HomeMy WebLinkAbout26256-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27346 Date: 10/11/00
THIS CERTIFIES that the building ALTERATION
Location of Property: 57305 CR 48 GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 44 Block 2 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 7, 1999 pursuant to which
Building Permit No. 26256-Z dated JANUARY 7, 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 RECONSTRUCT EXISTING CARPORT TO ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to ANTHONY PIRRERA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-536992 09/20/00
PLUMBERS CERTIFICATION DATED N/A
Authorized S nature
i,
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. 26256 Z Date JANUARY 7 , 2000
Permission is hereby granted to:
ANTHONY PIRRERA
239-B EAST MAIN ST
PATCHOGUE,NY 11772
for
CONSTRUCTION OF WALLS & GARAGE DOOR TO ENCLOSE AN EXISTING CARPORT
FOR AN EXISTING 2 STORY SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 57305 CR 48 GREENPORT
County Tax Map No. 473889 Section 044 Block 0002 Lot No. 003
pursuant to application dated DECEMBER 7, 1999 and approved by the
Building Inspector.
Fee $ 35 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
n. TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the bu:
with the following: for new building or new use:
( �}4al survey of .property with accurate location of all buildings, property
steets, and unusual natural or topographic features.
.�2. Fitl Approval from Health Dept, of water supply and sewerage-disposal(S-9 ;
3. .Approval of electrical installation from Board of Fire Underwriters.
4. ; Sworn statement from plumber certifying that the solder used in system conte
less than 2/10 of 1% lead.
5: Commercial building_ , industrial building, multiple residences and similar bL
and installations, a certificate of Code Compliance from architect or engin(
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
�ro
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildir
'.'pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building ar
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the app]
If a Certificate of Occupancy is denied, the Building Inspector shall state
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
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 - .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . .��./�.`/�?� ? . . . . . . . . . .
New Construction. . . .. " . . . Old r Pre is ing Building. . . . . . . . . . . . . .
Location of Property.. . . . .. . . . . . . .. .. . .. . . . . . . . :�. s . 7L . .. . . . . . . . . . . . . . . .
House No. Street Hamlet
-�P 1?': S P P. :.
. . . . . . . . . . . . . . . . . .
Onwer or Owners of Property.. . . •• . . . . . . . .
County Tax Map No 1000, Section. . . . .. . . . . . . ..Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . Fi ed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . .
Permit Noe)W. S�.� . .Date Of Permit. .l �• • •��• • •Applicant. . . :': . .f�:<`•��'��C
Health Dept. Approval. . . .. . . .. .. .. . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . .. . . .. . . . . . . . . . . . . �-
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate.� . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
n 55 51? �i PLICAN*T
co-& 2 � 3y(o
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1000119 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date SEPTEMBER 20,2000 Application No. on file 10930400/00 N 536992
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
ANTHONY PIRRERA, 57305 MIDDLE RD, GREENPORT, NY
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. GAR/OUT Section Block Lot
was examined on SEPTEMBER 14,2000 and found to be in compliance with the National Electrical Code.,
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENTFLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. I X.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECTF.1 TIME CLOCKSBELL UNIT HEATERS MULTI.OUTLET DIMMERS
AMT. K.W. OIL X.P. GAS X.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.SYSOF FEET TEMS AMT WATTS
SERVICE DISCONNECT NO.OF S - - E R - --V - I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AME. AM►.
TYPE EQUIP. 1 D RW 7 0 JW 3 0 9W J 0 4W PER 0 OF CC.GOND. NO.OF HI-LEG OF HI-LEG NO.Of NEUTRALS OF NEUTRAL
OTHER APPARATUS:
C14ARLES H. BRYSON INC. LTC.#3629E L L
73 -R BALKER STREET
PATCHOGUE, NY, 11772 GENERAL MANAGER
11 f.
