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HomeMy WebLinkAbout47986-Z '401FFaLlr Town of Southold pGy � P.O.Box 1179 5/24/2024 0 o _ g 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45199 Date: 5/24/2024 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 565 Inlet Ln., Greenport SCTM#: 473889 Sec/Block/Lot: 43.4-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/22/2022 pursuant to which Building Permit No. 47986 dated 6/22/2022 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: garage and carport addition to an existing one family dwelling as applied for The certificate is issued to Mazzaferro,Nicholas&Brigitte of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47986 05/16/2024 PLUMBERS CERTIFICATION DATED th rize 'gnature �cuFFO(�co TOWN OF SOUTHOLD BUILDING DEPARTMENT co TOWN CLERK'S OFFICE "oy • o��" SOUTHOLD, NY pJpl �� BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47986 Date: 6/22/2022 Permission is hereby granted to: Mazzaferro, Nicholas PO BOX 57 Greenport, NY 11944 To: Additions and alterations to an existing single family dwelling as applied for. Replaces BP#44974. At premises located at: 565 Inlet Ln., Greenport SCTM #473889 Sec/Block/Lot#43.-4-34 Pursuant to application dated 6/22/2022 and approved by the Building Inspector. To expire on 1212212023. Fees: PERMIT RENEWAL $227.00 Total: $227.00 Building Inspector ' TOWN OF SOUTHOLD BUILDING DEPARTMENT .� Gy y x TOWN CLERK'S OFFICE "oy • o� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44974 Date: 7/10/2020 Permission is hereby granted to: Mazzaferro, Nicholas 156 Hillside Ave Farmingdale, NY 11735 To: additions and alterations to an existing single family dwelling as applied for. At premises located at: 565 Inlet Ln, Greenport SCTM #473889 Sec/Block/Lot#43.4-34 Pursuant to application dated 6/30/2020 and approved by the Building Inspector. To expire on 1/9/2022. Fees: CO-ADDITION TO DWELLING $50.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $404.00 Total: $454.00 Building Inspector Form No.6 TOWN OF SOUTHOLD 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,properly 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 I°lo 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 buBdings(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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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$15.00 New Constriction: 011 or Pre-existing Building: (check one) Location of Property: �� 111� e CAk LIl House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000,Section LVI Block Lot Subdivision _1 Filed Map. Lot: Permit No. �� Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ 50 Applicant Signa o��oF so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 ��ly �o sean.devlinCa�town.southold.ny.us COUNT`l,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Nicholas Mazzaferro Address: 565 Inlet Ln city:Greenport st: NY zip: 11944 Building Permit#: 47986 Section: 43 Block: 4 Lot: 34 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Home Owner License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor X Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 7 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures 6 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 40A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 3 4'LED 5 Exit Fixtures Sump Pump Other Equipment: 40A Sub Panel 6 Circuit/4 Used (4) 120GFI Breakers Notes: Garage & Carpoprt Inspector Signature: ~ Date: May 16, 2024 S.Devlin-Cert Electrical Compliance Form �- ll # * TOWN OF SOUTHOLD BUILDING DEPT. courm, '' 765-1802 _ 1 N'S-PECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] °INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY- [ ] FIRE:SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH)- [ ] ELECTRICAL (FINAL) PI CODE VIOLATION [ ] PRE C/O REMARKS: DATE 1i INSPECTOR — 1 OF SOUTy�6 /v L �M * ' TOWN OF SOUTHOLD BUILDING DEPT. °y u�m N 631-765-1802 INSPECTION — [ ] -FOUNDATION 1ST/ REBAR [ ] ROUGH.PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] 'FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE' &.CHIMNEY' [ ] .FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE-VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: l " r I g �__ OL4je Ori 6 0(4 le o DATE INSPECTOR ho,*OF SOUthp� f # TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 q:Mgo INSPECTION [ ] FOUNDATION 1ST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: t h DATE 6 INSPECTO NT T _NA A 77 A IP-PT?T? C) P _P JAN 27 _L- N-9- %Y-e- 8 PO Box 57, Greenport,N.Y. 11944 Phone - 516-457-5596 Consulting Engineer January 27, 2021 Construction, Estimating, Labor Law Page I of I Town of Southold-Building Department 53095 Main Road PO Box 1179 Southold NY 11971 Re: Building Permit Number—44974 r/,T T__I-T ---- _)Uj-UIIVL LUIIU Greenport,N.Y. 11944 District-1000 Section-43 Block-4 Lot-34. Inspection—Footing and Foundation On 10/30/20, 1 inspected the construction at the noted location. The inspection covered the f6oting and-foundation f6r the new residential-structure. The areas in- spected'iniclUde-d- the excavation, reinforcement, footings and foundation walls of the new garage. The inspection was completed before backfilling. The inspection results are: Items inspected included footing depth, size and reinforcement, and foundation wall size and-reffif6rcement. The footing and foundation work was done according to approved plans and in compliance with the applicable sections of the IRC,NYS and Southold Town Building Codes. Result- The footing and foundation work, as verified by field inspection on 10/30/20 is compliant with all-applicable code" s. Nicholas J. Mazzaferro, P.E. Q u 5. ITT. T. M A 77 A 1P_PFa 1, P -P PO Box 57, Greenport,N.Y. 11944 Phone- 516-457-5596 Consulting Engineer January 27, 2021 Construction, Estimating, Labor Law Page 1 of 1 Town of Southold-Building Department 53095 Main Road PO Box 1179 1 Southold NY 11971 JA N 2 7 2021 Re: Building Permit Number—44974 r/r T_-1 T JOJ l H Lane Greenport,N.Y. 11944 District-1000 Section-43 Block-4 Lot-34 Inspection—Framing On 11/30/20, I inspected the construction at the noted location. The inspection covered the framing for the new garage structure. The areas inspected included the enclosure and carport of the new garage. The framing work included exterior walls, ceilings and roof. The inspection results are: Items inspected included lumber type/grade, lumber size, dimensional spacing, framing connections, header sizes, bearing, continuity strapping and integration with the concrete foundation. The framing work was done according to approved plans and in compliance with the applicable sections of the IRC,NYS and Southold Town Building Codes. Result- The framing work, as verified by field inspection on 11/30/20, is compliant with all applicable codes. ��PqE OF Ear YO Nicholas J. Mazzaferro, P.E. r � 410. 0570�y ��c= p�OFESSIONP� Robert I Brown Architect, P.C. 205 Bay Avenue Greenport, NY 11944 - 631-477-9752 _ Town of Southold-Building Department Ej -�''-� � 53095 Main Road t ? z PO Box 1179 L MAY - 6 2024 Southold NY 11971 Re: Building Permit Number—47986 D '�y�``T�^"�gD-Es�r�_" 565 Inlet Lane 1 Greenport, N.Y. 11944 District-1000 Section-43 Block-4 Lot-34 Inspection—Framing On May 1, 20241 verified the construction at the noted location.The verification is based upon field inspections and information from a professional inspection completed on 11/30/20.The verification covered the framing for the new garage structure.The areas verified included the enclosure and carport of the new garage.The framing work included exterior walls,ceilings and roof. The inspection results are: Items inspected included lumber type/grade,lumber size, dimensional spacing,framing connections, header sizes, bearing, continuity strapping and integration with the concrete foundation. The framing work was done according to approved plans and in compliance with the applicable sections of the IRC, NYS and Southold Town Building Codes. 