HomeMy WebLinkAbout36637-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 #: 36637
Permission is hereby granted to:
FRANK & ANKA GRGAS
Date: 8/18/2011
20 OXFORD STREET
NEW HYDE PARK, NY 11040
To2
"AS BUILT" UNHEATED SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.REPLACES EXPIRED BUILDING PERMIT # 33474
At premises located at:
845 YENNECOTT DR SOUTHOLD,N.Y. 11971
SCTM # 473889
Sec/Block/Lot # 55.-3-16.1
Pursuant to application dated
To expireon 2/18/2013.
Fees:
10/4/2007 and approved bythe Building Inspector.
PERMIT RENEWAL
$400.00
$400.00
FORM 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. 33474 Z
Date OCTOBER 12, 2007
Permission is hereby granted to:
for :
ALBERT & PAULA FISCHLEIN
406 ALLEN AVE
OCEANSIDE,NY 11572
"AS BUILT" UNHEATED SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 055
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
845 YENNECOTT DR SOUTHOLD
Block 0003 Lot No. 016.001
4, 2007 and approved by the
12, 2009.
Fee $ 400.00
Authorized Signature
COPY
Rev. 5/8/02
FIELD E~SPECTIONR.F.,PORT I DATE [ COMMENTS
FOUNDATION (1ST)
FOUNDATION (2ND)
PLIYMBING
INSULATION PER N. Y.
STATE ENERGY CODE
ADDITIONAL COMMENTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 119'71
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examhled,
Approved
,Disapproved a/c
20 0']
[0-/I 7' 20 O q
Expiration
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
Contact:
Mailto: [llq~ ~o~O.,r ~lt,~l~t_.to~
f~. go. 17~ .~,,.,,-~,,-o ~ /1¢7,
Phone: (~3t. 76g'. -4-1 W6
/ ~uilding Inspector
c ..... '-::,., ~APPLICATION FOR BUILDING PERMIT
.]F ...... --'~1'. Date 2'~ Oo-roggl~. ,200-/
"' f i'' i'4 INSTRUCT,ON
~~ng location c ct and of bml&ngs on pre~ses, relat~onsNp to adj oi~g presses or punic streets or
areas, and wate~ays.
C. ~e work covered by tNs application may not be co~enced before issuance of Buil~g Pemt.
d. Upon approval oftNs application, the Building Nspector will issue a Building Pe~t to the applicant. Such a pemt
s~ll be kept on ~e pre~ses available for inspection tboughout the work.
e. No b~ng s~ll be occupied or used in whole or in paa for =y pu¢ose what so ever until the Bui]~g Inspector
issues a Ce~ificate of Occupancy.
f. Eve~ building pe~t shah expire if the work authorized has not co~enced witNn 12 months after ~e date of
iss~ce or h~ not been completed wi~n 18 monks ~om such ~te. If no zomg men~ents or o~er relations aftbcting the
prop~y Mve been e~ted ~ the Nte~ the Building Nsp~tor may authorize, N writing, the extension of the pemt for an
addition six mont~. Ther~er, a new pe~t shall be requked.
~¢LICATION IS ~BY M~E to ~e Bu~dNg D=p~ment for the iss~ce of a B~lding Pen~t p~su~t to the
Build~g Zone Ordin~ce of the Town of Southold, Suffok Co=ty, New York, and other applicable Laws, Ordkaces or
Re~lations, for ~e cons~ction of buildings, additions, or altemfio~ or for removal or demolition as herein deschbed. The
app]ic~t a~ees to comply wi~ all applicable laws, ordinaces, b~]dNg code, housing code, ~d re~lations, ~d to ad~t
au~odzed i~pectors on pre~ses and in b~lding for necessaw inspections.
~ (Sigm~e of applic~t or mine, ifa co~orafion)
(Mailing address of apphc'- ant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
A~c/4 ~ r6OF
Nameofownerofpremises IMf., tq~g ~.~r- F x c~t z.[,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.
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 ~'D'" Block 3
Subdivision X/£~Jkl [c-o-r'r- ~o~.~ Filed Map No.
t (Name)
...Lot /6. /
5-~g7 Lot Iff q
2. State existing use m~d occupancy of premises and intended use and occupancy of propo~d construction:
a. Existing use and occupancy S t Ot~.A.~ ~q~l t ~ t~
/
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair Removal Demolition
Estimated Cost
If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work I0 ga ~ ia, c..m-~
d/}$ l~c,~.0 (Description)
(To be paid on filing this. application)
Number of dwelling units on each floor ~ ,,~
7. Dimensions ofe, xisting structures, if any: Front 71 '- I O"
Height /4--- o" *_ Number of Stories O0 I~
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Rear 7/'- lO~ Depth SB '-2'~'
Dimensions of same structure with alterations or additions: Front
Depth. 50'- '2 '/2" Height
8. Dir~ensions of elatire new construction: Front
Height _~,~/~ Number of Stories
2.&h II '
9. Sizeoflot: Front I 74- 9..~' Rear
TI'- I0" Rear '21 '.' lO"
Number of Stories O/;I/g
Rear ~ DePth ~
Depth 2oo'- o ~
I 0. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
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 fi.om premises? YES~QqOff~
14. Names of Owner of premJses~Address
Name of Architect
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 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 [X~
* IF YES, D.E.C. PERM1TS 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 survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
~ ~F~I~L ~ ~'alCr- l-J t I. ~. ~ ~ .~ ,,J being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
0~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 fde this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that !Lhe work will be
performed in the manner set forth in the application filed therewith.
