The URL can be used to link to this page

Home My WebLink About27582-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29327 Date: 03/24/0~ T~IS CERTIFIES that the building ADDITION Location of Property: 165 PARK WAY SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 12 Lot 6 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 2001 pursuant to which Building Permit No. 27582-Z dated AUGUST 27, 2001 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 DECK ADDITION AND ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRIAN J & HEIDI M MAHONY ( OWNER ) of the aforesaid building. ~D-FFOLK COU~I"f DEPARTI~EIqT OF ~F~%L~{ APPROVAL N/A ELECtrICAL CERTIFICATE NO. 60697C 10/03/02 PLUMBERS CERTIFICATION DA'£~3 03/11/03 BRIAN J MAHONY Au~ri~e~d Sig ature Rev. 1/81 FORM NO. 3 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) PEP34IT NO. 27582 Z Date AUGUST 27, 2001 Permission is hereby 9ranted to: BRIAN J & HEIDI M MAHONY 165 PARK WAY SOUTHOLD,NY 11971 for : ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated JULY Building Inspector. 165 PARK WAY Block 25, 2001 SOUTHOLD 0012 Lot No. 006 and approved by the Fee $ 328.20 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. 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 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. 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. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector 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 dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 Date. New Construction: ,a~ Old or Pre-existing Building: Location of Property: / (o ~' ~4r~. kA/~'-q House No. Street Owner or Owners of Property: ECi',~'-,~ ~ 14e4',Li Suffolk County Tax MapNo 1000, Section 70 (check one) Block Hamlet Lot ~' Subdivision n2....7~ g'~- 7-~ Date of Permit. ~m 7/0 / Filed Map. Applicant: Permit No. Health Dept. Approval: ¢"J l ~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ c~Q ~', o Lot: (check one) Appl~ant Signature ~__~ Brian & Heidi Mahony 165 Park Way Southold, NY 11971 (631) 765-1180 2/24/03 Southold Building Department Main Rd. Southold, NY 11971 To whom it may concern: Please extend my building permit for three months so that we may have all the paperwork completed & submitted to you. Thank you. Sincerely, Heidi Mahony Issue Date 12/03/2002 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 60697C East Patchogue, New York 117'72 (63t) 286-6642 Issued To: Brian Mahony Street: 165 Park Way Villlge: Southold Zip: Section: Block: Lot: 11971 Town: Southold Contractor: John J. Wade (L) Lic. # 4664-E Wa, examined and founc~ to be in compliance with the National Electrical Code. Commercial [] NVDefects [] Fool ~ lstFIoor [] Indoor [] Basement ~HotTub Residential ~ Dat. Garage [] Attic [] 2nd Floor [._- Outdoor ~ Addition ~_. Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 19 24 14 5 2 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves 1o20A 1 gas Furnace Oil Gas Circulators Smoke Detector Bell Transformer 3 Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: Other Equipment Hugo S, Surdi President Rough Inspection: 03105/20(}2 Inspector: E(~ Scavelli Rnal I~spec~on: 11/26/2002 Inspector; Ed Scaveili This ce~[ficate must not be altered in any manner Inspectors may Be iaentlfTed by their credentials Town Hall, 53095 Main Road P.O. Box 1179 Southold. New' York 119714)959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (631) 765-9502 Telcphone (631) 7~,5 - 1802 CERTIFICATION Building Permit No. ,~ -~ S~ ~-- Owner: WX&, (please print) ~le~e print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this l J dayof ~/~ , 200-~ Notary Public,~County ~.