HomeMy WebLinkAbout25083-Z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
i
BUILDING PERMIT /
(THIS PERMIT MUST BE KEPT ON THE PREMISE UNTIL FULL
COMPLETION OF THE WORK AUTHORIZ )
PERMIT NO. 25083 Z Date UGUST 4 , 1998
Permission is hereby granted to:
l lllJ��
FRANK RAYNOR E, IF
PO BOX 707
MATTITUCK NY 11952
for
CONSTRUCTION OF AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR
YARD OF A SINGLE FAMILY DWELL G AS APPLIED FOR.
at premises located at 3370 WICKHAM AVE MATTITUCK
County Tax Map No. 473 9 Section 107 Block 0009 Lot No. 015
pursuant to application dated JUNE 22 1998 and approved by the
Building Inspector.
Fee $ 5 . 00
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HOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . ..
TOWNOF SOUTIIOI.D SURVEY . ... .. . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CIiECR ... .... . . . . . . . . . . . . . . . . . .
TOWN IiAi.L SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802p NOTIFY: {�
/ CALL
Zx nined. .., 19.... MAIL TO: . . . . . . . . . . . . . . . . . .
A1-4arovc'cl. .� .., l9.... Penuil: No. �! ,, .... ............
....
Disapproved a/c .... .. ....................................
rrs�.
D (Wilding•Inspecto�IJ
JUN 2 2 PLICATION FOR BUILDING PERMIT j
•nate. . � /.�! . . . . , 19��
�..iJEtPT.
INS'T'RUCTIONS
a. 'Ibis application mast be completely filled in by typewriter or in ink and submitted to the Building inspector wi
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 ptiblic
streets or areas, and giving a detailed description of layout of property mist be drawn at the diagram Which is part of
this application.
c. 'Ilse work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Wilding Inspector wilt 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 Wilding Inspector.
APPI.ICNI71CH IS hERIM WDE to the Wilding Department for the issuance of a Wilding Permit pursuant to the
Wilding Zone Ordinance of the 11wn 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
regul at ions,,mid to admit authorized inspectors on premises and in buil or necessary one
•
Ignature of appli•• , or if a corporaticH�)
.. :6 ...3ox 70'7 �I4tfif ck Aly r19sa
.......
(Mailing address of applicant)
State whedwr applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or Wilde
................. c�uJ&t4.P. ............................................... ...
.. ............................
Name of owner of premises ..... .�.?�rVl<..4?4qv qr;.q!7�„ E;h'?h;4 ynU/:..............................
(as on the tax roll or latest deed) P
4.c-rt..._.
If applicant is a corporation, signature of duly authorized officer. DATE: 8.P
............................... ... ..... �� EEE «
(Name and title of corporate officer) NOTIFY NOTIFY BUILDING
765-1
Z����4 — 802 9 AM TCl FOR THE
FOLLOWING INSPECTIONS:
Builders License No. ....................00CUPANCY OR l FOUNDATION - TWO REQUIRED
..U,SEIS UNLAWFUL FOR POURED.CONCRETE
Plumbers License No. ................. � G
2. R0�1G,Oi - .FRAlltltNG, Pi.UMQIN
Electricians License No. ............WITBOUT CERTIFICATE 3. INSULATION
.........OF.OCCUPAIICY 4. FINAL - CONSTRUCTION MUST
Other Trade's License No. BE COMPLETE FOR C.O.
1. iocation of land on whidi proposed work will be clone......................ALS:.PQt4ATi3iiIL�'I+b X.S, {•MEE"1'....
............7�.................... .... 7c��l.fIU6....................... ST'0'' � ul'
� lls> RE ::$ ►.
house Number Street -'
Dl
County Tax Map No. 1000 Sectioi .,�!%7:.�j:�S. Bl.ock,
Subdivision ...C/ 4-..4?47.:S9.6(k.lk.nd ''e/FIl.ed Map No. '�....... Lot ..�:�%:�.....
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .............................................................................
b. Intended use and occupancy ............................... ...........................................
3. N;:ture of work (dieck wliidt ailplicabie)t New Building ...�!..... Acklition .......... Alteration ..
Itelwir ............ Iletc"I ............. Detmlition . .................. Other Work r .X Xr$.. .���..............
(lescriptitxt)
4. L�aCimsted Coat ../006.7a............... fee ..
(to be paid (xt filing this al>ttlication)••
S. if drelling, cxmtl)er of dwelling units ............ Rviber of (lkaelling units on each floor ..........
Ifgarage, txnher of care ...................................... .....
