HomeMy WebLinkAbout25048-ZFORM 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. 25048 Z Date JULY 20t 1998
Permission is hereby granted to:
for :
GILBERT R & WF HUGHES
215 COLONIAL RD.
SOUTHOLD~NY 11971
CONSTRUCTION OF AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR
YARD OF A SINGLE FAMILY DWELLING "AS BUILT."
at premises located at
County Tax Map No. 473889 Section 079
pursuant to application dated JUNE
Building Inspector.
215 COLONIAL RD
SOUTHOLD
Block 0006 Lot No. 025
11 98 and approved by the
Fee $ 35.00
~ Builai~g' InSpector/
COPY
R -;. 2/19/98
765-~.802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION2ND [ ]INSULATION
[ ]FRAMING
[ ]FIREPLACE & CHIMNEY
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CO#S~UCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ~ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE
INSPECTOR
~OUNDATION (lst)
:OUNDATION
(2nd)
~OUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
'GARY FLANNEI~ OLSEN
COUNSELLOR AT LA~'
RO. BOX 706 · MAIN ROAD
CUTCHO6UE, LONG ISLAND, NE~/ YORK 11935 · PHONE 516-734-7666
FAX 5~6-734-77T2
June 10, 1998
Re: Hughes to Becht
Our file # 6418
Dear Georgia:
Enclosed please find the following:
1. Application for Building Permit for existing shed.
2. Application for Certificate of Occupancy.
3. Survey.
4. Check in the sum of $25.00 for the Certificate of
Occupancy and check in the sum of $35.00 for the
Building Permit.
Access can be made by calling Mr. or Mrs. Becht at 765-4760
or 765-3450.
GFO:lmk
Enclosures
Very truly yours,
Southold Town Building Dept.
Main Road Town Hall
Southold, NY 11971
Attn: Georgia
FORM NO. 6
TOWN OF SOUTHOLD
· Building Department
Town Hall
Southold, N.Y. 11971
765- lg02
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted -- ~ to the Building Inspec-
tor with the following; for new buildings or new usa:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features. '
2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa-
tions, a certificate of Code compliance from the Architect or Eng near responsible for the building.
5.Submit P,lann ng Board approval of completed site plan requirements where applicable. '
B..For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p:operty showing all proper~ lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner' as to use, occupancy and condition of buildings.
3. Date of anv housing code or' safety inspection of buildings or premiss, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25:00 -- BUSIt,I£SS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certiflcate of occupancy $'5;'00, over 5 'years $10.00
4.Vacant Land C.O. $'20.00
5.Updatecl. c,g. $"50.00 Date June 10, 1998
NewCons t~uc tion ...... Old or Pre-existing Building · Vacant Land
Location of Property 215 Colonial .goad; $outhold, NY
House No. Joan Becht Street Ham/et
Owner or Owners of Property
79 6 25
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor. Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ 25.09
Construction on above described building and permit meets all applicable codes and regulations.
flay. 10.10.78
Applicant
X dE'a'd 'Eh; ............
P.O. BOX ~06
CUTCHOGUE. NY 11935
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 SOUTHOLD
August 8th, 2006
Joan E. Becht
215 Colonial Road
Southold, N.Y. 11971
RE: 215 Colon/al Rd.
SCTM# 079 0006 025
Dear Ms. Becht,
Please be advised that your Building Permit #25048 issued July 20th, 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.
TEL.: 765-1802
D~app~ovcd a/c .....................................
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT SEPTIC FORM .............
TOWN HALL NOTIFY
SOU/HOLD, N.Y. 11971
CALL ................
BOARD OF IlEALTII ......
3 SETS OF PLANS .......
SURVEY ..........
CHECK ..........
MAIL TO:
/~ (Building Inspect60 .-, , '
LICA1 I N FOR BUILDING PERMIT ....
