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Home My WebLink About29692-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29902 Date: 12/10/03 T~IS CERTIFIES that the building ADDITION Location of Property: 1650 MEDAY AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Co%znty Tax Map No. 473889 Section 113 Block 11 Lot 11 Sul)divislon FiledMap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3, 2003 pursuant to which Building Permit No. 29692-Z dated SEPTEMBER 3, 2003 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 ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF MARK K. SCHWARTZ, ARCHITECT, DATED 12/02/03. l~he certificate is issued to C RAYMOND & AILEEN P~ADIGAM (OWNER) of the aforesaid building. SUFFOLK COUN~f DEPARTMENT OF ~EALT~ APPROVAL EL~C-r~ICAL CERTIFICATE NO. PLL~MBERS CERTIFICATION DATED N/A N/A N/A d Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEP~MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEP2~IT NO. 29692 Z Date SEPTEMBER 3, 2003 Permission is hereby granted to: C P_AYMOND RADIGAN & WF 363 SPLIT ROCK RD SYOSSET,NY 11791 for : BUILD A~ ADDITION ON A/q EXISTING DWELLING. THIS PERMIT REPLACES BP~9187. at premises located at 1650 HEDAY AVE MATTITUCK County Tax Map No. 473889 Section 113 Block 0011 Lot No. 011 pursuant to application dated SEPTEMBER 3, 2003 and approved by the Building Inspector to expire on MARCH 3, 2005. Fee $ 150.00 WAllthoz ~d~ignat ur e COPY Rev. 5/8/02 FO~I NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9187 Permissiou is hereby granted to: ~.,...Ra~nond..Ra~igan ............................... ............ P~d ~.....,~. ......... lJa.~ J~lJ~,~k .............. ~o hv,~l~,, ~ n ,,~ ~.,,,¢.t,~,o.~,,,,~ ~,..e, a! ~,t ,~.n ,.,.,.cl~e.1 liu~ ......................................................... at premises located 'at .....~.?..~....?...~..~...~..~......~..0..3:~.,.1~...9.~.~.....~...t!:.~. .............................................................. .................................................. ~.~..~.~...~ ......... ~.t~.t .~.~ ....................................................... pursuant to application dated ...... : ................. A.~.,~.[[...,..~...~. ......... , 19.~.~'...., and approved by the Building Inspector. Fee $.~,t..~,~ ........... Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicatiou mnst be filled in by typewritcr or ink and subnfitted to the Building Deparhnent 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 Undenvriters. 4. Sworn statement ~om phnnber certifying that the solder used in system conlains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, acm tificale of Code Compliance fi-om architect or engineer responsible tbr the building. ,,: , ', ~.,~.- ~ U4~] 6. Submit Plamfing Board Approval ofcolnpletecl site plan requirements. ~ ( _ : ~ ~ ~ B. For existing huihlings (l ri( 'toAp' 9 1957) ~(~-coflorningnscs orhoil(lin~sh~lld'~e~i~anill~qs: 1. Accuralc smx'cy ot property showing ali property hues, streets, bmhtmg and ,air~m~! na~i~al or~pln~] C. Ce~Ii ficale tff()ccupal~c} - New dxsellmg $25.00. Addifi~ms lo dxs elling $25.00. Alterations lo dx~ elling $25(10, Swimming pt~ol $25.00, AcccssoW building $2500. Additions to acccssoW building $2q 00, Busiacsscs $50.00 2 Cctlificatcof()ccupancyonlhc-cxislingleuildMg- $10000 3 Copy of ( ertificate of ()ccupancy - $ 25 Nex Cons luc Ion: ~ . ()Icl ot Pie existing Ihfilding: ix,cation of P~operty: ~.~ [louse No. Stree~ SufGlk Coullly Tax Mai> No 1000, Section ] I ~ Block Subdivision _~{]~Wo~ ~t,~ Filed Map. memlit No. q}~7 ~ _ Date of Permit._~~ Applicant:_ Health Dept. Approval: ~1~ Planning Board Approval: Request for: Temporary C, crtificatc Fee Submitted: $ ,~ Final Certificate: (check llamlet (check one) Apphca~"~gmature Mark K. Schwartz, AIA - Architect, PLLC Cutchogue, NewYork 119'35 Phone: (631) 734- 4185 Fax: (631) 734 - 4185 December 02, 2003 Sothold Town Building Deparhnent Main Road Southold, New York 11971 Attn: Damon Rallis Re: Radigan House Meday Avenue Matfituck, New York SCTM# 1000-113-11-11 Dear Mr. Rallis: On Wednesday, October 29th, 2003, I inspected the Bathroom and patio addition at the aforementioned address. The enclosed patio adjacent to the Bedroom and bath areas has been opened up with a new egress opening greater than 4 square feet and sill height less than 36 inches from the finished floor. With