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Home My WebLink About29666-ZFORM NO. 4 TOWIq OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29687 Date: 09/04/03 T~IS CERTIFIES that the building ADDITION Location of Property: 80 GREENWAY WEST ORIENT (HOUSE NO.) {STREET) {H~24LET) County Tax Map No. 473889 Section 15 Block 1 Lot 16 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 2003 pursuant to which Building Permit No. 29666-Z dated AUGUST 25, 2003 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MATTHEW & ALICE ALBINO (OWNER) of the aforesaid building. SUFFOLK COUNTY DBPARTI~ENT OF ~]L~_LT~ ;~PPROVAL ELECTRICAL CERTIFICATE NO. pLUMBERS CERTIFICATION D~£~ Rev. 1/81 N/A N/A N/A Authorlzed Slg~ure FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES %TNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29666 Z Date AUGUST 25, 2003 Permission is hereby granted to: MATTHEW & ALICE ALBINO 10 PINE DRIVE EAST NESCONSET,NY 11767 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 80 GREENWAY WEST County Tax Map No. 473889 Section 015 Block pursuant to application dated AUGUST 18, 2003 Building Inspector to expire on FEBRUARY 25, ORIENT 0001 Lot No. 016 and approved by the 2005. Fee $ 150.00 Authorized S±gnature ORIGINAL 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 submitted to the Buildiug 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 forn~). 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. Sub,nit Planning 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: l. 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Old or Pre-existing Building: Stree( New Construction: Location of Property: House No. Owner or Owners of Property: Date. (check one) Hamlet Suffolk County Tax Map No 1000, Section Subdivision ~ 0'/ ~M. ga /~A&t.. Permit No. ~ ~ Date of Permit. j~9~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Block Filed Map. Applicant: Underwriters Approval: Fee Submitted: Final Certificate: Lot /~ Lot: "~ ~ (check one) cant S~ · Applicant/ ~,~ , Architect/ 'Engineer: ' ' ~ ~ t~ ~' SCTM ~: DiswiccL000 Sectiou: J~ Block ~1_ Lot/¢ Da/e, Reviewed: ~/-~/3_. Date Submilted: Required Sinl{le & separate lYes/" ~, /)/~_ ccmficadon: ~ Req Subdivision Kcq, ~UIRED FOR REVIEW N.A. N_ 0 .Permit YES _Ntt m b~ Suffblk County Health Dept New York State D.E.C. Town Trustees /own Zordng Board approval: Town Plato/rig Board approval: Flood Plmm Elevation ??? Flood ~ne: /'qOtes: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS/ULATION [ ] FRAMING [~'FINAL [ ] FIREPLACE/Sr'~HIMNEY //~KS: ~ ~' DAT~~~ INS TOWN OF SOU~ .I~IOLI) BUILDING DEPARTMENT TOWN HALl: SOUTItOLD, NY 11971 TEL: 765-1802 Examined Gl-a,--{' ,20 Approved ~ [r') ,~ i 20 O Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the follo'~,ing, before applying ? Board of Health 3 sets of Building P1ans Survey h;ck Septic Form N.Y.SD,E.C. Trustees Contact: Phon .?ltadlrlg' River.' [4Y '1'1792 Building Inspec,tor 'PLICATION FOR BUILDING PERMIT Date ,~, INSTRUCTIONS ,20 o7 a. This application MUST be completely filled in by typewriter or in ir& 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 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 what-so-ever until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a 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 construct/on of buildings, additions, or alterations or for removal or demolition as kerei:', described. The applicant agrees to comply with all applicable laws, ordinances; building code, housing code, and regulations, andto admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) ZOUMAS CONTRACTING COP, P, (M ailin~Ul~e~s3~lapplicant) Wading River, NY 11792 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plUmber or builder Name of owner of premises (as on the tax roll or latest deed) 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. Locati, qn of land on which proposed work will be done' , House Number Street Hamlet County Tax Map No. 1000 Section /fi" Block I Lot I do Subdivision ("~,.~e..,.. a(r.---~s o.~ (~Pc-te-~ Filed Map No. '~._g'-cfc) Lot '~ 2_ (Name) State existing use and occupancy of pre!~ises and intel~ded use ami occupancy of pro_oosed construction." ' b. Intended use and occupancy ~ o.--~ ( e..9 ~ . ' 3. Nature of work (check which applicable): New Building Repair Removal Demolition" 4. Estimated Cost ~ 5. If dwelling, number of dwo!!ing u~;/f,~ If garage, number of cars Fee Addition Other Work Alteration (Description) (to be paid on filing tiffs app.ligation) Number of dwelling units on each floor J,-]~'/~ If business commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ~ r ~ r/ Rear Height I ~ r Number of Stories CP Dimensions IP~ same structure with alterations or additions: Front Number of Stories Depth ~ Z ' Height ] ~ Dimensions o f en~,ir~ new construction: Front Height ~,J//4 Number of Stories Rear Rear //G/ Depth [ ameo o ner Owner 9. Sizeoflot: Front 10. Date of Purchase 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded Will excess fill be removed from premises: YES NO 14. Names of Owner of prcu-nises Ho./iG_ ~ ¢,~]~dr ~/~,_~ddress_ Phone No. Name of Architect ~r'-, ~c ,l~lr_o~ ~.. Address~Phone. No Name of Contractor F_-~,,.~,.~,$ co.---/-~-o~, F~qp Address 15. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES 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 property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY OF ~-'t~ / ]d--~S: ~ OQ~,~ 't ~ ~_~ c/ov'~-o~ 5 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, :S)He is the ~ ,,~-r r,.~c ~.~ - (Contractor, Agent, Corporate Officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; hat all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be )erformed in the manner set forth in the application filed therewith. ]wom to before me this., . ~- day of ~ 20 19 ~' LOT AREA== 19,595 sq. fL Z N 57' 34'25' prop. drive LoT NUMBER 33 71.8/ CE 110.2' S 83' 11 '50"W 115.43' PIPE PARK VIEW LANE NOTE: CESSPOOL, SEFTlC TANK & WELL LOCATIONS BY OTHERS. CERTIFIED ONLY TO: N.Y. LIC. No. 048992 HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E 4-14-2003 RNAL SURVEY JOB No. 03-54 F]LE No. GREEN ACRES AT ORIENT SURVEYED FOR MA'Fi'HEW & ALICE ALBINO LOT NUMBER 32 MAP OF GREEN ACRES AT ORIENT SITUATED AT ORIENT TOWN OF' SOUTHOLD - SUFFOLK COUNTY N.Y. SCALE 1' = 30' DATE 2-3-2003 FILED MAP No. 3540 DATE ¢-13-1962 TAX MAP No.(REF ONLY)1000--15--1--16 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR P.O. BOX 616 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 631-929-4695