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Home My WebLink About26916-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27465 Date: 12/12/00 THIS CERTIFIES that the building ADDITION Location of Property: 2575 LIGHT HOUSE RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 50 Block 3 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7, 2000 pursuant to which Building Permit No. 26916-Z dated NOVEMBER 14, 2000 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 OPEN CARPORT ADDITION TO EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to STEPHEN & ANGELA L PUTZI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Q4467 V -�' 44L /tZ.2 Authorized Sign ure 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. 26916 Z Date NOVEMBER 14, 2000 Permission is hereby granted to: STEPHEN & ANGELA L PUTZI 2500 LIGHTHOUSE RD SOUTHOLD,NY 11971 for NEW CONSTRUCTION OF AN OPEN CARPORT ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. at premises located at 2575 LIGHT HOUSE RD SOUTHOLD County Tax Map No. 473889 Section 050 Block 0003 Lot No. 006 pursuant to application dated SEPTEMBER 7, 2000 and approved by the Building Inspector. Fee $ 65.20 Authorize Signature ORIGINAL Rev. 2/19/98 Form No. 6 �� Y TOWN OF SOUTHOLD BUILDING DEPARTMENT 117 r% ( ', TOWN HALL 765-1802 ,APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: -- - 1. Final survey of property with accurate location of all baiid-img-9--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 off' 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. 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25tn 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . .. Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . ?"560. . . • • • .�,. . . . . . . . . ;sr• • • .• • . .v. . ./.�'X !/i 71. .. . . . . House No. • •• . . Street Hamlet . . • Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . S� . . . . .Block. . . .... . . . . . . .Lot. . . . �. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . Permit No. . .j�6, f 16 .Z�.Date Of Permit. . .:�� , zoDQApplicant. . �feIJ415'Al ,:` 1-Z�. . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . J Fee Submitted: $. . . . . .. .. . . . . . . . . . . . . . . . . . . . iA 75 . . . . . . . . . . . . . . . . . . . . . . . . . .� . . . . . . . . . . . . . . . . . . . . . co APPLICANT �a�y�s X65-1802 BUILDING DEPT. SPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE `11o74 INSPECTOR BUILDING DEPT. INSPECTION [ ) FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING INAL [ ] FIREPLACE & CHIMNEY REMARKS: Al r <7- ' / ,DATE `y OI INSPECTO " x ELD=INSPECTION—REPORT—__=DATECOMMENTSIf ==xax_____________ If u n )UNDATION OST) II m -if )--DATIONND) — -------------------------------------- n u � )UGH FRAME & H PLUMBING ill u ii If N 11 II I�I C� SULATION PER N. Y. if f H STATE ENERGY CODE ifit, ii u II -u— if 0 v` H II II II jj — II j FINAL ADDITIONAL COMMENTS: 7d e) C r� (n H � H yr PC G7 b 1 BOARD OF HEALTH . . . . . . . . . . . . . . . Via,. .,• _ ... FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . "''A�'� ` TORN OF SOUTHOLD SURVEY _.. BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . ... . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . .. .... . . ....... . . . . S TEL: 765-1802 TRUSTEE . . . . ... . . . . ....... . . . . NOTIFY: eT,�,fH6ENrr7;Z/ CALL . . . . . Examined....!ele o•..... 2a on ..... .........MAIL TO: . 716 .S'_6.riI . . . . . . . Approved...� l�-;�/6.tA6 .......,2o.oa . Permit No. �' ........................... . Disapproveda/c .................................. .................................... ...................................................... .... ... .............. (Building Inspector APPLICATION FOR BUILDING PERMIT Date. .,!EF7: .: .7A '. . ., 20. . . . INSTRUCTIONS a. Ibis application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector Tait 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be com enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HES 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 builZ4-c. ' for necessary inspections. i.P W/moi Li.... ..................... (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 builder ...............`..!`/ �................................................................... .......................... Name of owner of premises ..,5�EPY,-Al.s:/¢N�CFU�..�vTZ/...o.SOd . /� jDVSE.. .Sov%�toty. /✓.y : (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. sOb /g7i 7{`t OUSE 7�d �O LJTFJO� .� .....!7 7.................................................. House Number Street Hamlet Canty Tax Map No. 1000 Section ....So........ Block .... ........•. Lot ...^..�a.......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... "acs;;.,...,; ,. b. Intended use and occupancy . _Aol T/ON .....p............ A_cc. G G '.r .. .t_ :n .. .:: ! rr,.,.G- ��/! '�-. - ;t om J. P"C"re of work (check wiiich applicable): New Building .......... Addition Repair ............ Removal ... .. Alteration .......... .......... Demolition ............ Other Work . fCt�.tiQ. (Description............... 4. Estimated Cost ....f&o¢ . ............ fee .............................................. 