HomeMy WebLinkAbout27937-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPD/~CY
No: Z-28908
Date: 10/02/02
· tars cERTIFIES that the building ACCESSORY
Location of Property: 25100 MAIN RD
(HOUSE NO.)
Co%u~ty Tax Map No. 473889 Section 18
Sutx~ivision Filed Map No. __
ORIENT
(STREET) (HAMLET)
Block 6 Lot 6
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 4, 2001 pursua~at to which
Building Permit No. 27937-Z dated DECEMBER 5, 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 ACCESSORY 160 SQUARE FOOT SHED AS APPLIED FOR.
The certificate is issued to MARGERY & WILLIAM CAGGIANO
(OWNER)
of the aforesaid building.
SIIFFOI~K COI~TTYDEPART~EITT OF ~J~{APPRO~KAL
ELRt-rKICAL CERTIFICAT]E NO.
PLUMBERS c~RTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
~utho~ure
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. 27937 Z
Date DECEMBER 5, 2001
Permission is hereby granted to:
MARGERY CAGGIANO
25100 MAIN RD
ORIENT,NY 11957
for :
CONSTRUCTION OF A 160 SQUARE FOOT SHED AS APPLIED FOR
at premises located at 25100 MAIN RD ORIENT
County Tax Map No. 473889 Section 018 Block 0006 Lot No. 006
pursuant to application dated DECEMBER 4, 2001 and approved by the
Building Inspector.
Fee $ 75.00
Rev. 2/19/98
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department 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 fi.om architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
Ao
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 consent to inspect signed by the applicant. Ifa Certificate of Occupancy is
denied, the Building Insp~e?tor shall state the reasons therefor in writing to the applicant.
· C. Fees
1. Certificate of Occupancy - New ~twelling $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 Building - $100.00
3. Copy of Certificate of Occupancy- $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property: ~.~"/O O
House No.
Date.
Old or Pre-existing Building: (check one),
S~eet H~et
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
PemaitNo. q~.'9 ~"~ DateofPermit. tz.i -[o t
Block
Filed Map.
Applicant:
Lot ~t~
Lot:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Underwriters Approval:
Final Certificate:
(check one)
Ap~can~gnatur~ 0
Associates
115 N. BROADWAY (Suite 204) HICKSVILLE, NY
Office (516) 939-0200 Fax (516) 936-5990
February 27, 2002
Building Department
Town of Southhold
Southhold, NY 11550
Re:
Rudolph Caggiano
1230 Crittens Lane
Southhold NY 11971
Permit #: 280182
Dear Building Department:
I Kenneth Schulman R.A. upon visual inspection of the above detached garage has
determined that the construction of the concrete foundation and framing meets all N.Y.S. building codes.
Sincerely,
Kenneth Schulman R.A.
BUILDING PERMIT EXAMINER CHECK LIST
APPLICANT NAME: ~c~, ~o
DATE REVIEWED: ' ~ / ~ /01
.DATE SUBMITTED: ~-/'~ /01
SCTM# DISTRICT: 1,000 SECTION: /~ BLOCK:___~__ LOT: __
STREET: ~>'5oo t.1,0 ,,..,'-?,,~ CITY:~__
PROJECT DESCRIPTION: ~er_.m-,;r~a~
SUBDIV. NAME:
ARCHITECT / ENGINEER: ~- FAST TRACK?
SINGLE & SEPARATE CERTIFICATION;REQUIRED? ~ o NOTES: ~
LOTS 40,000SF -100-24. Lot recognifion.(CRBATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/8
ZONING DISTRICT:
REQ. LOT SIZE:
m Q. mom'
CONFORMING?
ACT. LOT SIZE: REQ. LOT COV..~o~ ACT. LOT COV.
PROP. FROm' ~g'__ REQ SIDE 5'-/.<"' ACT. SIDE
PROP. REAR · _~'~j /
wATER FROm'? ,~/a
eamL FLOOD ZONe:
DESCRIPTION:
AGENCY PERMITS REQUIRED FOR REVIEW
APP ]I-Q-V-4kL S REQUIRED:
SUFFOLK COUNTY' HEALTH DEPT: YES or' O~, ED #):. DTE:__ __ __
NEW YORK STATE DEC: vv~nzc ~ar~s YES ~ ~
SOUTHOLD TOWN TRUSTEES: YES
· TOWN ZONING BOARD APPROVAL: YES o~
PERMIT #:RI0-
TOWN PLAN. BOARD APPROVAL:
TOWN HISTORICAL PRE (SPLIA):
NYS BNERGY: YES
BGRP, SS (18 H min.? 4 sq t%-fal)
YES ox
YES ol
__ VENT (SQ. FT. x 4%).
BUILDING PERMITS OPEN/EXPIRED: BP
HAVE PRE CO'S: Y OR N BP
NOTF_~':
LIGHT (SQl FT. x 8%)
-Z / C/0 Z- ,
-Z / C/O Z-
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: 'SF
SECOND FLR: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
'OT( /gt:p SF)-( -- SF)= ~- SFX$.go =$ .---- +$ :/:5' +$ ~-~ =$ ~5"-
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ~JJGH PLBG.
