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HomeMy WebLinkAbout27110-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27928 Date: 09/10/01 THIS CERTIFIES that the building ADDITION Location of Property: 50OG26 MEADOW CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 .1 Block 1 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 2000 pursuant to which Building Permit No. 27110-Z dated MARCH 7, 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 CONDOMINIUM UNIT #26 AS APPLIED FOR. The certificate is issued to MARIO & CHRISTINE TOMIATTI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ), IA�11 A hori ed Signature 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. 27110 Z Date MARCH 7, 2001 Permission is hereby granted to: MARIO TOMIATTI GLENHEAD,NY 11545 for CONSTUCT A DECK ADDITION AS APPLIED FOR UNIT 26 at premises located at 500026 MEADOW CT SOUTHOLD County Tax Map No. 473889 Section 087 . 001 Block 0001 Lot No. 026 pursuant to application dated SEPTEMBER 26, 2000 and approved by the Building Inspector. Fee $ 150 . 00 Au ri d Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT _ __--- TOWN HALL 765-1802 ;r ••� . -ISS�.., APPLICATION FOR CERTIFICATE OF OCCUPANC I + 0 ' A. This application must be filled in by typewriter OF, ink and su it�ed"scuildinf inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all burl in 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 ai "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 Buildins - $100.00 3. Copy of Certificate of Occupancy - •2-W. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . `13A'g717?. . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . • • • • • • Location of Property. .J: • •6: 6 h �vw, fc.V.2 . . . . PO 7.-4'�'.�Z y. . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . �!�l?-!'� � C :S��: • 1P. . . . . . . . .. . . . . . . . . . . . County Tax Map No 1000, Section. . . . .4.7.s • • .Block. . .: . . .� . . . .Lot. • • • • • • 1� .Filed Map. - - • • • • • • • • Subdivision. . . . . . .. . . . . . . . . . . . . . . . . . . . Permit No. . . . . . !. .. . . . . .Date Of Permit. . . . . . . :. . . . . . . .Applicant. . . . :�. • • • • • • • • • • • • • • • • • Health Dept. Approval. . . . . . . . . . . .y.-+::... • • • • • • .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . .. . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . Fee Submitted: $.!Zf. . . . . • • • • • • • • • • • • • • . . . . . . . . . . .✓. . . . . . . . . . . . . . . . . . . . . b0� 1 I APPLICANT FIELD INSPECTION REPORT DATECOMMENTS sea==asaaaoeea�aeaaaaaaae�raaaaaall ss=Bete=x==sera==oeaaa=xoxxxaaaaaaaaaaaoeaaaaaaseexeeaao II 8 FOUNDATION ( IST) SAI �1 �y r FOUNDATION (2ND) �I - t ------------------ II ij 2; �' ( � 0, ROUGH FRAME & `• PLUMBING I� if _________= ------------- �1 r INSULATION PER N. Y. H STATE ENERGY I^_ CODE =�==aaaaaaaaaaaaaseassaa �k�aa.�--aaxa--� �� �x=-aea- -aeras=xsss=sx==v==aaaa=axes � .� b 1 H p II I11 if ►I ij FINAL saasxm=saaasaaaaamaxaaxeg-����--�aSeea=---s=---ee---- --eamssaaasssasxsxsx----as=ca O C,. ADDITIONAL COMMENTS: _ �1 =xmsaseaeaaasae--xxeax--sssx==aa---=a----aaaa===s-m---- --a=mamavaxaaaxxxsa--acaaaaressxsa `T n N H z �j --.. to rz3 b H T _ _ s r ~ BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT (YCHECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 1197. 1 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.... ........ 20.0f. MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.......1� ...... P6.0( Permit No. .a.�Q.Z'`.. ...............................:... Disapproveda/c 11.................................. ................................... ...................................................... �------ � r� "' (Buildi• .nspector) 1 1 APPLICATION FOR BUILDING PERMIT _ 1�elf 1 Date. . . . . . . .� .