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HomeMy WebLinkAbout29123-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29248 Date: 02/06/03 THIS CERTIFIES that the building ADDITION Location of Property: 430 GRIGONIS PATH SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 24, 2003 pursuant to which Building Permit No. 29123-Z dated JANUARY 24, 2003 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 "AS BUILT" SECOND FLOOR REAR DECK ADDITION AS PER ENGINEERS CERTIFICATION. The certificate is issued to CHRIS M & DENISE S HATTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Autho ' zed SignaZure Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29249 Date: 02/06/03 THIS CERTIFIES that the building ADDITION Location of Property: 430 GRIGONIS PATH SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 24, 2003 pursuant to which Building Permit No. 29123-Z dated JANUARY 24, 2003 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 "AS BUILT" ADDITION TO AN EXISTING ACCESSORY SHED AS PER ENGINEERS CERTIFICATION. The certificate is issued to CHRIS M & DENISE S HATTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Auth ized Signagrure Rev. 1/81 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. 29123 Z Date JANUARY 24 , 2003 Permission is hereby granted to : CHRIS M & DENISE S HATTON 430 GRIGONIS PATH SOUTHOLD,NY 11971 for CONSTRUCTION OF AN "AS BUILT" SECOND FLOOR REAR DECK ADDITION AS APPLIED FOR. AMD : "AS BUILT" ADD. TO EXISTING ACCY BUILDING. 2 C/OS REQUIRED. at premises located at 430 GRIGONIS PATH SOUTHOLD County Tax Map No. 473889 Section 070 Block 0003 Lot No. 008 pursuant to application dated JANUARY 24 , 2003 and approved by the Building Inspector to expire on JULY 24 , 2005 . Fee $ 300 . 00 Authoriz Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 JAN 2 3 2M 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 I%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$25.00,Additions to dwelling$25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Builduig $100.00 3. Copy of Certificate of Occupancy-$.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: V ( (check one) ld ,� Q Location of Property: J V House No./� ( Street Hamlet Owner or Owners of Property: v J !4 !V/ Suffolk County Tax Map No 1000, Section 0 . 0d Block 03- 00 Lot CJ 0(30 Subdivision Filed Map. Lot: O 0 (' . o oy Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ -�u G C Applicant Signature PROFESSIONAL ENGINEER 1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971 TEL631-765-2954 • FAX631-614-3516 • e-mail: joseph@fischefti.com FM 3 Date: January 30, 2603.._ Reference: 430 Grigonis Path Southold Building Department Main Road Southold,NY 11971 Dear Sir, With regard to the home on 430 Grigonis Path, I have inspected the rear wood deck and the rear detached storage shed. Both structures have been modified to comply with New York State Building Codes. I have in previous correspondence supplied you with as built drawings for these structures. SOP NEwr �pc�,���• 052g1���i2d "'�FESS10� Joseph Fischetti, PE Haua-G.1 aum for shed ad daic.Coc BUILDING PERMIT EXAMINER CHECK LIST � DATE REVIEWED: /_/0 APPLICANT: DATE SUBMITTED: / /0 SCTM#DISTRICT: 1,000, SECTION: �U , BLOCK: , LOT: Z5 STREET ADDRESS: J CITY: SUBDIVISION: PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT/ENNGGINNEER: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? / NOTES: LOTS 40,000SF-100-24.Lot recognition.