HomeMy WebLinkAbout30978-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30826 Date: 03/16/05
THIS CERTIFIES that the building ADDIITON
Location of Property: 2850 PINE NECK RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 70 Block 10 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 22, 2005 pursuant to which
Building Permit No. 30978-Z dated FEBRUARY 24, 2005
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 "AS BUILT" SHED ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to FREDERICK P & KATHRYN Y MAZZAFERRO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ut oriz d Signature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD t --• . t
BUILDING DEPARTMENT ( i i
TOWN HALL 2
765-1802 —.Ji1LLL
I
DEP .
APPLICATION FOR CERTIFICATE OF OCCUPANCY —T� W(PF Br" Twp,
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 1% 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
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 $15.00
Date. 31,0 116_$—
New Construction: Old o Pre-existing Building: (check one) , p
Location of Property: ��.5n [11��/yPc k ci O u l ho
House No. StreetaH mlet
Owner or Owners of Property: re�er� c� /4�d 27d 'e
Suffolk County Tax Map No 1000, Section ?p Block 16 Lot
Subdivision wj Filed Map. Lot:
Permit No. 0 s7 Date of Permit. �_ Applicant:lltedervc/L _P MBZZJ eercc) _Z
K �yv y
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: LI/ _ (check one)
Fee Submitted: $ �)$.o O
Ap4plicanijSignature
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. 30978 Z Date FEBRUARY 24 , 2005
Permission is hereby granted to :
FREDERICK P MAZZAFERRO
PO BOX 159
SOUTHOLD,NY 11971
for
AS BUILT ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR
at premises located at 2850 PINE NECK RD SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0010 Lot No. 004
pursuant to application dated FEBRUARY 22 , 2005 and approved by the
Building Inspector to expire on AUGUST 24 , 2006 .
Fee $ 150 . 00
ut jz, Signature
J
ORIGINAL
Rev. 5/8/02
I
/o _ ?6 TOWN OF SOUTHOLD PROPERTY RECORD CARD M _
OWNER STREET Y VILLAGE DISTRICT SUB. LOT
I�Lfiu� � ir/M' /1 1, 7�K•�� �,
,FORMER OWNERN E ACREAGE
U 2a rr040f5Go �aF4 z ac,
S W TYPE OF BUILDING
-e4 �kr'Ic k Maz?aTerro g �J f a�
IES. 01/0 SEAS. VL. 4FARM comm. IND. I CB. MISC.
LAND IMP. TOTAL DATE REMARKS (� Cj J4 Q 1r '
—l- 0 o ! - J
,L !� a 36 D B AAAs
' 3 0 0 3 .3 — /lo - /0 az a krza Zz airs
6 0 3 9_ o o so 0 3/8 7 -L l Z3 X530- zza�erro �U GZ rrU n/ c,
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
Farm Acre Value Per Acre Value
Tillable 1 No IJ)
Tillable 2
Tillable 3
YVoodland
iwompland
3rushland
House Plot
Tota I
3
79 4-4-
M. Bldg. Foundation Bath /
Extension2 rui _ 3(pp - Basement Floors
Extension /•DFS t'o 3 OTS Ext. Walls Interior Finish
Extension X 0 0 Fire Place N D Heat
Porch ° Attic — —
Porch Rooms 7st Floor
Breezeway Patio Rooms 2nd Floor
Garage r
g x yy %— 3 d� �D b 3�r� Driveway _
0' B. o o [ j AbCP02 S
387
FIELD INSP CTION REPORT DATE COMMENTS '
FOUNDATION(1ST) - - - - - -- -- ;3
- - -
---- - —
FOUNDATION(2ND) - -- -- - - �m
Z
O
- - long
v{ �
ROUGH FRAMING& - -
PLUMBING - - -
INSUbATION PER N.Y. - -
STATE ENERGY CODE
FINAL - -
ADDITIONAL COMMENTS
- -- - - -
m
uu O
z
- r
H
O
7
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL J 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/Southold/ PERMIT NO. 3U9} Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ,20 Contact: p
Approved, 20 j ✓ .Mail to: o, -150 /S
Disapproveda/c "**c S d 61�J 1 Ci , N y 11 9`71
Phone:---7 o�a 4
Expiration l-,20L
But ing Inspecto
APPLICATION FOR BUILDING PERMIT
FEB 1 6
Date 120
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 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 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 adtnit
authorized inspectors on premises and in building for necessary inspections. V� /
(Signature of applicAgebrAme, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Dv,4 viers v
Name of owner of premises Fre- er ,'ck R $ MGZZ0.-Tc
Prrc>
(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:
'a1RSo —Pune Neck -RoQa So6-+ �01J
House Number Street Hamlet
County Tax Map No. 1000 Section 70 Block 4
Subdivision Filed Man tMdtu2 nt Gadrtau0 Lot
(Name) NBS � tt✓�
0.
2. State existing use and occupancy of premises and intended use and occupancy of proposed cdnstruction:
a. Existing use and occupancy '_Req i cl p kd+n
b. Intended use and occupancy _S-to r ac e c k eA ocfnr h ed to 3Q raj e .
3. Nature of work(check which applicable): New Building Addition�Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 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.
