Loading...
HomeMy WebLinkAbout27625-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27958 Date: 09/21/01 THIS CERTIFIES that the building ADDITION Location of Property: 1660 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 4 Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 2001 pursuant to which Building Permit No. 27625-Z dated SEPTEMBER 14, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH MUNAFO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A -7florized 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. 27625 Z Date SEPTEMBER 14 , 2001 Permission is hereby granted to: JOSEPH MUNAFO PECONIC,NY 11958 for AS BUILT WOOD DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1660 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0004 Lot No. 006 . 001 pursuant to application dated JUNE 29, 2001 and approved by the Building Inspector. Fee $ 300 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 7 Sq 5q,� ) ( Form No. 6 sib - ��� - (00 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ._,.__ 765-1802 j r _O 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 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 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 Buildinrz - $100.00 3. Copy of Certificate of Occupancy - z .Z5%p 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1I15.00, Commercial $15.00 Date 0 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . .. . . Old Or Pre-existing Building. . l�. Location of Property—ky.0. . . . . . :�'Y1(C��!O lU�cr�. . L:w. . . . . . . . . . . . . . . I C:. . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property 3��... . . .... . f�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q , ! . . . County Tax Map No 1000, Section. �2�: . . . . . . . . .Block. .`1'. . . . . . . . . . . . .Lot. . 6'. ! . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.qA(9a.<. . . . . .Date Of Permit. .?/:YX�. . . . . . .Applicant. . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . I . . . Fee Submitted: . . . . . . . . . . . . . . . . . . . . C,t � � v � APPLICANT i �'� . TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET / Q VILLAGE DIST. SUB. LOT _ ACR. n , REMARKS TYPE OF BLD. �t k a s (ef) a Q()W CZ PROP. CLASS LAND IMP. TOTAL DATE /I - _L` - &c Dcv� —N�C- z c7o k 2 c)oi o 30o �o L i'" - g4(� - �'c u� ,�e z herr era �10LIM �0P v �l © 1� 0?37 O - VS ► Lce ►�Cc a c�t� ( , Z 7 00 3 ` 0t a-r g -LI(- `7-lu� --o- 1� - v TJ 3/1 3 _L u c-s - Una FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOOD AND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT 'q g vi TOTAL f�S'Z'7►L COLOR �Cdt s Z D Sl y9AT3y T IM zG 2 s z M. Bldg. Foundation °C Bath Dinette 3 �6 r FULL xfensioh _ �" �y 70 Basement SLAB L Floors Kit. Eztsion 2 _ $ OD 295Z Ext. Walls Interior Finish L.R. Extension x Fire Place 5 ��) Heat D.R. Patio Woodstove BR. �ovrc� Poh X � — ,� `8 Dormer Deck Attic Breezeway Rooms 1st Floor GXN�tt'K Z4 �, 2�/ — J 6 Driveway Rooms 2nd Floor O.B.- Pool l ��,. T�kc ✓.ru,� ,7--2-9 ^ D c� suiLoINc oar. INSPECTION [ ] FOUNDATION IST [ j ROUGH PL [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ INAL [ ] FIREPLOQE & CRIMNEY l R ARK ;\-.