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Home My WebLink About27380-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27835 Date: 07/25/01 THIS CERTIFIES that the building ADDITION Location of Property: 3865 BRIDGE LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 84 Block 4 Lot 11.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 2001 pursuant to which Building Permit No. 27380-Z dated JUNE 11, 2001 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 JOSEPH J & KATHLEEN J CAROLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A tho ized gignature 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. 27380 Z Date JUNE 11, 2001 Permission is hereby granted to: JOSEPH J CAROLI 1474 VICTORIA STREET BALDWIN,NY 11510 for CONSTRUCTION OF DECK ADDITION TO SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 3865 BRIDGE LA CUTCHOGUE County Tax Map No. 473889 Section 084 Block 0004 Lot No. 011 . 001 pursuant to application dated APRIL 2, 2001 and approved by the Building Inspector. Fee $ 75 . 00 Autho ' z d Signature ORIGINAL Rev. 2/19/98 r Form-No. 6 i ' TOWN OF SOUTHOLDJ L""C L j BUILDING DEPARTMENT �5 TOWN HALL 765-1.802 s fl APPLICATION FOR-CERTIFICATE OF OCCUPANdy A. This application must be filled in by typewriter OR ink and submitted & the buil ing inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, ,pr'opert,y li es, 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 buildingf and installations, a certificate of Code Complianoe from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accufate survey of property showing all property lines, streets, building and 3 unusual natural or topographic features. 2. A properly completed application and a.consent to inspect signed by the applicant. If a Certificate of Occgpancy 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 Buildiniz - $100.00 3. Copy of Certificate of Occupancy - i21 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia $15.10, -Commercial $15.00 / :Date . .�. .� . . . . . . . . . . .. . . . .. . . .. . . . . ✓✓✓ . .. Yew Construction. . . .. . . . :.. Old Or Pre-existing Building. . . .. . .. .. . . . ... . Location of Property. .. '�.4 ... . .. :r�?.�t0 � . ..�. . .. .. Cv�CF-��rJ� . . .. . . . . . . . . .. . . . . House No. Street Hamlet•• 011wer or. Owners of Property.. .QQ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .QQ.f, . . . .Block. . 40(* , , . . .Lot. . . . . . . . . . Subdivision. . .. ...�. . . . . . . . . . . . . . . . . . . . . . . .. .Fi d Map. . . . . . . . . . . .Lot. . . . . . . .. . . . . . . . . . . Permit No. .v2.135�. . . . .Date Of Permit. . .4.� .� . . ..( .Applicant. . .. so'`� , .44p!qi?!�A.TA •. Health Dept. Approval. . . . . . . . . . . . . . . ... . . . . —Underwriters Approval. . ... . . . . . . . . . .. . . . . Planning Board Approval. .. . . . ... . . .. . . . . . .. .. . .. Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: . .. . . . . . . . . . ✓/ ( i � . ... . . . . . . . . . . . . .. . . . 4 . ..:0 .. . . . . .•. . . . . 4 . . . . . . . . X65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY 14, REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE R CO)MENTS ------------------ tai W FOUNDATION ( 1ST) I� CCN I! p - FOUNDATION (2ND) -------- '~=---- ------------------------------------------ I� I' II fl j Q ROUGH FRAME PLUNBING (�y 1 1 INSULATION PER N. Y. i STATE ENERGY 1 { CODE p G 7 p II FINAL q M _ADDITIONAL COMMENTS: H\ zc BOARD OF HEALTH .�... . . . . . . . FORM NO. 1 3 SETS OY PLANS . . . . . . .. . . . . . . . TOWN OF SOUTHOLD SURVEY•/ . . . . . . ..... . . . . . . BUILDING DEPARTMENT CHECR$k�-I l . . . . . . . ..... . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . ..... . . . . . SOUTHOLD, N.Y. 11971 DEC . .. . . . . . .. . . .. .. ......... . . __.. TEL: 765-1802 TRUSTEES . . . . . . . . .. . ........ . . . NOTIFY: CALL . . .�G7 2:--7-r Examined.. .......... 20.... MAIL TO: . . .. . . . . . . .. . . . Approved...G11.%.........., ... Permit No. . 13.Q`:.... ....�Q.. qK... s?:.......... Disapproved a/c .................................. �. Tt'�0.1 /. ..... ... � �... ...................................................... -(Building-I- ..tor)........ APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 2C. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and suhmitted to the Wilding Inspector w, 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 pevait 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 whatever until a Certificate of Or.upaocy shall have been granted by the Building Inspector. 