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HomeMy WebLinkAbout27114-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27882 - Date: 08/21/01 THIS CERTIFIES that the building ADDITION Location of Property: 40OH31 MEADOW CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 .1 Block 1 Lot 31 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. 27114-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 #31 AS APPLIED FOR. The certificate is issued to ANDREW T & ROBERTA A LAGREGA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A t Au ize 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. 27114 Z Date MARCH 7, 2001 Permission is hereby granted to: ANDREW T LAGREGA 17 VALLEY ROAD SOUTHBOROUGH,MA 01772 for CONSTRUCT A DECK ADDITION AS APPLIED FOR UNIT #31 at premises located at 40OH31 MEADOW CT SOUTHOLD County Tax Map No. 473889 Section 087 . 001 Block 0001 Lot No. 031 pursuant to application dated SEPTEMBER 26, 2000 and approved by the Building Inspector. Fee $ 150 . 00 A or ed S gnature COPY Rev. 2/19/98 Form No. 6 TOWN OF:8Ui%O BUILD IKG,,D$pARTMENT TOWN'BALL 765-1.802 APPLICATION FOR,CERTIFICATE: OF OCCUPANCY A. This application must be filled in by t YP ewriter 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 o� 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 building and installations, a certificate of Code Comp.lianae 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: 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 Occgpancy 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 - �2r 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate bf Occupancy - Residential 15.0 Commercial $15.00 .Date New Construction.. . . . . .. Old Or Pre-existing Building. . .. . ... Location of Property..."r.�.��j... . . ... . .Jt:JrRGt4� ��� ! .. .. . .. ... . . . House No. Street Hamlet• Onwer or. Owners of Property. County Tax Map No 1000, Section.Q . :��.� . .Block. . ,�� .a ,� „ , , .Lot. . . j. . . . . . .. .. Subdivision. . .. . ..., .: . . . . . . . . .. . . .. . . . .. . . . . .. .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. . .�. �� . . . .Date Of Permit. /. / 1 . ... . .Applicant. fi, ,� � .. Health Dept. Approval. ... . . . . . .. . . . . .. .. . . . . . . .Underwriters Approval. . . . . . . . . . . . . . Planning Board Approval.. . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . tee ubmitted: . .. . . . . . . . . . . . .. . . . . . .. . . . . . .. (docs o . . . . . . . . . . . . . . . . .: . . . . . . : . . . . . . . . ... . . . . . . . .. . . . lTAT YAI.N.I' ' FIELD INSPECTION REPORT DATE - COMMENTS J ---------______ N it � •-- II H FOUNDATION OST) U II �✓'l FOUNDATION (2ND) __________________1F=====_ -----_=_________________------------------------------ II j ry S ROUGH FRAME & �i i� A P PLUMBING ,� 1 �I I Ij r INSULATION PER N. Y. H STATE ENERGY � CODE I C4 sas=cs=a=xssacs_oacxaxss -�xsaa'�,� � _sx �_=_=s x -a s__ xs__aaassaa==�aa p Q H V II �I FINAL n u ADDITIONAL COMMENTS: sass•--�aaeas===xaa==aassasass-��-_ --a -__-x_ --�-aa_=xaaaaaaaaaaaaaaaaxaa� _ - s J N � O x H BOARD OF HEALTH . . ... . . . . . . . . . . . .�., FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . . . . . . . . . . . . . . . . . . . . TEL: 765-1802 TRUSTEES . . . . . . . . . . . . . . . .. . . . . . NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined....,../�/�...., 20 �. MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....Av ..... Piq Permit No. � .!.�. ................................... Disapproveda/c .................................. ................................... ...................................................... �- ...... ... ., ............ (Buildi Inspector) APPLICATION FOR BUILDING PERMIT rO Date.AVgVst. . . . . . . . . . 2000. . INSTRUCTIONS a. !his'apFpicat �Ycust be completely filled in by typewriter or in ink and submitted to the Building Inspector w: 3 sets of"Plans 1,' ate plot plan to scale. Fee according to schedule. b. PiQ an 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. 'Ilse 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 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. APPLICATI(N 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, 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 necessary in tions. •(Signature•of a• 'cant, or name, if a corporati ) 17.Vallev Road.. Southborl. .MA„01772.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Owner ........................................................................................................................ Name of owner of premises ,Andrew T.. LaGrega/Roberta.A..WT?—,94................. • ••••(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..The,Cove,Condominiums.................................. ... ..�...............Mep 4W.�ts........................................Southold.............................. House Nuober Stree�yet 11 I Hamlet County Tax Map No. 1000 Section .W.A7s�?.l.... Block .... 1.T.©.