HomeMy WebLinkAbout30596-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31604 Date: 06/13/06
THIS CERTIFIES that the building ACCESSORY SHED
Location of Property: 1435 BAY HAVEN LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 88 Block 4 Lot 38
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 20, 2004 pursuant to which
Building Permit No. 30596-Z dated AUGUST 27, 2004
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 SHED IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to KENNETH A. & TIFFANY A. SMITELLI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
t ori d sicfnature
Rev. 1/81
I-Z
Form Na.6 1
TOWN OF SOUTHOLDQ�
BUILDING DEPARTMENT
TOWN 8 ALL �IAjrV� 1e_., N�•
APPLICATION FOR CERTIFICATE OF OCCUPANCY
� 3
S\\10- 2A -11 a�
This applicationmust be filled in by typewriter or ink and submitted to the Building Department with the followi
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and ukl or
topographic features. tirrapt
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. i
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 cedifica'i—e
of Code Compliance from architect or engineer responsible for the building. �` \P n �/
6. Submit Planning Board Approval of completed site plan requirements. \J (3` 1
B. For existing buildings(prior to April 9, 1957) non-conforming uses, or buildings and '°pre-existing" laanuses:
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
Date. COO G
New Construction: Old or Pre-existing Building: (check onn
Location of Property: 1 3 S e/-,a .4- .! O -�, ( � -739
House No. Sir t Hamlet
Owner or Owners of Property: (
. l
Suffolk County Tax Map No 1000, Section— -b Block —Q—q—Lot
Subdivision__________Filed Map,__—
Lot:_
Pennit No. �d � Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: eck o
Fee Submitted: $
Applicant Signature
(,nc. -)03H1
C 0 q- 3 166`l
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. 30596 Z Date AUGUST 27, 2004
Permission is hereby granted to:
K SMITELLI (MAHER)
888 ROUND SWAMP ROAD
OLD BETHPAGE,NY 11804
for-
CONSTRUCTION
orCONSTRUCTION OF AN "AS BUILT" ACCESSORY SHED IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 1435 BAY HAVEN LA SOUTHOLD
County Tax Map No. 473889 Section 088 Block 0004 Lot No. 038
pursuant to application dated AUGUST 20, 2004 and approved by the
Building Inspector to expire on FEBRUARY 27, 2006 .
Fee $ 150 . 00
ZO� L4` �-
Authorized Signature
ORIGINAL
Rev. 5/8/02
. ... --.-.-
FIELD INSPECTION REPORT DATE COMMENTS W
cl
FOUNDATION(1ST)
--------------------------------------
ya
FOUNDATION(2ND)
z
• z
� a
N
H
ROUGH FRAMING&
PLUMBING
ro
Z
INSULATION PER N.Y. Z y
STATE ENERGY CODE
Cp
i O
FINAL
ADDITIONAL COMMENTS 3
�e
`=r
rZ
m
J
ro
z
I x
x
v
ro
H
TOWN OF SOUTHOLD ISOPERTY RECORD CARD - 9
OWNER STREET //V-35-J5 VILLAGE DISTRICT SUB. LOT
ORMER OWNER: N E ACREAGE
cl met � • 3
µ3� S W TYPE OF BUILDING
I ( r f
RES. SEAS. VL. FARM COMM. IND. CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
200 4d
/4000 ?J 12 Oq 5a jo 555 - O' :i e. - ! v UZ)
iovv 3 a--o o O- LI10 5 4-rk-(JS 1/ ct C. 4 zlae6
/ / _ - Go 0 fielder
//o-o 160 Zoe 4 3 d on - q5,7� famc 76
AGE BUILDING CONDITION �j� S (1 I t fPY4fi0111�I
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable, 3
Woodland
Swampland
Brushlcpd ` w
House Plot
Total
MEN EN ME
,? . ■■■■■■nONE■■■■n■■
■■■■■■■Eon■■■■■mom r
1
IN Ems
,.�_--, _ _�., ,.-� � �� ..�... ■■■■■man■■■■■■■■
}' ■■■■■■®■■■�■■■■
SEE Iff..
NINE minim
Nifir, 111111112111111111
Fire PlacePorcht
n, i, �'� III •. _ •.. ..
