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Home My WebLink About28692-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29343 Date: 04/07/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 29315 MAIN RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax 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. 28692-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 STORAGE SHED AS APPLIED FOR. The certificate is issued to VALLO BENJAMIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 178121 09/11/02 PLUMBERS CERTIFICATION DATED N/A Authorized Sig Lure 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 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28692 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 STORAGE SHED AS APPLIED FOR. This permit replaces BP#26891-Z. 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 $ 75 . 00 Authoriz Signat 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. 26891 Z Date OCTOBER 31, 2000 Permission is hereby granted to: VALLO & JULIE A BENJAMIN 530 FIRST AVE SUITE 7W NEW YORK,NY 10016 for CONSTRUCTION OF AN ACCESSORY STORAGE SHED AS APPLIED FOR. at premises located at 29315 MAIN RD ORIENT County Tax Map No. 473889 Section 013 Block 0002 Lot No. 004 pursuant to application dated SEPTEMBER 28, 2000 and approved by the Building Inspector. Fee $ 35 . 00 AuthorkZy 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 $11I5.00// Date. �"- ,�-03 New Construction- Old or Pre-existing Building: f (check one). Location of Property: ! '�{�l L/� �� e l �� Q�. House No. Street Hamlet Owner or Owners of Property: ,n M (� Suffolk County Tax Map No 1000, Section 3 Block Lot Subdivision [,g PQ 4bv3 d Filed Map. Lot: Permit No. X��q a Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate'. v (check on ) Fee Submitted: $ n ,; (2). � e Q 3b1�3 Applicant Signa e o �� s ��r ��ns��sn��nn� � � � �� nn�r��ss� � reo 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY e5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 5 5 B.J. ELEC. CO. VALID BENJAMIN 5 5 BOX 16 ROUTE 25 5 STILLWATER AVENUE ORIENT, NY 11957 5 55 CUTCHOGUE, NY 11935, CC5 5 Located at ROUTE 25 ORIENT, NY 11957 5 Application Number: 1078121 Certificate Number: 1078121 5 Section: Block: Lot: Building Permit: BDC: NS11 eS Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 STORAGE BOX,Detached Garage,Outside, 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 11th Day of September,2002. 5 5 5 Name QTY Rate EAinZ Circuit Tyne 5 Appliances and Accessories 5 5 Electric Heater Unit 1 30 5 Wiring and Devices �5 5 Outlet 10 Fixture 5 5 rj Receptacle 11 General Purpose 5 Switch 10 General Purpose 5 5 Fixture 4 Incandescent 5 Fixture 6 Fluorescent 5 Dimmers 1 600 Receptacle 2 GFCI 5 Lighting track 24 5 C55 Service 5 � 1 Phase 3W Service Rating 100 Amperes 5 Service Disconnect: 1 100 CB 5 Meters: 1 5 seal 5 5 1 of 1 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. rJ�r1rJ@frJ�rJ�rJ�r frJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�r�rJ@PrJ�rJ�rJ�cPrJ�r PcP[PrJ�rJ�rJ�r:i :i :!!r:! M12121 J2 1 0 i: PrJfr frJ�rJ�rJ�rScPrJ�rJ@Pr�rSrJ[nrP •0�5�5�5 Breger Terjesen Associates, Architects 545 Eighth Avenue, 17th Floor New York, New York 10018 Tel.212-239-1522 Fax.212-239-1532 William N.Breger, F.A.I.A. James H.Terjesen, R.A. James O.Bermel,A.I.A. Richard S.wood, R.A. August 28, 2002 Town of Southold Building Department — 520 Town Hall Southold NY fcE rye-w-e CI Re: Permit No: 26891 Construction of Accessory Storage Shed Vallo Benjamin 29315 Main Road, Orient,NY County Tax Map No: 473889 Block No: 0002 Lot No: 004 This is to certify that all construction has been done in accordance with the enclosed drawing marked#1 and is in conformity with all rules and regulations of the State of New York and the Town of Southold. The soil condition has been verified and the F x F-4" continuous