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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 {ew toolk}y Hel it t t l i t t l t � ti :�i It yin �5 , :(', t E : I IE t ,.... ,,,,,,;; ,, ,,, i ..J: ii .. ,: idi F .....: '�.: x � I.. 1 .�Iffl k,:;:. ':iii• '.'. Rev 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 51'l�II. or, N,.)w-Y(IIIIC, rz>NrnY tl �56a 1.k......... SS 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��, F't t I � `'I "�M•' ��� / � 'fit � yA\ �+= S Ii .mow `«.... I SURLIEY FOR I r ri ,K I I tf I � III ..ww.a=.>:+««.w.w..w»...,...«..n.m..-,a.,mw,...<..,>,ww.».�,,..,«<:...er.,.rr.•<«....wew.iN,.,-... .wn..,..<«r.,....n..w-+.+.,,OM1...... M� z4, 193A,l# AMPMA r TI � !�{,ri.«. •L./�...�� .F;ril �f�w Ta'Jty J �! f�«%r��Pi �",,W'ir�Ja'�,�` t ro C) ".' r t swt rY } �. rm, rr rr 6, � °FG�� rr,r,�< en I OF SO�ryol. � o 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 m 00 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 ^v