this work now complete, to the best of my knowledge, the Bathroom and patio areas meet or exceed New York State and local code requirements. Please call this office if you have any questions or require additional irilormation. Very truly yours, Mark Schwartz RadiganCofO Z f 6EOt, 0 "0t~gg )7/23/0:] 10:38 FAX 518 663 6647 RUSKIN ~{OSCOU FALTISCEEK ~0~)2 · NOTE ~ · -- MONUMENT LOT NOS. REFER TO MAP OF "PROlaERTY OF WM. ~1, CODLING "FILED IN THE OFFICE OF THE CLERK OF SUFF. CO, oN MAY I0, 19Al A~[ MAP NO. ?43 AND ALSO SHOWN ON MAP OF"TOLL~'WDOD"FtLED IN THE OFFICE OF THE CL~'RK OF SUFF. CO. SURVEY FOR C. RAYMOND RADI(~AN AILEEN MATTITUCK TOWN OF sOUTHOLD SUFF. CO,, N.Y." SCALE: I''~ 40' MAY 19, 1966 RADIGAN GUARANTEED TO~ SECURITY NATIONAL SANK OF L I SECURITy TITLE E ~UARANTY CO. PROF£SSrO~r',~:- ENg~',EER AND LAND $U RVLt~?OR, " R VERHEAD, N.Y, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING iTION [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~/~ DATE INSPECTO~/~ FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) PLUMB~G INSULATION PER N. Y. STATE ENERGY CODE ~DITION~ COMMENTS TOWN O~' sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined , Approved ,20__ Disapproved a/c Expiration ,20__ PERMIT NO. 9/077_ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying~ Board of Health 3 sets of Building Plans_ Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: D~,,.'tt5 6;' ~'~ Mail to:~ ~? Phone:_ /~1 7&~'~l. II'/ Building Inspector ~-:: .~, ;APPLICATION FOR BUILDING PERxMIT ;t ~_., ,, Date ,20 O~:L_ a. ~is a~~T~[~tely filled m by typewriter or in i~ aud submitted to the Building ~spector with 3 sets ofplan~~lan to scale. Fee accordin2 to schedule. b. Plot plan showing location of lot and of' buildings on prenfises, relationship to adjoining prenfises or public streets or c. The work covered by this application ruay not bc commenced betbre issuance of Building Pe~t. d. Upon approval of this application, the Building Inspector will issue a Building Pe~t to the applicant. Such a pem~t shall be k~t on the pre~ses available tbr inspection throughout the work. ~o e. No building shall be occupied or used iu whole or in pa~ for ally propose what so ever until the Building ~spector issues a Ce~ificate of Occupancy. L Eve~ building pe~t shall expire if the work uuthorized has not connnenced wit~n 12 ruonths after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~Iations affbct~g the prope~y have been enacted in the interim, the Building Inspector ruay authorize, in writing, the extension of the pe~t for m~ addition six months. Thereafter, a new pemiit shall be required. ~PLICATION IS HE'BY M~E to the Building Depa~ment for the issuance of a Building Pe~t p~suant to the Building Zone Ordinance of the Town of Southold, Suffolk County. New York, and other applicable Laws, Ordinances or Re~lations, for the construction of buildings, additious, or alterations or Ibr reruoval or demolition as herein described. The applicam a~ees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, and to a~t auth°rizedinspect°rs°npremisesandinbuildingtbrncccssmTinspecti°ns' ~/~~ (Sit'fire ~p~licant or name, if a co¢oration) --- (Mailing address of hpplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises G~ ~¥m0.3 (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Nanae and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Str'g~t CotmtyTax Map No. 1000 Section Subdivision T"a t(~ ~o~9.~ ~,__ (Nan~e) Hamlet Filed Map No.~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy ..%J,4, le ~m,l? Ooa~t],~ b, Intended use and occupancy__ 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Fee 5. Addition X Alteration Estimated Cost "q~ ,.5~i¢o If dwelling, number of dwelling units_ If §arage, number of cars Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 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 Height_ Number of Stories Depth Rear Dimensions of same structure with alterations or additions: Front Depth_ Height_ Number of Stories 8. Dimensions of entire new construction: Front /~ Rear_ Height ~_o Number of Stories 9. Size of lot: Front /';~O Rear /¢'o _Depth /~[ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ){ 13. Will lot be re-graded? YES NO X Will excess fill be removed f'ro~n premises? YES__ NO/K 14. Names of Owner of premises ¢.,.