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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__