concrete footing is more than adequate to carry both the live and dead loads. Sincerely, - v V 4 �' Av . A William' F Bre WNB/pdy Encl. 13IT1 1-)tNI-, 1 'ER I'll 1-_i_ I<]- \L11-\V� Applicant/ i Date Owners Name _ ` � ��Q_ r��G� l� Revie%kcd: - - -- Architect/ Date Lnginccr. _ - SubmiIted : S C-I-Nd >/_ Dislro II 000 Scclion. �_� Block C�,_ Lol. Projccl - �j y Subdivision _ 9 n.1 I.ocalion ��— (; _ _C.I.0 _ _ . Name._ m,le S separate Required cem ficalion (Yes/ No /unme Duma Lal Yiu ____Auual ILoI coverage _. Piopa.rd—__— Rcy Req Req Irrom Yard Proposed J (Side Yard Proposed J [Rear Yard Proposed Project Description: AGENChVERMITS Permit REQUIRED FOR REVIEW N.A. 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 IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 SULATION [ ] FRAMING [ FINAL [ ] FIREPLACE CHIMNEY REMARKS: l 4c1 DATE INSPECTO f ELD INSPECTION REPORT DATE COMMENTSit =====____________ ' ro )UNDATION OST) tt i aa. n u 1C --11 )UNDATION (2ND)------------ - II — �I— JI— r V�/> II it O i" y IUGR FRAME 6 PLUMBING II �I II It I it +SULATION PER N. Y. " n STATE ENERGY n ii CODE it tt it it t� _Itt l J ____---------____ _______________ n r� II �j H jl IIof µ—II FINAL C2 O ADDITIONAL COMMENTS: „ -------------------- --------- - 0 o � r r� ro y BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . . . . . . . . .. .. . . . . . . . . . . . . . TEL: 765-1802 TRUSTEES . . . . . . . . .. . . . . . ... . . . . G� NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.................. 20.... -,Z MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved...1Q.1 Z ....... b 0. Permit No. . ... � Q Ind:.:.. .'`.:.!a.�'... Disapproveda/c .................................. ................................... ........................................ ........... — - SY?..... .. ........... (Building I t ) .I{ SEP 11 APPLICATION FOR BUILDING PERMIT •�.- ,. INSTRUCTIONS a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoving location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property most be drawn on the diagram which is part of this application. c. 'fine work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector urill issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HERE Y MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Tom of Southold, Suffolk County, New York, and other applicable Laws, Ordinancesor Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ..................................................... (Signature of applicant, or name, if a corporation) ................................................... (Mailing address of applicant) State whether applicant iowner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ................................................................. ../V/........................I........................... Name of owner of premises ..... ..L d , ....... �� ..................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) L� Builders License No. .. '� S ` � ................. Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... Qn 1. Location of land on which proposed work will be done...... ..!. 1'S /-I 74 /VJ ..................................................... ..................................................................................................... House Naber Street 22 ,!Hamlet County Tax Map No. 10(10 Section ....�..1....... Block .. ? ....... Lot ..Y.. � ........ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............-5.............lsr �..... `.t`..;(� d✓f. ...... 61 b. Intended use and occupancy ............................................................................. 3. Nature of work (check wlhich applicable): New Building .