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Home My WebLink About29542-ZFORM NO. 4 TOW/q OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29770 Date: 10/16/03 THIS CERTIFIES tt~mt the building ADDITION Location of Property: 790 OAK ST CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) Co%ulty Tax ~4ap No. 473889 Section 136 Block 1 Lot 38 Sulxiivision Filed Nap No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 24, 2003 pursuant to which Building Permit No. 29542-Z dated JULY 2, 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 SUN-ROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SALVATORE & SUSANNE PALACINO (OWNER) of the aforesaid building. SUFFOLK COUIF~Y DEPARTMENT OF HEALTH APPROVAL EL~C~'~ICAL CERTIFICA~ NO. PLUMBERS ~TIFICATION DATaU3 N/A 1167410 09/24/03 N/A ature 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. 29542 Z Date JULY 2, 2003 Permission is hereby granted to: SALVATORE PALACINO 790 OAK ST CUTCHOGUE,NY 11935 for : SUNROOM ADDITION TO /LN EXISTING SINGLE F~ILY DWELLING AS APPLIED FOR at premises located at 790 County Tax Map NO. 473889 Section 136 pursuant to application dated JUNE OAK ST CUTCHOGUE Block 0001 Lot No. 038 24, 2003 and approved by the Building Inspector to expire on JANUARY Fee $ 150.00 2, 2005. A/t~orize~-~-d Signature Rev. 5/8/02 COPY Form No. fi · TOWN OF SOUTHOLD BIJI~EliNG DEPARTMENT TOWN HALL 765-1802 Oaf Y--. APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ii~k 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. 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. Cmmncrc/al building, industrial building, multiple resideuces and similar buildings and iastallations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plmming Board Approval of completed site plan requirements. B. For existiug buildings (prior to April 9, 1957) non-conforming uses, or buildiugs and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, bnilding and dnusual natural or topographic featmes. 2. A p~ope~ ly completed application cud consent to inspect signed by tl~e applicant. Ifa Certificate of Occupancy is cleuicd, Ibc Building Inspector shall stale tl~e reasons flmreFor in xx~ it/ag to the appIicanl. C. Fees 1. Certificate of Occupancy - New dwelting $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, 3. 4 5 Nexv Construction: Locatiou of Property: Owrmr or Owners of Property:- Suffolk County Tax Map No I000, Section ,/ Subdivision Swimming pool $25.00, Accessory building $25.00, Additions lo accessory building $2500, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Ce~lificate of Occupancy - $.25 Updated Ccrtifica(c of Occupancy- $50.00 Temporaiv Certificate ofOcculxmCy- Residential $1q 00. Commercial $I500 ~ Old or Pre-existing Buikling: (check one) House No. Street Permit No. R9-~¢~ ~ Date of Permit. Health Dept. Approval: tO/IZ~ Planning Board Approval: __ /k)/~C Request for: Tempora~ CeNificate Fee Sub~tted: $ ~ 00 look 000/ Filed Map. _ 8,~-(~:::> Lot: Underwriters Approval: / [ ¢ ~ ~( / O Hamlet Final Certificate: t-// (check one) Applicant Signature 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 KC ANDERSON ELECTRIC P.O. BOX 16 MILLER PLACE, NY 11764-0016, Located at Application Number: 1167410 Section: .136 Block: .0001 790 OAK STREET CUTCHOGUE, NY 11935 SALVATORE PALACINO 790 OAK STREET CUTCHOGUE, NY 11935 Certificate Number: 1167410 Lot: 038 Building Permi~ BDC: NS11 :. 29542;Z) Described as a Residential occupancy, wherein the prem'i~e~ elecfncal system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, 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 24th Day of September, 2003. Name QTY Rate Rating Circuit Type Wiring and Devices Receptacle 2 0 General Purpose Switch 2 0 General Purpose Paddle Fan 1 0 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 June 18, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. Salvatore Palacino 790 Oak St. Cutchogue, NY 11935 790 OAK ST., CUTCHOGUE SCTM#136-1-38 Dear Mr. & Mrs. Palacino: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 18, 2003: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #4998 to construct a rear deck with the addition of a 14'X 17' sunroom, to be placed on the original footprint of deck, with the condition that gutters and drywells are connected to the new structure. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765 - 1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2556 Phone: (516) 444-0365 FAX: (516) 444-0360 John P. Cahfll Commissioner Mr Salvatore Palacino 11 Wheelright Way Smithtown, NY 11787 March 29, 1999 Re: 1-4738-02211/00001 790 Oak Street, Cutcbogue SCTM # 1000-136-1-38 Dear Mr Palacino, Based on the information you have submitted, the New York State Department of Environmental Conservatio~ has determined that: Thc poi'don of the property ( referenced above) which is located landwwd of the topo~aphic crest of the bluff as shown on the survey by John C Ehlers, and last revis~ 2-25-99, is not within NYSDEC Tidal Wetland Therefore, in accord'a~e with the current Tidal Wet]ands Land Use Regnalations (6NYCRR Part 661) no perrmt is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, Or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessa~ precautions are taken to prevent andy sedimentation or other alteration or disturbance to the g~ound surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work araa between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter do~s not relieve you of the responsibility of obtaimng an) necessarx permits or approvals from other agencies File R'/°~EVlD~ R~onal permit Administrator Eastern Permits 'Section DEPARTMENT OF THE ARMY ~4EW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NT~V YORK, N,Y. 1027~-0B~ ~arch 22, 1999 SUBJECT: Joint Application with New York State Department of Environmental Conservation 'Salvatore Palacino ] Whee]r~ght Way Smfth~own, NY 117'87 Dear Mr. Pa]acfno: We have recently received'a copy of the Joint Application tot permit you filed with the New York State Department of Environmental Conservation (NYSDEC). Please be advised we have reviewed the copy of the Joint Application sent to this office by ~YSDEC. Based solely upon the information provided, it appears that a Department of the ~_rmy permit is not required for your propoEal. The Department of the A/my regulates construction activities 'in navigable waterways and discharges of dredged or fill material into waters of the United States, Sncluding inland and coastal wetlands. If your proposal would involve such work, and has not been portrayed as such in your Joint A~plication, you should contact chis office immediately so that a project-specific determination can be made as to whether a Department of the Army permit will be required. ~y inquiries Can be directed to this office at (212) 264~ 3912, 3913, 6730, or 6731. Sincerely, }{aggerty . stern Permits Section Board Of $outhold Town Trustees SOUTHOLD, NEW YORK NO. /4 ? ? DATE: ~.a¥ Z6, 1999 iSSUED TO ....... ~.~IcVA~O.t~E. PA~A~!NO utlfnri atinn Pursuant to the provisions ot Chapter 615 of the Laws the State of New Yorl,, 189~!; end Chapter 404 of the L,.aws of State of New Yore 19S2; end the Southold Town Ordinance titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC; LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIAl S FROM LANDS UNDER TOWN WATERS:,, end in acc:ordence wlth the Resolutlon of The Board adopted at a meeting held c)n ..~7;. Z6,. 19~9 19 ~.., and in consideraflon of the sum of $ zS~,.~ paid by Cather.i~e Mestizo for SALV~TORE PALAC.IiNO ............ of Pu.t~h~u~ ..... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Soufhold Town Trustees euthorlzes end permits the follc~wlng: Wetland Permit to constr, a single faro. dwell, with deck with condit, that no turf be seaward of the line of haybales that will be placed during constr, and that gutters & drywells be constr/ to co]~tg~n roof~ runof~ thee" Inorlginatlnga¢Coroanceeppllcatlon.Wlrn the detai~ed specifications es pre~ented in IN WITNESS WHEREOF, The sold Board of Trustees here. .by causes if~ Corporate. Seal to be &fit?ed, end these presents to be suhecribed by · malority of the said Board es of this daf~. BUILDING PERMIT EXAMINER CHECKLIST APPLICANT : ~"D&~o,~'~A~_c~,,_o SCTM#DISTRICT: 1,000, SECTION: I~ , BLOCK:__I , LOT: ADDRESS: ~CITY: ~ ZONiNG DISTRICT: BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP 2.:}:}-$2. -Z / C/0 Z- 7_-ql ~ , INFO / BP_~.':}'2. -Z / C/0 Z- BP -Z / C/0 Z- , INFO / BP -Z / C/0 Z- DATE REVIEWED: -/ /~ /03 DATE SUBMITTED: 6 /zq/03 SUBDiVISION: CONFORMiNG? ~ o ___, INFO ll~l~_P~ , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger,(A nonconforming at any time after 7/1/83 REQ. LOT SIZE: ACT. LOT SIZE: ~7,23~L[ REQ. LOT COV. ~'o~_o REQ. FRONT ~ PROP. FRONT REQ. REAR o'~ PROP. REAR ~/ REQ. I4EIGHT PROJECT DESCRIPTION: ~u.