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gaFFnt�c 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#: 39318 Date: 10/27/2014
Permission is hereby granted to:
Notaro, Frank & Notaro, Antionette
625 Calves Neck Rd
Southold, NY 11971
To: construct an addition above an existing attached garage as applied for
At premises located at:
625 Calves Neck Rd, Southold 'y d c
SCTM #473889 pal
Sec/Block/Lot# 63.-7-30.1
Pursuant to application dated 10/20/2014 and approved by the Building Inspector.
To expire on 4/27/2016.
Fees:
CO -ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $349.60
Total: $399.60
Building Inspector
Form No.6
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 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$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 P_re-existing_Building- $1.00.00
3. Copy of Certificate of Occupancy-$.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: i (check one)
Location of Property:
House No. Street Hamlet
Owner or Owners of Property:
4 Suffolk County Tax Map No 1000, Section Z ?_ ock Lot 1j0,
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval: Y
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
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ON RESORT DATE COlvMNTS
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STATE ENERGY CODE
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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
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502• Suryey
SoutholdTown.NorthFork.net PERMIT NO. 3/�3/,� Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application,
Flood Permit .
Examined ,20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved 1P0-- 20 14 Mail to:
Disapproved a/c
Phone:
Expiration ,20-46—
Building Inspector
E C E U21ATION FOR BUILDING PERMIT
OCT N 2014` Date• (®. �'•� , 20 J
INSTRUCTIONS
a. rhis applicatidfiPMUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of pla riiratPTTnMIN�'{J{a Fecadording 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 fhe•work authorized has not cdinmenced 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,housing code, and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
77rv�� L-4,opc��
� (Signature pplicantr nam ,if a corporation)
[Mailing-adgress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on the ta4 roll or latest tef
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 which proposed work will be done:
House Number Street Ha let
County Tax Map No. 1000 Section .44�57 Block 4-07 t` " ' Lot 3�•c '" '1
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 01"s�L,10T �iLr►..1 d y �- d
b. Intended use and occupancy 14A� " j;--A1-41V 1 •�"d
3. Nature of work(check which applicable):New Building Addition Alteration V
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Ind 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 I-
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 41 2� Rear ?i Depth Fj ,
Height '��j - _ _Number of Stories 9 f!
Dimensions of same structure with alterations or additions: Front �--' Rearms 1
Depth Height �j�= ��� Number of Stories r
8. Dimensions of e tirg new cgpstruction: Front-41W!qol Rear " Depth l/� t
Height —®Ly Number of Stories 2�V-1
9.• Size of lot: Front ®(7 Rear Depth ��•�'
10. Date of Purchase 1 *18 Name of Former Owner
11. Zone or use district in which premises are situated 1?�, - !i e�
12. Does proposed construction violate anyzo mg law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removedf om premises?YES NO�
Cog "*0+CA
14. Names of Owner of premises Address •�CPhone No.�0 J' �'
Name of Architect Address .O. Phone No
Name of Contractor Address P.Yhhone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__VINO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMIT S,I' AY 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 property4s at 10 feet or below, must provide topographical data on urvey.
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 )
beingduly sworn, deposes and says that(s)he is the applicant
(kaml of individual signing contra t)above named,
(S)He is the
(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.
Swain to before me th' 1 1
1 ,of ° 20LIZ
Notary Public,ftat� York Signature of Applicant
No,01 HE6174810
®uslified In Suffolk County
Commission Expires 09/24/201...
Scott A. Russell ��°S� r � ST(0 RIMMA\T]ER,
SUPERVISOR I�v1[A\INA\�G IEI� LENT
SOUTHOLD TOWN HALL-P.O.Box 1179R
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
- - - - - - - -- -- -- - - - - - - - - - - - ----- -- --- - - -- - -- -
' DOES THIS ]PROD ECT INVOLVE ANY ®]F THE FOLLOWING:
Yes (CHECK ALL THAT APPLY)
[:]VA. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground"surface.
❑ B Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
/Site preparation on slopes which exceed 10 feet vertical rise to
X00 feet of horizontal distance.
❑ D Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ . Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse. _
t
❑ F. Installation of new or resurfaced,impervious surfaces of 1,000 square
feet or more, unless prior approval of a-Stormwater Management
1
Control Plan was received by the, Town and the proposal includes
in-kind-replacement of_-impervious surf aces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
S.C.T.M. 1000 Date:
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) Doti ict �J
NAME: FZP5 ,O w Oµ� v'• �• ZO• I
(P,„,i Section BI Lot
-- FOR BUILDING I)1.P�rn,NlENT USE ONLY
Contact Informati • 63 (�,/�r, • 1 v _tJ
' .f1teW me uu,nx '�—
Reviewed By
3
- - — — — — — — — 0
Date: - 2,o
Property Address / Location of Construction Work- — — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
_ — Stormwater Management Control Plan Not Required_
F1Stormwater Management Control Plan is Required
I- I��y , (Forward to Engineering Department for Review)
FORM A SMCP-TOS MAY 2014 `
ITECNOLOGIES
ARCHITECTURE PLANNING CONSTRUE"PION SERVICES
13405 Main Road,Mattituck, Now York 11952
631.298.1129 fax:631.298.1128
October 28,2014
Town of Southold
Building Department
Southold, N.Y. 11971
Re: Frank Notaro
625 Calves Neck Rd.
Southold, N.Y. 11971
Building Permit application for new addition over existing garage
To Whom It May Concern:
In reference to the above project, we will be adding r-38 insulation in the ceiling and r-19
insulation in all upstairs walls as well as r-19 in the ceiling of the garage prior to gypsum.
bd. per;prescri tive design.
l
vr nk
0 121
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OCT 2 8 2014 I
BLDG DEPT
TOWN OF SOUTHOLD
S�31�
Southold Town Building Department
guFP�t,�c' P.O.Box 1179
o`p oG Permit#: 39318
y� 53095 Main Rd
o • Southold,New York 11971 Permit Date: 10/27/2014
4,j o�_ (631)765-1802 Expiration Date: 4/27/2016
Parcel ID: 61-7-30.1
BUILDING PERMIT RENEWAL LETTER
Dated: 11/16/2018
Applicant: Notaro,Frank&Notaro, Antionette
Location: 625 Calves Neck Rd, Southold
Work Description: ADDITION/ALTERATION
construct an addition above an existing attached garage as applied for
A FEE OF $349.60 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Notaro,Frank&Notaro, Antionette
Address: 625 Calves Neck Rd
Southold,NY 11971
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold,New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
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LLJ
cr
_No
W
SOUTHWEST ELEVATION
SCALE:
1/411 11011
OFFICE SET DWG. NAME:
1 .09-08
PROPOSED
BUILDING
ELEVATIONS
THESE DRAWINGS AS INSTRUMENTS OF SERVICE,
ARE THE SOLE PROPERTY OF THE ARCHITECT,NO
REVISIONS,CHANGES,Al MODIFICATIONS
op SHALL BE ALLOWED W/O WRITTEN AUTHORIZATION Ill NO.:
BY THE ARCHITECT. ANY REPRODUCTION IN PART
OR WHOLE IS STRICTLY PROHIBITED BY LAW.
A-4
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