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Home My WebLink About28474-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29647 Date: 08/19/03 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1105 BIRDS EYE RD ORIENT (HOUSE NO.) (STREET) (HAMLET} County Tax Map NO. 473889 Section 17 Block 1 Lot 5 Subdivision Filed Map NO. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 2002 pursuant to which Building Permit No. 28474-Z dated JUNE 19, 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 /LLTERATIONS TO A/~ EXISTING ONE FAMILY DWELLING AS APPLIED FOR. T~e certificate is issued to ~/NTHONY V AQUINO & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELEC~rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u Rev. 1/81 N/A 72284c 07/~6/03 08/15/03 DINIZIO PLL~4BING & HEAT /~ Authori~ea ~gnatu~ 19:11 516-734-7206 LADEHANN ELEC INC PAGE Illul 07/16/2003 Electrical Inspection Certificate Ele~trlcld Inspection ~®rvIce, Inc. Application Numl~r 375 Ounton Avenue 72254C East Patchogue, New YO~ 11772 Issued To: Anthony Aquino Street: 11-05 Bird8 Eye Road Village: Orient Section: ~ l -~ Block: dOo Zip: 11957 Lot: ~O ~ Town: Southold lily, ,I,I IIII · examined end Iound to be In compliance wllh/he Nal~nal Electflcel Cod®. ~ Commercial ~ NVDefects ~ Pool I':l tstFIoor [] Ind~r ~ Bllement ,f'~HotTub [] Reeldsntlel ~ Det. Garage E~ Attic ~] 2nd Floor ~ Outdoor I~ Addition ~ Suway Switch. Rec~teells Fixtures OFt Heeter~ A/C Fens 17 26 29 2 Dlahwesher Washer/Amps DP/er/Amps Oven Range/Amps Mlcrnwevl~s 1 20 1 30 Furnace Oil Gas Clmulatora Smoke Detector Bell Transformer 1 Meter Amps Phase UG/OH Jacu;~l Televlelon CO De~ctor ,/ Bldg. Permit: Other Equipment -125Amp Sub Panel -Pactdle Fan Hugo S. Surdi President ROugh In~pe~on: 02/0412003 lnspec~r: Ed Scevolll 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST [ ~ ROUGH PLBG. [[_ ]~~~1~ON2ND [[ ]] IFNiNSAU~ATION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~I~U~TION []FRAMING []FINAL [ ] FIRE~CH~ INSPE~ ~ 765-1802 BUILDING DEPT. INSPECTION / FOUNDATION 1ST [ ] RO/UGH PLBG. / ~OR~41DNA~ION 2ND [ ]~FiNSAU~ATION FIREPLACE & CHIMN~r~ ~ S~M~LS STEELHRN R~6 S A M U E L S & S T E E L M A N April 27, 1998 Gary Fish, Building Inspector Town of Southold FAX 765-1823 Re: PERMIT # 2399.6-.Z HAHN I AQUINO RESIDENCE "1105 Private Road #2 Orient, NY Dear Gary, Regarding your question, the above referenced house is a two story residence. As per New York State Building Code, Part 705.1 (g): The following locations shall not be deemed to be a story: {1) a basement where the finished floor Immediately above Is less than sever~ feet above the average elevation of the finished grade es described in this section. By t~is definition, and as per the Elevation drawings and the finished grade, the average dimension between the first floor and graele is lees than seven (7) feet. Thank you for your attention to this matter, Tom Samuels (516:, ApplicanU Architect/ SCTM i~: Ois~ricl:L000 SBc~on: /P_ Block: / Lotff Da~e Project Description: (.~.0~7' { 3"~0 ~ AGENC~,~ERI~IT8 m~ouw,~n ~o~ R~VmW N.^. 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 _YES Number FO~DAT1ON (1ST) FO~ATION (2~D) / / . / . ~L~G ~'S~ON PER N. STATE E~RGY CODE d l Yl/ ~mON~ .. TO~XN OF SOUTHQLD BUILDING DEPARTMENT TOWN HALL ' SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined Approved Disapproved a/c ,2o oar Expiration/a2/(O~ ," ,. [I~ I ,, ,: "'( 2,.,02_ iuuI ,., [ ~- '~WN OF SQUi~,OLD a~ ~d, ,:tppiicanon MUll' De co PERMIT NO. BUILDING PERMIT AP~PLICATION CHECKLIST Do you have or need the foilowing, before applying? Board of Health 3 sets ofBuildingPlans. ~ Planning Board approval ~ n Check ~ ~ q6kd[ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building ~::,<~c~&~ ,PPLICATION FOR BUILDING PERMIT Date "~D ri ~ {(~ ,20 ~) ~,~ INSTRUCTIONS tpletely filled in by typewr/ter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan.showing location of lot and of buildings on 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 approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a pernfit 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 what so ever until the Buildhig Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the perm/t for an addition six months. Thereafter, a new perm/t shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 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, ~d~.