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HomeMy WebLinkAbout29434-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29742 Date: 09/30/03 THIS CERTIFIES that the building ALTERATION Location of Property: 1700 E CEDAR POINT DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 92 Block 1 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 2003 pursuant to which Building Permit No. 29434-Z dated MAY 28, 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 WINDOW ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LEO & VIRGINIA ALESSI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A AutTiorized Signatu 1 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. 29434 Z Date MAY 28 , 2003 Permission is hereby granted to: LEO & VIRGINIA ALESSI PO BOX 123 SOUTHOLD,NY 11971 for ALTERATION (WINDOW REPLACEMENT) TO AN EXISTING SINGLE FAMILY DWELLING WITH FLOOD PERMIT AS APPLIED FOR at premises located at 1700 E CEDAR POINT DR SOUTHOLD County Tax Map No. 473889 Section 092 Block 0001 Lot No. 003 pursuant to application dated MAY 21 , 2003 and approved by the Building Inspector to expire on NOVEMBER 28, 2004 . Fee $ 250 . 00 uthorized Signature COPY Rev. 5/8/02 Form No.6 r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 9 765-1802 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. ,f 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engipeer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. i 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, Addit*lseKo 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 q Date. New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: 1-7 0 0 � / & 9 a r House No. Street Hamlet Owner or Owners of Property: rL „ ) - Suffolk County Tax Map No 1000, Section (� Block 6 (7 O Lot O O Subdivision Filed Map. Lot: Permit No. ;� 9)4 3 '1'—Z Date of Permit. 'd�'Q3 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ 64) Applicant Signa ure BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: 5P?03 APPLICANT: ��D�'L « DATE SUBMITTED: f� / /03 SCTM# DISTRICT: 1,000, SECTION: cta BLOCK: � LOT: j_ SUBDIVISION:C'ft�,,, {T ADDRESS: OCCLE ( -ZONING DISTRICT: QCONFORMING? No BUILDING PERMITS OPEN/EXPIRED: BPjCy-A -Z / C/0 Z- I , INFO N /BP _-Z/ C/0 Z-mac , INFO_ A&Q BP-��%!-Z/ C/0 Z-D-kp�— INFO /BP 14� /, z/ clo z- i INFO d — PRE CO: Y OR N BP -Z / C/0 Z- SINGLE & SEPARATE CERTIFICATION-REQUIRED A/0 NOTES: ' LOTS 40,000SF-100-24. Lot recogni(ion_(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any timeafter 7/1/t REQ. LOT SIZE: ACT. LOT SIZE:K9 3V� REQ. LOT COV. ACT. LOT COV. REQ. FRONT__5 PROP, FRONT Z,g REQ SIDE -a /yam ACT. SIDE REQ. REAR__ 7 PROP. REAR REQ. HEIGHT PROP. HEIGHT__- PROJECT DESCRIPTION: Al+ec-a+- -- ESTIMATED PROJECT COST: �L C4�HIIE T/ENGINEER.rx ,�. FASTTRACK WATER FRONT? DESCRIPTION: =4Ak&4 PANEL #: FLOOD ZONE:A K COMPLIANCE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or6), (BED #): _DTE: / /_ PERMIT #: _ TOWN SEPTIC RECEIPT: Y or?j NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or ID SOUTHOLD TOWN TRUSTEES: YES or(T�) TOWN ZONING BOARD APPROVAL: YES oKM TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or T) NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: Q��Sp� t�Q c 1 r — 1 FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. _SF)- —SF)= SFX Fu�r� 2. ( — SF)- (— --SF) -SFX $ ---$-- —4$- +$ = $ I0O--p�-lLro J-r _ ,_ 3. (-------SF)- ( SI') — --SF $--- -�$- - - ' --_- _ — I+INAL, TOTAL: $_ � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUN TION IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE MNEY REMARKS: DATE l �� INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMI [ ] FINAL [ ] FIRE AC A CHIMNEY REMARK DATE INSPE 765-1802 UILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL ON [ ] FRAMING NAL [ ] FIREPLACE & CHIMNEY REMARKS: IL107 (Z DATE INSPE FiFID:TNg FEMONWORT DATE co FOUNDATION(1ST) s a 1 � -------------------- FOUNDATION -----------------FOUNDATION(2ND) 8 ° _ y M ROUGH FRAMING& "3 PLUMBING 17 61, INSULATION PER N.Y. y STATE ENERGY CODE d FINAL ADDITIONAL COMMENTS (� Cl///Y.O •so .. /�.Byt�o -- elm. Z m zz z O x d ty+t K7 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following before applying? TOWN HAE L Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT - l Date J— '6Z-,J 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter 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 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 the Building 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 hermit for an addition six months. Thereafter, a new permit shall be required. 