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HomeMy WebLinkAbout28714-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29313 Date: 03/17/03 T~IS CERTIFIES that the building ACCESSORY Location of Property: 2470 WELLS RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 1 Lot 10.10 Sutx~ivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 29, 2002 pursuant to which Building Pe~it No. 28714-Z dated AUGUST 30, 2002 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 SHED AS APPLIED FOR. Ge certificate is issued to LAWRENCE L & CHRISTINE G VACCARI ( OWNER ) of the aforesaid building. SUFFOLK COUN=I~f DEPARTMENT OF HEALT~ APPRO~L~J~ ELEC"~RICAL CERTIFICA~ NO. PLUMBEP~ CERTIFICATION D~r~ Rev. 1/81 N/A N/A N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST HE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28714 Z Date AUGUST 30, 2002 Permission is hereby granted to: LAWRENCE L VACCARI PO BOX 225 CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN ACCESSORY SHED IN THEN REQUIRED REAR YARD AS APPLIED FOR at premises located at 2470 WELLS RD County Tax Map No. 473889 Section 086 Block pursuant to application dated AUGUST 29, 2002 Building Inspector to expire on FEBRUARY 30, 2004. PECONIC 0001 Lot No. 010.010 and approved by the Fee $ 75.00 Authorized Signature COPY Rev. 5/8/02 Form No. 6 TOXVN 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from amhitect 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 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) Location of Property: ~ ~. -']0 House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Filed Map./"/ PermitNo. o~ ~"~}~ '2- DateofPermit. C_- Health Dept. Approval: Hamlet Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~o.~ Underwriters Approval: Final Certificate: ~¢//'/ Lot Lot: (check one) A'~plicant Signature March 14, 2003 Mr. Mike Verity Southold Building Department Main Road Southold, New York RE: Certificate of Occupancy for Yaccari shed Dear Mike, As discussed with you, my husband, Larry, planted 100 meflot grapes in the back of our property. Our shed buts up against Larry's vineyard enabling him to go into the shed through the shed door from the vineyard. Mr. Bob Pelligrini's vineyard is across the dirt farm road which separates the two vineyards. Our shed is 39 feet from the dirt road. We are certain Bob would be willing to verify this to be tree. We appreciate your consideration to this matter. Please see sketch of our survey. Sincerely, cc: Mr. Bob Pelligrini PELLIGRINI VINEYARDS Main Road Cutchogue, NY 11935 LYNDA M. BOHN NOTARy PUBLIC, Stats of New York No. 01 B06020932 Qualified in Suffolk County Tsrm Expires March 8, 20 ~ LYNDA M. BOHN NOTARY PUBLIC, State of New York No. 01BO6020932 Qualified in Suffolk Count~.--, Term Expires M~rch 8 20 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/~<]. FINAL ~/~, ~,~ FIREPLACE & CHIMNEY DATE INSPECTOR~ FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING __ INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS TOWN ~}F BUILmNG TOWN HA][ SOUTHOLI TEL: (631) FAX: (631) OUTHOLD )EPARTMENT L ~, NY 11971 65-1802 65-9502 www. north~ork.net/S outhold/ Examined ., 20 Approved ., 20 Disapproved a& Expiration , ,20__ a. Thi~ s~ts of plans, ~ b. Plol areas, and war, c. The d. Upc shall be kept o e. Nol issues a Certit~ f. Eve~ issuance or hm property have' addition six m, ~APpL] Building Zone Regulations, f( applicant agree authorized ins State whether PERMIT NO. Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying. Board of Health 3 sets of Buildthg Plans planning Board approval Survey_ Check Septic Form N.Y.S.D.E;C. Trustees Contact: Mail to: Phone: :APPLICATION FOR BUILDING PERMIT 20 INSTRUCTIONS application MUST be completely filled in by typewriter or in ink and s~bra~tted to the Building Inspector with 3 :curate plot plan to scale. Fee according to schedule. plan showing location of lot and of bnildings on premises, relationship to adjoining ~remises or public streets or :rways. work covered by this application may not be commenced before issuance of Building Permit. n approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit ~ the pr~nises available for inspection throughout the work. ,uilding shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector cate of Occupancy. y building permit shall expire if the work authorized has not commenced within 12 months after the date of not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the )een enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an ,nths. Thereafter, a new permit shall be required. CATION IS HEREBY MADE to the Building Department for theissuance of ~ Building Permit pursuant to the Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or r the construction of buildings, additions, or alterations or for removal or demolition as herein described. The s to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit ectors on premises and in building for necessary inspections. (Signatu~ of apphcant or name, if a corporation) (Mailing address of applicant) liq~ applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder xofpremises u~/tfe c4 ~, 0~ (As on the tax roll or latest deed) a corporation, signature of duly authorized officer Name of own If applicant is (Nam{ Builders Lice: ~se No. Plumbers Lio rose No. Electricians icense No. Other Traders License No. Hamlet 1. Location House Nu County T~ Subdivisi{ and title of corporate officer) land on which proposed work will be done: aaber Street ' ~I, ~'~? ~ ~ o~ Block Fil~ Map No. x Map No. 1000 Section ,n. ame) 3. Nature of work (check which applicable): New Building Repair Removal Demolition Statea. existing'uSeExisting useandand°ccupanCYoccupancy°f premises and intended use and occupancy of proposed constmctiln: b. Intended use and occupancy Other Work 4. Estimated Cost z~ oO 5. If dwelling, number of dwelling units 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 Stodes Dimensions of same stru~ure with alterations or additions: Front Real Depth Height 8. Dimensions of entire new construction: Front ~ O s Height Number of Stories 9. Size of lot: Front ,~. O~$ ~. 10. Date of Purchase/~_ (Description) Fee ! (To be paid on filing this application) Number of dwelling units on each floor / Number of Stodes Rear Depth Rear .Depth 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 14. Names of Owner of premises Name of Architect NO" Will excess fill be removed from premises? YES NO ~'~. M'~.. Address Phone No. Address Phone No Name of Contractor ~f: ,~Meg~[~,-lf.~ Address (.,kc'C'~4o~.k,~' ~,~ Phone No. ~'l~ 15 a. Is this property within 100 feet of a tidai 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 surve' STATE OF NEW YORK) COUNTY OFFS: being duly sworn, deposes and says that (s)he is the appli (Name of individual signing contract) 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 1 that all statements contained in tkis application are true to the best of his knowledge and belief; and that thc work performed in the manner set forth in the application filed therewith. ant Ms application; viii be Sworn to before me this~x C/ ' ONotary Public LYNDA M. BOHN Qualified in Suffolk Count~_ Term Expires March 8, 20 ~ ~t UNDERWRITERS CERTIFICATE REQUIRED g,O' '---' OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT 765480Z $ AMI~ 4 PM FOR THE FOU. OWINO mSPI~ION8: 1. FOUNDATION ,. TWO REQUIRED ~. ROUGH - FRAilNG & PLUMBING ~, INSULATION 4, FInAl. - CONmll~UCTtOII MUll' .aI~TRUCTION SHALL MEET THE REGUIREMEIITS OF THE STATE CONSTRU*~TIO# & ENERGY CODES: NOT RESPONSIBLE FOR DESIGN OR CON~IIUCTION ERROR~ VACCARI 247O WEI:hS~OAD PECONIC, NY 11958 p. otfr~ z~) ~ PROPOSED SEPTIC SYSTEM DETAIL '--' " ' ~-~----~ SURVEY OF PROPERTY SITUATED AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK $.C, TAX No. 1000-86-01-'10,10 SCALE 1 "=60' AUGUST 5, 1999 s~e~ 20, ~ ~ ~LOT PL~ AREA = 88,640.28 sq. ft. 2.055 ac, CERTIFIED TO: FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK LAWRENCE VACCARI CHRISTINE VACCARI N,Y.$. Uc. No. 49668 JOseph A. Ingegno Land Surveyor (651)727-2090 Fox (651)727-1727