1 Result—Based upon inspection of this project and to the best of my knowledge, belief and professional judgment,construction as installed complies with the plans and applicable codes of the IRC, NYS and Southold Town Building Codes. Robert 1. Qrown. f Robert I Brown Architect, P.C. 205 Bay Avenue Greenport, NY 11944 631-477-9752 Town of Southold-Building Department l ` � L2 53095 Main Road PO Box 1179 1 �, Southold NY 11971 !" MAY - 6 2024 ' Re: Building Permit Number—47986 BULDING D TTIC. 565 Inlet Lane �f Greenport, N.Y. 11944 District-1000 Section-43 Block-4 Lot-34 Inspection—Footing and Foundation On May 1, 20241 verified the construction at the noted location.The verification is based upon field inspections and information from a professional inspection completed on 10/30/20.The verification included the footings and foundations for the addition to the existing residential structure.The areas verified included the excavation, reinforcement,footings and foundation walls of the new garage and carport. The inspection results are: Items inspected included footing depth,size and reinforcement, and foundation wall size and reinforcement. The footing and foundation work was done according to approved plans and in compliance with the applicable sections of the IRC, NYS and Southold Town Building Codes. Result—Based upon inspection of this project and to the best of my knowledge, belief and professional judgment,construction as installed complies with the plans and applicable codes of the IRC, NYS and Southold Town Building Codes. Robert 1. Brown l � LA 1) 9 M AY - 6 2024 T fti4 1 FIELD INSPECTION?SEE DATE COMMENTS FOUNDATION(IST) pQ FOUNDATION (ZND) ROUGH FRAMING& PLUMBING y clu ti , INSI:LATION PER N.Y. •• -- H STATE ENERGY CODE q wt� FINAL ADD; ,'IONAL COMMENTS t35� rye 3 ; Co r-erf 10 m 5 I(o L - �•� CPit � - e y TOWN OF,SQUTHOLD- ' -- ` ' BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOTJTHOI:D;`NY 11971 4 sets of Building Plans' Planning Boa a royal.. TEL:..(631).765-1802 gf4. Pp FAX: (631) 765 9502 i. Survey Southoldtownny,gov PERMIT-NO: Check Septic Form_. �. . N.Y,S.D:E.C.• •.* Trustees c - C.O.Application . k... -EloQd Permit Examined. 20.. ra _.. _ ... '..'Single&`Seca te'' Tru mentification Form IN. Storm-Water Assessment.Form. Contact:• tc ,.•w�aZz f I�1 . . Approved ,20 Mai t to Disappwved_alc Expiration ,20 ''� L �.�U \P r• �-^� in ris``e or g P r -JUN 3'0 2020 APPLICATION ItOR'BUTLDING PE - ptl ,�a?l 1 . Dated ; .. : '. INSTRUCTIONS a:This application MUST'be.corriplet4Y filled in by-typewriter or iii init and-submitfed-to the Building Inspect6fw' ith4 sets of plans,accurate plot plan to scale.Fee according to schedule. F b..PIot,plari showing-location of lot and of buildings oti'premises relationship"to•adjoihirig'prerrtises or p6ifd streets'or areas,and waterways.. c.The work covered by this.application,may not,he commenced before48suance 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 kepton the premises available for:inspection throughout the work., _ e,'No'building shall be occupied or used in whole or in part,for any,purpoae what so'ever until the Building Inspector '"Issues a°Certificate,of Occupancy.: i :i• , f•.Every..buiklirig peririfi. hall expire if the work authorized has n6pc�ommenced;vi►ithin,42 months.after:the,date of issuance or has not been�oiiipleted within 18 months fromri�sucli date.If no zoning'amendrdents-or`:other regulations,affecting the property.have been-enaofed iri the interim,the•Building Inspecto`'r in'ay-authorize;in writing,'the•extension or the'permit for'an addition six months,eThereafter,.a new permit shall be required. APPLICATION IS MADE'to the.Buildu g Departbient for the,issuance of a Building,P.eimit pursuant to the' —..