HomeMy WebLinkAbout31304-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31170 Date: 09/26/05
THIS CERTIFIES that the building WINDOW REPLACEMENT
Location of Property: 240 SUNSET PATH SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 54 Block 1 Lot 19
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 20, 2005 pursuant to which
Building Permit No. 31304-Z dated JULY 25, 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 REPLACE WINDOWS IN AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to RICHARD MA_NFREDI
(OWNER)
of the aforesaid building.
Su~FOLKCOUNTYDBPARTMRNTOFWR~LTHAPPROVAL
ELRcrKICAL u~KTIFICATE NO.
PLUMBERS CERTIFICATION DA'r~u
N/A
N/A
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOW~ HALL
'765-1802
AFPLICATION FOR CERTIFICATE OF OCCUPANCY
This appliOation nmst be filled in by tYl~'wn~ or ink and submitted to lh¢ Buildin~ Departm~ntwith tl~ follOW,nil:
A, For new bulldlns or new use:
1.Final survey of property with aoou~nt~ Ioe~tim~ of al! buil~, prop~ lines, ~ts, ~d u~usu~ na~ai or
~ap~c f~cs.
2.Final Ap~o~t flora Heal~ ~t. ofw~t~ s~ly ~d ~Ke-di~sal
Appto~l ofel~i~ ~smlls~on fi'~ Bna~d ofF~ Un~tem.
5. Co~ial b~ldin~ in~ial b~ldingjmlfiple ~ ~d simil~ buil~n~s and in~lla~s, a ~fific~
of Code Compli~cc fi~m ~cl~itect ~ ~ ~nsible for ~ b~l~g.
6. Submit Pl~fin~ Board Appmvai of c~pl6~ si~ plan r~m~n~.
B. For e~finl
1. Ac~u~t~ ~ ofp~ sho~g ~ll ~ ~, s~, buil~g ~d ~u~l ~ or mpo~phic
~eamtcs.
2. A pmp~ly co~l~d applica~on
C. ' '. ..
Swiping p~l
3.C~y of C~fi~
5Te~r~y Cenifi~ale of ~cup~y - ~si~n~l $15.00, Co~l $15.00
Ncw Construction: _ Old or Pre-existing Buil~g: (check one)
~use No. S~ H~let
5u ffolk Co~n~ T~ Map No 1000. S~gon
Brook OoD /
Subdivision - ~ Filed Map.
Pc)mit No. ~_ Dat~ of Permit,
Hcallh Dept. ApprovaJ:
Plmming Bo~d A~ro~l:
Request for: Tempora~
Fee Su~i~d:
Lot
,. Underwriters Approval: ~ \ Ks-
Final Certifica/~_ff~ (¢h~ckone)
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. 31304 Z Date JULY 25, 2005
Permission is hereby granted to:
R MANFREDI & WF.
350 HUDSON STREET
NEW YORK,NY 10014
for :
REPLACEMENT OF WINDOWS IN AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 054
pursuant to application dated JULY
Building Inspector to expire on JA/qUARY
15 HILL TOP PATH SOUTHOLD
Block 0001 Lot No. 019
20, 2005 and approved by the
25, 2007.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
7., ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [/~FINAL /~
[ ] FIREPLACE & CHIMNEY
] FIRE SAFETY INSPECTION
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING [~ FINAL /~ ',
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION t ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING [/~ FINAL /~_:
[ ]._FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMA~
DATE ~ -' '~"-' ~'~ ,.SPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ I INSULATION
[ ] FRAMING / STRAPPING ~FINAL
FIREPLACE & CHIMNEY ~ ] FIRE SAFETY INSPECTION
REMARKS:,
765-1802
BUILDING DEPT.
INSPECTION
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-5506
To: Town of Southold Building Dept.
Re:
Manfredi
Window replacements
Sunset Path
To Whom It May Concern:
The new windows at the above mentioned home will meet all energy and wind codes as
per code 1609.1.4. Any other questions please call.
"..,.Sincerely
\
Jame~ ~J. D~;'~'koski
i.RN ,DO HURRJC.~IE
INQ
ADD NE'~ -:ADER ( 2 - 5-1/2' GLU-LAM)
AT NEW;
REPt. AC~
SIDE WI !
REPIJ
W/NE
TURE WINDOW LOCATION *-,
(I~'ING DH UNIT~ AT EACH
~/ANDERSON CA~MENTS
'-' 2 DOUBLE-HUNG UNITS
~NDERSON PICTURE UNIT~/
EXISTING FLOOR
NO CHANGE8
·
EXISTING WALL
NO CHANGES __
ADD NE~
AT NEW ~
DOUBLE JAC~
NO'~iFY
765-1802 8 AH . -h.' FOR THE
NFME T /NINc P ENT FOLLOW'UG
1, FO: ~gATION - ~', ;~ REQUIRED
7.19.05 FOR POURE~ ;~ .CRETE
OCCUPANCY 0R
USE IS UNLAWFUL ~. ~.SU~T~O,
WITHOUT CERTIFI(
0F OCCUPANCY
NO(
-:ADER (
O. OL DO0~ LOCATION
(I~TING DH UNIT~
)ERSON 8MD. GL
nJD8 ~ NEW OPENIN(~
EXISTING FLOOR
NO CHANGE,'
;IUCTION
REQUIREMEN
COBES OF NEW YORK
CERTIFICATIOI~
NAILING & CONNE(
REQUIRED.
