HomeMy WebLinkAbout44398-Z P
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Town of Southold 1/27/2020
P.O.Box 1179
S 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41021 Date: 1/27/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 850 Smith Rd, Peconic
SCTM#: 473889 Sec/Block/Lot: 98.-3-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/3/2019 pursuant to which Building Permit No. 44398 dated 11/12/2019
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"window replacements including screens replaced with windows in porch to an existing single-family dwelling
as applied for.
The certificate is issued to Pizzingrillo,Joseph&Mary
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
th rize Si ature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
{� TOWN CLERK'S OFFICE
oy . 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#: 44398 Date: 11/12/2019
Permission is hereby granted to:
Pizzingrillo, Joseph
110 Brompton Rd
Garden City, NY 115302704
To: legalize "as built" alterations (enclosed porch screens replaced with windows) to
existing single-family dwelling as applied for.
At premises located at:
850 Smith Rd, Peconic
SCTM # 473889
Sec/Block/Lot# 98.-3-30
Pursuant to application dated 11/3/2019 and approved by the Building Inspector.
To expire on 5/13/2021.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
4Binag tor
Form No" 6
( TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
NOV - 1 2099 -
APPLICATION FOR CERTIFICATE OF OCCUPANCY
-tea Gr`;l .
This applicationfl usmtf
"b- filled in by typewriter or ink and submitted to the Building Department with the following.
A. For new building or new use:
ith accurate location of all buildings, property Lines, streets, and unusual natural or
1. Final survey of property w
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 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
j 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$15.00
New Construction: Old or Pre-existing Building: (check one)
q
Location of Property-: 2 ' Q S M� '` 1�0c-� Pe C-2kJ a G 1 —
House No- Stree } Hamlet
Owner or Owners of Prope9
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map, Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Undei-writers Approval:
Planning Board Approval: /
h Request for: Temporary Certificate Fina[Certificate. i rrv Vi—
Fee
Submitted:$ r---)�
v licArit Signature
v
SOU
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# TOWN OF SOUTHOLD BUILDING DEPT. ;
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ' ] FOUNDATION 2ND [ ] NSULATION/CAULKING
[ ] FRAMING/STRAPPING [ FINAL W1414AV-5
[ ] FIREPLACE & CHIMNEY - [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL).
[ ] CODE VIOLATION [ ] PRE C/O
REFAA S:
Umu- d)n �mteltk A�4 Vvis
DATE ! I INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (IST) ►-
-------------------------------------
CIOC
FOUNDATION (2ND)
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ROUGH FRAMING& UNy C9j
PLUMBING d
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INSULATION PER N. Y. H
STATE ENERGY CODE
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FINAL j 1
ADDITIONAL COMMENTS
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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 4 sets of Building Plans W i LS
TEL: (631) 765-1802 Planning Board approval'
FAX: (631) 765-9502 i J 1� g Survey
Southoldtownny.gov PERMIT NO. "I ! Check
Septic Form
N.Y.S D.E.C.
Trustees
C.O.Application 5L% i 'fkG 1 f1-�
Flood Permit
Examined 120 Single&Separate
Truss Identification Form
Stone-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:
Expiration ,20
i5 Building Inspector
/
i NOV — 1 2019 APPLICATION FOR BUILDING PERMIT
Date "' O , 20
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 to 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 of applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal o olition as herein described. The
applicant agrees to comply with all applicable laws, ordinances,building code, housin �d , and regulations, and to admit
authorized inspectors,on premises and in building for necessary-inspections.
(Sit f applicant or name,if a corporation)
(7 i �a �LOcD�,J`L, 0
(Mailing address of app scant)
1
State whether applicant iowner, ssee, agent, architect, engineer, general contractor, electrician,plumber or builder
C::? WNE:(Z-
Name of owner of premises j Z_,'N G�6
(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.
I. •Locion of land on which proposed work,will be done:
ra_o SMS co li j2 \C�
House Number Street Hamlet
County Tax Map No. 1000 Section 9 Block `� 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 C L{LL �� p04Z-G'" ( a
b. Intended use and occupancy ei"� ( uoSZi -SL 116 yJ
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolitiony Other Work L tj
(Description)
4. Estimated Cost � ,SO ® Fee _
(To be paid on "Piling 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 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 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.
Name of Architect Address Phorie 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 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)
SS:
COUNTY OF )
0(:s 2 01)r',�Z2,'Z-jrJ C,qijr being duly sworn, deposes and says that(s)he is the applicant
(Name of i dividual signing contract) above named,
(S)He is the D \A/6\f(f(L
(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 2
ANNA GRZYWA
t Notary Public—State of New York
Nota Pub 'c NO 01GR6291631
Notary Qualified in Suffolk Ccuniv g ture of Applicant
My Commission Expires Nov 16 202'
--_J
APPROVED AS NOTED �JQ'
DATE: B.P.#
FEE: l/` BY:
NOTIFY BUILDING DEPAR AT
765-1802 8 AM TO 4 PM FOR THE RETAIN STORM WATER RUNOFF
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED PURSUANT TO CHAPTER 236
FOR POURED CONCRETE OF THE TOWN CODE.
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.0
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF Additional
NEW YORK STATE & TOWN CODES Certification
AS REQUIRED AND CONDITIONS OF may Be Required.
�91�h#9L-B�AI�LZBA
ARD
ES
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
F Artual Helght'(Inches) 47.5 Lock TYpar, - � � . ' Multi-point
Actual Width,(Inch�s) 29.5 ' Handie.7ypc Fotding
[ Rough Opening Width Nall'Fin,- Integrated
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J Channel —
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'(Inches) , Mulling ;; NIA
Jarn-b Depth (Inches)' 3.25
. Wbod,Jamb Eztdrislon Pone
( Hinge Location Left ;.tligh�Altltutle Rated: X
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Nut'ricaine Approved X
',Interior Odl�or/Shish . WhiteX
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Pdintabli , - X Tez s:C.partnterit',0. X
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Colr�FlrilsRFaiil White
_ Mdett`CA Fbrcdd Ehtry X
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Qbscure Glace X :.wine Wleteriel Vinyl
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Product Information
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9 Rotate operator handle to open and close window
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