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HomeMy WebLinkAbout30612-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30761 Date: 02/14/05 THIS CERTIFIES that the building ADDITION Location of Property: 645 SOUTHERN CROSS RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 5 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 30, 2004 pursuant to which Building Permit No_ 30612-Z dated SEPTEMBER 2, 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 PORCH ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GIULIO & SUSAN DINOZZI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 94442H 01/31/05 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 Form No.6 �C/ 6 TOWN OF SOUTHOLD Lam [ f BUILDING DEPARTMENT YC3 1 f� TOWN 7L 65-1802 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 l% 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 I. 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 �f Date. 1 5 New Construction: Old or Pre-existing Building: n(check one) Location of Property: �j� 5a ,A_ e C 4 House No. Street n r Hamlet Owner or Owners of Property: —(;7: \ l-k\ \ () �-�l{SG( In D 1 /V �Z ` Suffolk County Tax Map No 1000, Section y f)���rj Block Lot SubdivisionFiled Map. Lot: ! Permit No. )ID Z Date of Permit. Applicant` - Dx Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: /(check one) U Fee Submitted: $ �5 Applicant Signature �- Q�.t.e_ 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. 30612 Z Date SEPTEMBER 2 , 2004 Permission is hereby granted to : GIULIO DINOZZI PO BOX 223 CUTCHOGUE,NY 11935 for CONSTRUCTION OF A PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 645 SOUTHERN CROSS RD CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0005 Lot No. 027 pursuant to application dated AUGUST 30, 2004 and approved by the Building Inspector to expire on MARCH 2 , 2006 . Fee $ 150 . 00 O 4 2 Authorized Signature ORIGINAL Rev. 5/8/02 _- _- Electrical Inspection Certificate ` 1W Issue Date Electrical Inspection Service, Inc. Application Number 1/31/2005 375 Dunton Avenue 94442H East Patchogue, New York 11772 (631)286-6642 !W Issued To: Mr. Giulio Dinozzi Street: 645 Southern Cross Road Village: Cutchogue Zip: Town: Southold • Section: Block: Lot: iv" Contractor: Lic. # w Was examined and found to be in compliance with the National Electrical Code. Commercial L-I NV Defects LL Pool i] 1st Floor LXI Indoor LL Basement .] Hot Tub Residential LJ Det.Garage LL Attic '_I 2nd Floor 1-1 Outdoor LL Addition IJ Survey Nc Switches Receptacles Fixtures GFI Heaters A/C Fans 2 2 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector el dg. Permit: ,RI • her Equipment de Extention Hugo S. Surdi j President '•.I Rough Inspection: Inspector: Final Inspection: 01/27/2005 - _ - Inspector: John McMahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. e. 1 A'/ 4k XXKK;akKikk ,,. 