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HomeMy WebLinkAbout34951-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 4/27/2012 No: 35562 Date: 4/27/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: WINDOWS 1750 BOISSEAU AVENUE, SOUTHOLD, Sec/Block/Lot: 55.-6-19 Filed Map No. conforms substantially to the Application for Building Permit heretofore 8/13/2009 pursuant to which Building Permit No. 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: NEW WINDOWS FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Lot No. filed in this ofliced dated 34951 dated 8/25/2009 The certificate is issued to MARK & DENISE GAGEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIHCATE NO. PLUMBERS CERTIFICATION DATED FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34951 Z Date AUGUST 25, 2009 Permission is hereby granted to: MARK T & DENISE A GAGEN P.O. BOX 1027 SOUTHOLD,NY 11971 for : INSTALLATION OF NEW WINDOWS IN EXISTING OPENINGS AS APPLIED FOR. EGRESS WINDOWS IN SLEEPING ROOMS at premises located at 1750 BOISSEAU AVE SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 019 pursuant to application dated AUGUST 13, 2009 and approved by the Building Inspector to expire on FEBRUARY 25, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi-om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate snrvey of' property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspecto~ shah state the reasons tl~erefor in writing to the applicant. C. Fees I Certificate ol Occupancy New dwelling $50.00, Additions to dwelling $50.00, Alterations to d,vellmg $50 00, Swimming pool $50 00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00 2. Certificate ofOccnpancy on Pm-existing Building $100.00 3. Copy of Certificate of Occupancy - $.25 4 Updated Ce~xificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Prope,~ty: ~ ~ ~ [-louse No. Owner or Owners of Property: ~'[O.(l~. ~'- Suffolk County Tax Map No 1000, Section SuBdivision PermitNo. gL/. q~ I Health Dept. Approval: Old or Pre-existing Building: Street h2& e 6wen 5 ~ Block Date of Permit. / / x /t (check one) Hamlet Lot Filed Map.. ~-Z-5-'- !1 Applicant: Lot: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ___~"0 . Final Certificate: Y (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [/~1:1NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~-~ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRA'n0N DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN~SULATION [ ]FRAMING/STRAPPING [~/]' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONS1RUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~/~ 6~ ~' ~' TOWN'OF SOUTHOLD BUI?ING DEPART $;NT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined s/,q Disapproved a/c Expiratior 8LDO. OEP[ __ TOWN OF SOUTNOLO PERMIT NO. ~-~4 Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Surve~ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: LICATION FOR BUILDING PERMIT Mail to: INSTRUCTIONS Phone: ,20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 after 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, Ordinances 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. fO _~tT)6 '~iQSi?gng ldd~/[ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises /}q4~,~ 'T-- ~ ~/~/~]i~- .~ , (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. 2 ~ 0 ~ \ ~ Plumbers License No. Electricians License No. Other Trade's License No. Location of land,~on whiclkproposed work will be done: House Number Street County Tax Map No. 1000 Section Block Subdivision Hamlet ~' Lot Ic} Lot Filed Map No. State existing use and occupancy of premises and intended use and occupancy of proposed'~cconst, ruction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, nurhber of cars Addition Other Work Fee 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. Dimensions of existing structures, if any: Front Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height N ' "' ~' ~ ' umber of Stone~0~3~ Rear 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front Rear Depth Depth Rear ........ Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any ~.oning law, ordinance or regulation? YES NO__ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO / 14. Names of Owner of premises Address Phone No. Name of Architect ti] I ~ Address Al [Jr Phone No Name of Contractor '~v,, ~,.o~.,'x,% Address ~Phone No. · . . OoFck% 15 a. Is this property w~thln 100 feet of a t~dal wetland or a freshwater wetlan[t? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls this property within 300 feet cfa 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 l 0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · iF YES, PROVIDE A COPY. NO STATE OF NEW YORK) OO~qNIE O. OF- -' ''SS:~L{~ "otaly Public, State ¢ No. 01B~6185050 CO~TY ~ual~ in ~k ~un~ ' Commission Expir~ April 14, 20~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 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. Sworn to before me this ^ }"~_..~ dayof ./,c~ ¢_ 2005 Notary Public /,/ ~-'"~- - Signature Stgt~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~, b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. if dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee 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. 8. Dimensions of entire new construction: Front Height Number of Stories Dimensions of existing structures, if any: Front Rear Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number Rear 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any ~,oning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO v/ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises ~ Address , . Phone No. Name of Architect A/[ J~ Address 14 [/l~ Phone No Name of Contractor .~,t~w ~.~'~-% Address ~Phone No. OoFcko . 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetlan~l? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora 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 ! 0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) co~lE 0. 8Ut~cH Notmy Public, $tat~ ~ New ¥o~ ~ No. 01BU6185050 COUNTY OF~ Qua ified in Suffolk County Commission E~pims gpfi 14, 20.J~ bei, ng duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 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. Sworn to before me thisa J~,_..~ dayof /4-~A [_ 200~ Notary Public Signature ~ppf~ct(nt - ,w TOWN OF.SOUTHOLD BUILDING DEPARTnntENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net PERMIT NO. Disapproved Expirfitio~.~ ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector Phone: ~ 5/ -- LICATION FOR BUILDING PERMIT Date INSTRUCTIONS tl a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 pan 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 afl,er 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 s~x mom~:,Thereafter, a new permit shai'l:be~requn:ed ' ' APPLICAT, IOI~ IS HEREBY MADI~ to tlle'Bu~dmg Department for the issuance o~a B~ilding Permit pursuant to the Building Zone Ordinance of the Town of South0'~4~ Suffglk County, New York, and other applicable Laws, Ordinances 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. ' (S]gnattire of a'pplican't o:nam(t~f a corporation) - (~ailihg {tddre'ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /~. ,/~ ~Z--.eSL' T)~J/~' (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. ~ ~ 0"~ I ~ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on whic~proposed work will be done: House Number Street County Tax I~p ~o. 'lQ00 Section ~lock Subdihsion Hamlet Lot Filed Map No. Southold Town Building Department 54375 Main Road Southold, New York 11971 (631) 765-1802 Parcel ID: 55.-6-19 Permit #: 34951 Permit Date: 8/25/2009 Expiration Date: 2/25/2011 BUILDING PERMIT RENEWAL LETTER Dated: 12/27/2011 Applicant: Location: Work Description: MARK & DENISE GAGEN 1750 BOISSEAU AVENUE WINDOWS INSTALLATION OF NEW WINDOWS IN EXISTING OPENINGS AS APPLIED FOR. EGRESS WINDOWS IN SLEEPING ROOMS A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Address: MARK & DENISE GAGEN P.O. BOX 1027 SOUTHOLD, NY 11971 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department P.O. Box 1179 54375 Main Road Southold, New York 11971 (631) 765-1802 Parcel lD: 55.-6-19 Permit #: 34951 Permit Date: 8/25/2009 Expiration Date: 2/25/2011 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 3/6/2012 Applicant: Location: Work Description: MARK & DENTSE 6AGEN 1750 BOl~SSEAU AVENUE WTNDOWS 'I'NSTALLATZON OF NEW W'rNDOW5 TN EXZST"LNG OPENZN~5 AS APPL'rED FOR. E6RESS WTNDOW5 TN SLEEPZN6 ROOMS. A FEE OF $100.00 IS REQUTRED TO RENEW TI-ES BUILDING PERMIT. OwRer': Addeess: MARK &bENISE 6AGEN P.O. BOX 1027 50UTHOLb, NY 11971 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal p~ocess. All work on the project must stop on the expiration dote. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Applicant: Location: Work Description: Southold Town Building Department P.O. Box 1179 54375 Main Road Southold, New York 11971 (631) 765-1802 Parcel ID: 55.-6-19 Permit #: 34951 Permit Date: 8/25/2009 Expiration Date: 2/25/2011 Dated: 4/16/2012 MARK & DENISE GAGEN 1750 BOISSEAU AVENUE WINDOWS INSTALLATION OF NEW WINDOWS IN EXISTING OPEN1NGS AS APPLIED FOR. EGRESS WINDOWS IN SLEEPING ROOMS. Owner: Address: MARK & DENISE GAGEN P.O. BOX 1027 SOUTHOLD, NY 11971 Your BUILDING PERMIT #34951 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shah be used or occupied in whole or in part until a certificate of occupancy shah have been issued by the Building Inspector." Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of Southold in the amount of $100.00 to renew the building permit, or legal action wffi 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. Michael Verity: Chief Building Inspector Southold Building Department 7010 0290 0002 8966 5430 cc: Damon Rallis Zoning Inspector TOWN OF SOUTHOLD PIIOPERTY RECORD CARD OWNER DISTRICT SUB; LOT FORMER OWNER RES...~./_/,~ SEAS. LAND IMP. VL. TOTAL DATE COMM. REMARKS ACREAGE TYPE OF BU~ .DING IND. CB. MISC. Est. Mkt. Value AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland Swampland I Brushland House Plot Total Bldg. ;tension ,'tension ~ensLon -eezeway =rage .B. Foundation mt. Walls Fire Place Patio )~i~ewoy 3ath t Floors ~7,: > . .. Interior Finish Heat Porch Porch Roof Type Rooms Ist Floor Rooms 2nd Floor Dormer Ken Robins Custom Renovations LLC 365 Pequash Avenue Cutchogue, New York 11935 Phone (631) 734- 7488 Fax (631) 734-2650 Email Champxterra(~J~ahoo. com OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY AUG 2 5 2009 BLDG, DEPT. TOWN OF SOUTHOLO Installing 15 new series 200 Anderson tilt wash double hung windows in place of old cast iron weighted windows. I will not be enlarging any window framing. Existing headers ,studs and jack studs will remain. I will install the largest window I can in pre existing rough opening. Here is a list of rooms and windows that I know wilt fit in rough openings. Upon demo of old I expect to be able to install one size large window in some of them. Ken Robins Living room. 28¢e-x-3-- Kitchen 3046 Master bedroom first floor SECOND FLOOR APPROVED AS NOTED NOTIFY B~JILDh~J -~A~i'MENT AT Bedroom ~036 ~~i~o~ I Ok-~ ( O 2030 x 2 Bedr°°m ~E4-~~ Bath 2836 765-1802 8AM lO ,;PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDAT',ON - TWO REQUIRED FOR POUREB C©?~CF~ETE 2. ROUGH - FRAM;NG & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, NOT RESPONSIBLE FOR Hallway 2846 co s, uc,,oN RETAIN STORN1 WATER RUNOFF PURSUANT TO CHAP'[ER 236 OF THE TOWN CODE. ,ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE ,OD~S OF N~:~; ,~,, NAIDN6 & CONNECTIONS ~I=QUlRI=D.