6. If. lx,siness, commercial or mimf occupency, specify nature and extent of each type of use..........
). Dimensions of existing structures, if any: Front................ Rear .............. Depth .................•
e
Ilulgi,t .......................4. Umber of Stories ..........
Dimensiocts of same etntcture with alterations or 'additions: Front ............... Rear
Depth .................... Ilei tC ....�..........
8i .. Hnl,er of Sl'or[ea ..............
............
8. Dimension .... ....... hear ...s of entire new construction: Front .. . ....... Okpth `��
�... . �:'g:...::-.,-....
.................. Holier of Stories .. ..................
9. Size of lot;: Front .lU°;vo.......... Rear .l4G?��' ........ 1)eptit ....:....
10. hate of Purdtaser
..................... Name of lonrer saner ................................. ......
11. Zate or use district in%hid: premises are situated ................................:...:.........................
12. Does proposed construction violate any zoning low, ordinance or regulation: AR....................
13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO
14. Names of Owner of promises ........................... Address .............................. M►octe No. ............
Mue of Ard,itect ......................r............. Adklress .............................. 1`1►one No. ......
Nene of Contractor ................................... Mdreas ...............................Mane No. ............
IS. Is this pcnperty within 300 feet,of a tidal wetland? * YES .......... NO ..•.......
*IF YES, S(XMKID IMN 7tiUSPMS I'lBli[ T MAY BE M- ARRI).
PLOT DIAGRAM
locate clearly and distinctly all buildings, Whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block camper or description according to deed, and at,ow street nones anti inclicate
tdtether interior or corner lot.
c
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r................... O*i jill,.du l y awr;rn,:Jdelx,sea atxl says that he is Lite appl.i enw:
(NFIRIP of icxIAMIdual signing contract) �e f ,
alxi a ttmteci; 1 L �) ` lJ
• 1 / ........................
Ile is 'Lite
A(Q Mtr*dr*; ega* corporate officer, etc.) .... ......
of •"EE`� day xl IR.Atly authorized to perforin or hime l�erformedi Lite said work arxi to mrike and file Lhin
a f�it'+r •�tfi '�' :!t M+
I� , nt a.l� elenatt9 ca►tatned in this application are true to lite best of his kixrwledge attcl lelief; awl
that Lite wurk will lie performed in the nentter set forth in Lite nppCication filed therewith.
.%x,rn to before me this
......,f.........clay of ..:3::::�.......19,S,Y.....
Notary lhd)lic
�Nt
,CHARDN04 ARROW ...... ... ••••••ryPuUic,Sta`sofNewYork Itatx,re of Altl,l.icnnt)
No.2902160
Qualified in Sufbtk County
Term Expires January 31,1W u��,
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OF SO�ryol.
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Town Hall,53095 Main Road Fax(631)765-9502
P.O. Box 1179 G Q Telephone(631)765-1802
Southold,New York 11971-0959
COUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 8th, 2006
Terri Ann Divello
P.O. Box 707
Mattituck,N.Y. 11952
RE: 3370 Wickham Avenue
SCTM# 107 0009 015
Dear Ms. Divello,
Please be advised that your Building Permit#25083 issued August 4th, 1998 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit,please submit a fee of$75.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions,please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1185146 BUREAU OF ELECTRICITY
F_ 40 FULTON STREET, NEW YORK, NY 10038
Date APRIL 16,1999 Application No. on file 18020099/99 N 485835
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
FRANK L. RAYNOR SR. , 3376 WICKHA14 AVENUE, POLE 30, HATTITUCK, NY
in the following location; ❑ Basement ❑ Ist Fl. ® 2nd Fl. Section Block Lot
was examined on APRIL 09,19-0.0 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES
INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. I AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT.I TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W, OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 6 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
*NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
RAYNOR, FRANK L. L
P.O. BOX 1065
1800 HARBOR LANE GENERAL MANAGER
CUTCHOGUE„ NY, 11935 11
Per
This certificate must not be altered In any manner; return to the office of the Board if Incorrect. Inspectors may be Identified by their credentials.
In Imilmmmmmilmimmmmimmmmm
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
COMMENT
O
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H
'OUNDATION ( 1st)
c
N n
?OUNDATION ( 2nd )
o
W
ROUGH FRAME & '7
-PLUMBING '
to -
H
3. m
t�
INSULATION PER N . Y.
STATE ENERGY
CODE x
- - a
r-
. �H
4 .
FINAL
ADDITIONAL COMMENTS: x
• x Q�
a '
H
O
- Z
• x
ch
a
- cr
_ x
v
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