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HomeMy WebLinkAbout30904-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30835 Date: 03/29/05 THIS CERTIFIES that the building ADDITION Location of Property: 2265 OAKLAWN AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 3 Lot 22 .4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 18, 2005 pursuant to which Building Permit No. 30904-Z dated JANUARY 19, 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 DECK & TRELLIS ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" . The certificate is issued to MARILYN LUNNETTA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A e� Authorized Signature Rev. 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. 30904 Z Date JANUARY 19, 2005 Permission is hereby granted to : MICHAEL & TANA MERCALDI 2265 OAKLAWN AVE SOUTHOLD,NY 11971 for "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS .APPLIED FOR at premises located at 2265 OAKLAWN AVE SOUTHOLD County Tax Map No. 473889 Section 070 Block 0003 Lot No. 022 . 004 pursuant to application dated JANUARY 18, 2005 and approved by the Building Inspector to expire on JULY 19, 2006 . Fee $ 300 . 00 r Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 � TOWN OF SOUTHOLD BUILDING DEPARTMENT ;, TOWN HALL. a r- 0 765-1802• N� N G 0m CO APPLICATION FOR CERTIFICATE OF OCCUPANCY —'7_4 I This application must be filled in by typewriter or ink and submitted to the.Building Department with th ll 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. New Construction: / Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: rolcLil in CA.CA LA Suffolk County Tax Map No 1000, Sectionf ?d Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: /7)fCAA I-- IVkCAQ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Co -E3o$35 �OT AREA- 46.954 sq. ft. / `oT NUMg£R 12 �07, T 3Boo ??7 30 33, rF��� �/ r • o�•f �v \LO7� 6 QD34PR 2S nuk-1 OFFS';•% :;, �1 �gg144p ,. a R MSM a o � ui Ln n � N � z z -- — i� -►j •j 2 sn rx 35.0' W o � DWELL 23.3a. I f° to 47• I to 1 I Z ae�44' I I cn I I W II ¢ I I I I Y I I U I I cr-uj I I 500.00' I N 23'23'50"W 125.00' NOTE: CESSPOOL. SEPTIC TANK & WATER SERVICE LOCATIONS BY OTHERS. OAKLAWN AVENUE M oannm or now of-"m,m an tAaodwx , - 3-24-2003 FINAL SURVEY Cr Baan s AW,nor NOW ARE Mor a+Mw+rm 11-5-2002 LOCATED FOUNDATION M QMw(an woman*scum mom f-ru 000 M PON-MY LIO AAI PUR A lBOne PUNKM A10=AID DONDW AM ON JOB No. 01-617 FILE No. PECONIC DEVEL. CORP. w omm iD am M armwo a'mom mmmm wiM loci woA M-Wf=A M&AMM M 10 RAM=DA AM MOO aaltftCiwl SURVEYED FOR ~NMW0 AUUMM w1 Aaan01 W Mt SAW 6 A VALATW of waon LOT NUMBER 4 nw or M I"ym mx=mom um• MAP OF PECONIC DEVELOPMENT CORP. AT SOUTHOLD orowMm @ewum HMN,p*U no av m M fo00M MR WIN M SITUATED AT SOUTHOLD twit/t H01m.NO=O O1K!W—,mu awrMr.a mMwt'x NOW 40 LOnww Pannmm Low mEpmx Ale 7o M AOam o/M Logo womunwL ooaiWnm qK ON TWOWWMr!10 AaWICH&� TOWN OF SOUTHOLD - SUFFOLK COUNTY N.Y. an uwamw Doom own of MM SAM w!nor WAROW M wo a/M.Y""M OM an SCALE 1' 50' DATE 12-20-2001 os�moa swA OW a Dwaosm m c A WLM Mi mr+• FILED MAP No. 10723 DATE 12-27-2001 CERTIFIED ONLY TO: TAX IMP No.(REFONLY)1000-70-3-22.4 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR P.O. BOX 816 ~ 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK. 11792 ` N.Y.LIC. No. 048992 631-929-4695 HAROLD F. TRANCHON JR. PENN.LIC. No. 215-E Ood - --2. H TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET------ TREETVILLAGE DIST. SUB. LOT 1.f- le r� 1rU nne klown � o bPecw(cCo tcl S Ded � ; ACR. RE ARKS 27� Neel A lana Pe'l- i 4.