HomeMy WebLinkAbout30292-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
i
CERTIFICATE OF OCCUPANCY
NO: Z-303.85 Date: 08/27/04
THIS CERTIFIES that the building ADDITION
Location of Property: 7410 MAIN BAYVIEW RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 7 Lot 52
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 30, 2004 pursuant to which
Building Permit No. 30292-Z dated MAY 6, 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 READ DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to RICHARD L & SUSAN CAGGIANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
�
Au rized Si ature
Resp. 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_ 30292 Z Date MAY 6, 2004
Permission is hereh1 granted to :
RICHARD L CAGGIrNO
7410 MAIN EA'sVIEW RD
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A REAR DECK ADDITION AS APPLIED FR
at premises located at 7410 MAIN BAYVTEW RD SOUTHOLD
County Tax Map No. 473689 Section 073 Block 0007 Lot No. 052
pursuant to application dated APRIL 30 , 2004 and approved by the
Building Inspector to expire on NOVEMBER 6 , 2005 _
Fee $ 150 . 00
i
Auth rized Signature
ORIGINAL
Rei.. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TORN HALL '- i_; ° 'j j V,
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY CAT"
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
i 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 1% lead.
5. Commercial building, industrial building,multiple residences and sirrular buildings and installations, a certificate
j 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.
i C. Fees
l 1. Certificate 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. "` ) -64
_
New Construction: Old or Pre-existing Building: (check one) p
Location of Property- lrUttaui
House No. Street Hamlet
Owner or Owners of Property: ( t lf:i Cf - �r l}'[ (ai% c
Suffolk County Tax Map No 1000, Section Block Lot }
Subdivision l Filed Map. 1/Aann Lot: l�'(I"7
PermitNo �� Date of Permit.__ Applicant:
Health Dept.Approval:�%� a -'
p Underwriters Approval: rVL
Planning Board Approval: ly t
Request for: Temporary.Certificate_ Final Certificate 4 (check on
JO Y
Fee Submitted: $ fJ5
Je f O
t ApplicantYgnature
C0 -�
BUILDING PERMIT M IINER CHECKLIST
DATE REVIEWED: S / X1!04
APPLICANT: ^I _ DATE SUBh1ITTED: �r:, S :'04
SCTD19DISTRICT: 1.000, SECTION: 3, BLOCK: -? LOT: Sy SJBDWISION:
ADDRESS: l pp_w CITI': _ZONING DISTRICT: __ CONFORMING? kb
BUILDING PERMIT'S OPEN/EXPIRED: PRE CO: VOR N
BP -Z/C/O Z- INFO BP -Z,' C/0 Z- INFO
BP -Z/C/0 Z--_, INFO ;BP -Z!C/0 Z- INFO
SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES:
LOTS 40,000SF-100-4.Lot ruognition.(CREATF.D before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(4 nonconforming at any time after 7i
1�
' i3
REQ. LOT SIZE: ACT. LOT SIZE' ' t Q. LOT CO '. 062 ACT. LOT COV
REQ. FRONT
--3j_� PROP.FRONT REQ�`E 2j CT. SIDE _
REQ• REARr�� PROP. REAR �� REQ: HEIGH PROP. HEIGHT
PROJECT DESCRIPTION: f _
ESTIMATED PROJECT COST L- "ARCHITECT NGINE
WATER FRONT? DESCRIPTION: PANEL # FLOOD ZONE:
APPROVALS:REOUIRED
SUFFOLK COUNTY HEALTH D : YES o O, I BED #): _DTE: ;_ i_ PERMIT#:
TOWN SEPTIC RECEIPT: Y o
NE'VV YORK STATE DEC: PRE-DEC 9,'1/75I'ES or O DTE: _ PERMIT#:
SOUTHOLD TOWN TRUSTRE� E S: YES o O DTE PERMIT #:
TOWN ZONING BOARPsAPPROVAL: YES DTE: /_i PER-N1IT#:
TOWN PLAN. BOARD'APPROVAL: YES o DTE: _/_% F'En'11T#:
TOWN HISTORICA PRL+' (SPLIA): YES
NEW YORK STATE CODE COMPLIANCE (SEE IAGE 2( 1'$S NO
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR:_ SF
OTHER: SF INIT OTHER TOTAL
TOTAL: __-s2�j SF FEE FEE FEE
1. ( 3 SF)- (--SF)= SFX S-
2. (
2. ( SF)- A SF)=___SFX
3. ( SF)- ( SF)=_—SF X
FINAL TOTAL: $ a
TOWN OF SOUTHOLD PROPERTY OECORD CARD
OWNER STREET '. VILLAGE
I DIST. SUB. LOT
I . fd L 646 tom, ��ac l/c:c:., i) ff a�-�. ✓'
FORMER OWNER dolph (
—�rU P C' !arra A' N p
lfkThr u ca,?, rnE L-` ` W / E tv , "' ACR
P m r
7"gee '�Q S yr -^ ' r W TYPE-(?f:BUILDING-
-'T
RES, SEAS. VL. - FARM COMM. CB: MICS. Mkt, Value
LAND IMP. TOTAL DATE REMARKS 77 ZS'
'72-5'a
/E-h'w1 7- fir • /yz . 9. S' �
4p,i ,;t h s
V cab d 8r�e� � �-;;-
d
I
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD S
/m - m
Meadowland Y)DEPTH /
House Plot BULKHEAD
Tota
__m...._____ ..._........_.-_. ,-----_._. _ _._.__a_.__.�__,.._ - .
COLOR t- U TRIM
CA
du
I-1
e
M. Bldg
Extension
Extension
7- 67"N —P 'LOX 20 = L)0 ��•
Extension
Foundation a �� Bath r Dinette
�3x3o-,7 0 �I r Basementloors r K.
