Loading...
HomeMy WebLinkAbout21505-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22604 Date SEPTEMBER 22, 1993 THIS CERTIFIES that the building ADDITION Location of Property 315 MAYFLOWER ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 8 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 18, 1993 pursuant to which Building Permit No. 21505-Z dated JUNE 29, 1993 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 PATIO COVER ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES J. & VIOLETTA CISERO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A -A" ) - Building Inspector 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) N Date 19..q..~. 21505 Z Permission Is hereby granted to: . .r. G?ti2 3... .s..~/'l..... . to . . . at premises located at..........3../~.....10V. ..~RAIPP...L ............1/.r..J~ County Tax Map No. 1000 Section Block Lot No. pursuant to application dated 19.9. and approved by the Building Inspector. Fee $....7 5..~...o'..~ Building Inspector Rev. 6/30/80 I Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT I; TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction....... Old Or Pre-existing Building.. n Location of Property.., 1l Z.....fYJ77A.=rti'~ ~r l 4 House No. Street Hamlet Onwer or Owners of Property..ClrA r, ~....'l:y . l!~ TEA~so County Tax Map No 1000, Section.1 6. ......Block... ..........Lot. tr.. Subdivision ....................................Filed Map............ Lot...................... Permit NoAj5.Q-$::-?.....Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Gil #/~70 Fee Submitted: $....CZ4.~.rU0.... a ~qO~C'~o \ - APP I ANT -'IELD I:: S: D.A OMhLNT° _ _ " ~ L`1 '9 1 7OU11DATION , (1st) I N c N FOUNDATION (2nd) 2. z 0 ROUGH FRAME & W PLUMBING y H 3. ~ INSULATION PER N. Y. STATE ENERGY CODE x 4. 1 O -Ja FINAL E ADDITIONAL COMMENTS: s 1 • x N\ 31 ^9 V~\ 2 [TI A a - m 0 m ro H PATIO COVERS AND SCREEN ENCLOSURES ~ '.Y_ ~®I J I~S "MIX ad OLiI i-t "r'IL'~aa I I Bi lam' _ A. Our finest patio cover. Aluminum construction 0. Our better patio covers offer corrosion-resistant ` a n1.= a with structurally-shaped interlocking roof panels. aluminum construction with structurally shaped inter- White baked-on enamel finish. Built-in concealed rain locking roof panels for strength. White baked-oR . gutter runs width of front trim. 1-piece ad('. wall enamel finish resists chipping, peeling and flaking mounting bracket. 8-ft. high columns with scroll de- 10Dx20 ft. wide. Three 8-ft. posts. See shipping note sign. Standard units incl. 2 translucent plastic skylight below. o - _ - panels. Unassembled. Scroll arch (B) not included. Cap. PSF• Catalog Number WL Its. Price See 'N' suffix note, page 408, PSF note below. 20 F 64 R 117111 100 $S6o.oo Shipped from factory, see shipping note below. 40 F 64 R 65111x 117 60o.m State color no.: 27-White 7-Brown-tone with white to 00 F 64 R 65112N 122 700.00 z-i Cap. Wxg Colwrme Gdl WL _ PSF• feel' N0. sve. in. xuml'Rvr Its. Price Our goad patio covers (not shown) have natural alu- 40 Mlh 2 1'h F 64 R 651ONH 46 $n6.80 minum roof panels, three 8-ft. posts (except 65124 20 16x8 3 11h F 64 R 65101NH 9e $soo.oo has 4). White fascia trim. Incl. concealed front rain .Y .