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