1 WIND-BORNE.DEBRIS PROTECTION FOR WOOD STRUCTURAL PANEL RETAIN STORM WATER ,UNnFF PURSUANT TO SEC 1 UJ TOW . I � • I OCCUPANCY OR *LLCONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE USE IS UNLAWFUL CODES OF NEW YORK STATE. I I •� I WITHOUT CERTIFICATE OF OCCUPANCY CERTIFICATION OF I NAILING & CONNECTIONS •" I APPROVED AS NOTED Moki "EQUIRED. I • DATE: B.P.i � ` I FEE: / BY.. NOTIFY BUILDING DEPARTMENT AT 765.1802 8 AM TO 4 PM FOR THE I FOLLOWING INSPECTIONS: II 1. FOUNDATION-'TWO REQUIRED FOR POURED'604C#kTE h" 15 ULTIPLE SECTION ASSEMBLY: 2. ROUGH - FRA*Kd & PLUMBING I I I I 1/4•THICK BOLTS Q 2 OC 3. INSULATION I I I I I 4. FINAL - CONI$YRUCTION MUST BE COMPLETE FOR C.O. II II I I ALL CONSTRUCTION SHALL MEET THE I I I I I I REQUIREMENTS OF THE CODES OF NEW h-' I a ' i ' YORK STA#E. NOT RESPONSIBLE FOR t l I I I I I DESIGN OR CONSTRUCTION ERRORS. I I I I I I I I N.T.S. Ia--- J"'• la IJ. FOR PANEL SPANS: I I I I I I I 4'OR WIDER SPAN V I I I I I I 231320 APA SPAN-RATED 48/24 SHEATHING GRADE PLYWOOD I a='• rl-'" I (OVERLAP AROUND OPENINGS 4•) II II 2x4 STRONG43ACKS @ 24-OC I I I I ASSEMBLY. I� II 1).PREASSEMBLE PLYWOOD TO 2x4'S:4 10x3•(w/WASHERS)GALVINIZED OR I I STAINLESS STEEL WOOD SCREW @ 12.O.C. I I - 2).ATTACHING STRUCTURAL PANEL FASTEN TO BUILDING w/ h" #10x3'(w/WASHERS)GALVINIZED OR STAINLESS STEEL WOOD SCREW @ 16.O.C. 0 A A ± ' ALTERNATIVE FASTNER FOR SHUTTER TO BUILDING: � n tiUa SCy/i 910 TEE NUTS ATTACHED TO BLDG.w/#10x1-1/2 (W/WASHERS) MACHINE BOLT @ 12'O.C. t\ •� �L `q� 022334 EX1t1T NEW —� 01- 0 - --- Mw►MvM vE,vr uG fSwG PAPL2 � L-mIli G l INSTALL. SrVVZaT SoPPIT To P(ATe-rd _ CAFfirQ TIES IM57ALL FOUND. LAK Tn PI-�T a 7p STI/t9 TIAGcp PLATES Snh�Cl I r' I �� f LIb "/G �77)P ULJ � -6/�'�nlcHr26• ft ff � 4 "oG i AL 1 ZI , ,GTI C44 i r - � 4- 6 9 KHWA7/04 DlNozz 1 Hou 5-rl— � (Tc r"C' w 5.GRoS,S ROA-c> �ouNI�AT I orJ PL.A►�I �LG�FZ I�LA� - po.-�oX �33 �uT�NoGL1E N Y 1/4 n ; 1' p " 1/4 n = O " C.VTC 1+06Y& I NEKI Yo12 4 STA I IZ PLA N 5 G31- 734-4 -- _ NAIL_I_NG SCHEDULE_ PLAN CONTENTS: ROOF FRAMING: OCCUPANCT CLA551FICATION R3 RESIDENTIAL " JOINT DESCRIPTION NAIL NAIL NOTES BUILDING USE QTY. _ _ SPACING_ BW IN HEIGHT RAF IFR IO q'WA(L:3-11d COMMON EACH TOE-NAIL TA . F FCONSTRUCTION IOPPLATE In WALL 4-6d COMMON RAFTER CEILITJI;JOIST IT WALL:3 lid COM1IANIN FACII DESIGN CRITERIA PRESCRIPTIVE AS PER N.Y.S. RESIDENTIAL CONSTRUCTION CODE AND TO IOP PLATE 1U WALL_'4-8d COMMON JOIST TOE-!JAIL M55 65C HIGH WIND EDITION WOOD FRAME C0145TR49TION MANUS CF.ILIT,JOIST TO AS PER TABLE17 EADI I FAr;E FRAMING ELEMENTS ASPERFLOOR PLAN9 GROSS SECTION AND GENERAL NOTES PARALLEL RAFTER WFCM-_SEC LAP __(JAIL EXT,BALCONIES 60 ILING,IOAP IST LS AS PER TABLE].7 EACH FAr, CEE DECKS 40 OVERPARTIIION WFCM-6BC LAP NAIL_ ATTICS w/o STORAGE 10 COAR TIE AS PER TABLE 3.4 EACH LLATTICS Is/STORAGE 20 TO RAFTER V/FCM-SBC_ END (JAIL DESIGN LOAD CALCULATIONS ROOF (GROUND SNOW LOAD) 45 R 2-6d COMMON EACI( 140E (LIVE LOADS PSF) ROOMS(OTHER THAN SLEEPING) 40 TUDRAFTER END IJAIL RIA(BOARDEACH END ROOMS(SLEEPING) 30 TO RAFTER 2-t6d COMMON END NAIL STAIRS 40 WALL FRAMING: GAURDRAILS(ANY DIRECTION) 200 NAIL NAIL ATA O Y JOINT DESCRIPTION NOTES Ory._ SPACING LOAD PATH SEE CONSTRUCTION ANOW114D PATH CONNECTION TVP PLAIE TO PER FACE NAIL PROOF-FOUNDATION) DETAIL PAGE 4 GENERAL NOTE PAGE Z-16d COMMON TDP PLATE _ FOOT SEE NOTE:1 NAILING CCH ULE EE GENERAL NOTE PAGE IOPPLAIESAf q-i6d COMMON JOINTS FACE EGRESS SEE FLOOR PLANS AN WINDOW SCHEDULE INTERSECNUNS EA.SIDE NAIL STUDIO 24- FACE STUD 2-I6d COMMON 0 C NAIL NEMER