-- ID0STING DECK
~IN~IGES
ALL CONSTRUC'T~ON SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. ~l{~3'1~IBLE FOR
DESIGN OR CI~I~II~N ERRORS.
;HALL
5Or' IHt=
TATE.
OF REF ~J:~E2DOU .E-HUN~ 1'8
;TIONS w~ w~DE~ NSUO. G~ ~SOOO~
too~
7.19.05 "
COMMENTS
FIELD INSPECTION REPORT , DATE
FOUNDATION (2ND)
ROUGH F~t~G &
PLUMB~G
~SULATION PER N. Y.
STATE ENERGY CODE
~DITION~ COMMENTS
TOWN OF SOUTHOLD
BUILDING Di~PARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
~'sv. northfork.netdSouthold/
PERMIT NO.
Examined
Approved ~/~
Disapproved a~c
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Expiration // _ 2007 /,..
Building Inspector
I~ [ '~ ~ APPLICATION FOR BUILDING PE~IT
~ t i -', ate %~VUW ~ ,20 O~
~wN o~ s;?:'-.~,. 1{ 2 :_~ C ~¢~ I INSTRUCTIONS ' -- -
- a~s app~c~~ completely filled M by ~ewfit~ or M i~ ~d sub~tted to ~e B~ldMg ~spcctor with 4
sets of plans, acetate plot pl~ to scale. Fee according to schedule.
b. Plot pl~ showing location of lot ~d ofb~ldings on pre. scs, relmionsMp to adjoimg pre~ses or public s~eets or
areas, and watemays.
c. ~e work covered by this applicmion may not be co~cnced before issu~cc of BuildMg Pe~t.
d. Upon approval oftNs applicmion, the Building Mspector will issue a BufldMg Pe~t to ~e applic~t. Such a pe~t
shall be kept on the pre~ses available for inspection t~oughout the work.
e. No building shall be occupied or ~ed in whole or M pa~ for any p~ose w~t so ever umil the Building Inspector
issues a Ce~ificme of Occupancy.
g EveD' buildMg pe~t shall expire if the work authorized ~s not co~enccd witMn 12 momhs after thc date of
issuance or has not been completed wit~ 18 mont~ ~om such dine. If no zo~g amendments or other re~lations affectMg ~e
prope~y have been enacted in the Mtefim, thc Building Mspector ~y authorize, M wdtMg, tM extension of the pe~t for ~
addition six momhs. Th~eaff~, a new p~t sh~l be requ~ed.
~PLICATION IS ~BY M~E to the Building D~ment for the iss~ce ora BufldMg Pe~t pursuant to the
Building Zone Ordin~ce of the Town of Sou~old, Suffolk Cowry, New York, ~d other applicable Laws, Ordin~ces or
Re~lations, for theconstmction of buildings, additiom, or alterations or for removal or demolition as herein described. The
applicam a~ees to comply with all applicable laws, ordin~ccs, bulling code, housing code, ~d re~lmions, ~d to a~t
authorized inspectors on pre~ses and in builffing for ncccss~ insp<tions.
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State ~vhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~x tC~6?..~ - ~/~ ~'~ESI> I
(As on the tax roll or latest deed)
If a,p~f duly authorized officer
officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade s License No.
Location of land on which proposed work will be done:
House Number Street
50 trrt- t_.o
Hamlet
Cotmty Tax Map No. 1000 Section
Subdi,Asion
(Name)
Block J Lot · J '~
Filed Map No. ? ' Lot
State existing use and occupancy of premises and intended use and occupancy of proposed constmctior~:
Estimated Cost
a. Existing use and occupancy ~'~ I ~ ~
b. Intended use and occupancy ~' I/~ G t, J57
Nature of work (check which applicable): New Building
Repair Removal Demolition
Fee
Addition Alteration
Other Work
~-'q~:S;~ ~ A¢~lripti°n
(To be paid on filing this application)
If dwelling, number of dwelling units ~ A~ Number of dwelling units on each floor
If garage, number of cars /~J
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front ~ P~ Rear Depth
Height. Number of Stories
Dimensions of same structure with alterations or additions: Front ~J~ Rear
9.
10. Date of Purchase
Depth. Height
Dimensions of entire new construction: Front ~J ~
Height Number of Stories
Size of lot: Front ~ P-~ Rear
Number of Stories ' !,
Rear
Depth
Name of Former Owner
.Depth
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__
14. Names of Owner of premises~Address i~- ~ I CL.TO~' Phone No.
Name of Architect Address Phone No
Name of Contractor ~dd
NO
i dQ- Address ?. 0- 0 :t Phone No. '"/3 ~c -'~Z4
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 ora tidal wetland? * YES__ NO__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
l 6. 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 smw'ey.
STATE OF NEW YORK)
COUN s:
't>~------"[-~1~ ~ O"C~O I~_~ ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)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 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
\ ~]M~''p4- day of .~1 t...*4
No~_r~ Public
2005~~
MELANIE DOROSKI
NOTARY PUBLIC, State of New'tod[
No, 01D04634870
Oualifled in Suffolk County _ .. ~ t