HomeMy WebLinkAbout34951-Z SUEFaIA' Town of Southold Annex 4/27/2012
P.O.Box 1179
54375 Main Road
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35562 Date: 4/27/2012
THIS CERTIFIES that the building WINDOWS
Location of Property: 1750 BOISSEAU AVENUE, SOUTHOLD,
SCTM#: 473889 Sec/Block/Lot: 55.-6-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/13/2009 pursuant to which Building Permit No. 34951 dated 8/25/2009
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:
NEW WINDOWS FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MARK&DENISE GAGEN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut rize Sign ure
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. 34951 Z Date AUGUST 25, 2009
Permission is hereby granted to:
MARK T & DENISE A GAGEN
P.O. BOX 1027
SOUTHOLD,NY 11971
for
INSTALLATION OF NEW WINDOWS IN EXISTING OPENINGS AS APPLIED FOR.
EGRESS WINDOWS IN SLEEPING ROOMS
at premises located at 1750 BOISSEAU AVE SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0006 Lot No. 019
pursuant to application dated AUGUST 13 , 2009 and approved by the
Building Inspector to expire on FEBRUARY 25, 2011 .
Fee $ 200 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6 � P- 7✓V
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:
1. 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 ex:st::lg buildings (prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing" lard 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
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 11 ID � I SQ r ik �✓� SO V1*01 d
House No. Street Hamlet
Owner or Owners of Property: Ka,(-k i a wd of tsz M. 6a-a er)
Suffolk County Tax Map No 1000, Section _ Block Lot
Subdivision Filed Map. Lot:
Permit No. _7� Lf ��I Date of Permit. 2—ZS" ' I.I Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: �� (check one)
fi�Vj -
Fee Submitted: $ 30
Applicant Sdriature
cout 1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU ION
[ ] FRAMING / STRAPPING [ INAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE INSPECTOR
�OF S0(/r�,
courm,
TOWN OF SOUTHOLD BUILDING DEPT. "
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN - LATION
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE _INSPECTOR - 2!�
FIELD MPECTION REPORT DATE COMMENTS '
�d
FOUNDATION(1ST) U
- ----------------_--------,----- _
FOUNDATION(2ND)
z
o
J
ROUGH FRAMING&
H
PLUMBING
�H
INSULATION PER N.Y.
STATE ENERGY CODE
4
y C. Q` t "
FINAL
ADDITIONAL COMMENTS
� O
rn
y
d
�� t4
TOWN`g'2r SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTTENT 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 5 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined �� 12009 Storm-Water Assessment Form
Contact:
1�
Approved ,20 V1 Mail to:
Disapproved a/c D
Phone:
Expiration— 20�
Building Inspector
I
E
3 2009 LICATION FOR BUILDING PERMIT
BLDG.DEPT. Date ! 6 , 20�UTHOLD
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 or 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 from such date. If no zoning amendments 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 moiiths: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.
(Signature of applicant or nam if a corporation)
F0 a Z. 1
(Mailing ddress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises r7J
(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 whic proposed work will be done:
I -) 01l56EA-U -Ay5 � �`-OLIO
S o
House N mu ber Street Hamlet
County Tax Map No. 1000 Section $lock Lot
Subdivision Filed Map No. Lot
•
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ,`
a. Existing use and occupancy 0 Oct 9-
b. Intended use and occupancy k�a,,,,*, ,e
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work � �C_
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
.If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front ;• j, ,' Rear
Depth Height Number of St6rieWX
8. Dimensions of entire new construction: Front Rear .......-..-Depth
Hei ht Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Naive of Architect Address N Phone No N A.
Name of Contractor s^ Address _ 5 +Pe$Far. k Phone No. 6 31 - YSy- 8ci31
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
* 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 elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK) GONNIE 0.BUNCH
Notary Public State of New York
No.0lbU6185050
COUNTY OFa Qualffied in Suffolk County
Commission Expires April 14, ,
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.) , 'r
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.
I
Sworn to before me this
day of 2,0, j 0�
Notary Public Signature pp ' nt
g�fFOt,l- Southold Town Building Department Permit#: 34951
54375 Main Road
r„ x Southold,New York 11971 Permit Date: 8/25/2009
o 1 (631) 765-1802
4,1 # �ao� Expiration Date: 2/25/2011
Parcel ID: 55:6-19
BUILDING PERMIT RENEWAL LETTER
Dated: 12/27/2011
Applicant: MARK&DENISE GAGEN
Location: 1750 BOISSEAU AVENUE
Work Description: WINDOWS
INSTALLATION OF NEW WINDOWS IN EXISTING OPENINGS AS APPLIED FOR. EGRESS
WINDOWS IN SLEEPING ROOMS
A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: MARK&DENISE GAGEN
Address: P.O. BOX 1027
SOUTHOLD,NY 11971
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.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
�gUFFo4ro P.O.Box 1179
54375 Main Road Permit#: 34951
0
w. Southold,New York 11971 Permit Date: 8/25/2009
(631)765-1802
Parcel W: 55.-6-19 Expiration Date: 2/25/2011
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
bated: 3/6/2012
Applicant: MARK& DENISE GAGEN
Location: 1750 BOISSEAU AVENUE
Work Description: WINDOWS
INSTALLATION OF NEW WINDOWS IN EXISTING OPENINGS AS APPLIED FOR.
