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Home My WebLink About29921-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~2qCY No: Z-29924 Date: 12/19/03 /~IS CERTIFIES that the building ACCESSORY Location of Property: 235 ROGERS RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) Coualty Tax Map No. 473889 Section 66 Block 2 LOt 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3, 2003 pursuant to which Building Per, nit No. 29921-Z dated DECEMBER 8, 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 "AS BUILT" ACCESSORY GARAGE AS APPLIED FOR & AS PER CERTIFICATION OF M3LRK SCHWARTZ, ARCHITECT DATED DECEMBER 3, 2003. The certificate is issued to MARION M FAVOINO (OWNER) of the aforesaid building. SUFFOLK COUI%~UYDEPARTMENT OF~L~L~tkPPROV~J~ ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION Rev. 1/81 N/A N/A N/A 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. 29921 Z Date DECEMBER 8, 2003 Permission is hereby granted to: MARION M FAVOINO 30 WILLOW TP~AIL COURT CARMEL,NY 10512 for : "AS BUILT" ACCESSORY GARAGE AS APPLIED FOR. ADDITIONAL CERTIFICATION WILL BE REQUIRED. at premises located at County Tax Map No. 473889 Section 066 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 235 ROGERS RD SOUTHOLD Block 0002 Lot No. 023 3, 2003 and approved by the 8, 2005. Fee $ 150.00 ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN~CY This application must be filled in by typewritcr or ink and sabmitted to the Bu ld ng Deb'artmd.nt with the following: A. For new building or new use: 1. Final survey of property with accurate h)cation of ali buildiugs, property lines, streets, and mmsual naltlral or topographic features. 2. Final Approval ti'om tlealth Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Undmwvriters. 4. Sworn slatcmcnt from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. (.o nmerc at bu hln g, sd s r al building, umltiple residences and similar buildings and installations, of Codc Compliance fi'om architect or cngineer responsible for the building. Submit Plamfing Board Approval of completed site plau requirements. a certificate For existing buildings (i)rior to April 9, 1957) non-confurming uses, or buildings and "pre-exisling" land uses: Accurate su~ey of properly showing all propcrly lincs, slrce/s, buildiug and mmsua[ natural or topographic R~atures. C. Fees Ccrlificatc uF()ccnpanc? - New dxx cllin~ S25.00. Additions to dwelling $2500, 2 Certificate o['()CCUl)allCX oll P]c-cxistiug Building - $100 00 3 Col)y of (¢e] fi fic;~te oF ()CCUl~ancy - $ 25 Datc. (check one) Ncw Constrncdon: Old ot LocatiouofProperty: ~j~ _ ~r~ House No ~ Street Owner or Owners of Ih'operty: ~S~ Suffolk County Tax Map No 1000, Section SubdMsion Permit No. Date of Permit Health Dept. Approval: ,1.,}/~. ~- ~4-~.1, ~ Filed Map. ! q' 7_-~-.- Lot_ Applicant: Undem'riters Approval: ,L}/~ Plarmmg Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature Mark K. Schwartz, AIA - Architect, PLLC TOWN__OF SOUTHOLD p.O. Box 933 Cutchogue, New York 11935 Phone: (631) 734- 4185 Fax: (631) 734 -4185 May 20, 2002 Southold Town Budding Department Main Road Southold, New York 11971 Attn: Damon Rallis Re: Favoino Property 235 Rogers Road Southold, New York (SCTM# 1000-66-02-23) Dear Mr. Rallls: On December 03, 2003, I inspected the aforementioned garage and certify the existing conditions of this structure, to the best of my knowledge, meet or exceed the New York State and local code requirements in affect when it was built in 1965. Please call this office if you have any questions or require additional information. Very truly yours, Mark Schwartz Favolno.doc 999~ Ogg~ E:,Z 1.,8 g,9 8,g ~1- 01.,I.~ g,8~ 0 % \ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG~.BG. [ ] FOUNDATION 2ND [ ~] I.~JI~ATION [ ] FRAMING ,~_ [/_..~,."FINAL [ ] FIREPLAC_E & CHIMNEY/? ~' TOWN OF ,SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined_ /~/ __, 20_ Approved (L/~ __, 20 ~ Disapproved Wc Expiration ,20' 32003 PEamX NO. - BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mailto: ~O ~ 165"q APPLICATION FOR BUILDING PERMIT I Date Iff- ]~1. _, 2003 L "r.: ' i INSTRUCTIONS 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 perafit shall be kept on the pranfises 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 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 with/n 18 months fi.om 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 permit shall be required. 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 Senthold, 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 inspections. · ~S'lgn~mre~of a~ph?ant or name, if a corporation) (Marling address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises (Ee:r~nA"~ ~-) Mhrt~r} J~l~Vomo n-kn (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 ~treet County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block Filed Map No. g3, Lot ti . State existing use and occupancy of premises and intended use and occupancy of proposed constmcti'dn: a. Exis~ting us,e and occupancy ~lnalt, I~.q ~ )y. ~t,,~ )[~,~. t b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Demolition Fee Addition Alteration Other Work t~o~ [¥ t~._l.t~ ~ea~ (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Frotu /~. ? Height Number of Stories Rear lot. 7t Depth ~,~ Dimensions of same structure with alterations or additions: Front IJ/l~ Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front ~1 Rear ~ ff ~ Depth Depth 10. Date of Purchase [)~,~,t' ~-,, Iqf?~Name of Former Owner 11. Zone or use district in which premises are situated ~.~t 12, Does proposed construction violate any zoning law, ordi~mnce or regulation? YES__ NO t~ 13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES ^aaress Phone N& 14. Names of Owner of premises Name of Architect Address Phone No Name of Contractor Address Phone No. __NO ~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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) SS: COUNTY OF ) _1~') ~1~. ~' [~'~&Oe} 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 true 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 thi~. ~_~ 4ayof ~ 20(5~> LYNDA M. BOHN NOTARY PUBLIC, State of New York No. 01BO6020932 Oualified in Suffolk Co. untv Term Expires March 8, ~.3 ~ x~!~nainfile~ f Applicant