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HomeMy WebLinkAbout29416-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29964 Date: 01/16/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 1140 MILL RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 2 Lot 12 .3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 22, 2003 pursuant to which Building Permit No. 29416-Z dated MAY 23, 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 STORAGE SHED. CONSTRUCTION CERTIFIED BY ROBERT BROWN, A.I.A. The certificate is issued to RONALD & SHEILA RICCA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1126565 04/28/03 PLUMBERS CERTIFICATION DATED N/A //$tho ized Xignature 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. 29416 Z Date MAY 23, 2003 Permission is hereby granted to: RONALD & SHEILA RICCA PO BOX 243 PECONIC,NY 11958 for CONSTRUCTION OF AN "AS BUILT" ACCESSORY HORSE BARN IN THE REQUIRED REAR YARD, 40 FEET FROM ANY PROPERTY LINE, AS APPLIED FOR at premises located at 1140 MILL RD PECONIC County Tax Map No. 473889 Section 074 Block 0002 Lot No. 012 . 003 pursuant to application dated MAY 22 , 2003 and approved by the Building Inspector to expire on NOVEMBER 2004 . Fee $ 150 . 00 Au oriz Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD; BUILDING DEPARTMENT TOWN HALL ,c 765-1802 lAN APPLICATION FOR CERTIFICATE OF QCCUPANCY 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. Commercial 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 dwellin�$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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. O New Construction: \� Old or Pre-existing Building: (check on?�� Location of Property: \k`l l7 m � 1 4 r, 6� c t5 � C_ House No. Street Hamlet Owner or Owners of Property: �� G G C� Suffolk County Tax Map No 1000, Section ^��} Block a Lot Subdivision ll Filed Map. Lot: Permit No. �o��`� \� Date of Permit. 5` Z3 - Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5 Af Applicant Signature NJ BY THIS CERTIFICATE OF COMPLIANCE THE ` 'NES' YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 F`ULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by C-CAT CO. RON & SHEILLA RICCA 9280 SOUND AVE. 1140 MILL LANE MATTITUCK,NY 11952, PECONIC,NY 11966 Located at 1140 MILL LANE PECONIC, NY 11858 Applidation!Number. 1126565 Certificate Number., 1126565 _ , Section:- Block: Lot: Building Permit: BDC: NSI 1 1 Described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below, located Inion the premises at: 'First Floor,work shop,Outside, was inspected in accordance with the National Electrical Code and the detail of the instaNation,as forth below,was found to be-in compliance therewith on the' 28th' ©ay of April,2003. Name OTY Rte Rating Circuit Tie Appliances'and Accessories Pump/Motor 2 0 1 H.P. Panels 1 100 8 Wiring and Devices Fixture 6 0 Fluorescent Fixture 3 0 Incandescent Switch 5 0 General Purpose Receptacle 6 0 General Purpose GFCI Circuit Breaker 2 0 20 amp General Purpose seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the Iecatlon lndiccl i li FAIRWEATHER BROWN DESIGN ASSOCIATES,INC. ) 6 20 P.O.Boa 521 413 Main Street n 1 Greenport,N.Y. 11944 631-477-9752 (fax)631-477-0973 June 