-3. . . . , 20u INSTRUCTIONS a. This p Caton lust be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of pians, accurate plot pian 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 buy 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 througt mt 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 time Building Inspector. APPLICATICH IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinan-e 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 ably with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building *foKessary in22W.Ligns. 00 1-510 (Signature of.emlicant.•or.name, if•a•corporation)• .. ......................c (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil.deh ........................................................................................................................ Nam of owner of premises ...&1.4/10.. Ch !A .[1�1e..H.•...7!`.?!f97 .1........................... (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.............................................................. ........., ?.......�. �.3...!.`r��'►.. P.w. :? .... Z.Y.................................... House Number Street r Hamlet Canty Tax Map No. 1000 Section ..... ...... Block .... ..... Int ....... Subdivision .................7r�................. Filed Map No. ....�: ..... Lot ............... (Name) ,, ,.,, •�,� 2. State existing use and occupancy of premises and intended use and occupa of proposed construction: a. Existing use and occupancy ............... ..................- .: ...............,w>..�.�,,�........ b. Intended use and occupancy ..............: /....................................................... J,, mshuhle ui wuhK ku wcK vAilcih gpplicaDtel: New Building .......... Addition . .. Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. a (Description) i. Estimated Cost ... ��X yY...... fee .. • ... .......................... (to be paid on filing this application) i. If dwelling, number of dwelling units .....I..... Number of dwelling units on each floor ...:...... Ifgarage, amber of cars .........../.......................... If business, commercial or mixed occupancy, i nature and extent of each type of use.. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... dumber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Number of Stories .......:....... Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... Size of lou' Front .. -Ca: ........ .. ^. 0. Date of Purchase ..eZ/d. Pt ....... Name of Former Owner .. Q:� zP- .g:;.tTQ►.`t.S�,lt1�.7;".,W&L—tc-14 1. Zone or use district in which premises are siooted ......AQ" Joi.44—�'- .............. ...... .. 2. Does proposed construction violate any zoning law, ordinance or regulation: .....tvO............. 3. Will lot be regraded ......:uC?........ Will excess fill be removed from premises: YES 4. Names of Owner of premises ,�1!�IJQ.Y�t�lllS.L !�!/�ddress ... 6..f.=A*9,V'**V.,41...... Phone NoCXA)4.'7X-fib Name of Architect .................r:..................... Address ........,/................... Phone No. .............. Name of Contractor ............. ................ Address ........1.....................Phone No. .............. 5. Is this property within 300 feet of a tidal wetland? * YES .......... NO .. .. *IF YES, SWM" IUM IMS= PE[WT MAY BE.REqTIMM. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions T m property lines. Give street and block amber or description according to deed, and show street names and indicate hether interior or corner lot. fA.[T Of iiw Yow, o-&s S.¢ J[ ly (A' ... .... ..... .�•`- O -T`�` ir. .......................being duly sworn, deposes ,arnl says that he is lbe applicant: same of individual signing contract) Bove named, isthe ....e FU .......... ................................................................ (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 pplication; that all statements contained in this application are true to the best e.hf his knowledge and balief; and hat the work will be performed in the manner set forth in the application filed therewith. corn to b�/e^for/e me this ........L'I.. A.da of .��2!":!.... :20.Q�.. Notary Publ ............./'! .......... BONNIE M.DZEDULIO IS .. ...... .. . .. Notary Public,State of New York (Signature of Applicant) No.01DZ4631200 Qualified in Nassau Con Commission Exgires April 3 fi Y�EXT�ws�ow ?