HomeMy WebLinkAbout34977-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP/LRTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34032 ~ate: 10/27/09
THIS u~KTIFIES that the building ALTERATIONS
Location of Property: 11645 SOUND AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 141 Block 3 Lot 12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 2, 2009 pursuant to which
Building Permit No. 34977-Z dated SEPTEMBER 2, 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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WILLIAM LYNCH SR
(OWNER)
of the aforesaid building.
S~FOLKC~)I~qTYDEPAR~NT OF
EL~C=i-KICAL u~KTIFICA~ NO.
PLIERS U~a(TIFICATION DA'rK~ 09/25/09
N/A
N/A
BURTS RELIABLE INC
Authorized Signature
Rev. 1/81
P. 002/002
P~ 02/~2
- 1. ~i~ of Oc~y. N~ dw~i~ 125.00, la;~ to tw~ng ~5.0~, ~t~oa ~ dwe~ng
~mm~ pooI 125,00, A~ ~fld~g $~.~, ~dti~; to a~o~ ~fld~g $~.00, Bus~ $50.00.
4. Up~t~ ~l~a~ of~pa~y-
Dire,
Fiual Certificate:
(chcck one)
50095 Maul ~t,3'~2
O. BO): 1179
New YoiX 11971
OFFICE OF 'THE BUILDlNG INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit NO. "~ q ~ ~
Owner: L.i.l~(..,~ ~,o.-J.[~
i (please print)
Plumber: ~_ U/-"I~ .~. ~il~ ~'-, /',~'~'.
(please print)
I certify that the solder used in the water supply system contains
than 2/10 of 1% lead.
Sworn to before me this
ture)
,.¢5 H4~aY of~ 20 ¢ ¢
Notary Public, .~¢;~1 K. County
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. 34977 Z
Date SEPTEMBER 2, 2009
Permission is hereby granted to:
WILLIAM SR LYNCH
41 HAMILTON TERRACE
NEW YORK,NY 10031
for :
CONSTRUCTION OF ALTERATIONS FOR A/q EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.REPLACES EXPIRED BP # 25532
at premises located at 11645 SOUND AVE
County Tax Map No. 473889 Section 141 Block
pursuant to application dated SEPTEMBER 2, 2009
Building Inspector to expire on M3LRCH 2,
MATTITUCK
0003 Lot No. 012
and approved by the
2011.
Fee $ 75.00
Authorized Signature
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. 25532 Z Date FEBRUARY 11~ 1999
Permission is hereby granted to:
WILLIAM LYNCH~ SR.
11645 SOUND AVENUE
MATTITUCK~NY 11952
for :
CONSTRUCTION OF RENOVATIONS FOR AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 141
pursuant to application dated JANUARY
Building Inspector.
11645 SOUND AVE
Block
26 1999
MATTITUCK
0003 Lot No. 012
and approved by the
Fee $ 75.00
Aut hori~z ed Signature
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[~)~FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION [
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-t 802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING /~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SA,-,:, ~' INSPECTION
[ ]RRERESiSTANTCONSTRUC110N [ ]RRERESlSTANTI~F. NETRATION
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ]~JGH PLBG.
[ ~,~ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FOUNDATIONlST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~ILATION~
[ ] FRAMING [ //]' FINAL
[ ] FIREPLACE & CHIMNEY
- _
765-~.802
BUILDING DEPT.
I NSPECT!/ON
[ ] FOUNDATION 1ST [ ~'] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE /~/~_~~_INSPECTOR
765-X802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ RO~~UGH PLBG.
]//~INDATION 2ND [ ]INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ,~ ,~/'"'
DATE ~//~ INSPECTOR ~
/
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[[ ]~'~]. FRAMNiDNA~ION 2ND[[]] IF~NSAU~ATION
[ ] FIREPLACE &_CHIMNEY
REMARKS'. ~
DATE
II'SIVA?ION P]gll N. ¥. [I
CODI~ ~
fl
II
ii
fl ii
I1
il
PORN NO. I
TOI~N OF SOUTBOLD
BUILDING DEPARTMENT
TOI~I~ HALL
SOUTBOLD, N.Y. 1197 I
TEL: 765- 1802
I~STRUCTIO~S
SURVEY .~' ......................
CHECK~ ........................
SEPTIC FORH
-NOTIFY
c,LL :.7./.0 D. ......
I~IL TO: ....................
Date ................ ,19 ....
a. 'Ibis application mast be completely filled in by type~iter or in ink and sul~itted to the Building Inspector
3 sets of plans, a~onrate plot plan to scale. Pee according to schedule.
b. Plot plan sl~aing location of lot and of buildings m praises, relationship to adjoining pr~mises or public
streets or areas, and giving a detailed &scription of last of property mast be draon on the dingr~m ~4nich is part of
this application.
c. lhe ~ork covered by this application my not be c~mmnced before issuance of Building Permit.
d. Ulxm apprmral of this application, the Building Inspector ~ill issue a Building Permit to the ~pplieant. Such
pemit ~hall be kept on the premises available for inspection throt~bont the ,aork.
e. t~o building shall be occupied or used io ~/nole or in part for any pm-pose ~aatever tmtil a Certificate of
Occupancy shalI ha~ been granted by the Building Inspector.