~ ~m~bers '~Signatu~ LYNDA M. BOHN NOTARy PUBLIC, State of New York No. 01 BO6020932 Qualified in Suffolk CounN Term Expires March 8, 20/~ FAX NO. : 51676568~8 Jul. 27 2001 ~B¢48~1 Pi STATE OF NEW YORK COUNTY OF SUFFOLK / , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at That on the ~ay of Jv~ ~ 2001 deponent archite~engineer, li~nsed by the Stale of New York, hereby states that s/he accepts ~11 r~ponsibllity for the aC~mpanying plans ~mpliance with the'New York S~te Prevention ~nd Building Code (9 NYCRR);. said plans pekin to pmpe~ located at SCTM#_ t 000t... ~? street address Sworn to befo_re me this ~ day of ~ / ,2001. Notary Public cc: Applicant BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAME: ~'~}~o [,4~3uo~ DATE REVIEWED: 't,' /;-~3/01 DATE SUBMITTED: -':'-/~.~/01 SCTM# DISTRICT: 1,000 SECTION: -~-o BLOCK: t,,v. LOT: STREET: i/=~;' '¢na~ Lk)~ CITY: 5.5o~r~o~-¢ SUBDW. NAME: PROJECT DESCRIPTION: ~-D,'o~-, -~o c~ '~D,~ooct-,e; %-~:w~.~ .~)~>~:L~.~- :~ ARCHITECT / ENGINEER: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? t4o NOTES: LOTS 40,000SF -100-24. Lot recognitiom(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: ~-¢-t CONFORMING?, - ~2o% REQ. LOT SIZE: '~o, oeo REQ. FRONT $ ~- REQ. REAR $ 5- WATER FRONT? PANEL #: ACT. LOT SIZE: ~ ~,qo3 REQ. LOT COV. PROP. FRONT ~. :~ REQ SIDE PROP. REAR/ ~ DESCRIPTION: FLOOD ZONE: j( , ~ ACT. LOT COV. ACT. SIDE AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or~,) (BED #):__ DTE: __ NEW YORK STATE DEC: PPa~-nEc ~a/75 YES orl~ SOUTHOLD TOWN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES or ~, TOWN PLAN. BOARD APPROVAL: YES or~Q~ TOWN HISTORICAL PRE (SPLIA): YES o N~',-/' / / PERMIT #:R10- NYS ENERGY: YES OR NO : '" ~ EGRESS (18 H min.? 4 sq total) ~--V- VENT(SQ. FT. x4%) -'- '~' - ,-. , LIGHT (SQ. Fr. x8%) ~- ' ~ BUILDING PE~S OPEN/EXPIRED:. BP (i~-4 ~.~ -Z / C/0 Z- :.,, I ~'~ ~.icT~ , ~::~ r_o~ '~ ~-'"~:~? HAVEPRECO'S'(i~ORN~& &Zc:~.BP -Z/C/0 Z- _,. NOTES: O°/q'-~'~ , FEE STRUCTURE: FOUNDATION: ~') t~ SF~-o,~/ ~ ~,o- a-& ~ qc~ ~ F~TFLOOR: ~ SF~5~ SECO~ FLR: SF / ~ & ~T OT~R TOT~ TOT~: ~&~ SF~ FEE FEE FEE 765-1802 BUILDING DEPT. INSPECTION [ ~]'/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~/4 ~/~ j~ ~.--]~'.- ~J DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ t.~OUNDATION 2ND [ ] INSULATION ] FRAMING [ ] FINAL [ ] FIREPlACE&CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [,,"]ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ./*/-~'~ ~/~- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [] FOUNDATION 2ND [ ] INSULATION [~FRAMING [ ] FINAL [] FIREPLACE & CHIMNEY RE,MARKS: ~ _ DATE ~) ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~'~NSULATION [ ~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS.' ~ ~. ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ¶ST [ ~ROUGH PLBG. FOUNDATION 2ND [~SULATION ~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS.- ~ DATE ,~//~////'~ ~- INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ~'"~NAL [ ] FIREPlACE&CHIMNEY REMARKS. ~~'~/---/:;~~..~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~;~./~ ~ ROUGH PLBG. INSULATION INSPECTOR YODllDATION (IST)' FOUIIDATION (2ND) ROU(~I FRAI'm & .~.~. INSULATION PElt BI. Y. ST. ATE EI/ERGY CODE TOWN OF SOWFilOLD BUILDING DEPARTMENT TOWN HALL SOUTltOLD, NY 11971 TEL: 765-1802 Exandned ~ ,20..,O? Disapproved n/c ' BUILDIP/G PERMIT APPLICATION CHECKLISTi Do you have or need Ihe fo, llowing, befo~ applyingT: : . '~aB°ardsets Ofrn;fa~,,Health? ,. o 0,~,u,,*..,naPlans .... ? ~ . qSurvey . .. Check ~ [~O~' , c-,'i ' Septic Form .... N.Y.S,D.E.C., Trustees ' ' Building Inspector I~.---~--~--- ~ , APPLICATION FOR BUILDING PERMIT , .,. ~completely filled in by t~e~iter or in ink and submitted to the Building hs~tor sets of plans, nccurnte plot plan to sale, Fee according to schedule. b. Pict plan showing location of lot and of buildings on premises relationship to adjoining prem~ses or publio arena, nad giving ~ deistical description of layout of prope~ must be drn~ on the din~nm which is pnfl of ~is nppllontion. "~" o. The work covered by this npplication may not be commenced before issuance of Building Pe~it. ,..,. d. Upon approval of this application, tfi~ Building Inspector will issue n Building Pe~it to the npplicsnt~ Such n pe~it shall be kept on the premises available for inspection t~oughout ~e work. e. No building shall be occupied or used in whole or in pail for any pu~ose whatever until a Ce~ificate of~coupancy shall have been ~anted by the Building hspector. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issuance of · Building Pe~it pu~nt to the . Building ~ne Ordinance of the To~ of Southold, Suffolk County, New York, nad other applicable ~ws, ~dinnn~ or- .~., Regulations, for the cons~ction of buildings, ndditions, or alte~tions or for removal or demolition as herein descried. applicant a~ees to comply wifi nil applicable laws, ordinances, building code, housini code, ~d re~l~tions, ~d ~.n~it authorized inspectors on premises and in building for ne~essa~ inspections. .,t '~Y- ' ..... ~.~:~ ' (Signn iap~licant or (Mailing address of applicnnt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~:~v~ ~. R__ , .. Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly autherized officer (Name and title of corporate officer) Builders Licens~ No. Plumbers License No. · Electricians License No. Other Tradc's License No. I. Location of land on which proposed work will be done: o .3. House Number Street CountyTax Map No. 1000 Section Subdivision 5~O'[14tv~,~tP 070. OO Hamlet v Block I~..oo ,Lot oo~. · Filed Map No. //-I~ I" ' ,.,Lot (Name) . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Existing use and occupancy O~3£ ~-2~ll.,x' b, Intended use and occupancy zvt0~ F,t MILS/ Nature of work (check which applicable): New Building. Repair Removal Demolition' Addition Other Work 4. Estimated C~ 5, If dwelling, number of dwelling units If garage, number ofcar$ t,/ Alteration ..... · . .'r~e---4,-t:on', , . . Fee (to be paid on filing this application) '"' ': Number of dwelling units on each floor '7 ' ~g~att t~0o~. ~ ' 6. lfbusiness, commercial or mixed occupancy, specifynatureandextentofeachtypeofuse. ~ 7. Dimensions of existing structures, if any: Front 7~Z.a-' Height. t~,' NumberofStories ,~,~' Rear :~,l~£,Agt~oO~t~ Depth Dimensions of same structure with alterations or additions: Front 7/Z. ~' .Rear yt~l~,:~ttt~[:~0ttt_ Depth 4~' Itl~t~vt4t. Height I~,' NumberofStories Ot4e. , 8. Ditnensions ofentire new construction: Front ~rl~l~. ~pomo,~)Rear 9p.,a.' tgg~6oolt.. Depth Height. lC, ' Number of Stories ~t. lf. . , ,, ...... 9. Sizeoflot:F[ont 149.'~6 Real' ta4.fi~ Depth Igg. Ol' ,.,t:*h 10, Date of Purchase Iq~5 Name of Former Owner , I~/~ ~-~z~; 11. Zone or use district in which premises are situated ,£ES~'£td'r~ al. 12, Does proposed construction violate any zoning law, ordinance or regulation: 14o 13. Will lot be re-graded /,aa, Will excess fill be removed from premises: YES ~ NO : TM" 14. Names ofOwnerofpremises .s~vs ~.~aou~ Addr~s ~5 ffA~K tVag PhoneNo. '765-t1~' .. , NameofArchilect g~Yt~v~.~a~ Au~ress.- -.- -- -- - . P.oneNo . Name of Contractor Address Phone No. 15. Is this property within 300 feet of a tidal wetland? *YES' NO t,,,'" · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, indicate scope of project~ to scale, with distances to property lines. 17, If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ~ r,.-, I SS: COUNTY 0~5_ ) ./...A ~ ~~ b¢in~ dul~ sworn, deposes and sa~s that (s)he is the applicant ...... ,.~:- ~am~ o~ndivi~ si~ing con~a~above named, (S)lte is the (Contractor, Agent, Co.orate Officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~ed the said work and to make and file this application;.' 1 that all statements contained in this application are true to the best of his ~owledge and belief; ~d ~at,th~ work wil '. · perfo~ed in the manner set forth in the application filed therewith. Sworn t~b'efore me th~ _- .... . . ~ ~ ~.~h~ ~o. m ~o~ . ' ~i~e ~ ~li~ Lo~ 33 4? CONC, MON N 89°28'40' W 115.42' (~ Ri'FTEN' $ ~o: W~DE. PAVED. LANE LOT NO. 32 $OUTHWOOD FILED NOVEMBER 24, 1953 MAP NO. 2141 SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK I IN. -- 30 FT. OCTOBER 12, 1995 GUARANTEED TO: BRIAN J. MAHONY HE1DI M. MAHONY THE GREATER NEW YORK SAVINGS BANK PECONIC ABSTRACT, INC. TITLE NO. LI33761 PAUL T. CANALIZO, SURVEYOR HAMPTON BAYS. NEW YORK