Per
This certificate must not be altered In any manner; return to the office of the Board if Incorrect. Inspectors may be identified by their credentlais.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
r-TELW4NSPECTION REPORT DATE COMMENTS (1
cil
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FOUNDATION ( IST) jj II rl,
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FOUNDATION (2ND) 11
----- ------------------------------------------------
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INSULATION PER N. Y. 1�
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ADDITIONAL COMMENTS: '
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Town Hall,53095 Main Road p ;.e Fax(516)765-1823 -
P.O. Box 1179 W Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT OCT i Q 2a
TOWN OF SOUTHOLD .., . .
Sept. 13, 2000
Anthony Pierrera L-9,
57305 Route 48
Greenport, N.Y. 11944 T `
To Whom This May Concern: 1 �
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)
XX 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 # 26256-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765.1802
BUILDING DEPT.
INSPECTION
( ) FOUNDATION IST [ ] ROUG PLBG.
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ) FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
�a ,t2
DATE INSPECT
i
BOARD OF HEALTH . . . . . . . . . . . . . . .
r; FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: /
�/, �g5"lb
CALL . . . .4 7?. . . . .�.L
Exmined......II�.0.../......... 19....
f
Approved..... ......,3009 Permit W. lF .......... ,Y.
Disapproveda/c .................................. ....................................
.S
v.a
ilding Inspector)
DEC —7 M
{i ICATION FOR BUILDING PERMIT_,J Date. . . . . . . . . . . �?��0�1999
INSTRUCTIONS
a. 'This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wit
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan shoving 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 my 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
permit shall be kept on the premises available for inspection throughout the park.
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 HffM 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 neves rn tions.
(Signature applrca(n/[, or name, if a corporation)
3o %.... !le.. �d,a../11
(Mailing address of applicant) l`ClL/L�
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plurber or builder
Vv/�4�'Pr.......................................................................................................
Name of owner of premises :Alf;r'}-<G?1-A'.r....p}.TA 9W ?.A..........................................................
(as on the tax roll or latest deed)
r
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. 7%..................
Other Trade's License No. .:7.................
1. Location of land on which proposed work will be done. 3a !` !
.......................................................................................................................
House Number Street Hamlet
County Tax Map No. 1000 Section ................ Block ..........
...... Lot ....2?...........
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 �pIj7ENG
................... ............................................
b. Intended use and occupatxyvll�%E
.............................................................................
Na0ire of work (check which
e): New Building .......... Addition .......... Alteration �.....
it-pair ...........Vi
Demolition . Other Work
........... ..................................
(Description)
EstimatedCost .....................i... fee ............................................. .
(to be paid on filing this application)
If dwelling, nunber of dwelling units ............ lk rber of dim-Iling units on each floor ... .............
Ifgarage, umber of cars .......... ...........................
If business, ouamercial or adxed oc4ancy, specify nature and extent of each type of use.......... ............
Dimensions of existing structures r 1 n ' '
f r n
• n8 , aury: Pront7..4..�....... Rear . -T.�.`.�:.�...... Depth
itl;t :%� Nu�uber of Stories ..i.......
Height ... - .............. r. it
Dimensions of same structure with 4teratiops or additions: Front �tpc:�P/ Rear
5�'G?.......... ]lei ut °I `.�............ Number of Stories .........
Dimrensions of entire new axrstructii: Front ................ Rear ............... Dg0.Cbr;. ............
tieigitt .......................... N,nbe... r of Stories .....................
t
Size of lot: IYnnC .J s?:J.g.. ' .. Rear JA Z %Z ........... Depth .4.1,5,,,,,,,,,,,,
3. Date of Purchase ..................
1.. Name of Former Owner ........................................
I. pone or use district in which premises are situated ............................II.......I...........................
?. Does proposed construction violate any zoning law, ordinance or regulation: .Vv.p
...................
3. Will lot be regraded .NJO........I,I ..... Will excess fill be removed frau fmdses: YES C�7
i. Names of Owner of premises ........ .................. Addrest - -- Phone No. .-.--..
.
Nam of Architect IPA 33Awtctio� wpy
( A ...':1 ..�
�-................ AddressK444v-4.R� v,.Y41M,. A4�1, Phone No. F�81-a0�
d7A4 bmAe4A,N.tf. m l�to Z• ....
