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Home My WebLink About32292-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 08/28/06 No: Z-31774 THIS CERTIFIES that the building ADDITION Location of Property: 1345 COREY (HOUSE NO.) County Tax Map No. 473889 Section 78 CREEK LA (STREET) Block 4 SOUTHOLD (HAMLET) Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 2006 pursuant to which Building Permit No. 32292-Z dated AUGUST 15, 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to UGO L PQLLA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~or-:f!:~~ 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 propcrty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Oept. 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 I % 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: I. 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 I. 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. New Construction: Old or Pre-existing Building: CO.€-e y 6 ~F;=: k- LA-./{; r-; Street (check one) ~7AC/1C./J Hamlet Location of Property: /. ? ~d- House No. Owner or Owners of Property: 06-0 I- 'Po 1/11- Suffolk County Tax Map No 1000, Section /IS' Block '-f Lot 21 Subdivision Permit No. 3 J,:J. q ;;1-'(; Date of Permit. 61 r) r 6& Filed Map. Applicant: Lot: Health Oept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ 6-x.1 (jib 5 J LO -C 31'771./ 3> )-~~?- 2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATI~ .) [ ] FRAMING I STRAPPING 0- FINAL (J: E.C:" [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ..~ ~~ ~'-(''-M- ~~~( ~, ~ 01\:, 'g'--(0 - (), DATE >>,~ ~eL INSPECTOR r' ~ -1'lELD INSPECTION REPORT DATE COMMENTS =========================f========c=====~================================================= II II' II II II " II II II II-- II FOUNDATION -..-i I~T) --- I! II II II II ~I II --11 11 11 II --11 !2~A!ION (2ND) .~==============~======================================= II II II -II " II II II II JI II II ROUGH FRAME & II II W II PLUMBING II II II 11 II II ,,------11 II II II II -========================~========~======================================================= II II II II " II ii II INSULATION PER N. Y. II II ft II STATE ENERGY II II 4-- II II II CODE L ~ II II II II II ~ II II II II ========================~I! -i ~T~10Z:-~~=::;l=============~--=;~~==~=J I II II II II II II -ll II ~ ~ II n !! FINAL i II II ---============== ---=========--=========~=======~=========== ADDITIONAL COMMENTS: D=_======================================================================================= JJr "d~..:t: ~\j..I (') ~-,,- . H" ) HVr- ...\\i v [\$ c::: r' "l '" '""-,:-J t'j \ .0 ~-~\ ~ ,/ ~ \JJ -{:. lJl ~ '\ <, -<- "'[) ~ ~ l-i 0:::' F ~~ [5 ; ~t >:L 0CJ ~ ~~ ;<l '- CSl CJ If ~ \ H i, g , (jZ 6(' E:l ~ t :+ t'j "d >4 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. 32292 Z Date AUGUST 15, 2006 Permission is hereby granted to: UGO L POLLA 1345 COREY CREEK LA SOUTHOLD,NY 11971 for : CONSTRUCT A DECK ADDITION "AS BUILT" ON THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES 25301. at premises located at 1345 COREY CREEK LA SOUTHOLD County Tax Map No. 473889 Section 078 Block 0004 Lot No. 021 pursuant to application dated AUGUST 15, 2006 and approved by the Building Inspector to expire on FEBRUARY 15, 2008. Fee $ 150.00 ~u Authorized Signature ORIGINAL Rev. 5/8/02 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) 3d-'d-Ci:L (~rfJ PERMIT NO. 25301 Z Date NOVEMBER 2 98 permission is hereby granted to: UGO L POLLA 1345 COREY CREEK LA SOUTHOLD,NY 11971 for : CONSTRUCT A DECK ADDITION "AS BUILT" ON THE REAR OF A SINGLE FAMILY DWELLING TO CODE at premises located at 1345 COREY CREEK LA SOUTHOLD County Tax Map No. 473889 Section 078 Block 0004 Lot No. 021 pursuant to application dated OCTOBER 30 98 and approved by the Building Inspector. Fee $ 75.00 ORIGINAL Rev. 2/19/98 '" /6~o - OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD )1- L STREET l..5 Cre,;;! lCd .' VILLAGE DIST. SUB. LOT zt,. o L, Po I/. C:~M~7f'OtN . Ehkr- .t c.uf r-, /' ..