Date ...... JU~e. 6,~99~ 19.'. ·
INSTRUCTIONS
~npletely fiBed in by typewriter or in ink and submitted to the Building Inspecto[, with 3
sets of plans, accurate plot plan to ;cale. Fee according to schedule. '
· location of lot and of buildings on premises, relationship to adjoining premises or public stree.t.s
b. Plot .pi.an. show~,g_:,_~ ~ .... :~,,;,,. ,,t la,,out of nrooerty must be drawn on the diagram, which ~ part of this appli
or areas, and glvmg a uetan~u u~av.,i~u,~,, ,*- ~ r f . , ,,: · ,
c. Tile work covered by this application may not be commenced before issuance of Building Permit. '
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applican . 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 Building Inspector·
APPLICATION IS HEREBY MADE to the Building Departme.nt f,o,r th,e, iss. ua~e. o.f,a B~l~d~cnagblP:~iwt~rSr~nntantc°~tho~
· ' tile Town of Southold, Suffolk County, mew xorlc,/and otner/app , . .
Building Zone Ordinance of ............ , .... H,,,~ nr for r[raoval or/demolition, as herem described.
Re ulations, for the construction o! ouuomgs., anmnons or .a.~r~ ....... ' .'7 .'- ~,~',/~ hat'tim coae and regulations, and to
ThEe applicant agrees to comply with all applicable laws, ordinances, buildmgj~o~c,_L~'/u's
admit authorized inspectors on premises and in building for necessary i~~...
Gary Flanner Olsen,ottorney for Joan Becht
(M ailing address of applicant;
State whether applicant is. owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
attorne}/ f~r owner
Joan Becht , , . .....................
f fP .................... td d)
Name o owner o remises ................... .(~ 6h ti l~t
xctaxrollor es ee
If applicant is a corporation, signature of duly authonzoitl~ff~er, ;~ : . . .? ~
(Name and title of corporate officer) ·
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No2 .....
Other Trade's License No ......................
1. Location of land on which proposed work will be done~ ...... 21.5 .C.o. lo~'i.a'l' ~o'ad',' St)u%hbl U',' N'. ¥'.' ''
....... ' ' ' ..... , Street . Hamlet
llouse Number ., '
County Tax Map No. 1000 Section . .79 - · Block .6. ...... Lot...... E$ .......
Filed lvlap No ........... Lot ...............
Subdivision .....................................
(Nanle)
2. State existing use and occupancy of premises and intended usc and occupancy of proposed construction
shesd "AS BUILT" ............................
a. Existing use and occupancy .....................................
.. shed "AS BUILT"
b. Intended use and occupancy
' Buildin~h.e.d. Addition Alteration ' ::,..
' ' ~check which applicable): New ..........
........... Other Work
........ ' "' Demolition .............. ' ..............
.............. Removal .............. (Description)
4 Estimated Cost · (to be paid on filing this application)
' N0mber of dwelling units on each floor ................
'r of dwelling units
If dwelling numbe ............... · ...........
number of cars ................................. of use
If garage specify nature and extent of each type ' ' '
6 If business commercial or mixed occupancy, Rear Depth., ..............
· ' if any: Front ............. ' '
Dimensions of existing structures ...............
· Stories ..................................................
Number of ' ' ' Rear
Height ............... or additions: Front ..................
of same structure with alterations .................
Dimensions' Number of Stories ...............
Depth ...................... Height ...................... Depth
Rear ' '
Front .............................. ' ' '~ .........
construction: '
8 Dimensions of entire new .....
Number of Stories ................................. ~a ................
Height ............ Dept, h .~ ......... ............
Size of lot: Front ...................... Rear ......................
·.. Name of Former Owner .... ~ ...... ' · '!t .... ~n'~}'
10 Date of Purchase ................... '. ' ' '. ': .. ;..; ........... -~-'-, '..'.-~i ....
12.. D..o. es proposed construction violate any ....a.. ~ .... Will excess fill be remove~i~m__l[~,ises' Ye.s~ we
13. Wdl lot be regraded ................. aaaress ....... ]... ii, hone No .......... 1. ....
14. Name of Owner of premises .................. 'i;~;;ss" ' . ~.. ',l~0~le No .......... [. ....
Name of Architect ...... aad-ess ' . ~ .L:w.~.~hone No .......... }.. ....
Name of Contractor ............... 2:2' i' '. ~ o ~a.1 wetland? · *Yes ..... No .....
