HomeMy WebLinkAbout28526-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29585
Date: 07/22/03
THIS CERTIFIES that the building
ADDITIONS & ALTERATIONS
Location of Property: 2400 PARK AVE
(HOUSE NO,) (STREET) (}{AMLET)
Co%~nty Tax Map No. 473889 Section 123 Block 8 Lot 12
MATTITUCK
Subdivision Filed Map NO. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J~3LY 2, 2002 pursuant to which
Building Pe~qnit No. 28526-Z dated JULY 2, 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 FRONT AND REAN COVERED PORCHES, SCREENED PORCH, ADDITION, SECOND FLOOR
BALCONY ~ ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CHARLES A & CAROLYI~ LOCASTRO
(OWNER)
of the aforesaid building.
SUFIAOLK COU~FI~f DEpART~TT OF ~]~J~TH ~-PPROVAL
ELEC~RIC/%L CERTIFICATE NO.
PLL~BERS CERTIFICATION DAT~D 07/17/03
1106571 p7/03/03
KEVIN REMPE PLUMBING
~~A~th~i/zed~ignature
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. 28526 Z Date JULY 2, 2002
Permission is hereby granted to:
CHARLES A LOCASTRO
145 EAST DRIVE
NORTH MASSAPEQUA,NY 11758
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at 2400 PARK AVE
County Tax Map No. 473889 Section 123
pursuant to application dated JULY
Building Inspector to expire on J~2qUARY
Fee $ 398.10
MATTITUCK
Block 0008 Lot No. 012
2, 2002 and approved by the
2, 2004.
COPY
Rev. 5/8/02
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 subnfitted 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 Plamfing Board Approval of completed site plan requirements.
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.
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,
Swimnfing 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 Certificatc of Occupancy - Residential $15.00, Commercial $i5.00
New Construction: V/ Old or Pre-existing Building: / (check one)
Location of Property:
Hamlet
House No. Street
Owner or Owners of Property: ~..-kC~,t [,e,$ ~...,
Suffolk County Tax Map No 1000, Section __ ~eT~_' J~Block
Subdivision
Permit No. ~ ~"~} ~
Health Dept. Approval:
Plarming Board Approval:
Request for:
__ Date of Pelmit.__
~00 ~ Lot
Filed Map. Lot:
__ Applicant: {~1 oO ~.,.~'
Temporary Certificate
Underwriters Approval: ~
Final Certificate: I~ (check one)
Fee Submitted: $
Applicant Signature
T elelM'~,~, ¢sII)
OFFICE OF THE BUILDIN~ INSPECTOR
TOWN OF ~OUTHOLD
CBRTZ]r ZC~.T; 9m
conte~fli leas than ~/10 of
"(Plumbers
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
Located at
ALAN HUBBARD ELEC.
P.O. BOX 2241
126 CLOVER PLACE
AQUEBOGUE, NY 11931,
2400 PARK AVE MATTITUCK, NY 11952
CHARLIE LACASTRO
2400 PARK AVE
MATTITUCK, NY 11952
Application Number: 1106571
Section: Block:
Described as a Residential
Lot:
Certificate Number: 1106571
Building Permit: BDC: NS11
occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, Outside, Attic,
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 3rd Day of July, 2003.
Name QTY Rate Rating Circuit Type
Paddle Fan 2 0
Lighting track 8 0 ft
Receptacle 14 0 GFCI
Service
1 Phase 3W Service Rating 400 Amperes
Service Disconnect: 2 200 cb
Meters: I
seal
2 o£ 2
This certificate may not be altered in any way and is validated only by the presence 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
ALAN HUBBARD ELEC. CHARLIE LACASTRO
P.O. BOX 2241 2400 PARK AVE
126 CLOVER PLACE MATTITUCK, NY 11952
AQUEBOGUE, NY 11931,
Located at 2400 PARK AVE MATTITUCK, NY 11952
Application Number: 1106571 Cmlificate Number: 1106571
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:
Basement, First Floor, Second Floor, Outside, Attic,
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 3rd Day of July, 2003.
Name QTY Rate Rating Circuit f2~¢.
Alarm and Emergency Equipment
Sensor 2 0 Carbon Monoxide
Appliances and Accessories
Cooking Deck 1 0 4.5 KW
Oven 1 0 3.8 KW
Exhaust Fan 5 0 F.H.P.