� HbR
7. Dimensions of existing structures, if anyl �ront Rear a `{ Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
(Dimensions of entire new construction: Front Rear Depth
\ Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase 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
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address 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
* 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 ({)� r
Vtrtr n %1 �«I t i,L� " 1 g7n 4 fig) being duly sworn,deposes and says that(s)he is the applicant
(Nahie of individual signing contract) above named,
(S)He is the O w ne C-5
(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. y�sy
Sworn to before me
thus
�5 dayof r,�pua 208
Notary is S ature of AffliAnt
Notal CMM� �
all k
1 Z00T
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
O
DATE /
INSPECTOR
Um
COMPLY WITH ALL CODES OF
APP 0 ED AS NOTED NEW YORK STATE &TOWN CODES
DATE: S B.P.# O4 ,� AS REOUIRED AND CONDITIONS OF p(NE NECK ROAD
aSOL'MOLDTOWN ZBA
*�o sw SOUTLOLD TOWN PLANNING BOARD Nae°3Tw"E 100
A IFY BUILDING DEPARTMENT AT
70.1802 8 A TO 4 P FOR THE SOUTHOLD TOWN TRUSTEES
FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED N.V.B.DEC I ® I Q
FOR POURED CONCRETE
2 ROUGH - FRAMING & PLUMBING I y
3 INSULATION I I I
4, FINAL - CONSTRUCTION MUST I d
BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL
EXISTING ASPHALT SHINGLE ROOF ALL CONSTRUCTION SHALL MEET THE (MEET THE REQUIREMENTS OF THE
REQUIREMENTS Of THE CODES OF NEW CODES OF NEW YORKSTATE. I
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. i
ASPHALT SHINGLE ROOF
FLOOD ZONE GV b
COMPLY WITH CHAPT R F I EXISTING
GARAGE
FLOOD DAMAGE PREVENTION I 4-0°
- OCCUPANCY OR SOUTHOLD TOWN CODE.
USE IS UNLAWFUL I NEWSHED § a
wNDOWRYP) EXISTING GARAGE WITHOUT CERTIFICATE
I
OF OCCUPANCY I I
EXISTINGVINYL I
SIDING
BRICK SIDING � — - --j
100'
SITE PLAN
EAST ELEVATION
PROPERTY INFORMATION FROM MAP OF ESTATE OF
B
WILLIAM F INGEGNGCUSEAUD FILED JULY 6,1099 70302 BY
JOSESCTM: 1 A. -70-10 O LAND SURVEYOR
SCTM: 70°0-70-0Od
EXISTING ASPHALT SHINGLE ROOF
EXISTING
ASPHALT SHINGLE ROOF CONCRETE BLAB
EXISTINGVINYL EXISTING B"CMU 4"STEP OVER CMU
SIDING(TYP. FOUNDATION
EXISTING GARAGE)
EXISTING 2X4 WALL
STUDS @ 16°O.C.
EXISTING GARAGE
CEDAR SHINGLE SIDING axis,ING VINYL 2X4 WALL STUDS@
SIDING r CONCRETE SLHB J SHEATHING 24-OC H iQ'
BRICK SIDING /
DOUBLE SOLID
WOOD DOOR
WEST ELEVATION
CEDAR SHAKE SIDING
FLOOR FRAMING & FOUNDATION PLAN
EXISTING ASPHALT SHINGLE ROOF
I I I I I
I I
I I I I
ASPHALT SHINGLE ROOF
II II I I I
I I I I I
I I I I I
II II I I I
L _ ___ I _______ J
ALUMINUM GUTTER L r J
WITH LEADER(TYP) I I I I I I 1
EXISTING VINYL
I I 1
SIDING I I 2X4 RR 24"O.C.
II I I 11 1
I I I 2X4 COLLAR rfIES @ 24"OC. I I 1
EXISTING GARAGE I I I I I I I
I � I I 11 1
� I
CEDAR SHINGLE SIDING I i ''1l I I 1
I I I EXISTII'GASPHALT I I
SOUTH ELEVATION ' BHING4 ROOF I 1 1 OF NFIy
11 I I —\ II , � o
11 1 1 11 1 P
Plans are prepared by Condon Engineering,P.C. It Is a Nolatlon of the
�Ec____-----T-------_____� New York State Education Law,Article 145,Section 7209,for any
—_---- a: person unless acting under the direction of a licensed Professional
' -i Engineer,Architect,or Land Surveyor,to alter any item In any way.If
ROOF FRAMING PLAN2 an item bearing the seal of an Engineer,Architect,or Land Surveyor Is
altered,the altering Engineer,Architect,or Land Surveyor shall affix to
PROfESS10't the item Hairier seal and the notation"Altered by'fdlowed by his/her
signature and the date of such alterations,and a specific description of
the alteration.
ag—
MAllAFERRO RESIDENCE
Scale: 114"=1'-0" Condon Engineering, P.C. 2850 PINE NECK ROAD
Drawn by:JJC 1755 Sigsbee Road SOUTHOLD, NEW YORK S- 1Mattituck, New York 11952
Data 21812005 (631) 298-1986 EXISTING
CONDITIONS PLAN