HomeMy WebLinkAbout31023-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30838 Date: 03/30/05
THIS CERTIFIES that the building ADDITION
Location of Property: 295 TRACK AVE CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 137 Block 1 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 18, 2005 pursuant to which
Building Permit No. 31023-Z dated MARCH 28, 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" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. CONSTRUCTION CERTIFIED BY LOUIS CARNEVALE, PE.
The certificate is issued to JOHN FINNERTY & TRACEY DOUBRAVA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
v
tho ized Signature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL i LLL�JJJI
765-1802 3 0
APPLICATION FOR CERTIFICATE OF OCCUPANCY — P'•
•ALO.
This application must be filled in by typewriter or ink and submitted to the Building Department'with-TE following:
A. For new building or new use:
I. 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$25.0 , Alterations to dwelling$25.00,
Swinuiting 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. 311 bf
New Construction: Old or Pre-existing Building: (check one)
Location of Property: S I aA,#—r NVc CVT e.(X DoOt:
House No. Street Hamlet
Owner or Owners of Property: _
Suffolk County Tax Map No 1000, Section ( 3 7 _Block Lot 16
Subdivision 2Filed Map. Lot:
Permit No. Date of Permit /� /�_ _2�l A f" _Applicant: (�10k V K&OStU
Health Dept. Approval: _Underwriters Approval:
Planning Board Approval:
Request for: 'Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ ZS
C io 0�3�
P_eC, (o-79 0(lo Applicant Signature
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. 31023 Z Date MARCH 28 , 2005
Permission is hereby granted to :
JOHN FINNERTY
295 TRACK AVE
CUTCHOGUE,NY 11935
for
AS BUILT DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR. ADDITIONAL CERTIFICATION MAY BE REQUIRED
at premises located at 295 TRACK AVE CUTCHOGUE
County Tax Map No. 473889 Section 137 Block 0001 Lot No. 018
pursuant to application dated MARCH 18, 2005 and approved by the
Building Inspector to expire on SEPTEMBER 28, 2006 .
Fee $ 300 . 00
Autho ized re
ORIGINAL
Rev. 5/8/02
P.O. Boz 1748
E. Quogue, N.Y. 11942
(631)831-6692
Icarneva@suffoIk.Iib.ny.us
Engineer's Report
February 11, 2005
Mr. Rich Romanski
Village Real Estate
65 W. Main Street
Hampton Bays, NY 11946
Dear Mr. Romanski,
As per your request an inspection was made of the lower rear deck of the
hoae located at 295 Track Avenue in Cutchogue, New York.
The lower deck construction ion appears safe and capable of meeting the
minimum NYS Building Code live load capacity of 40 lbs/sf in addition to its own
deadload.
1 therefore attest with confidence to the safety of the deck in question
during expected normal use as reltecled in the NYS Building Code minimum
design load requirements.
Please feel free to contact me should any question arise concerning this
report.
,��OF PlFty.
Very truly yours, �P 1
c� Jig CAgyF` O,y
/IOCLIOO�
0 Ansulting Engineer N - t�'
8 845t .
9�FESSIONR�'%"
1
TOWN OF SOUTHOLD PROPERTY RECORD CARD 14 V
/roc - /.� - � — / _
OWNER STREET Cf VILLAGE DISTRICT SUB. LOT
yrG(— / 7-a c !C �V e• �fi 7�c /i o v e �� ,,,`�. c7�
FO ER NER N E ACREAGE
Q FWTs 1m cors S7re be o S W TYPE OF BUILDING
G .w AICA M, 441lf0dC trP -� kj
RES. /� SEAS. VL. FARM COMM. I IND. CB. MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS , r I �r r tf IeJ Lh J' w {Qr E::IA •N �� L
sd Id 9,r5 o 71 Fa b /7u
t16 Iv a ✓ ." ':12 7, -10 9 6 41,2,A k.x`r1i1 z /yu i /� f{.6 _ - r �„fQ�
SOD oo yam ✓ / /i6%7L 6 972 ra /d. NuXnkeTb /'/ I/ oak-
goo • 2� p0 a3-
�,- tj &.,, u SFO fj'/ye T 7 1!/ L77 Scl' /YC ) "Ile->-,r /O -
E y BING COND 7 Sl ) Ij[ x•iY )do2So3Ola3 I `5-n;2r= rL-
NEW NORMAL BELOW ABOVE
Farm Acre Value Per Acre Value FRONTAGE ON ROAD V ;* c
Tillable 1 -.86'L6°eB
Tillable 2 DOCK
Tillable 3
14
Woodland /95 P
Swampland
Brushland
House PIS
4o Allen I1�O occ)
Total
_ _�� � aaaaf a. � I .•0
EH
• 1 I s. f:L�4i
CAT; I
2 7
AI
+1 B� g. Foundation 7, Bath
�- S V C
t nsio K = S V 33 Z Basement Floors Iv
:xtension Ext. Walls I �uVZ Vex/ L Interior Finish (Z
extension Fire Place Heat
L;
Porch Roof Type
v'U a S L u Porch Rooms I st Floor
ireezeway Patio Rooms 2nd Floor
;arage Z� X22..-- Driveway Dormer
). B. w o0 5 U
d a ° 7
FIELD INSPECTION REPORT DATE COMMENTS
64
FOUNDATION(1ST) -- -- - -
--------------------------------------
FOUNDATION(2ND) - - - ;•
t
z
� o
S
ROUGH FRAMING& - - --
PLUMBING - - --- --
G
a
_ - 3
r
m
INSULATION PER N.F. _- -- -- I
STATE ENERGY CODE --.- --
- --- - -----
q ...1
FINAL -
ADDITIONAL COMMENTS Z
-- - - - -- z
m
m
v
m
o
APPROVED S NOTED
DATE: *4\6 B.R. --- - , _
FEE: BY}—:T)Q — wv- _.