~-ulations, and to admit ~ , authorized inspectors on premises and in building for necessary inspections ~~ -~-~ oc~,~ a;, ~t L 4. l~r~, ~ (Mailing ~address ~f applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nan, eofownerofpremises 4~/ltg~V ~, (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Electfici~s,LicenseN;.' ~ ~ ~ ~ G~e~r~' ~ q)~. OtherTradesLic~seNo. ~b ~PC ~mC~ -- ~ 1. Location of land on w,.l~ich prqpose~d work wi)l be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Filed Map No. f.;. , kPt¢'~ ,,,-,,, ', ;,;; :t 2. State existing use and occupancy of premises and intended use and occupancy of p,r-gposed cohstruction: a. Existinguseandoccupancy ~Otc~ ~,a a tcl ~t~ r~ ~ ~1 n~16> '-Yc~ h, tt }(-/ b. Intended use and occupancy ~\~*~q ~ ~5"m,x~d 3. Nature of work (check which applicable): New Building Addition Alteration ~ Repair Removal Demolition Other Work (Description) Estimated Cost ~ ~7 ~ Fee 5. If dwelling, number of dwelling units [ If garage, number of cars (To be paid on 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 Rear Depth Height. Number of Siories Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stodes Rear ~8/~l~Dimensions of entire q Height 9~Size of lot: Front l 0. Date of Purchase new construction: Front Number of Stodes Rear Name of Former Oxxmer Rear Depth .Depth 11. Zone or use district in which premises are situated ~X ~1/~ a~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 1~3. Will lot be re-~aded? YES NO W_ill excess fill ]oe~rem~ve,,d fi'o.n~rpremises? Y,ES__~ NO 14. Names of Owner of~remises Address .... ftc' hl>b,e"-~l_o. Name ofArchitec~wl I,t&5 ._~-~/P/~ gl Address~Pla NameofCon~actor ~t}l.(~r~v,.,r.o,~ Addrelss I:~/.-~/ ./¢~?~PhoneNo. 1 a. this propCe yaw t na 00 f a hwa terC we 2d / 'E S NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES __ NO * IF YES. D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, xvith 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 survey. STATE OF NEW YORK) ~,'%~q d,tt ~' "*~ being duly sworn, d~oses and says t~t (s)he is the applic~t ~me of ~dividual sing contract) above nme& ~is the d~~ ~~~orate Off~tc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application flied therewith. Sworn to before me this ! 17*'~ dayof ,,/~ ~- ,e.~ - Off .' Public WILUAM H. PRICE. JR. Notary Public, State of New Yo~k No. 464A944, Suffolk Count~)~,, Term Expires February 28. 20~---~ ~' ~hown hereon ere from field observol/ons ~d or from dafa ohio/ned from olhers. .~'~ om fo~ with the STA~ARDS F~ APPROVAL A~ CONSTRUCT~N ~ S~S~ACE D~POSAL SYSTEMS FOR S~GLE FA~L Y and [~ ~ by the con~t~fls sel [orfh ~reifl ~d on fhe perm~l to c~slrucL SCDHS REF. # RIO 96 0079 TOPOGRAPHICAL SC~VEY FOR SUZA NNE HA HN-A O U/NO AT ORIENT TO WN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 17- 01- 05 Scale: 1" = 40' .April 9,1992 May 16, 1995 (health dept. info) May 22,1997 (foundation) AU~. 29,1997 (ADDITIONS) F~7. ~$, Mar. 16,1998 (Rev/don) AU~ 8, ta~ (prop. h~e. ) .~ OCT. 16, 1996 (septic #ystem ) ~ ~ ~ c~s ~ T~ ~S3ED SEAL ~ T~ ~LY TO C~Y ~ ~ L~W T~ T~ 'ALT~ ~T ~ ~ BY ~Y ~ ~LL ~Y~$ UT~ A C~YI ~T-T~DA~ ~ ~T ~ C~ ~ ~ LAW. LIC. NO. 496/8 SOU THOL D, N, Y, 11971 MAIN ROAD (N Y.S. RTE. 25) Area = 1.207 Acres_+ FIDELITY TITLE INSURANCE COMPANY #FNT9710950