- DATE ���I INSPECTOR T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INWLATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: Jf Av // DATE INSPECTOR a FIELD INSPECTfoN REPORT DATE ' COMMENTS ✓ ssaaesaaaa�axs=aasssxaa=sa— saasaaa= eamix�===aaa=saaees=aamsa=saasas=sa�m=a=a===aaa+�----asaxs !r FOUNDATION ( 1ST) 41 t FOWMATION (2ND) r " x ROUGH FRAM & o PLUMBING INSULATION PER N. T. STATE ENERGY CODS r, 04 FINAL C looN1 ••ADDITIONAL COMMENTS . Ht Hr� "TOW14 OFSOWTHOLB BUILDINU rhXMII ArrLICAWN CHECKLIS• BUILDING DEPARTMENT Do you have or need the following,hefore applying TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Buding Plan TEL: 765-1802 kv Survey PERMIT NO. �2 if Check--jt Septic Form N.Y.S.D.E.C. Trustees Examined ,20 D/ Contact: Approved 9 �'� ,20 4/ Mail to: Disapproved a/c Phone?9 ejl— ,S 9 a Building In APPLICATION FOR BUILDING PERMIT CLOG.PET"I Tr•9r{f� F CQUTHOLD Date , 20_ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 waterways. 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. Such a 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 what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, SuffolkCounty,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 necessary inspections. (Signature of applicant or n ', 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 (as on the tax roll.9matest deed) If applicant is a corporation, signature of duly authoriz6d 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: 1"ID -U&*P g ,cry House Number Street Han,Aelt w-, County Tax Map No. 1000 Section�� Block uYP ,Lot fes.. Subdivision Filed Map No. Lot (Name) ?. State existing use and occupancy of premises and intended use and occupancy of proposed construction:' a. Existing use and occupancy .. b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) i. Estimated Cost X00 o Fee (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. 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 Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front Rear Depth 0. Date of Purchase Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded Will excess fill be removed from premises: YES NO 4. Names of Owner of premises AddressI660 AfK601c, Phone No. 1341-"A 1 Name of Architect Address Phone No Name of Contractor Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK). /SS: :OUNTY OF. 2615 e f)t} kXU r0WF D being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, 3)He is the C)'W h?li✓q... (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; gat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be -rformed in the manner set forth in the application filed therewith. worn to before me thi �Q 9W—day of 20 0 Notary Public Signature of A plicant LYNDA M.BOHN NOTARY PUBLIC,State of Now York No.01 B06020932 Qualified in Suffolk County Term Expires March 8,20 BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: T_ Vol DATE SUBMITTED: /29 /01 APPLICANT NAME: o��P SCTM# DISTRICT: 1.000 SECTION: 5s6 BLOCK: LOT: 6 STREET:I/0( 0 wip j l C LA , CITY: SUBDIV.NAME: Lh � PROJECT DESCRIPTION: ARCHITECT/ENGINEER: FAST TRACK? #?coo — SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: ?-yo CONFORMING? y� S ya/doo 0 REQ. LOT SIZE:70 oov ACT. LOT SIZE: REQ. LOT COV. c2o 0/., ACT. LOT COV. / o REQ. FRONT S PROP. FRONT*�REQ SIDE Ir ACT. SIDE 702 p REQ. REAR S PROP. REAR WATER FRONT? 