AI~LIC/~I(I~ IS l~a~flv/~ to the Building Bepartu~nt for the ism of a Building Permit lmrsuant to the
Building Z~me Ordinance of the To~n of Southold, Suffolk County, Ne~ Yo~k, and other applicable Lmm, Ordimmces or
· lk, gulatio~s, for the eonstrtmtion of buildings, additions or alterations: or for rem~l or tl~olltion, as herein
described. The applicator agrees to ~cmply ~ith all applicable l~as, ordi...n~j~, b~ng code, housing code, and
regulations, and to udm{t authorized inspectors
on premises and in Imi/MingfuSr/~ce~ary inspections.
- / -/, ~ ~ /~'A/~/~/~,~/ ~
!-~-----~--~-4---~ ~-~'-~ ~--7'-'-/-- z.. ~.
(l~ailing ~aaress of appliemt)
State ~netber a~pliemt is miner, lessee, agent, arctaiteet, engineer, ~ensral contractor, electrician, plmt~er or builder
of of eX. ,.. .....................
(as on the tax roll gr latest deed)
If applicmt is a eorparatim, signature of &ly authorized officer.
and title of corporate officer)
I. Location of laad m ~hich proposed ~ork ~ill be done... ('
................................... .......................................................
Hmme ~her Street li~nlet
Camt~ Tax ~ NO. I0~0 Section ../.d./. ......... Zloek .~. ............. Lot /
Subdivision .................................... Piled ~ No ............. tot
2. Sta~e existing use and oe- .~j of I~mises and intended use aad occupancy of proposed mtnmtion:
a. Existing use and ~ccupaney ...~------f~t~/~...: ............................................................
,b ~r,~_~ .... ' ' ~ ..................................................... ' ........
3. Iiature of york (check ~dch applicable): N~ ~ildi~ .......... i~diti~ .......... Alteration ..........
~epair . ..~.. ...... R~x~ral ............. IIemolitico ............ Other l~ork ..................................
4. Estimted Cnst .'~ fee .................
(to be paid on filing this application)
5. If d~elling, ntm~r of d~elling units ...f. ....... limber of ~lling m~its on each floor ................
I[ garage, ~ber of cars ......................................
6. If business, ¢-:--,eccial or mi~l occupancy, spacify nature and extent of each type of use ......................
7. Dimensions of existing structures, if any: Pront.~.Q .......... Rear .~..h~) ......... Depth
/ .
l~ight..~.~ ................... Ntm~r of Stories ...
1)menelo~, is[ sam structure ¥ith alteratio0s or additions: 1~root .... ~¥/-~-./.. Rear ...~..~../~....:.
Repth ,~/.flY ............. Re~ght ..... ~-,~/...~. ........ lir~ber of Stories ,..~./..~_...-....
8..i,~i~ of ~ti~ ~-, ~.~t~tion: Mt .~.;..~. ....... Re,r ....~:/~.. ~pth .~../..~...:..
Rei~ht .................. t~t~er of Stories
9. Size of lot: Front ..... Rear ............... Repth .....
I0. Bate of Pordmne ............... Nm~ of Former O~ner ................ , .......................
Il. Zone orune district in ~i~'pi:.izes -- situated
~2. Baes p~,~ o~stmctioo violate a~ z~ng I~, ord~ or re~ulatine .........................
I&. ~ ...... . ............. } ........................................
~ of Architect .................. ~. ................. /~drens ....................... ! ...... Phone No ...............
~. of ~trect~ ~.~.:...~././/./...~.. .............. ~,re,s ~a.~...~.~ a~..: ~!i:,~ No ...............
15. I, this p~l~rty within 300 feet of, tidal ~n~tlaed? *
PLOT DIAGRAH
Locate clearly and distinctly all buildings, ~aetber existing or t,,ovosed, and indicate all set-bsck dimensions
~n~erty lines. Give s~reet and block n,d~er or description accotnting to deed, and sho~ street n~es and indicate
dnether interior or corner lot.
, .
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i
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k. 313.34
pBOVtDE SBOI(£-OTTECTING
AS TO pAR1. 721.t
II.y.S BIJIU)ING COOT.
PROVIDE OPEmlNG$ FOR ~ ~
EMERGENCY E§CAPE AS // ' "~ ,
UNDERWRITERS CERTIFICATE
REQU]RED
i
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIBCATE,
OF OCCUPANCY
APPROVED AS NOTED
FEE: ?~ ~~
NOTIFY BUILDING DEPARTMENT AT "
765-1802 9 AM TO 4 ~ FOR 1HE '
FO~ & tM/lNG INSPECTIONS:
1, FOUNDATION . 1WO REQUIRED
FOIl IIOURED CONCREIE
2. IIOIJ~H - FIIAMIP~i & IIUJMmNO
3. INSULA110N
4, FINAL - CONSTRUCTION MUST
BE COMPLETR FOR C.O.
AU. CONSTRUI~ION 8HALL MEET
THE REQUIREFAENT8 OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS