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Home My WebLink About33504-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32846 Date: 01/28/08 THIS CERTIFIES that the building ACCESSORY Location of Property: 37415 MAIN RD (HOUSE NO.) COUnty Tax Map No. 473889 Section 20 t'(h.A~ 15 ORIENT (HAMLET) (STREET) Block L- Lot 3.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 2007 pursuant to which Building Permit No. 33504-Z dated OCTOBER 31, 2007 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 RELOCATE ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to SUZANNE M EGAN (OWNER) of the aforesaid building. SUFFOLK COUlII'l'Y DBPARTMm!IT OF HEALTH APPROVAL N/A BLBCTRICAL CERTIFICATE NO. 3057890 01/23/08 PLUMBERS CERTIFICATIOIII DATED N/A ~:,t~,= Rev. 1/81 _I-)~i. _ Form No. 6 : ' r ~ i TOWN OF SOUTHOLD /UUI ,JAN I 0 _~ BUILDING DEPARTMENT I I T0yL. _ __--0~ J T~~I~~L '--;:rpPLlCATION FOR CERTIFICATE OF OCCUPANCY '-/'(:5 - J'iG I 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: I, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features, 2, Final Approval from Health Dep!. 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 2/1 0 of I % 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, B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I, 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 1/;C1/0 ~ Date. New Construction: Old or Pre-existing Building: /,' ~ (check one) o~qUf Location of Property: 3 7'1l ~ /M,.f',.\,<.) House No. Street Owner or Owners of Property: "507 ,/I "".~ c::/ oIA:-t-J Suffolk County Tax Map No 1000, Section ~7J 2> i q Block Hamlet e- 2..b Lot 't;)e> 0 l - 03.017 Subdi vision Filed Map, Date of Permit. /O(3l /"7 Applicant: (U f I Underwriters Approval: Lot: Permit No. - ~ .351Y\ ~) Health Dcp!. Approval: Planning Board Approval: Request for: Temporary Certificate "" -r-: C'iP Fee Submitted: $ .:.-~ Final Certificate: (check one) ~~ ~,l)~q 7 co -c .%/If '1' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32847 Date: 01/28/08 THIS CERTIFIES that the building ACCESSORY Location of Property: 37415 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 20 (STREET) Block 1 ORIENT (HAMLET) Lot 3.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 2007 pursuant to which Building Permit NO. 33504-Z dated OCTOBER 31, 2007 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 RELOCATE ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to SUZANNE MEGAN (OWNER) of the aforesaid building. SUFl'OLK COUJIITY DEPAR'l'MElIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE 1110. 3057890 01/23/08 PLUMBERS CERTIFICATION DATED N/A ~ ~~~,,..'""' Rev. 1/81 Form No.6 ). . TOWN OF SOUTHOLD ".:,', JAM I 0 ;J BUILD~O~:~TMENT W'~L. .d J 765-1802 I [>.' L~O~U _ __=c':".') LlCATION 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 2/1 0 of 1 % lead. 5. Conunercial 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land nses: I. 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, Swinuning 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, Commercial $15.00 Itr7(O ~ Date. New Construction: Old or Pre-existing Building: ~ ~ (check one) o ~erNl '5 7-1: l S' 1M.- fo,..\,J..) House No. Street Owner or Owners of Property: "5 t.>7 .II....~ c::::-~~ Suffolk County Tax Map No 1000, Section ~lJ 2> i q Block Location of Property: Hamlet e- 2...b Lot 't;)f) 0 l - 03.0 Subdivision .. ... ... Filed Map. Lot: Permit No. _ . s3~ Date ofPe~niL '-013 l("7- Applicant:__ W f ~) Health Dept. Approval___ UnderWriters Approval ___.______ Planning Board Approval: ___ Request for: Temporary Certificate .._. ..., r:6D Fee Submitted: $ L-~ Final Certificate: ( check one) AtJ~~~/ ~,7Jq 1 co -8:1.. tV 7 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector TOWIl Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 01/28/08 No: Z-32848 THIS CERTIFIES that the building ACCESSORY Location of Property: 37415 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 20 (STREET) Block 1 ORIENT (HAMLET) Lot 3.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 2007 pursuant to which Building Pennit No. 33504-Z dated OCTOBER 31, 2007 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 RELOCATE ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to SUZANNE M EGAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DBPARTMERT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3057890 01/23/08 PLUMBERS CERTIFICATION DATED N/A ~:~~,..'""' Rev. 1/81 I, ; \.."4l JAN I 0 L .J Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 -.....'.1 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: I. Final slITVey 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 fonn). 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 I % 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 PI aIming Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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, COllllllercial $15.00 Date. --;-. It 0'(0 ~ ~~(checkone) O~~ New Construction: Old or Pre-existing Building: '57'1.lS' House No. Street Owner or Owners of Property: c:s U7 .II..,.~ c::-~~ Suffolk County Tax Map No 1000, Section ~ 73 2> i q Block IM.A~...\,<..) ~ Location of Property: Hamlet f7Lb Lot 'E>e> 0 l - 03.<1 Subdivision Filcd Map. Lot: Pennit No. ~_Date ofPenniL-'Pli~l~7- Appl1canlJJ..l F ~) Health Del'l Approval Underwriters Approval _.__.~___ _ Planning Board Approval Request for: Temporary Certificate ~ ~_c:;() Fee Submitted: $ L-~ Final Cel1ificate: _ __ ___ (check one) 4~- ~.T)\:''\l c (j~32-.Cf'f r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 01/28/08 No: Z-32849 THIS CERTIFIES that the buHding ACCESSORY Location of Property: 37415 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 20 ORIENT (STREET) (HAMLET) Block L- Lot 3.7 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 2007 pursuant to whicb Building Penni.t No. 33504-Z dated OCTOBER 31, 2007 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 RELOCATE ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to SUZANNE M EGAN (OWNER) of the aforesaid building. SUFFOLK COUl!lTY DEPARTMENT OF HEALTH APPROVAL N/A 3057890 01/23/08 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A ignature Rev. 1/81 JAN 10 l- -.J 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: I. 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 I % 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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, Commercial $15.00 ItC1!O ~ Date. 37-1:l~ House No. Street Owner or Owners of Property: _"5 (,)7 .II....~ c:::-~~ Suffolk County Tax Map No 1000, Section ~l) ~ ~ q Block '^^" ,..,\..0 ~. ~ (check one) t!) 'eU.~ New Construction: Old or Pre-existing Building: Location of Property: Hamlet e- 2...b Lot "E>e 0 l - o3.Q Subdivision ~ "35Il\ Filed Map. Lot: Permit No. wf..~) Health Dept. Approval: __________ Underwriters /\pproval: Planning Board Approval: __ Request for: Temporary Certificate_ ~ ~_Ci€> Fee Submitted: $ .:.-~ Final Certificate: (check one) ~ 6b.x:.. "/ 3 ~ ~ '1 C 6-Z:.-.3?'bLfQ l!I~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ; l!I~ ~l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~. ~ ~~imE!~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 40 BUREAU OF ELECTRICITY FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by WILLIAM GORMAN PO BOX 1447 MATTITUCK, NY 11952 SUSAN EGAN 37145 MAIN RD. ORIENT, NY 11957 37415 MAIN RD. ORIENT, NY 11957 3057890 Certificate Number: 3057890 Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, studio, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 23rd Day of January, 2008. Name OTY Rate Rating Circuit ~ Miscellaneous as built- 2000 Panels 30 Wiring and Devices O~. I 0 Fixture I 0 Outlet 4 0 Receptacle 3 0 ~~ 20 Paddle Fan I 0 An as built inspection, of the delineated electrical installation, determined that an obvious h~d is not presen~ and ~~ installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premIses wifing system. Fixture Incandescent General Purpose General Purpose