LOT 48
S 52'05'50"E 12 .00'
P,PE -
In PIPE
V
N sy�F I ro
MF s' m
o g
M 2 O I� N
I i U
WW
C i
Z srausE N IJ o
ax W
= J
�
20.2—
<
0.2IU t�
o
N coxnerz
.►_1 O a.0' oursroc �
Z sxowEa
4.0' m 10.0' O
J
0
M
A
< X
� m
rq
Ld
m �
O
z
coxcxErt srooP m p �
kSP f
LLI
Q
Lo SCREENED 3
Lo PORCH Lc
3' LY
O �
Z exmwcE �
�t a
I�
co W
PIPE
N N 52'05 50 W 125.00
O LOT 50
r
Ln
II
w
1=
WAY SURVEY of
x°u- WATERSEDG E LOT 49
IN
BAY HAVEN AT SOUTHOLD
SITUATE
SOUTHOLD, TOWN OF SOUTHOLDERE
GUARANTEED TO: SUFFOLK COUNTY, N.Y.
KENNETH A. SMITELLI
TIFFANY A. SMITELLI
SURVEYED FOR: KENNETH A. SMITELLI
TIFFANY A. SMITELLI SURVEYED: 17 MAY 2006
SCALE 1"= 20'
FM// 2910
AREA = 15,625 S.F.DATE FILED JAN 22, 1959 OR
0.358 ACRES
TM/j 1000-088-04-038 SURVEYED RUN SURVcEYED BY c- c-
FOR WHOM?"HE SURVEY
IS PREPARED,Y TO THEPERSON AND ON HIS BEHALF TOME STANLEY J. ISAKJEN, JR.
TITLE COMPANY,GOVERNMENTAL AGENCY, n
LENDING INS TITUT/ON,1FLIS TED HEREON,AND P.O. BOX 294
4
TO THE ASSIGNEES OF THE LENDING INSTITUTION nIC"nI S c-U FFK. N.Y. 1 1956
GUARANTEES ARE NOT TRANSFERABLE TO - NEW O
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS, 631 -73 5835
UNAUTHORIZED AL TERA TION ORADD/T/ON TO THIS _
SURVEYISAVIOLATION DFSECTION TSOS OF —
THE NEW YAV VIOLA
TE EDUCATIONLAW. L
COPIES OF THIS SURVEY MAP NOTBEARING - ", ENSED/ N ..0 OR
THE/AND SURVEYORS EMBOSSED SEAL SHALL YS Lic. O. 49 2 7 0 6 R 1 503- 1
NOT SE CONSIDERED TO BEA VALID
TRUE
COPY.
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL ' Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. "Y'0516 e/ Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 20 b� Contact: (::;/<-7
Approved 20 OW Mailto: n O<z (�,W3,3 J "Pole
Disapproved a/c n1d gAikxaa 14, 11 011
Phone: S/6 ^�93-cf 1ST
Expiration L�X 7 -,20 O
j�tt.X,G�
Building Inspector
AUG p p 44 APPLICATION FOR BUILDING PERMIT
Date_ D 20 d Y
INSTRUCTIONS
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 part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
E 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 cod andations,and to admit
authorized inspectors on premises and in building for necessary inspections. Z7
( rgnature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises P. N Yt � t�u
(As on the tax roll or latest )
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 hich proposed work will be done:
House Number Street Hamlet
County Tax Ma No. 1000 Section Block Lot
Subdivision .g.� flSo Filed Map No. Lot
e)
J
2. State existing use and occupancy of premises and intended use and occupancy of proposed consftction:
a. Existing use and occupancy
b. Intended use and occupancy q x t
c i,o,rZ J —od
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost__.� �� Fee (Description)
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. 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 Name 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 Address Phone No.
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 REQUIKED.
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)
SS:
COUNza
F
, being duly swom,deposes and says that(s)he is the applicant
(Name of individual stgmng contract) above named,
(S)He is the C)Q,&_�"-Q—S
(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
o?D day of Q 20K,io Y
l g2IJ_ Cr¢,jj2z. .ro-.2
Notary blic I Signa a of Applicant
uNDA J.COOPER
Notary Public,State of New York
No.4822583,Suffolk Cou�t��'Q�
Term Expires D u er 31;7g4�
- —
225 Ib. 20 Year guarantee '/z" C.O.X. 2" x 4" . Double gusseted roof
asphalt self-sealing shingles trusses for unmatched
4" Overhangon
Plywood roof
in our choice of 6 colors Yw »
Y ,
all four sides eliminates sheathing strength @ 24 o.c.
sidewali streaking from
wat r runoff �'' � �'� ��-� ''
��` Galt'.
