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HomeMy WebLinkAbout31736-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31450 Date: 02/27/06 T~IS CERTIFIES that the building ADDITION Location of Property: 875 DEERFOOT PATH CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 4 Lot 6 S~bdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAAUJARY 13, 2006 pursuant to which Building Permit NO. 31736-Z dated JANUARY 17, 2006 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 ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR, & AS PER CONDITIONS OF ZBA #5790 DATED 12/01/05. The certificate is issued to RALPH & JILL PASSARO ( OWNER ) of the aforesaid building. SUFFOLK COUNTer DEPARTMENT OF ~]L%LT~ A~PROVAL ELECTRICAL CERTIFICATE NO. PLUF~BERS CERTIFICATION DAT~3 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 OCCUP,MNCY This application must be filled in by typewriter or ink and subnfitted 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 electhcal 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 ofcmnpleted 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 natnral or topogq-aphic features. · 2. A properly completed application and consent to inspect signed by the applicant, ll'a Certilicate 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, Swi~nming 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 Cetlificatc of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Cerlificate of Occupancy ~ Residential $15.00, Cormnercial $15.00 New Construction: CffJ~'Z- Loeatiou of Property: ~ House No. Date. Old or Pre-existing Building: Street (check one) Owner or Owners of Property: ~]..p]"?/.t ..'~/L L.. p,~5 ~ ~(~ 0 Suffolk County Tax Map No 100Q, scctio,~7~ /O'~ Block ~0 0 ~ hot ~o~. Subdivision Filed Map. Lot: . ~/~ ~ ~ Date of Pe,~t. Health Dept. Approval: ~ Unde~riters Approval: Planning Beard Approval: Request for: Temporary Certificate Fee Submitted: $ e~-O'/. O ~5 Final Certificate: (check ,95)e) / A,~oplic a'ht Signature FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31451 Date: 02/27/06 T~IS CERTIFIES that the building ACCESSORY Location of Property: 875 DEERFOOT PATH CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 103 Block 4 Lot 6 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 2006 pursuant to which Building Permit No. 31736-Z dated JANUARY 17, 2006 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" ACCESSORY STORAGE SHED AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5790 DATED 12/01/05. The certificate is issued to RALPH & JILL PASSARO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~/~T~ APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Ahoriz~ 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" rand 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 applicaut. Ifa 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 dwelliug $25.00, Swinwning pool $25.00, Accessory building $25.00, Additions to accessory building $25.0(I, 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 Ce~Xificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: ~14[ __ Old or Pre-existing Building: Location of Property: ~> 7~,h"' b ~ j~/gf-"O ~) ~-'- House No. Street OwnerorOwnersofProperty: t~2../jj Tf ..'~/LC pffj~.~ dg~Q_ 0 SuffblkCounty TaxMap No 100Q, Sectiop~ y~6~:fi /'03 _Block Subdivision __ Filed Map. Pemfit No.5/~_ _~ ~ Health Dept. Approval: (check ooe) Lot ~ Lot: Underwriters Approval: Planning Board Approval: Request for: Temporary Certilicate Fee Submitted: $ fl~O~, d~2 ~ Final Certificate: 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. 31736 Z Date JANUARY 17, 2006 Permission is hereby granted to: RALPH & JILL PASSARO 875 DEERFOOT PATH CUTCHOGUE,NY 11935 for : "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AND "AS BUILT" SHED AS APPLIED FOR PER ZBA #5790; TWO CO'S REQUIRED. at premises located at County Tax Map No. 473889 Section 103 pursuant to application dated JANUARY Building Inspector to expire on JULY 875 DEERFOOT PATH CUTCHOGUE Block 0004 Lot No. 006 13, 2006 and approved by the 17, 2007. Fee $ 450.00 / Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG, ]FOUNDATION 2ND [ ]INSULATION ] FRAMING / STRAPPING ~'~FINAL FIREPLACE & CHIMNEY I ] FIRE SAFETY INSPECTION DATE ~'- - ~-''~ ~' 6 ~ INSPECTOR NO. STREET OWNER EXPIRATION HEALTH DEPT. SCOHS REF # RIO 98 00~6 VAC..