-..... .d ' Building Zone Ordinance of tlie:Towri!6f'Southold,.Suffolli;Coirttty,Wew York;;and`other applicable uws;:Ordinances or Regulations,for the construction of buildings;•.additions,or alterations orF for'remnvslor.demolition as:herein...described;The applicant agrees to comply with all applicable laws,ordinances,building code;kiousing cod and;reg atioi's;.and to admit; authorized inspectors on premises and in building for necessary inspections. ' (Signature.of t or name ifa corporation) , (Mail i g dres of app icant) , State whether applicant is owner,lessee,agent,architect, engineer,general contractor, electrician;plumber.or.builder Name of owner of premises r} !• .(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. ElectriciansUpense hla: ,�< Other Trade's License No: r 1. Location of land o which pr posed work will,be done: House Number Street amlet Block County Tax Map N6. 1000 Section Lot', Subdivision Filed Map No. Lot 2. State existing-,use and occupancy of premises'4pd intended use and occupancy of proposed>construetion: a. Existing_use„arid occupaucy *tj b. Intended use"and occupancy C3wt . 6✓w \��\'dP�Rf -,.. 3. . Nature of work(check which''applicable):New Building. Addition k Alteration Repair .-Removal Demolition Other Work (Description) 4. Estimated Cost.-,, _`SUD. 477 Fee (To be paid"on filing this ap lication) 5. If dwelling,.nurnber'of dwelling units— Number of dwelling units on each floor Al .._lf gaiage, riumber"of�`cars - � - 6. If business,,cw ercial or mixed occupancy, specify nature and extent of each type'of use. 7. Dimensions of existing structures,if any:Front BPS' Rear Depth Herghit Zlo _' Number of Stories Z Dimensions of same structure with alterations or'additions:-Front _Rear 7 ,S Depth ` ?,-Q Height- (o. i = Number of Stories—��-' 8. Dimensions of entire new constructiom Front 1'- Rear 3-S� DepthjZ•=�` 1. ru Height K,.S- Number"of-$tvrles I 9: Size of lot: Fronts Rear - lS O Depth 10:Date of Purchase o66 .:Name of Former Owner 'a. a 4 11. Zone or*use district in which premises:are 12. Does proposed constructiori,Violate any zoning law;ordinance'or regulation?YES NO 13. Will lot be re-graded?YES NOXWiII'excess fill be removed from premises?YES"" 14.Names of Owner of premise ZZ. VO`Address PD S9 Cv 0 No,," ►� �( - � Q6 Name'of Architect' z -, --- �--- 'hone _ Add�reSp Name of'Contractor T' -Ad ""` Phone No.. I S a. Is thisproperty-.within 1.00,feet of a"tidal wetlanafreshwawetlad? ,YESN O * IF,,YES;,SOUTHOLD TOWN.TRUSTEES;.&DE.C.:PEPMTS MAYBE REQUIRED:-. ,. :: .., •..: :: _'; b..Is this property:within;300:feet of a-tidal:wetland?.*YES NO IF YES;D:E.C:PERMITS:,MAY BE�REQUIRED.'; `.: lb. Provide survey,to scaie, with accurate foundation'plan and distances to property lines. 17'. If elevaiion'at:ariy point on properly is at 10 feet or below,must provide topographical data on survey. 18:Are-there ariycovenants,and restrictions-.with-respect to this property? YES NO —).—C * IF YES,PROVIDE A COPY, STATE OF NEW YORK) SS:_ COUNTY OF S u Pfo w.c o a s M G z 4 being duly sworn,deposes and says that(s)he is the applicant ---(Name of individual signing contract)above named, (S)He is the O W h-C (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; r._.a' � r that all statements contained in this application are true to the best of his knowledge and belief;and thai;the w`ork.,M1l,be performed in the manner set forth in the application filed therewith. Sworn to before me this ; 3 6 day of To i% t KAREN ROTAN 1�1ot PUbliC IC STATE,OF NE y. -SUFF,OLK,COUNTY% .. Sign46f ' t' LI�.` 01 R 066405 COMM.EXP, V I 5 FEO1 - BUILDING DEPARTMENT-Electrical Uin,%6ector TOWN OF SOUTHOLD JAN 12 2021 Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631),7.6.5 2"' rogerr(cD-southoldtownny.