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HomeMy WebLinkAbout30078-Z FORM NO. 4 'TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30024 Date: 02/13/04 i TRIS: CERTIFIES that the building ADDITION 1 Location of Property: 795 SEAWOOD DR. SOUTHOLD- (HOUSE NO.) (STREET) (HAMLET) .County Tax Map No. 473889 Section 79 Block 7 Lot 65 .. Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 6, 2004 pursuant to which Building Permit No_ 30078-Z dated FEBRUARY 6, 2004 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VICTOR & CATHERINE CIERACH, JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A .. PLUMBERS CERTIFICATION DATED N/A AuyVri z dfSignature 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) t � my ^. si�`E1Ii -TIO:` 30078 Z Date FEBRUARY 6, 2004. i Permission is hereby granted to: VICTOR & CATHERINE CIERACH, JR 795 SEAWOOD DR SOUTHOLD,NY 11971 for . CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP##25281 . at premises located at 795 SEAWOOD DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0007 Lot No. 065 pursuant to application dated FEBRUARY 6, 2004 and approved by the Building Inspector to expire on AUGUST 6, 2005 . Fee $ 150 . 00 Authorized Signature ORIGINAL , Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. 1 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) r �PERkiT NO` 25281. Z Date OCTOBER 25, 1998 Permission is hereby granted to: VICTOR CIERACH PO BOX 133 CUTCHOGUE,NY 11935 for . ` :CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY ;DWELLING AS APPLIED FOR. at premises located at 795 SEAWOOD DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0007 Lot No. 065 pursuant to application dated SEPTEMBER 8 1998 and approved by the Building Inspector. Fee $ 75 . 00 B i in Insp ctor ORIGINAL Rev. 2/19/98 v ll '79 She rig / fj . Form N6.6 `ZS�j TOWN OF SOUTHOLD 10 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. 'i , 4. Swbm,statement from platriber certifying that the solder used in system contains less than 2110 of I%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 PIanning 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.I€a Certificate of Occupancy is denied,the Buildinganspector shall state the reasons therefor in writing to the applicant. C. Fees C xtificate of Occupancy-New dwelli 1. ng$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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy Residential$15.00,Commercial $15.00 Date. 11/10 c New Construction: Old or Pre-existing Building: (check one) Location of Property: 7 j Q c () 0 'Sp House No. Street Hamlet Owner or Owners of Property: t:14�CC E R: /J C f O i cq-o y- C_p (ek I+c 4 T1- Suffolk County Tax Map No 1000, Section q 7 3 T!�-q Block d ® Lot � Subdivision Filed Map. Lot: Permit No. 3C?7g Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary,Certificate Final Certificate: (check one) Fee Submitted:$ J I � Ap ant Signature ed k 79 m 7- KX TOWN ' OF SOUTWOLD PWPERTY .. .�lib CARS � /V�I� f� OWNER - - STREET - r VILLAGE DIST: " SUB. LOT: aztiFlu -_��_Y" ( -�d-��a..�,.s -� �5, �,. -r ,...�" +t""•.'' ,fr � f �3�-aavr'�•s e'��.�� � 'b._ I 4 •1 FOROM_EP Q�VNER ;li, N E ACR. [dwar vAyianbl 1 e Pre_ S W TYPE OF BUILDING RES. - -_SEAS. __ VL. - -- FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS s ;�=�r✓ C) ��cr'�'--� ' , ao--.rt: � ;�� n �'✓x ,.0 *�':..f'i. ,", �,�$ � i d'.;r. er.� � /'C' 1� r�`.F _„� o z a" r^^ta -.. ,„^a' .. -dx - �/.a u�'f�(oaf,-'CoG'�Fstiu%�u Pn- .ICQF1'd2uu - .- � _J/77� _ �a � I ,5 oo L V l/ G..�0 T �. Jd fid 1 i<r�s f� .. v J JAI/I rur t AGE BUILDING CONDITION aplg,v I— neU6 F% 3 ed �s 12 f" ' 0"0 ry CC ILS{# NEW NORMAL BELOW ABOVE ,y4-t�,,.�t� ? a F �`� '�" "`7t�lP��}f� t°f'`dK"�`f'l ' FARM Acre Value Per Value W�- Acre 7a 5-L /j7 /) fcQ - lfGcQ,7Kf/7L2 CiC' l C�/I /0 {[7 )t9 1 Tillable I AMI/ f/ `5' Ll dgoj< addihdV Tillable 2 L 2- (n, fCPn/ /nlrL Tillable 3 . Woodland Swampland FRONTAGE ON WATER Brushland- FRONTAGE ON ROAD House Plot DEPTH - BULKHEAD - Total DOCK �� •. (r !4v'W.t yai /mow ' •- -a1 i'-ar �' '.