TO 15"D C FACE _ HEADER _I6d COMMON ALONG EDGES NAIL TOP LIR BOTTOAI 2-I6d COMMON PEP,2x4 STUD END PLATE TO STUD 3-Hid COMMON PER 2x6 Sim NAIL B01 ON PLA IE TO PER FACE NAIL rLOUR,101ST.RAND JOIST.2-16d COMMON FOOT SEE NOTE:1,2 PLUMBING RISER DIAGRAM END JOIST OR BLOCKING FLOOR FRAMING: _ J01141 OESCRIPRON HAIL IJAIL NOTES OTY. _ SPACIIJG .1015110. PER TOE SILL.TOP PLAIE OR GIRDER A-Bd COMMONJOIST NAIL BRIDRING EAC14 TOE 2-6d COMMON TOJOIST _ _ END _ _NAIL_ FIRE PROTECTION BiLockTO EACI I T VE (SMOKE 4 CO2 DETECTO S) SEE FLOOR PLANS TU JUIST 2-8d COMMON END NAIL BLOCKIIIG i0 - T IGH N/A- TAN A T FRAME N 3-I6d COMMON EACH TOE N R T A U ATION SILL OR TOT'PLATE STfRUCTION BLOCK NAIL S H K 3 A I LEDGER STRIP 3-I6d COMMON EACH FACE 10 BEAM _ _ JDIST_ NAIL CLIMATIC & GEOGRAPHIC DESIGN CRITERIA JUIST ON i FOGER q.Bd COMMON PER TOE IO BEAM JOISI NAIL — — -- - GROUND WINO SEISMIC FROST WINTER ICESHIELO BAND J(115T PER ENO SNOW SPEED DESIGN WEATHERING LINE TERMITE DECAY DESIGN UNDERLAYMENT FLOOD TO JOIST 3-I6d COMMON JOIST NAIL _ LOAD (MPH) CATEGORY DEPTH TEMP. REQUIRED HAZARDS PAIJD JOTS f iU PER I OF NAIL MODERATE SLIGHT TO 2-I6d COMMON SRL OR TOP FLAT FOOT SEE NOTE'1 45 LBS. 120 B SEVERE 4 FT. TO HEAVY MODERATE /1 NONE - ROOF �HEATHIING:- _ JOINT DESCRIPTION NAIL NAIL tJOlES ROOF SHEATHING REQUIREMENTS FOR WIND LOADS: _DIY SPACIIJG_ STRUCTURAL PANEL qo AS PER TABLE 3.q I SHEATHING LOCATION NAIL SPACIIJG NAIL SPACING AT INTERMEDIATE _ WFCM-SBC ATPANELEDGES SUPPORTS IN TI IE PANEL FIELD NOTES CEILING SHEATHING: 4'PERIMETER EDGEZONE 6d COMMON�6'O.C. 6d COMMON @ 6'O.C. _ SEE NOTES.1,3 NAIL NAIL INTERIOR ZONE 6d COMMON Q6-O.0 ed COMMON 12'O.C. SEE NOTES:I I ROTI I FIELI JOOJT DESCRIPTION 01 r. SPACRJI; NOTES _ _ _18d _ _ _ NOTE:2 FOR PANEL FIEL C'IPSLIM 7- O G EOOE I GABLE ENDWALL RAKE AND RAKE TRUSS COMMON 0 4'0 C 8d COMMON dig 4-O.C. SEE NOTES:1,3 5d COOLERS — _.. wnu5unl2D 19•o.c.nELo I NOTES WAI.L SHFAT_i IIN_G: _ --- THESE NOTES ARE ONLY TO BE REFERRED TO IF MENTIONED IN SCHEDULE NOTES ONLY. JOIN[DESCRIPTION HAIL NAIL NOTES QTY._ SPACIIIR 1) Fa out eheedtlng wlll4n 4 last o11be 1'enmefer edge of tremor.including 4 feet on each side of lila roof peak. STRUCTURAL fid COtdAIDN AS PER TABLE.3.9 the 41act pedmeta edge zone attachments required shell be used PAIJELS VJFGM-SBC lll6'OSB 3.O.0 EDr:E 21.T.buludmil2inchor. nail spacing rimum a sheathing enriched to rafter l trues framing members with G>049. _PLYWOOD 6d COMMON 6.O.0 FIELD For Treating member with<0 42<G40A9,Iha nail spacing shall be reduced to 6 inches o.c. G r PSUM 6d COOLERS 7. 06 EDGE — 3) Tabulated 4 Inch o c.nail sparing moment shenlhilg In rafted tinea framing membra with G>0 A9.For WALLBOARD 10-O C.HELD Training members with 0.42<G<0A9,tine nail spacing shall be reduced to 3lneies o c FLOOR I_I_EA HANG_ JOIN r DESCRIPI ION OXY SPAG IJh NO TEF srauciunni�AiJeis -- 6 o.c eihGe WALL SHEATHING REQUIREMENTS FOR WIND LOADS: 1-VR LESS Rd COMM1ION 12-0.0 FIELD NAIL SPACING NAIL SPACING AT INTERMEDIATE NO'I'E SI IEATI ZING LOCATION pT PANEL EDGES SUPPORTS IN THE PANEL FIELD NOTES 4'EDGE ZONE fid COMMON®6'0 C. Bd COMMON 12'0.0 SEE NOTES:L3 (BOTI4 FIELDS) MESE NOT FS ARE Ole Y lO BE REFERRED TO IF ___ __ __ NOTE:2 FOR PANEL FIELD MEN I TONED IN SCHEDULE NOTES ONLY. INTERIOR ZONE 6tl COMMON®6'D.C. Bd COMMON 12'O.C. SEE NOTE:3 II Nmling rrgm4aments nre Saved on wall slill NOTES nailed 6•on-rmdor at Thr pmirl noon 11 wall sheathing is nailed 3'an-carer at inn Paanl edge Io obtain higher THESE NOTES ARE ONLY TO BE REFERRED TO IF HIEN TI DINED IN SCHEDULE NOTES ONLY. sheer capncgies.Palling requhements for stn¢mrnl members shall he douhlyd or allanate con irclo s I) For wall sheathing within 4 feel of the crtrners.the 4 foot edge zone attachment requirements dhall such as shear pixies.shall be used to maintain land palh. the used. 2) when well shealbinn Is rnnlbmple over Pomnecled 2) Tabulated 12 Inch o.c.Rall spacing assumes sheathing attached to stud framing millibars with eu,bemJhe tabulated nanbar of rolls shell be pen [led G>0 49.Fa framing maintains with 0 42<G4 the Pall spacings shall be reduced to 6 inches o.c. 1g ba reduced to I-I 6 nail per fool. 3).For axleda penal siding,gelvMzed box Pella shag be panni led to be substituted fa crumnon nails. -14 we A A�i4 �y'����N SCy� t THIS / d A ' �•':a �. ;� TH I S $0(Z OF H s 1!G E A) '�' `�['�S y' tm.•wnorire altwair�r tlmtla� �y of A/44/ZK S-ctYw l✓1 TL +b �'��n4�` Prn r aim:in. .Yort SMS N p f c sF rE PRO POS cepa,or Ab mvvw nw not bo.l TO I �� ar AC)otpoAJ k)1sET6,tc4 ils' S b.'..a mew won KVWOo not b.Nat �som"Wd N be s vow rw tory. ` iOMess w .wa harass d"run � �C wnla to wrw/ Is are0ere4 w an lis bahar N rr . .. . .. :, . ..,• - - , twee osf"W'limo m mN saww w bndr*hu miden god harass w N Mw aw4ness of two hadow wntl- bttlon.6ssivusas w not lrwm rsbb N,57f4z aOgs-. '<` 4. 9,/ nw+wwwwwwrrwbwwm J � i. �� a i=iP.6•i� h(!!:'G.' 7l ,MAP OF rFc'C'}F'E��1 .�..�_ . It (� <_7lU:'_ /O A/vv MIN. k ' . ' � ; ufllCl. T • r I y, ., .° 7 a -t: 4o0/ /oN c_ U TcrNOGUE, :'v -q/c. , `: 4'x 16= In t h7. '. s !;:.r•Ce x .'.73 _ %nom OF NE r_ :.-"�f1'r"L�. K 1.. n -..(F7�� T'� f Ifi.'1,C' .�• .'� . ::_ " bO�ri•Q ','iaG9•F �G, v �_-•-- `_� ..�,• (%/'ST/�fGt p✓v 3G Sec tYGa' - 1 26 I'VeJAI �O�ANOSJ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: r)74 Z2 DATE �� O`� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [� FINAL [ ] FIREPLACE A CHIMNEY/ \[ ] FIRE SAFETY INSPECTION REMARKS: 00, DATE ! ���� ®� INSPECTOR � TOWN UTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILT . DEPARTMENT Do you have or need the following,before applying? TOWA LL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. nortltfork.net/Southold/ PERMIT NO. SD(/d- � Check Septic Form N.Y.S.D.E.C. �� � Trustees Examined_ 4�/"�/ , 20 CK Contact: Approved �G�Y/6� ,20 0 L/1' Mail to: 6 I U L l o t//� /No ZL f T Disapproved a c Phone: 7.34 - 7083 Expiration gl�. ,20 0b - ----- Building Inspector i 2004 APPLICATION FOR BUILDING PERMIT Date 08)/7 0 20 Tr, INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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. E 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 wtiting;•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. / 7 (Signature of applicant or name, if a corporation) �(2, i3aa- Zy3 (Mailing address of applicant) State whether applicant ' owne , lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises l() L l 0 ®/ /V o Z L l (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: (045 souTHFp2A) c+2oSs 2a4z-;> CUTCtfV6 e- House Number Street Hamlet County Tax Map No. 1000 Section / / 0 Block OS Lot 27 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructiot a. Existing use and occupancy S/N Q C E rA .ti / 1 y /t G S / 0,Eti T/4-(-- b. Intended use and occupancy 15A Ate 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ,5, QQO Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 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. N 7. Dimensions of existing structures, if any: Front SEE L� Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories SEE_ /0(-47JS 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories S4)AV 9. Size of lot: Front SE R ar Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 940 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-'Y 13. Will lot be re-graded? YES NOKWill excess fill be removed from premises? YES NO Glow0 ( Sudrtk) 6¢r Jo-7weRA! ,/ 14. Names of Owner of premises 42t nJo z z. Address CAP fn J /LoAPhone No. /-7 3 4 - 7O-3 Name of Architect�AI[IGL a/M'LTL Address P.O.6ck 933 Phone No 73 4 - 49 B 5 Name of Contractor Address C,,,M •fyG c-C Phone No. 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 MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO_'X * 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: I�%U COUNTY Oy� ,/�/� (J Ll Yi/1 I " &4Z Z f being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the ©W N E111?, (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 t ' J day of 20O otary Public Signature of Applicant PATRICIA CORMN ttotry Public,Stab of New Yat 140.011305017352 Ahued in Suffolk coaly " -5vr Fxnios Sept 13,�J 765-1802 BUILDING DEPT. JNSPECTION [ /FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE (O © < INSPECTOR ] 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F9UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR 306 1 a-- z C 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: - , DATE 42--L 0( INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) ------------------------------------ 0 FOUNDATION(2ND) z LA 0 0 ROUGH FRAMING& p PLUMBING H INSULATION PER N.Y. � H STATE ENERGY CODE FINAL V ADDITIONAL COMMENTS Z ' -O z m 0� z (fel k ro_ �Jy^ x _ I � v ro y 2. State-existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy SIN 6 G E b. Intended use and occupancy ,SA e?E 3. Nature of work (check which applicable): New Building Addition_�< _Alteration Repair Removal Demolition Other Work 4. Estimated Cost 5, 000 Fee (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units 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 SEE P6400--SReaz Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories sE� wc4-A.)s 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front SE s� y Raz Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated X 4- o 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO—X 13. Will lot be re-graded?YES NOKWill excess fill be removed from premises? YES_NO 45101.1 4V.�70 ,( .SuJ�.J (v¢,r SO&7 e44) 14. Names of Owner of premises 1 1J o Z z Address C40 JW 4VA29 Phone No. /-y 3 4- - 70b—3 Name of Architect GN1./4lZ'M AddressPo.64W 933 Phone No '934 - ¢9 B5 Name of Contractor Address C( TMOf 04 cC Phone No. 