�...... Addition .......... Alteration .......... ` Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) 4. Estimated Cost ... O� o O 0 ....... fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ linlher of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, camercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ileight ......................... Nnduer of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... height .................... Number of Stories ............... R. Dimensions of entire new construction: Front Rear ... ...... Depth J° ........ r Height ....... ................2�N�nber of Stories ...i................ 9. Size of lot: Fruit ....� 5... Fear ...5+'�ei�.J!C�.l(�VDepth ........ ..y.}........ 10. Date of Purchase�'L V .9Q....... Name of Former Owner ............... 11. Zane or use district in which premises are situated ...............................//............................... construction12. Does proposed construction violate arty zoning law, ordinance or regulation: ..../V.................. 13. Will lot be regraded ...AIV..........j.. Will �excess fill be removed from�prelmises,:o YES 14. Nares of Owner of premises �i�Q`��:�.1%Fr.!Y,/. ( �!1�Arldress �•�.0 � !l::fr.N.7a.�00/� �'��3s0/-.. Name of Architect SLC ..f6'fG�? '�'............ Address ..y0. ./1l;/./ppL Pione No. /vM /�.�p`/ ............ Nam of Contractor �4.:/.[...�.�.�/.!?!.Y:: .US. 1n 5 -j !Q/� 7/ �/p�.. Address �pg./L�Z.$.F�.�Y�u,�rr Ilhone No.7.(7T--1.Zrg./ 15. is this property within 300 feet of a tidal wetland? * YES .......... NO .�..... *IF YES, SaM D TOM MMMS PlUMrr MY W REQIJIR[D. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. SFAIE OF Ni YORK, Ckaf•-•-•- 1-v •-•�'.• :!:�`:`.'.-5--beiry; duly sworn, deposes and says U><�C he i s Uhe appl.icanC (Nam of individual signing contract) above maned, Ileis the ........ .. ...� ................................................................................ tractor, agent, corporate officer, etc.) of: said owner or rs, is duly authorized to perform or have performed the said work and to nuke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and That the work will be performed in tile manner seC forth in the application filed therewith. Sworn to bef this day o .......... 20 U0 Notary Pub l .. ....... �n, C CtNRELGLEW (Signature of A li.cant) Notary Np bliilc6 Stat of No York P^a PP 05 Gual'diad in Suffolk Cou Commission Expires Dec.U. 6 1 � - 4 2 gS�3' A&oss z l�uT I \ � i@Wp9wv4:WF.... .✓.��Y1._........n....._...�__.r+.-.....�.�....—....r..�..-...._.....-._.._....... ......_r..n...�� ,............... ...._.....`_...__.....-...+...._ ............-....�.............«_... ev..--- ._....r. 1 � e i II << if U volt, r� , f u %l cf- / 70 - -aerie" r Pd1dU 7" ZOA16 /S/, O o w Pe4Gt�fe 'e i ee r t y, L 1 r.. i i Ll u 'ell b ' it /NJrel eip— I -, anrr VC , rte, a x' _.._. ... k'o0�/A/G a .�C�-.y ll�' uC17v/ �► V u u �'I 'J �fSP.S. 14 E"ET% O/V 1 OL sk f i 4 t t)j r- , l ag Or G "�to ISI id v�o7� d UL ,USE 'a D L4 Cc DATE L /__ a H � a7 iE�Pao- �qw �`pFp d l"y ui.`l"` _ 6 m �T CE� Pl IP p�.. Ai li.�. FEE .>7 PNOFIFY I I LLL 9f I'p�j p�„"^{, 'IS PE 1 °, Lr N� IF J 6 W {` 765 FOLLOWIAT NG9 AM 4 I'M FOR ITIHE 7 i i FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING G 3. INSULATION �^✓, 4 FINAL BE OMP COMPLETE FOR C O'ON MUST ALL CONSTRUCTION SHALL MEET I. THE REQUIREMENTS OF THE N.Y. ?O _._ ' p, -_�L, STATE CONSTRUCTION & ENERGY J 11 CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 10 W 15 � � NE7� TJoo2 _ g � , ii �cE nuDoU/ - _ i.INDERWRIEERES GTIFICATE T� _ BLOC14 _ r o wAuC-R V A-L L o �&1�A-M .. C� ., `� �,. ...w ��-�,• � tip, stove +,��.', � ,i J4TT10 --sPirouf Q ��,a,H✓✓rc c� q ' - 14"i'Y'euoo — — - ~w � lot a0ee- j 1 ,��1'u'Gc�'11� ¢rr�`l�GG c/ V U �✓v U r � � � P - r"e ce �, G' r� -- -- - \ y Ci n PJFdG I ye.'1,r19s io '�I 41 r�r (�it/T . Lc U6J/%15 13Cc�c� Cqa Waota 4+ h- ril c;. gnna�c 5j�,It43 i I 147 &edz-- /6x& lc ffo �r z5z&m) ✓to A "�., ✓ `rl9 m arc, S/��ta A0,C 1,�e 4: 4ZO ,f3eW4J4 M 11v 1