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HomeMy WebLinkAbout28689-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29093 Date: 11/22/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 29315 MAIN RD ORIENT (HOUSE NO.) (STREET) (HAMLET) Co~u%ty Ta~[ Map No. 473889 Section 13 Block 2 Lot 4 Subdivision Filed Map 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. 28689-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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to VALLO BENJANIN of the aforesaid building. ( OWNER ) SUFFOLK COUIqTYDEPARTMENTOFH]~ALTHia_PPROVkL ELEC/~IICAL CERTIFICATE NO. PLUMBERS CERTIFICATION Rev. 1/81 N/A 1078121 09/11/02 N/A A'utho;~ Si~atu~e FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28689 Z Date AUGUST 26, 2002 Permission is hereby granted to: VALLO BENJAMIN 530 1ST AVENUE -SUITE 7W NEW YORK,NY 10016 for : CONSTRUCTION OF AN ACCESSORY TWO CAR GARAGE AS APPLIED FOR. THIS PERMIT REPLACES BP#26168. 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 $ 195.00 Autho zed Sign~fture 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. 26168 Z Date NOVEMBER 18, 1999 Permission is hereby granted to: for : VALLO BENJAMIN 29315 MAIN RD ORIENT~NY 11957 CONSTRUCTION OF AN ACCESSORY TWO CAR GARAGE AS APPLIED FOR. at premises located at 29315 MAIN RD County Tax Map No. 473889 Section 013 pursuant to application dated OCTOBER Building Inspector. ORIENT Block 0002 Lot No. 004 28 99 and approved by the Fee $ 115.00 uthori e~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 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 $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 Date. ~'-7- C)_..~ New Construction: '"---,3 Location of Property: ~ Houset"~qo. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section \ Subdivision ..3-o.l-xa.x~ ~ PermitNo. ~c6Tzg~t~ O~ DateofPermit. Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: (check one) Filed Map. Lot: Applicant: Hamlet Request for: Temporary Certificate Fee Submitted: $ ~_~"~. ~ Underwriters Approval: Final Certificate."~ ~ (check'on) Applicant S~ature ;--BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ 40 FULTON STREET ~ NEW YORk, NY 1OO38 ~. CERTIFIES THAT g_.Upon the application of upon premises owned by g--B.J. ELEC. CO. VALe BENJAMIN · .BOX 16 ROUTE 25 -- STILLWATER AVENUE ORIENT, NY 11957 ~ CUTCHOGUE, NY 11935, ~ Located at ROUTE 25 ORIENT, NY 11957 ~ Application Number: 1078121 Certificate Number: 1078121 ~ 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: ~ STORAGE BOX, Detached Garage, Outside, ~ was inspected in accordance with the Nadonal Flectdcal Code and the detail of the installation, as set forth below, was ~ found to be in compliance therewith on the 1 lth Day of September, 2002. Name QTY Rathe Ratinff Circuit Type Appliances and Accessories Electric Heater Unit 1 30 Wiring and Devices Outlet 10 Fixture Receptacle 11 General Purpose Switch 10 General Purpose Fixture 4 Incandescent Fixture 6 Fluorescent Dimmers 1 600 Receptacle 2 GFCI Lighting track 24 Service 1 Phase 3W Service Rating 100 Amperes Service Disconnect: i 100 CB Meters: I seal I of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, BUILDING PERMIT REVIEW CHECK LIST Applicant/ * , Date Owllers Name: '~/to,, l lO lt~th I OCqtt(h Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1,000 Section: I ~ Block: e~ Lot: Location. Subdivision Name: Single & separate Required cerOfication: (Yes / No) Req Req. Zoning Dis~ict: [Lol size: Actual ] [Lot coverage __ Proposed:__ Req Req. Req. [Fronl Yard -- Proposed: ] [Side Yard Proposed: ] [Rear Yard __ Proposed:__ Project Description: AGENCY PERMITS REQUIRED FOR REVIEW 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: Permit N.A. NO YES Number Notes: [///~ F~NDATION 1ST [ ] RQUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL ] FIREPLACE & CHIMNEY REMARKS: ~ - /1/" I /'[ INSPE~ 765-1802 BUILDING DEPT. [ ] FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] F~DATION 2ND [ ]INSULATION / [/~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]./~JNDATION2ND [ ] INSULATION [~/]' FRAMING [ ] FINAL [ ] FIREPLACE & CH~I,~EY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 'IST [ ] ROUGH PLBG. i: .D INSPECTION REPORT DATE COP~IENTS IDATION (IST) '~IDAT I ON (~ND) , c~ ~ ADDITIONAL COF~IENTS: FORHNO. I TOWN OF SOUTHOLU BUILDING DEPARTHENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 BOARD OF HEALTH ............... ~ SETS OF PLANS .... ' .... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... CALL .................. Disapproved a/c .................................. (Building I~tor) APPLICATION FOR BUILDING PERHIT INSTRUCTIONS HAIL TO: ................... a. This application mst be ¢~m&letely filled in by tyl~rciter or in ink and sul~itted to the Building Inspector 3 sets of plmm, aecttrate plot plan to scale. Fee according to schedule. b. Hot plan aborting location of lot and of I~ildings tm premises, relatioaship to adjoining praises or Ix:blic streets or areas, and giving a detailed descripcitm of layout of property trust be drama on the diagram ~hida is pan of this application. c. The work co,red by this applleation rmy not be cmmmced before ism of Building Penuit. d. Upon appxa:~l of this application, the Building Inspector will issue a Building Pemit to the applicant. pamit shall he kept on the prmfiaes available for inspaetion throughout the work. e. Ro Imildi~g shall be occupied or um'd in ~hole or in part for any purpose ~natever tmtil a Certificate of Occupancy shall ha~ been granted by the Building hml~tor. APPLICATIC[~ IS ~ ~ to the Building Departm~t for the iasumme of a Building Permit pursuant to the Building Z~ae Ordm of the Toim of Southold, Suffolk Cotmty, Ne~ York, and other applicable La~s, Ordinmaees or Regulations, for the construetio~ of Imildln~, additions or alterations, or for removal or a~mlition, as herein described. The applicant agrees to ec,~ly with all applicable l~m, ordimmee$, building code, housing code, and regulations, and to ~it authorized inspaetors tm premises and in Imilding for neeessa~ inspsctlorm. (Signature o ration) · r"~ ............ /' ....... : .................. (I~ailing ~da,-ens of applicant) State ~hether applicant i$ mr, leesee, agent, architect, englseer,~ ctmt~ electrician, ph~her or Imil& ~ of o~mer of pn~tisc8 ............................. (as on the tax roll or late~t deed) If applic~t i$ a corporatim, signature of duly anthorized officer. (Nare and title of onrporate officer) Builders License No ......................... Plumbers Lit~x~e Ilo .......................... Eleetriciaan License No ...................... Other Trade's License No ...................... 1. Locatitm of land tm ~hich proposed work vi11 be dane ........................... ......................... a ......... ..................... ...... ............................. ttonse l~mber Street Nailer c~ T~ No. ,ooo ~ion ..... l...°. ...... Bio~ ..~.. ....... Lot ..~..V. ........ Subdivision ...................................... Piled liap No ................ Lot ............... 2. State existing use and oeo .mm~ey of premises and intended ~se ~ occupancy of prolaoeed constmctitm: a. ~t~ng u~ ~ o~.--~ ...~ ........ ':..~.i~J.~.....~..~:/~/ .... l~d.~ ........ 3. Nature of ~rk (check *ldch applicable): Ne~ Building .......... ~ddition .......... Alteration .......... Repair ............ Rem,~ral ............. Demolition ............ Other OO (Description) ~0,~. 4. Estimated Cost .i~...i ................... fee .............................................. (to be paid on filing this application) 5. If d~elling, r~ber of d~elling onits ..... ~.'~..... lim~er of d~elling traits on each flonr ...--~. ............ 6. If l~lsieess, c~mn~rclal or mixed occupancy, specify ns~ure and extent of each type of use ...................... ?. Dirrensions of existing structures, if any: Front ................ Rear ............... Depth ................. Baight .......................... N~ber of Stories ...................... Dimensions of sa~ structure with alterations or additions: Front ............... Rear ............... Depth .................... ltelght .................... lxl~ber of Stories ............... 8.oimensi~ of e,ti~ ~ ~st~tion: Mt ..~..0..' ........ ~ar ..~.O..~ ....... ~ ..~. .......... ,~i~t ....... ~..O.:. ............ ~,~r of Stories ..J. ................. s. si~ of lot: ~t ..S.4..~....~.t.~..~ ..... Rear .................... De~th .................... I0. Bate of Purchase ..................... ltare of Former O~eer ........................................ II. Zone or use district in ~hich premises are situated ...~...°..:7...1~...~.?. ........................................ ~z.~nss ~opo~ onnst~tion ~io~at~ a.y ~oning ~,, orai~e o~ ~lation: . ~.%~...eP.e!°...~... 13. 14ill lot be mgrmied . ....~O~P.. ............ t/ill e~eese fill he ~,~-d frran premises: YES lid ~. ~s of 0~er of e,'~ases. .. .~1~.2..~.:9.... aaaress .............................. eho~ ~o. ~..~-~.... ........ ltame of Architect .................. , ................. address .............................. Paoee 1to .............. p~ulmrty within 300 feet of a tidal ~etland? * 'i~ V'~ 15. Is this .................... PLOT DIAGRAH Locate clearly and distinctly all buildings, ~daether existing or proposed, and indicate all set-back dimensions pro~rty lines, gi~e street and block r~ber or description scconling to deed, ~ sho~ street hanes and indicate ~ahether interior or corner lot. deposes and says that be is tha applicant f said r~r~r or ~mers, and is duly authorized to perform or have perfon~l the said ~ork md to rmke and file this pplication; that all statements contained in this appl. lcatlon are true to the best of his knc~ledge and beliefi and bat the ~ork wltl be performed in tie manner set forth in the application filed therewith. Commission Expires Dec. 8, iEO0 ~ :zy~o ~ O,c.. ~ t~',~ B '-o " x ~,; q " ~ ~ 0~1 ~0~ ~ O ¥ -o Fax:S16-4T/-2489 Ma~ 8 '98 15:42 P. 0'3 APPROVED AS t~OTED DATE' ~[ ~'~/qq B.P# c~(~l~ '~ FEE: 'Il:'~ BY: ?' ~'~~'~''-- ' NOTIFY BUILDING D~ARTM~T AT 765-1802 9 AM TO 4 PM F~ THE FOL~WlNG INSPECTIONS: 1 FOUNDATION - ~O REQUIRED FOR ~URED CONCR~E 2. ROUGH - FRAMING & PLUMBING 3. INSU~ON 4. FINAL - CONSTRUCTION MUST BE COMP~E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRU~ION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRU~ON ERRORS UND~ITERS CERTIFICATE REQUIRED OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SURVEY OF PROPERTY SITUA TED A T ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-13-02-04 SCALE 1"=40' AUGUST 14, 1998 SEPTEMBER 8, 1999 ADDED PROPOSED GARAGE AREA = 132,261.84 sq. fi. (TO TIE LINE) 3,036 ac. N,Y,S. Lic. No. 49668 Joseph A. Ingegno Land Surveyor ~HONE (516)727-2090 Fox (516)722-5093 THE EXISTENCE OF RIGHT OF WAYS 98-437A