HomeMy WebLinkAbout31567-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31365
Date: 12/30/05
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 880 AKA 705 WIGGINS STREET GREENPOP.T
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 48 Block 1 Lot 33
subdivision
Filed Nap No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 28, 2005 pursuant to which
Building Permit No_ 31567-Z dated OCTOBER 31, 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" ALTERATIONS & ADDITIONS TO 2ND FLOOR OF EXISTING TWO FAMILY
APPLIED FOR.
The certificate is issued to JAMES J PIRILLO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
tho ized ignature
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 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 consent to inspect signed b> the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in \writing to the applicant.
C. Fees
L Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swirnning 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 - $.25
4. Updated Certificate of Occupancy - $50.0u
5. Temporary Certificate of Occupancy - Residential .$15.00, Conunercial $15.00
New Construction:
Old or Pre-existing Building:
Date.
3
(check one)
Location of Property: -70 � W l 6 6 /,l 5 dde�=_
House No. Street Hamlet
Owner or Owners of Property: aAt* E ! CT� ALL o S P"2_LL_-LLC_
Suffolk County Tax Nlap No 1000, Section Z/ _-49 _ _ _ Block
Subdivision
Pemtit No.
Health Dept. Approval:
Date of Permit.
Planting Board Approval: _
Request for: Tennporan Certificate
Fee Subnnitted: $
C 0 i!: .3 13 65
Filed Map.
Applicant_
Undencriters Approval:
/ Loi
Lot:
Final Certificate: (check one)
4:kppi-ant igi u�LJLCY�-v
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. 31567 Z
Permission is hereby granted to:
JAMES J PIRILLO
275 COVE CIRCLE
GREENPORT,NY 11944
for :
Date OCTOBER 31, 2005
AS BUILT ADDITIONS AND ALTERATIONS AS APPLIED FOR. ADDITIONAL
CERTIFICATIONS MAY BE REQUIRED.
at premises located at 880 WIGGINS ST
GREENPORT
County Tax Map No. 473889 Section 048
Block
0001
Lot No. 033
pursuant to application dated OCTOBER
28, 2005
and
approved by the
Building Inspector to expire on r^nTT
Fee $
0411=1117
O, 1/ nl
ORIGINAL
Rev. 5/8/02
FIELD INSPECTION REPORT
DATE COMMENTS
(�
V� m
FOUNDATION (1ST)
at
FOUNDATION (2ND)
--
- - -
-
oP z
�
1O1
ROUGH FR.A.MHNG &
- - - --
PLUMBING
- --
- --- ---- - -------
--INSULATION
INSULATION PER N. Y.
STATE ENERGY" CODE
- -
--- ---- - - ----- --- - --- -
r /-
FINAL
/ k
ADDITIONAL COMMENTS
- --- - -
;10
m
Qo
m
1x
W =
Jz
-
x
a
0
m
a
TOWN OF SOUTHOLD BUILDING DEPT.
76S•1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ]
FRAMING/ STRAPPING FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN
,§i"ATION
[ ]
FRAMING/ STRAPPING [vT�FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE l � INSPECTOR
}
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST
[ ] FOUNDATION 2ND
[ ] ROUGH PLBG.
[ )INSULATION
[ ] FRAMING / STRAPPING [ �j—fitlAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE INSPECTOR -- 6cZ
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
SREMARK��-=, - , �✓rs/V- Lc:.'.�- cf�/J 41' )
E/An
DATE INSPECTOR
c
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ 7FNDATION 2ND [ ] INS ATION
MING /STRAPPING [ INAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE INSPECTOR
/4hh _!IF /_?3 TOWN OF SOUTHOLD PROPERTY RECORD CARD
M-/?
OWNER
STREET ;
VILLAGE
DIST.
SUB. LOT
.°
r
r !y ✓lel-F
e
r f'
la
7)rsC•
FORMER OWNER
Cl: It n ���
E
NARVE —
'
ACR.
0.143
J r V
I r' �/� �_,
L.Cj
S
MCMC- �CILAVL
/W /� ¢
vs ml 4
TYPE OF BUILDING
RES.
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt.
Value
L F.a.M, l
LAND
IMP.
