HomeMy WebLinkAbout42014-Z ��o�Os11FFOl,�CoG� Town of Southold 10/5/2017
0
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39267 Date: 10/5/2017
THIS CERTIFIES that the building ALTERATION
Location of Property: 1685 Peconic Ln,Peconic
SCTM#: 473889 Sec/Block/Lot: 74.-5-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/31/1977 pursuant to which Building Permit No. 42014 dated 9/29/2017
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:
alterations to an existing accessory building as applied for.
The certificate is issued to Svec,Charles
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut o Signature
o�SUFFnty�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
�lpl � ,baa s
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#: 42014 Date: 9/29/2017
Permission is hereby granted to:
Svec, Charles
Peconic Ln
PO BOX 104
Peconic, NY 11958
To: make alterations on existing accessory building. Replaces BP 9283.
At premises located at:
1685 Peconic Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 74.-5-8
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 3/31/2019.
Fees:
ALTERATION OF ACCESSORY BUILDINGS $5.00
CO -ALTERATION TO DWELLING $50.00
Total: $55.00
B ' i Ins or
FORM PTO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH-OLD, N. V.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE P17EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N® 9283 Z Date ..................We.....3......................., 19.27..
Permission is hereby granted to:
ft.amk..PA..Z c.................................................
...................... -a .oZ23:C...........................................
................................................................................
t0 ..........................................
................................................................................................................................................................
If/
at premises located at .... ..P .o �•c I:�11e
..........................................................................................................
Poconic
................................................................................ ................................................................................
.................................................................................................................................................................
pursuant to application dated ..........................Ju.ne.....3............. 19..77., and approved by the
Building Inspector.
06
Fee $....9......00..............
.1............. . . .............
Buildig Inspector
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:
I. 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 from Board of Fire Underwriters.
4. Sworn'statement from plumber certifying that the solder used in system contains less than 2/10 of 1%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 survey 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
1. 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 $1500.0
Date. / A
New Construction: ] _Old or Pre-existing Building: (check one)
c
Location of Property: l t �S� �'tf I G, L".q—
House No. Street Hamlet
Owner or Owners of Property: 51146 / A �A vk /Jpew A (;
Suffolk County Tax Map No 1000, Section Block S Lot +
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ ksmz 45 ,krd,
Applicant Signature
SOpry�
�lyO pUM`l,�c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [XROUH PLEG.
FOUNDATION 2ND [ ATION
FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE 0160 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
v101�
FOUNDATION (1ST) y
-------------------------------
FOUNDATION(2ND) 1�
z
ROUGH FRAMING&
PLUMBING
r
r
INSULATION PER N.Y.
STATE ENERGY CODE
Pip" A
FINAL
ADDITIONAL COMMENTS
O
z
rn
� y
1 0
d
ro�
H
Foam ATO. Y
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERIC'S OFFICE
SOUTHOLD, N: Y.
41ao
Examined ........... .... .............`..�.., 1927.. Application No. ................................
Approved ......................................... 19??. Permit No. ..�...3.�, .:.....
Disapproved a/c ................. ..... .......:.... ......
......................................................................................................... ..........
.............................?.... .......... ............... .............................
(Building Inspector)
'. APPLICATION FOR BUILDING PERMIT-,
- Date ... . ........... ., 19...."
y I—
INSTRUCTIONS •7
a. This application must,be completely,filled in by typewriter or 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, relationship to adjoining premises or public streets or
areas, and giving a detailed description of layout of property 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 a 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 Qr,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, of for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, on"gulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections.
...... .• . .. . .....
..............
..........
"`(Signatt�r�op i aria, or nom; if;a corporaion
.��. . ....<: Y.. t .�' A.t'..r!• •" .r •°tom. Y
(Address of applicant)..
State whether a licant is-owner, lessee, agent;architect, engineer, general contractor, electrician, plumber or builder.
............. . a .... :.
.�-. �..... ........................ ...... :...........................................................
Name of,owner of premises ..... .. : ;
If applicant is a corporate, signature of duly authorized officer.
........................................................................................
(Name and title of corporate officer)
Builder's License No. ................... ................
Plumber's License No. ................................................
Electrician's License No. ............................................
OtherTrade's License No. ..............................................
1. Location of land on which-R roposedvork will be done. Map N6.: ..................... : ............ Lot No. .........
Street and Number ... •,:; •• :•• ... `' a
•— Itanici^p'atY,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ... � �,
.. 6";e-... r •d e i'' " f F s . , .........
b. Intended use and occupancy ,a' „ ,
�
�
3. Nature of work (check which applicable): New Building. ------ Addition ------ Alteration ............ .
Repair .--_--.. Removal .-----� Don�o hhon—,--��-- Other Work --------------_— _
�'
(Description)
y
4� Estimated Cost —.—�.+---------------'�ee — ...............................................................................
� ' (to be paid on filing this application)
5. If dwelling, number of dwelling units ---------.Numbar of dwelling units on each floor ............................
If garage, number of cars -------'_------------..---.-.-_-----._--_-_---------_
6. If business, con�nnurcio| or nn��ed occupancy, specify nature and extent ofeach type ofuse ...--''-----.
-��_ ^ � u�
7. existing structures, if any: Front —.x *r�----_. Rear —',«'x=�.--_--_.- Oeot� .`.°.----.
Height ' �.. ' ' '. Number of Stories -------.----.--'---- ..
����/
Dirnonaionsofson�estructure *�6 obe� Front ront --./��.—.------ Rear ..*. ---_—_
���� �� .
Depth ���� Haigh� --n`------.Nun�ber uf Stohes -----��----.. /
- ` -- ------' ^ ~��v
8 Dimensions of entire new construction: Front —7�° .--`-----. Rear —^c'er�..--.—.— Dnoth ..�—�—.---'
�� ^
Height —./�--- Number of Stories .......................................................................................................................
Rear ��/�� '
9. Size of |cn: Front �3 —__________. ^.. ��____. _
lO. Oo!e of Purchase —, � —~—....................................None of Former Owner/1.; �', .... ���x���v��y�/���s�~�
�
11. Zona or use district in which premises are situated ------.-----.------------------_---.
12. Dons proposed construction violate any zoning low, ordinance or regu|otion: .W9--------.— . ____..
410 excess ) (w� �o
|3� Will lot be regraded —.
�m �Q�}� ����. 7
14. NornuofOwnerofpnennises����.Y���.rr�������x�.����v�^�rx"Z4dross�^`����^��/�'^'*^���«s.^�*, _ ~ .-
Name of Architect ----------------' ---- Address ................................'Phone No ......................
Non`e of Contractor
��d � Phone ���
-------------------... Address --.--_---_r--~ ......................
'PLOT C>|/\GR/\M
Locate clearly and distinct '� all buildings, whether -
isti proposed, and indicate allset-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior orcorner |o1.
eke
Ay
STATE 07
' .
^
~�| |
�
`
-
.
NE YORK (
ss
OU
_.. OF
7�, ��^�/�°—. �^_.� &». ..`~---.. being duly sworn, deposes and says that he is the opp|iconi
(Non�o uf individual signing contract)
above named.
Heis 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