HomeMy WebLinkAbout34747-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPD~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33808
I~te: 06/30/09
TNIS CERTIFIES t~at the building ENTRY ADDITION
Location of Property: 1830 BOISSEAU AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax [4ap No. 473889 Section 55 Block 6 Lot 18
Subdivision Filed ~4ap No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 5, 2009 pursuant to which
Building Petit No. 34747-Z dat~ JI3NE 5, 2009
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 ENTRY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JEROME M BARKAN & ROBERT MAUER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPART~NT OF NEALT~ APPROVA~
ELECTRICAL CERTIFICATE NO.
PLIERS CERTIFICATION DA'£~
N/A
N/A
N/A
Rev. 1/81
TOWN OF SOUTHOLD
· BLrflLDI~G~ DEPARTMENT
J~ 2 6 TOWN HALL
765-1802
8LOG, DE?I'.
1'OWN OF $OtlT~tOLO APl LICATION FOR CERTILFICATE OF OCCUPANCY
. -This. zpplication must be filled in by typewriter or ink and ~ubinitted to the BuildinE l~ent with the follOwing:
~ For new building or 'uew use:
1.. Final ~ of p~ with ao0umte lo,a/ion of all building~ pmporty lines~.s~m:~z, and unusuat natural or
2. Yind Approval from Health Dept. ofw~er.supplyand sewerage-~ (S-9 form).
3. Approval of lomic l-i tallati0 tb mBoardofl i Uaaer it .. ,
4. Sw°m S~. ~t from plumber ~ ihat the sotder u~ed in system oovt~{,~ less than 2/10 of i~ lead.
5. Commewiai building; indus,_al build~.mulliple rezidenoes and sim}lar buiMin..°~ ~d -~m,.a ~~
of C.0d~ ComplianCe fr0~ amhit~t. Or en~.eer rezpmm'bld for the building.
6. Submit Phnning BoardAppmval of completed ~ite plan requi~ments~
B.. For exisfing'building~ (prio~: to April 9, 1957) uon-eOnformt~g.m~, oF buildings ~md ~'pre'exi~ting".!aud. mes:
1. A~,zurat¢ survey ofpwperty .shOwing all propertylines, stree~,.bui!ding and.unusual, natural or toP°graphic
features.
2. A.pnSP~ly completed appiicatiofi, md ~r~s~nt to inspect signed by the applicant. If a Cert/ficate oi~OcCUPancy.is
denied, the Building Inspector shall'state the reasons therefor in writing, to the applicant.
C. Feds
L Certi~cate:~f~ccupan~N¢w~iwe~$2$`~Ad~ti~nst~dwe~ng$2$~A~erati~nst~dw~mg$2$~
~Swimmin_q. poo! $25.00, A~sory buildln~. $~.00, ,additions to acc~sory building $25.00, Businesses $$0.00.
Certificate of Occupancy.°n Pre-existingBuild/ng- $100.00
3. Copy.ofCet6fiCateofOccupancy - $.25
41 Updated Certificate of Occupancy- $50 00
Temporary Ce~ificate of Occupancy - Residential $15.00, commercial $15.00
lqcw Construction: Old or Pre-exj~g B~ld~ng: ~/ (check one)
House No.. Street Hamlet
-. Suffolk CounW Tax Map No 1.000, Section
Subd/vision
Health Dept. Approval:
· Planning Board Approval:
Request for: Temporary Certificate ,,
Fee Submitted: $ ~"i a {~
Filod Map. 'Lot:
Underwriters Approval:
Finai Certificate: ~ (check one)
~/~-' Appii~t S.iknatu~c--
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. 34747 Z Date JUNE 5, 2009
Permission is hereby granted to:
JEROME M BARKA_N
34-31 81ST STREET
JACKSON HEIGHTS,NY 11372
for :
CONSTRUCTION OF AN ENTRY/PORTICO ADDITION AS APPLIED FOR. THIS
PERMIT REPLACES 30344.
at premises located at 1830
County Tax Map No. 473889 Section 055
pursuant to application dated JUNE
BOISSEAU AVE SOUTHOLD
Block 0006 Lot No. 018
5, 2009 and approved by the
Building Inspector to e~cpire on DECEMBER 5, 2010.
Fee $ 150.00 ~ ~
"~e~ Sign
ORIGINAL
Rev. 5/8/02
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. ~344 Z Date JUNE 17, 2004
Permission is hereby granted to:
JEROME M BARKAN
34-31 81ST STREET
JACKSON HEIGHTS,NY 11372
for :
CONSTRUCTION OF ~N ENTRY/PORTICO ADDITION AS APPLIED FOR
at premises located at 1830 BOISSEAU AVE SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0006
pursuant to application dated ~ 1__, 2004a~~ the
Building Inspector to expire on DECEMBER ~7~4. ~ /
Fee S 150 00 ~--~//1~~
/ A~r~h~riz~ Signature
Lot No. 018
Rev. 5/8/02
ORIGINAL
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~UL-'A'TION
[ ] FRAMING / STRAPPING [/,,-]"FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~/~-~./# "~/-~'< .~-~-~ ~~
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
DATE
INSPECTOR
WARREN A. SAMBACH, SR.
