HomeMy WebLinkAbout30404-ZFORM NO. ~i
TO~'TNOF SOUTHOLD
BUILDING DEPY~TMENT
Office of the Building Inspecuor
Town Hall
Southold, N_Y_
CERTIFICATE OF OCCUPY~C¥
No: Z~30260
Date: 06/28/04
THIS ~'~'rIFIES that the building ~TERATION
Location of Property: 1100 ALBERTSON LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Ta~ Map No. 473889 Section 52 Block 4 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J%~ 7, 2004 pursuant to which
Buildln~ Pezmlt No. 30404-Z dated JITNE 16, 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 ENCLOSE AN EXISTING ~QEEATED PORCH "AS BUILT" AS APPLIED ~OR_
The certificate is issued to ANTHONY CORAZZINI
(O~NER)
of the aforesaid building.
Rev. 1/81
/ /u//Sign~ture
FOPdVI NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUIIJDING P~q{MIT
P~RMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 30404 Z
Date JUNE 26, 2004
Permission is hereby granted to:
for :
ANTHONY CORAZZINI
PO BOX 81
GREENPORT,NY 11944
"AS BUILT" UNHEATED PORCtt ENCLOSURE TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at
County T83c~ Map No. 473889 Section 052
pursuant to application dated JUNE
Building Inspector to expire on DECEMBER
1100 ALBEkTSON LA
GREENPORT
Block 0004 Lot No. 004
7, 2004 a/Id approved by the
16, 2005.
Fee $ 300.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPI,ICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
FoF new buildiug OF llew rise:
l. Final survey of property with aecrwate location of ali buildings, property lines, streets, and unusual natural or
topogTaphic fcatnses.
2. Final Approve! from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Frre Underwriters.
4. ~worn statement Rom plumber certifying that the so[dbr used in system cont~i~ less than 2/10 of 1% lead.
5. Commercial building, industrial btfilding, multiple refidenees and sin-dim- buildings and installations, a certificate
of Code Compliance flora arclutcct or engineer respo~sible for th~ building.
6. Submit planning Board Approval of completed site plan requirements.
.For e~stiag4mitdings~pr4or to~pril 9,~957) no~confot~iag~u:c:, orbaildm~-and-'~pre-existin~'land uses:
L Accurate sut-vey of property showin~ all property lines, streets, building and unusual natural ns topographic
features.
2. A properly completed application and cousent to iuspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shaIl state the reasons therefor in writing to the apple, ajar.
Fees
1. Certi~cat~ ~f ~cupancy ~ New dwe~ing $25~ Additi~ns t~ dwc~ing $25~ A~terati~ns t~ dwc~ing $25~
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. CertificateofOccupancyonPre-existingBuilding- $100.00
3. Copy of Certillcatc of Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15_00
New Co~tmctien: ~ Old or Pre-existing Building:
Hous~ No. S~t
O~er or O~m~ of Prope~: ~ C ~ ( ~ ~
S~fo~Co~ T~ ~p No 1000, S~tion ~' Block
Su~i~sion Filed Map. ~t:
H~ D~t. ~pro~l: Undg~tem ~m~:
Plan.lng Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~-~ ~ , 0 0
(ehe~k one)
~ Hamlfft
Mark K. Schwartz, AIA Architect, PLLC
Cutchogue, New York 11935
Phone: (6.31) 734-4185
F~x: (631) ~-4185
June 23, 2004
$outhold Town Building Depai'm~ent
Ivlam Road
$outhold, New York 11971
Re:
Corazzini House - enclosed porch
1100 Albertson Lane
Greenport, New York
Permit # 30404
To Whom This May Concern:
On June 17, 2004, I inspected the aforementioned enclosed porch and certify the existing
conditions of this structure, to the best of my knowledge, meet or exceed the New York
State and local code requirements in affect when .it was built in 1995.
Please call this office if you have any questions or require additional information_
Very truly yours,
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
JIM SAGE ELEC. INC.
P.O. BOX 38
GREENPORT, NY 11944-0038,
ANTHONY CORAT?INI
1100 ALBERTSON LA
GREENPORT. NY 11944
Located at
1100 ALBERTSON LA GREENPORT, NY 11944
Application Number: 2004599
Certificate Number: 2004599
Section: Block: Lot: Building Permit: BDC: NS11
Described as a Residential 600-I 199 square ft. occupancy, wherein the ~remises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Outside,
Wiring and Devices
Outlet 6 0 Fixmre
Fixture 6 0 Incandescent
Outlet 6 0 General Pttrpose
Receptacle 4 0 General Purpose
Switch 3 0 General Ptzrpose
Dimmers 1 0
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 requirerflents 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 3rd Day of .hme, 2004.
OTY Rate Rafi~g Cimuit Type
.&n as built inspection, of the delineated electrical installation, determined that an obx4aus hazard is not present and the installation is believed to
be in comformance with the applicable reference stv. ndxrd for the estimated period of construction of the prenfises wiring s3,~tem.
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
Owners Name:
Architect/
Engineer:
SCTM
District. I~000 Section: ~-~'" Block' _
I.ocation' ]
Single 8: separate Required
cerlificalion: (Yes / No) f
Req
Project Description: /4"I ~"
Date
D ate
Submitted:
Subdivision '
Name:
REOUIRED FOR REVIE%V
Suffolk County Health' Dept.
New York State D. E: C_
Town Trustees
To,a.a Zoning Board approval:
Town Plfir nlng Board approval:
Flood PIane Elevation ???
Flood Zone:
Req.
