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HomeMy WebLinkAbout30233-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30187 Date: 05/11/04 THIS CERTIFIES that the building ALTERATON Location of Property: 325 FOUR WINDS CT SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 6 Lot 13 .33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 2004 pursuant to which Building Permit No. 30233-Z dated APRIL 12, 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 ALTERATION OF UNFINISHED ATTIC SPACE OVER GARAGE FOR NON-SLEEPING HEATED REC/STORAGE ROOM AS APPLIED FOR "AS BUILT" . The certificate is issued to ANTHONY & HEDY LAVIOLA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2000041 05/06/04 PLUMBERS CERTIFICATION DATED N/A W Authorized Si ature 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. 30233 Z Date APRIL 12 , 2004 Permission is hereby granted to: ANTHONY & HEDY LAVIOLA 325 FOUR WINDS CT SOUTHOLD,NY 11971 for AS BUILT ATTIC ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ADDITIONAL CERTIFICATION WILL BE REQUIRED. at premises located at 325 FOUR WINDS CT SOUTHOLD County Tax Map No. 473889 Section 088 Block 0006 Lot No. 013 . 033 pursuant to application dated APRIL 9, 2004 and approved by the Building Inspector to expire on OCTOBER � _I 20 Fee $ 300 . 00 / �Yu thorized Signature ORIGINAL Rev. 5/8/02 ' Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 �1Y 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. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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 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. Certi,f tate of Occupancy-New dwelling$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. New Construction: Old or Pre-existing Building: (check one) Location of Property: 3 �5 r7pL4(�' W 1/4dj G / 1w /I``� House No. Street / Ha nl� Owner or Owners of Property: !"�'�`� � ���y 1 4l�//y L/� Suffolk County Tax Map No 1000, Section Block d d U 45" Lot Subdivision d A1C.Vl 4(j,e es Filed Map. Lot: 2 Permit No. 3a. �`7 Date of Permit. L t' Applicant: )A/jj,,1,4 f )41141 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: l/ (check one) Fee Submitted: $ S7. U r GDf_ Applic t Si ature Q_13 ? 301 �� un 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS S S S SBUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 SCERTIFIES THAT 5 5 S 5 Upon the application of upon premises owned by S 5 c5 SANTHONY LAVIOLA ANTHONY LAVIOLA 5 5 325 FOUR WINDS CT 325 FOUR WINDS CT SSOUTHOLD, NY 11971 SOUTHOLD, NY 11971 5 5 Located at 325 FOUR WINDS CT SOUTHOLD, NY 11971 S 5 5Application Number: 2000041 Certificate Number: 2000041 5 cS 5 5 Section: Block: Lot: Building Permit: 5 302332 BDC: nsl1 5 Described as a occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Second Floor, 5 5 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 6th Day of 5 May,2004. QTY Name Rate Ratinr� Circuit Twe 5 5 5 Miscellaneous 5 as built 2003 5 5 boxes opened for inspection 5 5 Alarm and Emergency Equipment 5 Sensor 1 0 Smoke 5 Wiring and Devices 5 5 Receptacle 10 0 General Purpose 5 5 Switch 1 0 General Purpose 5 5 Fixture 6 0 Incandescent ,CD] SAn as built visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the instailabon is 5 believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wii in&system. 