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HomeMy WebLinkAbout36562-ZTOWN 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 #: 36562 Date: 7/14/2011 Permission is hereby granted to: LOUIS & ELIZABETH MASTRO 25 COMPASS LANE LEVlTTOWN, N.Y. 11756 To: UPGRADE OF ELECTRIC AND PLUMBING TO AN EXlSITING SFD AS APPLIED FOR. REPLACES EXPIRED BP # 34395 At premises located at: 1595 BAYVlEW AVE SOUTHOLD, N.Y. 11971 SCTM # 473889 Sec/Block/Lot # 52.-5-9 Pursuant to application dated To expire on 1/19/2013. Fees: 1/16/2009 and approved bythe Building Inspector. PERMIT RENEWAL Total: $275.00 $275.00 ~r g'l~ector 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. 34395 Z Date JANUARY 20, 2009 Permission is hereby granted to: LOUIS & ELIZABETH MASTRO 25 COMPASS LANE LEVITTOWN,NY 11756 for : UPGRADE OF ELECTRIC AND PLUMBING TO AN EXIS~TING SFD AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 052 pursuant to application dated JANUARY Building Inspector to expire on JULY 1595 BAYVIEW AVE SOUTHOLD Block 0005 Lot No. 009 16, 2009 and approved by the 20, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OccUPANcy This applioation 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 naturat or topographic features. 2. Final Approval from Health Dept. of water supply and seweragn-dispusal (S-9 form). 3. Approval of electrical installation from Board 0fFire Underwriters. 4. Sworn statement from Number certifying tha~ the solder used in system eontalus less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple rcsidenees 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 suwey 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, · Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~ 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Lueation of Property: I~-'E~ {~O._c[ ~ ( ~.o3 House No. Street Owner or Owners ofPropetty: ]-.0~',~ o~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ ~-'~, 0 ;~ Date of Permit. I - c~O-O C~ Date· '~ - i~' 11 / (check one) Hamlet Block Filed Map. Applicant: Underwritem Approval: Final Certificate: q check one) Applicant S~gnature FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN I~ALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined II 20 ,200q Approved t I'Z c_'; , 20 0('~ Disapproved a/c Expiration -7/t~.t/? , 20 Il PERMIT NO. 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: Phone: Building Inspector iPPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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. (Signature of applicam or name, ifa corporation) 25- s'5 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises [~ o ~ i 5 '~ ~--- L I Z q t°o e T- l~ [/kO cf S' -['-r-o (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 No. 1. Location of land on_which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~ ~ Block ,~' Subdivision-~c~r~r~ er" ]--)- c4 ~'e r'l Filed Map No. I /33 Lot 5~ *' CoO State existing use and occupancy of prem~es and igtended~use and ogcupancy' of proposed constru6tion: ~ a, Existinguseandoccupancy ~ l ~ (~ Le ~--~ ,'~ t' / V b. Intended use and occupancy ~5~ ~ ~ ~_ 5. If dwelling, number of dwelling units If garage, number of cars ,- Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee Addition Alteration Other World/9 c?t"ctc~e t~) O, ev°t'~ (Description) (To be paid on filing this application) Number of dwelling units on each floor -- If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ~ O ' Rear Height Number of Stories o rl ~ Dimensions of same structure with alterations or additions: Front Depth. Height 10. Date ofPurchase ~-- / 3 - O ~ 11. Zone or use district in which premises are situated °A" Dimensions of entire new construction: Front Height Number of Stories Size of lot: Front Rear 5 0 Depth Name of Former Owner .Depth. ' ' Rear Number of Stodes Rear Depth I 7*g' F. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO Cou~s * e~C~z, o6-tq-J~ , 2q,,Cor,,~,ar3 LC co[1516 14. NamesofOwnerofpremises ~ vt g/"r'O Addresst~-vt/Tov°~/V'~/175gPhoneNo.