Dish Washer i 0 1.2 KW
Furnace 1 0 Oil
Air Conditioner 2 0 42.000 BTU
Air Conditioner I 0 18.000 BTU
Wiring and Devices
Receptacle 73 0 General Purpose
Switch 76 0 General Purpose
Fixture 68 0 Incandescent
Fixture 1 0 Fluorescent
Dimmers 7 0
Receptacle 1 0 20 amp Laundry seal
Receptacle 1 0 30 amp Dryer
Continued on Next Page 1 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (63I) 765~9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Office of the Building Inspector
February 6, 2003
Chuck Thomas, C/o Locastro Residence
PO Box 877
Jamesport, NY 11947
Dear Mr. Thomas,
Please take notice that on the site inspection 1/16/03 the scope of the project has
changed. We are still waiting for the amended plans and all other items requested per
that inspection.
Please submit all items requested on the above listed inspection.
If there are any questions you can contact us at (631) 765-1802 between the hours of 8:00
a.m. and 4:00 p.m.
Building lnspector
CC:file
BUILDING PERMIT EXAMINER CHECK LIST
APPLICANT: ~4~r-.~ C~ u~a
SCTM# DISTRICT: 1,000, SECTION:
STREET ADDRESS: ff ,~,,, ("'~.._ ~,~
PROJECT DESCRIPTION: kbtTt~l'l { aLl~
,BLOCK: ~ ,LOT: 12.-
CITY: ]~.glr tm¢,r
DATE REVIEWED: ]/$ /02
DATE SUBMITTED: ']./,~ /02
SUBDIVISION:.
ESTIMATED PROJECT COST:
.4~k~T/ENGINEER: ~ FAST TRACK?~/~_
SINGLE & SEPARATE CERTIFICATION-REQUIRED? /gO NOTES:
LOTS 40,000SF -100-24 Lot recogmtion (CP. EATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100 25 iMe~ger.(A nonconfom~ing at any time after 7/1/
ZONING DISTRICT:
REQ. LOT SIZE:/~t0~
REQ. FRONT__ ~:,
WATER FRONT?
PANEL #:
Rt~D CONFORMING? ~/~3
ACT. LOT SIZE:~k~_ REQ. LOT COV..ffo'~,, ACT. LOT COV.
PROP. FRONT '¢/RE/QSIDE ! .W~?F' [- ACT. SIDE /
PROP. HEIGHT PROP. HEIGHT
~ DESCRFPTION: ~~C~
FLOOD ZONE:
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #):__
TOWN SEPTIC RECEIPT: Y or N
NEW YORK STATE DEC: vR~;-Drcg/,/Ta{~arNO ~/Z'?
SOUTHOLD TOWN TRUSTEES: YES
TOWN ZONING BOARD APPROVAL: YES or~,~
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES or~
NYS ENERGY: ~ORNO : 4
EGRESS (18 H min.? 4 sq total) / VENT (SQ. FT. x 4%)
BUILDING PERMITS OPEN/EXPIRED: BP ~Z / C/0 Z-
HAVE PRE CO'S: Y OR N BP ~Z / C/0 Z-
NOTES:
DTE: / / PERMIT #:RI0-
LIGHT (SQ. FT. x 8%). J
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: ~SF
SECOND FLOOR: SF
OTHER: SF
TOTAL: l! f~ ~ '~ SF
SF)- (~"'0 SF): ~O~q SF X $
2. ( SF)- ( __SF)= SF X $__
INIT OTHER TOTAL
FEE FEE FEE
+$_ 16o
=$ +$ +$ = $
DESCRIPTION O~ AUTHORIZED ACTIVITY:
WATERCOURSE
Ar:icle Z5 jurlsdi¢~ion.
765-1~02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ~] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[%~ FRAMING [ ] FINAL
[ ~ FI~EPL ~ACE & CHIMNEY _ /'. .~ .~
R£MARKS.'/~,~., -~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONIST [ ]/~uGHpLBG.~
[ ] FOUNDATION2ND [,~ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~/~~/ c~C.
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ].~JLATION
[ ] FRAMING [~ FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~~)INSPE~O~/~'
D.4.TE
FOUN1)ATION (IST)
FOUNDATION
ROI. JGlt FRAMING &
PLIJlVlBI/'4 G
I2~4SUI~TION PER N. ¥.
STATE ENERGY CODE
FINAL
WN-OF qOUTROLD
~gILDING DEPARTMENT
TOWN ltALL
SOUTltOLD, NY 119'71
TEL: (631) 765-1802
FAX: (631) 765-9502 pERlVIIT
Dssapproved a/c
Expiration ~ __, 20.