~T LO.r 7 PER ~CTI~V ,.~09-~ g ALL CERT~CA ~rn Iom~or w/th lhe S~-ANDARDS F-OR APPROVAL CONSTRUCTION OF SUBSURFACF. SEWAEE OISPO~AL SYSTEMS FOR S~IGLE FAM~L Y £?F. Sff)FNCES SURVEY OF LOT 8 "MAP OF MOOSE COVE" RLE~ AUG, ,90, ~960 FI[ENOS230 A T EAST CUTCHOGUE TOWN OF SOUTHOLD SU~o~LK COUNTY, N Y ~ 103-04 - 06 SCALE, 1"= 30' APRIl. 1, 1998 AREA = 20,000 sq. ft. TOWN OF SOUTHOLD- BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork, net/Southoldt Disapproved a/c Pd OG. [;£PT. TOW;! ©F $~U';HOLD 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 Couteet: Mail to: ~PLICATION FOR B~LDING PE~ ~S~U~ONS ,2005'- a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 ~ets of plans, aecmeate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on pr~miscs, relationship to adjoining premisns or public streets or a: ~ % and waterways. ~ c. The work covered by &is application may not be commenced before issuance of Building Permit. ~ d. Upon approval of this application, the Building Insl0~tor will issue a Building Permit to the applicant. Such a permit ~lll~e 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 pulpose 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. Theroaf~er, a new permit shall be requh'~d. APPLICATION IS HEREBY MADE to the Building Deparm~nt for the issuance of a Building Permit puts,ant 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 allmations or for t~noval 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. ~ (S'~ of applicant or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /~! P/~/ ,/gflgS/~eo (As on the tax roll or latest deed) If applicant is a corporation, sigrmture 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: Hou~ N~ S~t Hamlet County Tax Map No. 1000 Section Subdivision /~/q}Ocg/~ /TJDDS~' (Name~ mock Filed Map No. Lot Lot 2. State existing use and occupancy, ofpremis~ and intend~l use a~d occupancy of proposed construction: a. Existing use and oeoupancy b. Intended use and occupancy LfTtSr~'/~toT/~/_~ 3. Nature of work (check which applicable): New Building Rep_asr Removal _ Demolition Estimated Cost -5. If dwelling, number ofdwellingunits If garage, number of cam Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelldng units on each floor 6. Ifbusinesa, corrtmercial or mixed oCCul>am:y, spec~l~rm~ mad extent of ~ t~ of ~. Height 2 5 ~ ~/~ Number of Stories ~ Dimensions of same structure with alterations or additions: Front Depth Height .... t·- (;'.2" · fS / 9. Size of lot: Front /~C9 / Rear /~o / Number of Stories Depth Rear lg~-T//~< IzL z // 10. Date of Purchase .Name of Former Owner I 1. Zone or use district in which pr~nises are situated 12. Does proposed construction violate an.v zoning law, ordinance or regulation? YES NO 13. Witt tot be re-graded? YES __ NO X~ Wfllex~es~fillbe~maovedfxompremises?YES NO J< 14. Names of~e~2es Addr~s Name of~.'F'ov,~,~l"/'~-,'~'-,'~oj ~ ~', Addr~$ Name of Contractor_ Address Phone No. Phone No Phone NO. ~ 5 a. i's this pw~:~xty within 100 feet of a tidal wetland or a fi'eshwater wetland7 *YES NO ~. * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this propert3, within 300 feet of a tidal wetland? '~ YES NO )q~ * IF ~tq~S, D.E.C, PERMITS MAY BE REQLqRED. ~-1 §. Provide survey; to scale, with aotmmi'e foundation pla~ and di~tancx~ to prot~tY lines. I 7. If elevation at rely poMt on property is at 10 feet or bekm, must provide topographical data on survey.. STATE OFfN~W YORK) ~e of in~ si~ing ~n~) a~ve ~, (S)He is the (contractor. Agent, Corporate Office, ~c.) of add owner or owners, ami is duly anthorized to perform or haw performed the said work and to make and file this application; that all statements contained in this application are true to tha best of his knowledge and belief; and that the work will be performed in the manner set forth ~n the application filed therewi~ Signature of Applicant