HomeMy WebLinkAbout37469-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
8/24/2012
CERTIFICATE OF OCCUPANCY
No: 35848
Date: 8/24/20 l 2
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
PORCH
260 Sunset Ave, Mattituck,
Sec/Block/Lot: 115.-3-6
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
1/1/1900 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:
enclosed porch addition to an existing one family dwelling. This permit replaces BP 8969, issued 10/18/76.
Lot No.
filed in this officed dated
37469 dated 8/24/2012
The certificate is issued to
Sobieray, John & Sobieray, Hazel
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 37469
Date: 8/24/2012
Permission is hereby granted to:
Sobieray, John & Sobieray, Hazel
260 Sunset Ave
PO BOX 1095
Mattituck, NY 1i952
To:
enclosed porch addition to an existing one family dwelling. This permit replaces BP
8969, issued 10118176.
At premises located at:
260 Sunset Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 115.-3-6
Pursuant to application dated
To expire on 2/22/2014.
Fees:
1/1/1900
and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
Total:
$7.50
$7.5O
Building Inspector
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INflATION
[ ~I:INAL
[ ] FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH_)_~ [ ] ELECTRICAL (FINAL)
REMARKS:~/~--~---~- ~ _ ~--~~
DATE ~ INSPECTOR
&PPLICATNWl FOR BUILDING PERMIT
IN~ I KUCTIONS
a. This application must be completely filled in by typewriter ar in ink and submitted in triplicate to the Buildingm
Inspector, with 3 sets of plato, accura~ p~t plan to ~ale. Fee according to ~clule.
b. Fqat p, lan showing location of lot and of bUildings on premises, relationship to adjoining prem ses or publ c streets at
areas, and gzg~g~z detailed description of layout ofpraperly must be drawn on the diagram which is part of this application.
c. 'r~wo~ covered~by this application n~y nat be commenced before issuance of Building Permit.
shadil ~_U..,F~_ .i~97, I of ~fi~,appl,i.cat. i. onl ~ Bul~'ng I.n~jl'.?,l! Issue .a Building Permit to the applicant. Such permit
_~e;, ,_~o_ ~bullSing,..si?Ii.be ..occu,.pi.?~, or u, ir~d'j!,n.~'~iti'l~rt for rely purpose whatever until a Certificate of Occupancy
.~na~ nave peen granTea Dy ~e ~UllaJng inspector.
APPLICATION IS HEREBY, MADE to the Building DePart?!~r ,t for the issuance of a Building Permit pursuant to
of
Building Zone Ordinance of the Town... Sout~.¥~, Suf~ C0uhty, ,N,~ York, and other applicable Laws, Ordinances or
Regulatiom, for.the construction of bu,mng~.: ~om or altoj~tlal~;,L ~1' fl~ rern~val or demolition, as herein described.
The applic~nt ~ tec~.;~y with all .app.ca~le I~; ordindnc~, bUilding coc~, housing code, and regulations, and to
admit authorized tt"~oe~ars on premises and in bufldln~ for nece~ary Impections.
...........
(Address of al~plicant)
State whether applicant is. owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
............................. ,.-l~,.~-..l~ .............................................
Name of owner of premises .... ,~t..f'.i ........ ~-._~.'~..~-~'~..~ ......................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... .~. ......... ~j....'...~..~...r. ..................
Plumber's License No. ................................................
Electrician's License No .............................................
Other Trade's License No ............................................ .. .
Location of land on which proposed work will be done. Map No.: ..... .:? ............................... Lot No .........................
Street and 'Number ................................ _~£.JLI..~-..'Z......~...~'.!'.~.~.~',(~../.~ .......... ~..:Z.,~...~.:M.-T4,~.i.N: .......................
' M~nicipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisitinguse and occupancy ..................... ~,.,~ ......... ~F4.fr~j~..~.~ ........ ~J.~../,~. ~..~./F~ ..........................
b. Intended use and occupancy .......... -.~4~J..~)..~ .......... J.~.~..~..J.~ ............. ./~....~..~.~.~,../~ .....................................