Sw~[rj/t,'qbef°remethisP'N / l
N~ublic
~SLA~IE O0ROSKI
NOTARY PU6UO, StYe of N~
N0. 01004634870
Qualified in Suffolk Coun~
~0~ission ~ires September 30~
OWNER
TOWN
OF SOUTHOLD tROPERTY RECORD CARD
VI%GE ---
E
STREET
N
S
W
LAND IMP. TOTAL
RES..~.[ o SEAS.
VL.
FARM COMM. CB. MICS. Mkt. Value
DATE
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Vclue
Acre
Tillable
Woodland '
j FRONTAGE ON ROAD
Meadowland DEPTH
BULKHEAD
House Plot
Totel
FRONTAGE ON WATER
DOCK
!DIST. J SUB. LOTs
ACR. '1
~PE OF BUILDING
COLOR
Porch
Porch
Breezeway
Garage
Total
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Ba~h
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
Dinette
LR.
4DR.
BR.
FIN. B
Southold ToWn Building Department
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel lD: 55.-3-16.1
Permit #: 33474
Permit Date: 10/12/2007
EXpiration Date: 4/12/2009
Applicant:
Location:
Work Description:
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 8/9/201
FRANK &
845 YENNECOTT DR $OUTHOLb,N.Y. 11971
A5 BU'rLT ADDT'T"~ON
"AS BUTLT" UNHEATED SUNROOM ADDT'T]:ON TO AN EX]:ST'J:NG S'rNGLE
FAMTLY DWELLING A5 APPL'rEb FOR
A FEE OF $400. IS REQUIRED TO RENEW TFE5 BUILDING PERMIT.
Owller':
Address:
FRANK & ANKA GRGA5
20 OXFORD STREET
NEW HYDE PARK, NY 11040
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,
50UTHOLD TOWN BL/ILDIN6 DEPT.
Town I lall Aimex
,54375 Mare Road
P.O. Box 1179
SouthoM, NY 11971-0959
'1 elephant (631) 765-1802
Fax (631) 76,5-9502
January 25th, 2011
Frank & Anka Grgas
20 Oxford Street
New Hyde Park, N.Y. 11040
131IILDING 1)EPARTMENT
TOWN OF SOUTItOLD
FIRST NOT ¢E
RE: 845 Yennecott Dr. (AS-BLT SUNROOM Abb~lzON)
5CTM: #1000-55.-3-16.!
Dear Mr. & Mrs. Grgas,
Please be advised that your Building Permit # 33474 issued October 12th, 2007
has expired. According to the Code of the Town of 5outhold, a Certificate of
Occupancy must be issued before use of the structure.
To renew your Building Permit, please submit a fee of $400.00; at that time, we
can schedule an inspection by one of our Building Inspectors.
If you have any questions, please call us at 765-1802.
Respectfully,
50UTHOLD TOWN BUILDING DEPT.
'~ ' ;i" '-:.:< 5~:;'::S .%'. '!-i: - ."'
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I
SUFFOLK CO. HEALTH DEPT_ APPROVAL
H.S. NO ~-.5,0-~6,
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS . RESIDENCE. wILL
CONFORM TO. THE STANDARDS; OF TI{E'
'S~FFOLK CO. DEPT. 'OF HEALTH SI~EVtCE~,-
- ~LICANT'. - ' : . ;' .-
. '..
SUrFaK COUNTY DEPT -
~ER~-rcEs & ~-o~:..;'~'c.' -:
North
Elevation
West
Elevation
Existing Kitchen / Dining Room
Su nroo m (unheated)
240 sq ft.
Existing Deck
Plan
Existing Foundation Plan
AS- BUILT SUNROOM
[vln A. Fischlein
8z, 5 YENNECOTT DRIVE
(non
SOUTHOLD
heated)
East Elevation
~ . ,~. ,~_ APPROVED ASt't0TEO
Sechon , ~'~%~:~-~f,.'~ ~
C~ ~~; "~ENT AT
/
.~r~:._ ~c~ RETAIN STORU WATER kuH-
., ~ ~IeT~/I~TI~N SHALL ~1 l~- ~ F~ ~ PURSUANT TO CH ~
CERTIFICATION OF
NAILING & coNNECTIONS
REQUIRED.
PREFABRICATED FOR
Detail
1000-55-3-16.1
OCCUPANCY OR
USE ,IS .UNLAWFUL
WITHOUT CERTIFICATE
N.¥ 11971 S.CZM.