BUILDING PERMII' AP?LICATION CHECKLt
Do you lmve or need the follov~ing, before appl55n
Board of Health. __
3 Sc~ ofBui~rting plarts_
plam&nE Board a~proval
N.¥.S.D.E,C. __
Tm~t~s_
Cout~'t:
.~PPLICATION FOR BUR.~I~TG PERMIT
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector
s ers of plans, accarate plot plan to scale. Fee according to schedule.
b, Plot plan showing location of lot and of buildings onprcmi~es, relation=hip to adjoining premises or public s~:e~
areas, and waterways.
c. The wr~tk covered by this application may not be corrrm~nced before issuance of Building Per'mt.
d. Upon approval of this applioution, thc Building Inspector will i~suc a Building P~.,,,,;t to the appl/cant. Such a g
shall be kept on the prenfises available for im?ection throughout thc work.
e. No building sha/1 be occupied or used in whole or in part for any purpose what so ever until the Building Inspe~
~ssues a Certificate of OccupanCy.
f. Every building permit shall c~oire if the work authorized haz not commeillB~[ w#hin 12 months after the date o
issuance or has not been completed w~thin 18 molltt~ from such date. If no zoning am~nelm~a'~tq or other regulations affec
property have been enacted in thc inte~q.m, thc Building Iu~ector may authorize, in writing, thc cxtc~ion of the permit f(
addition slx months. Thereafter, a new permit shall be required.
.&PPLICATION IS tt]~I~Y MADE to thc Bullrlli~g Depatttn~ for the i~a~e,e of a Building P,tmk pursuant
Bmlding Zone Ordinance of thc Town of Southold, Suffolk County, New York, and.other applicable Laws, Ordinances c
Regulations, for the construction of buildings, additions, or aRc~ations or for removal or dea~olitioa az herein described.
applicant agrees to comply with all applicable laws, ordinances, bllilding oode, ho~ing Oo~, ~ l'cgttlatious, and to ack
authorized inspectors on premi~e~ and in building for ncocsmry imp~dom.
(Sigh,mm of ~licant or,~me, ff a corpo
Stale whether applicant is owner, lessee, age~t, architemt, e~ginccr, general contractor, electrician, plumber or
Name of owner ofpr~mses (" ~-,C\ (xa; [ n (~c~%4-¢c~
- (A on the tax roll' or later d t)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
Block ~1~'
Ffl~d Map No.
Lot 12.
State existing use ami °~"uPan%r qflm~i~ and intended'u~e and occupancy of proposed conslru['tion:
a. Existing use and ocL'ut~mcy /~'~n',n~ ;
b. Intended use and occupmcy ~'~ i ~£ ~,~v'-) ~ , ,
Nature of work (check which applicable): New Building
Repair . Removal Demolition
Addition I / Alteration
Other Work
(Description)
Fee
(To be paid on filing this application)
Number of dwelllng units on each floor
Estimated Cost
If dwelling, number of dwelll-g traits
If garage, number of (mrs
6. If business r corem ere/al or mixed oceupaney, specify nature and extent of each type of use.
7. Dimensions of existing strum, if any: Front ~O-' Rear
Height ~ :~O ' Number of Stodes 2.
Depth ~:~q '
Dimensions of same structure with alterations or additions: Front ~ M t
Depth ,~ I ' Height ~ c~, Number of Stodes
Rear ~C-i'
Z
Dimensions of entire new eon~tmction: Front ;~ ~ Rear
Height ~ ' Number of Stories
Depth
/_7°
Size of lot: Front
I0. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or r~gulation? YES__ NO
13. Will lot be re-graded? YES__
NO Will excess fill be r~noved from premises? YES
NO
14. Names of Owner of premises h~jzt~21~,imc_Address Phone No.
NameofArchitect C¼~z~¢~ "t-~_^.OCJu~% Address PhoneNo
Name of Contractor,. Address Phone No.
/
15 a. Is this property within I00 feet of a tidal wetland or a freshwater wetland? ~'~NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT~Y BE ~ --
b. Is this property within 300 feet of a ticlal wetland? * YES J 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 ~ is at 10 feet or below, must provide topographical data on survey.
STATE OF IxrEw YORK)
SS:
COUNTY oF__Lqxa
~'-l~ff~'~'~i P ' (r')~')~k i 0'~'~ being duly sworn, deposes and says that (s)he is the apphcant
(Name of individual si?ing cuuitact) above named,
(S)He is the 7~'O ~ (Co,,Lmcto(,~orporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl:ds application;
that all statements contained in this application are ~a-ue to the best of his knowledge and belief; and that the work will be
performed in the manner set forth ha the application filed therewith.
Sworn to before me this
?~ ~_ay of ~l~ 20_.0..7==
-
NCa~ Public. State of New Y~
No. 4952246, ~Mk ~un~
Term Expires aune 12, ~00~
~i~mr, of Applicant