Namof Contractor .............. I.................,. Address /..y+... ....................Phone No. ............
� •
5. is this r within :0.7 feet of a tidal wetland? * YM ..Y....... NO ..........
*IF YES, SOUNi(HD TOWN 11 mIts PG[MT MAY Ba RR(PIRAD.
PLOT DIAGRAM
locate clearly and distinctly all quildings, whether existing or proposed, and indicate all set-back dimensions
ram property lines. Give street and black number or description according to deed, and show street names and indicate
Ixther interior or corner lot.
i
fAIE OF N.,v YORK,
SS
=17 OF ....... ...... ..........
... • �•'/P! ....... �P,.re ............being duly sworn, deposes and says that he i.s the applicant
'ane of individual gning contract)
xNe na ed,
tis the .......... .................. .........
(Contractor, agent; coinaral:e officer; etc-)
f said owner or oA rs, and is duly aulhorized to perform or have perfonred the said work and to make and file this
pplication; that all statements contained in this application are true to the heat of his knowledge and bal.ief; and
hat the work will be performed in the 'gather set forth in the application filed tllerewith:
worn to be/fore ne this
........! ,.......day of .../ h.�<�:19.�ff..
Notary Publi ....
Tart'Public,
Expires tate 31 New
Y Y v
Note Public, State of Now York i of can
May
No.41-4773986, Suffolk Count
.......... ......
...... .......
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-_ OCCUPAW OR-- __l__ - - - USE 6 UNLAWFUL
WITHOUT COMMATE
OF OCCUPANCY
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APPROVEDASNRED
DA -Io-00 aba -2- IRA HABPEL ARCHITECT PC.
, lin g :_ �_ r �� I Z.r,,,w •.a-a�,2 z �.a. 3J� 88ANCMOp
WA7
rER �; R1��+ ae4 aNK Q�1,Ago
NOTI BUILDING DEMRTMENT A OAK Si!/7HNk1�!lO 1170.4021
{�� a I GeG1ll�ntlw� -
,t 7054804 8 AM TO 4 PM FOR TNS
42 G - 1 ''A FOLLOWING INSPECTWNRI
✓i ej j ,, 1. FOUNDATION • TWO REOUIRPA \
/ e o ;SI FORPOUREDCONCREIE
4 ROUGH • FRAMING A PLUMBING
I
S INSULATION it A • -- _ 4 FINAL • CONSTRUCTION MUST
AI r
A-1e✓G - - I M 77 .i-t� -. -�-- Ah(� C - `li��a/Si.aQv I I BE COMPLETE FOR C.O.
._ ._ -- -- = -- r
I
_.! -�^ -�i - 1� ri. aoaodr�rN � � ; ALL CONSTRUCTION SHALL MEET
• — �� -,. - -- - _ _ _ a �� THE REQUIREMENTS OF THE N.Y.
- - - 11 STATE CDNSTRDCXICM C 6NEROY
f I Fn � � CODES. NC" r,
DESIGN UH UDNS1Hur,11„N LHRURS
r -1 /Z�o•2 0,,- p
1y ,
BUILTJING PERMIJ, VIEW CHECK LISA`
Applicant/ nA � p Q, Date
Owners Name: 1'1(1- orq 'I Reviewed:
Architect/ Date
Engineer: � Submitted: )C)
SCTM #: q
District: 1.000 Section: Block: Lot:
Project5'1305 Subdivision
Location: t, :J C..'�G,`� D Name:
Sin&le&separate Requir C
certification: Yes o �X I/N�—
�}
eq Req.
Zoning District. '40 (Lot size: Actual .(, Ar gf- J (Lot coverage Proposed: ]
Req. Req. Req.
�� J
(Front Yard S. 0 Proposed:� (Side Yard 5 Proposed: ] (Rear Yard �0 Proposed: J
ZNCLosv?--'- o' &t6 h Q5 BY Project Description: (It/u./oJ
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone:
Notes:
iN o, -rs >3. s "J 5 2 Src Ff`aYme u1
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