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HomeMy WebLinkAbout34977-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34032 Date: 10/27/09 THIS CERTIFIES that the building ALTERATIONS Location of Property: 11645 SOUND AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 141 Block 3 Lot 12 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 2, 2009 pursuant to which Building Permit No_ 34977-Z dated SEPTEMBER 2, 2009 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM LYNCH SR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED 09/25/09 BURTS RELIABLE INC Authorized Signature Rev. 1/81 SEP-23-2009 WED 04: 28 PM P• 002/002 09/23/2009 14:41 531r755W3903 CENTURY 21 ALBERTSON PAGE 02/02 Form No.6 D TOWN(*SOUTHOLD 2 2 2009 BMLDING DEPARTNENx OCT TOWN UALL . 1 765-1802 o V BL DEFT. 1PLICATION FOR CFRTJYICA,TE OF OCCUFANCY OF TOWN OF SOUTNDLD This applicativxa must be filled hl by typewriter or ink gad submitted to the Rulldiq Deportment with the f»Ilowl;tg: -A.. For now befldbg or new usb: 1. FiTW survey ofproperty with accurate location of all.buildings, topographic features. property tines,struts,arId unusual natural or 2. Final Approval from.HeaLth'Dept.of wafer supply and amcrage-disposal(S••9 f=). 3. Approval ofeiectrlt.al-m4lation from Board of FireUaderwrlten. 4. Sworn statement f'ram plumbor aortif 4 that(lac+solderusod in system conAitis lose ltaa 211 b of 1%lead.. 5. Coinm®caial building,htdustrial building,Multiple residences'and similar buildi4gs and installations,a certificate 10C011 Gobaplianthom thitect of end act responsible for the building. ti. Submit planning l3otird Appxaval okt a letz site plan reQuirvbnents. W For testing buildings(prior to April 9,�x95'7)not(-confortdinS usos,or fiuliclipgs aR�d"�x�-exl'atitxg�'laud uses: i. AccuratQ purvey of prop"shotwing all proparty litres,streets,building•and unusual natwal or topogra&ic 2. A•properly completed application and consort-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. Cerecata'of Occu anrly New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25too,AAcccssory building$25.00,Additions to dccessory building$25.00,$usirjesscs$50.00. 2. Certificate of company on Provdstin$Building- $100.00 I Copy of Certificate of Occupancy-8.25 4. Updated Certifloatc d0ooupaney- W.00 5. 'Temporary Certif oats of Occupancy,Residential S 15.00,Cominerew$15.00 Date. New Construction: Old Or Pre-existing b-dldi:M. (check one) Lobatio n orproperty:_.' �L4 5 On I•Touse No. Street f Hamlet Owner dr Owners of property, n-G Sufl'alk County Tax Map No 1000,Section Mod* Lot Subdivision 'Filed Map. —riot: .—. Permit No. Aato of Porrr t. Applicant: Health Dept.Approval: _ . _`Underwriters Approval.• Planning Board Approval; .Request for: 'Temporary Certificate Final Certificate: (check one) Fee Submitted:$ . C-03C)-� L' llOf'`lJ Applicant u �oS�FFOIK�oG O 2 Fax (516. 7,35 •F: To•et.n'Ha11,'53095.Main Vj3d_ rrl. : P U. Bor' 1179 Teiepnone f510; .3 : O So;:lriold. New York 1 1971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I. r I C A T I 0 N Date: Building Permit No. -3 4 Owner: � ftY)C-� (please print) Plumber: . (please print) I certify that the solder used in the water supply system co.ntains I s than 2/10 of 1% lead. (plumbers signature) Sworn to before me this day of SC' . 20 0 Notary Public, .SJ11;al l!!C County aEgMDETTE L.TAPLIN 60 11:101WI PUBLIC#4844893 � Pub f� G 4,f J State bI FJew York Residing in S:lioli;C•o>!nty (Commission 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. 34977 Z Date SEPTEMBER 2, 2009 Permission is hereby granted to: WILLIAM SR LYNCH 41 HAMILTON TERRACE NEW YORK,NY 10031 for CONSTRUCTION OF ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.REPLACES EXPIRED BP # 25532 at premises located at 11645 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 141 Block 0003 Lot No. 012 pursuant to application dated SEPTEMBER 2, 2009 and approved by the Building Inspector to expire on MARCH 2, 2011 . Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 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. 25532 Z Date FEBRUARY 11, 1999 Permission is hereby granted to: WILLIAM LYNCH, SR. 11645 SOUND AVENUE MATTITUCK,NY 11952 for CONSTRUCTION OF RENOVATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 11645 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 141 Block 0003 Lot No. 012 pursuant to application dated JANUARY 26 1999 and approved by the Building Inspector. Fee $ 75 . 00 c Authorized Signature ORIGINAL Rev. 2/19/98 OF SOUlyolo 7� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [/' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: , 11/ DATE INSPECTOR SO - �3 cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ] FINAL [ ] FIREPLACE & CHIMNEY [ ] RE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: w_ _ I7 q DATE INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: IL DATE� INSPECTOR ' � 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 11 INSPECTOR as�Z� 765-3802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ � FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO 57,5-7-3 �) ?* 76!i-1802 BUILDING DEFT. INSPECTI N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ � FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS Ad 410 DATE INSPECTOR rss-sso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �o Ar (�� DATE _INSPECTOR 4 T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] F96NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ""� -�.�-�• Qk- DATE ?211AF INSPECTOR FIELD—INSPECTION—REPORT DATE COMMENTS===_=_____________ II II H H �- FOUNDATION ( 1ST) II II cl FOUNDATION (2ND)_-- II a rid ----------------- — � II ri ri o ROUGH FRAME & II G'l PLUMBING II , II II II --II INSULATION PER N. Y. —i� STATE ENERGY �� T CODE �� I H II c 6` II II I I _ FINAL — � 14-7 DITIONAL MMENTS: H � 1 H O H G O z r ro i 1UU"A0 VL "A!.". . . . . . . . . . M FORM NO. 1 3 SETS OF PLANS . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . _7 BUILDING DEPARTMENT CHECKZJ . . . . . . . . . . . . . . . . . :. . . . . . r JAIVd�r1�Jg TOWN HALL SEPTIC FORM IV 1�� Dl SOUTHOLD, N.Y. 11971 0 TEL: 765-1802 NOTIFY: BLDG. DE!T. Tnwt°!9F SOUTH'?LD (( ��CC� `� CALL � � . . . . . . Examined_.. �. ..... 19.�1 7 { / MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved................, 19...7 1 Permit No. .� '� .................................... Disapproveda/c .................................. .................................... � ildiuug Inspector) LC'ATION FOR BUILDING PERMIT Date- - - - - - - - - - - - - - - - 19. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wil 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 cc menced 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. _ APPLICATICN IS 10MY 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 remay 1 or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordi e , ng code, housing code, and regulations, and to admit authorized inspectors on premises and in bui ing r inspections. ..................................... igna a of app icant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor; electrician, plumber or builder ................... ...d ....------------------.. .....----..................._..................................... Name of owner of premises ... .........IAI �5..:.................................................... (as on the tax roll & latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. 7 .-✓./7/ Plumbers License No. L_l�.�..._ ..... Electricians License No. `T. ................. Other Trade's License No. .................... 1. Location of land on which proposed work will be done.....................C� ..................... ................................... Q ... 11................................................................. House Number Street Hamlet County Tax Map No. 1000 Section .li1:/l......... Block J............. Lot .. Subdivision ...................................... Filed Map.No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. 