3. Nature of ¢ (check which applicable): New Building' · ................. Addition .................. Alteration .................
Re~aJ r .................. Removal .................. DemolitJor. ................... Other Work ..................................................
(Description)
4. E~mated Cost ................ ~ ........................ : .............. Fee ...... :~' L;...~. .........................................................................
~ (to be paid on filing this application)
I
~. If dwelling, number of dwelling units ...Cm.~.:~.:.:...~.....Number of dwelling units on each floor ............................
If garage, number of ~m .............................................................................................................................
6. If business, commercial or mJx~ occupancy; speci~ ~atu~' :d~d e~ent of ~ch ~pe of use ............................
7. Dimensions of existing structures, if any Front ............................ Rear ................................ Depth ....................
Height ........................ Nu~er of Stori~ .................................................................................................................
Dimensions of same structure with alterations or additions: Front ....................................Rear ............................
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Fro~ ............... :..--..~ .......... Rear ............................ Depth ........................
Height ........... ~..~. Numbe~ 0f Stor~e~ ................................. m"?':'; ............................................................ :":':'~: .....
9. Siz~ bf lot: Front ................... ~.~.~ .................. ~.. Rear ...................... ~ ................. Depth ....... .(.~.~..~'. .......
10. D~te of Purchase ........................... :; ............... Name of Former ~ner .......................................... ;...;;.;...;;.
1 lJ Z~n~ or use district in which premises are situated .................... '~..~.[..L..~ ...................................................... : .....
1]~. Does proposed construction violate any zoning law, ordinance or regulation: ............... ~.~). .......................... ; ....
13. Wil~ Jot be regraded ............. ~. ...... Will excess fill be rem~ed from promises: ( ) Yes ( ~ ......
~-~ ~ , , '~' r~ M A r. A~re~ ....~.~.~J.:.~.~.~ No.~.~.~ ...........
14. Name of ~ner of premises ...................... ~ .......................
~ame 'of A~chitect .............................................................. A~re~ ................................ .Ph~e No .................. ~::..
~ame ~f Contractor ............ ~ ...... ~..~.~/..~ .................... A~re~ ..... ~.~.~.l..~t?~..~hone ~o .......... ; ...........
PLOT DIAG~M
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all ~t~ck dimensions from
~rop~,~line{, G~ve ~reet and block number or description according to de~, and show stre~ names a~
~r ihterior or corner lot.
STATE OF NEW YORK .... L(¢S
'~OUNTY OF ................. ~.~.~;:~.. ~'
i" ~' ' ~.,'~ ~., k ~/.~; ~ ,~ .~ .~..{..~. be ng duly sworn, deposes and says that he is the applicant
(Name of individual signing contracf)
above named:
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
~'ch~e. app~ ication; that a statements contained Jn this application are true to the best of his knowledge and belief; arid
t{~i~tuih~;w0rk will be performed in the manner set forth in the application f ed therewith~
~.~..~.bt~to' before me this
"Z ?.'. of ...................................
.;; ...... r: f ~ , , ' /t ' ~./...~..-..,.Z :r'-
Notary Publ c, . ......~ ............... ¥:., ........ · ...... :-'~/ount¥ ........ U...,~'~...*/~...t../..~.-.'.~A,..../.~.~,:..,.~.. ....... ; ..................
,,,~,(~,mrt / '..~./ / /1 J~ I ///~ ~/ (Signat~'e at appucant~
ELIZABETH ANN NEVILLE
NOTARY PUBLIC, State of New York
No. 52-8125850, Suffolk
Term Expires March 30.