~/b ~65' i200 Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 3k~ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a 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 10 feet or below, must provide topographical data on e l e a -l- / ,q ,q-6ove lO' 18. Are there any covenants and restrictions with respect to this property? * YES __ NO ~ · IF YES, PROVIDE A COPY. survey. STATE OF NEW YORK) SS: COUNTY OF ) [--O ~ I S ~, l~/l r4 5 ~ o being duly swom, 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 thi.~. 20c6' Nota~ublic ,/~,~c~,',' pUCd-c, Sm~~'' ,'~m ~/ ~ No ~,IFA6~ oj¢ifi~ in N~qsau Coun~ Signature of Applicant Town Hall Annex 54375 M~dn. Road P.O. Box 1179 Soul,old, NY 11971-0959 Telephone (631) 765-1802 rocler, ridge rt dt~ (wn~!~)o~ ur~(~ .ny.us BUII.F~ING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: Date: License No.: Address: Phone No.: JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: (*Indicates required information) /5~ ./ ,.,, >._, //~ ~., ~. _~.~./ PermitNo.: TaxMap District: 1000 Section: ~;~ Block: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ' (Please Cimle NI That Apply) *Is job ready for inspe~ion: NO *~u ne~ a Temp Ce~fi~te: NO Tem~ Info~aflon~) Size: ~lPh~ 3Phase 100 *New Se~: Re-~nnect Unde~mund Addifion~.~ation:_ 82~t ~r In~c~on Fo~ 150 ~ Number of Meters Rough In Final 300 350 Change of Service PAYMENT DUE WITH APPLICATION 400 Other Overhead LIJ[LDING PERMIT EX<\MINER CltLCKLIS I Estimated Cost Pre COs? [nfo:_ BP _~ Z/C/OZ ,hfo: Ingle & Separate Search Required? Y or/BI/Determination: .BQ. Lot S~zc: g© OO O ACT. Lot Size:q '-~ REQ Lot Cov.~O ~ ACT. Lot C0v' .H,Q. Front ' ACT. Flont REQ Side ACT. Side .,~_,Q. Heigh( __ ACT Height rojec( Description: {.J~) 3 [yes, wa(e~ i)ody: ,DD ITt() IN uffolk('~,mt(~ Ilc:d(h ~l~iz~c~ 1)[]( : I'll DI( ', I I ,'1 i,I [);~(e: / ,' Pel mil ~ , ,i [)Cl t/Ii( ou(huhl I ~uxltc',: 't ,t ~ :oulholcl ' /,,I :outhohi l'humintl: V<~ 14 Date: / / .0 ','n [ an(hna~ k C or' A: 'Y (:,~ N I.)TE / mil Ih COD i (;Oml)lia ~ce (page 2)' 5' ol IN ~ec ,~,llth tUlv ( TOTAL: $ NEW YORK STATE CODE COMPLIANCE CI-I[ECF,2LIST C LI3AATIC/GEOGRAPHIC DESIGN CEiTERiA: Ground Snow Load: 45 Weathering: Severe Frosf Depth: 36" Deslgn Temp: 1l Ice Shield Underlay: ~S USE/OCC~CY CLASS~ICATION · HEIGHT/F~ ~A TYPE OF CONSTRUCTION: DESIGN CI~ITE~LA: ENG~E~D/P~gCI~TIVE HEAl)ERS: Y~ W~L STUDS: DESIGN LO?kD CAI C~ILAT[ON8 NAIL~G/CONSTRUCT[ON SCH~IDU[,I~ MEAN~; c~F E(~Rli~lq Y %I ~'1 kiEl-I,-"ll' [: ~ Wind Speed: t20MPH Seismic Desi gu Category: Termite: M-H Decay: S-M Flood Hagards: V,,,THOUT C E r:i' I~ I F I C/~,'"I,'E OF OCCUPANCY APPROVED AS NOTED DATE:,,,/ " NOTIFY c ~ ' ;,~ ~,'XENT AT 7654802 ~A,~ ~'.~ FOR THE "FOr , BE COMrL. ~E FOR C.C. ~ ~ o,, . VEET THE YORK S' '1 NO; ~-~ S )N~2iSLE FO~ DEoluN OR CONSTRUCTION ERRORS. PLUMB;NG ALI PLUMBING WASTE & WATER LINES NEED TE.~TING BEFORE COVERING UN:,ERWRITERS CEF~TIFICA'~£ REQUIRED PLUMBER CE??!FICA TION ON I F4D CONTENT BEFORE CEF ;, :ICA T[:- OF OCCUPANCY SOLDER USED IN WA TER SUPPLY SYSTEM CANNQT EXCEED 2/10 QF 1% LEAD. Southold Town Building Department 54375 Main Road Southold, New York 11971 (631) 765-1802 Parcel ID: 52.-5-9 Permit #: 34395 Permit Date: 1/20/2009 Expiration Date: 7/20/2010 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 5/31/2011 Applicant: Location: Work Description: LOUIS & ELIZABETH MASTRO 1595 BAYVIEW AVE SOUTHOLD, N.Y. 11971 PLUMBING UPGRADE OF ELECTRIC AND PLUMBING TO AN EXISITING SFD AS APPLIED FOR. A FEE OF $200.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT, THANK YOU. Owner: Address: LOUIS & ELIZABETH MASTRO 25 COMPASS LANE LEVITTOWN, N.Y. 11756 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. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department 54375 Main Road Southold, New York 11971 (631) 765-1802 Parcel ID: 52.-5-9 Permit #: 34395 Permit Date: 1/20/2009 Expiration Date: 7/20/2010 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Applicant: Location: Work Description: Dated: 5/31/2011 LOUIS & ELIZABETH MASTRO 1595 BAYVIEW AVE SOUTHOLD, N.Y. 11971 PLUMBING UPGRADE OF ELECTRIC AND PLUMBING TO AN EXISITING SFD AS APPLIED FOR. A FEE OF $200.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT, THANK YOU. Owner: Address: LOUIS & ELIZABETH MASTRO 25 COMPASS LANE LEVITTOWN, N.Y. 11756 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. 1060 0001 1~66 7407 7010 THANK YOU, SOUTHOLD TOWN BUILDING DEPT.