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HomeMy WebLinkAbout28693-ZFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29344 Date: 04/07/03 THIS CERTIFIES that the building ADDITION Location of Property: 29315 MAIN RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 13 Block 2 Lot 4 Subdivision FiledMap No, __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 26, 2002 pursuant to which Building Permit No. 28693-Z dated AUGUST 26, 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 SUNROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VALLO BENJAMIN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF ~ALTH APPROVA5 ELBt-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION Rev. 1/81 N/A 1075249 09/06/02 N/A ~~~A~thor[zed Si ute -~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PER[4IT NO. 28693 Z Date AUGUST 26, 2002 Permission is hereby granted to: VALLO BENJAMIN 530 1ST AVENUE -SUITE 7W NEW YORK,NY 10016 for : CONSTRUCTION OF A SUNROOM ADDITION TO AN EXISTING ONE FD~4ILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#27451. at premises located at 29315 MAIN RD ORIENT County Tax Map No. 473889 Section 013 Block 0002 Lot No. 004 pursuant to application dated AUGUST 26, 2002 and approved by the Building Inspector to expire on FEBRUARY 26, 2004. Fee $ 150.00 Authorize ~ignatu e 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. 27451 Z Date JULY 5, 2001 Permission is hereby granted to: VALLO BENJAMIN 322 EAST 57TH STREET NEW YORK,NY 10022 for : CONSTRUCTION OF SUNROOM ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 29315 County Tax Map No. 473889 Section 013 pursuant to application dated JUNE Building Inspector. MAIN RD ORIENT Block 0002 Lot No. 004 1, 2001 and approved by the Fee $ 150.00 ORIGINAL 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 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 o f 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 $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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: '""--4 Old or Pre-existing Building: (check one) LocationofProperty: 5~.O~>9~ ~ (~9 C/ House No. Street Owner or Owners of Property: _ C~X"q'x\ ~ Suffolk County Tax Map No 1000, Section \'~ Block ~ G' ....... ~ Filed Map. Subdivision PermitNo. ~),~'~9 C~) DateofPermit. <~-'~,~-O'~- Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~-:-~ 5~ Hamlet Lot Lot: Underwriters Approval: Final Certificate '-~'q ~ Applicant Signat~r~ - - x~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT IJpon the application of upon premises owned by B.J. ELEC. CO. VALLO BENJAMIN BOX 16 RT 25 ORIENT STILLWATER AVENUE ORIENT, NY 11957 CUTCHOGUE, NY 1 '1935, Located al RT 25 ORIENT ORIENT, NY 11957 Application Number: 1075249 Certificate Number: 1075249 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: Second Floor, Outside, Pool/Spa, 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 6th Day of September, 2002. Name QTY Rate Ratin~ Circuit Type Additional Charges covers out door pool and shower room,and Appliances and Accessories ~ Furnace I 0 Gas Pool/Spa Bonding 1 0 Air Conditioner 2 0 15 Amps Exhaust Fan I 0 F.H.P. Wiring and Devices Fixture 1 0 Pool/Spa Receptacle 2 0 20 amp Pool/Spa GFCI Circuit Breaker 1 0 15 amp Pool/Spa GFCI Circuit Breaker 1 0 20 amp Pool/Spa Switch 5 0 General Purpose Receptacle 2 0 General Purpose Dimmers 1 0 Lighting track 6 0 ft Fixture 2 0 Fluorescent seal Receptacle I 0 GFCI Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the p?esence of a raised seal at the location indicated. 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 B.J. ELEC. CO. BOX 16 STILLWATER AVENUE CUTCHOGUE, NY 11935, Located at Application Number: RT 25 ORIENT ORIENT, NY 11957 VALLO BENJAMIN RT 25 ORIENT ORIENT, NY 11957 1075249 Certificate Number: 1075249 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, Outside, Pool/Spa, 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 6th Day of September, 2002. Name QTY Rate Rating Circuit Type Amou (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. seal This certificate may not be altered in any way and is validated only2by t~re pr2esence of a raised seal at the location indicated. Breger Terjesen Associates, Architects 545 Eighth Avenue, 17th Floor New York, New York 10018 William N. Breger, FA.LA James H. Terjesen, R.A. James O. Bermel, A.I.A. Richard S. Wood, R.A. August 28, 2002 Tel. 212-239-1522 Fax. 212-239-1532 Town of Southold Building Department Town Hall Southold, NY Re: Permit No: 24517 Sun Room Extension Vallo Benjamin 29315 Main Road County Tax Map No: 473889 Block No: 0002 Lot No: 004 This is to certify that the Sun Room Extension as indicated in drawings #1,2,3 & 4 is in conformity with all rules and regulations of the State of New York and the Town of Southold. The soil condition and the integrity of the existing porch has been verified. Sincerely, William N. Breger WNB:pdy 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND []/INSULATION [~/J FINAL [ ] FRAMING [ ] FIREPLAC~CHIMNEY REMARKS~ ~~:~_ ;.