HomeMy WebLinkAbout30862-ZFORM ~[0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30913
Date: 15/13/05
TI{IS CERTIFIES that the building ALTERATIIONS
Location of Property: 380 GARDEN CT SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 63 Block 7 Lot 17.7
subdivision Filed Map No. -- Lot NO. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 18, 2004 pursuant to which
Building Permit No. 30862-Z dated DECEMBER 21, 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 ALTERATION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ANGELO & DOLORES TRUGLIO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF ~IEALTH ~%PPROVAL N/A
ELEt-rRICAL CERTIFICATE NO. 2046828 03/31/05
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORk BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORk, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
JIM SAGE ELEC. INC.
P.O. BOX 38
GREENPORT, NY 11944-0038,
ANGELO TRUGLIO
380 GARDEN CT
SOUTHOLD, NY 11971
Located at 380 GARDEN CT SOUTHOLD, NY 11971
Application Number: 2046828
Certificate Number:
2046828
Section: Block: Lot: Building Permit: BDC:
ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the Day of
31 st March, 2005.
Miscellaneous
kitchen renovation
Appliances and Accessories
Range
Dish Washer
Wiring and Devices
Outlet
Fixture
Outlet
Receptacle
Switch
Receptacle
QTY Rate Rating Circuit Type
I 0 12.5 KW
1 0 1.2 KW
9 O Ftxture
9 0 incandescent
12 0 General Purpose
5 0 General Purpose
8 0 General Purpose
3 0 GFCI
seal
I of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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.
30862 Z Date DECEMBER 21, 2004
Permmssion is
for :
ALTERATIONS
hereby granted
ANGELO & DOLORES TRUGLIO
380 GARDEN COURT
SOUTHOLD,NY 11971
TO AN EXISTING DWELLING AS APPLIED FOR
at premises located at
380 GARDEN CT SOUTHOLE,
County Tax Map No. 473889 Section 063 Block 0007
Lot No. 017.007
pursuant to application dated NOVEMBER 18, 2004 and approved by the
Building Inspector to expire on JUNE 21, 2006.
Fee $ 150.00
Aut~c
zed ~gnazure
ORIGINAL
Rev. 5/8/02
ARCHITECTURE
uAN 3 I
24 Janualy ~ - Foxed & Mailed
Chief Building Inspector
To~ o~ Soull~old
Building Department
Town Hall
~ Ne~ Yo~ 1 T971
W: www.noffhfo~k, net/Southold
T: 631.765.1802
F; 63T .76,5.950:~
R:
Residential Kitchen/Family Room Renovation
380 C::,~:le~ CouP, Soulhold, NY 1 t 971
Town of Southold Building Permit No. 30862
I ~ovided architectural design se~ces to my client, Delores & Angelo to renovate their
(C, Thorp Const[uctlon} to construct what I had designed, drawn, and filed wffh the Southeld
Building Depaffment.
doors assembly and three windows in lwo separate walls as Indicated in the flied drawings.
His work Includes consffuction framing and window installation and it meets the intent of my
drawings and the building code of the Town of Southold. 11qerefore, I have advised him that
he may now proceed to finish enclosing all interior walls.
Peter Krasnow, FAIA
C:
380 Garden Court, Southold, New York 11971
T: 631.765.3976
P.O. Box 177, Gre,~npart, New York 11944
T: 631.477.1248
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFIC ATE OF OCCUP 3uNCY ·
.....
This application must be filled in by typewrtter or tnk and subtmtted to the Bmldtng Departmentiw~ the folio
[ b, O . D~-PT.
A. For new building or new use: [~ - OW' 0~2
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natnral of
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 Plamfing Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate suwey of property showing all properly lines, streets, building and mmsual 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 h~spector shall state the reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinmfing pool $25.00, Accessnry building $25.00, Additions to accessoD, building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildiug - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.1)0
5. Temporary Certificate of Occupancy - Residential $15.00, Connnercial $15.00
New Construction:
Location of Property:
lfouse No.
Owner or Owners of Property:
Suffolk Count>' 'fax Map No I000, Seclion
Date.
()Id or Pre-existing Building:
(check one)
Street
Block '"7
Handet
Lot /7' ?
Subdivision
Pemlit
No.
Health Dept. Approval:
Date of Pecmit.
Filed Map. Lot:
Underwriters Approval:
Plamfing Board .Approval:
Request for: '1 en'q~urao' Certificate
Fee Submitted: $
Final Certificate:
(check one)
At plicant Si[mature
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INflATION
[ ] FRAMING [,-/]"FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
FIELD INSPECTION P~EPORTI DATE]
FOUNDATION (1ST)
FO~DATION (2~)
ROUGH F~I~G &
PLUMB~G
~S~ATION PER N. Y.