44 DESCRIPTION: PANEL #: M a FLOOD ZONE: X _, t/ AGENCY PERMITS REQUIRED FOR REVIEW AP OV S REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES/0 NO ED#): DTE: / / PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES o SOUTHOLD TOWN TRUSTEES: YES O TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES%f O NYS ENERGY: YES OR NO EGRESS (18 H min.? 4 sq total) VENT (SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP 227-3< -Z/C/0 Z- � D C.29h e HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLR : SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE OT( 7kU SF)- SF)=-%Z�SF X$ =$ +$ IS-0- +$ _$ .5�o X 2 RFC STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) _, being duly sworn, deposes and says: That dep orientis�over the age of 18 years and resides at That on the'Z-1- day of_ , 2001 deponent arch itect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at S CTM# 1000 8(.o--4 If— street address Ar ct/Eng' dw �T` Sworn to bef a me thisR .2�day of , 2001. rotary P blic IFEMARY DeMOTT PUBLIC,State of New Y" P " Na 32.4703346 '"unified in Suff bion Expires cc: Applicant C t Pe J• O v A • / O � w v • pa ♦ CP. V. a •* • �!p �: r. .. a v h V� lo FRPM y,o r � •o. m 3k� • r a \v / • v / `b • / 'ri v � t ♦ \ ° \ •v \ o. • V • O • d ! vp � O • b 00 0 ZONE X ZONE X ZONE X 3 (EL 8) ZONE AE �o (EL 8) 92 ZONE X m �N O SPP\NG �P 1 ZON X ZONE X `� JOINS PANEL 0164 ZONE X y . a` 1 o e� SURVEY OF LOT 1 MAJOR SUBDIVISION MAP OF ` WILD OATS ry m. \ •° FILE No. 9331 FILED MARCH 9, 1993 " SITUATED AT $� s PECONIC tis° a TOWN OF SOUTHOLD LD,� \oo ° • � SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86-04-6. 1 SCALE 1 "=20' a ° a FEBRUARY 7, 1996 OCTOBER 30, 1997 FINAL SURVEY \ JUNE 28, 2001 ADDED WOOD DECK dt h AREA = 39,999.76 sq. ft. • / ' \ °�, • �\ 0.918 ac. CERTIFIED T0: •" ° JOSEPH MUNAFO COMMONWEALTH LAND TITLE INSURANCE COMPANY \\ `\ xpD OTS NOTE: L /' '" S.C.D.H.S. REFERENCE No. R10-96-0030 ° < 5ti • • ' ' 615 /G �/G \ ° . p'� • Q • ' 025' \ SIV5x .� ate, O ° ,xd0P CO) j /' loop 7 / 11 - $ $e ' NIO 5"' �/! - .a Ta�"e TO TIM SUR EN' IS AT A UI ADDITION Y s b O,p( - - \�' SE flO SURVEY IS A ROTATOR OF Z ° / G1� ' ' .• a('r'- 5 =-, �GIXI '2uWGF THE NEW YORK STATE '' ^0. •° • " '� 1�N. . COPIES OF THIS SURVEY AVP NOT BEYtlNG THE THIO suRrEYgYs INKED SEAL OR PIS TO HE VwD TRINE COPY. BE caNslOmm ep2 _ ZJo y J O1 \ • CER1111CATONS INDICAM HEREON S RUN !f T11 ONLY TO THE PERSON FOR WON THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE .t /'� . - •- •+ TIRE COMPANY. tYirEANMENTAL AGENCY ANO •& '''A \ f 11AY - e ` �/r \ °' TENDING 1NSmuNGN USTED HEREON. AMD r^ ( TO THE ASSIGNEES OF THE !HIDING OEM- \m, rip$, Hi• ' �' yD CTS TTIION CERTIFICATIONS ARE NOT TRWSFE54BLE b \ \ a106 pD THE DOSTENCE OF RIGHTS OF WAY .Z ° C� \ \l - l• ANDEASEMENTS OF RECORD, IF � ANY,, NOT NOT SHOWN ARE NOT GUARANTEED. ro e TSA \ • Z STANDARDS IN R TME SUR WIRI S MINIMUM \ .a6� % • BY FAE LI FOR TITLE MROVE AS ESTABUSHED M rW H UgE Y T E NEW NI MID ADOPTED ° \ •'/� Y m�SUCH U ON THE NEW YORK STALE UNO N !T O , a `z �P19 e`COOP r�SAA f L • AFL P ° A�s Uj �`I A ISI J J O Y. ..1 `D S 6 O N.Y.S. Lic. No. 49666 `I, N = 5 oseph A. Ingegno ¢6�1 Land Surveyor Title Surveys - Subdivisions - Site Plans - Construction Lvyout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT AWLING ADDRESS v1380 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD. New York 11901 RWerhectl, New York 11901-0965 96-3408 T OCCUPANCI'OR 2xGo w vols,seu 'o ou USE Is UNCAIY I WITHOUT CERTIFFUt ICATE, OF OCCUPANCY C9 t : ti i ,fix W i s AS KM ' 7 IVO T.FOUNDATION -TWO REOIDRFID _t_7 , �- ,� R^'•••rs. yy_ .ceae. IEBPOUREDCONCPEIE A&MO _ _ _ - f BOUON-ftwwB t KWIBD�O S.'M"LATNNI - t SINAL - CONSTNUUTIQN IlUlii , i - BECOMPIETEFONO.O. HE CONSTRUCTION MAILL MM -REQUIREMENTS OF TxE ......!! - - :STATECONSMDCTIDN•ENBNOY -. :CODES. NOT:BESPONSIMM POB DESIGN OR CONS7SUETIpN.HY1dBQ I �a 1-: > �7`�ue frs BKiv Ce".4s�rer�u• 70 .•�s�em