~•."+s.•' 60 16.8 3 11h F 64 R 651UNN 98 sso.oo gutter. Shipping note below. Depth. Catalog cal g 20 20x10 3 Ph F 54 R 65103 NH 132 $625.00 Cap. Wlath. Price 40 20x10 3 1'h F 54 R 65104xH 141 05.00 PSF• lee[ test Number Its. 4 - - " _ - 00 20x10 0 1'h F fit R 6Si05NH 160 725.00 20 16 8 F 64 R fi512N 00 $865.00 20 21x02 3 1'h F W R 65106NH 150 $825.00 00 18 8 F W R 65121N 95 000.00 40 20,12 4 1% F M R 65107NN 165 975.00 20 20 f0 F fi4 R 65122N 124 $490.00 - - - 00 20x12 4 2 F 64 R 65108NX 230 1150.00 50 20 10 FWR 65123N 135 525.00 00 ZO 10 F fi4 R 65124. 140 360.00 B. Scroll arch kit attaches to patio cover posts to - 20Wx10D-tt. 60-PSF• white-coated heavlFdutyalf-, • form decorative archway. Baked-on enamel-finished galvanized steel patio cover or carportjnot shown). t e e, - aluminum. 28x28 in. Pkg. of 2 makes one complete F 64 R 62025N-Wt. 265 Ills..... $4 9 1.UU: arch. Hardware included. Shipping note below. State color number. 27-White 7-Brown E. Single aluminum car/utility 0061x$ Six 8-ft. h f•'1' F 54 R 65139H-Wt. 4 Res Pkg. of 2 $37.50 x 2 3A-in. sq. aluminum posts. Natural famish has m. f' _ r Scroll arch kit (not shown) is similar to (8) but is white side trim panels, natural roof,panels; posts at- t' prime-coated steel that's ready to paint. tach to galvanized steel beams. White finisW41as back 4 R prim 14Ibs Pkg of 2. 999 baked-on enamel roof panels 6=n. trim panel t- 6 _ - a`1 - - 9521-Wt. ter-mounted posts. Unassembled. Check local ld- V - 2 or more packages Pkg. 25.49 ing codes. See shipping note at left. C. Aluminum screen enclosure with long-lasting fi- Cap. PSF• cam, fl Cataft No. M. Its. Price berglass screens and aluminum frame with 18-in. Nelunda mum finish kickplate. Incl. one door. Not load-bearing. Fits under 461ts. ex16 IF fi4 R 62005NI 112.00 I $500.00 r$pg most self-supporting roofs and 8-ft. high premium 20 Its. a F fi4 R 60ox 147.00 650.00 roots (roof not incl.). Shipped from factory, see ship- 20 4een 1 inoae F 64 R fi2001N 163.00 $75X00 ping note below. ao roa. 10x20 F 64 R 6200211 167.00 790.00 State color number. 27-Whhe 7-Brown fi01M. 10XID F 64 R 62008. 190.00 895.00 1 Ca I waq WL Price •PSF AND CAPACITY NOTE: Capacity is expressed in Froof. _ ten feet xumber Its. pounds per square foot. Order the patio cover with the proper 14x7 16x8 F 64 R 6513Nx 195 $650.00 weight load capacity for your area. F T 18x9 20.10 F 64 R 65131NN 230 000.00 20 Ibs. per sq. ft.: Recommended for areas where wind and 18x11 2002 F 64 R 65132NH 262 9511.00 slow are IighL (20 PSF) 40 Ibs. per sq. ' Recommen0etl for areas when wind and SHIPPING NOTE: Items with "F' prefix (except heat registers ) now are light and medium. (40 PSF) 102 are shipped direct from factory to the sears store of your 01bs. per sq. ft: Recommended for areas where wind and choice. Allow 23 days for delivery. snow are heavy. (60 PSF) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ I INSULATION ] FRAMING [ FINAL REMARKS: DATE a~ h))-----INSPECTOR j JAI AT _TOWN 0 i ' Uns•~he-i-M F!!•.ney....