15. Is this property located within 3uo tee~ o ....... .
· If .yes, Southold Town Trustees Permit mavb~ ~r~ed. ' ~ ' '"'"'
PLOT D A
Locate clearly and distinctly all buildings, whether ixiiting or proposedl and. indleate 'all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot. . ., ",',:. ·
see survey annexed'showing shed
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPNIC¥
A RO/I)TD AS ,NOTED
FEE:
NOTIFY BUILDING DE--AT
7654802 9'AM TO 4'PM FOR ,*THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REOUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING &' PLUMBING
3. :NSULATION
4. Ft~4AL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL~'MEET
THE REQUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE,
DESIGN OR CONSTRUCTION
STATE OF NEW YORK, Su~'[~l k '
coUNTY OF ................. deposes and says that he is the applica~
fl^ry. FLanner .0.1,s.er~ .............. being duly sworn,
(Name of individual signing contract)
above named·
lie is the ........................... tl;0r,ey ........ ~ ....
(Contractor, agent, corporate crater,
owner or owners, and is duly authorized to perform or have performed the said work and to make and file ti
of said or, knowledge and belief; and that t
application; that all statements contained in this application are true to the best
work will be performed in the manner set forth in the application filed therewity
Sworn to before me this "
· ._~ 8. t..Q, . .. dayof ........ June .......... 19.~9.8 /. /
N ° t a rY P u b icl~"~<' '///':" ~'/'°r4'"~c'~,~'~g' ''''2'''~ ..... County ~5'/' ' ' '
LoaR)dNS KLOP~a (Signature of applic~
NMMy Publ~ State ot New YMIt
No, 4828373
Oas#fled in SuffoIk {~_ _ ./
.. 7~?_ ~_ ~. TOWN OF SOUTHOLD PROPERTY RE4 :ORD CARD
~/NER STREET '~.l ~ VILLAGE DIST. SUB. LOT
5
-F.~.;~ ' _ W ~PE OF BUILDING
;. ~ S~S. ~ .<, FA~ COMM. CB. MISC. Mkt. Value
~N D IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION
~ NOeL BELOW ABOVE
A~ Acre Value Per Value
~cre
~lable 1
lable 2
lable 3
~land
ampl~d FRONTAGE ON WATER
sshland FRONTAGE ON ROAD / ~ O ~
use PI~ DE~H / ~ ~ ~
~ -- ~ ~ BULKH~D
~al DOCK
COLOR
TRIM
M. Bldg. ~yy ~ ~ = ~ ~.~ undotion ~'~/1,¢~'£7' '~:" Both / Dine.e
~ension ~/ ~ ~ ~//~e ~.~ ~ ~sement j~ ~ Fl~rs ~ ~/~ - K.
E~ensi°n
Heat ~ ~. DR.
Extension Fire Place
Type Roof ~ i'~ R~ms Ist Floor BR.
Porch ~ecreation Roam Rooms 2nd Flor FIN. B.
Porch Dormer
Breezeway Driveway
Garage /~X
Patio
Huc
~ o.r S 60 02 40, E Chain D'nk Fe/
.... ~ X X
· o~' Stockade Fence
Beyer
~es
125'
I
Cara~ ~l xsp~ mve.,oy
2Z2' t m
125'
N/F
Guorr/ello/ Tyler
ED'S ROAD c.i~.
TM//: 1000-079-06-25
AREA =
~.,~ ,~ ,,,~ ,~,.n ,o~ ~,,om ,~. ,.,-~ DESCRIBED PROPER~
is pfS. Ff:red, and on his behalf to
SITUATE NEAR BAYVIEW
SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SURVEYED FO/?: JOAN BECHT
Unauthorized alteration or addition to Ibis
*urwy h a viol,:4ion of S~'ctlon 7209 of
the Ne','.' York 51at~ Education Law.
Cep~es oF Ihls su~ey map not Eearlng
Ibc L~n6 Su~eyors embossed s~al shalt
GUARANTEED TO:
Joan Becht
North ,Fork Bank
Fidefity Notional Title Ins. Co.
Town of $outhold
SURVEYED: 17 March, 1998
SCALE: I "--20'
16'246.047 SF OR 0.,]75 ACRES
SURVEYED BY:
STANLEY J. ISAKSEN, Jr.
P.O. BOX 294
New,~Suffolk, N.K 1.1956 /~
51 - 58
NYS ~. No. 492~
98R69~