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Home My WebLink About51134-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51134 Date: 08/28/2024 Permission is hereby granted to: Alan J Risola 1645 Bayview Ave Mattituck, NY To: legalize "as built" wood stove in existing single-family dwelling as applied for. Premises Located at: 1645 Bayview Ave, Mattituck, NY 11952 Section\Block\Lot# 106.-6-34 Pursuant to application dated 07/16/2024 and approved by the Building Inspector. To expire on 02/27/2026. Contractors: Required Inspections: Fees: _ _..................wwwww _ -AS BUILT-SINGLE FAMILY ADDITION/ALTERATION $500.00 CO-ALTERATION TO DWELLING $100.00 Total $600.00 /iL,, Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-95021i t sc l o di, . utu Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only E C E U WE PERMIT NO. �Jlg4-- Building Inspector; ,- k" BRI JUL 1 6 2024 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Building e a en Owner's Authorization form(Page 2)shall be completed. Town of Southold OWNERS)OF PROPERTY: Nam .(50 SCTM # 1000 e: - Project Address: Phone#: Email: i�pQ Mailing Address45 6 AJ CONTACT PERSON: Name: ( � t � Mailing Address:. q 4 r w � Phone#: (`� -� � Email 0,(�)`15`L� ��•CD'C'-\ DESIGN P MESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: € CONT'R CTOR1NFORIiIIa TION. „Names Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure [:]Ad on ❑Alteration ❑Repair ❑Demolition Esti at Gast of Project: Other WOO,)— [ 1 l . " ? $ Will the lot be re-graded? ❑Yes,, O Will excess fill be removed from premises? ❑Yes LNNo 1 PROPERTY INFORMATION Existing use of property: Petl Je4l&CA Intended use of prop rty: tf)I Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Ll 0 this property? E]Yes PNo IF YES, PROVIDE A COPY. ............................—dcheck Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of theTown-of S6,41hold,Suffolk aunty,New York and other applicable Laws,Ordinances or Pegutations,for the construction of buildings,,I f � additions, an as herein described,The applicant agrees to comply with all applicable laws,ordinances,building code, housing code 4nd regulations and to admit authorized inspectors on premises and In building(s)for necessary inspections.False statements made herein are punishable as a class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. .......... Application Submitted By(print h e): 1C—>C3 DAuthorized Agent 10/0wner Signature of Applicant: Date: -7/ It /aA-f STATE OF NEW YORK) SS: COUNTY OF being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Uj(\� (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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this P 4 day of .20 X Notary Alic CA/Ail.—COP, PROPERTY OWNER AUTHORIZATION Notary Public-c-,-1*-a c�,!- York NO, 01 C00C'72' (Where the applicant is not the owner) Qualified in New vc ri, -ty Commission. !027 EMNV—Occ residing at ,do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 TOWN OF SOUTHOLD—BUILDING DEPARTMENT � F Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 http s://Nvww.southa ldl w a INSPECTION &CERTIFICATE OF OCCUPANCY INFORMATION It is the responsibility of the applicant, owner, or contractor to request inspections from the Building Department. Construction must be completed and certificate of occupancy must be obtained within eighteen (18) months, or the permit may need to be renewed. Building permits shall be visibly displayed at the work site and shall remain visible until the authorized work has been completed. Work shall remain accessible and exposed until inspected and accepted by the Building Inspector.The permit holder shall notify the Building Inspector when any element of work described below is ready for inspection. The following elements of the construction process shall be inspected, where applicable: • Footing reinforcement or pier excavation prior to pour; • Footing keyway with foundation wall reinforcement; • Foundation before backfill; • Foundation damp proofing; • Framing,tie down/strapping and plumbing; • Underground plumbing; • Perimeter insulation; • Rough electric; • Insulation and caulking; • Solid fuel-burning heating appliances, chimneys,flues or gas vents; • Energy Code compliance; and • A final inspection after all work authorized by the building permit has been completed. After all necessary inspections are completed additional documents, including but not limited to the following, may be required: • Suffolk County Health Department Approval—original copy • Plumbers Affidavit • Miscellaneous Certifications as requested by Plans Examiners or Inspectors The Certificate of Occupancy will be issued after all of the required documents are submitted to this office. No building may be used or occupied in whole or in part, until a Certificate of Occupancy shall have been issued by the Building Inspector. The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. The person responsible for this site must call in for all inspections listed above. Contact the Town of Southold Building Department at (631) 765-1802 to schedule your inspections. Please have your building permit number ready. 4 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 oldLo °iii BUILDING PERMIT APPLICATION INSTRUCTIONS&CHECKLIST • Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. • The work covered by this application, including land clearing/site work, may not be commenced before issuance of a building permit. • No building shall be occupied or used in whole or in part for any purpose whatsoever until the Building Inspector issues a Certificate of Occupancy. • Every building permit shall expire if the work authorized has not commenced within twelve (12) months after the date of issuance or has not been completed within eighteen (18) months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an additional 6 months. Thereafter, a new permit shall be required. ALL APPLICATIONS MUST BE SUBMITTED WITH THE FOLLOWING MATERIALS: ❑ Building Permit Application: Complete, signed and notarized. ❑A survey/site plan, drawn to scale at original size, showing the location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas and waterways. El Four (4) sets of plans bearing the signature and original seal of a NYS licensed professional engineer or architect illustrating compliance with the Building Codes of New York State. ❑Contractor's proof of insurance and Suffolk County license: * Certificate of Workers' Compensation Insurance (C105.2 or U26.3)AND a Certificate of Disability Benefits Compensation Insurance (DB120.1) Certificate of Liability Insurance "Note: Final Fees will be calculated by the Building Department using the fee schedule. Fees will be collected er the permit is written** ADDITIONAL DOCUMENTATION MAY BE REQUIRED AS IDENTIFIED BELOW: ❑Suffolk County Department of Health Services Approval (original copy) ❑Approval of the Zoning Board of Appeals, Planning Board, and/or Historic Preservation Commission (if applicable) C� lectricalw Perm^it Ap () atio (FILED SEPERATELY): Electrician must have an active license with Suffolk Count lood Plain Develo ment Permit A licatio (if applicable) ❑Southold Town Trustees Permits may be required: If any work will be done within 100' of a tidal or fresh water wetland. El NYS D.E.C. Permits may be required: If any work will be done within 300' of a tidal wetland or 100' of a fresh water wetland ❑1 copy of ComCheck/ ResCheck (if applicable) ❑1 copy of Manual J, Manual D and Manual S (if applicable) El Utilization of truss/pre-engineered wood/timber construction form (if applicable) ❑Single and separate title search (if applicable) ❑Curb cut permit (NYS or Suffolk County form 239F) (if applicable) El Original signed Owners Authorization: if applicant is other than owner. 3 71 DEER R �., � s 41 OFFICE IE a a �3 �1 X 11 1� KITHN h 1 X-1 1 f t ROOM 1074 x 'f PANTRY v � . +s !RO DOY 4'QR x '9" It I M C> � Q_.