HomeMy WebLinkAbout27477-ZFORM NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
Office of the Building lnspecuor
Town Ball
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30133
Date: 04/21/04
THIS CERTIFIES that the build~ng DECK REPAIR
Locution of Property: 4055 BAY SNORE RD
%NOUSE NO.) (STREET)
CoUnty Tax Map No. 473889 Section 53 Block 6
Subdivision
Filed Map No. Lot NO.
GREENPORT
LOt 20
(~AMLET)
conforms substantially to the Application for Building Permit heretofore
filed in t~is office dated JULY 16, 2001 pursuant to which
Building Permit No. 27477-Z dated JULY 17, 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 EMERGENCY REPAIRS TO AN EXISTING DECK ADDITION AS APPLIED FOR, & AS
PEN CERTIFICATION OF JOSEPN FISCBETTI, PE DATED 7/31/01.
The certificate is issued to SALLY AbrN GUIDO
( OWNER
of the aforesuid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRO~L~-L
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'rKO
N/A
N/A
N/A
~~t~~l'gnature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southo!d, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT-NO. 27477 Z Date JI3LY 17, 2001
Permission ms hereby granmed to:
SALLY ANN GUIDO
40 PARK AVE
NEW YORK, NY 10016
for :
EMERGENCY REPAIRS TO AN EXISTING DECK ADDITION AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 053
pursuant to application dated JULY
Building Inspector.
4055 BAY SHORE RD
GREENPORT
Block 0006 Lot No. 020
16, 2001 and approved by the
Fee $ 150.00
ORIGINAL
Rev. 2/19/98
'f ?00
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application muse be filled in by typewriter OR ink and submitted to the building
· nspecnor with the following: for new building or new use:
1. Final survey of ~property with accurate location of all buildings, property line%,
streets, and unusual natural or topographic features.
~ Final Approval f= m Health Dept. of water supply, and sewerage-disposal(S-9 form)
3. Approval of electrical installation from Board o~ Fire Underwriters.
4. Sworn statement from plumbgr certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commerci~I building, i~ustrial building, multiple residences and similar buildings
and inst~O~%ati0~s; a c~rtificate of Code Comp'lianoe from archinec~ or engineer
responsible E6rthe building.
6. Submit ~la~ning Board Approval of completed site Flan requirements.
For existing bBildings (prior to April 9, 1957) non-conforming uses, or buildings and
Upre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natur~t or topographic features.
· 2.. A properly completed application and a 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 ~o 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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - i .~
4, Updated Certificate of Occupancy - $50,00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00
ate ................................
New Construction ........... Old Or Pre-existing Building..~.C~...RJ~...A~.. ....
4055 BAY SHORE DRIVE G~EKNPORT
Location of Property .........................................................................
House No. Street Hamlet
SALLY GUIDO
Onwer or O~ers o£ ?roperty ..................................................................
County Tax Map No 1000, Section.. 053 .B~ck.. 0006 .Lot.. 020
Subdivision .................................... Filed Map ............ Lot ......................
Permit No .......... Date Of rermit ................ Applicant. ............................
~IA
Health Dept. Ap~ roval .......................... Underwriters Approval .........................
N/A
Planning Board Approval ........................
X
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
GO
PROFESSIONAL ENGINEER
1725 HOBART ROA[~ / PO Box 616, $OUTHOLD, NEW YORK 1197i
TEL631-765-2954. FAX§31-614-3516 · e-mail: joseph@fi=che~d.com
Date: July 31,200t
Reference: Permid427477
Rich Saetta
Rich Saetta Contracting
PO Box 20 47
Greenport, NY 11944
Dear Mr. Saetta,
I inspected the completed deck repair for the damaged deck at 4055 Bay Shore Road and
haYe fom~d the u ork completed satisfactorily and in compliance with all applicable NY State
codes.
Joseph Fischetti, PE
TOWN OF $OUTHOLD PROPERTY RECORD CARD
OWI~IER " LLA(~E
DIST. SUB,
FORMER OWNER , - N / E / ACR,
?'" ~ ..... S W TYPE OF BUILDING
~N'D IMP. TOTAL DATE -' REMARKS
Acre' 7~/~3''~[ c~ ~ ~
,, . / ,
Fillable 2 _ .-, -
FROntAGE ON WATER
trushland , ' FRONTAGE ON ROAD /
~o~se P~ot . ' ~EPTH /
'oral DOCK - ? '
M. Bldg. Foundation Bath ~ · Dinette
FULL
~E~xt. tt~ension 2~X2-~(px .~ ~ Basement ~ Floors ~(~ ' Kit,
Extension
Patio Woodstove BR.
Porch Dormer Fin. B.
Breezeway ~O~t ~ ~t0~ ~ '%~?