STATE ENERGY CODE
([]
NOTIFy EUJLDi, ,- ~F,,':
765-1802 8AM TO
FOLLOWING ~ PM FOR
1. F~,~,,~ INSPEOT]oN8:
FOR POURED ~ .' ."
2. ROUGH F '. ,
3. tNSULA?IO,N ....
4. Fi~'~'AL . c
BE C"'. ' '-°~' "Ftr3N MUST
ALL Cot~.. ~: . '"
-'~' 'L ,; SH,tLL MEET THE
REQU,'RE,. ';T8 OF THE ¢,~ ~-
YORK STA'E. UOT ¢~'~uu~SoFNEW
DESIGN OR C~ , - R=~ ~ ONSIBLE FOR
uNS~ RUG FiON ERRORs.
OCCUPANOY OR
USE 18 UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
FLOOD ZONE, ~/~
COMPLY WITH CHAPTER "46"
FLOOD DAMAGE PREVENTION
SOUTHOLD TOWN CODE.
COMPLY WITH ALL CODES OF
ST.T.
/ I//~ ~:"'-' '~''' ~'..,~,~NG~OA~D
SO,,THOLD TOWN TRUSTEES
ALL CONSTRUCTION SHALL
:MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
~D~WRrERs
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.not/Southold/
Approved ' ~?/ ,20._~_~
Disapproved a/c
Expiration ~ ,20.
uilding Inspirer
BUILDING PERMIT APPLICATION CHECKLIS'I
Do you have or need the following, before applying?
Bereft of Heaflth
t,/4 sols of Building Plans,'--
Plan~ B,o~d approval
Cl~k'~
Sepfi~ Form
N.Y.$.D.E.C.
Trustees
Coat~¢t:
Phone,: %5'- 3 '::t 7~
APPLICATION FOR BUILDING PERMIT
Date IO NogrlVt~ -~, 2004-
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 plau to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on pr~nises, relationship to adjoining premises or public strecqs 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 tho applicant. Such a p~mit
shall be kept on tho premises available for inspection throughout tho work.
, e. No building shall be occupied or used in whole or in part for any purpose what so over until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorixcd has not commenced within 12 mouths after tho date of
issuance or has not been completed within 18 months from such date. If no zoning amendmcats or otber regulations affeedng the
property have been enacted in the interim, tho Building Inspector may authorize, in writing, the extcusinn of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Dcpa~ncnt for the issuance of a Building Permit pumumt to the
Building Zone Ordinance of the Town of Southold, Suffolk County, Now York, and other applicable Laws, Ordinanc~ or
Regulations, for thc construction of buildings, additions, or altemtious 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 n~ne, ifa corporation)
(M~ling *cldm~s of appllr~nO
State whether applicant is owner, lessee, agent~gineer, general contractor, electrician, plumber or builder
Name of owner of premises A~Jf:r~:LE) '"~U~-L4 (_.D
(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 Lic.~nse No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done: 5~0 G~-g~/Coo~'l- ~'6trr'~oct~
House Number Street
County Tax Map No. 1000 Section.
Subdivision
Hamlet
'Block
Filed Map No.
Lot
1'/,7
2. State existing use and occupancy of premises and intended use and occupancy of proposed cons~-uction:
a. Existlng use and occupancy ~ESt~r,.~tg~
b. Intended use and occupancy_
3. Nature of work (check which applicable): New Building
Repair Rcnnoval Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Fee
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ' ~""*
7. Dimensions of existing structures, if any: Front
Height. Number of Stodes
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth. Height Number of Stories
Rear
8. Dimensions of entire new constxuction: Front
Height Number of Stories
Rear Depth __
9. Size of lot: Front
10. Date of Purchase 7/3 1
Rear .Depth
Name of Former Owner
I 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO v
13. Will lot be re-graded? YES __ NO x/ Will excess fill be removed fi'om promises? YES NO '/
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address ~fqt~/ct,/50t,'~ Phone No. ~,zl .-/85'. ~7~
Address 7~ogg-tm~5:5~8/~}4~/- Phone No q ~ 7. gOT. +~7.¢&
Address ~o tc~ tZ7t e-v.g~t~t~Phone No. ~t · 4-77.
15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES__
* 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.
NO v
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:
SOUNTY OF )
~>~-Q-~-1~-~5;i'J~>X/x/ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual siLming contract) above named,
~S)He is the
(Contractor. Agent, Corporate Officer, etc.)
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
:hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
,frformed in the m~nner set forth in the a~ed therewith.
~ --Notary' -'-r~/~( J~--~"C'~ ~'~'~'~,~ZY~-'~'' Signature of Applicant Commission Expirs~ ~ ~.%~,~,~
;9.
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