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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