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