HomeMy WebLinkAbout25803-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26582 Date: 07/21/99
THIS CERTIFIES that the building ADDITION
Location of Property: 50 WILLOW DR GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 6 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 26, 1999 pursuant to which
Building Permit No. 25803-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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN & ROSE IACONO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
QW, 0&"/,
Building Insctor
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. 25803 Z Date JUNE 15, 1999
Permission is hereby granted to:
JOHN & ROSE IACONO
50 WILLOW DR
GREENPORT,NY 11944
for
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR ( 181X401 ) .
at premises located at 50 WILLOW DR GREENPORT
County Tax Map No. 473889 Section 033 Block 0006 Lot No. 008
pursuant to application dated APRIL 26 1999 and approved by the
Building Inspector.
Fee $ 75 . 00
Authori d Signa re
ORIGINAL
2/19/98
BUILDING DEPARTMENT
TOWN HALL
(n ( Q R 765-1802
ir
19
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A his applicatio mu t be filled in by typewriter OR ink and submitted to the build
inspgl4�rDt a ollowing: for new building or new use:
TOu 1s .. , of .property with accurate location of all buildings, property lin
streets, an u sual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contain
less than 2/10 of 12 lead.
5. Commercial building, industrial building, multiple residences and similar buil
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
b. Submit Planning Board Approval of completed site plan requirements.
1
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
'!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 applir
If a Certificate of Occupancy is denied, the Building Inspector shall state tb
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 $25J
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 - _ .25G.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date jN�l�: 1�.. 4`•.`/. . . . . . . . . . . . . . . . .
New Construction.t— . . . . . Old Or Pre-existing Bui ing. . . .. . . . . . . . . . . . . .
Location of Property. . . . . . . . . . . . .. . .. . . J1} m.W. . . . 1G . . . . . . . 7j.Pp�2,
House No. Street J Hamlet
Onwer or Owners of Property.. . . .. 4r?�!3! . �s5��. . !T �� . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . . .. . . .- . . .Block.`E/:> . . . . . . . . . . . .Lot. e . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . .
Permit No. . .17� 5c�„ . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . .. . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .=
a 5- �� . . . . . . . . . . . . . . . . .
AP CANT
gOFF0j4-
EDWARD FORRESTER �O�O COG Southold Town Hall
Director of Code Enforcement = y' 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax(516) 765-1823
O
Ol jr �a Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 15, 1999
Mr. & Mrs. John Iacono
50 Willow Drive
Greenport, New York 11944
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 # 25803-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [0J FINAL
[ ] FIREPLAC=k�471_x�)q EY REMR SAa
Com► t�`
DATE INSPECTOR 7
_ __ �Ic vlv 63TS P" itis
Tfa F1-19-94 TUE 04 .49 PM SCHEMZ3RZ HOMES IWC'
N/F POPKJN
NS9'44'00"£
LOT 15
4 g Z
L I
a
Zb'� e
YY ♦ y, F— W
--"—'-- -Z—
S$6-c7'622v T f 0.00 ` pVvr.,�
w t$ tEL_POND =-ROAO
TFiELOCATION OFWELLS.WATER SERVICEJ�N
LINES, SEPTIC TANXS AND CESSPOOLS
SHOWN HEREON ARE FIELD OSSERVA-
I TIONS AND OR DATA OBTAINED PROM
' OTHERS.
SURVEY OF: LOT 15
NW
MAP OF HOMESTEAD ACRES
Lzu-zx-o>�-
< .,. ....»
DATES F x- i-3 SCALE; 1" = 60'
CERTIF.D ONL DE tryN
1+ 1 Ac< le o DFSTIEN G_ CRAP
Ccv.+mo.-tw- - LAND SURVEYOR
BY
DESTIN G. GRAF NAS. LIC No. 50067 U
TAX I.D. No, 1000-33-6-8 O `PN�. .sc a'.f ml-s«a
PLAN VIEW 6, sciI�! 14 1999
!i
CUSTOMER -- R UTE 25
DATE 06/11/90 FIEF '39162231.ZIP G
TOWN OF SOUTHOLD
40'
r
fP
f.