► I 'O $ oa - L cls-Uy"5 Y,c- TYPE OF BLD. -- en �f SOC f nC-� 4n0 q OZ a8 S'J tdelli I PROP. CLASS nc $�arly o jv . . LAND- IMP. TOTAL DATE 7 L 03 –��Z�7 l(p ' /? ef�C�Lt�(I X 00 r- 3 n ep l do i z .-� 12- 3 5a iz6 cc_a 1d1 71b Ll n nom ` - b FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■e===■■■■■■■■■■■■■■■■■■■ ■■M®Ni■■■■MM■■■■■■■■■■■■■■■■ ,. _ ■■■■O■■■■■M=■■■■■■■■■■■■■■■ � ■■■■EN3 ■■■h■U©■■■■■■■■■■■■■ a z _ ■■S■■■■■■■■I■_■_UM■■■■■■■■■■■■■ I_-{ i_:.L I ■■■';■■■■■■■■il■■■■I■■■■■■■■■■■■ ■■■■■■■■■■■U■■■■IEl1■■■■■■■■■■■ ■■M==z==M==a■■■■I■■■■■■■■■■■■ ■■■■■■MMMMIIMMMMI■■■■■■■■■■■■ ■■■■■■■■■■■■EMOM■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ P : ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Basement !!!!CRAWLSLAB ■ Ext. Walls Interior Finish I Fir PlaceRooms 1st Floor r pG SOUlyolo 3o 7ocoum, _ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 E I NSPTION C [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: �s DATE 3��5 INSPECTOR J 30 ?O �- Z 765-1 802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL CbE�'I�� [ ] FIREPWCE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: Jr DATE / ;L 0-57 INSPECTOR �� FIELD INSPECTION REPORT DATE COMMENTS O FOUNDATION(1ST) y ----------� -=------------------- — C FOUNDATION(2ND) go N o kA �H+ ROUGH FRAMING& PLUMBING H r INSULATION PER N.Y. H STATE ENERGY CODE Lpt c _ 1. FINAL LO C/ ADDITIONAL COMMENTS O z m z x r H x d b H n .TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING,DEPARTMENT 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):.7.65-9502 = _ Survey www. northfork.net/Southold/ -PERIVIIT N0: O G`0 % Septic Form _ rt ; N.Y.S.D.E.C. Trustees Examined 1 •,200"0"� Contact: Approved bi 120 Mail to: _m'g(2 r� Disapproved a/c 1 I', Phone: Expiration .20 Building Inspector A i V8 � APPLICATION FOR BUILDING PERMIT Date' ,20 LD INSTRUCTIONS . . a. This application,MUST,be completely filled in by typewriter or in ink and submitted to the Building Inspector w,ith4 .. sets of plans, accurate plot-plan to-scale. Fee according to schedule. '` r t - b. Plot plan showing location of,lot and of buildings on premises,relationship io adjoining:premises or public,sti-eeW6r-•' d areas, arid'waterways. :• -:. = - C. The work covered by this application may not be commenced before.'issuancev_Buildirig_Peimif.' a..: 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. w 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-sib'-motiTlis"Th'ereafter;'a'new`permii 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'Towriof-176 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 co'n1ply:with all applicable laws, ordinances,building code, housing code, and regulations, d to admit authorized inspectors on premises and in building for necessary inspections. � .. , . � '(Signatui-e of applicant�orname,if a corporation) (Mailing address of applicant 811' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder f Name of owner of premises M I G 4, t m RG9 LZ (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:V. . . - _ House Number Street County Tax Map No. 10 0 Section 000 —70-3-4 7Block Lot Subdivision A/ Fited Map-No. . _Lot (N e) o 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .0 h/i LL W 4 b. Intended use and occupancy ,'fih p� 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 4-14 D -C K " 9,6 (Description) 4. Estimated Cost 110 I,.,S071 , o d 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. 