23,2003 Mr. Gary Fish,Building Inspector Southold Town Building Department Southold,New York 11971 Re: Ricca Residence Accessory Shed Building Permit No. 29416Z 1140 Mill Lane Peconic,N.Y. Dear Mr. Fish: Pursuant to your request to Mr. and Mrs. Ricca, based on my inspection of photos taken throughout construction, and subsequent inspections by my office, the construction appears to be in compliance with generally accepted construction practices. Based on the information at my disposal, and to the best of my judgement, belief and professional judgement,the project in question appears to comply with the New York State Uniform Fire Prevention and Building Code. If you require any additional information,please do not hesitate to contact me. u help in this matter. * Si �_� A.I.A. cc: Ron and Sheila Ricca VINCENT KELLEHER 12-09-03 4 20 112 EARLE AVE LYNBROOK, NY 11563 917 682 3988 SOUTHOLD TOWN HALL BUILDING DEPARTMENT 631 765 1802 631 765 9502 RE: PERMIT#29416Z (1140 MILL LA, PECONIC NY 1195 8) e DEAR SRVM[ADAM I am awaiting result on the above referenced permit, however I am not set up with the postal service to receive mail at the location in which the permit covers. I would kindly ask that you would send all correspondents to (112 EARLS AVE. LYNBROOK NY 11563 or fax(718 383-3360 THANKS VINCENT KELLEHER 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE IN8PECiOR_����/�� BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�LATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CFIIM EY REMARKS: f/ DATE 41 INSPECT BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROULBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING � [ FINAL [ ] FIREPLACE CHIMNEY REMARKS: J DATE 6 U� INSPECTO FOUNDATION FOUNDATION(21 ROUGH ® C 11 PLUMBING INSULATION PER STATE ENERGY • 1 owlo 1 . • 1 1: MIMI WAR o � _ i�- i TOWN 9F SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUIG DEPARTMENT Do you have or need the following,before applying? TOWN HAUL 4 22 20n -' Board of Health SOUTHOLD,NY 11?. _ 3 sets of Building Plans TEL: (631) 765-1802 L- Planning Board approval FAX: (631) 765-9502- - Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 3 Contact: Approved ,20_ Mail to: Disapproved a/c i/ - r= / Phone: � �,' QUO /a, Expiration—I Z 20 uil 'ng In ector APPLICATION FOR BUILDING PERMIT Date r66 2D 20, U3 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building 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 of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a 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 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:;r 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 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 fgLnpcessary inspections. (Signature of applicant or name,if a corporation) .0. aok z L--3 . P coir C . ►/ //As-> (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises )Z0/\JA-Lp (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: L+0 L-L AeCOAJI C- House Number Street Hamlet County Tax Map No. 1000 Section Block Z.. Lot 2 •..