LOAD AND SUPPCIRT, Your deck wil Support o 55 PSF ive load. Posts hove 36" belowr-ground
past support
?E`
DECK AND POST HEIGHT Ym, eelected a height cf d8" from the top oI decking #o IN" grafi
The tap of the deck support posts will thue�e be 30.25' above ground leve, our�n
coir provide nforrrwticn for uneven or sloped ground_
JOISTS: £wt loiabo on top of beams. 16' cantor to centRr.
NOTE. The design may require knee brom and bridging between joist& Your materials list includes
the necesscry items. The suggested design ier net a firrshed buill plan. You are responsible for
oA mcasurmxnix being correct. for verifying that the design {arid any substitutiorps or modifiaotions
that you m4al meats oil local building codes and requirements. To verify that the suggested design,
and any eubstitvll or modifications. is consistent with ccndrtions at the construction sit&
rQview the deaig, with your orchifecL Aluo ea nidi. your architect for proper conatrartion and mug
Df motaials in�`tfiche r1ructure.
Be �t�lit�wE *NA'
uctian detail available from your store salesperson.
DATE: B•R
FEE: ? BY:
NOTIFY BUILDING DEP
786-1802 8 AM TO 4 FOR THI �� y
1 FOUNG INSPECTIONS:
NDATION - TWO REQUIRED 4» Lr ri � �
FOR POURED CONCRETE PLUMBI
2. ROUGI U 1`� AIF t„J t g
H - FRII6AINti LR Rrr c, .''_, i�
3. INSULATION
4. FINAL - CAT
BE COMPLETE FOR C OION MU. . "U'9T CERTIFICATE
ALL CONSTRUCTION SHALL Mr ET (� tJ t
THE REQUIREMENTS OF THE Y ;
STATE CONSTRUCTION & ENE ;Y -
CODES. NOT RESPONSIBLE ?R
DESIGN OR CONSTRUCTION ERHURS
L
CUT LIST RBSG
CUSTOMER -- ROUTE 25
DATE 06/11/99 REF 991622312]P GREENPCIRT, NY
r
i
I
li
n
LABEL. LENGTH DM ELS LABEL LENGTH BEVELS
.i,t-t 1 :`, IF leder 38' 10 L,Z
T; jri_t ,=' '' 6, 5 1/, G CaP 11' 1'
G _ecti r, 3" 5 11
H cop 4CY 1D" FD 545
H seciicn 3' 10 5!n^"
E F'I,_rh, lc', I c�zp 38' 4 lac F45 50
E lcc!- --r L' c i,'c' I sectTon 3' 5 1f2"
BEAM LAYOUT RBSC
CUSTOMEP -- ROUTE 25
DATE 06/11/99 REF 9916223121P GREENPORT, NY
]' 7 1/4-"
8"
7'
]' 4 314'
BEAM REAM POST POST
LABEL LENGTH COUNT SPACING
A 3;Y Oo 1/2" 6 7' 11-
B p I/Z' R 7' II'
C 39' t4 1/2, B T 11"
Peau sxpociN iR meam4red centre—to-centra.
Depth of cowete lootele -- 36 inches.
i
ROUTE 25
OREENPORT. NY
[LD INSPECTION REPORT== DATE
COMMENTS
==a=------=_=_____
C
U
UNDATION ( 1ST) p w r
'p
U
UNDATION (2ND) p
d
UGH FRAME S �-
PLUMRING i 7
u `
c
n
u _
ISOLATION PER N. Y.
STATE ENERGY _
CODE i' a
n c
7Z� -----------
p C
dd
p II
FINAL p
u X
ADDITIONAL COMMENTS:
to
r�
N
O
x
ca
BOARD OF HEALTH . .. .. .. . . . . . . . .
PORE 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: r� qq
�/�' CALL
lb�ined ..../f//., 19.� –I 7 MAIL TO: . . . . . . . . . . . .. . . . . .