~".,/. .oJ" Y ') T .. ~il -;d<>- .t.t...-f. F )'-0' ".' ".;' QAF,~ l SEAS. ( or ,z,1j -' N ~~d 5'~ L.;" l C, y 1 (? ..:.- I ~.' u.. c..c..., ) E ~ " .:L.G. S c(\ W RES. ]..J a VL. FARM COMM. CB. MICS. TYPE OF BUILDING Iff.. 0<l"ci.. Mkt. Value LAND IMP. TOTAL u-r '00 00 -3 <I () /1 GV :3"06 -d 6-6 .3 va ; REMARKS ", AGE NEW FARM BUILDING CONDITION -.. NORMAL BELOW ABOVE Acre Value Per Value Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD ~ --- DOCK Tillable Woodland Meadowland Hause Plat Total COLOR )( to--r....R p L .f '7;:; tl TRIM I0Q Sf<.. - --- .~ - ~-, ':/ . . - ... - .. -- - -- -- -- .. - . . , -- - I-- I I -- - - / .,. .,. e i ~ < 11 ., I .----- -- - ---- ,-- -~ '- ------ p X /.Il- .1 I" v ';57'1+8 -- . J M. Bldg_ 25':0./2- :0. 10So .fl..1 .3 <J/2- I i Extension Li - ~ ? i I I , i I Extension I I i I Extension ;JuL- /VYI7- ~3f .- 5q' Foundation 'PC Bath i J Dinette ,,A.j Porch Basement {:,/( Floors (l/:1hu{",." K. , Porch Ext. Walls Il,a J 'i#,L'!. Interior Finish SiR lR. l.oIoa B reez~way Fire Place tie Heat 33 _Zi,~ DR. Garage ;23 x'''3.,. ,52-9 / ~ s- ttl/ Type Raof ,'H~." Rooms 1 st Floor BR. Patio , , . Rooms 2nd Floor lFIN. B I RecreatIon Room O. B. / z.. Y 2..... ~ , '/M 7(c / pCJ J Dormer Driveway I Total I 1713/2- I ," v -', r' 1 ~{--~ "- I:'-' "'- ~ ~: fl--'-- J. ! " ~---- )- t ..... , , a'.,. .. '.\.. '.. >oJ.... 1" i , I : -I''' "~ I -i <:l ;L-:.. '"p . '" , , iF r=--- , 1 I , ,_ _L__ :,:,"}': m "..:l:.. '\ , ,., ~' ). -..0 .;:.:',~ .f- " d, ~ ,\ -J t- " ~ tr' <J .. f "" ," .:..---- Ip; 'J:'I ~ , .J> 1': rt. \ ~- .. .. -~ " " ~ "- III ...."1~ -. ....! ~..... ~ ",' J-' 'T" '\ {- .---. .. "-'=---,4~~-,' ;; i ._~_.uw_.. --'-"--I~- ~ "n t '" ~ '-.so --~ ~ .,. 1 \ ~ ~ '-"\ ~ ~~\~ ~~ }\ ~ ,..,.. , ~ ,>--, '.."..) '" ') (1 ,\ ;: ..--;, Q) C,\ \ ~ r , , I 'l-~ (,." I .' -of' "7'" " <.:, \!l 1 ~ .: ;fl. , ~\ "" ~ ,0 ,.l> -r '" 'i ,~"i:, \~~ ~ ~ 3 k-~\ ~ '~ "- '-'x " ~ ,::-".,-~~ ) \, --1r1 ~, , 1<; " ..I i ,,~ "'" 't" ,'--1 I~ -- '-- ~ .' -' " 1 H ',~ ==-=r'-~~ :J ;.=--- ... ,~ . j- : (\- ,v " p .i 1 - "'~ "'- , ,'" '. ' -t;':-J ~: l:.= .. ,.t, ! ---1. ~ ~,;~ .-- ~".,,:: __l.- ,_ ." ~ .._j \'-. ~J'~ , ~'_.~ v1 )' " 'J (,'I i " "';' , .FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. ]1971 TEL: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEy........................ CHECK ......................... SEPTIC FORM ................... F=DiIYed.../ iflr/.. Approved...l7~19.... Penuit t<<J. ..';'..f:.~.Z- Disapproved a/c .. .... ..... ...... ... .... .......... NOTIFY: CALL .. 7.1. f.:. 2{J. ?~ MAIL TO:.................... .................................... ................................... ATION FOR BUILDING PERMIT Date.. ./()Il:.'1....., 19.91-:- BLDG. DEPT, . , INSTRUCTIONS TOWN OF SOUTHOl: a. 'This application DUSt be C014'letely filled in by typewriter or in ink and subuitted to the fuilding Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on praoises, relationship to adjoining praoises or public streets or areas, and giving a detailed description of layout of property uust be dram on the diagrau ""'ich is part of this application. c. 'The wrk covered by this application may not be camenced before issuance of fuilding Penuit. d. Upon approval of this application, the fuilding Inspector will issue a fuilding Penuit to the applicant. Soch penui t shall be kept on the praoises available for inspection throoghoot the wrk. e. t<<J building shall be occupied or used in libole or in part for any p1l'pose libatever until a Certificate of Occupancy shall have been granted by the &Ii lding Inspector. AP1'LlCATIOl IS HEREBY MAlE to the fuilding DeparlllEI1t for the issuance of a fuilding Penuit PJrsuant to the Buildi,,!: Zone Ordinance of the TOWll of Soothold, SUffolk Coonty, New York, and other applicable Laws, Ordinances or Regulatioos, for the construction of buildings, additioos or alteratioos, or for relIDI1al or demolition, as herein described. The applicant agrees to C014'ly with all applicable lals, Ord;nA~"""S' . ding code. ' bousi , and regulatioos, and to adDit authorized inspectors on praoises and in building ssary . tl . (Si~~ '~~i~~, ~;.