5 S 5 5 5 5 5S 5 seal 5 5 S 5 1 of 1 5 S S 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 ���� ■■■■■■■■■■■■■■■■ O M■■■■■■■■■ ■■■■■■■■■■■■■■■■ V,■■■■■■■■■ ■■■�■■■■■■■■■■■■r■■■■■■■■■■ ■■■ MMMOMMMEMOOMMMOMMMMEM ■■■■■■■■■■■■■■■■■■■■ ■■■■ ■■■■■■■■■■■■■■■■■M■■■■■■■■■ ■■■■■■■■■■■■■■■■■■rIIIE■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ Basement Ext. Walls r • I , f �� •• FirePlace Woodstove i Dormer -� sL,•1 11.53 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET -.32 VILLAGE DIST. SUB. LOT 3 ( d rp .5 . ACR. I �3 REMARKS f } TYPE OF BLD. Lhana p3 (T1e ^dof PROP. CLASS QC1 Ia ! OGtC lS 3 -t d z. 2-7,?-33 IVe,W -` A17 LAND IMP. TOTAL DATE Z+lS kpo 7,775 - � --- E o Z 3 1 ZQ 13 Itc FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL 1 WRVEY OF LOT #31 'MAP OF ANGEL 5HORES" N FILED 8-23-85 AS #g72a SITUATEb BAYVIEH W E TOWN, SOLM40LD 2�t 3 ' ;-5 IG <2 SUFFOLK COUNTY, NY 5URVEYED 04-20-00 Icnt•w,qi FOUNDATION 02-19-02 FINAL Oq-23-02 SUFFOLK COUNTY TAX LOTp 1000-bb-b- 13.33 GERTIFIED TO: Anthony L&Aola Hedy LaVlolo Peconw Abstract Inc. toto�<a V C�/I � F 0-1 115 Lot#31 CQ 3s. a, YV• � _ 11 � NT _ _ _ .J •� _ � -Id yy,TER RVI ' 381'S9'�° Lot#33 NOTES: F�bANo SVP .........« ....-......,.- .... STAKE AREA - 3073 SF OR 0.13 ACRES JOHN C. EHLERS LAND SURVEYOR« 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE I"= 40'_ RIVMUMAD,N.Y.11901 369-8288 Fax 369-8287 MP wrvft%M0S120-137D.pro BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: // /L194 APPLICANT: DATE SUBMITTED:-417�/04 SCTM# DISTRICT: 1,000, SECTION: iT , BLO K: , LOT: /?l3 SUBDIVISION: K/: ADDRESS: ` '-" �/ . CITY: ZONING DISTRICT: r. CONFORMING'? BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z/ C/0 Z- , INFO /BP -Z/C/0 Z- , INFO BP -Z/ C/0 Z- , INFO T� /BP -Z/C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,19831,,UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83 REQ. LOT SIZE: ACT. LOTS REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. F NT REQ SIDE ACT. SIDE REQ. REAR PRO . REAR REQ. HEIGHT PROP. HEIGHT PROJECT DESCRIPTION: ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: WATER FRONT? DESCRIPTION: PANEL # FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE: / / PERMIT #: TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO DTE: / / PERMIT #: SOUTHOLD TOWN TRUSTEFS: YES or NO DTE: / / PERMIT #: TOWN ZONING BOARD APPROVAL: YES or NO DTE: / / PERMIT #: TOWN PLAN. BOARD APTROVAL: YES or NO DTE / / PERMIT #: TOWN HISTORICAL PRE (SPLIA): YES or NO NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: 7 `eer 4, "-� , FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( SF)- ( SF)= SF X $ _$ +$ +$ _ $ 2. ( SF)- ( SF)= SFX $ _$ +$ +$ _ $ 3. ( SF)- ( SF)= SF X $ _$ +$ +$ _ $ FINAL TOTAL: $ ?-0`' NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed: 120MPH Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M Design Temp: 11 Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE:Y/N DESIGN LOAD CALCULATIONS: Y/N LIVE: Y/N DE*D: Y/N SNOW: Y/N SEISMIC: Y/N WIND: Y/N WINDOW ANDDOOR SCHEDULE: MISSMYEST REQUIREMENTS: Y/N f EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) :�O6� 33 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING AL [ ] FIREPLACE 8 CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS• j (�21 12 L !��Xoo J-J�2� DATE -V-/3 INSPECTO c r INSPECTION REPORT DATE COMMENTSOUNDATION(1ST) _ — W ----------------------------------- FOUNDATION(2ND) � z ROUGH FRAMING& PLUMBING H INSULATION PER N.Y. r STATE ENERGY CODE CalFINAL a� ADDITIONAL COMMENTS o C ` s0 z m X o � 1� (� Z x �n ►o H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. _�0�2 3 5� �Check Septic Form N.Y.S.D.E.C. � Trustees Examined � /Z ,20� Contact: Approved z ,20__� Mail to: 3.)Y 60012 1(//.VO e ---�Disapproved a/c SvU Tl► vy /`/v Phone: 6 3 i— 7 65- ds-9 / Expiration ,20 Building 4Kspector APPLICATION