� Subdivision OU�J,D�(l C � MEA12 —Filed Map No. Lot (Name) `� 2. State existing use and occupancy of premises and intended pse and occu cy of proposed construction: a. Existing use and occupancy jn?O tiK'5 40P a1t21� i e b. Intended use and occupancy �'� V S� 7 P l M A l_'� 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 12,o/D Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear J 1p Depth Height I Z ` . Number of Stories I 9. Size of lot Front S��k �I'yU� Rear '�j L $ Depth 3 I't 4- 3� e 10. Date of Purchase 016 Name of Former Owner A Y 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO f 13. Will lot be re-graded? YES _ZNO Will excess fill be removed from premises? YES ✓NO h e 14. Names of Owner of.premises ` iAddressl. Phone No. Name of Architect Address Phone No Name of Contractor 1=' SI-)6,D'CCAddress 0 L Phone No. 7 3 00l 0 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___L,�� * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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: COUNTY0 /OF JF 3 f'1 e!L e.- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the p w nC e (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 this Dom' day of /�jiR� _20_12 2 f Notary Publ' Signature of Applicant ELIZABETH J.FARRISH Notary Public,State of New York No.01 FA4973285 Qualified in Suffolk county commission Expires Oct. 15,20 A Or fdrlver/y John a •/U/i'o Sepenos t j S.600/ 1 5/9./O' 4s I 1 , 1 !p W nl a� o to - Shy ad fP 66 9� V *- _b v �O 9.T. Area= 5.231 Acres SEE INSET 04 t d , INSET SCALE: 1�� _50' 44 \ 1> t . fsiu�pr, for HF.A II VC -44 M.dP°47 130 W 440.DD now or formerly F. F. Overton Estate M Cb t , NOTES: •: MONUMENT c ►� ELEVATIONS SHOWWTHUS' a4.5 ARE REFERENCED TO AN ASSUMED DATUM. s NEAREST PUBLIC WATER = 2 MILES t WATER SUPPLY= PRIVATE WELL SUFFOLK CO TAX MAP r DIST, IQbO SECT. QZ4 BL.Qa LOT a& THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD 1Q REVISIONS YOUNG .& YOUNG OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS. y� YOUNG V THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL l DEC.5 .1956 400'OSTRANDER AVENUE, RIVERHEAD, NEW YORK CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH .41 FEB, 51,1987 ALDEN W. YOUNG p ` FEB. 21,1967 HOWARD W.YOUNG PROFESSIONAL ENGINEER AND LAND SERVICES — _ — — — — — — h NOV.It, 1987 LAND SURVEYOR. N.Y.S. LIC. NO, 12049 N.Y.S. LIC. 40803 APPLICANT: — - — — — — — , ADDRESS- - -- - -- - - - - ° SURVEY FOR:p - - - - - - - - - -- TEL. SURy=- - - - - - - d 0) Q 3 IUTHOI112EO ALTERATION OR ADDITION TO EY rOR: Z M O S SURVEY 19 A VIOLATION OF SECTION RONALD RICCA a SHEILA RICCA OF YHE NEW YORK STATE EDUCATION II 'I SUFFOLK COUNTY DEPARTMENT 1 OF H�ALTyN SERYIC►£3 LOT NO.3 OF MINOR SUBDIVISION . S0 n► DOW$ ' SINGt.E FAMILY DWELLING ONLY - IES Or THIS SURVEY MAP NOT BEARING 1 .y, LAND SURVEYOR'S INKED SEAL OR L 1 1,[nnj fJH,S, REF. N0. _..� A� "' "O OSSEO SEAL SHALL NOT BE W1411DEIEI ARD w O� DATIAx�""' J R O BE A VALID TRUE COPY. AT GU D The SP.Ntif F'IIPP.i li'S)f'C16 Ao-M and ter li f tff} E�artly mPrltieS fandl0l S.6P°0000"E PCCFN I C L0 f1T M COR + r 1ANTEE3 INDICATED HEREON SHALL RUN location have _e f 33 .5P RO ALDcA y TO„iHEPER90N FOR WHOM THE TOWN OF T /�'� othe ell es and nuT► tie SaCtUrJI. N.62 X0000,w /50.00 EY 19 PREPARED,AND ON HIS BEHALF � SOU,1 H1/L D LA YERITLE H COM �rC 1I HE T17LE COMPANY,GOVERNMENTAL NE ICY AND LENDING INSTITUTION LISTED ,( SUFFOLK C ;ON,AND TO THE ASSIONFE9 OF THE J FFOLK CO., N.Y. �Y ti Chi f of Bureau of Wastewater Management MSL� i1NC INSTITUTION. GUARANTEES ARE S q TRANSFERABLE TO ADDITIONAL SCALE: u 1 DATE: N TUTIONS OR SUBSEQUENT OWNERS, - I 80 QUr� 971oQ� '/,•• Y1,r.