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 MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO--V * 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) S ` NO,rzz// �Sn: COUNTY Q��Lz(� (J(teO, //`j '� � o Z zil being duty swom, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the ®W IV EIe, (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 otary Public Signature of Applicant PATRICIACORNAN Nat riPublic,StateofNewYork No.OIC05017852 Cualified in Suffolk Caungf �:naisirn rxoires Sept 13,}�f ' a 'TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING*DEPARTMENT Do you have or need the following,before applying? TOWNTHALL 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/Sotithold/ PERMIT NO. SO(pJ� Check Septic Form N.Y.S.D.E.C. Trustees Examined �,/ 20 O� Contact: Approved,20 trJ- Mail to: 6 (U L I o Q//UD ZZ / Disapproved a/c Phone: 734 — 708.3 Expiration 20 Ob — - Building Inspector ; 'G :j O 2004 APPLICATION FOR BUILDING PERMIT Dat20 T Vq ; , i � INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 tvtiting3Mhe extension of the permit for an addition six months. Thereafter, a new permit.§hall be required. APPLICAT16N IS HEREBY MADE to the Building Department for the'issyance0 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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant ' own lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises G /U L I O 0/ /V 0 Z L 1 (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: 645 SouT HE-9-ei cle.oss Zc4Yr Cu TCtfV6 E- House Number Street Hamlet County Tax Map No. 1000 Section / / 0 Block 0.57 Lot 2 7 Subdivision Filed Map No. Lot' (Name) Mark K. Schwartz, AIA —Architect, PLLC .0 P.O.Box 933 Phone:(631)734-4185 V-W CutchoVu ,New York 11935 Fax:(631)734-4195 December 02, 2004 Southold Town Building Department Main Road Southold, New York 11971 Re: DiNozzi House 645 Southern Cross Road Cutchogue, New York To Whom This May Concern: I reviewed the project foundation, framing/strapping and insulation during the construction phase. To the best of my knowledge, the foundation, strapping and connections have been completed and meet code requirements. Please call this office if you have any questions or require additional information. Very truly yours, ;C Ai ag 4 w gL�.l•.a x 4 , \aq�� d Mark Schwartz DiNo7nzi.doc PERMIT �T7 r�T'T` T>T.�) TT 7�'cV7- LLE s s��7�1—TITTVC T1--1 ��1'1 1 g.L: Y 1 la � :+ ApplicanU Date. " Owners Name - Reviewed: 3/ Architect/ Date Cingitteer: f-- Submitted: �' 30 SCTM #: District: 1.000 Section: 1/0 13 lock: 5 Lot: Project n Subdivision Location: t;T S 11C^^'? �• (..- ± 7 �. rte• Name: r Sigle&separate Required Ci:cJ� certtation: L eq. _ R J_0uiug 1)islricl:_/� (101 size: _— yr ATS Actual S I (l of cover _Prutw�) Req Req. p i� Req. �! (f ronl Ygrd 5 Proposal: J [Side Yard Proposed:_ [Rear Yard _ Proposed Project Description: .FNCJUERMM Permit $FQijIR>RD FORREVIEW N.A. NO Number Suffolk County Health-Dept. New York State. D. E.C. _ Town Trustees T Town Zoning Board approval: _ Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Not.