~c~--,~ ~ _~'~..~..-- ESTIMATED PROJECT COST:I !,~l~ ARCHITECT/~G~'~E._.~R: "~'o~ WATER FRONT? x/O; DESCRIPTION: ~ C~--,, ,,_t~ PANEL # _ O APPROVALS REQUIRED SUFFOLK COUNTY HEALTH D~EPT: YES or--BED #): DTE: / / TOWN SEPTIC RECEIP!.: ¥ o _t) NEW YORK STATE DEC. va~-o~c ~/1/7~or NO SOUTHOLD TOWN TRUSTEES: .~r NO TOWN ZONING BOARD APPROVAL: ~]~S or~ TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2)~ or NO NOTES: ACT. LOT COV. ~ ACT. SIDE / PROP. HEIGHT FLOOD ZONE:,(~ PERMIT #: DTE: ~:~ /,-.Q~/~_ PERMIT #: DTE: 5 /2~_/q al PERMIT #: DTE: / / PERMIT #: DTE: / / PERMIT #: FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 2~_~ci~ 1. ( SF)- (~ _SF): 2. ( SF)- ( SF)= 3. ( SF)- (~__SF)= SFX$ SFX $ SF X $___ SF SF SF SF iNIT OTHER TOTAL SF FEE FEE FEE =$ +$ +$ = $ =$ +$ +$ = $ =$ +$ +$ = $ FINAL TOTAL: $ I~-''O 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ -/]~FINAL FIREPLACE & CHIMNEY DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMEN~, TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www..orthfork, net/Southold/ Exmnined .~,///~ ,20_ q Approved -//'g' ,20_ Disapproved a)c/ ~ ~ Expiration / ,20 5'~ / BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval. Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Inspector Mail to: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,k/ ,200 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 fi.om such date. If no zoning amendments or other regulations affecting the property have been enacted hi the inter/m, the Building Inspector may authorize, in writing, the extension of the permit 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. >~i5' c~r n anc~orpomtion) (Mailing addres~ of applicant) 0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises &/~/~J~C.~/~,-~[~C~q~ ~ ~d-'~'F/~-- (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. 1. Location~0of land on0~w~ichproposed,~q~ f.~w°rk will be done: ~t..O House Number street ~ County Tax Map No. 1000 Subdivision (Name) Section i3 (ET Block (~ O0 I - Lot Filed Map NO. ~ ~ (19 Lot 2. State existing use and occupancy ofpremi.s_es and irllend_e4 use and occup, apcy of proposed cDnstmctiCn: ' a. Existing, u~eandoccupancy ,~PlCt~ m dcf d: l t ruz t44, dacdt. '' 'o 0 co b. Intended use and occupancy SI [l~ ~ ~ frl I [lA ~ ~'~ ill }q.~ cO I~! dU2 C L ob ~! 1~ u6'~_ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ! ~,t 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration _ (Description) (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 (o3,30c' Rear G3,3¢' Depth (o"~.(o"~' Height ~, ~, n Number of Stories ~ Dimensions of same structure with alterations or additions: Front ~, ~.'~ q- Rear Depth ~ I~ r~'-) ' Height c~"~ ' ~ Number of Stories ~.- 8. Dimensions of entire new construction: Front [ ¢' Rear / O' Depth Height Number of Stories ! / 0 0 1 Rear / t~'2, ~> ~ _Depth c~ ~::>, "~3/ .ameofFom erOwner 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? YES NO t~/ 13. Will lot be re-graded? YES NO ~/Will excess fill be removed from premises? YES__ 14. Names of Owner of premises -icSila_cinC~ Address ~/~0 06t/C~'~ ('~4~ '~-~o. tub Name of Architect Address Phone No Name of Contractor ~i i lq 4~ ~0~[' ~ {lr6 t~ Address ~1~0 Phone No. ~'1]3- .... t SHiVt0' 15 a. Is tiffs property within 100 feet ufa tidal wetland or a freshwater wetland? *YES ~/ NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ufa tidal wetland? * YES ~/ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accttrate 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 .S~t2)S: ~L4_~(_/Vi ~ ?6k_ [ 0 C~('/40 being duly swum, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the O t~v ~ (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 tree 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. Swum t9 ~efore me this~_.._ ~ "Notary Public Signature of Applicant SUSAN K TOOKER NOTARY PUBHC, State of New York No, 01TO5078120 Qualified in Suffolk County Commission Expires May/~; 2.Z~ 7 uJ Oak Street ~0 LI t~r~ (j~ ~) Z(JZx -- zCD~I q) C - WALL P 81"x60"W 75"x60"W WM ~0 P 81"x78"D, A - WA -,,O-,'k~ .f Z 0 ~0 Z J < <_<~ JO 339 ' 327 1/4' 316 3(~ 112' 295' 284 3/4" 273 1~' 263 250 3/'4' 239 314' 14'-0 1/2" 2x6 28'-6" Ledger 2x'l 0 9'-8 1/2" 10"x48" concrete suppod 6x6~ 14'-6" 4x4