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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