-gov— seand(&-southold nnv.doV* APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (AN Information Required) Date: 1-12-21 Company Name: Owner Name:Nicholas Mazzaferro License No.: email: nickmazzaferro@verizon.net Phone No: 516-457-5596 01 request an email copy of Certificate of Compliance Address.: 565 Inlet Lane, Greenport NY 11944 JOB SITE INFORMATION (All Information Required) Na-o: Nicholas rificizz-ferro I-AC41 I I 14MAIVICtO Address: 565 Inlet Lane, Greenport NY 11944 Cross Street: Manhasset Ave Phone No.: 516-457-5596 Bldg.Permit#: 44974 email: nickmazzaferro@verizon.net Tax Map District: 1000 Section:43. Block: 4 Lot: 34 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Subpanel, Lights and Outlets in Garage Additon. Subpanel, Lights and Outlets in Garage Additon. Subpanel, Lights and Outlets in Garage Additon. Check All That Apply: Is job ready for inspection?: DYES ONO Rough In [:]Final Do you need a Temp Certificate?: E]YEs Fv-1]NO Issued On 1-12-21 Temp Information: (All information required) Service Size 71 Ph 73 Ph Size: A # Meters Old Meter# ❑New Service ❑ Service Reconnect F-] undergroundE]overhead 1# 1LInderground Laterals 01 02 r--'H Frame role Work done on Service? L Additional Information: _JN 1 PAYMENT DUE WITH APPLICATION 9 Electrical Inspection Form 2020.x1sx I/ > BUILDING DEPARTMENT-Electrical;Inspec tor P oz� TOWN OF SOUTHOLD BAN 1 2 2021 Town Hall Annex- 54375 Main Road - PO Box 1176 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631)765796024- rogerr(cD southoldtownny.gov - seand(cD-southoldtownnv.do APPLICATION FOR ELECTRICAL INSPECTION, ELECTRICIAN INFORMATION (All Information Required) Date: 1-12-21 Company Name: Owner Name:Nicholas Mazzaferro License, No.: email: nickmazzaferro@verizon.net Phone No: 516-457-5596 E]l request an email copy of Certificate of Compliance Address.: 565 Inlet Lane, Greenport NY 11944 JOB SITE INFORMATION (All Information Required) M�me: Kl;^hol.-s M-z---1-rro- I MCA 1141.1, ct Q Z�Gllll- Address: 565 Inlet Lane, Greenport NY 11944 Cross Street: Manhasset Ave Phone No.: 516-457-5596 Bldg.Permit#: 44974 email.: nickrhazzaferro@verizon.net Tax Map District: 1000 Section:43. Block: 4 Lot: 34 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Subpanel, Lights and.Outlets in Garage Additon. Subpanel, Lights and Outlets in Garage Additon. Subpanel, Lights and Outlets in Garage Additon; Check All That Apply: Is job ready for inspection?: EYES r-1NO - 'Rough In ❑Final ' Do you need a Temp Certificate?: '0YES ENO Issued e'd On 1-12-21 Temp Information: (All information required) Service Size F-]l Ph F-13 Ph Size: A # Meters Old Meter# 0 New Service ❑ Service Reconnect F-1 underground ❑Overhead J# Underground Laterals I rL--'2 E:]H Frame r"Pol Work done Service? 0-( E:1 J le on Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx PERMIT# Address: /I Switches Outlets � � I � I GFI's Surface Sconces HH's uC Lts . I Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini Special: l Comments: IL Scott A. Russell °SU S�C'ORMWA TIER- VI A NAcGrIEMLENT SOUTb101DTf1�i�713AIL-P.O.33-I179 ' Town O Southold 53095 Ma)n Road-SOUMOLD,M-W Yl7RK. 11971 O� GAR 236 a S'j-()f MW,&T. FR NA GEMFM WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOES_ THIS PROJECT INVOLVE ANY OF THE FOLLOWING. (CHECK ALL THAT APPLY) ® A. Clearing, grubbing, grading or stripping of land whicb affects more than 5,000 square feet of ground surface. ❑N B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. Q c, Site preparation on slopes which exceed( 10 f eet vertical rise to 100 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. El E. Site preparatioon within the one-hundred-year f�,00dplain as depicted - ,. on FIRM Map of any watercourse. ©� F Installation of new or resurfaced impervious surfaces of 1,0 00 square feet.or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious suTf aces. If you answered NO to all of the questions above,STOP'. Complete the Applicant section below with your Name, Slgaature,Contact Information, Date-& County Taal Map Number! Cbapter 230 does not apply to your proJect. If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department witFyour Building Permit Application. S.C.T.M. 1000 t� APPLICANT tPropertylOv---r DestBrs Professions Agen�t,,�tContractor.Other) 1� District ZJ NAME I �`o"^S Qt Q \`Y B l �! W Section Block Lot FOR BUILDING DEPARTMENT USE ONLY*"'y Contact tnfotmanors �l G' � Reviewed By: - - — — — — — — — — Date- Property _ Addre.