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Home My WebLink About22353-Z 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) N® 22353 Z Date...........� �.(........................................ ...... Permission Is hereby granted to; • � s �......... . .. ..... Tee ................... !' ............/.r'. i' ryf^ ......... f ��Lf"7ia �r......... ....,.✓�% ?�!! .,..:... .. .�. .... ...........�'Wz/// . ........ ........."�F........ ........ ....... .......... ....... ......... ........................................ ................... .. ................................................................ i � atpremises located at.................�...................................... ... ............................................................... ..................................................................... . %7 1 �............,....,................................................. County Tax Map No. 1000 Section .... ...........:..... Block..... ........... Lot No. pursuant to application dated ........... 1 .......... ................. 19.. .., and approved by the Building Inspector. Fee $....��` ...... .......... ........� ...... .��::.Y` ...............�.��..... Build ng Inspector Rev. 6/30/80 �a 3 � 3 � 7ss-isoz BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ XFINAL LBG. [ ] FOUNDATION 2ND [ ON [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: /�S=S� 6z- cJ6��• �� c DATE �o?(� -INSPECTOR II a LIZDATI0Y 1 :.(.1:s t)% — y scn , ►NDATI0U 1; ..:.. 'GH FRAME & ` •PLUMBI,yG `,.,: I y . rn 1 UL:,TIOt1 PER N. Y. II rn STATE ENERGY II CODE I -FINAL " ADDIT OVAL COMMENTS : m H - H O rn •.�'+%_�..:+•—..�:�C37.�r�.:..--•--•w:-,..r 1:y:3�:,,+i.l'u....: .. .. - .. . T - --. —. .. .., .. ^'� ..yls.ilrt.. BOARD OF HEALTH . P f FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . : TOWN OF SOUTHOLD SURVEY . . . . . _ . . . . . . . . . . . . . WD _ 7 1994 ' f BUILDING DEPARTMENT CIIECI: . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . ... . . • . • • . .SOUTHOLD, N.Y. 11971 T BLDG.DEPT TEL.: 765-1802 NOTIFY : ite�. ._ g3pc�OWN OF SOUTFIOLD CALL Examined . . . . . . . . . . ., 19 � MAIL TO : • . . . . . . • . . . ./. , Approved . . . . ./.`��. . . . . 199,4ermit No. `S� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . vi- . . . . . . . . . . wing Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . September 6 19 94 INSTRUCTIONS r a. This application must be completely filled in by typewriter or in ink and submitted 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 appli- cation. 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 issued 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 building for necessary inspections. William C. Goggins -- (Signature of applicant, or name, if a corporation) P.O. Box 559, Southold, New York 11971 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . Brian Bambrick and Brenda Bambrick (as on the tax roll or latest deed) lIf applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . ---------------------------- ---- ----------- -------Electrician's License License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Lake Court Southold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . .059.00 . . . . • . . • . Block . . . . .05.00 . . . . Lot . • .008.000 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 . . . . •one family residential a atonal b. Intended use and occupancy . . . .one family residential year round 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . .X. . . . . Alteration . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . .�/)�OUo.. . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. 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 . . . . . . . . . . . . . . . . . Rear . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth Height . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . 9. Size of lot: Front Rear . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . • . • . . . . . . 10. Date of Purchase . . . . . . . .August 16, .1994 . . . . , . 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: . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes . No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . Name of Architect . . . . .. . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . .Phone No. .%, 15. Is this property within 300 feet of a tidal wetland? *yeS, - No. � . . . . . . . . � � � � � � . . . . . . . . . . . . . . . *If yes, Southold Town Trustees Permit 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. The applicant seeks to install an electric heating system at the premises, and secure a certificate of occupancy for year round use of the subject premises. STATE OF NEW YORK, S.S COUNTY OF . . .SUFFOLK . . . William C. Goggins . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . . .attorney„for ,the applicant . . . . . . (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 . . . . . . . . . .sixth. . . . . . . . .day of. . . . . . . . .September . . 19 .94 Notary Public, ,Suffolk . . . , . County I MELISSA EC (Signature of applicant) Notary Public,Statee o of Now New York - �- - -- No.4995913-Suffolk County Tenn Expires May 4, 19 ff� SO�Tyolo Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Telephone(631)765-1802 Southold,New York 1 1 97 1-0959 1�C4UNTY,�c`� BUILDING DEPARTMENT TOWN OF SOUTHOLD May 7th, 2007 Brian Bambrick 48 Washburn Pl. Caldwell,NJ, 07006 RE: 155 Lake Ct. (alteration) SCTM: 59 5 8 1 Dear Mr. Bambrick, Please be advised that your Building Permit#22353 issued September 26th, 1994 has expired According to the Code of the Town of Southold; a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of 75.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. WILLIAM C. GOGGINS -L�1994 �° ATTORNEY AND COUNSELOR AT LAW P.O. Box 559 gLDG,DEPT. 55000 Main Street TOW�1 OF SOUTwDLD Southold,N.Y. 11971 (516) 765-9300 September 6, 1994 FAX(516)765-2752 Southold Town Building Department 53095 Main Street Southold, New York 11971 Re: Application for Building Permit Dear Sir/Madam: In connection with the above referenced matter, enclosed herewith please find an application for a Building Permit to install a heating system. Also, enclosed please find a check made payable to the Southold Town Building Department in the amount of$75.00 as and for the filing fee. If you have any questions, please do not hesitate to contact the undersigned. Very ,ly yours, C. GINS WCG/ksc enclosures WILLIAM C. GOGGINS ATTORNEY AND COUNSELOR AT LAW P.O. Box 559 55000 Main Street Southold,N.Y. 11971 (516) 765-9300 September 14,1994 FAX(516)765-2752 Building Department Town of Southold 53095 Main Road Southold, New York, 11971 Attn: Gary Fish Re: Certificate of Occupancy; SCTM 41000-059.00-05.00-008.000. Dear Mr. Fish: In connection with the above referenced matter, enclosed please find the insulation specifications as requested regarding the Bambrick permit application filed on September 6, 1994. Kindly, issue the Certificates of Occupancy for the aforesaid premises for the Certificate of pre-existing use as well as the Certificate of.Occupancy for the dormer. If you have any questions, please do not hesitate to contact the undersigned. Very truly yours, C: WCG/dmp enclosure SPECIFICATIONS INSULATION RE: Brenden& Brian Bambrick 155 Lake Court Southold,NY 11971 SCTM# 59-5-8 The upgrading of the above referenced property to meet current New York State Energy code will require that the walls ceilings and floors have insulation that meet the following insulation "R" values: Walls will require blown-in insulation. Accessible floors over basements and crawl spaces/can use batt insulation. i WALLS: R-13 CEILINGS OVER COLD SPACES: R-25 FLOORS OVER BASEMENTS AND CRAWL SPACES: R-19 �, F!•Cy� *r Joseph Fischetti, P.E.