General Purpose seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ 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) PERMIT NO. 33504 Z Date OCTOBER 31, 2007 permission is hereby granted to: SUZANNE MEGAN 316 WEST 22ND STREET NEW YORK,NY 10011 for : RELOCATION OF FOUR ACCESSORY SHEDS AS APPLIED FOR. FOUR C/O'S ARE REQUIRED. THIS PERMIT REPLACES BP # 30531 at premises located at 37415 MAIN RD ORIENT County Tax Map No. 473889 Section 020 pursuant to application dated OCTOBER Block 0001 Lot No. 003.007 31, 2007 and approved by the Building Inspector to expire on APRIL 31, 2009. Fee $ 300.00 ORIGINAL Rev. 5/8/02 33SO~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: (" [ ] ROUGH PLBG. [ ] INS ATION INAL ] FIRE SAFETY INSPEcnON ] FIRE RESISTANT PENETRATION 'S- DATE /:2- /~O /07 'I ( INSPECTOR ~S3 / ~ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ~ [ ] ROUGH PLBG. [ ] INSULATION ~L ] FIRE SAFETY INSPECTION - ~0" ~;:::> - DATE INSPECTOR ' ~rCfqrJf 3oi1~ 765.1802 BUILDING DEPT. SPEeTION UNDATION 1 ST ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ARKS: ,.........~tt: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL h A'~ /J~ ~/~... ., ~~~ ~ ,k-- ~ - - / -----...,,-- - DATE ~ / FJELD INSPECTION REPORT ~TE COMMENTS v /' 1/ , . / 1&1'// ;, ~2... -' '-.~. L." --'--;? ~ - -- . ~ Y..-"- - FOUNDATION(l~ ' / <2': '" _(8!.'~hP6.~/?- A _ An ,. ___________________________________ ..--. /. <:>_ _~.I. - {I\ "tffJ- - FOUNDATION (2ND) -4:P:" . ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL g.^~ ~ (I) 1~4 M A ., .~ rA.-r-y. -C.-z ,I 1/ I / ~Alf/i7r-T L /;A .,fA":/Y ~ ~) 17}~' ] A . "'L, ~ u ' ~~ ,../ / / /' ~ /" , .., / //7 / /~/Jj /#1"7 L.oo Ir~ p- I ' FP', ..fl A ':-4- A AA , . V ~, J/ j / \. '~ J( A7 'r' F-,fl~ A_" . ~ '/ , , / -' :V-' / 7# / ADDmONAL COMMENTS . . " .. , , , .' ~ ;j~.,":'" pl~ .~~ --;::.,. p ~9 c en v\ '" ~ z ~ 9 "\ ~ In ..., P ~ !i ' '" ..., ~ :::: ~ ~ .. '" -t' ..., " ~ :S r ^ r. ~ I:> ffi ;0 . ~~ ,~~ ~......... --"<S;- ~~ :::: l ~ :::: I;j '" ~ " , \\ -- ---:.",,---. \ ~--- _..-- \ \.......-"- , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , " " "",\ 210. " A'OO Y' 01103"'1' ------------ , , , , , , , , , , , , , , , , , , , , , , , , , , , , res, \' ~ '() Q- , '() -' -:> -' <;) () <;)-:>1- -:>(5) <;) -< () '?-'~ -: . ~() Y' _...., c-- ~-::, -t'1\S>'7J () _.(5) ...,~..., Q-~ () ,,~ " MoNUMENT FOUND PIPE FOUND ~ l'lED6E ,PHIC, SCALE ~ \"= 100' S1' GBUIFf TAAT THIS MAP HAS ~~ ~~ :TED .JAN. 21 ,q<Iq ~ TAAT ,Il.U.. ~.= f'IVI'OI"''''''..::'< I .-.c.1UALL" exIST ~ TtEI~ POSITIONS ~T\.." e6\OHA1- AND 6EoDeT1C, paA'\.S APE. T.' ').61.94' ~ ~ \0\,,01> \ Q ~ ~ ~ ~ H " . '3 ,,,,,' <:>.G.:,o ~" 3-'" (JOo - ~ .:.--- ~ \~O ~~0I'f' ,a __ ..~C \ ,.. - :.-; i .... ~ ~""'reFt ................. , ..- ."'-"'LOI6 PER Mlwre ". 0........~ ._!!!t-~-~'~ <1' ~ ___~J.________ ~ ., - 0 0 ~-::P ,~, 'I.'f'<....... " , '~ '\ ..:\~ . '\ ~" \ t:\o1D trl ~ ... ~ ~ . "fIE ~ HD/Oft THIS "'""" .=-......... ~ TIE ~ TitEW"...m (;016mIC ~~IT~t~~~1N GoIMN' OEPHUlJOlT Of tEAl- TH ~ '~1Pd e1unt.- .. ... __,",.U__~- ..I.)._......I..~.... "'-"., ...1,_1.,,.......191 ~ .UIl .....~.-' .f 1 a._ _I _n.. _I~' " ... .c.o-tlf1".U_I""IC_.d~'" I .......-V_...-...I...,O:O Ist1nll~.f_U..f"L IIyCM_.,."..,_..IostOICI-'- ~_.,.yor'1I."ldceM.lflcat t..u.........f..._u. _...1110_11 t" ,twUU. ,.J..,.,-cY.ndl...,U,IRStltutl.... t..u.._I.......Dft,.. _I,I...tl tI_...~tr~....).DMldI ~ 1I1TH1\.\., P.E. JOHN C. EHLERS LAND SURVE 6 EAST MAIN STREET RIVERHEAD. N.Y. 11901 369-8288 Fax 369 8287 N.Y.S. LIe. Nl REFERENC .~- ------_._----.-. ---~-~'---- .... .-. --------_.~._---'_. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ',,''': "~ II '1 :~ 1 ~ I .~~ ,^ -~ ~- - -----" I j I' I ! I i, "J'" 5 21m ;~ ~'~ i UILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planuing Board approval Survey Check Septic Form NY.S,D.E.C. Trustees Contact: BLDG, DEPT, ' " , 'IN FS U l , , J()S~P I~d PERMIT NO.de C{lf.!:f R:::- Examined Approved Disapproved alc 'Z.