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HomeMy WebLinkAbout30267-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. 30267 Z Date APRIL 28, 2004 Permission is hereby granted to: APPLIANCE COMP VANDUZER PO BOX 1497 SOUTHOLD,N-Y 11971 for : ADDITIONS AND ALTERATIONS TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR PER ZBA & PLANNING. at premises located at 46155 CR 48 SOUTHOLD County Tax Map No. 473889 Section 055 Block 0002 Lot No. 024. 004 pursuant to application dated JANUARY 7, 2004~ro~d by the / Building Inspe o expire on OCTOBER/~8,, 2005~. ~ Fee $ ..... / . '~//Y ~ X,~¢ ze~ Signature ORIGINAL Rev. 5/8/02 ~I) ENSPECTIOI~ REPORT ~ C0-M1VIENTS FOUNDATION (1ST) FOUNDATION (2ND) ~ou6~ ~lt~l~G PL~G ~S~A~ON PER N. Y. STA~ ENERGY COD~ ~CJ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN I-/ALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined Approved Disapproved a/c Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the followiag, before applying? Board of Health 3 sets of Building Plans Planning Board approval PER1M[ITNO. ~0~6 9 ~ Survey_ Check Septic Form N.Y.S.D.E.C. '~./~ ~'~ ,204- Contact?~stees ~- ,20T Mail to: , 205_~ Bmldi~g InspXezt,, APPLICATION FOR BUILDING PERMIT - Date ,20 I L-- :, INSTRUCTIONS a. Th/s'ap-p~cation 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 of lot 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. f. Every building permit shall expire if the work authorized has not commenced within 12 months aRer 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 Southold, Suffolk County, New York, and other applicable Laws, Ordlnanees 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 ..~l~t o~ name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises C,~. \?A/~OU'_V.t~(2_ AppL ; c (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block 0 '2. Lot ~'4'q Filed Map No. Lot 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 Nature of work (check which applicable): New Building_ Repair. Removal Demolition 4. Estimated Cost ~ ~-. ooo 5. If dwelling, number of dwelling units. If garage, number of cars Addition z% Alteration Other Work Fee (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. Dimensions of existing structures, if any: Front ~t~ Rear /Od) Height /St ~ Number of Stories ! Dimensions of same structure with alterations or additions: Front /~9 Depth 7~ ~ Height ~7,.~ t Number of Stories 8. Dimensions of entire new construction: Front /,9c9 r ('oO / Height t~-~' ~ Number of Stories 9. Size of lot: Front 10. Date of Purchase Rear Rear '~-~'7 ! .Depth Name of Former Owner C.k'~, 11. Zone or use district in which premises are situated ~ _~/~ ~- Depth Rear Depth 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__ 14. Names of Owner of premises &t'V,~#t)o.z~ ,~. ~/~ddress /2p ~g ~o~ Phone No. 7~ N~e of~chitect ~r~ 0~?~ ~,~Address~Phone No 7~ N~e of Con,actor ~ ~t,t ~3 Address/~ ~ ~Phone No. 15 a. Is ~s prope~y within 100 feet of a tidal wetl~d or a ~eshwater wetl~d? *YES __ NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE ~QU~ED. b. Is ~is prope~ wi~in 300 feet of a tidal wetl~d? * YES NO~ * IF YES, D.E.C. PE~ITS ~Y BE REQU~ED. 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) SS: COUNTY OF..~,,t"~(.iY.~ ) Jo t'~f,q' /~7'Yq/Jr ~,O~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~Og.../Jt')~2 J4F'~' t~t ~ r (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 applicatior that all statements contained in this application are tree 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. Sw, om to before me this ~q~ dayof d,o,,,.