Pro~ose~: [~/ _.A- 2IRe. as Yard' Prol~sed' ~
'Permit .
NO YES · Number
NOtes:
765-1802
BUILDING DEPT.
INSPECTION
[ [ ] ROUGH PLBG.
[ [ I IN..~ULATION
[ ['~INAL
[ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~' ~~'~ /~ ;~,~/
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
DATE
INSPECTOR~
~ELDINSPECTIONltEPORT[ DA. TE[ COMmeNTS ''
FOU~IDATION (1ST)
FOk~ATION (~) U ~
ROUG~ ~O & ~ ~ ~
PL~G ~
~S~.~O~ P~ N. ¥. ~
STA't E ENERGY CODE
, , ,.~,~7~. ~.~ k~ ~
F~
~D~'~iO~ CO~S ~
m
TOWN OF SOUTHOLD
BUILDING b~£PART~IENT
TOWN
SOUT~OLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/S outhold/
Examined
Approved ~ , 20 c~,~
Disapproved a Jo
Expiration
PER3HT NO.
BUILDING PER_Ix,HI APPLICATION CHECKLIST
Do you have or need the follo,~ing, before applying?
Board of Health
4 sets of BuildmgPlans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUH.DING PER3'IIT
Date
INSTRUCTIONS
a. This application h~UST be completely filled in by t520ewriter or in ink and submitted to :he Building Inspector with 3
sets ofplam, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and o£bmldings on premises, mlation.ship to adjoirdng premises or public streets or
areas, and waterways.
c. The work covered by this application rrmy not be commenceld before issuance ofBal_ldln$ Perm/t.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
s/mil be kept on the prennses available for inspection throu~aout the work.
e. No building shall be oeenpied or used in whole or in part.for an), purpose what so over until the Building Inspector
issues a Certificate of Occupaucy. "~.
f. Every buUding permit shall expire if the work authorized has h~ot commenced within 1 2 months after the date of
issuance or has not bean completed wittfin 1 8 months from such date. If no zoning amendments or other regulations affecting, thc
property have been enacted in the interim, the Builcling Inspector may ~uthorize, in ,~ting, the extension of the pet,,,it for a~
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS FI~REBY I~LADE to the Build~ug Department for the issuance of a Bu~2ding Permit pursuant to the
Building Zone Ordinance of the Town of Senthold, Suffolk Counly, N~w York~ and other applicable Laws, Ordinances or
Re,inflations, for the construction of buildin~, addi~ons, or alterations or for rcmovaI or demolition as hcrcin 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.
(Sig~aturt of appncanr or name, tra corporation)
(Mail~g~ddr~ss of abphcant) ~/
State whether applicant is owner, l~s~e, a~n,, archi[,,,.[, engineer, general corn'-factor, eiectnciam plumber or builder
Name of owner of premises k~ ,'-3c~,~'~,~..~Ut .'T'~.(_~_l (~ [ ,wy~_~.~ l'lf'~ i
(As on"-'the tax roll or latest deed)
If applicant is a corporation, signature of duly 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 Strcct
Hmnlot
County Tax Map No. 1000 Sect/on
Subdivtsion
(Name)
Block
Filed Map No.
Lot
Lot
2. State exisfiag use and occupaacy of prermses and intend ,~t, use and occupancy of proposed eons~ion:
b_ intended useandoccupaney ~f/~f).?~.~-._~)~f~'~
3. Nature of work (check ~rhich appticable): New Building. ~dditi0a Alteration
Repair Removal Demolition Other Work
4. Estimated Cost
5. If dwelling, number of dwelling traits
if garage, number of cars
Fee
(Description)
(To be paid on filing this application)
Number o.f d~velling units on each 'Floor
6_ If business, commercial or mixed occupancy, specify nature and extent of each type of use_
7. Dimensions of existing structures, if any: Front
HeigN[ , Number of Stories
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stodes
R?ar
$. Dimensions o f cntke new construction: Front Rear
Height Number of Stodes ,
Depth
9_ Size of lot: Front Rear
10. Date of Purchase /9(..~,~ Name of Former Owner
11. Zone or use distr/ct in wh/ch pzemises are situated
12_ Does proposed construction v/olate any zon/mg law, ord'mance or regulation? YES__ NO ~
13_ Will 1o~ be re-graded? YES__ NO [/'~Will excess fill be removed from premises? YES__ NO__
N~ne of Archkect fJ Address I t '
Name of Contractor Address I
15 a_ Is this property with~ 100 feet ora tidal wetland or a freshwater ~vetland? *YES __NO ~
* ~ YES, $OUTHOLD TOWN TRUSTEES & D.E.C. PE1LMITS MAY BE R_EQU UG~D.
b. Is tkis property wiLkin 300 feeec of a tidal wetland? * YES i NO__
* De YES, D.E.C. PERMITS MAY BE REQUIRED.
PhoneNo. "~--/-7' 1.~4~ .
Phone No
Phone No.
16_ Provide surrey, 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 topo_m:aphical data on survey.
STAA'~ OF NEW YORK)
SS:
couwr
~¢lc-~}~M/~ [~U~k · b~mg d~y sworn d~os~ ~d sa>rs ~at (s)he is ~e apphc~t
~e of m~md~ sz~mg con~above ~, ~
(Contractor, Agent, Corporate Officer, etc_)
of said owner or owners, and is duly authorized to perform or have performed the said work mad to make and file this appllcatio~;
that all statements contained in this application arc true to the best ofh/s knowledge end belief; mad that the work wil/be
performed in the mariner set forth in the application fried therewith.
......... · s J~ig~ature o~A~plic~nt