CONSULTING ENGINEERS · pLANNERS
7675 COX LANE · P.O. BOX 1033
CUTCHOGUE, NY 11935
(516) 734-7492
Building Depart
Town of Southold
Southold NY
To Whom it May Concern
Footing inspection of 1830 Boiseau, Road, SOUthold, NY
Permit Number 303~4 conforms to NYS Building Code.
Sincerly,
Warren A, Sambach Sr.
FOUNDATION (1ST)
I*Otr:~OATION (21~I))
PL~G
~S~A~ON P~ N. Y.
STATE ENERGY CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
BUIk, DING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health ~
4 sets of Building Plans ,-~
TEL: (631) 765-1802 ~'~~ ~/'~ ~//7 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. Check
{ - Septic Form
~ N.Y.S.D.E.C. -~--
t\ [, "'/ ,~ Trustees__
Examined la \ k. ,20 -~ Contact:
\
Approved i~ ,20 Mail to: l,'~:~-
Expiration ~ ~1 .\ ~ ~ ,20 ~ / [ ~ I t '
,~'._~:: ..X ~ '-~T Building Inspector
] , g~ t ~ ~ : ~ APPLICATION FOR BUILDING PE~IT
~; ~-~:~'. ~ ~'3t r~, ~ ~' INSTRUCTIONS /
a. ~is application MUST be completely filled in by t~ewriter or in i~ ~d sub~tted to the Build~g ~spector with 3
sets of plans, acc~ate plot pl~ to scale. Fee according to schedule.
b. Plot pl~ showing location of lot and of builEngs on pre~ses, relations~p to adjoining pre~ses or public streets or
~eas, ~d wate~ays.
c. The work covered by this application may not be co~enced before issuance of Building Pemt.
d. Upon approval of t~s application, the Building ~spector will issue a Building Pemt to the applicant. Such a pe~it
shall be kept on the pre~ses available for inspection t~ou~out the work.
e. No bulling shall be occupied or used in whole or E p~ for any p~ose what so ever until the B~lding Inspector
issues a Ce~ificate of Occup~cy.
L Eve~ building pe~t shall expire if the work authorized has not co~enced wit~n 12 months after ~e date of
issu~ce or has not been completed within 18 months ~om such date. If no zo~ng mendments or other relations affectEg the
prope~y have been enacted in the interim, the B~lding ~spector my authorize, ~ writing, the extension of the pemt for
addition six months. Thereafter, a new pe~t shall be required.
~PLICATION IS HE,BY M~E to the Building Dep~ment for the issuance of a Building Pe~t p~suant to the
Buil~g Zone Ordin~ce of the Town of Southold, Suffolk Co~ty, New York, and other applicable Laws, Ordi~ces or
Re~lations, for the construction of buil~gs, additions, or alterations or for removal or demolition as herein described. The
applic~t a~ees to comply with all applicable laws, ordin~ces, building code, housing code, ~d re~lations, ~d to a~t
authorized Espectors on pre~ses and in b~lding for necess~ inspections. ~ ~ ~ - ~ ~ ~
-~ ~Sigm~e ofapplic~t or name, ifa co~oration)
(Mail~g ad&ess of applic~t)
State whether applic~tis owner, less~~hitect'~~ ~n~l ~C~,
encneer, general contractor, elec~cia, plmber or builder
Nme of owner of premises OE~O vvt ~ D~,~ ~ ~ ~ ~ ~ ~
(As on'the tax roll or latest deed)
~plicant is a c~ti~ si~amre of~ly authorized o¢cer
~) ~me ~d title of co.orate officer)
Builders License No.
Plumbers License No.
Electdci~s License No.
Other Trade's License No.
Location of land on which pyo. cosed work will be done:
House Number Street
County Tax Map No. 1000
Subdivision
(Name)
Hamlet
Section ~" Block ...~. ~.. ,'. '~,Lot ! ~:,'.
Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~57 /2xotoq-I F} C.
b. Intended use and occupancy ~g, i>e~oS-I ~t
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ ~" ~
Fee
5. If dwelling, number of dwelling units
If garage, number of cars 0
Alteration
(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. oimensions o~ existing structures, i~ any: Front
Height / 2_ Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth /-7' ~.. Height
8. Dimensions of entire new construction: Front c~. Rear
Height J~ Number of Stories /
!
9. Size oflot: Front c~a, b7 Rear ~ %"~"~5 /
_Depth
.Depth
Number of Stories
q ' _Depth ~'-
/4o
10. Date of Purchase /9 ~d
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 aK
13. Will lot be re-graded? YES__ NO ~' Will excess fill be removed from premises? YES __ NO
14. Names ofOwnerofpremises ~/~l'~en~/,v//R/~P, Address PhoneNo. 7~' 2q
NameofArchitect t,t,,,qt'/?~'~ ~/~C/4 Address ~?~33 (-~rdUPhoneNo 73q
NameofContractor/4~,4-O~.~k-' ,-~,~,~ress ,~,~rr ~ru ~ PhoneNo.
J
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__NO * IF YES, SOUTHOLD 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.