{~yra~,,tl gt}c[i,~lAddress Name of Architect Address Name of Contractor t~ ~e.k~t Ran 4r')/ Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a ti'eshwater wetland? *YES * IF YES, SO~THOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO X * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO × 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at l 0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) ~)lo, o~. ~ ¢'*g~,ql¢ I being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above nmned, (S)He is the (Contractor, Agent. Corporale Officer. etc.) of said owner or owners, and is duly authorized to perform or have perfbrmed the said work and to make and file this application; that all statements contained in this application are true to the best of bis knowledge and belief; and that the work will be performed in the maimer set forth in the application filed therewith. Public, Stele Of New TI)it 20 03 Signature of Applicant TOWN OF $OUTHOLD BUILDING DEPAP. TMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 buildings for necessary inspections. ........ .............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................................................................... .......................................................................... Name of owner of premises ............. .~..~..,~'.'.'.'.'.'.'.'.~. ....... .~..... If applicant is a corporate, signature of duly authorized off~cer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Locat on of and on wh ch ro osed work w I be done Map No ' ~Lot Nn4'~..-3 ?- P P . _ ................ ~-~ .............................................. Street and Number ............. .,d..Y'Z'..~..(~..~.~...~.~ ......... z~.~'~.~..~.x.~.~-.d~....~..,~....k.~....' ............................................. Municipal State existing use and occupancy of p~)~ intended use and occupancy of proposed construction: a. Fxisiting use and occupancy ....... .~...~....~.. ....... ~ .................................................................................................. b. Intended use and occupancy ............. ..~..~.~...,~..m...~....,,;?~.. ................................................................................... 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work .................................................... -- ,,__?~ (Description) 4. Estimated Cost ............................................................ Fee ...~...~. ................................................................................. (to be paid on filing this application) 5. If dwelling, number of dweJling units ............................ 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 ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ....................; ....... Number of Stories ................................ t 8. Dimensions of entire new construction: Front ................... , ................ Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................... : ............................ Name of Former Owner .................................. ./: ................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ....... ~ ........................................... Address ................... ; ............ Phone No. ...................... Name of Architect ..............................................................Address ................................Phone No ....................... Name of Contractor ............................. j~../..._~ .......... ,.. ....... Address ................................Phone No. ~'.;~ .......... ~. .... PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot STATE OF NEW YORK, IS S COUNTY OF .... SU£,~]~k ........... f ' ...................... ~,icQ~t~'4]..J.~...Kezlla.~.~. ................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ............................................... ,~:on.t:ra~t:o~. ......................................................................................................... tuontractor, 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 tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... ].~h ......... day of ........... A~'.i-~. ..................... , 19.,~/.. r~otary ~'UOliC, . ............................ $.U=~lO.].k ...... County ...~.. ............................. .~..~:,./....Z.......~.~f~.... ............................... (Sigl~atu re of ?Ib-plf~:ant)