�m+d � go- , e a - d - � COLOR ■■ TRIM _. -- _ I M. Bldg. Z K 3 =- 2, Foundation Bath Extension Dinette Z ,a Ba ement Floors Fv � � ozr K. Extension _ - .: _ . . - . Ext. WallsFinish- Extension _ i ---- - Interior Finish- Extensiono A -u LR. Fire Place 11 Heat f!'Gv' fib, DR. Porch 8X > Type Roof �n 'C Rooms 1st Floor BR. 96 Recreation Roo Roomy 2nd Floor Porch. FIN. B. ..:i Dormer Breezeway Driveway Garage Patio O, B. Total � 7 . .. _ .tet .. I M-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS, TION I ] FRAMING. [ FINAL [ ] FIREPLACE & CHIMNEY A REMARKS: DATE f INSPECTOR j f H °OUNDATION ( 1st) I -OUNDATION (2nd) mJv � v z 0 P.'OUGx FRAME & -PLUMBING a 3. z O INSULATION PER N. Y. y STATE .ENERGY � CODE m 4. y FINAL Jf ADDITIONAL COMMENTS. x m . H h pV mZ y� CI- ' m H X14 x , BOARD 4)8 II=111 ....... ... .... .. PORN No TOWN QP SOUT11041) SUR'VE'Y . BUILDING DEUVWTHRNT MUCK .¢... • • TOWN BALL SI:PTICtFORH :y....... . . SOUT-BOLD, N.Y. 11971 TECs 765-1002 NOTIFY: cl CAL 1, 7�5-5't 3.. . . ItJJVv 19. I 1fit�IT. TO. � � .(�1.Fe�,Pfle H;Sig' Examined %. •>.. F �� YY •. 19 Permit No Al>t>rovect ' Wrapproveo a/c ............................. s k6 at .11� ` 1...... ...... .:.. t nspectorj 8=1998' YYY APPL1 `4NI 1?1T F61fi,WILDING PUMIT - Date.. l ._. . . .. . . ,191.3. BLDG.DEPT., ... D INS1'AlTCTT(1NS a. 'lliis pppl iratipq must, be w"Ote, telt' filled in by tip wrlter or in,ink and sulanitted to the Building Tnapector vi 3rets lof, 19'ris, accuuite plot ply toacale. '.I�ee`according to. >ealule. ,"'P otiplan;sbaaing-1 atiaiof!lot and'of boilldivags on'psenisea,'•relatioriahlp to adjoining premises or lxMic Rtreetsf Or areaa, ani givit>g a detailed description of laynnt of property must be drawn on the diagram which In part of iskiocu. c� ;ue wl;i coverer) iit* this Slpplication unsy not he crnmedced 11efor� i$auunce.of'P uildirgPermit. rlh lr'poca a.ppfwal of this appl,icatial, the diuilding Tnspect'or wilt issue a Building Permit; to the applicant. Such perm Bti r}asll be_kept on the premises available for inspection throughout the work. a. 1Io Gadding statl;be.occupied or used in whole or in part for any purpose wiwtever Until a Certificate of Occupw'v' shalx dlave beelr ;granted by Me Building Inspector. P[tChAICRI I .i�kiAfiLT to the WWIIng Department for the issuance of a building Permit pursuant to the I i.ullcii�x Vto41A Ordir Of kl' - 464n of Southold; Suffolk'County, New York, and other applicable Laws, Ordinances or t.8Platvws; f6r1hL constrvctioa of buildings, additions or alterations, or for removal or demolition, as herein ,cHWd.. MA! applicant agrees to comply with' a1L-applicable laws,-o a, boildips code, housing code, and aa,n+l.tieh•s, :.:d to &Jn1t uthorrud inspectors on premises and in bu Ial E, nary iuuepeerians. 4 (Signa scant f a c.....rpor .... (Hailing address'ofapplicant) 11971 State wiietherr',�applicant is owner, lessee, agent,- architect, engineer;--general contractor, electrician, plumber or Wilete ........... ............................ Kam of amer of premises .,.. ..... ............................... as on the tax roll oraatesG.: ) If applicant is a corporation signature;of_duly authorized officer, .................. (Nam and title of corporate officer) Builders License lb. ...........I............. - Plumbers License Ko. Electricians License No Other Trade's License No. .................... '7p ! /� 1. location of land on uAich proposed work will be done. ..(..<. ..51 1::. � �.. .... � I .. 5 ...?aah.D.1 .... .. .. ..©u.7.;,'s24 . ............... f house limber Street-�(� itaalet FCounty Tax Hap`No. 1000 tion ;,.70 ... Block ......7.... . T,ot .�ej ...... E Subdivision .S AOMV4 n�?