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HomeMy WebLinkAbout29799-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAi~CY No: Z-30199 Date: 05 14/04 T~IS CERTIFIES t~t the building Location of Property: 26815 MAIN RD HOUSE NO. County Tax,ap No. 473889 Section 109 Subdivision Filed Map No. ALTERATIONS CLvfCHOGUE STREET) (HAMLET Block 2 Lot 15 Lot No. conforms substantially co the Application for Building Permit heretofore filed i~ this office dated OCTOBER 10, 2003 pursuant to which Building Permit No. 29799-Z dated OCTOBER 10, 2003 was issued, and conforms uo all of the requirements of the applicable provzslons of the law. ~he occupancy for which this certificate is issued is INTERIOR ALTERATIONS TO EXISTING SINGLE F3LMIL¥ DWELLING AS APPLIED FOR. ~ne cem~tificate is issued to RICHARD P & NANCY CINCOTTA DWNER) of the aforesaid building. SUFFOLK COI/N~TY DEPi%RT~ENT OF ~IEALT~ A~PROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A 115676( 04/29/04 05_/10/04 K&R PLL~MBING & HEATING //ut~zed S~naEure Rev. 1/81 FORM NO. 3 TOWN OF SOUTBOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PER~IT NO. 29799 Z Date OCTOBER 10, 2003 Permission ms hereby granted RICHARD P CINCOTTA 26315 MAIN RD CUTCHOGUE.,NY 11935 for : INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 26815 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0002 Lot No. 015 pursuant Building to application dated OCTOBER Inspector to expire on APRIL Fee $ !50.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~ALL 765-18~}2 AP?LICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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 formL 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar builcrmgs and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plarm/ng Board Approval of completed site plan requiremems. For existing buildings (prior to April 9, 1957) non-conforming uses, or bultdlngs 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. Co 1. Certificate of Oc~zpancy - 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 - $I00.00 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: Location of Property: Owner or Owners of Property: ~ /~ Suffolk County Tax Map No I000. Section Subdivision Health Dept. Approval: ,/' Old or Pre-existing Building: (check oriel House No. Street Hamlet Block Filed Map._ o ) o~ Applicant: Underwriters Approval: Date of Pmmit. Planning Board Approval: Request for: l'emporary Certificate Fee Submitted: $ Final Certificate: ~/ (check one'l Applicant Signature Town Hail. 53095 Main Road P.O, Box 1179 Southold. New York 11971-0959 Fax (631) 765-9502 Telephone(631) 765-1802 BUILDING DEPARTMENT TOWN OFSOUTHOLD CERTIFICATION Building Permit No. ~ "/ Owner: ~ \ C \SPrf,~ ~ (Please print/ Plumber: }4~..~[ P[~Z~'~,~ .... * (Pleas; pr{n lead. I certif~v that the solder used in the water supply system contains less than 2/10 of 1% ~ - (Pl~bers ~i~af~e) Sworn to before me this { () dayof ~.~ , 200~ Notary Public. County LYNDA M. BOHN NOTARY PUBLIC. State of New York No. 01 B06020932 Qualified in Suffolk County Term Exoires March 8.20¢_~ BY TH,$ OERT,FK::;ATE OF COMPL,ANCE THE NEW YORK BOARD OF F R1E UNDE RWR tl R$ E3URIIEAU OF ELECTRiCiTY 40 FULTON STRE~ - NEW YORK, NY 10038 CERtiFieS THAT Upon the application Of upon premises owned by REP ELECTRIC P.O. BOX 635 MA'I-FITUCK, NY 11952, RICHARD ClNCOTTA 26815 MAIN ROAD CUTCHOGUE, NY 11935 Located at 26815 MA!N ROAD CUTCHOGUE, NY 11935 Application Number: 1196760 Certificate Number: 1196760 Section: Block: Lot: Building Permit: 29799 BDC: ns11 Described as a l~esidenfial occupancy, wherein the premises electrical System consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, Second FlOor, Outside, Attic, A visual insPection of the Premises electrical system, limited to eleCtriCal devices and wiring to the extent detailed 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 authority having jurisdiction, and found to be in compliance therewith on the 29th Day of April, 2004. Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Exhaust Fan ?ahems Wiring and Devices Receptacle Switch Fixture Paddle Fart Receptacle Service i Phase 3W Service Rating 200 Amperes Service Discom~ect: Meters: 1 I 0 4 0 2 0 13 0 13 0 3 0 3 0 2 0 100 Carbon Monoxide Smoke F.H.P. 10 General Purpose General Purpose Incandescent GFCI 1 200 cb seal 1 of 1 This certificate may not be altered in any way and is validated only by the preSence of a raised sear at the location indicated. MARTIN F. SENDLEWSKI, A.1.A. ARCHITECT -- PLANNER Apr~I 12, 2004 Town of Southold Building Department Box 1 t79, Main Road Southold NY 1971 Att: Mr. Gm'y Fish Re: Cincotta Residence-ZB # 29799 Dear Mr. Fish, Please not~ that the follow/rig changes to the above noted project have been reviewed by this office and are acceptable and meet the reqtfirements of the NY State Code: Second Floor Ex/sting (full d/mens/on) 2" x 8" floor jd/sts (2 locations, w/thin 2' of beating partition below) that were top-notched and cut- into improperly for plumbing lines (by others) were sistered w/th a new 2" x 8", naJled together, both joists may remain, w~th the fullow;mg reinforcement (as installed by the bu/lder'/ Add 2-1" x i" x 3/16" steel angles, 24" long (one at each side of doubled jd/s~ top) to each damaged id/st. Fasten angles to jd/sts w/th ~.~mum 3/16" d/meter x 1-1/4" long screws at 4' on center, stagger screw holes along top and side flanges. office. M27S/dm Should you lmve any c ......: .... , ...... , ....... ~ase feel free tc contact th/s 215 ROANOKE AVENUE [] RIVERHEAD, N.Z 11901 [] (631) 727-5352 [] FAX (631 ] 727-5335 BUILDING PERMIT EXAMINER CBlgCKLIST APPLICANT: ~ror~, KSh~'~ ~ ½~c¢~b SCTM# DISTRICT: 1,000, SECTION: _2~oo , BLOCK: ~ , LOT: DATE REVIEWED: ~o o /03 DATE SUBMITTED: /o, ~o/03 1 ~ SUBDPe'ISION~¢c~ CITY: ADDRESS: BU][LDING PERMITS OPEN/EXPIRED: PRE CO: Y ORN BP -Z / C '0 Z- . INFO ,/~ BP ZONING DISTRICT: - CONFORMING? -Z C/0 Z- , INFO / SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF 400-24. Lot recognition.(CRE~TED before June 30, 1983j, UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. iA nonconforming ar any hme arm- 7/1/83 REQ. LOT SIZE: ACT. LOT SIZE: ~i,4-~o REQ. LOT COV. ~oP ACT. LOT COV. REQ. FRONT PROP. FRONT ~ REQ SIDE ~ ACT. SIDE RE Q. REAR - PROP. REAR REQ. HEIGHT ~ PROP. HEIGHT PRO3ECT DESCRIPTION:~'~9~0~-' ESTIMATED PROJECT COST.~ ~r ~/ENGINEER:~=~x~r~ '_G__~ WATER FRONT? ~,~ DESCRIPTION: - ~ PANEL ~ FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or 1~ (BED #): TOWN SEPTIC RECEIPT: Y or~) NEW YORK STAT~ DEC: .va~4mc 9n/Ts. YES or{~3 SOUTHOLD TOVVN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES TOWN PLAN. BOARD APPROVAL: YES TOWN ItlSTORICAL PRE (SPLIA): YES or NO DTE: __/ PERMIT #: DTE: PERMIT s: DTE: PERMIT #: DTE: PERMIT ~: , DTE: PERMIT #: NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): ~or NO NOTES: FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: L C SF)- ( _SF)= SF X $ 2. ( SF)- ( .SF)=. SF X $ __ 3. ( SF]- ( SF)= SF X $ __ SF SF SF SF 1NIT SF FEE =$ =$ =$ OTHER TOTAL FEE FEE +$ +$ = $ +$ +$ = $ +$ +$ ~Q [ ] ~{~AT~{~ ~ [ // / [ ] ADDI'I'iOKAL COi~I~!TS TOVCN OF SOUTHOLD BUILDING DEPA~T1V~ENT c0'~ - ~ SOUTHOLD, ~ 1197~ ~ TEL: (63~) 765-1882 [ ....... _ ; .. ,~ F~: (631) 765-9502 ~. northfork.neffSou~ot~ PE~T NO. ~qqq~ ~ Examined /o/t o ,20 9~ Approved ~ /~ ,20- ~ Disapproved a/c Expkafion BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Build/rig Inspector Mail to: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~) ~- ~/~ Tx>o~ ,20 ©3 a. Tins application MUST be completely filled in by typewriter or in ink and submitted to tSe 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. a. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suct~ a permit shall be kept on the premises available for inspection throughout the work. , e. No building shah 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 ;vithin 12 months after the date of issuance or has not been completed within 18 months fi.om 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 I-IEP,_EBY 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 ail applicable laws, ordinances, building code, housing code. and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si~aS~ure of applicant or name, if a corporation~ (Ma/I/ns aadress of'applicant~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofprem~ses ~/c-'~-ihaTAD ~. &~,,~ ~"-e-~x ~~- C~,'-[ (As on the ta~ll or Iatest deed5 If applicant is a corporation, signature of drily author/zed officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block ?? .,.vt3~-. t~;,r,3 .Il ~- Filed MapNo: --: ~ot State existing use and occupancy of premises and inranded use and occupancy of proposed cons.,truction: a. Existing use and occupancy ~ b. Lntended use and occupancy Nature of work (check which applicable): New Building Repair Removal Estimated Cost ~ ;go, DC_PoD If dwelling, number of dwelling units If garage, number of cars ~ [ Addition Alteration Demolition Other Work (Description] Fee (To be paid on filing this ap~ication~ Number of dwelling units on each floor 6. If business, commemial or mixed occupancy, specify nature and extent of each type of use- 7. Dimensions of existing structures, if any: Front ~o~ Rear ~:D ~ JDepth Height Number of Stories 3 Dimensions of same structure with alterations or additions: Front %~wv,_~ Rear Depth ~Y-r,~'~- Height S-/¥w~'~ Number of Stories ~- - 8. Dimensions of entire new construction: Front r&I/;~ Rear _Depth Height Number of Stories 9. Size of lot: Front Rear 10. Date of Purchase / ~t OL~ I 00 Name of Former Owner 11. Zone or use distr/ct in which premises are situated ~¢' clO Depth 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 14. Names of Owner of premis~es.~ ~b ¢ C~¢ uw'q~Address ¢ ~¢,x-o:~o~uz p~one No. NameofArchitect ~V~ ~,4, ~x~DL~v~s~o~ Address ~,~¢O ¢,4v~oneNo Name of Contractor %fiq 6~ 6,~ ~3 Address ¢6Ov,&-2~4: ocxcuo ~ Phone 15 a. Is this property ~4tbJn 100 feet of a tidal wetland or a freshwater wetland? *YES * L~ YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. is this property within 300 feet of a tidal wetland? * YES NO__ * 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 ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual s~Lming contract) above named. (S)He is the (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 f'de 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 perr'ormed in the manner set forth in the application filed therewith. Sworn to before me this r~ dayof 20 ~-~ LYNDA M. BOHN ~OTARY PUBLIC, State of N~w Yor~ No. 01 BO6020932 Qualified in Suffolk County Term Expires March 8, 20~_.~ Signature of Applicanl