TOTAL
DATE
REMARKS
�ly, 4-
77$0,
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
z J�
House Plot
BULKHEAD
Total v �'
v
DOCK
�jj
SURVEY OF LOT 3C
MAP ENTITL® PLAN OF S. 81113 GOMN ESTATE, 6REMPORT,
SUFFOI-K COMMNM YOM A5 LAID OUT IN LOTS IN 1882,
RESURVEY® IN JM IgG4 FOR 143:MM'S SALE MY 2, I0104
CA BAT84W SURVEYOR d 13461N934 SHELTER ISLAND, NM YORK
FILED DEGEMM!R25, Ig80 MAP No. 548
51TUAeTE: GREENPORT
TOWN: 50UTHOLD
5UFFOLK COUNTY, NY
SURVEYED 05-1-7-2005
SUFFOLK GOUNTY TAX u
1000-48-1-33
James Phm
�� I�_'l_'IIII�
wok
Bw P
C
W
v I
I
O
00 t it 2 story
kr - 1 Frame
HOU5e I;
N
Ti
_
I
W
z
=
_ I Story
I
JLC
s eps
°'E
nnyi
_
p an-
�6
FEE
S
1
_W
N
4.
n'
O
0
m
'Tt
c%
LL
z
a a43
�
LLV
DO
Z
o
W
�= K 311otl �
T
a'
a3
a O
W FE v5N
u
OFeN
oi5 LM1alp ifK FElIG6_ p'w
wooa
6 0= wcc encs
Fence
garage
N89014'10"W 50.00'
_
_. r
44
NOTES: -' -
• MONUMENT FOUND T
AREA = 6,222 S.F. or 0.14 ACRE
6RAPHIG SCALE I"= 20
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\05-190.pro
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Soushold
Examined 11,73/
Approved
Disapproved a c
2 S 2005
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans_
Planting Board approval
Survev
PERMIT NO. �J (� Check
20�
20 iJ
20
Septic Form
NX.S.D.E.0
Trustees_
Contact:
Jail to:
'hone:'- 7 i" ) IID 9
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
r{77- 1S -;t5 .
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 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 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 the applicant. Such a 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 pan for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 inspections.
4���1%
Signature of a icant or name, if a corporation)
0a c 120 tz4g�dft
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises CZE M E S c -T PI 2 t' &Ld
(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 License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
7D<- W GC. //l 5 STS �22cE/7 Pani
House Number Street Hamlet
County Tax Map No. 1000 Section—IT--Block Lot 3
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
b. Intended use and occupancy, da x,19-11 oil I
Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost LCA. %e Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(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.
Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
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 of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase
of Former Owner
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_ NO
14. Names of Owner of premises c7R-sj i 5 C/, / i 2/&Address Sf Phone No. 4/77 / S ZS7-
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* 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.
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 sII
o being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)Heisthe OWy ter'
(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
davof a 2005
Notary Public
BARBARA ANN RUDDER.
Notery Public, State of New York
No.4855885
Quelilied.inSuffolk County s
commission Expires April t41a
Signature of Applicant
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE,
CODES OF. NEW YORK.STATEiZOM PLY WITH ALL CODES OF
APP D AS NOTED NEW YORK STATE & TOWN CODES
,p B.P.
#4 &6- 2-0: -F�
Nu' OF'
AS REQ J'R� C N
DATE: B.P. #
FEE: BY:
N y "!�q' BOARD
NOT FY BUILD;PiG i-DE-PARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
-,RUSTEES
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED U'.,S. DEC
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUd
BE COMPLETE FO
C.O.
ALL CONSTRUCTION ALL MEET THE lq- /e7'
REQU'REMEN I OF t-uUIDES OPIIEV—
YORK 'TS
STATE. I$IOT R PONSIkE FOR
DESIG OR C NSTR JbTION ERRORS
u -10
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPL Y S YS TEM CANNOT
EXCEED 2110 OF 1 % LEAD.
A
PLUMBING
ALL PLUMBING WASTE
� WATER LINES NEED
TESTING BEFORE COVERING
1V I
3%4-
OCCUPANCY
USE IS UNLN
WITHOUT CE
OFOCCUPAP
Rob F
UNDERWRITERS CERTIFICATE
REQUIRED
R
:UL
'IFICATE
sc a -o
r CSN
J
17)
;7
o A
70
I ffl-ml
OONUE PROPER WMD� FWSSIIST.;
C To -S-'FGfR ANT CONSTRUCRbN FOLLOWMAN
4"MAXX
AND
. 70 ..... . . . . . .
-NA, U-, G
RMDECK J0104
X
24/2"Dlk GALV,,.BlDLI,81W[MWASHMZS`Y�fiIPTNU-T'S
1� A
14 t
A Ezw."g-
` VZON "
Wo ita7m
g -p
g
- - - - - - - - - - - - - -
ON. . . . . . . . . . ..... .... W-1 A
C1 t3t*
WFTJ� -A
t MR, E 1, P
1y Y
Yt