~ ~5 ~ t~ ~ 'RbEms 1st Floor
t~ ~ ~3 I ..... ~7~ Drweway ~ Rooms2.ndFIoor
Pool
0
g.ll
00'40"
~5
klOT~:
g'FE. LD -fNS~FX';TTON REPORT
........................ - ........
FOUNDATION (IST)'
==... z_9~_ (2~) ? .... ~__~=~l___
II
INSULATION PER N. Y.
STATE ENERGY
CODE
'ADDITIOllALCC~IENTS:
SOUTItOI.;D,.NY l! 971
Disapprov;~:
PERMIT NO. '~"7 ~77'~''~
Do you have or n~d ~e ~o~, before applying
Bo~d of ~e~
3 sets of Building PI~s
S~ey
Check
Sep~c Fo~
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date JULY 12 2001 20
INSTRUCTIONS
a. This application MUST be completely filled in l~y typewriter or in ink and submitted to the Building Inspector with3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings Eh'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 througho.ut'the work.
e. No building shall be occupied or used in whole or i,n part for any purpose what-so-ever until a Certificate of Occupan
us issued by the Building InspecTor.
APPLICATION IS HEREBY MADE to the BuildingD?artment for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffollq. Count7, New York, and other applicable Laws, Ordinances or
Regulations, for the~cbnstruction of buildings, additions, or ~rlterations or for removal or demolition as herein described. The
appii~ant agrees to ieoiriplS, With ali applicable laws ordinandes~ building code housing code, and regulations, and to admit
inspectors on premises and in building for ne~esfiaw'mspectlons.
RICRARD SAETTA GI/I~RAL COI~I~ACTOR
(Signature of applicant or name, ifa corporation)
P.O. BOX 2047 ~ORT, lqY 11944
(Marling address of applican0
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
G]~BIERAL COlqTRACTOR
Name of owner of premises
SALLY GUIDO
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
PAN
./*- USE IS UNLAWFUL
./. WITHOUT CERTIFICATE;
OF OCCUPANCY
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
4055 ~¥sgom~
House Number Street
(as on the tax roll or latest deed) ~PJmR~ ~ N0~
NOTIFY BUILDING DEpAR~i~E~AT
765-1802 9 AM TO 4 PM ~FO~ THE
FOLLOWING INSPECTIONS:
FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
ii~$ULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALl. MEEI
THEREQU~REMENT$ OF THE N,¥.
STATE cONSTRUCTION &ENERGY
CODES, NOT RESPONSIBLE FOR
11944 DESIGN OR CONSTRUCTION ERRORS
County Tax Map No. 1000 Section
Subdivision
(Nme)
53
"Block 6.,
Filed Map No.
Lot
o.,~,. ~.~o.,~g u~. m~u oc~upa~lcy or premises ann intended use and occupancy of proposed construction:
E isting u e and occupancy
b. Intended use and occupancy
Nature o f work (check which applicable): New Building
Repair x Removal Demolition
Estimated Cost Fee
if dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
(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 use,
Dimensions of existing structures, if any: Front
Height Number of Stories
Rear .Depth
Dimensions of same structure with alterations or additions: Front
Roar
Depth Height
Number of Stories
Dimensions of entire new construction: From
Height Number of Stories
Rear .Depth
Size of lot: Front Rear Depth
0. Date of Purchase
Name of Former Owner
1. Zone or use district in which premises are situated
Does proposed construction violate any zoning law, ordinance or regulation:
3. Will lot be re-graded
Will excess fill be removed from premises: YES NO
4. Names. of Owner of premises
Name o f A~-ch/tect
Name of Contractor
Address. Phone No.
Address Phone No
Address Phone No.
5. Is this property within 100 feet of a tidal wetland? *YES NO
· I:F YES, $OUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUI}bED
6, Provide survey, to scale, with accurate foundation plan and distances to property lines.
7, If elevation ar any point on property is ar 10 feet or below, must provide topographical data on survey.
I'ATE OF NEW YORK)
SS:
:OUNTY OF )
(Name o~'T:4~,n~i%~gnmg conK.~a.~ ) &bore name,
'[g 2j~gV'~4 ~5iG {~4,~(~b~et6~ Agent, Co.orate Officer, etc.)
f smd o~er or ,~ers¢~d*-4x.dh~5~u~onzed to pe..o~¢Z¢¢~0..m,,~ .~ ork ~d to ~e ~d file *hzs apphcatmn,
mt a~$~[o 2.?~:%::~2 2: ','~.s-a~Sh~ation are ~ :c :n~me%e& (,: 'kt~ k¢[?,.v'.l~.x~?and be~ef; ~d ~at ~e work will be
~rfo~ed m the .................... u ................ I ..
..... ~{ota Pab].~c ~ ,, ...... ~ Silage__ of Apphcat__