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 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) //27 ,��i/i�,Q✓C �/CYh�lr� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises v (As on the tax roll or latest deed) If appl' is orati signature of duly authorized officer ame and titl of corporate officer) Builders License No. 1�,Nllll Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on wIf hosed work will be done: / t 70 /-e ar7% 2. State existing use and occupancy of premises andi nded use d occuancy of proposed construction: a. Existing use and occupancy ,, ,/ u�r/��, b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 3O Oz00,`- Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ky Rear 70 Depth 30 Height Z Number of Stories �2 Dimensions of same structure with alterations or additions: Front J�o Rear 70 Depth ;y Height 'i b Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear 3/0 Depth 2St� 10. Date of Purchase 3 / t) Name of Former Owner SQ 11 f4 o/g/G M 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES`NO / 13. Will lot be re-graded? YES_NO /Will excess fill be removed from premises? YES_NO Y 14. Names of Owner of premises tv� len /7/c37r Address Phone No. Z(S- 523G Name of Architect !/-67fe <14f�ctr/16-0• + Address Phone No f77 - 773- . —r- Name of Contractor ?LYrr /j2a,>V Address Phone No. 77-J'`V / ,;s(-37y-I c937 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS A4AY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES V 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 property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF 1-7)Nm ( `t �t�- f• lie.0/r being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the C� eh-dq�Rr- (Contractor, Agent, Corporate Officer, etc.) 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 true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn before e this = y of 2 G� / otary Public Signature of Appli at LYNDA M. BOHN tSOTARYNo601tC State of B66020932 New York -Term(Expires March 8,20111 ` 1� 112.0 \ .r ■ A i _ P O 2d► ;�' FLOOD ZD.vE X, -_.A 91 to Vi 1 �a MAP 01= PeOPEF127-Y i SUfZv6Y FC�L2 FLO00 ZONE AE (E(.. 8). �A BAYV(EW .-- T�WN OF SOUTPOL00 N.Y. i i SGQLE: to= 40 f f✓�' �f �siD LAN084 t. t7 ■ MONUNtENT �t � / 1�liG J . o r,41,A MAN ill \\\ ie°Rrew'r� SuFFOLe CO. Tax MAP L�StGNATro(•�: .Dlsr. KM, SECT.092, 6L4 1, PCL. 3. SL2VEYEO APR, 13, 2001 f ANTHcN,,r' vV.LEViU�fJCX�hr;�ic LOT NumeEt2r SNOv'tN OEFee TO L tCffN5EC3 AND SC1wvEYR�� MAP OF CEDAR BEACH PAtarC, L O. BOX L ea F1LEC 1N 774E StJFR7LK CO. CLE21G5 r�ry pti_p N.Y. t 1971 OFFICE AS MAP NO 90. DF�tC_.0 COMPLY WITH ALL CODES OF APPROV AS NOTED NEW YORK STATE & TOWN CODES DATE: y� 3 B.P.>t` AS REQUIRED AND CONDITIONS OF ��3� FEE: BY: SOUTHOLD TOWN ZBA NOTIFY BUILDIN3 DEPAR ENT AT SOUTHOLD TOWN PLANNING BOAS 765-1802 8 AM TO 4 PM FOR THE SOUTHOLD TOWN TRUSTEES FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED N.Y.S.DEC FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION'.MUST FLOOD ZONE A-08) _ BE COMPLETE FOR C.O. COMPLY WITH CHAPTER"46" ALL CONSTRUCTION SHALL MEET THE FLOOD DAMAGE PREVENTION REQUIREMENTS OF THE CODES OF NEW SOUTHOLD TOWN CODE. YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ALL CONSTRUCTION SHALL THE REQUIREMENTS OCCUPANCY OR MEET CODES OF NEW YORK STATE.HE USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY CERTIFICATION OF (NAILING & CONNECTIONS REQUIRED. + +E. • y,, i ,. / 'w'`.:..�' •�r mak....•'�- ! .� .� t � � �t -� r, ✓' ��""\`` _ I �L- s Ali%, rrx' _ 1,,,,�`�-.-�"' �'^'' -, - ---- -...__- .._ .__ - -. �.. �. �...-tr� it 1�.,. r - �+ i �� .� � � �� LF- T r.'� �.a ix �. +•..i'-," f'�..�7. ��,�:, ...- - - T^`.�--_."___._ „-�._ f�f` �L ++ _ ... + •'r'""�. J �."'.`-y z.1 .K"� h'�S� ,• �+ _�f a".k ;2 `1\f . 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'y% p4g-SS ACTING UNDER THE Q�' p�E 8,gp��p "� "ECTION OFA LICENSED ARCHITECT,TO ALTER ANY I'T'EM ON THIS DRAWING IN AIRY WAY.ANY AUTHORMW ALTERATION MUST BE NOTED,SEALED,AND 41 pQ`� DESCRIBED IN ACCORDANCE NEW WITH THE LAVAL MAY 15 2003 FAIRNMADI R•B►RI7•VI DESMI A3WlAn*-#MC. 206 MW AMemm t:Q dao[621 ckmenpo�t,RV 11944 031-477-9762(too 631.477-0973 3 yy `•. { k. 9 rl a �' �� I I 5il ------- A i�'f f - 'b •`. mss _ - I '3 A VIOLATION OF THE S�EC�ED ARpy�T . r ICOR ANY PERSON, �� SPT 1'BRO FO ?LESS ACTING UNDER THE k .'_ECTION OF A LICENSED .' Q 4 , wHITECT,TO ALTER APoY � � M ON THIS DRAWING IN a -Y WAY.ANY AUTHORIZED ITERATION MUST BE 634 NOTED,SEALED,AND F N�pi •ESCRIBED IN ACCORDANCE ''H THE LAW. AY 15 zou BR4IIVl11 nesu�,�.�3oC�'res .WC. 205&WAvenue R4 sou[32i 631-#717 npo t.1w 119+x, (f=)631-477-M73