(CCRR�EATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1 ZONING DISTRICT: fc &I'V CONFORMING? 0 REQ. LOT SIZE: :9 o00 ACT. LOT SIZE //7/"REQ. LOT COV. �7° ACT. LOT COV. REQ. FRONT PROP. FRONT ' REQ SIDE ACT. SIDE REQ. REAR PROP. REAR S–S- REQ. HEIGHT PROP. HEIGHT WATER FRONT? DESCRIPTION: PANEL #: FLOOD ZONE: , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE:—/ / PERMIT#:R10- TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PPX-DEC 9i1n5 YES or NO SOUTHOLD TOWN TRUSTEES: YES or NO TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO TOWN HISTORICAL PRE (SPLIA): YES or NO NYS ENERGY: YES OR NO : EGRESS (18 H min.?4 sq total) VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO' : Y OR N BP -Z/C/o Z- , NOTES: . 3- FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. lSF)- (iSF)= SF X$ _$ +$ +$ STS=$ 3�G7, O(� 2. ( SF)-( SF)= SF X$-=$-+$-+$-= $ GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TILE COMPANY, GOVERNMENTAL AGENCY, LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDIPONAL INSTITUTIONS OR SUBSEQUENT OWNERS. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. FD LOT 3 FD CM N 69'04'00"E 140.64' CM STONE BLEND SURFACE ASP T DRNEWAY U N U) N 18. CONC. N N F w ABOVE 12.0 FOGLIA o GROUND 28.2 2.0' m m N 2-STORY a i WOOD FRAME �! ACCESSORY RESIDENCE 34.6' O BUILDING P 2.8' BRICK STEPS o O�' rn WOOD DECK 1NID 6.2 EL 21.5' SSTAIRS OOD a W/RAILING IVIG O WALK DECN ^'-.-7.9' 1 O U 2ND CK CURBING N W RNLIAU NG GIUM"LOCK -26.2 ASPHALT DRIVEWAY z coNc 21 CONC.PATIO A UNDER DECK BELCIVM BLOCK CURBING m m -D D N/F O HARTRANFT A L4 WOOD FEN NORTH OF U S 69'04 00 134.4 FD LOT 1 PIPE p rn w JERNICK LANE w SURVEY OF LOT 2 IN MAP OF HARVEST HOME ESTATES SECTION ONE SITUATE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: CHRIS M. HATTON DENISE S. HATTON FM# 5337 SURVEYED: 5 NOVEMBER 2002 DATE FILED JULY 18, 1969 SCALE 1"=30' TM# 1000-070-03-008 AREA = 19,671.48 S.F. OR 0.451 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. GUARANTEED TO: P.O. BOX 294 CHRIS M. HATTON NEW SUFFOLK. N.Y. 1195CA DENISE S. HATTON FIDELITY NATOIONAL TITLE INS. CO. 631 —7'4-5835 ENSE LAND SU YOR NYS Lic. No. 4927 02R1188 765-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ J FRAMING [ V<FINAL [ ] FIREPLACE & CHIMNEY REMARKS: y- 30 DATE a.2-zoo� a3 INSPECTOR - � 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 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. e;;2�'/f'3 Check Septic Form N.Y.S.D.E.C. Trustees Examined '20 �� Contact: Approve ,20 Q,-'�' Mail to: J Disapprov a/c Phone:- 76-S - 00 Expiration 120 D� F - Build Inspect JAN 2 3 = APPLICATION FOR BUILDING PERMIT Date , 20_�-J INSTRUCTIONS 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 waterways. a 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 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, and to admit authorized inspectors on premises and in building for necessary inspections. 