..... .FJ ._, 19.1 Permit No. :2,,ti!'
Diale .................................. ................................,
....Q...............................................
�(� (Building tor)
z� ..4
2 & 19% APPLICATION FOR BUILDING PERMIT
W-DG, DEPT Date4G� i7'�.cC?., 19.1.
T�."T' �' SDUTHOLO INSTRUCTIONS
a, This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector
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 public
streets or areas, and giving a detailed description of layout of property must be drawn an the diagrumvibieh is part o
this application.
c. The work covered by this application may not be co nenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sr
permit shall be,kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in*hole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICUM IS HEREBY MALE In the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Tam 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 r nary irypections.
( t, Z�..............
Si afappy or name, .
if a corporation.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, Several contractor, electrician, plumber or bui
...................... . !.............................................................................
Name of owner of premises ........... ._a—:� ., 0....................
(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 of land on which proposed work will be done...........................................................
�?................... .!? Via? ............ .!?' ....... C�i� �rJ.Pr� )....N....7......
Douse Number Street pamlet
Canty Toa Map No. 1000 Section .. w ......... Block .... .......... lot ......5........
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State ehdsting nae and occupancy of premises and intended use and occupancy of prior t
a. Existing use and occupancy ............Hv?�M.r. .....
............ .....:, Y WWlg 91-,I? „' go YJI43 m
\� t .04E
b. Intended use and ...... I t' -. .Ll .e':-.......�f^, .... °'c'{u�tfi t13�l3lrtti(}
3. Nature of work (check whidt applicable): New Building .......... Addition'/....... A at ion .........: `
Repair ............ Removal ............. Dmolition ............ Other Work ..................................
(Description)
4. Estimated Cost ................ fee ..............................................
(to be paid on filing this application)
5. If duelling, number of dwelling units ........... Huber of dwelling units on each floor ...
Ifgarage, cumber 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.'O!,A....... Rear ...... Depth
Height ......................... Number of Stories ......I...............
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 ........................................
II. Tome or use district in which premises are situated .................................w........................i....
12. Does proposed construction violate any zoning law, ordinance or regulation: ....�................... t
t
13. Will lot be regraded .................... Will excess fill be revved from prem YES ND
14. Names of owner of premises ........................... Address .............................. Rhone No. ...........
Naeof Architect .................................... Address .............................. Phone No. ...........
Nameof Contractor .................................... Address ...............................Phoe No.
15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ..........
*1F YES, SWHM TOM MINIM FMIET HAY BE RFQ[Aisl?D.
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 indicate
whether interior or comer lot.
TATs Or NEW YORK
f L ss
aulyj or . 4...P.11�./��..........,�)
(� ✓/,..�✓7 1.X. ..................being duly sworn, deposes and says that he is the applicant
Name of individual signing contract)
ibove named,
Lis time .................................. :h.? ...........................................
(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
list the work will be performed in time manner set forth in the application filed therewith.
W n to before me this
&(V
y�
Notary Public( yV .J.:.J..............
V ..........
LYNDAM.BOHNLv e f Applicant)
jNp'+ M PUBBLIC 2Now York
OuslNbd in Suffolk County
Term Expkes March 8,200..
BUILDIN REVI CHECK LI
Application Name:
Architect/Engineer:
SCTM #: District: x.,000 Section: Block: 6 Lot: 00
Subdivision Name: C —
[U� Req Req. 20,7�^jj �
�—`0 (Lot siu: a 000 Proposed:� 2(L.ot coverage ,Oro
Proposed: /O
Zoning District: , _
R Req /
Req.
!
(Front Yard Proposed: ( (Side Yar Proposed: J (Rear Yard jb Proposed.
Project Description:
AGENCY PERMITS Permit
REQUIRED FOR REVIEW _ NO YES Number
Suffolk County p Health Dept. y
t/
New York State D. E. C. /
Town Trustees v
Town Zoning Board approval:
Town Planning pp Board approval:
Flood Plain Elevation???
Flood Zone:
NDILe&