� 31 r� r- r• i i �F 3' � i I I L I KIT MDR i - DR `T :T1H.'! M SPL BIH LR III ENT•R " DECK ETRST ELEER CtITWIn FACILITY PLM O M Q A A A A r r � A n A A O A Or• r ���,JJJ A A A A `r Y A V_ c ao 0 0 4 GO C�o - 53 ° B e 9 V �� " A • 40 41 42 Xortoe Pt. * ..° few°•' i NY NAiw.YOMUCK Ot IL W ... • If •� . .Yrl7 + �tw G(fs •'1 OLDSM/TH'S 971� Ijddr , 'JLET PARK '` ��!{ "OW CC -14 C L •.. Foundrrs Landcny p � n \ \ J �Oek•y Cr SOUTHOLD w vEcoNic .: ;; ` � B A Y iLq West Q .• ♦ t�� 0033 L 11958 0 ° .w.•.• GREAT xoc • ' Cf • NECK r to •. ! �^V,v~ �r `�"'��•`,� �.�, may' -• L " day �•''—�-.•.�; A Y`Y,\I E W � ,. ..w COC•y � `e�J YICZOAR BEACH r •G �`, , H 0 G NECK �e,; `� EA :•> JOAA ouvit B A Y_ Cedcr Beach t i �`` Bayview Water t Point \ �; �...•w Co'..'` HOA C)•+ �� t AJ1 Applicant/ Owners Name: Architect/ G.3`n0 M Date 4_ Reviewed: —-------- Engineer: - � Date Submitted: l SCTM N: -- District: I Mo sectio31 4 Block Lot Project VD& �� Location (� Subdivision '` _5t- — Name —f}LC �U--- Single �� separate Requi d certification Yes No /oninc Dutricc IlRcy. -- ,o(size ncival Key Re ) 11-01 coverage Plo oNcd q _ (Prone Yard Proposed: 1 [Side Yard y Proposed 1 Re (Rear Yard Proposed 1 Project Description: AGENCY VERMITS REQUIRED FOR REVIEW Permit 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: to • r .- NN/ " !.A t c "Qr� work s : tri. co a ar v h a1:1 lac l rdinan es o e 1. Co .. - t. State Building: Gan�tru�t +�;r�n Gac��, Latest Edition. .tom* "T'' ►'--� _ t . 'NAP - o=' ac , a shall w all 1; eld :cox dit ons and 'di ansian'a and wx,ll _. G ntr t _ - i e d . _ - - awe. Ani d s�r��Z�nAN c "_ $ s�s<1� � �e�arte tom: tie , '. - t s -chi tract: immc�e �.� e. - r - ` Gtars w .l.l coo eate with_ al- . : cher- t dem -anlvilr lute - _ - z " _.. r heir w�rl in aodaai an and rt cep x , are n13d . a ,ta edovaaleler 4, eAll abbr viat�.aA.s ,ire $tanda a a a. JOB�3- o :+� -. JSe n� eco, 5. Al items vf._ work r� tie dr gangs re now, unt� x`3++r t - name entif �i. l - items- of work are uoOd _sc��.�1" tom' 6. Froprie.. dry ng • _ - n. I t ems a sxa : qual l t a�ay #� -' • s � mon tr "� e t f uco �s��derati . ra 'e stagy - _ submit �' Arc a �� n 7 . Ali. �c ty s sha ,: : be upon Un urbed "soil ha�v�ng arm �s� eed beari: ' ' cagacty� o 4 000 P. .F:, �eari'n ca alit o` sai to I + `ver .f ie d b : r t gs. , . . the �arit�ac-tor gr�.a o placea�en.t ©-f �oatz�. 1 ' "4 ©ren t tha AMO r l am C nCre t o -. Ali. C.onC rete co�atruction ��aLj l CPU o" c 4 __.. InP��.t-. ILOI�G Cfl� R�QUlR�W3 �'{?R R��$f'G�RC COC' • - a�t:est edit oA, ACI 318,-,., l . : me c+ ci rsiv str c�a �re, t d `w1 a�. ' 60tiX F4uixdatio VV � 000 14- ,. ' - 1 "" --w me' fraa cart .ttill on :�ar ,t �e ,oaGne3:_ t+e - e� * �e�J- dam- oil, .. " o ? rfl # trr�1 '� J.� i GOW Vi� Ft�t tttrr + : _ 1 :1 �CA: �' . tom ,:� ,oha�1 -�lri ' ::=sit t���l �r �e, sout:�ewn �l�l,�?�w er an � _ nom. 420 y}1.� _ _ _ ' - �" - t a � } d And �'1 t�"1 st< _- - - + � �,�.. �:�: tm ��1 � �` `l. de:� a, r�� a _ _ frae.,•� "dam-��:� �: ., ��.a1���.�� - �C�� 1 �.dal c�E ., ell r - , < r - • t - - ' < APPROVED-AS NOTED _ - aTE- • , r_ NOTIFY BUILDING DEPAR MENT AT - .....�'' 765-1802 9 AM TO 4 PM FOR THE,, CU PANCY 0 FOLLOWING INSPECTIONS: _ - 1. FOUNDATION - -TWO REQUIRED USE IS UrNLAWFUL FOR POURED CONCRETE WITHOUT ... 2. ROUGH . FRAMING &;PLUMBING - � - FINAL CONSTRUCTION MUST OCCUPANCY a INS 6 OMPLETE FOR - #w- - t TIONS ALL-MEET EC 1n ALL CONSTRUCTION :. Lj. ....ire 1 ' ,♦i "r^f ,` THE REQUIREMENTS OF THE NX STATE CONSTRUCTION & ENERGY- - NO NERGY- CODES.,- NO RESPONSIBLE FOR DESIGNERRORS - - - ,�: LIU N. - - - X1� ' - t - -. - - 1 _s• - *;- /^+;.Lir - _ !'', � f � G+ 'ee.--. :.:./ . , ' # • ` _-.' , r � E 7 'T 4:€ i - _Ur 1p,:.iI 1h T"T T RR, Aw S 4.:;' Lj _r J_j �. ""1." ,' �- �.(o► . -A AA ijjj� Vp 40' : , Ire a 'C t C'h, i _ t rl" ' -:. :. .". tri lFs+• f,. - ' * its _ - '� fl '€ v r r e+ t_ �, old N:Y. 11- 7� �- r�-�� ���.U F-��. p ���. ►-� .� - _ _ 71,f�/__ - _ - - '�' i.fig =Sij lrr'�{.A"__"i" .- •[; l0* - - < , .-^r � �'-.iL✓✓+ .. , , 01 24 66,3 1 765 5455 1