7:z;, ignature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician,plumber or builder (f) U_/-//r,7g Name of owner of premises r(S T4° k\1 (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 lan3-6 d which propQ d ork will be done' � J� �� House Number Street Hamlet County Tax Map No. 1000 Section 070. (5C' Block 03 - ()() Lot 0o• 000 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premiss-al4d int9�d use d c upa> Cy of proposed construction: ' a. Existing use and occupancy ��q� b. Intended use and occupancy V � ,' 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Co L 0 ALJ 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 Rear Depth Height Nymber of Storie `' ��" (er -, t✓) 8. Dimensions of entire new construction: FrontRear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase ��i Name of Former Owner 11. Zone or use district iZ 'ch mnises are situated f — � 12. Does proposed construction violate any zo . g law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES� NO // (�j 6'(� � 3o.�Z.7:� Y 14. Names of Owner of premises J S Atik Address L � o f Phone No. 76r M'r Name of Architect Address Phone No Name of Contractor Address Phone No. 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 UIRED. 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. STATE OF NEW YORK) SS: COUNTY OF ) ( i4(J tO being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 4 CV /u E (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 20,0 ?�.�tL� Not Public Signature of Applicant Notary puvi;C, OtV t<,OF N.,"Yorl; r s 0?00& E¢iST.*Mls AJ47OSS 3o G/ti�ovrs �ArN- KLrAit pd-4,x .s©vr�nan� �y �J97� -71-P CCA G iKn eK O d R ' X y c p b f.JGI{ i 500 i N A G /Rae�a N4 �l•- - JOSEPH FISCHETTI, PE PROFESSIONAL ENGINEER a 1725 HOBART RD/PO BOX 616 SOUTHOLD, NY 11971 631-765-2959 a . OF NE, r co 0525 �z. ;- 9�FESSIONP V i I 1y3v GRIGOat,[ 2e�' SOuTN06b b y , i JOSEPH FISCHIMI, PE PROFESSIONAL ENGINEER 1725 HOBART RD/PO BOX 616 SOUTHOLD, NY 11971 i 831-765-2959 OF NEwYy �P Q�F%scyF��o . J} y�F NO 05251 p90FESSti01A. i rvl et p, �i� cc Qpo 1 (� rz u e e'4 O GRIG�ONIS TTN' �� It. •SOiJt04ocd4f by 1Yo-►► ,� I�. C cA 90 z-rrq rd LIPA 'c STS G ac 1 C2,x g �—' 131 y`I JOSEPH FISCHETfI, PE PROFESSIONAL ENGINEER 1 5{�OBAFrT RD/PO BOX 616 _ S� SOUTHOLD,NY 11971 tl p 631-765-2959 O � 4�P5 a�Z SPIro,Oc� 3 0 X/2 ctA G CRG e'ti wl ry 0f NEW pp Q�E%SCcoop yFIO ';, 0525, x ' N 8 �2 ati'c?FF ti�ON��f r f FdOy-,wG veto i y30 GR►GDUtt i°qt� Tr1� S v u 7,qa o Hwy "Ar� AS NOTEDOAd3 B.P. .29 2 3 2:' 5 i NOTIFY BUILDING DEPA AT 785-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO FOR POURED CONCRETE OCCUPANCY OCCUPANCY OR 2 ROUGH - FRAMING & PLUMBING 3. INSULATION USE IS UNLAWFUL 4 FINAL - CONSTRUCTION MUST WITHOUT CERTIFICATE BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET OF OCCUPANCY THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS �ti� Spin, I jI Co'�OL s ti JiOLATION OFTHE FOR ANY PERSON, << r — .-SS ACTING UNDER THE TION OF A LICENSED G X Az '`-ATECT,TO ALTER ANY �4.11eq. �`� ca 6,4n1ON THIS DRAWING IN >SAY.ANY AUTHORIZED RATION MUST BE "o),SEALED,AND RIBED IN ACCORDANCE �T 'P,= ¢ED AR�yi Y � 2 Q 16341 y�P� Ejisr•*. G ,u4vOss "15VG/ti60.vtS �pT/t- ie1�/12 ,pt�Grt .S©ong0 bt ��y IJ' 7 i i I x 5'y x y eev b oLm s 61.11 «A G /Rada �tJ13 f?,�tl. i VIOLATION OFTHE _k'FOR ANY PERSON, -` .`-5S ACTING UNDER THE ah '4Eu TION OF A LICENSED .' l`i ECT,TO ALTER ANY 1 r_M ON THIS DRAWING IN -+MY WAY.ANY AUTHORIZED ' FRATION MUST BE OTED,SEALED,AND ,ASCRIBED IN ACCORDANCE "Tsl THE LAW RED Afj h Q Z 1634A ypQ� , OF t'V! JUN 0 T2002 F S-WI Q44 Lo9c, Poll f n Pp'i T- IC Ok i of i 14 ape lo � 0rZ 4"FDJj2tr-D � t "6;? F- PO4 Z F N W PDQ F► 0 c� All � Ar \ �O �0• 0525t° AR�FESSIONP�� 14 V, 42 PI�7 !- rT r,-O 6192 c. . AP**O'VEp SY SCALE: ��q�.t�t�' DRAWN 3Y� OATS: aptAWi