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HomeMy WebLinkAbout43031-Z �o�SUfFot��oGy Town of Southold 9/21/2018 P.O.Bog 1179 o °", 53095 Main Rd Gy,�o� �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39911 Date: 9/21/2018 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 915 Oak Ave., Southold SCTM#: 473889 Sec/Block/Lot: 77.4-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/11/2018 pursuant to which Building Permit No. 43031 dated 9/11/2018 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: ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Baydala,Troy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ilyi OA th7 Signature Fat/( TOWN OF SOUTHOLD Baa ay BUILDING DEPARTMENT TOWN CLERK'S OFFICE ca 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#: 43031 Date: 9/11/2018 Permission is hereby granted to: Baydala, Troy 485 East Rd Cutchogue, NY 11935 To: Build an addition on existing dwelling. Replaces B.P.#8009Z ADDITION At premises located at: 915 Oak Ave., Southold SCTM # 473889 Sec/Block/Lot# 77.-1-12 Pursuant to application dated 9/11/2018 and approved by the Building Inspector. To expire on 3/12/2020. Fees: PERMIT RENEWAL $7.50 CERTIFICATE OF OCCUPANCY $50.00 Total: $57.50 Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N,. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N® 8009 z Date ...................eT .r,........1.9................ 19.. Permission is hereby granted to: Anp..Ray.ft le...................................................... ......�.+.0.....SLs .................................... Franklin Sauare N.Y. ...........................................V.................................... to ... OX-1.3ti3ag... i-aelli.,p....................(app�:s�v:�rl...y...33d..Apneals ................................................................................................................................................................ at premises located at -Lots-2.5.5%n2.57.......Goase..Bay—REst...................................................... ................................................... aL-..AVe..........5.011 tha ld.....A%t...Y.o.................................................. ................................................................................................................................................................. pursuant to application dated ......................Apr.,la1-.....0............. 19.7 ..., and approved by the Building Inspector. Fee 05A00........... Building Inspector DOE SO(/T # TOWN OF SOUTHOLD BUILDING DEPT. 'gum, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SOLATION [ ] FRAMING /STRAPPING [ FINAL r4&• I R9i [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR f Urow r I GAJI>JA FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) H ------------------------------------ 'FOUNDATION (2ND) q P r V` Itl I ROUGH FRAMING& PLUMBING y I INSULATION PER N.Y. y STATE ENERGY CODE L4 ev IVY FINAL ADDITIONAL COMMENTS -114 $ 51.5 o : a o . C) z rn 1 � y d b y FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........... Application No. �.o..�............... Approved ... .. ..........(.. ... ., 19.�S Permit No. �.©.1... ....... . . ... a-� Disapproveda c ................ . .................i ..... ............................ ........................................... ..............:.. . ....... ......... .r.............. .EBuilding Inspector) APPLICATION FOR BUILDING PERMIT Date ............ ..... ........`......34........, 197i0..... INSTRUCTIONS a. This application must be completely filled in by typewriter oe 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 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, 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 buildings for necessary inspections. ......Z ... ..... .. . .... . .... (Signature of applicant, o name, if a corporation) (Address of applicant State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. !!.................................................. ................................................................................ . .. /...... 44 Name of owner of premises ........ .. :....eV 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 proposed work will be done. Map No.: .........�.. ................ Lot No. ,' f. `rta, � Streetand Number .. .... .. ..... .....�... - ......... .......................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .... ... .... . . ,./�. ................................................................ b. Intended use and occupancy .... ... ....... . . .. .. ��K.. ... ............................................................. 3. Nature of work (check which app..,,,.ble): New Building• .................. Addit.. ...... ........ Alteration .............. . Repair .................. Removal .................. Demolitior.................... Other Work ................................................ ... v� (Description) 4. Estimated Cost ..................................................Fee .................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........../...............Number of dwelling units on each floor .........../............... Ifgarage, number of cars ............... ............................................................................................................................ 6. If business, commercial or mixed occupancy, specifynature and extent of each type of use ..................;..... ... 7. Dimensions of existing structures, if any: Front ........................ Rearal.............. p Depth .................... HeightNumber of Stories ........ .0/?®............................................................................................. Dimensions of some structure with alterations or additions: Front .........w .✓. Rear ..... 1................. Depth ......... .•.....•.•. Height Number of Stories . �.�' I .. ...... ............................ ................................ / e 8. Dimensions of entire new construction; Front ............. .............. Rear ........JIL............. Depth ...1 D............... HeightNumber of Stories ..................................................................................................................... 9. Size of lot: Front // O e ............f .P...:.................. Rear ............... ......................... Depth ✓. a................. 10. Date of Purchase .......... ...../q ..................Name of Former Owner a� .... .... ..... 11. Zone or use district in which premises are situated .......A........ . 12. Does proposed construction violate any zoning low, ordinance or regulation: ........................................................ 13. Will lot be regraded .... ................ Will excess fill be removed from premises: ( '!C) Yes ( ) No Addresses /A.04- Phone�,No• /6.;,`���.•>'b�$l14. Name of Owner of premises ................... ..,.. ................. Name of Architect .................................................. ........... Address ................................ Phone No. ...................... Name of Contractor ............................................................ Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE t S.S COUNTY O ...... . 1 ................. .. .. :.. .................................being duly sworn, deposes and says thatghe is the applicant (Name o individual s' ing 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 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. Sworn to before me this .............��'�.... day of ... ......................, 197� NotaryPublic, ......... ....... ... .. .......... .... .... County ......................................... ........ .......................................... j (Signature of applicant) NOTAR P'..!,rn Ltate o;.New yor:- Qualified es March . uwy Ter= 0 1976 U-L ii Jill71 7111, I -LL F --I JA III I ' l F ELF Y4jj FRONT 1 5 I 1 NJ — -T I o a r v