[ ] FOUNDATION2ND [/~INSULATION
[ ] FRAMING [V] FINAL
[]FIREPLACE&CHIMNEY
RE:MARKS ~~=::~ ~
DATE ~~~~--"'~ INSPE
765-1802
BUILDING DEPT.
INSPECTION
REMARKS:
DATE
_IIKL1) 'iI~SPRCTION · REPORT '-
IOUGH FRAHR &
· PLDItll IltG
CODE,
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HAi,L
SOUTHOLD, NY 11971
TEL: 765-1802
Examined IZ-.~- ,20 o !
Approved 12'~'' ,20 o'
Disapproved a/c
BUILDING PERMIT APPLICATION CHECKL!S
?ERMYr NO. 2 3 7-zT-
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Do you have or need tho following~ before applyinl
Board of Health
~'3 Sets of Bu/ldlng plans
Survey. ~
Soptio Form
N.Y,S.D.E.C.
Trustees
Contact;. ~
?hone:
Date ' / L/cF ,200 /
a. This apphcation MUST be completely filled in by typewriter or in ink and submitted to the Building Tn~pector 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 premixes or pubhc.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 th/s application, the Bhilding Inspector will issue a Building Permit to'the applicant. Such a permit
shall be kept on the premi~ 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 Occupanc,
is i~sued by the Building Inspector.
· APPLICATION IS I-IR. REBY MADE to the Building Department for the issuance of a BUilding Permit pursuant to the
Building Zone Ordina'oce of the Town of Southold, Suffolk CoUnty, New York, and other applicable Laws, Ordinances or
Regulations, for the Comtruction of buildlngs, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply w/th all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premlaes and in bdiJrling for necessary inspections. ' '
(Signa~h=e~plica~/o~ name, if a corporation)
(M~il!n5 a&lmss of~l~pli~ant) //f~..~
State whether applicant is owner, lessee, agent, arch/tcct, cn~/neor, general contractor, electrician, plumber or.builder
Name of owner of premises /l//,~tg~¢'-/~· ¢ ~)tg6/~-t~,t ~-'~f6;~:t't.[-~,.J O
(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:
House Number Strcet
County Tax Map No~ 1000 Section
Subdivision
(Name)
Hamlet
Block 6~ ~,
Filed Map No.
State exis~ng use and.occupancy of premises and intended use and occupancy ofPr°P°sed con~izaction: ·
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which appliCable): New Building
Repair Removal Demolition
4. Estimated Cost ._~t~-a~ ,
5. If dWelling, number ofdwelllng units
If garage, number of oars
Addition Alteration
Other Work
Fee
(Description)
(to be paid on filing this application)
Number of dwelling units on each floor
If business, commercial or mixed occupancy, specify nature and extent of each type of nsc. -
Dimensions of existing ~[t actures, if any: Front
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
Depth
Rear
10. Date 0f Pm'chase
Depth Height Number of Stories
Dimensions of entire near con~huction: Front Rear
Height Number' of Stories
Size of lot: Front .! 3,2 Rear /-~,,'~ 2- Depth /Z' ~"'
Depth
Name of Framer Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be re-graded
14. Names of Owner of premises
Name of Architect
Name of Contractor
Will excess ill! be removed f~om premises: YES ~
Address Phone No.
Address Phone No
Address Phone No.
15. Is this property within 100 feet ofa tidal wettand? *YES NO ~
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQLTIKED
16. Provide survey; tO scale, with accurate foundation plan and distances to property lines.
17. If elevation at any poinf on property is at 10 feet or below., must provide topographical data on survey.
STATE OF NEW YORK)
ss:
cOLrNTY OF )
tr~ksr~ O~'P~ ~-~ ~ e) being duly sworn, deposes and says that (s)he is the apphcant
('Name of individual siLming contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer. etc.)
of said owner or owners, and is duly authorized to perform or have performed the sa/d 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 m~nner set forth in the application fi/ed therewith.
Sworn to_before me this
dayof ~/~2~0
Notary Public
HELENE D. HORNE
Notary Public. State of New York
No. 4951364
Qualified in Suffolk Coutlt~
Commission Expires May 22, '~0~
O q--~i~atur8 ~Applicant