HomeMy WebLinkAbout29890-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29879
Date: 12/01/03
THIS CERTIFIES that the building ADDITION
Location of Property: 670 GREEN HILL LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 3 Lot 9
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 21, 2003 pursuant to which
Building Permit No. 29890-Z dated NOVEMBER 25, 2003
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 EXTERIOR CONCRETE STAIR ENTRANCE TO NON-HABITABLE CELLAR OF AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" & AS PER CERTIFICATION OF
JOSEPH FISCHETTI, P.E. DATED 11/26/03.
The certificate is issued to SALVATORE & LORETTA LOPRINZI
(OWNER)
of the aforesaid building.
S[~FFOLKCOLI~YDEP~T~qT OF HEALTH~PROV~J~
ELRC~IC3%L CERTIFIC3%~ NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
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:
ho
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 lbr 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 by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. ? Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming 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- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
House No.
Date.
Old or Pre-existing Building:
New Construction:
Location of Property:
Owner or Owners of Property:
Suffolk County T, ax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
co _oq %' 7q
Date of Permit.
Street
35
(check one)
Hamlet
Zt~ £t~t ~' 2.1
Block ._,R Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: / (check one)
~cant Si~at~
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. 29890 Z Date NOVEMBER 25, 2003
Permission is hereby granted to:
SALVATORE LOPRINZI
25-27 121ST STREET
FLUSHING,NY 11354
for :
CONSTRUCTION 0F AN AS BUILT STAIRWAY AS APPLIED FOR. ADDITIONAL
CERTIFICATION WILL BE REQUIRED
at premises located at 670 GREEN HILL LA
County Tax Map No. 473889 Section 033
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
Fee $ 300.00
GREENPORT
Block 0003 Lot No. 009
21, 2003 and approved by the
25, .....
ORIGINAL
Rev. 5/8/02
PROFESSIONAL ENGINEER
1725 HOBART ROAD / PO Box 616, SOUTHOLD, NEW YORK 11971
TEL631-765-2954 , FAX631~14-3516 · e-mail: joseph@flschet~i,com
Date:
Reference:
November 26, 2003
670 Greenhill Lane, Greenport
Southold Building Department
Main Road
Southold, NY 11971
Dear Sir,
entranc~t~
I certify that the exterior concrete as been constructed in accordance
with New York State Building Codes.
Joseph Fischetti, P.E.
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO~HPLBG.
[ ] FOUNDATION 2ND [, ] II~'ULATION
[ ] FRAMING ~FINAL
[RE] FIRR~iACE &/~HI~MN~.~ ~ ~ ~ ~_~ *J
DATE //~/~ '?~*INSP~~
JOSEPH FISCHETTI, PE
PROFESSIONAL ENGINEER
1725 HOBART RD / PO BOX 616
SOUTHOLD, NY 11971
631-765-2954
Salvatore LoPrinzi
670 Greenhill Lane BASEMENT ENTRANCE
Greenport, NY
E
~ )
FOUND,~TION (1ST)
FOUNDATION
]'OWN OF SOUTHOLD
BUILDING DEPARTMENT
]'OWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
!
Disapproved adc
Expiration
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Buildin~qnspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONs
//// 7/~.~ ,20
a. This application MUST be completely filled in by typewriter or in ink and subrrdtted to the Building Inspector with 3
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 part 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 perm/t shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Perm/t 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.
~.j ,fSignature of applicant or name, if a corp~,tation)
BMailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ,,.f.,,q-t-I,/,ZtfflS~.[ )J ZO lg. ff TT,,dJ ~0 ff,.P/,4/7- /
(As on the tax roll or latest deed)
If applicant is ~o.~_.or~,~on~e of duly authorized officer
(~e ana {~tle of ~e officer,
Builders LicenseNo.
Plumbers License No.
Electricians LicenseNo.
Oth~Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block .-~
Filed Map No.
Lot ~)
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~f'/Aq:lff ,ff/l.,alZY
b. Intendeduseandoccupancy ~l~ -£Y'/J' fl,,v6- .~>c f~/ot~ 3 L~ It ~A¥ To
Nature of work (check which applicable): New Building
Repair Removal Demolition
Estimated Cost - ~) --
If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work /]..f-~O /z f d'[~Ol,t t.~.~iy
(Description)
Fee 4 300
(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 Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Size of lot: Front Rear Depth
10. Date of Purchase
Name of Former Owner /411¢RA~Z-
1 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO )e
13. Will lot be re-graded? YES__ NO ~ Will excess fill be removed from premises? YES__ NO
14. Names of Owner ofpremises Z0 ~JMZl Address
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.
1 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 survey.
STATE OF NEW YORK)
COUNTY o~f~,~:
"~/4 /~t" (""~-'~ ~"% 1~ being duly sworn, deposes and says that (s)he is the applicant
(Name of intlividual signing contract) above named,
(S)He is the (Contracto~Qorporate
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
/'~is'~day °f c
Claire k. Olew
Notary Public, Slate of NOW YOlk
No. 01GL4879505
Qualified in Suffolk Coun~
Commission Explrea Dec. 8,~...~
~ (gnatu~re of A~licant