�s/Location of Constntction Work: � Approved for processing Building Permit. Zi�� �yt.`eah Stormwater Management Control Plan Not Required. 1"N ❑ stormwater management Control Plan is#tegvued (Forward to Engineering Department for RevieWJ FORM " SMCP-TOS MAY 2014 F. lilt �o Town Hall Annex �Z+� Telephone(631)765-1802 54375 Main Road a Fax(631)765-9502 P.O. Box 1179 r Southold, NY 11971-0959 �. BUILDING.DEPARTMENT. NOTICE OF UTILIZATION OF TRUSS TYPE-CONSTRUCTION, PRE-ENGINEERED . WOOD CONSTRUCTION ANDIOR TIMBER CONSTRUCTION Date: Owner: CIVAO's. 1 �a 'r(Yc� Location of Property: Please flake notice that the (check applicable'line): New commercial or residerntial,'structure`:' ' Addition to existing commercial or residential structure `Rehabilitation.,to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable.line): Truss type construction (TT) Pre-engineered.wood construction_(PW) X ' Timber construction (TC) . 'in the following locations) (check applicable line): Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (F Signature:" Name (person submitting this form): 5 VII��ZzG i Capacity'"(check applicable line): C Owner. Owner representative TrussReg15.docx Effective 1/1/2015 6" DIAMETER II REFLECTIVE WHITE REFLECTIVE, RED PANTONE #187 112" i STROKE The construction type designation shall be 611157 6611777 6411151y qV11or ccV91 to indicate the construction classification of the structure under DESIGNATION FOR STRUCTURAL section 602 of the BCNYS COMPONENTS THAT-ARE F TRUSS TYPE CONSTRUCTION jr &AF97 FLOOR FRAMING,,INCLUDING ■ ■ GIRDERS AND BEAMS ■ ■ K R�7 ..,� rROOF FRAMING BUI WN. "t, "FR?a FLOOR AND. ROOF FRAMING, STANDARDS AND CODES SURVEY OF PROPERTY N 51TUATE: 5OUTHOLD e 4 , TOWN : 5OUTHOLD W E -5UFFOLK COUNTY, NY SURVEYED 08-27-2015 S SUFFOLK COUNTY TAX # 1000 - 43 - 4 - 34 Cg,RTIFIED TO: NICHOLAS MAZZAFERRO ,' 1 BRIGITTE MAZZAFERRO LANDS END ABSTRACT SERVICES LTD Z L MANHAN5ET AVENUE a5.pha1t•'roadway P�TIL 05'00"E lu MAR 1 00.00 f ?,IIQAR ' IJAP .� �. O zS� d p O w G 31.7 32:G' - W p_/LL/ O Np l O ° _ to Q U_ p'� I U lu N 3 V LU - O 29 In In G.5'. Wz m L - - O - --- - - - -- - - - -- z Q 1`` CONC. � m N pg'yy' � L • Z PATIO i IL N 4-3 10.1' 2.1' BRICK WALK ID o r E oRAc f O ' CAI i `-2ND STORY o MAY - 6 2024 Z z N i I E. O.G'N 0.4'N N(57005100'IW 1.00.001 LAND NOW OR'FORMERLY OF: -= LORI COHEN �P�E o NE ( LAURA HELD PEZIRET too., !>L.�b F0M, 0. 05 C� STTff PLIq 10 - J -1 - 2J/ -ZIAEY�LZO PE C _y IT\)FD BY: NOTES: 'Unauthorized alteration or addition to a survey MONUMMr FOUND map bearing a licensed land surveyor's seal is a 0 violation of section 7209,sub-dlvislon 2,of'the VINYL FeMCE J O h N C. E M LE R5 LAND 5 U RVEYO R of NEB/ New York State Education Low.- , "Oked with from the original an this prve or'y V �r7 marked with an original of the land surveyor e ' stamped seal shall be considered to be valid true copies' 9- EA5T MAIN 5TREEf N.Y.5. UC. NO. 50202 h 'Certifications Indicated hereon signify that'this r Np survey was-prepared In accordance with the ex— Area = 15,000 sg.,Ft. RIVERHEAD, N.Y. 1 1901 3G9-8288 Fax 3G9=8287 * 4 by theNew York State of eA for Land of roles adopted AreaArea = 0.3444 Acres AA Lond'Surveyors. Sold certifications shah run only lonegl5landland5urveyor.com , o to the person for whom the survey is prepared, GRAPHIC SCALE- III 30 �� J� and on his behalf to the title company,govemmen— J tal agency and lending institution listed hereon,and 71/S, 502� Q. to the osslgnees of the lending institution. Certirica- 15-173 ` rJ� lions are not transferable to additional institutions 5 : H L a� r ' 4 Fe 4 ! , v , 'W to - i >� , ry y�� qq� e... yq •4; 'TM { y"+r I Y m•� ,l 9 a`Ft S �l - } t' T s•P'i , , • k .w, ek S r S . ?r vy, t� ,G:..• 1lf....'G,:,�v I\rf L-"b 0 , .: .. .... v ". .., v � .. .. _. .:- ,,may,✓' - - - ,{+ :. x•'' Lt/ 9 - - .;•$ it 4 y< it y o. 0 1. b, i 1 'zam 0 is ci r. -.r ':h �s "3 l"H 'A xpr•. t W t i 1��,'' 1. 1 -- R v r - - D Y. O . :n WiV T xl i4.,,ax x=R= sf / t� 1. 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