�• ,``_ _ �- `_ _ Finished soffits for
Hurricane ' beauty and weather
Clips (Typ.) tightness
End Vents
Maintenance Free both ends
aluminum drip provide proper
edge or painted ventilation
wood corners
" I
2 Aluminum Jalousie
windows with screens I I Full 2x4
&shutters, or choose
optional windows. Kiln dried stud
Custom placement at E�
no additional charge. Hume ��
Reinforced Double Doors ip Cdtli �
painted'on both sides
Latex/acrylic exterior pain with 2x4 framing r. "_G!�� j�I
in your choice of 13 colors p aRf '' AT
or clear-sealed PRESSURE TREATED B.C. PRESSURE TREATEDv four si¢eki; THE
5 ply plywood floor, secured 2x4 floor joists 16" O.0-'` S1'ECDONr
5/8" T-1-11 Fir Siding or cnoose with ring shank ff�ails.,. �, PRE tJ E R6AFfaj"
Optional Horizontal Wood SidingVwv�. ' �i� �- rfou�> A ATE
Jacks & headers in all door 2. ROUuH - FRAMWG.& PtUMEiPv ``'=
or Vinyl Siding r in to meet all State andUSE IS UNLAWFUL
3. INSULATION i
�E�TIgrC�t-z I�w �F 4 �
CMIRuC1"ION SHAH.
ME C.O.
CONOMBU AIWMIDE TIED DO N O 6XILVANIZED D7UBLE HE
ANCHORS AT ALL CORNERS OF FOUR CORNERS, AS MANUFACT1 URED BY TIE DOWN FbQ
GEORGIA, ATTACHED TO BOTTOM OF FOOTINGS & PERIMETER TIMBER S11PPORT TI SRI TO ALL
SHEDS UP TO 12 FT. WIDE BY 40 FT. LONG. � '��`> - ?
REQURED LONG ISLAND SHEDS .
57ZcD-Z x
PIN
Lai 48 `�
• t
s..j'2' off"'so'• E. i-zS-o � /SAP QF' /�R araERT Y
� 0 SUR V�YEO F0�'
�,�Rioiv 0'Coivr�o�
V
Q � Gwrn e
A
k Q V
4 t se w
urgeadw desado,Maddmon
_ to tats su%w Is a vk*e kn of
ll r
coon ofeft at ttw mw roc bwwk#
the kind aww*We bV ed anal a
OF
NE yQ b sbe VONatie*my. be otcnid.red
f ��7� auww*m s ktffca ed hwon sires m„
p�'.fio" fit/ �.Z.�`:8 Daly m the ye w for whore the sarveL+
f f6 PrYDa�aQ.Sr+d aS hfi bBirBH 20 L':O
•e�'�;?; r tr _ tide cemtanns gorernmsrrtxi agetay arn1
kn* ofure larr �k�ati.
C S 2 5� tubae.Gumateee are not trw fwaMo
LAN4SO)Sil to admonm In9judaae orsebea�oepE
h
• a c�LI f QHTGeo� � �t `HfCr—GGYlrf�y
• a = v't-oar �v>�e' _Ti�1� 6[rcrra ' u�rai r!!ar t cF e Gc>.
afsd ftie S o4 �/d s'r vr�yJ.- 4%ror"k
Yvts Timm0,-1 ,40K .Sols
of C3uy Navels of SO4f�iojd � fi'fc d iFr
70'*e- S&Ifo/k t!ocfss 7 off'i c e d s 04 r;*q-
�Qp Alo.Z 9/0. G/cafrs�d Lcss>-� Sc{rv�yar--s
Mew or�c
1 >
T _TTT T1TrT
Ix IL
Applicant/ Date. f
Owners Name:.. Reviewed:
Architect/ Date
Engineer: — Submitted: • .
SCT'M #:
District: 1.000 Section: Flock:
Project Subdivision
Location: ` 3 _� Name:
r Single&separate Required ��
A iti__ I\1.\ ..
cer(I(matlon: �''w� 1�
Req _ Rcy' `
Zoning District: Il of size; Actual: ) ll�ot coverage I'rutxscrf` )
Roq Rcq. Req
rant Yud Proposed: [Side u ed; I (Rear Yard' Proposed-
[(
Project Description: Qc4n, op
AGENCIARERMM Permit
RFQ[fTRN,D FOR R {"VIS ' N.A. NO YM Numbe
Suffolk County Health Dept.
New York State. D.R C. ` �----
Town Tnastees —
Town Zodng Board approval: �j 7L—
Town Planning Board approval:
Flood Plane Blevation??? —
Flood Zone:
Nd&s:
30f