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Home My WebLink About31442-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31197 Date: 10/11/05 THIS cErTIFIES tb~t the building ADDITION Location of Property: 6825 GREAT PECONIC BAY BLIrD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Ta,x )~ap No. 473889 Section 126 Block 10 Lot 17 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 8, 2005 pursuant to which Building Permit No. 31442-Z dated SEPTEMBER 12~ 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 "AS BUILT" DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM A CAGGIANO (OWNER) of the aforesaid building. SUFFOLK COU~FTY DEPARTMENT OF HE~J~TH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION N/A N/A N/A Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of alt 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 Undemrr/ters. 4. Sworn statement from plunrber certifying that the solder used in system contains less ttkan 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences atat similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible tbr the building. 6. Submit Platming 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 smx'ey 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 stroll state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Aheratious to dwelling $25.00, Swimming pool $25.00, Accesspry building $25.00. Additions to accesso~3' building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.0(} 5. Temporary Certificate of Occupaucy - Residential $15.00, Commercial $15.00 '7, New Construction: Ix)cation of Property: House No. Old or Pre-existing Building: (check one) Street Hamlet Owner or Owners of Property: ~/)0t ~-F~ ~.1 //k,//,q/~6x~_~/ ~/~ O Suffolk County Tax Map No l000, S~tion~7~) /~ Block ~O/O Lot O/~ Subdivision Filed Map. Lot: Pe~t No. ~ / ~ ~ __ Date of Permit. ~C f~r~_ Applicant: ~~ ~[~ H~lfl~ Dept. Approval: Unde~vriters Approval: Plamfing Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,:~ 5"-,/~--' Final CeYtificate: (check one) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PEILMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31442 Z Date SEPTEMBER 12, 2005 Permission is hereby granted to: WILLIAM A CAGGIANO 2625 PECONIC BAY BLVD LAUREL,NY 11948 for : "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 126 pursuant to application dated SEPTEMBER Building Inspector to expire on MARCH 6825 GREAT PECONIC BAY BLVD LAUREL Block 0010 Lot No. 017 8, 2005 and approved by the 12, 2007. Fee $ 300.00 ' Authorized Signature ORIGINAL /8/O2 COMMENTS FIELD INSPECTION REPORT I DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N.Y. .... STATE ENERGY CODE AI)DITION.,~L COMMENTS TOW~ O~OUmOCD BUILm~C OEPnRT~U~NT TOWN HALL SOUTHOI,D, NY 11971 TEL: (631) 765-1802 FAX: (631} 765-9502 www. northfork, net/Southold/ Approved~ Disapproved Expiration PERMIT NO. ,~ I qc~~:~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Pla~s Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ~i~to: '~ ~. M,. {?B~g~spector · . . ~APPLICATION FOR BUILDING PERMIT 8 ~c,c':. Date ~" 200% INSTRUCTIONS a. This application MUST~,ie completely filled in by ~pewrit~ or in i~ ~d submitted to the Building Inspe~or ~th 3 sets of pl~s, ~c~ate plot pl~ to ~e. F~ ~ording to sch~ule. b. Pot pl~ sho~ng locmion of lot ~d of buildings on premiss, relmionship to ~joining premises or public s~e~s or c. The work co~red by this application m~ not be ~mmen~ before issu~ce of Buildi~ Pe~it. d. Upon ~prov~ of this application, ~e Building lnspe~or will issue a Building Pe~it to the applic~t. Such a pe~it sh~l be kept on the premises avml~le for insp~tion throu~out the work. e. No building shall be occupied or us~ in whole or in p~ for ~y p~se what so ever until ~e Building ~spector issues a Cev:ificate of Occup~cy f. Eve~ building p~it ~1 expire if the work authohzed h~ not commcnc~ within 12 monks ~er the dine of issuance or has not been compl~ within 18 momhs from such date. If no zoning ~endm~ts or other r~ulmions ~e~ing the prop~ have b~n ended in the intern, the Building ~spector may authorize, in writing, the e~ension of the pe~it for ~ ~dition six months. Thiner, a new pe~it sh~l be r~uir~. APPLICATION IS ~BY MADE to ~e Building D~ent for the issu~ce of a Building Pe~it pursuit to the Building Zone Ordin~ce of the To~ of Souffiold, S~folk CounW, New Yor~ ~d other applic~le Laws, Ordin~ees or Regulmions, for the construction of buildings, Mditions, or ~t~ations or for r~oval or demolition as herein describe. The applic~t ~rees to comply with ~1 ~plicable laws, ordinan~s, building code, housing code, ~d regulmions, ~d to Mmit ~thorized iaspe~ors on premiss ~d in building for n~ess~ inspe~ions. (Signature of applicant or name, if a co~oration) (Mailing address of applicant) [ ( q ~ State whether applicant is owner, lessee~ agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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 L~cense 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 Hamlet County Tax Map No. 1000 Subdivision (Name) Section Block I0 Filed Map No. Lot Lot 2. State existing use and occupancy of premises and intende}t., use and occupancy of proposed construction: a. Existing use and occupancy ~rt~ ~gfTO-q~'*F (~) ~- b~ Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~ ro?oO. Fee If dwelling, number of dwelling units If garage, number of cars Addition ~ Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing st]'uctures, if any: Front Height Number of Stories 2(~ 2. Rear 2. 6 .Depth 0cO 1 Dimensions of same structure with alterations or additions: Front 2.6, z. Rear Depth ~'~' ~ Height. ~ ~ Number of Stories ~ Dimensions of entire new construction: Front 1 7' Height fi- Number of Stories Rear 13 ' t O .Depth Size of lot: Front ~ t Rear ~ ' .Depth 10. DateofPurchaseN00. l'ZtLoO2. Name ofFormer Owner ~0~---(. ~otSP.~L~,ff-~__ 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 ¢~'~'t'aoao AddressOS~(' a/Eco~m~ l~.l~Phone No. Name of Architect Address Phone No Name of Contractor ~O3/,~:ll_ Address Phone No. NO f 15 a. Is this property within 100 feet of a 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 v/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO ~ 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) COUNTY OF~'~ I~[}' ... . flqcw,,/u Lq_qqt ~,,r~ o being duly sworn, deposes and says that (s)he is the applicant (Name of individulal sig~ing comJra~t) above named, (S)He is the ~'l~ ~ (Contractor, Agent, Corporate Officer, etc.) of Smd 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. 0 S ~af'ur~'~ f~a'~aut /0'5' 1 OR )CCU?A~ 'MENT AT FOR THE [RED IBING MUST MEET THE NTS~(~F THE ; OF NEW OT NSIBLE FOR ERRQB$. INAILING & CONNECTIONS) REOU RED. ~.' m ~ 0 :