The URL can be used to link to this page

Home My WebLink About29204-ZFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29306 Date: 03/11/03 T~IS CERTIFIES that the building ACCESSORY Location of Property: 3985 SOUND AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 121 Block 1 Lot 2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 2003 pursuant to which Building Permit No. 29204-Z dated MARCH 11, 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 ACCESSORY AGRICULTUP~AL STORAGE BUILDING AS APPLIED FOR. The certificate is issued to ANTHONY & MELISSA PERULL0 ( OWNER ) of the aforesaid building. SuFFOLK COUNTYDHPARTMENTOFHEALT~APPROVAL EI~C~rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£~ N/A 1114208 02/11/03 N/A //uth~ z ed S~nature 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 LrNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 29204 Z Date MARCH 11, 2003 Permission is hereby granted to: ANTHONY & MELISSA PERULLO 3985 SOUND AVENUE MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY 16 X 32 AGRICULTURAL STORAGE BUILDING AS APPLIED FOR. THIS PERMIT REPLACES BP#26632. at premises located at 3985 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 121 Block 0001 Lot No. 002 pursuant to application dated MARCH 11, 2003 and approved by the Building Inspector to expire on SEPTEMBER 11, 2004. Fee $ 150.00 ORIGINAL Rev. 5/8/02 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. 26632 Z Date JULY 3~ 2000 Permission is hereby granted to: ANTHONY PERULLO 134 CHURCH STREET KINGS PARK~NY 11754 for : CONSTRUCTION OF AN ACCESSORY 16' X 32' AGRICULTURAL STORAGE BUILDING AS APPLIED FOR. at premises located at 3985 County Tax Map No. 473889 Section 121 pursuant to application dated JUNE Building Inspector. SOUND AVE MATTITUCK Block 0001 Lot No. 002 id 2000 and approved by the Fee $ 50.00 r// Authored Signature COPY Rev. 2/19/98 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 De~p~_artment... 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 mmsual 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. Submit Plamfing 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, 3. 4. 5. New Construction: t~ Old or Pre-existing Building: LocationofProperty: 3~,~C ~'-~A_~_ ~ t~ouse l,~o. ~ ~treet Owner or Owners of Property: '~__~ [/tfl.~ [ [ C~ Suffolk County Tax Map No 1000, Section [_~[ Subdivision ~_~.¢.~.,~ ~_.Lt.~ (fl PermitNo. ~Q~[C)t-/ DateofPermit. 5~-[/-03 Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 , . (check one) /cc/ / l x- T- ! Hamlet Block 0 0 Filed Map. Applicant: Underwriters Approval: Health Dept. Approval: Lot Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $~/~x.~ ~ ~07~0(o Final Certificate: check one) BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by REP ELECTRIC P.O. BOX 635 MATTITUCK, NY 11952, ANTHONY PERULLO 3985 SOUND AVE MATTITUCK, NY 11952 Located at 3985 SOUND AVE MATTITUCK, NY 11952 Application Number: 1114208 Certificate Number: 1114208 Section: Block: Lot: Building Permit: BDC: NS11 26632 , Described as a Residential occupancy, wherein the premi~e~s' e'r'e~'t'f'ic-a'f ~ystem consisting electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, BARN & SHOP, Outside, of was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the Name Miscellaneous 2 out buildings for dairy farm Appliances and Accessories Furnace Panels llth Dayof February, 2003. OTY Rate Rating Circuit Type 1 0 Oil 1 100 10 1 40 6 Wiring and Devices Receptacle 13 0 General Purpose Switch 8 0 General Purpose Fixture 5 0 Incandescent Fixture 10 0 Fluorescent Receptacle 1 0 20 amp Appliance Receptacle 1 0 GFCI seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Applicant/12~- t.~ ~) _~r. kx.~ l)atc Owners Name: , !,,,,,~P~,d 0 Reviewed: Architect/ Date Engineer: Submitted: Dislrict: ] 000 Section:_ l o~ Block ___ I.ot ~ubdivislon Project Description: AGENCY PERMITS REQUIRED FOR REVIEW N.A. Permit NO YES Number Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes; 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [t~L FIELD INgpECTI(vN REPORT DATE COMMENTS FOUNDATION (IST) l~ ~ FOUNDATION ( 2ND ) ROUGH FRAME & ,, eLidING " INSm~T~ON PZR N. Y. STA~ E~R~ " CODE FINAL ADDITIONAL COf~ENTS: FORH ~0. [ TO~N OF SOUTHOLD BUILDING DEPARTMENT TOM H~L SOUT~OLD, N.Y. I 1 ~7 I ~L: 765- 1802 Pe~t ~ ................. ~ (~ildi~ I~tor)( ~ APPLICATION FOR BUILDING PE~IT BOARD OF HEALTH ...... , ......... 3 SETS OF PLANS ........... 'r .... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... DEC ........................... TRUSTHES ...................... NOTIFY: CALL .................. MAIL TO: .................... Date ................ ,20 .... ~ ~pletely filled in by typewriter or in ink and submitted to the l~Hlding Inspector wi 3 scts of plarm, accurate plot plan to ~cale. Fee ficcording to schedule. b. Plot plan ~x~ring lo~atiou of lot and of huildlngs tm proaiscs, relationship to ~djoining pr~fisas or l~blic streets or areas, and giving a detailed description of layer of property rmst be drmm tm the dlagran ~hich is part of this applicetion. c. The work covered by r~his application may not be cctmmnced before issuance of l~ilding Permit. d. Upon appr~al of this application, Oae l~ildir~ I~epector will issue a l~ilding Permit to the applicant. pemit shall be kept on the premises available for i~pectian thronghcot the ~ork. e. No building ~tmll be occupied or used in ~taole or in part for any put.sc ~aatever tmtil a Certificate of Occulmacy slmll have been granted by IJae l~ilding I~spector. API~IC.M?I(I't IS ~¥ ~ to the liuilding Deparlm~nt for ~he iscua~e of a l~ilding Permit purer to the Building Z~e Ordinate of ~ T~n of Sou~old, Suffolk C~m~y, ~ York, and o~her applicable La~s, Ordinances or Rc~ulatioas, for the coastmetion of buildi~s, additions or alterations, or for removal or demolition, as herein described. T~ applicant agrees to comply wifla all appliceble l~a~s, ordinances, lmilding code, housing cede, and re~latines, a~l to admit ~uthorized iaspectors oa premises a~d in building~~s. '(Signa~,~of apg~i~, or na~, if a corl~ration) .. A....am... (ltailin~ address of applicant) State whether applicant is o~mer, lessee, a~ent, architect, engineer, general comtractor, electrician, pl~rber or builder of of msc, ..... ..... f.c .qw .............................................................. (as tm the tax mll or latest deed) If applicant is a corporation, signature of duly ~athorized officer. (Name ~ title of corporate officer) Builders Licerme Ro .......................... Pl~bers License Ilo .......................... Electricians License lt0 ...................... O~er Trade's License No ..................... ]. Locatine of la~d on ~alch pro~oscd ~rk will be done .............................................................. House Ntm~er Street Uanlet Subdivision ...................................... Filed Map No ................ Lot ............... 2. State ~stir~ ucse ~ oceup~n~-~/ of ~scs ~ intended use ~ cx:~ of propo~ ccxmtn~ction: a. Existing use and oecop~ey ..... ~.,~ 15. Nature o£ ~o'rk (check ~,t~ich applicable): Ne~ Building ...~.. ..... t~klitico .......... Alteration .......... l~-~i~-. ........... Ra~c~al ............. Dem~litlon ............ Other Work .................................. !Description) Estimated Cost fee ............................................ (to be paid o~ filing this application) If &~elling, ~c~her of d~elling units ............ Hauber of dwelling units on each floor ................ If garage, nc~l~er of cars ...................................... If basiness, camnercial or mi~ed occupancy, specify nature and extent of each type of use ...................... Dimensions of existing stmac~ares, if any: Front ................ l~ar ............... Depth ................. Ilei~t ......................... lxlcn~ber of Stories ...................... Dimensions of sate strocmre vith alteratloas or additions: Front ............... Rear ............... Depth .................... Height .................... lqLraber of Stories ................ Dimensions of entire ~e~ coostruction: Front ..... 16 ........ Rear ...7.6 ......... Hepth .3Z ......... Height ......................... limber of Stories ..... t. ............... Size of lot: Froot .................... Rear .................... Depth .................... Date of Purd~ase ..................... Name of Former (Mner ........................................ Zoos or use district in ~hlch pr~aises are situated .... ~-~ ....................................................... Does proposed coc~stmctiun violate any zoning la~, ordlnance~ or regulation: .,(.. .................. Will lot be rngraded .................... Will excess fill be re~oved fron premises: YES 1~) of of ....... ress ........ Hans of Architect .................................... Ntdresa .............................. 1~ No ............. Nane of Contractor ................................... /~ddress ............................... Phone No ............. Is this property *dthin 300 feet of a tidal ~etland? * YES .......... NO PLOT D~AGRAH I~cate clearly and distinctly all l~ildings, ~ether existing or pr~, ~ i~icate all ~t-~ d~nsions pr~r~ li~s, Gi~ st~t ~ bl~ ~r or ~scripti~ ~co~ing to ~, ~ ~ strut ~s ~ i~icate interior or co~r lot. APPROVED AS NOTED FEE: ~o~ NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM F~ THE FOLLOWING INSPECTIONS: ~ FOUNDATION - ~O REQUIRED FOR POURED CONCR~ 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ..... ...: .............................. , ing (N¢1~ ofi-- ~'ndlvzdual signi~g contract) above duly s~om, deposes ar~l .says ttu~t he is the appl. ic.~nt I~e is tile ....... ~.~.~.~.< ................................................................................... (Co~tractor, agent, corporate officer, etc.) of said o~er or owrers, and is duly a~tborlz~d to perform or have performed tim said w~rk awl to make and file th{s application; that all statements contained in this applicatlo~l are tree to the best of his Imc~ledge a.d beliefl and that the ~rk will be performed in the maoner set forth in the application filed therewith. ~ ~o~J~re me mis'~ ~~ / ' ~------ .... day of :20 0¢:) HELENE D. HORNE Notary Public, State of New York No. 4951364 Qualified in Suffotk Coun. W Commiac. ion Expires May 22,~:~ ~ ~ 170. SOU/VD · J