TOWH OF SOUTHOLD
BUI~ DEP*RTMENT
TOWN?~ERK'S oFnCE
SOUTHOLD, N~ Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
8969 Z
Permission is hereby granted to:
.... ~./.~......~S~.~ ........ .~.°.?.L~..?..~. .......
at premises located at ~' ~*(J h.I ~/~ T' A' Vt."'
pursuant to application dated /~"/~V t~' 19Z.~..., and approved by the
Building, Impector.
Budding Inspector
FO~ NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
E om, ed .................. ....
~provod ................. /,~...{...~ 19..7~ Permit No ...... ~.~.~..~...
.............. ..........................
Applicofian No ................................
APPLICATION FOR BUILDING PERMIT
Date .......................... ..~..~....~.~....!..~.~ 19..~....~. .....
INSTRUCTIONS
a. This application must be completely filled in by typewriter o¢. in ink and submitted in triplicate 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, Felationship to adjoining premises or public streets at
areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application.
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 e Building Permit to the applicant. 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 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, os 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 buildings for necessary inspections, f]
................................ ...............................
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................. ...................................................................................
Name of owner of premises ~ ~) I-J N ~~ S0'J'~
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ...... ~ ......... .~....~.....P.!?.....O. .................
Plumber's License No .................................................
Electrician's License No .............................................
Other Trade's License No ...............................................
I. Location of land on which proposed work will be done. Map No.: .... :~.~ ............................... Lot No .........................
Street and Number
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
o. Exisiting use and occupancy ....................... .~...N,.~ ....... .~.~.~...~..!,.~.,,~. ....... [..~....~....~...J:.L..!...N,.,.~..~7. ...................................
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building. ................. Addition .................. Alteration ................
Repair .................. Removal .................. Demolition .................... Other Work ...................................................
(Description)
0 e I .bf
4. Estimated Cost ............... ,2,',',q.' ........................................ F,e ..........................................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................ Nurnber of dwelling units on each floor ..... , ......................
If garage, number of cars .....................................................................................................................................
6. If basiness, commercial or mixed (x, cupuncy, specil¥ nature and extent of each type of use ............................
7. Dimensions of existing sh'uctures, if any: F~o~,t .......................... Rear ................................Depth ....................
Height ........................ Number of Stories ..............................................................................................................
Dimensions of same structure with aheratioas or ,~ddidons: Front .................................... Rear ............................
Depth ................................Height ............................ Num[ er o¢ Stories ................................
8. Dimensions o~,!, -~e new construction: Front ............ [
Height ............ .~...-~... Number of Stories ................................................................................................................
9. Size of lot: Front t aa Re<Ir I O O Depth (
10. Date of Purchase ......................... ...-TZTZ,7. ...................... Name of Former Owner ........................................................
11. Zone or use district in which premises are situated ............... _.~...~.~..~'...I...._~... .............................................................
12. Does proposed construction violate any zoning Iow, ordinance or regulation: ............... ../~...O.. .................................
13. Will lot be regraded . .......... ...~(...9. ........ Will excess fill be removed from premises: ( ) Yes (
d0u t R¥ . ,, f-rue N .........:...
14. Name of Owner of premises ....*......:.* ...................................... &ooress .............................. ..~nono
Name of Architect ............................................................. Address ................................Phon~ No .......................
Nome of Contractor .~ _~C'~:l>l,~ 0 Address M ~--rl-~.-KUC (...~hone ~-2~* ~:~V't4 O
PLOZ DIAGRAM
Locate clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-b~ck dimensions from
property lines. Give street and block number or descrigtion according to deed, and show street names and indicate
whether interior or corner Ioi.
(Name of individual signing contract)
above named.
He is the ~'~(Jllk~J% ~ ~.
(Contractor, agent', corporate officer, etc.)
of soid 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 true to the best of his knowledge and belief; and
tho~ the work will be performed in the manner set forth in the applicatior~ filed therewith.
Sworn to before_me this k/' Il ~
,mrna' / ~ / ~' Y I ,/]// (Sign/~ure of appl~ant)