-s,..'.5�4�4.�Filed Map No. .� .... 1At .ADZ. x /J 2. .Slate existing use and occupancy of premtises and Intended use and occupancy of proposed construction: a. Existing use and occupancy, .. /T Qom............... .... .................. ....... b. Intended use and occupancy ., .............. ................................ I: I - ns 3. K Lure of work (dw*wiiidt applicable)* New Wilding .......... Addition ........ , Iteration a Repair ............ Renoval ............. nenn .,.......... Other Murk lition �ja 1./ ... .................... TTOeacrSpticn) 4. L*at•irmted Cost ....[� ��i ......... fee ............................(. )e /. (to be paid.on filing this al>inlIcacion) 5. If (hell Ing, nud)er of dwelling umita .....I...... tkil er of dwelling units on'each floor .... If garage, tinier of care ......../............................. 6. ithusdnems, cannercial or tpirxd occupancy, specify nature and extent of eadt type of use.............. 7. Dimensions of existing structu rem, if any; Front,,,,,,,,,,,,,,,, gear Dep[h Iluig+tt ......................... Munler of Stories ...................... Dirtensions of sett structure with alterations or'acklitiona* Front ............... [tear ............... ' Depth ..........:...:..... lkig!•nt .................... NYunter of Stor{ea ............... S. Dhrensions of entire new construction* Front ............ .[tear ......... t�•-�l le>th .. Deldit ......................... Umber of Stories ....... 9. Size of lot: Front ...{l Q. ....... Rear ...7'® _. DapCh ...t/ t.... �7 q ... 10. )fate of Purchase .7/a.7 *lane of Fornner Omer �{if* .... 11. Zane or use district in vhidu premises are situated 12. (foes proposed construction violate any rMing law, ordinance or regulations r r IJ. Will lot be regraded ..... ..... WIP excess fill be removed from premises: YES 14. Mares of Owner of pnemisea st . Address -,No,-7q s (Qw mr. ( � +t✓ Nnone phone No. Nana of Architect . r Address .... .....• Natre ofContracCor •• , luldresa. �� f /� ,. 01' ::lkoneNoa VS 15. Is this,property within 300 feet,of a tidal wetland? * YES .......... Np ., *lr vs SO mum 101di 74G7S1FJiS;PLRMIf MAY tiE SWIM. t PLOT DIAGRAM - t: Locate clearly and distinctly all butidinga, vlhe'tler existing or proposed, and indicate all set+&ek dimensions - from property lines.:Give street and block.'ounber or.Aescription according to deed, and slaw. street_ nares and inclicate ndeether interior or corner lot. hr"O 10 -CG I` OFT r pr� a S'a _ elkppr 1: p y� srnlu (x " llx S5 11 (XxINIY M 15'.t ..i....... . `/ c Y .G`.. C ..4C `.. �•...............beinf; duly sworn, delxuses arxl says that he is the aoptic:Fnnt (Mane of i*xt victual signing contract) above tuned, Ikis the .... ...................... ............. (Ooutractor, agent, corporate Officer., etc.) of said cater or owners and ie duty authorized to t' t.. Y perConnoC lnaveperfa[neel Lhe said work atxl Co make and fiie�tlnis �..: al4)1[cation; that all statatents contatned in title application are true to the best of his.. koowledge atxl •lwilief otxl 1 that the work will be perfortned in the nnnter set forth. in tine applicationfiled tlerewidit. i. Swonl to before rre 'thea..• day 0f .. 19 Notary Public . h :... .......... HELENED.HORNS (Sigtutture of Apl>l.icaut} i Notary Public,State of New York No.4961364 Qualified in Suffolk Counttyy r oMm; --ion Expires May 22, 19 [ t ," "'..�-,, � ...... 1,I -'�V'-,%!��-' 1, I I I - �� - . , � . ,,,���, ��-L, -, 11 , I il I ,� ,1� il ,�,,,,, il :1-t�> ,1_11 , -� ,, �," -:, , - �, , , - , ,�,�, , ,-,i i� I I ; . � - ,;- , -�-, ,� - ,,, , " I Ili -" , -, � ,. - - - � ,)'-' I, 1��1, -, I �l�l .1,- il -1 � , - �� - ,- .1-11- "I I I , � - c , ,- i... - .,�,l , T��-, , L�, , , �,,,�, I 11�11 I I .1, 1, , " � A.-� '�, 1;� " "�� � , , �;;�,, , , - � - , , , I - - 1. 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