~ . DATE/~~INSPECTp~ FIELD INSPECTION REPORT DATE .,~' ~ COMMENTS i~O~NDAT ION (IST) FOIINDAT ION ( 2ND ) ROUGH FRAME & PLIF~IBING INSI~TION PER N. ¥. STATE ENERGY CODE ~INAL .ADDITIONAL BUILDING DEP TOWN HALL SOUTHOLD, NY 11~71 TEL: 765-1802 Examined ,20 Approved "'l Disapproved ~UIJ~DINL.i I~P. KNIII AI-'FLICATION CHtCK.LI~' Do you have or need the following, before applying Board of Health 3 sets of Building Plans S~ey. Check Septio Form N.Y.S.D.E,C. Trastees Contact: APPLICATION FOR BUILDING PERMIT Mail to: Phone: Date ,20 INSTRUCTIONS a. This application MUST be completely filled in b.~ iltpewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to sgt/edule. b. Plot plan showing location of lot and of buildings .o..n'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 app,,oval of this application, the Building Ln~ector 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 i~ part for any purpose what-so-ever until a Certificate of Occupan is i. ;~ed by the Building Inspector. I~, APPLICATION IS HEREBY MADE to the Buildi~. gDepartrnent for the issuan~ Building Zone Ordinance of the Town of Southold, .SuffolkCo{mty, New York, and o~'er applicabh Regulations, for the cbnstruction of buil.d~?, additm~, or:alterations or for removal(~ demolitio~ applicant agrees to eoi'nply with all apphcable laws, ordinand?s, building code, housinitcode, and authorized inspectors on premises and in building for necessary inspections/ Ling Permit pursuant to the Laws, Ordinances or ~s herein described. The :latilns' and t° admit~ '" (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of p~'emises ~f~'/'/"~) (a~ 0n the tax roll or latest deed) If applicant is a corporation, signature of duly authori4~:l. (Name and title of corporate officer) Builders License No. Plumbers License Bio. Electricians License No. Other Trade's LicenSe No. . . 1. Location of land on which proposed work will b~ dor~e[ House Numb~ Slreet County Tax Map No. 1000 Section Subdivision (Name) · ' Block dP 52.- Filed Map No. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~.l~/ If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work (Description) (to bl paid ~n filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height. Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Rear Depth_ Height Dimensions of entire new construction: Front. Height ~-~ .~ Number of Stories Size of lot: Front ~'g~,~$ -- .Rear . 0. DateofPurchase J~l"/--~e~ Name ofFormer Owner Number of Stories Depth .... 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded /~ Will excess fill be removed from premises: YES NO ~'~ 4. Names of Owner ofp~mis, es. Address Phone No. Name of Architect ~,' t c~-, ~ ~--F---~--,~ Address._ ~'/~-o°'F4/i~'~'/~'/S'Phone No ;~rz--23';/t ~'z-~,- Name of Contractor.~ -¢~"~'A/ .¢'t/,o,;~_~>~' Address3'-,?o?5.,V'c,C-T-7 ,pl~ .)[~_Ph.one No. ~ 5. Is this property within I00 feet of a tidal wetland? *YES ~a O NO / ~ t~/ '~ · rF YES, otrrrts . pffow rRUSZ nS P R.urrs u^¥ m quwmr) 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK). SS: :OUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, g)Hc is the (Contractor, Agent, Corporate Officer, ete.) f said owner or owners, and is'duly authorized to perform or have performed thc said work and to make and file this application; tat ali stat.ernents contained in thi.s applieatio, n a.re true to the best of his knowledge and l,,~llef; and that the Work will be -'rformed m the manner set forth m the apphcat~on filed therewith. worn to before me this ~'"] I ~-~ day of 20_Ol ' t J tary Public Signature o~e/Applic~t · EMZ~ A Term Expire~ June 8. ~ S S LONG ISLAND SOUND E S 87"41'07" E 107.98' 81'38'58" E 50'%7 77' TIE LINE ALONG APPROXIMATE HIGH WATER MARl( AS LOCATED Cog 0 ~oe or {orroer\Y no~ B %e~droon Nathan ' o © ~o now or formerly ~ b Demotes( - jeffrey L. MAIN ROAD (N.¥.S. RTE. Young & Young, Land Surveyors 400 Ostr~nder Avenue, R~verhead, New York 63~-727 2303 NOTE AREA = 2.9095 ACRES SURVEYOR'S CERTIFICATION · WE HEREBY CERTIFY TO VALLE BENJAMIN THAT THIS SURVEY WAS PREPARED IN ACCORDANCE ~TH THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY~ME NEW YORK STATE ASSOCIA~ON OF PROFESSIONAL LAND SURVEYORS. SURVEY FOR VALLO BENJAMIN At Orient, Town of Southold Suffolk County, New York County Tax Map ui,t,,~t 1000 s,:tlo~ 1.3 8~o~, 02 ~ot 4 BOUNDARY SURVEY j MAP PREPARED NOV, 2B, 2000 SCALE 1" = 50' dOB NO. 2000-0557 DWG. 2000_0557 $N01i¥^333 / §N~d g IN31S,JLS TY, AT! ~OA ~ '~O0~8"IOH AV~rOm' ~I~I~Omm~J~ S.~.tgA gOOg 'ciE[03 g.l.O~QO~c[ Eqr'IOg $1~IOgV,~$ ~II_O& ,£ , i i I I [ | ~ 3 3/16" DnnR s ILL 1 1/16"