..Z. 12. Does proposed constructi, o~)violate any zoning law, ordinance or regulation:' 13. Will lot be regraded ...~..~. .................... Will excess~ll t~ removed! from premises: Yes X No 14. mmne of Owner of premises/'~t~../-~... ~J.t~.~/. Address/(.~. P(~...~.~.~/q .~..,~Phone No. c~. ~..o~.': -,'>.~. ~'.O. Name of Architect Address Phone No Name of Contractor ........................ ,. Address ................ I... P~a.one No ................ 15. Is this property located withinl.00 feet of a tidal wetland? * Yes ~,lq.. No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM : Locate clearly and distinctly ail buildings, whether existing or proposed, and. indicate ~]1 set-back dimensions from property lines. Give street and block number or description according to deed, and sho~ street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .............................................................. i ........................... (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 ] mowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ Ptlllt,0, ~ ' ~ ~ "~h~'~: .(Signature_ q of applicant) Ii O~]OUPANCY OR USE IS UNLAWFUL ,~qJTHOUT CERTIFICATE OF OCCUPANCY , ! If copper tubing is used for water distributing system; piping shall be of types K or L only r i r i I[