7. Dimensions of existing structures, if any:-wont-~ - W Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear . Depth Height Number of Stories 8. 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 ,fl:a� 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,,,.ta,scale,_w th accurate,foundation plan and distances to property lines. 17. If elevation at lihy point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ' , .,,, •. ;,rte::; . COUNTY Of: �e..ko-CPC 1�i beink duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, He is the (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-time to the best of his knowledg,;and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn'to 'efore me this day of 20 'Notary.Public;... _ ray" Signature of Applicant s ILDIN Y.. Lam.. Applicant/ - Date. •.x Reviewed: Owners Name:..., zC Architect/ Date Engineer: l T 1J Submitted: / S' SCTM fi: District: 1•000 Section: 131ock: Lot: Pt"ojccl Subdivision Location: D o (,t��T_� .— Name: r Sin&le&, separate Required /�/� certification: (Yes 1 No, FYI — Req 1 rRcy. Coning I)istricc (.I'ot size"" ``'- neraai: ( (I,ot cuvcrage I'rupuscd✓ Req Req. \� Req ((•root Turd Rear Yard Proposed" Project Deseription: �-� AGENCAPERMITS Permit REQUIRE) FOR REVIEW N.A. ISO YES Number Suffolk County Health-Dept. Now York State. D. R.C. f Town Tnistees Town Zoning Board approval: `' L Town Planning Board approval: Flood Plane Elevation??? Flood Zone: iG NQ r 2 " J_ WOOD LATTICE NAILED TO FRAME SHOWN IN PLAN ¢ O 2'X 4"ACQ LEDGER BOLTED TO d EXISTING HOU5E W/ 1/2"CAARIAGE > o Z a O a it N 2"X 4" ACO LEDGER BOLTED TO BRACING EXISTING HOUSE W/ 1/2"CAARIAGE D O , aJ W 2"X 4"ACO JOIST L W m 4'TX 4 JOIST 2"X 4"ACQ A NIALED- POSTS � p N p m 4"X POS T SQREWED TO BENE TRELLIS ABOVE w 'ry SUNKIN DECK N /� Z 0 w U Y O 0 F- O N O 7 W m � � CL Z r w -r V rn - G'-B I/2' 12'-4- 7'-G.. — — _. - —- _- - 1 5'-1 1 ----- --- Q z v O o Z V � M PLAN SCALE 1 /4"= 1 '-0" Q� w w z w — - U 2"X 4"ACQ LEDGER BOLTED To EXISTING HOUSE W/ 1/2" CAARIAGE III II MAR 232005 J�°i I I--� WO 2"X 4"ACQ JOIST J NIALED TO 4"X 4' 2"X 4"ACQ - _ LL P05T5 JOIST I ',1i'.l DEP'- ❑ `NN QF S("_THOLJ Z w 4X 4" P05T " SCREWED TO O BENCH A = EXISTING HOUSE �L 1 Ana v��1� 032259-1 V / SECTION fEs510N�y/ R� p LL 5CALE I/4" = 1'-0' 'l//7 O w 0 � O a F. �• .;,•�, s. i ds ' I t i LS 0 LU Lo oNill ! i �4i id _ w- l� ...ti;, �... .•• fir.. _. — — .. _._...___ _. _—._._,..._._.-----..__.._._...- �_._ _._.. _ ._. — C t t 4 �....._,. �.• ._ � APPROVED AS NOTED DATE._I�� l _' B.P.4 plo A BUILDING D PARTMENT AT ! .•: 12 b AM TO 4 PM FOR THE U -','.'iNG INS"EICTIONS: 4 _ 'N'DATION - TWO REQUIRED s POURED CCNCRETE t 2. HOUGH, - FRAP-"!NG & PLUMBING Je a t i 3. INSULATION } i 4, FINAL - CONSTRUCTION MUST LA BE COMPLETE FOR C.O. � �'^ , " ;•i =. ALL CON"TRUCTION SHALL MEET THE -t�,• y �� 1�„ „ ,N�„ PRQUIREMENTS OF THE CODES OF NEW '� ' - YORK STATE. NOT RESPONSIBLE FOR i t DESIGN OR CONSTRUCTION ERRORS. NEW , LLC®N f � cr � CONSTRUCTION SHALL MER THE REQUIREMENTS - ,032254-1i;- ��•� CODES OF NEW YORK OF THE ! K STATE.. .._ OFESS10i,� ' , 2/,3/ CUPANGY OR i V - -USE ISUNLAWFUL 1 WITHOUT CERTIFICATE ! CERTIFICATIO06F000U i'A' 'v,i NAILING & CONNECTIONS ' w RIEC�UIREI� „ , , . . — , , - , ,. ,.. ,. . . „ • ., .. .. ".- - -. . .. .. - Nr",dW -w....wr..+ww..+a+...w,. r,v.t<....+w...rvwM.r+.-.^{r :. , - - '. 1 , r - ., , . ' - . l - - . • - f .. .. t . - ' , ., _ 'sr . r C , t 5 . . „ .. - .. , .S. - - - ,. '' s. a ,t^_ i r , _ , . , �,^ ,. . . .. N, �, .. - . r r , .t . , . 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