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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. i. I O! .I ..!