4. ..:............................................................ ,?t t v h Z.?Tllteilded`user,aTld, qo4 anCy .... c2 ............................................................. ' '� yr• 3. Nature of work (check whici applicable): New Building .......... Addition .......... Alteration .......... . Repair ...... Removal ............. Demolition ............ Other Work ..........I.......................... 10 0 •' ko (Description) 4. Estimated Cost ( ..................... fee .............................................. (to be paid on filing this application) 5. If duelling, number of dwelling units ..../....... Number of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use........ .......... 7. Dimensions of existing structures, if any: Front. 0........... Rear ......... Depth 3 ./.......... Height .�................... Amber of Stories ...14.............. Dimensions f same structure with alterati or additions: Front .....a Rear .. �/ 2...:. Depth �1A............ Height .....:� A;!........ Number of Stories ....... 8. Dimensions of entire new construction: Front ....... Rear .... 1�IA-. Depth .—i5_1 .... Height ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth ..............:..... 10. Date of Purchase ..................... Name of Former O(w�ner ... ................................ l. Zone or use district in which premises are situated ..,l...........4!' .... ..... ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... �.............. 13. Will lot be regraded ..... ........; Will excess fill be remoovedL " premises: YES 14. Names of Owner of premises `✓�/...... Address . e. . ' .��. .. Phone No. .............. Name of Architect ..................:. ............. Address ...�y..�G�nG��. :�.//963 ......... . Name of Contractor I:'C.�?;1,;. f��./. �!.......... .. Address �.�. ..I T /S.�'?...�>,; .'.Phone No. ............... 15. Is this property within 300 feet of a tidal wetland? * YES ... rU�............ N *IF YES, SOITlil<HD MM TMWEES 'PEEHIIT MAY BE REQUIRED. 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. / srAIE Or Nl;.a YORK, SS COUNIY OF .....- �....... ......................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, Ileis the .................... ............................................................................. (Contractor, nt, 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 perfo in time manner set forth in Vi rewith. Sworn to before me this ROBERT L SCOTT.JR. 2&tkl` Notary Public,'State of New York ...................day ... ...19... .. Qualified in Suffolk County No.01 SC4725089Tenn Expires May 31.Notary Public .. ...:............ .... .... .... l irrn.m'1 , it 1!f LINAUTHOco-D.ALTLRATION OR ADDITION V!' w ti�►'' ='i ! RRR To ilu SLa:�[r IS A VIOLATION 1 SECllo!i :':-3"Of'THE NEW,YORK STATE' I COPIES Of THIS SURVEY MAP NOT GEARING v - TIIE LAND:;cvtYOk'S INKED SEAL OR .'FMDOSSED SEAL SHALL NOT SE CONSIDERED ' TO BE A,VA03 TRUE COPY. rj•?. �� _ i GUARANTEES INDICATED HEREON SHALL RUN ONLY TO TH.' :EPSON FOR WHOM THE SURVEY ' IS PREPAI• , A:<o ON H R IS EITAL,TO THE;, . • I-a TITLE CON..:a'•Y, GOVERNMfNIAL A„CIXY AND - f I UNDING INSTITUTION LISTED H[RION, AHD.' , fri 10 TF'i ASSIGNEES OF THE LtNDING.INSTI• . TUTIUr. •.:_A2t•NT;°S A.t NOT TIANSFERARU , 10 AD.7.U�.•�•111SIi�un:.:.S Of SUtSEQUENT OWNERS. fo fn �i41&-,_ 1N3'NYUINGG::vO. at i'o 'TNa LII+Yfed ,, t arir+eYR'' Holl,e. �dti+tiif�E�fY:J'�ioN, • � ' Ol;i SLIPYt"L)tSE�1', .DGCG1�!nCr rOt {qr!i. • NJ L.ICa}f 7aQJ' LLIHCj - CYC��Sr.>cUl'�. NGYv YyY k' . IL 'k _ _.. ` ___-_ --- ___-,.... _� _ _T�_. -- --- ____ �.._� t __ _,. as 4' sk.. .: a- S.., .. ....,. .. ,. „ .., G ...: 1. V ., ,,. r ,.r. ..c. v..,,, - v.. : , 4. 'R,x-: r x... .. ., :✓"... .. 4' -. ...,, + ry a:' $'.:f -.,,..,. ,.+-. w, k c t,.... a e�'Sm'a. ,,,-. ..: S - .._. A . o: ate. t , - s 1. 11 11 V. y, .. . ::.y ,. 1. s g m`t , - ., . .... , .. , „ y, rctol S- _v..-... ..n, _ u- . ._ ,s-,.:.,K'-ts a,.::,.,d,. -t .:.I_,J. ]s .y `w r.,,:._9 . , . 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