Loading...
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