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HomeMy WebLinkAbout29111-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29830 Date: 11/13/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1615 FLEETWOOD RD CUTCHOGUE (HOUSE NO.) (STREET) (PiAMLET) County Tax Map No. 473889 Section 137 Block 4 Lot 35 Subdivision Filed ~4ap No. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 6, 2002 pursuant to which Building Permit No. 29111-Z dated JANUARY 17, 2003 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 SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to FR3kNK SCAVONE of the aforesaid building. (OWNER) SI~FFOLK COI~qTYDEPART~NT OF ~{F~JSTH;kPPROVAL N/A ELEC'~RICJ%L CERTIFIC3%~]~ NO. 3864 10/16/03 PLUMBERS CERTIFICATION DAT~U N/A '/~/~gnatur e 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. 29111 Z Date JANUARY 17, 2003 Permission is hereby granted to: FP3~NK SCAVONE CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ACCESSORY SHED AS APPLIED FOR at premises located at 1615 FLEETWOOD RD County Tax Map No. 473889 Section 137 Block pursuant to application dated AUGUST 6, 2002 CUTCHOGUE 0004 Lot No. 035 and approved by the Building Inspector to expire on JULY 17, ~ Fees 75.00 ~~ / k~,/~Yr i zed Signature COPY Rev. 5/8/02 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: A. 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. Coiranercial 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 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, Swinnrfing 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: /~ Location of Property: / 6 t ~ House No. Owner or Owners of Property: _ Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: __ (check one) Street /--~-~a~ ~ /~ ~ Block 0 G Lot Subdivision Permit No. offal II I '2-- Health Dept. Approval: Planning Board Approval: Filed Map. DateofPermit. j/%-, t'~ O~3 _Applicant: C~ ff-/q__ Underwriters Approval: Lot: Hamlet Request for: Temporary Certificate Fee Submitted: $ ¢:~ ~ Final Certificate: / (check one) Applicant Signature Town Hall, 53095 Main Road P.O. Box 1179 $outl~old, New York 11971-0~59 Pax (631) 765-9502 T*l*phono (631) 76S-180g BUILDING DEPARTMENT TOWN OF 8OUTHOLD January 17, 2003 Frank Scavone 1615 Fleetwood Road Cutchogue, NY 11935 To Whom It May Concern, Upon review of your permit apphcatkm for an accessory shed, it has come ta our attention that you have an expired building permit. Building permit # 24107Z, for additions and alterations to a single family dwelling at 1615 Fleetwood Road, Cutchogue, NY, was issued in 1997. Although you were ~sued a permit, you never had a final inspection and you do not have a certificate of occupancy, which means you are in violation of Southold Town Law. We have issued you a permit for your proposed accessory shed, however we will not issue a certificate of occupancy until you rectify the above referenced issue. It is your obligation to rectify this matter as soon ss possible and remit all of the fees associated with this action. In order to get a certificate of occupancy for the expired permit, the permit must be renewed for a fee of $568.20 and a final inspection must be scheduled. Once you p~s final inspection, you will be asked to submit any documentation necessary for a certificate of occupancy, include all fees and applications required. If you have any questions, you can contact me at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Building Permits L~xanmaer CC: File Nassau Suffolk Electrical Inspections, 5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878~3500 * Fax: 631-878-3764 Application: 3864 Date: Issued to: Scavone Address:· 1615 Fleetwood Rd Village: 10/16/03 Cutchogue Introduced By: Klein Electric Lic#:4423-E was examined and approved up to the above date and was in compliance with the NEC l lll Switches Receptacles Fixtures G .F.I. Sub Panel Whirlpool 4 15 6 60A Oven Carbon Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide Smoke Bell Furnace 0il Gas Heat Zones Detectors Transformers Meter Amps Phase Motors Other Equipment: Wood Shop Dock Power-1 sw,2 recepticles,1 fixture,1 GFCI Out,Res Permit: 29111-Z' This certificate must not be altered in any manner Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765~9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD January 17, 2003 Frank Scavone 1615 Fleetwood Road Cutchogue, NY 11935 To Whom It May Concern, Upon review of your permit application for an accessory shed, it has come to our attention that you have an expired building permit. Building permit # 24107Z, for additions and alterations to a single family dwelling at 1615 Fleetwood Road, Cutchogue, NY, was issued in 1997. Although you were issued a permit, you never had a final inspection and you do not have a certificate of occupancy, which means you are in violation of Southold Town Law. We have issued you a permit for your proposed accessory shed, however we will not issue a certificate of occupancy until you rectify the above referenced issue. It is your obligation to rectify this matter as soon as possible and remit all of the fees associated with this action. In order to get a certificate of occupancy for the expired permit, the permit must be renewed for a fee of $568.20 and a final inspection must be scheduled. Once you pass final inspection, you will be asked to submit any documentation necessary for a certificate of occupancy, include all fees and applications required. If you have any questions, you can contact me at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Building Permits Examiner CC: File 765-1802 BUILDING DEPT. INSPECTION [~/~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAR~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] F~NDATION 2ND [~/] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION REMARKS: FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [. ~Ii~TION [ ~/] FINAL DATE · OWN OF SOUTllOLD BU1LDINO DEPARTMENT TOWN. HALL SOUTIIOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfor/cnet/Southold/ Disapproved aJc~2~t Expkafion AUG I $ 200 BUILDING PERMrr APPLICATJO~ Do you have or need the following, b~ Board of Health 3 sets of Building PI,ms Planning Board approval Survey Check Septic Form N.¥.S.D.E.C. Trustees Contact: Mail to: -- FOR BUILDING PERMIT Date INSTRUCTIONS ,20. a. This application MUST be completely filled in by typewriter or in ink and submitted to the BuilcFmg 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 o£Bnilding Permit. d. Upon approval of this application, the Bni/ding Inspector will issue a Building Permit to the applicant. Such a peri'nit shall be kept on the premises available for inspection throughout the work. e. No binlding shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new penn/t shall be requ/red. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Perm/t pursuant to the Building Zone Ordinance of the Town of Southold, Suftblk 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 ipplicant agrees to comply with all applicable laws, ordinances, building ¢ode, housin..g~code~t regulations, and to adm/t tuthorized inspectors on premises and in building for necessary inspections. ~r~ e of applicant or name, if a corporation) (Mail/ng address of applicant) ite whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ne of owner of premises (As on the tax roll or latest deed) ~plicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) iers License No. tbers License No. ricians License No, · Trade's License No. )cation of land on which proposed work will be done: rose Number Street tmty Tax Map No. 1000 Section )division Hamlet I~:~.,,'~ /~i,l-' "' Block c. ,~ Filed Map No ~ 2. 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 Repair Removal Demolition 4. Estimated Cost ,ge t W t>o ~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) Fee (To be paid on filing this application) t'Vr-Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. rt///~ 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stodes Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated '¢-~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES /~ NO 13. Will lot be re-graded? YES NO .)<f Will excess fill be removed from premises? YES 14. Names of Owner of premises 4-. 3't~--~-4 r Name of Architect Name of Contractor Address / ~,r~'- ~(v3tn,-oo,~ PhoneNo. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~/~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE/REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO '~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY OF~~S: being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing 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 said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me tl')~ [ (^ ,. day of~l~~ ~ 2009 (J Notary Public LYNDA M. BOHN NOTARY PUBLIC, ~tate of New York No. 01 BO6020932 Qualified in Suffolk Courtt~ Term Expires March 8, 20~, /S ign~-~e o f Applicant EAST C I'~"' E EK (Eugene s Creek) N 5°31'40" W 50.00' · ~ o 0 [..- Z ,..' ,~' t~~ < 0 FLEETWOOD SENT BY: ; 631 734 6272; JAN-lO-03 2:35PM; PAGE 2/3