0 APPLICATICH IS IERW MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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. ....'l:'.":'.. .:. �.�..).A. K,............... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde .. ............................................................................................... Name of owner of premises .. f1c)S IFM.... ......................................................... (as on the tax roll or latest deed) If cant is a corporation ignature of ly authorized officer. .. ...C..�. ... ...........•.- ' .... . and title of .te officer) - 14 Builders License No. ...' `:L.7� ........... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on widch proposed work will be done............................................................... ••..•...•....3 aP.�.......Y'-" Pwi17.•.•r•i'Tii • ••••••••••.&•i••:•.• Ta4.�K•TT ...••.....��I•••..� House Number Street Hamlet Canty Twe Map no. 1000 Section ..p.�....... Block .... .......... Lot -.1-111 ....1.... Subdivision ..,,�y A.�:-!�::.l...1��P C►2T�CS. Filed Map No. ............... lot ...!........... (Name) 2. State existing use and occupancy of premises and intended use �,/and occ4pangy of proposed construction: a. Existing use and occupancy ...SIrS 4!' ....r.... ! 1�.1.....P:: rc.c..�ld ......... .:......... b. Intended use and occupancy �f..... l ....A`+.:.::: 4. ....�.C�. ................ _ .6 .. tNC ,4..� ..�. rallon .. ........ 0 • t►1 Repair ....... .... Removal • ...... Uemnolition ... .. mer rk :1U i..: ...................... 4. Estimated Cost U fee ............................ • • • _.. ••• (to bepaidonfiling• (Description) this application) 5. If dwelling, number of dwelling units ............ Number of dwelling units on each floor ................ Ifgarage, nu ber of cars ...................................... 6. If Ixminess, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height ............. ..... Number of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... 9. Size of lot: Front .. Rear .................... Depth .................... 10. Date of Purchase ..................... Name•of"Former�DA er ........................................ 11. Zone or use district in which premises are situated ..;........................................................... 1. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES ND 14. Names of Owner of premises ........................... Address .............................. Phone No. ............. Name of Architect .................................... Address .............................. Phone No. ............. Name of Contractor ................................... Address ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, S(IMM IUM TRiTSIiES PM41T MAY BE . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indican- whether interior or corner lot. 'rivir. OP Nu YoaC, SS OWIY or........................ •��"�J'�•••G:....�-' �Q ...................being duly sworn, deposes and says that he is tlhe applicant Name of individual signing contract) bove named, (Contractor, agent, corporate officer, etc.) f said owner or crux-rs, and is duly authorized to perform or have performed dhe said work and to make and file this ppl.icatioh; that all statenents contained in this application are true to the best of his knowledge and belief.; and hat the work will be perfonmed in the manner set forth in the application filed therewith. worn to befeme diis ........ .....d f _0 Q Notary Public .. .................. .. ........ ( grultuxe of Appl,i,c ELIZABETH A STATHIS NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk Cgynty Term Expires June 8,20 —% NO- 4202 i All" HERODOTUS DAMIANOS N43'2 t'2C"w 213.26' 1 t t G LOT 2 LOT 1 r i i Q t ViA4e, ( � t (� � t GRa17E 1 t TGPSO/t 4 LCAM STX �Z �S SANn 2 PROP. DlGt?A'�EZ O o y'G. b t I J , r.f. £L 49.6 r S�K. J raF._ 58.0. �s7.55 5 TR, GRAVEL t TEST HOLE -- S42'26'20'E 225.39' s�.a1 BRI00E LARNE SURVEY OF f'kE N�kt U t Ck: STRUCTURAL TECHNOLOGY, INC. L O T e.o- &ox 378v MIrvoR SUBDIVISION MAP OF 1029 WILLW4 FLOYD PARi<NA. »SHA L VEY PROPERTIES" SHIKL�Y, N.;! 119+57 SiTUATF AT CUTCHOGUE G.11.!V OF SUUIHULU S!1FF r K (:OUN.PK tVEW YCFK �Gr �" ��A-DiE" Ti2L'LuS t K 2" C.QaS5 r►+EiN�S t 6"o_C- Zx6Srs�sr� i6.. OC • Z- 9x4" SAIL POSTS &LT[o Th Bac 7 41 GRADC ` -___-- C�.lc�txTrr APPR VED AS NOTED a i B.P. # 7 FEE: s BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: a a � 1. FOUNDATION - TWO REQUIRED ' FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING • # § k 3. INSULATION N ` `` F 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 4-A& ZIO- O,. Tl I I LY i� ,2 < ~ TOISTS 16`' 3c.�Y1:+�f' A3rS 44 de IIosrs '�d _o