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HomeMy WebLinkAbout42312-Z Town of Southold 3/26/2018 o� P.O. Box 1179 53095 Main Rd O ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39568 Date: 3/26/2018 THIS CERTIFIES that the building WINDOWS Location of Property: 1335 Bay Ave., Mattituck SCTM#: 473889 Sec/Block/Lot: 143.-5-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/11/2018 pursuant to which Building Permit No. 42312 dated 1/22/2018 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: REPLACEMENT WINDOWS IN A SEASONAL ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Blyskal, Leonard&Theresa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t Signature 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 #: 42312 Date: 1/22/2018 Permission is hereby granted to: Blyskal, Leonard 22 Sylvan PI Valley Stream, NY 11580 To: replace windows (in-place) of existing seasonal single-family dwelling as applied for. At premises located at: 1335 Bay Ave., Mattituck SCTM # 473889 Sec/Block/Lot# 143.-5-2 Pursuant to application dated 1/11/2018 and approved by the Building Inspector. To expire on 7/24/2019. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Buildi Ins e 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$15.00 p �y Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: �335� &g Ave- , `r2l::74406, __ House No. / treeet Hamlet Owner or Owners of Property: A<es 3/y&A R Suffolk County Tax Map No 1000, Section I-{ a) Block Lot oil Subdivision -7 - Filed Map. Lot: Permit No. U-7, Date of P'rmit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature v� y aff SO lyCpUNry�` TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ' [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] SULATI N [ ] FRAMING / STRAPPING [ ] FINAL /r1 C( 4a,-5 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: W vllm) Qi (2KAg fTF)/ ".Vtili u Avu ge') sewvo�., DATE y3. INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS N� FOUNDATION (IST) y ------------------------------------ C FOUNDATION (2ND) Z u ROUGH FRAMING& , PLUMBING y r INSULATION PER N.Y. STATE ENERGY CODE �✓e FINAL ADDITIONAL COMMENTS --F O m N � °z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 C;? Survey South oldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D E.C. i Trustees C.O:Application Flood Permit Examined ,20f n Single& Separate '' ' r`• Truss Identification Form UStorm-Water Assessment Form JAN 1 1 2018 contact: Approved 2s�. ,2 jrG' 1 �iA1V 1 (A71 B C Disapproved a/c Y-B1'pWPl OF SO ®Y,D Phone. & Expiration 20 Z17,_ BuIV44apector APPLICATION FOR BUILDING PERMIT Date }Cl, ()q , 201&5"' 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.of 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 Troesuch date. If no zoning amen'dmenis 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. [,?n (Signature of applicant or name, ,f a corporation) (Mailing address of applicant) State whether applicant is owner, lessee]j agent, architect, engineer, general contractor, electrician; plumber or builder 660 0/7 Name of owner of premises As on the tax roll or latest deed) If lic nt i a corpo n, nature obiyuthorized officer (Name and title of corporate officer) Builders License No. 48 90/— Plumbers License No. Electricians License No. Other Trade's License No. 1. Location alarid on whichroposed work will be done: House Number Str et Hamlet „ County Tax Map No. 1000 Section 3 1 'Block �' v Lot 1– ,Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intend use and occupancy of proposed construction: a. Existing use and occupancyKflo�ell�jq b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Altera Repair Removal Demolition Other Work ,nal (Descr ption) Estimated Cost Fee =:1 (7 be paid on filing this application) If-dwelling, number of dwelling units Number of dwelling.units on each floor If garage, number of cars lik 1 K: M t�� r P OAA If business; commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front RearDepth Height: - a Number of StoAjPR-1UU16 Dirri`ensions°of`same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front t*_ Rear Depth ''k Date of Purchase Name of Former Owner ),,"Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES ONO 13. Will lot be re-graded? YES NOS Will excess,fill be removed from premises? YES NO� 14. Names of Owner of premises /t 3 f/ Address I�3 Sr' Y �. Phone No.10/- WSS Name of Architect V fAddress Phone No Name of Contractor'?,4v I n QC Address200 �i�Sc'a.l-��. r�Phone No. �Z9. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YESNO * 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 elevatiodat any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are th6fe dny covenants and,restrictions_,with,�respect to this property? * YES NO2— IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: y COUNTY K-) �� �`�• C.oICL n e-G being`d'uly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S Hoe 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 true 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. Swor to before me this day of��OU, 20 BARBARA H.TANDY , �V -Notary Public, State Of New o Notary Public No. uIA6086001 Oualified In Suffolk County Signature of Applicant Commission Expires 01/13/20 40 FZ� 16 J • ' k J J N N � � o ;=go M r 70 •DC),r . 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