5. if dwelling, number (to be paid on filing this application) 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................ 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 Owner ........................ 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 regraded .................... Will excess fill be removed from YES G, premises: pp 14. Names of Owner of premises ...�t-:�9.-N.. %ddress 'F�;�J Sly Phone No. 11�4� 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, SD MM IWSrWS PERMIT MAY BE MQUIRED. ....... .......... QTIl1CH 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 cumber or description according to deed, and show street names and indicate whether interior or corner lot. srnlr or t1w mll�"'t . •. SS COI)rl[Y OC • ....(............................being duly sworn deposes and says that he is tlw applicant (Name of individual signing contract) above names), le is the ...... !{��,t ............................. (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; that all statements contained in this application are true to the best of his knowledge and.belief.; and ?hat the work will be performed in the manner set forth in the application filed therewith. -taorn ttoobefore me this --•-- •1••-•..... ay of 0.01:).. Notary Publi LYN M.BOHN (Signature of Applic - NOTARY PUBLIC State of NOW VA No.01 B66020932 Qualified In Suffolk COU Term Expires March 8,20 Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 * �? Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 6, 2000 Stephen Putzi 2500 Lighthouse Rd. Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) No Underwriters Certificate on file . XX The check is (not on file. ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26916-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FF% ee APPROVED AS NOTED DATE: B.P. # ` FEE: r- BY• et NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMIN'G & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS w r- W C f 0 NOT PROCHD WITH FRAMING UNTIL SURM 4F FOUNDATION LOCATIObL),7w RAS KEN APPROVED.) S BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: ./,, APPLICANT NAME: �ct T7— DATE SUBMITTED: ? /7 /DU PROJECT LOCATION / STREET: /leo,F,n CITY: SlauTfsa� SUBDIV. NAME: ARCHITECT/ ENGINEER: /v6^ _ FAST TRACK: YES oge SCTM#--- DISTRICT: 1,000 SECTION: SCS BLOCK:_ LOT: 6 ZONING: ZONINGDISTRICT. 4 R80 AC CONFORMING"'YQ R NO REQUIRED LOT SIZE: JeCIr, SQFT. WHERE ACTUAL LOT SIZE ROM? %_ (w ?,k,�� ACTUAL LOT SIZE:/3o6sD SQFT. ,4c, oj-e_CN-< REQ. /`40 �OTCOVERAGE: REQ. REQ. FRONT:So 'PROP ' SIDEYD: /S '/3PROPOSED:23REAR:_?o ' PROPOSED:ALLOWED:Zp % EXISTING:292 sf2 % NEW: CS/ sf�! % TOTAL: 9 ,?S° �p.1 c o.K Po v G�� Man s h c1Y Q a.�� /G*s�✓ - /"d.tits-w_ nT n j C o J�e►}Nt,wcl 77/e., S' CORNER? YE R NO WAT ER FRONT? YES R NO DESCRIPTION: SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES oR O NOTES: n� ,,� a LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at anytime after July 1, 1983.) PROJECT DESCRIPTION• ADD ALT Ac R rriD: fid' , AGENCY PERMITS REQUIRED FOR REVIEW NEEDED TOWN SPETIC PERMIT: YES or SUFFOLK COUNTY HEALTH DEPT: YES Ora(BED #): DTE:—/—/ PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/l/75YES oIPL = /80 / Tf—„ SOUTHOLD TOWN TRUSTEES: YES o __o Jcr too' aNS4y TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o � FLOOD COMPLIANCE ZONE: PRE-FIRM 3i18i80 #: / FLOOD ZONE:_, NYS ENERGY: YES O 9. AIX GRESS: VENT: LIGHT: ,,5�� NOTES:�2 y- , FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR 691 SF Z/>c SECOND FLR SF INIT OTHER TOTAL TOTAL: GS/ SF FEE FEE FEE TOT( SF)- ( Sad SF)= /S/ SFX $ .2b =$ +$ 6 I I I m Ir d d I OJ d IW W � Ay > I (Y 'ep�.rvdSP�•eyiT' I I•/ W ) 0 / Io � to VD 1 d � _—_ q i sem. . c¢. e � v e > X � �oK . // p'� �"•a'rAi.+ �i.avr..�N U.r yp / Sr j- �' arc a .,. a" aGs•o G..�e m ° I^ � ^aA Ae d.u.,e�,o F,euar vrrp sE."�[s,q-e,r. i w as .. e . IJ P T v � Pv lcJe a s / N a �e oo 'I /s )o P 61 x'2 „�A �_ I n rr> - 9d 7RopOsed PAOJErT , = o E r S a. 4✓ 4 0.o C HNE N T ZS o .In a❑ f SHED .� 4o W Il) Bp � 0 ° � cE2T.C.Ep P 9TGvl�-. l L]u Ca 6�i L . Puc i. 1 Coe..,E 4ms- a��T Cev.p w�/lpv OC PCOPEP.T � s .- ...., A. = SOF N£K, 14MG9 10 S O U -r \--\ O U C=) ymJ Tm�� PREPARED BY t—U., .r .,hitlmt. ,hle .�ry SCHNEPF & MURRELL, P.C. a°I.1.11- v, eetlev ItXI. Z., Ihu „....,. st.I.w.-I., I.. - -..- _ � se�T .,o ..a , s... « o"� � _� --�� , .-. E--. :J� t. LAND SURVEYORS - LAND PLANNERS �.pl.. .r ml. s.r...„.p .. I.Irl" hhvva �O o <9 e3Q 126 MAIN STREET rv.a:. .h.e w .mh....a...i 11,111 .It e. s S 497> ..'Y BAYVILLE, NEW YORK ..na ,etl tv E. . It'll b.. G , Nhit wV pr.tlm. I.alevt.a h.m with th, 10019 tl,l. edry ',hr 589-1322 Pme pr.p.r, m vti—,c.vnn me 1. tI evae of ` . .11.e .h In.e s.1..-1 e 1.pt I at . r vms sort.n...cmu.� .I , 4nl.na m 1-11. m. th, —c.. ,pr mh .my l m. pe„m It. rb.tl . rmp hitt nv.with ,d .nam Ma hM.P tv @. N. 11" 1 ga'^me t,1 . mcy... Ivnaeg it." IbIM bI th.q h /.r mlgn. .I m.ImelnpInMnmlcn mran.�pu"me...t M.I' u TAX MAP OBBICNAPON NUMBER m.rtg.g.tv cb w—C.) 1. r. wb . lhla aury rm pp.r.a cmtl°Cml.b. � m f—bl. tIM111 1 DISTRICT SEC110N BLOCK LOT Imtlwutlma.r ry e.quml ..mn clho IM1vn vb.v +aea \OeaO =jo j b na xo. t Aw.,