FOR BUILDING PERMIT Date , 20 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 for 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 for necessary inspections. lz�� w (Signature appl cant or name,if a corporation) Sas )r0u r2l,U,vvdsC� s�L,7�ol�I A./y //9)C (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises �Q X/ nc �i-Z L/g( /O /fq (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: 3 J S_ Fo(4 2 162iAO S G7' House Number Street Hamlet County Tax Map No. 1000 Section 0 D • 0 d Block 0( , 00 Lot 0/ 3 , 033 Subdivision Filed Map No. Lot (Name) r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:, a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration V/ Repair Removal Demolition Other Work S (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units J 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 Depth _ Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO /rn�i7wy-` (,r'►I/toL� 3.2,S- Fo144 &iNOf C7` 14. Names of Owner of premises,#,o�r/hi Lo✓a Lu Address .5a,L1,,/,j 4V Phone No. 7d5 d ry f Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland o ,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 I * 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: COUNTY OF fV a 954 X111 all �/1�y L/¢ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is theC-- 2 (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 I day ofl4lv1 C 11 200 q otary Public Signature of Applicant 1 WRVEY OF LOT #31 'MAP OF AN6FL 5HORES" N FILED 8-23-a5 A5 #11I'T24 SITUATE, BAWEK w e TOWN SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 04-20-00 h"I�c t y i r.�iLA I•i,j iS FOUNDATION 02-19-02 FINAL 09-23-02 SUFFOLK COUNTY TAX LOT+I 1000-88-6- 13.3'3 CERTIFIED TO: Anthony LoVlolo Hedy LaViolo PecoMG Abstract Inc. tot s8 1,ot#31 CQ 10 lba qT—_`. . 'fir^O• R w - 138.81' S81°59'�� Lot#33 NOTES. SF0IANo SSP ..«..«....::...«.:....:.. . , STAKE AREA =3013 5F OR 013 ACRES JOHN C. EHLERS LAND SURVEYORw 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE 1"= 40' _ RIVERHEAD,N.Y.11901 369-8288 Fu 369-8287 \\Hp smva' ft0S\20-137D.pro >ivozAl Vo,� OF�IGC Yo -s-N - rz�ez �� S��Hz1� z.T-a2 z rN4o� r l ao rd2 UNDERWRITERS CERTIFICATE yf51dC� AA v *y REQUIRED fl rsA os at -oaf APPR VED AS NOT9ED ` "'" s� DATE: `��' B.P.4 34 FEE: 7fi T78B2B81AMNTO U4 PM FOR THET OCCUPANCY OR FOLLOWING INSPECTIONS: USE IS UNLAWFUL 1. FOUNDATION - TWO REQUIRED J FOR POURED CONCRETE WITHOUT CERTIFICATE 2. ROUGH - FRAMING & PLUMBING OF OCCUPANCY 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPILE FE FOR CO ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEWD���� YORK STATE. NOT RESPONSIBLE FOR vl DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF I I -- -- SOUTHOLD TOWN ZBA - - SOLTHOLDTOWNPLANNINGWAAD - SOUTHOLDTOWN TRUSTEES N.Y.S.DEC INSuLt�Tto I fl FLOOD ZONE k ee wALL s; s COMPLY WITH CHAPTER"46" _ _ - DAMAGE PREVENTION SOUTHOLD TOWN P`� VENT 1xoR WN CODE. . ?i3 LvL, —IN 1SHEA I 3.5 5H!'F CS 'AAGE . 'REA T -pM !n !� �f L3F Dome' .� w2 I T (�� I I NOTE = — KKe"rT 9.19 1 �UrLQrN G _pkRM R "21933zr bR rMr l§vBovED P' LANS #00 I� PQ &14"76➢, .� o! ,A'Nji7Coow , - / - - - CV✓'595 2 55 THE FfNAL IN`rG '?p Mfq.t. (4ge Yt. Have 5273 NKx- c L OF ,,UNnK1"G W 2, EN EtyY �P �.DEEq (FRAMEf)� IMSUL.ATf9a SU S, '�•I;L.EG7RIC CO z?y6Z5 �__I 7 � �O 11+15 R A An Oa-JO_ AL.� ro 1�/fy w TR $E FIN,SNGg " .� R �a NorF: DAKK LINt5' T0 )3E ?)DN E' I(? P6bJCT-tDjA RUIJSL DUP.O(ANY do 072 2 SPE�(FiCRT19H5 d� NSIGNor1TH.l OFESSION� FI-(\N VVIT'N OUT WTSIVCH CONSLN-T M-91.9 hR NQS. AhLTN4NY Lh _YfpLPI ALT_ LA 1/1'.OL.A �[oMG4 li R•1'95'VR Pra MRAs i5 'JG '`t —