�`lS�..-_ GUARANTEES INCICAIEC HERE GJ SHALL RUN ONLY TO M£PERSON FOR IN10M THE SURVEY lSPRElElP ARCO, AND ON HIS BEHALF IT ME �^� LENDING NSTITUTION, TRUSTED HEREOHlllY GOVERNMENTAL N ANTOD TI�VV CUAPHE RANIEESCARE SNOT TRANSFERABLE TO OF ME LENDING TUTION Qu�10 ADDmONAL INsnlunCNS OR SUBSEQUENT OIM¢Rs S UNAUTN Is O CXALONALTERCLOWF OR ADDITION r0 mis THESURAFYNEW IS A VI STATEN OF SECTION W OF THE N£W YORR STALE EOUCARON LAW COPIES OF MIS SLAW)"MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY m II N/F BEDNOSKY OT 2 m v FIE CM �..I Z N 39.05'50"E N/F FARRAND LOT 1 0 344.53' FD 0 Q cm N 30'45'00"E 363.20' Ly o SIGN/PIANTER EB �.Iyy CM L'J GRAVEL EViD£NC£ OP — — _ _ _ BURIED _ DRIVE OELECTRIC N O FD S 30'45 00 W 339.86 FD \ CM GM \ O \ Q Z IT\ O rn f'1 N N/F SWIERBUTOWICZ \ V \ CD o \ \ m m AD \ o Pev\ \ \ A. woG�,c 102 3' N/F HUBBARD/TOWN OF SOUTHOLD Fsja ,p,f W FRAME SHED p O W/AflBDUR�o SURVEY OF DESCRIBED PROPERTY (LOT 3) SITUATE PECONIC, TOWN OF SOUTHOLDED SUFFOLK COUNTY, N.Y. : u WO�goE 46 SURVEYED FOR: VINCENT KELLEHER I� TM# 1000-074-02-013 3 SURVEYED m N- O FD SCALE "= 50' O cm O_ AREA = 227,864.98 SF. FD 338.79 OR CM 5 231 ACRES S 27'12 30 IN GUARANTEED TO VINCENT KELLEHER N/F PUST LOT 4 NOTE LOT NUMBERS SHOWN HEREON REFER TO MINOR SUBDIVISION PLAN OF SOUNDVIEW MEADOWS AS APPROVED BY THE SOUTL OT) TOWN SURVEYED BY STANLEY J ISAKSEN, JR PLANNING BOARD ON NOVEMBER 18, 1974 P.D. BOX 294 NEW SUFFOLK. NY 11956 631 -73h-5835 L ENSED ND SURVEY /NYS Lic 49273 03R1259 ��DI11C�� C�1��c�lcyJ,� UFS/C� 2 3 4 5 6 7 8 9 10 1 1 12 13 14 UNDERII J5 1 6 17 REQUIRED slues l REVlslows FLOOD ZONE ti �t COMPLY WITH FLOOD DAMAGE PREVENTIONK SOUTHOLD TOWN CODE. 7 - »_--,I—� --- _I -- Cy 12 ����G" - Ir_- Ni N 'IE'� I'I I III �Rn ^A`Qf i 8 iG'O.0 B.P. 21 I L+2 v I BUItBIN9'-DE y -- R- s SATT uYsuL �, 765.1 02 SAM TO 4 PM FDR THE _ • `=1 FOLLOWING INSPECTIONS.' 7 __�7 - - --- - --; 'n = FOR-FOUNDATION ED CON iI REQUIRED P T 11 2ROUGH - fi PLUIlill 3. INSULATION m11 Y. FINAL - CONSTRUCTN7N MUST IL Ill 1i BE COMPLETE FOR C.O. 004 ALL-CONSTRUCTION SHALJMEET s III II `tea^.r,^@le'uc -- ---REQUIREMENTS OFTHE G • -- - ----"I - - YORK STATE. NOT RESPODESIGN OR CONSTRUCTI • mjLjCC&_q CIE ill WIT . G"RIGID H5UTIOH NEW YORK STATE & TOWN CODES • I 1 W' C' C,C A AS R EQU ED AND CONDITIONS OF /L- `'I SOUTHOLDTOWNZm SECTION AA SECTION 3 B SOUTHOLD TOWN PLANNING ia 1/4l=10"vCALe 1� "=1'°" (b I SCALE. I/4"=1'O" A I SOUTHOLD TOWN TRUSTEES J _ _ N.Y.S.DEC OCCUPANCY OR NOTE : 5HED 15 NOT HEATED . USE IS UNLAWFUL POO G WITHOUT CERTIFICATE 0 MAY I G, 2003 SLIDING DOOR ------ � ��, OF OCCUPANCY I ii 2 02003 A51PHALT ROOFING ALL PIGHT5 RE5ERVED THESE PLANS ARE AN IgSTRDMENI Of +—o' � A � SERVICE All ARTHE PROPERTY OF THEARCHITECT, ARC ITE MGEMEHIS WILL �— PRo5ECul ED AI �'�: -- --- ------ -- -- -- - _ - ------- -------- -- -- - -- -- ------ ------ -- - - BE A 9 I ioI RI 3 - � NEW -;- i T I I LdJP - EI ooR -- - - - --- -Y - -- -- --