STATE OF NEW YORK)
COUNTY OF f~:
/~---~/i¢,/ ~4'~'ff_~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the f---Z~7/2ff/~..-~
(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 ttyr'application filed therewith.
Sworn to before me~,f/_/~--J ~
Signature of Applicant
CHICAGO TITLE IN~.URANCE COMPANY
(516). ~'27-4455
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LICEN~,ED L&ND .SUI~VEYO~2S
G[4E E hi PO P_.T~ N,Y,
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631 ) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
August 2nd, 2006
Jerome M. Barkan
34-31 81st Street
Jackson Heights, N.Y. 11372
RE: 1830 Boisseau Avenue
SCTM#061 0004 040
Dear Mr. Distasi,
Please be advised that your Building Permit #30344 issued May 20th, 2004 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 $150.00 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.
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
BUILDING DEPARTMENT
TOWN O1* SOUTI-IOLD
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
January 29th, 2007
Jerome Barkan
Robert Mauer
34-31 81st Street
Jackson Heights, N.Y. 11372
RE: 1830 Boisseau Ave. (entry/portico)
SCTM# 55 6 18
NOTICE
Dear Mr. Barkan,
Please be advised that your Building Permit #30344 issued June 17th,2004 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 $150.00 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.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (63 l) 765-1802
BUILDING DEPARTMENT
TOWN O1* SOUTItOLD
October 2nd, 2007
Jerome M. Barkan
34-31 81st Street
Jackson Heights, N.Y. 11372
RE: 1830 Boisseau Ave. (addition/portico)
SCTM # 55 6 18
Dear Mr. Barkan,
Please be advised that your Building Permit #30344 issued June 17th, 2004 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 150.00; 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.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (63 l) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 30th, 2008
Jerome Barkan
CIO Flatbush Federal SNL ASSN
2146 Nostrand Avenue
Brooklyn, N.Y. 11210
Dear Mr. Barkan,
We have made several attempts' to contact you at your home address with no response.
Enclosed are copies of prior letters mailed regarding your expired Building Permit #
30344. Please clear this matter up as soon as possible.
If you have any questions, please call us at 631-766-1802
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
TOWN
OF $OUTHOLD PROPERTY
RECORD CARD
AGE
NEW
Farm
Tilloble 1
Tillable
Tillable 3
Woodland
Swampland
B rushland~.~
..l~ouse Pier
Zotol
IMP.
STREET /-/ L_.~>C
FARM
TOTAL
DATE
BUILDING CONDITION
NORMAL BELOW
Acre Value Per Acre
VI LLAGE
DISTRICT SUB.
ACREAGE
TYPE OF BUILDING
LOT
co~. I,~D. c~. I~'~C~.~*~l,~/~rI'~,~
REMARKS J/ ~"-- ~
M. Bldg. , ~ ~ ~ ~.~- / /
t: ,. :: ;. '~ ~/ ndation C ~,~ Bath
Extension Base:~,~ent Floors
~tension ~/ ~ :~ , J~ ~ , ~ ~t. Walls ~./ j-'/~; Interior Finish
~tension Fire Place .~ ,' He~
Porch Attic
Porch R~ms 1st Flor
B~.z~ /, ~ ; ~ .~io .~m~ 2n~ ~oo~
Garage . ~j ~ /,j ~ , ~ ~ Driveway
O.B. ~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 2nd, 2009
Jerome Barkan
Robert Mauer
1830 Boisseau Avenue
$outhold, N.Y. 11971
Re: 1830 Boisseau Avenue
$CTM# 1000-§§.-6-18
Violation
To Whom This May Concern:
Your BUILI~IN~ PERM]:T (#30344,) for construction of a PORTICO has been
referred to me because you have not responded to requests to obtain your
certificate of occupancy as required by $outhold Town code.
Pursuant to 144-15A, of the 5outhold Town Code, "No building hereafter
erected shall be used or occupied in whole or in part until a certificate of
occupancy shall have been issued by the Building Tnspector.'
Therefore, you have ten days from the receipt of this letter to submit a
check made out to the Town of $outhold in the amount of $150.00: to renew
the building permit, or legal action will be taken against you. Should you have
any questions, call the building department between the hours of 8:00 a.m.
7008 1830 0004
f
CHICAGO TITLE INSURANCE COMPANy
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TOW'N OF $OUD tOLD, NY,
C4JAD. ANTEED TO TI-IF_ CNIC^C.,~.) TITLE IINSUDANCE
At,ID DD TI-IF. c ......
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LI(E,NDED LAND StJ~VEYOQS
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FLOO )ZO _c
OT~D
APpRqV~DASN ~ ,; COMPLY WITH CHAP~ER "46"
2. ROUGH - FRAMING & PLUMBING
ALL CONSTRUCTION SHALL MEET THE
flEQUI~EMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR ;
DESIGN OR CONSTRUOTION ERRORS.
OCCUPANCY OR ~LOT
USE IS UNLAWFUL ....... "
WITHOUT CERTIFICATE
~F~CCUPANCY ~ "" '~'-
CODES OF NEW YORK ST~ E,