NOTIFY BUILDING DEPAR ETM NT AT ;
765.1802 8 AM TO 4;PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED r �' / I L"o c Z X 1, !6 f 5-r 5
FOR POURED CONRETE:& _
2. ROUGH - FRAMINGPLUMBING /
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR:,C.O. i 13; " I N^o c soot G S j
ALL CONSTRUCTION $HALL MEET THE
{ - I
REQUIREMENTS OFTHE CODES OFNEW \S ° /UL fZp��ti+45 34,l
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
FLOOD ZONE _ -
�S Y3•. . gy'
COMPLY WITH CHAPTER "46"
FLOOD DAMAGE PREVENTION _
SOUTHOLD TOWN CODE.
OCCUPANCY OR — ----- —_. _—__.- _--- — a
USE IS UNLAWFUL
WITHOUT CERTIFICATE COMPLY WITH ALL
OF OCCUPANCY NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOLR � EOF �EN'p -
OJ CAR&F`
HOLD TOWN ZBA Irt
ALL CONSTRUCTION SHALL i 295
MEET THE REQUIREMENTS OF THE - TDA; PLANNING BOARD
CODES OF NEW YORK STAT E. 'Ob-HOLD TOWN TRUSTEES
N.V.S.DEC 'lop 07640 = —
say
�FESSId1►�`
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPA$TMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
vvww. northfork.net/Southold/ PERMIT NO. Check
Septic Form
N.Y.S.D.E.C._
Trustees
Examined J 12 ' ,20 Contact:
Approved 3 02 ,2(j Mail to: kt111 �r
EMdJ5IU D
Disapproved a'c_ - vt�e 6r A)HAI td JT 44N Aced Mr f
Phone: 631 RSP $17/
Expiration _, 20 .1
Buildiii Ins C
� i
I `
MAJ 1 APPLICATION FOR BUILDING PERMIT
L
o�F Date 3 116 20 os�
'NO 1^ -47 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 pan 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 admit
authorized ' s- 6 twremises and in building for necessary inspections.
Ill, J (Signature of applicant or name,if a corporation)
Lit,' 8 � &4T of HAW -I�AVmd-4VS �IY(IW-6
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Aew-r
Name of owner of premises 1FSKotd> pJN,35 -*wo t
(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:
2Ct5 TizaeT GMs Cot.CL\o6ue
House Number Street Hamlet
County Tax Map No. 1000 Section ►3? Block_ 1 Lot IS
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 510Cie TA.dl uq �neS CUti�cE
b. Intended use and occupancy g( a0t.c— t-A4+«y I2t 1)"tjce
3. Nature of work(check which applicable): New Building Addition O Alteration J
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost As$0 L-t QvvvYtoJTt, D?� Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor t
If garage, number of cars -1 %to
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories -L-
40"
40" A%-c",-_� lZttik of A 16B SGL
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Ai,kwc& i2/!�a�.ntc Z63 Sm Fr
8. Dimensions of entire nes construction: Front Rear I)_' 6` Depth 1 37-
B
Height Number of Stories 1 )Iezt.
9. Size of lot: Front I r 0 Rear lot).16 Depth 10 A LILT 171 A 2- Ritttt
10. Date of Purchase Name of Formerr Owner
11. Zone or use district in which premises are situated IC�il�ts)ttM
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓
13. Will lot be re-graded? YES NO ✓p I Will excess fill be removed from premises? YES—NO
14. Names of Owner of premises)eSFteafbAJA eV0b#)0Clddress PAS TV-A-cT Ad-E 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.
�IyK
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 UFFo
14kpi- b I2064&QQ4J being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the R&wm
(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 this
day of N A4, C ff 200 %
Notary Public Signature of Applicant
BOH N A.D'ANDREA
NORCY PUBLIC,State of New York
Nu -977010,Suffolk county
Term Expires January 22.li�4—'�-)
\SURVEY OF LOTS 73 4 74
MAP OF SEGTION 2, PROPERTY OF M.S. HAND
FILED MAY 12, 1939 A5 MAP No. 1280 A
SITUATE: GUTGHOGUE J" W - E
TOWN: SOUTHOLD
SUFFOLK COUNTY, NY J' S
SURVEYED 12-14-2004
SUFFOLK GOUNTY TAX +�
1000-131-1-18 1 Zo* /
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CERTIFIED 1'O:
Desmond F.Brown
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GRAPHIC SCALE I"= 20' RIVERHEAD,N.Y. 11901
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