-- ,20_ ,20~ If ,20~ Mail to: PhO~~~1)4fs-:.t+" l Expiration APPLICATION FOR BUILDING PERMIT Date 7~ ,20l92- INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. 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 a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. 1'. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 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 addition six months. Thereafter, a new permit shall be required. 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 South old, 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 building for necessary inspections, ~~~(~ (Signature of applicant or name, if a corporation) ~~~rv1JAU) iet;)1 ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 6~.u- {PAJ~rz:l'2- Name of owner of premises 5rfl-~~ ~ (As on the tax roll or latest deed) lOn, signature of duly' authorized 0 cer/._ tiJrU-l. >4- L-K. . ~ V'\.Ar\) of corporate officer) Z- <=f I 2.Z-P) -- H f ../"" ~ Other Trade's License No. ~ 1. Location o~d on which pro~wo\!c will be done: ~ 741 ) MAil"; iCu House Number Street Builders License No. Plumbers License No. Electricians License No. 6~(EAJr Hamlet ....! County Tax Map No. 1000 Section Subdivision L../U Block 'I Filed Map No. Lot,~ 1 3. 7 Lot (Name) 2. State existing use and occupancy of premises and intended usdmd occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated cosJ$ 7. cn:JD . Addition Alteration Other Work e6~Tlt:I.J tYF ~ (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars paid on filing this application) er of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. Depth 7. Dimensions of existing structures, if any: Front Height Number of Stories Dimensions of samE!' structure with alterations or additions: Front Rear Depth Height Number of Stories Rear Depth 8. Dimensions of entire new construction: Front Height Number of Stories Rear 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Fonner Owner II. 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 /'Will excess fill be removed from premises? YES_NO ----. 14. Names of Owner of premises I~ ~tJ Address Phone No. Name of Architect Address Phone No NameofContractorP.kM41M ~ Address~/r,PPhoneN~?J{\~-14' ,- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _ * IF YES, SOUTH OLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATIJ OF :::p~ COUNTY OF MUl-AIVl ~ ~1"bL/ being duly sworn, deposes and says that (s)he is the applicant , (Name of individual signing contract) above named, (S)He is the (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi lU day of 20~ Af~:-- Notary Public LYNDA M BOHN NOTARY PUBLIC. State of New York t:Jo. 01806020932 Qualified in Suffolk Co Term Expires M"~h 8. ?~ ~ o ~ \ ~ ~ I I ~ . ," .<::) ... -!. \. -,, .. / -t') Ii I: ~ .f1 i 1 i Ito ! . 1 7.....0 ~ j( J;. \ !~ ~> "- , ..~:t ' .' . 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ALL CONSTRUCTlONIHALL,1I!IT THE REQUIREMENTI Of THI N"" STATE CONSTRUCTION alNERGY CODES. NOT RESPONIIILI FOil , . , . ) SITE PLAN studio a/b r SHED 'D' EXISTING .-- SHED 'A' EXISTING I L3 ' .> , . /': . .~ RELOCATED SHED 'D' 2, n4'-3~~ ~~1'-6~- I EXISTING TREE TYP. SHED 'C' EXISTING '. Co ~ ,RELOCATED N SHED 'C' REL~AT.. ED . SHE 'A" ,<<. RELOCATED , SHED. 'B~ f~~O'l-20' ...--EXISTING TREE TYP, r- ... L /--- ( . \ ri: " / -4 5 " PROPOSED 5-CAR PARKING .\, q OCCUPANCY OR -20' USE IS UNLAWFUL WITHOUT ~ERTlFICATE OF OCCUPANCY scale: 1"=50'-{)" A 0 1 date: 1/29/02, 5128/02 . 111 Fourth Ave. #2M. New York, NY 10003 101. 212 677 2887, fax 212 677 7898 24190, Main Road, OMonl, NY 11957 tol. & laX 631 323 1426 ':"":.1: ' j " .' ~~, -,.... . , i:f:> ....-. " , .. , . "',':' COLOR , -. . wJ.I/rE" l... ,. >=t>- , .".'t TRIM 1.1 . ~ JJ ~ I,. j. . ~ / . ~r" .,-,_ . . , I' ,1 -I:' II . . , " WJ.iI-r~ I " "- . . . 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'~r-...':.':i.\' . .1"'"'\ ,. ~~ . - DIST. SUB. LOT '2 -2. 11 - + -. ......, FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLAND HOUSE/LOT Td'tAL"- I ",e \ c --