Porch , ... a_� z.5 _fit Al D
Porch d, % [ Ext. Walls Interior Finish LR.
Breezeway Fire Place Heat .. DR.
Garage Type Roof Rooms Ist Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
O B. Dormer Driveway
Total
�� 7q4,
FIELD INSPECTION REOORT DATE COMMENTS
FOUNDATION(IST) —
---------------- C
FOUNDATION (2ND) — .m
ROUGH FRAMING& n
a
PLUMBING _.
f INSULATION PER N.Y.
STATEENERGY CODE
FINAL —
ADDITIONAL COMMENTS
G\
z
m
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I"
INS TION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE6/ INSPECTOR
TOWN 0FS(1'XMTI'FUM BUILDING PERMIT APPLICATION CHECKLIST
BUILDINC'DE'PARTIVIENTr Do you have or need t$e follotiving,before applying?
TOWN _,HALL Board.ofliealth
SOUTHOLD,"NY 11971 — f �, 4 sets ofBuitding Plans_
TEL: (631) 765-1802 - -'. , Planning Board approval
FAX: (631) 765-9502 '-- -. -� _ Sur•ev-
wwiv.northfark-atet/Sou holdl PERMIT NO. O)n a:;�7 Check
Sepuc Form
N.Y.S.D.E.C.
/ Trustees _
- Examined .20 / Contact:
Approved 20 Mail to: U'f
Disapproved a-c 17�
Phon `-C
Expiration _ It ,20
Building LWector
APPLICATION FOR BUILDING PERMIT
Date `i m 1
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 pertnit
shall be kept on the premises available for inspection throughout the woik:-
e. o 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 l7.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 Pen-nit 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 co,4, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspecttgtis.
I
(Signature of appliN�nt or n e if orporation)
S (TVIaailut&address o;ip Jicag 1
'✓1 r Y 1 �' � I !- r A
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plum er or builder
Name of owner of premises b�I ✓ 41 dl b`) C-
(As on the tax roll or 1 stneed)
If applicant is a corporation, si�pature of duly authorized officer
(Name and title of corporate officer)
2 ktae ezishng use and occtancj af-p ises and irytended use and ociapcy of proposed construction:
a. Existing use and' upancy yti {- q ✓V1 1 LlwYl(t_�
t —
b. Intended use and becupancy -S 4 44L(,
3. Nature of work(check which applicable):New Building Addition Alt ation
Repair _Removal _ -Demolition Other WorkTVP;Z'JL
�1 (Description)
4. Estimated Cost 0 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units_[ _Number of dwelling units on each:floor
Ltgarage, 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_ i-t _Rear Depth
Height Number of Stories 2 _
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
UVI
8. Dimensions of entire newionstruction: Front I Rear Depth
Height Number of Stories
9. Size of lot: Front �� Rear 1 Depth 7
10. Date of Purchase I 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
i
13. Will lot be re-graded? YES_NQK Will excess fill be removed from premises? YES_NO \11
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor n c it M AE71A,PA UP Address -'�GYI�I U Phone No. f1/75
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO�)(—
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E_C.PERMITS MAYBE 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
.��SCu la _being duly-�,orn, deposes and says that(s)he is the applicant
(Name of individual si ' _ ntract)above named,
(S)He is the d) W Yl Ll�
(Contractor, Agent, Corporate:Officer, etc.)
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PROP
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�WTOWN OF SOUTHQLD
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00SUFFOLK COUNTY, N. Y.
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CERTIFIED TO :
A KITANOE U) RUDOLPH J. CAGGIANO
W DOROTHY M. CAGGIANO
RELIANCE SAVINGS BANK
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OCCUPANCY OR. FLOOD ZONE
APPROVED AS NOTED USE IS UNLAWFUL COMPLY WITH CHAPTER"46" -
DATE: `' _ BP , UT� WITHOUT CERTIFICATE FLOOD HOLo OWN CODE.GE
By.�— OF OCCUPANCY �gg
NOTIFY BUILDING DEPARTMENT AT - 3
765-1802 SAM TO 4 PM FOR THE ALL CONSTRUCTION SHALL - '-
FOLLOWING INSPECTIONS: MEET THE REQUIREMENTS OF THE g
'.,FOUNDATION - TWO.ReOUIRED CODES OF NEW YORK STATE.
- - FOR POURED CONCRETE - z _
I. ROUGH - FRAMING & PLUMBING
8. INSULATION - COMPLY WITH ALL CODES OF
4. FINAL. - CONSTRUCTION MUST NEW YORK STATE & TOWN CODES,
BE COMPLETE FOR C.O. AS REQUIRED AND CONDITIONS OF
- ALL CONSTRUCTION SHALL MEET THE — SOLOOLDTOWNZBA
REQUIREMENTS OF THE CODES OF NEW
- YORK STATE. NOT RESPONSIBLE FOR SOUTHOLD TOWN PLANNING BOARD
DESIGN OR CONSTRUCTION ERRORS. "- A
SOUTIIOLD TOWN TRUSTEES
i N.Y.S.DEC i
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