Loading...
HomeMy WebLinkAbout25800-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26780 Date: 11/10/99 THIS CERTIFIES that the building ADDITION Location of Property: 1105 AUGUST LA GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 44.20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 1999 pursuant to which Building Permit No. 25800-Z dated JUNE 15, 1999 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" & AS PER ENGINEERS REPORT OF JOSEPH FISCHETTI DATED AUG. 23, 1999. The certificate is issued to ANTOHNY & MARION BELLISSINO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A jw/L- W�/" Building Inspect r 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. 25800 Z Date JUNE 15, 1999 Permission is hereby granted to: ANTOHNY BELLISIMO 379 WELLINGTON RD MINEOLA,NY 11501 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR "AS BUILT" at premises located at 1105 AUGUST LA GREENPORT County Tax Map No. 473669 Section 053 Block 0004 Lot No. 044 . 020 pursuant to application dated APRIL 15 1999 and approved by the Building Inspector. Fee $ 75 .00 Author ed SigrWture ORIGINAL Rev. 2/19/98 L'- �U TOWN OF SOUTHOLD {y�J - �i 7C� �J fi K J BUILDING DEPARTMENT TOWN HALL 765-1802 ;SW APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: 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. 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 buildi 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 a '.'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 applican 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 - .25v. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .�. . . . . I . . . . . . . . . . . . . . . . . . r New Construction. . .L... . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . Location of Property. . 110-5 . . . . . . . . . .. . . . . . . .que Ga 5?"4/10 . . . . . . . . . r E n�e i . . . . House No. ////' qq,11 Street / Hamlet Dower or Owners of Property./. `� 1fQ1�1 ./:`. !h1��. . . .8 '-�//SS�.m U . .. . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . .Block. . . . . . . . . . . . .Lot. . .. Subdivision. ../. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No s6�.A N. . . . . .Date Of Permit. . G /�.S/�G/ .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . Final Certicate. .... . . . . . . Fee Submitted: $. . . . . . 5. . . . . . . . . . . . . . . . . . . n .5?Of '•%C . " . ' . . . . .�LIC'G1LaLGlX.U. . . . . . . . . . . . . . . . . APP CO z dG 7$6 PROfESSIONAL ENGINEER 11OBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 516-765-2954 BLDG.DEPT. y TOWN OF SOUTHOLD Date: August 23, 1999 Reference: Permit# 2580OZ Building Inspector Town of Southold Main Road Southold,NY 11971 Dear Sir, I have inspected the deck on August 23, 1999, located at 1105 August Lane (Bellissimo) for building permit# 2580OZ. I have found the deck framing to be in accordance with the structural requirements of the New York State Code. y��tE OF f w yO og�Q� FISC Fri H,�, hO 05251 Jo 7 4 PPROV D AS NOTED �z'` B.P.# Z2� FEE; s BY: � NOnFV BUILDING DEPAARiAM - 766-1802 9 AM TO 4 PM FOR THE tit>, FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED /� FOR POURED CONCRETE L�t�lYl�lCy (1 2. ROUGH - FRAMING & PLUMBING \� & INSULATION 4. FINAL - CONSTRUCTION MUST 3. V BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NY STATE CONSTRUCTION & ENERGY x CODES. NOT RESPONSIBLE Fn' DESIGN OR CONSTRUCTION ERR-OV k DOvr3� FSP"J^�N+ R9F.t..B 6}UAA rANGY I I USE Imo. UNLAW U �'ITFitT CETIAE l IPPNI a a' ? 1 11 doll] It oG 1 u f � I a� r9� �e ' i 6r r: U 1 e O ��~ T F IQO5 bis 7 • � i I U , 1--1 V S'iL gz STfl�R' j i Ocx?bl€ ,ot ";X (a " J � { i (AIN . 1UVv� � : QSS�ce ctearefl. j' ' r" PROFESSIONAL ENGINEER HOBAR PO Bax 616 SOUTHOLD, NEW YORK 11971 PHONE 516-765-2954 FAX 516-614-3516 pssi T. Date: October 8, 1999 Reference: 258002 John Bufus Southold Building Department Main Road Southold, NY 11971 Dear John, Attached is the as-built drawing foe the deck at 1105 August Lane in Southold building permit #25800Z. I had the owner install 1 foot x 1 foot x 8 inch footings under the south footings. The east footings did not need additional support due to the number of footings and the way the deck is framed. As presently constructed the deck meets the current NYS codes. If you have any questions regarding this matter please call. Veph s, , PE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIO [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECT 02 �S-S�v 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�NSATION [ ] FRAMING [ FINAL �l [ ] FIREPLACE HIMNEY REMARKS: C % uA' DATE INSPECTOR IWPECTION REPORT DATE COMMENTS rv_: UNDATION ( IST) u H al UNDATION ==(2ND) —{M n -- )UGH FRAME 6 PLUMBING M--moi u n u , II tl N u ISULATION PER N. Y. H ; STATE ENERGY � - CODE u-- I N /� it U - q I,n j r/ 7�` �• t. 1 H 00, /// ' I� FINAL --- ADDITIONAL COMMENTS: c H H O x ce onto Ur ri-NUZ) . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . .. .. . . BUILDING DEPARTMENT CHECK . .. . . . . . . .. . . . . .. .. . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . .. . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: Z/7 7 ?� / g CALL . . . . . . . . . . . . . . . .. .. Rs irked. ....j ..,, 19J9.� r MAIL TO: . . . . . . . . l�•..,. 19.1.7 Pemrit,No. J.�.�� ............................ Diarc .................................. ? ............................ .................................................... (Building Inspector) 5 IM APPLICATION FOR BUILDING PERMIT Date. . . . .. . . . . . . . . . . .19 8t n DEPT. T ',':N OF SOUTHOLD INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspe, 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing location of lot and of buildings on premises, relationship to adjoining premises or pub streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pa: 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. 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 HOW MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Torn of Southold, Suffolk County, New York, and other applicable Lars, 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 ding for necessary inspections. (Signature applicant, or name, if acorporati. 379 Li //in +�.rk.Ai nee lar N:7.:.lis? (Mailing address of applicant) State whether applicant is Griner, lessee, agent, architect, engineer, general contractor, electrician, plusher or bt .............. .W.h�.C..............................................................................I.......... Now of owner of premises1--S-,c�t. i.!?? ......................................., (as on the tax roll or latest deed) If applicant is a corporation, sigoatume of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. S e-- 1t ......................... Plumbers License No. ....... ................ Electricians License No. ....._............... Other Trade's License No. .................... 1. Location of hand on which ygoposed work will be done............................................................ �IG� S..J7.4���5�`7 ..hf /�E�... .t �Er1Y�Oh ...... 0 tLquSf �resJ................. House Number Street U'• itanle- County Tax Nap No. 1000 Section .n-5:i'G ..... Block e�. ..� ..44-2-6 ........ Lot ...... ........ Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. >hristirg use and occupancy ...j............................................................................ -7Va b. Intended use and occupancy 7 L t+: .. ........... _ _..._.. ..,.,............ ...... .........�g .......... i+ uiuon ......y.,5 A1tt�ration .......... Repair ............ Removal ............. Demolition ............ Other Work ...JK...................... (Description) 4. Estimated Cost .!i..J�. f,.............. fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ...... Number of dwelling units on each floor ................ Ifgarage, 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 ................. lleisht ......................... Number of Stories ...................... ' Dimensions of sane structure with alterations or additions: Front ............... Rear ...............•. Depth .................... DeiB}it .................... Number of Stories ............... , 8. Dimensions of entire new coostruction: Front ................ Rear ............... Depth .............. Height ......................... Ai ber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase Name of Former Owner ...............�....: ..................... .................. .. . It. 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 premises: -I&ne- NO 14. Names of Owner of premises tY7 :.. O/.S S.nZCi.. Address ��.�..?.....j7iT (1. �5 .. Phare Ib.7)??:..: 5e f-� � Minim ra, nl.y. Name of Architect .................................... Address .............................. Phone No. ........ Name of Contractor .�� i 4........................... Address 15. Is this property within 300 feet of a tidal wetland? * YES .......... ND ...0>..... *IF YES, SMITM ME MMMS PM41T MW HE FE¢IIRM. 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 nares and indicat whether interior or corner lot. SME OFN-V ((//�' COUPIIY OF �. R.'-F�•./.. SS • . ,Jp^� yC..1.lP�s.ft.,( .C�............being duly sworn, deposes and says that he is the applicant (Nare of individuar/signing contract) above named, h , �, Ileis the ..................l C;�!.�.K,................................................................... (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 to befomethis ........... r .day of �^}!!�./�4�.. 19....1.1. Notary lin ... t L . ..... ....... ........ ........ lIo1MY nYbrk (Signature of Applicant) BUILDING PERMIT REVIEWCHEC LISrI' Application Name: Architect/Engineer: SCTM #: District: JQO—O Section: Block: Lot: Subdivision Name: ezj' , � Q,-� eq Req. '� Zoning Distria:X-(/�/ [Lot size deo 49 Proposed: �D•�+1 (Lot coverage 20 rz sed.-� Req. / Req. j f Req / (Front Yard I Proposed: J [Side Yard Proposed:4 �0 [Rear Yard too Proposed: Al.p # Project Description: �l�a fie �G%t AGENCY PERMITS Permit REQUIRED FOR REVIEW NA. LIQ YES Number Suffolk County Health Dept. New York State D. E. C. y Town Trusteesy Town Zoning Board approval: v Town Planning Board approval: Flood Plain Elevation??? Flood Zone: Notes: . 18 "R 44 - 1Z- �a E I7s , 00 THE LOCATION OF WELLS,WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA. TIONS AND OR DATA OBTAINED FROM OTHERS. M O � 4.2. 21 17, cm 3Owtt,d. JQ Q zs ��I - 34.1 46' Npm- aay 1 3 —oq—q..o 150. 0 srZ . os it 0 K +JU14TY DSMR'Rv�TST CSP J wQqkMPOR ..r ajt�)r A. . i L� .�ri✓�,�l.ri t.*.ES irtailrn have bccn . .4�nn r r. i�� � I f. C' �':e.t.iC1 CT4 tY14i't+�l i}i ' � i,• �oerTL R' °QG / fde - /4,L� a / o YpGc� p a ° I Ye 11d, , 1 -P 1 c ,�f �wJrl 2- t2 aCa�l�''�c I i' i 1 , .CHhHf 2 - 2 �xtr� 1 (" 6" j � . I 1�1 CQ CckzlI eTn l�• ' 1KG'✓+ W 1"E Ko W , '1`EkU ,I PS E10'X-1.©" ta'kca GCS Pcµir -- - - - - f .., . . ' 'C'o"� lO" ©'" � III•G' ° //i /O n 2.C" �', , I OF NEW I __ (� fG, s � ii,7 i,� _. i vis OCT 121999 E .I [ ( i TOWN OFSOU HOED S r^CC� I�C�iiJC+ 3'-0" 4WD RAlif 'rD U;Y moi. CODE-7 AROFESSwN�y • I 2- Q U"Xa- CCLx ptl'l i o x 1•© x� :�'��f1x„w � o "�I�r-I u” f'blr-half-4�� G���ic Cokl(Rofr R70T-)WA I u Pte? G � G H T P