� Lot 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 .Res idem ai...............................:41;............................. r Exterior deck b. Intended use and occupancy ............................................................................. Pat ure of work (check which applicable): New IAuilding .......... Addition ....X.... Alteration .......... Repair ............ Removal ............. 10 Other............ Other Work RXtand.exterior..deck........ (Description) Estimated Cost ..1,000 ...... ....... f. (to be paid on filing this application) If dwelling, rxjd*r of dwelling units ............ Nurber of dwelling units on each floor ................ Ifgarage, amber 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: "Frtunt ............... Rear ............... Depth .................... height .................... Nunber of Stories ............... Dimensions of entire new construction: front ................ Rear ............... Depth .............. lieifjht ......................... Number of Stories ..................... Size of lot: Front .................... Rear .................... Depth .................... Date of Purchase . .................. Name of FormerOwner . None ................................. Zone or use district in which premises are situated .............................................................. Does proposed construction violate any zoning law, ordinance or regulation: .HO..................... Will lot be regraded ....1`?R............. Will excess fill be removed from premises: YES 0 Names of Owner of premises Andrew(]Zoberta,LaGrega gess 17.V,3Ileu.kd..SQutMQ>:P Rm No.508-485 7.1482 Name of Architect .................................... Address .............................. Phone No. ............. Name of Contractor .............................. .. Address ...............................Phone No. ............. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SOLMUD MV 'IRxJSII-S PMWr MAY BE REQUIRI-. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions -on property lines. Give street and block number or description according to deed, and show street names and indicate ether interior or corner lot. (idyl Nl 0 N W CA UV OF �-fA-Z4 N tirSCTE UNIT Or ..1• o 2C.EST�. .. ss Ay ,w�T La�Y K.a' -—A:. ✓4' cu-- .being duly sworn, depose and say that Clore appl.iCanC 4v a of individual. signing contract) ave named, isLhe ................................................................................................... (Contractor, agent, corporate officer., etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file Chis ,plication; that all statements contained in this application are true Co the best of his knowledge and belief; and aC the work will be performed in the manner set forth in the application filed therewith. orn Co before me this II r Notary Public .. Red ... .t!'!:.. ..... 1� C,hV0�,Q�t .(Signature.ofApplicant) wt': IL ,re-- _,"W 44 G�q A 1-4 1 ��.4 V -Z 95- 1. Contzkctors work York is to conf' r3n with all local ordinances & New q Congtru tionn C Bu'­1di Stat I n C at Edition. x I -T, t ode, Late 2 . C , ractors shall ve, y rif ' all field c ondit,ioni and dimensions., and w 1 -be responq4J?1a for same. Any -discrepan, cies shall be reported to the f�4 4::�* mm' the Architdat4 iat 3,y ed 3 . Contractors will coop -orate with all other trade's and will complete, '-�!wojrk -in ractices. a c*danc - and C e with best standards P 'e->< I-_,-T- 1 �.4 -All- clizeinalb a are , nominal- and take, preaddenc e over Cale. All Abb-PiviAtill6no are standard. 4ork on the. drawings are new i t ema ,of unless, other,�wise noted. P-rd] =Amaz identifyin item of work, are solely to "No used tructi6n.-, -qual quality -, may be ibj�,,:,� gt,aia4ardt of cons, Items. of e _Mlwmittod to the Architect for consideration. All' foo tincra- shall ,boar' - upon' un4i.sturbOd- soil having an assumed bearing ,ty,, of `4,000 P S.F. Reiring capaci cl�o, aci ty of -Goil to �be verified by the- C ntractor.-pr or 'to plac t of' .f,- ti emen 00 ngs. U I ................ All"-, -C nokete, conatrdation� �,ahalj c.0afo �.he 8. ,ri,can Concrete � - 'RkQU.1'RMaMTS- FOR jttlk imILIDIM CODE ' - TE: " FORCED CONCRE -2 4-, tizatel". d0z,pre' tbive strou th of concrete at 2;8 clays will bo S., __T- A 0 P.0 4"o FO*indati6n A Zootin 00: r V frame sha�l �,cqhfp� XnstitutAd. ' AA M with Ameri,can# of 1"n'bi6r:Cons_t uction' "'f,1MBZR -d,0k8T_ r RXIiC-TTON',MW Latest Uition. All 1�cx "at-ed Wood f ra= ex y ft. uthe�rn 11 7 -AV _<', 12'. , 0'Outtotot 'to inotall all new 'm&te ial with. match existi -dr A cl-a 4- ra JngA a require .a '64OW4 on. the� dra4i 1-4 V t I n ist 4 bsand: o- 0, �ai after a y f ilkal -C lQt1Gii4,,* �4 4 -4 DA JENT A UILDING NOTI"is AN, TO 4,PM f*IR LLO%ft IN, CONCREM 2, ROUG": FR IS- V 4,L It PWRtD �-�_tFOUNDA_Tjom TWO]REQUI WCUPAR FO 'USE AWFUL -INS -ION ULAir 140TRUCTIft , ST td. OMOLETE FOR C. C PANCY '4ANAL CO ERTIFICAT 0. ST ALL CON RUCTIO,N.SHAL THE 'REMNTS STATE ONSTRUCTION A ENEMY, TFV CODES.., NOT- RESPONS113LE F CON UCTION,ERRORS' - OR ESIGN OW STR > 14 4:f- _P 11P, 17 4140 U Cie, 00244 N