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HomeMy WebLinkAbout23056-zFO~M TOWN OF $OUTHOLD BUILDING DEPARTMENT IOWN ~ SOUTHOLD, N.Y. N? 23055 Z BUILDING PERMIT (fi-IlS PERMIT MUST BE KEPT ON THE PREMISES UN1]L FULL COMPLE~ON OF THE WORK AUTHORIZED) Permission is hereby granted to: .. .P.....~,..a¢.../.¢..o ............................................... ..... .P....~....~. ...~..&.....~..:..~.,.../../...~.¢. .............. ,o ~. ~. ,r~ ~. . . . ~ x //¢~. ./. .~ ~. ~ . . .~.~,. ./. ~. ~xx. .,,. ~. ~.. .~. ~. .~ ? ,~,. ,~ ~,....~.~'.~.....~,~f_, ..~.~~..~~ ......... , ............................. ............ .......................................................... ooun~To×MapNo. ~000 s~o,,on ........ /~.¢..... B,ook...~ ................. Lo, ~o. ../.../. ...................... purs-uar~t ,o appllcatlor~ dated ............... ~.~..../. ............. 19...~.~ arid approved by the Building Inspector.. ~eo,.....~.~...~ Rev. 6~30~80 No Z-24626 FORM NO. 4 TOWN OF SOUTHOL~ BUILDING DEPARTMENT Office cf the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC(Jum~/t'C"/' Date SEPTEMBER 11, 1996 THIS CERTIFIES that the building. Location of Property 550 BAY A~ENUE House NO. County Tax Map NO. 1000 Section 144 Subdivision ~DDITION & AL'£B~ATION ~TTITUCE~ N.Y. Street Hamlet Block 5 Lot 11 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 21t 1995 pursuant to which Building Permit No. 23056-z dated OCTOBER 12! 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is iBsued is ~LTERATION & BREEZEWAY & GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOAN TEC~ET (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-393633 - AUGUST 9~ 1996 AUGUST 8~ 1996-MATTITUCK PLUMBING & ~EAT. Rev. 1/81 Form No. 6 TO~H~ o~ SO~THOL~ BUILDING DEPARTMEnt 765-1802 ~PLICATIO~ FOR C~TIF!CATE OF OCC~ A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for mew building or new use: i. 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 i~stallation from Board of Fire U~derwritera. 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 ~xisting buildings (prior to April 9, 1957)' ~on-conforming uses, or buildings and ~'pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual ua~urai or topographic features. 2. A properly' completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building I~spector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations 'to dw~llimg $25.00,1 Swimming pool ~$25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - $20200 4. Updated Certificate of Occupancy - $50.00 ;Temporary Certificate of Occupamcy - Residential $15.00, Commercial $15.00 ate ............. New Construction ........... Old Or Pre-existin~ Building ................. Location of Property ....................................... House No. Street H~r,1 et Onwer or Owners of Property..~--f~..~. ............ // county iooo. get,iOn .... ./.%.%. .... ...... ...... .ot ...................... Subdivision ..................... . . . .. ........o.Filed Map ............ Lot ...................... Permit No. ~j..(..~...~...~.Date Of Permit ................ Applicant~.?.~/.~..~(4.'~'J...~Cz~..~../-~...../?---/~.?-<----~-~ A royal .... ~,~ ...... Unde~riters Approval,~.-.~ ~ .' ............. Health Dept. pp ............. for: Te ' :' .. ~cate..~¥ Town 'H::~il, 530~5 Main ¢{oad P, O, BOx 11'79 SnuthoM, New Yock ! t971 F~x (516) 7 ,S-18.~.t Telephone (516) 765-I OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD, I certif'y that the solder used in the water supply system contains less than 2/!0 of 1% lead. ( Plumbers Sworn to before me this day of ' ,qUa,U57'- ,, 19 q&, Notary Public, .5 ~-D~.,~ County Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 15, 1995 Environment East Inc. P.O. Box 190 Peconlc, N.Y. 11958 RE: JOAN TECHECT BUILDING PERMIT # 23056-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 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 not on file. (Enclosed) XX No Underwriters Certificate on file. The check is~~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). Environment East, Inc 3075 Indian Neck Lane P.O. Box 190 Peconic, New York 11958-0190 516-734-7474 FOIl NDAT [ ON , COHHENTS & INSULATION I'ER N. Y. STATE ENERC, Y CODE ADDITIONAL COMHEN'iL'S: Environment East, In. 3075 Indian Neck Lane P.O. Box 190 Peconic, New York 11958-0190 516-734-7474 Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel September 29, 1995 Environment East Inc. Peter R. Stoutenburgh P.O. Box 190 Peconic NY 11958 Re: JOAN TECHET SCTM #144-5-11 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SEP 2 9 1995 OwN Or SOIJTHq~g Dear Mr. Stoutenburgh, The following action was taken by the Board of Trustees at their regular meeting of September 28, 1995: RESOLVED that the Southold Town Board of Trustees approve the request for a Waiver to construct a 12.8' X 27' addition with a breezeway attached to a 24' X 32' garage, and patio addition as per survey. Located: Salt Lake Lane, Mattituck. If you have any questions, please call our office. Town Hail 53095 Main Road P,O. Box 1179 Southold, New York 11971 Telephone (516) 765 - 1892 Fax (516) 765-1823 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK / djh cc. Bldg. Dept. CAC 765-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~,INDATION 2ND [ ] INSULATION [ ~'~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: _ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~ ~ ' ~t ~ // 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION xST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE~INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ~UNDATION 2ND [ ~] FRAMIHG [ ] INSULATION [ ] FINAL [ REMARKS: ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT, IINSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ~I~L [ ] FIREPLACE & CHIMNEY REMARKS: ~//'//~ DATE INSPECTOR 765-t802 BUILDING DEPT. [ ] FOUNI:)ATION 1ST [ ] PLBG. [ ] FOUNI)ATION :)ND DN FRAMING [ ] FINAL / DAT INSPE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNI~,ATION 1ST [ ] ROUGH PLBG. [ ] F~JNI~ATION 2ND [ ] INSULATION [ ~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO ~R~~ /~ 765-~.802 BUILDING DEPT. INSPECTIO N [ ] FOUNDATION 1ST [ ~']/ROU~H PLBG. [ ] FOUNDATION 2ND [,,,~INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-Z802 BUILDING DEPT. IINSPEGTION FOUNr)ATION 1ST [/~ ROUGH PLBG. FOUNDATION 2ND [,~/1NSULATION FRAMING [ ] FINAL DATE /~,~//~ INSPECT~ · ,SE~ 2 I 1995 Exanlined FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,/ SOUTHOLD, N.Y. 11971 ,,/'/. TEL.; 765-1BO:;a 7.?'/ . BOARD OF HEAL]r}{ '~/ 3 SETS OF -/ SURV£Y CHECK SEPTIC FORH CALL . . . HAIL TO: Disapproved a/c .... . ............... ~ ..........  ,LICATION FOR BUILDING PERMIT 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app cation. c. The work covered by tiffs 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 perm 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 Occupan¢ shall have been granted by the Buildiug Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances, Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ~ admit authorized inspectors on premises and in building for necessary inspections. /~.~h~/t~..~ ................................... -- .~.,(SJ, gnatum of applicant, or name ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ....... l .......................................................................... r~ -~'e~ cl;~- ..... . .... Name of owner of premises .................................................................... (as on the tax roll or latest deed ir ap~oW', ~m~'ure ofduiy autl[orized officer. t ~ (~eand title ofcorporai~ ;~h~;/>'~t~2 ~¢--~, ,~"r~cc'l-~ ~,..~h"~ 'c~i,,, -- Builder's Liccnse No ...................... Plumber's License No ......................... Electric, ian's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ........................ ' Itouse Number Street Hamlet Coun,ty Tax Map No. 1000 Section .. l.q...q .......... Block ...~7 ............. Lot .... Ll ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name)~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. 1 .?...C.C.C.~.,.5 .M,..~. W.~.'~ ()..~J~...W. 5.."~....~.~.4. ~..'~..~ ...... 3. Nature of work (check which applicable): New Building .......... Addition ~ .4d',.lteratio .n---'~. · · Repair .............. Removal .............. Demolition .............. Other Work ............... ~.:~ (Desqription) 4. Estimated Cost.. .O___.J[~).~- Fee (to be paid on filing this application) 5. If dwelling, number o £ dwelling un/ts ... ~ ........... Number o f dwelling units on each fioor.. ~ ............. . If garage, number of c~s ....... ~ .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use I · Height .... [¢. ........ Number of Stories . . j ................... } ................................. D~ensions of same structure with alterations or additions: Front ...~ .......... Rear . .. ~..~ ...... Depth ...... ~ ......... lte~lt ...t~ ...... Number of Stones . .t .... . . . 8. Dmmnsions of entire new constmctmn: Front ....... ~ ...... Rear ... ~3 .......... Depth ~ ............ }te~ght ............... Number of Stories .... ~ ................................................... 9. Size of lot: Front . .l~. ~.;I. ~ ............. Rear . . [.~[-.~ ~ ............ Depth .~.~.' ................ 10. Date of Purchase .................... . ......... Name of Foyer Owner ............................. I 1. Zone or use district in which premises are situated...~q~.,.~.~ X~.~[ .................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..M9 ........................... 13. W~I lot be regraded .... k99 ...................... Will excess,fill.be removed frm premises: Yes No 14. N~e of Owner of premises~¢~.~ ........... Address~ ~h?~ ¢5~hone No~J Nme of ~chitect ........................... Address ................... Phone No ..... Nme of Contractor ~.~ ¢,~.~'.T~T. t*~.. Address~.Rq ~g~ ~. Phone No.~?~ Is this property wtthtn 300 feet of a tidal ~e~land? ~Yes..~.. blo ~I~ yes, 5outhold Town Trustees Permit may be required. PLOT DIAG~ Locate clearly and distinctly ~1 build~gs, whether existing or proposed, and. indicate gl set-back d~ensions from property ~nes. Give street ~d block number or description accord~g to deed, and show street nines and indicate whether interior or corner lot. 15. STATE OF NEWyORK~ , / SS c~Y OF..aC~ .-q-~cd~_ .' (, , '.. i .'. ............ (Name of individual signino cohO:act) above named. being duly sworn, deposes and says that he is the applicant tte is the .....-.~-~. - ) af said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e ~d file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work w~l be performed in the manner set forth in the application filed therewith. Sworn to Before me this .........