~ ,~ ,20ol Claire L, Glew Qualified in Suffolk Colall{y_ _~. Commission Expires Dec. 8, - -Sign&t~e of Applic'ant Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York l 1971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 9th, 2008 Van Duzer Appliance Comp. P.O. Box 1497 $outhold, N.Y. 11971 RE: 46155 CR 48 (Abbxl£ON$ / ALTERATZONS) 5CTM # 55.-Z-24.4 To Whom Tt May Concern: Please be advised that your Building Permit # 30267 issued April 28th, 2004 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $1112.40; at that time we can schedule an inspection by one of our Building Tnspector's. Tf you have any questions, please call us at 631-765-1802. Respectfully, 5OUTHOLD TOWN BUTLD]:N& DEPT. 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 *SECOND NO 7'ZCE* May 13th, 2009 VAN DUZER APPLZANCE CO. TNt. P.O. BOX 1497 SOUTHOLD, N.Y. 11971 RE: 46155 CR 48 (Addition/Alteration) $CTM: # 1000-55.-Z-Z4.4 To Whom It May Concern: Please be advised that your Building Permit # 30Z67 issued April 28th, 2004 has expired. According to the Code of the Town of $outhold, a Cem'ificate of Occupancy must be issued before the use of the structure. To renew your Building Permit's, please submit a fee of $111Z.40; at time, we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, $OUTHOLb TOWN BUILDIN6 bEPT 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 O1' ISOUTHOLD January 22nd, 2010 VAN DUZER APpI TANCE CO., TNC. P.O. BOX 1497 $OUTHOLD, N.Y. 11971 Re: 46155 CR. 48 / Violation SCTM# 1000-55. -2-Z4.4 To Whom This May Concern: Your BUZLDIN6 PERMZT ~t 30267 for construction of an ALTERATT. ON$/ADDZTION has been refer~ed to me because you have not ~esponded to ~equests to obtain your Certificate of Occupancy as requi~ed by 5outhold 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 Znspector." Therefore, you have ten days from the receipt of this letter to submit a check made out to the Town of 5outhold in the amount of $1112.40: to ~enew 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. and 4:00 p.m. Respec~¥ou~., Damon Rallis, Zoning Inspector 5outhold Building Department 7009 0820 0001 7821 4564 TOWN OF SOUTHOLD PROPERTY RECORD CARD, lx,'l~p~I OWneR S'mEm' ~ ~, ! ~,5' WLLAGE D~s'r.SUB. ~0~ , F~ER ~ER ~ ' N E ACR. S W r ~PE ~ BUILDING RES. SEAS. VL j FARM COMM~r,~ MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS Tillable :~ ~,_.~ F ~,~ ~ [ "~' FRONTAGE ON WATER W~xno. d FRONTAGE ON ROAD House Plot BULKHEAD Total M. Bldg. I Foundation Bath Extension Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place Heat Porch Pool Attic Deck Patio Rooms 1st Floor El reezeway DrivewaY Rooms 2nd FIoor Garage OWNER FORMER OWNER STREET VILLAGE DISTRICT SUB. LOT ACREAGE TYPE OF BUILDING RES. SEAS. LAND IMP. VL FARM TOTAL DATE :R OMM.~ IND. EMARKS f CB. MISC. J Est. Mkt. Value NEW' NORMAL Farm Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland BELOW Value Per Acre House Plot Total ~.. ~ Value FRONTAGE ON ROAD BULKHEAD DOCK 3oX V'6 ~ / J, ~ o ~-,°a ,1, ,,?~ o undation Bath Extension ~ ~/o o ~ ~o ~ / o~ ~o o ~asement ~ ~ Fl~rs ~4x~; /P ~Z j /~ / 3 ~,5' ~t. Wails ~ . Interior Finish Extension / ~ 3~ ~ ~'~ ~m ~ ~ ~ /~ire Place ~0 Heat /7 ~7: ~3-? /a 0[, ~¢~ Porch Roofmype Breezeway Potio R~ms 2nd Flor ~ ~ ~ ~ ~7~Z J .~ ~4 Driveway Dormer