EGRESS WINDOWS IN SLEEPING ROOMS.
A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: MARK& DENISE GAGEN
Address: P.O. BOX 1027
SOUTHOLD, NY 11971
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,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
P.O.Box 1179 Permit#: 34951
54375 Main Road
y o • � Southold,New York 11971 Permit Date: 8/25/2009
(631)765-1802 Expiration Date: 2/25/2011
Parcel ID: 55.-6-19
Dated: 4/16/2012
Applicant: MARK&DENISE GAGEN
Location: 1750 BOISSEAU AVENUE
Work Description: WINDOWS
INSTALLATION OF NEW WINDOWS IN EXISTING OPENINGS AS APPLIED FOR. EGRESS
WINDOWS IN SLEEPING ROOMS.
Owner: MARK&DENISE GAGEN
Address: P.O. BOX 1027
SOUTHOLD,NY 11971
Your BUILDING PERMIT #34951 has been referred to me because you have not responded to requests
to obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or
occupied in whole or in part until a certificate of occupancy shall have been issued by the Building
Inspector."
Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of
Southold in the amount of$100.00 to renew the building permit, or legal action will be taken against you.
Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00
p.m.
Respectfully Yours,
00,
7010 O290 0002 89 -- _
_ ____ 66 5430
Michael Verity: Chief Building Inspector
Southold Building Department
cc: Damon Rallis Zoning Inspector
TOWN OF SOUTHOLD OROPERTY RECORD CARD
OWNER STREET 1750 VILLAGE DISTRICT SUB'. LOT
FORMER OWNER N E V ` ACREAGE
c t• , '� O
S 1 ,' 4 W , TYPE OF *LDING
RES. SEAS. VL. gARM COMM. I IN'D. I CB. I MISC. I Est.`Mkt. Value
6
LAND IMP. TOTAL DATE' REMARKS _ _ -- 1�,�;x����;�•
J 2-1 q/'fir✓ s ;J" 2-B�
Goo 39,bn y #qm-10
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1. BULKHEAD
Tillable 2 DOCK
Tillable, 3
Woodland ('
Swampland
Brushland
House Plot
Total
✓ %5 L
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NO
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
Ken Robins Custom Renovations LLC OF OCCUPANCY
365 Pequash Avenue
Cutchogue,New York 11935
Phone (631)734-7488 D
Fax (631) 734-2650 G
[F=AUG2 5 2009
Email Chamv)
pxterra(&,Vahoo.com dogp
BLDG.DEPT.
TOWN OF SOUTHOLD
Installing 15 new series 200 Anderson tilt wash double hung windows in place of old cast iron weighted windows.
I will not be enlarging any window framing. Existing headers studs and jack studs will remain.
I will install the largest window I can in pre existing rough opening. Here is a list of rooms and windows that I know will fit in
rough openings. Upon demo of old I expect to be able to install one size large window in some of them.
Ken Robins
Living room --2846-x-3- �I 0 4 10 APPROVED AS NOTED
Kitchen 3046 DATE: B.P.# 4L(qrl
Master bedroom first floor -2Z4.6- I'D%4TO 2�0 0 BY:
NOTIFY E—ILD17o DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
SECOND FLOOR FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
Bedroom -2836 FOR POURED CONCRETE
2030 x 2 2. ROUGH - FRAMING & PLUMBING
a,c 10 3. INSULATION
Bedroom 4. FINAL - CONSTRUCTION MUST
2846 BE COMPLETE FOR C.O.
ALL CONSTRUCTION SMALL MEET THE
Bath 2836 REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
Hallway 2846 DESIGN OR CONSTRUCTION ERRORS.
-�' a-7 66"
Q.-
Bedf Gem-2-M&�3 ����o
RETAIN STORM HAPTER
236FF
pURSUANT TO
OF THE TOWN CODE*
CERI !FIG/;-',-'.,'-)r..' Gr
ALL CONSTRUCTION SHALL NAILING &.CC)NNECTIONS
MEET THE REQUIREMENTS OF THE --REQUIRIE'D."
CODES OF NEV VYOrM(STATE.