+s~d'S§~n -"~r1U tt't a-tf'~ 1 j to th!e rtrV" It, o 0,43 on of. S^Kion 72^, a, ti-is New. YoeA -rm ~ _ JS 4 cz ~ 7. f i ~'I s•+ Eduwdcn Law. - CW" ot Mk smy" map ro, bwlig t 1+-: th, Ic~t sur+vm'o ir3cG se'; c' _ 7 entboww, seal abt•'; r bo considorad to be a valid tnn rat:d. ^ r _ rn:Y to tira x,'e+ ^r w:xm iho s ur~r/ It e1sc2-ot1 End 01 Ns b= I to tha tine cm-,^.r.- nov r - mni ! a;,erq• a.A r GC a y r ` lef d:m inl&ution 1 siad hn SOE Pnd j to 1hn asri n"-s of the leMins maN- 11 tv..+c. G•n: ant•>r< are not trarsfinbis O I ' (!f1 ~'y .tc°''[•"'~^^"•': fs:::ut'•oos w ausbouent ; Q _ , gara=T~ _ ~ ~ j G;: f.•q ~~l. ~`'iJf1~ TiYX t 179' ~1' 'lY.^1L:PH: 1 ~ ( i I ® Lr J JiSt (GCVO, 5pcf: 107, el;`. 8, Pct. 00- (1 L V KJ •~j r ~ ~1 . i ~ ~ ~ I ne f ra. f2!l8b~ N' O I Q z fence f frJp• guy rrfrsrf IC tl 2'40" Yd. O - r. xsr Y - i» Nov. -1 ; (iGG 01 cti. - f_OC~1:~,~ i t/o._.--'~ .mss BOARD OF HEALTH . FORM NO.1 3 SETS OF PLANS I~f TOWN OFSOUTHOLD SURVEY ,fN 180 BUILDING DEPARTMENT CIIECh - • TOWN HALL SEPTIC F0RM SOUTHOLD, N.Y. 11971 _ L rowl Ut- TEL.: 765-1802 r: D • FY CALL Examined 19 MAIL TO: Approv?ed 19~7Permit_ . Disappr/ . . . Building Inspector) APPLICATION FOR BUILDING PERMIT Date . Cn .-.lLF 1........, 199. 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 inspe ons ~7 (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......tt/....I Nance of owner of premises ...V.d~ Y?F F.rt.. A?[~L_s C.) s F-R° (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. QW NI)k Plumber's License No . Electrician's License No . Other Trade's License No . . Location of land on which proposed work will be done . t . YF.©wE ......R ..........................M ~Ttl.. House Number Street Hamlet County Tax Map No. 1000 Section . [ Block ...B Lot ....A.0.......... . 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 F b. Intended use and occupancy .....FA t0 . C.~~'. , ..r 3. Nature of work (check which applicable): New Building Addition .P1V_!Q.GtV AAlteration Repair Removal Demolition . Other Work . e (Description) ~t C C- r 4. Estimated Cost 7..:............................... Fee P . (to be paid on filing this application) S. 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 Rear Depth Height Number ofStories 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 ofStories Size u, iot: 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: 13. Will lot be regraded ...No. ............~t Will excess fill be removed from premises: Yes l_ Ng 14. Name of Owner of premises /f(~I~I.~S . l tS~CiVAddress . :A ! 57.. 0..1f Fk4w'~one No.. ~ `fcF--1J:3.7L. Name of Architect Address Phone No............... . Name of Contractor Address Phone No.............. . 15. Is this property within 300 feet of a Lidal wetland? *Yes........ No.J~.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. F F"s A1JDt'r/~nJ re' ~rxls~n/r> lee, 0 r / e.. cy F. FF~ V-1 -fi /00.0 M/a y FA-0 u-i F~ R D STATE OF NEW YORK, S.S COUNTY OF . S . moAk- . , G /SFAQ . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the.... ol'-.4 .E!4271~ ~ (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 there.vith. Sworn to before me this q .day of e...., 19 . t r 4T Notary Pub~,_ z County L CLAIRE L GLEW 14! c11 y . G L Nowt' PuNlo, State of New Yak ( i i No. 4879606 (Signature of applicant) Qw8Ret1 In Suffdk County Ooawelwion Etgtiree December IL 19