~:~ if'~'co";';;~~i~;' / ~~ -).-.(r;~{.(g;t{7.f::.. HI.; .~~4!.i. &. f~(t 7( <Hailing address of applicant) State ...Ilether applicant is lJWller, lessee, agent, architect, engineer, general contractor, electrician, plwber or buildel .... Q,Cf.!Ai. ti: (!7:.................................................................................................... NaIe of woer of pranises ... UG,-Q.. L~. .l~. Ll.f.\-............................................................... (as on the tax roll or latest deed) ......................................................... APP OVED A OTED DATE: B.P. E!> 3:0 .. FEE: BY: NOT! BUILDING DEP. ENT AT 765-18029 AM 10 4 PM FOR ,HE FOLLOWING INSPECTIONS: 1. FOUNDA1:rON . lWO REQUIRED FOR POU'REDCONCRETE R:lUGH - FRAMING &. PLUMBiNG ,:\SULATION Other Trade's Ucense t<<J. .................... ,. C',;" '.1, , CONSTRucr:ON MUST I Wcatioo of land on """ch proposed rk '11 be done I. ~ u,- /" h BE COMPLETE FOR C,O . 1 W WI .....~.k....c...a<'<..........;\;C.CONSmoCTION..SHAlL".MEET .. / 3!6J::/?Qt{9::(. .CN$.t:.k. LJl..ly.ij::............. :?O.C!. (;~c/.(,(.............. .~.Hr.'i~~~~:;~~O'~ ::ER~~ lbuse IbIber Street c ;. '. S, NOT RESPONSIBLE FOR Coonty Tax Map t<<J. )(XX) Section. :7'L.......... Block ...'f........... Lot (ff.. n~~;j;;;.fIJ .Q~ CONSTRUCTION ERRORS Subd' . . . lVlS100 ...................................... FlIed Map t<<J. .......... ..... Lot ............... (NaIe ) / If applicant is a corporation, signature of duly authorized officer. (NaIe and title of corporate officer) Plumbers License No. ......................... A~NVdn~oo :10 UVOI:lIUf]O InOHlIM In:lMV1Nn SI 3Sn HO AONVdnOOO fuilders License t<<J. ......................... Electricians Ucense No. ..................... 2. State existing use and n.-M'P"""Y of rses and intended use and occupancy of proposed construction: a. Existing use and occupancy .... f:'.f!.:.! k.P.:Z-w..~JwP'q;;p'~...................................... b. Intended use and oc . LC I( "I, cupancy ............................................................................. elHTATaMH]Ii,.':,Fl ,""Vwnv, to nfc~.:_~ .~> .!~:..r-:i .(>tATO~ o;nuoQ iIollu2. .t'l' r b.;(212 rO .00'1 .........1lQX3f1'l>1lT j/-5 /l L T j)~- l' Ie l. l'atllTe of work (check wlich applicable): IlelllUildlng .......... Mdltlon v.:::..... Alteration .......... Repair............ RsmYaI ............. 1Jermlltion ...~....... Other Work .................................. (Description) \. Estineted Cost ............ ~............ fee .............................................. (to be paid on filing this application) 5. If d<..,lling, rmber of dwelling .mits ............ tiDher of d<oelling units on each floor ................ If garage, ...roer nf cars ...................................... 9. 10. II. 12. If business, ~c.~lal or mbed occupancy, specify nature and extent of each type of 1ISe...................... Dirrensions of existing structures, If any: Front................ Rear............... Depth................. llei~t ......................... Number of Stories ...................... Di"",nsions of ....... structure with alterations or additions: Front............... Rear............... Depth .................... l1ei~t .................... Number of Stories .. r:'i::~r:::.:--;.-:;~";~ Dirrensions of entire new construction: Front................ Rear......... .'... :.' Depth' .....:.. .'1. .f:'L'! Hei~t ......................... Number of Stories ..................... " " 1\. ' ;, Size of lot: Fr'ont .................... Rear .................... Depth ..t................. " ! l~,_., .J Date of I\rrchase ............. ........ Nrn"e of Fomer (),mer .............. ....... P'V............. :.: ....""......... ..... Zone or use district in Wlich prenises are situated ................. ....... .............. ........ ....."._........... Does proposed construction violate any 200ing law, ordinance or regulstion: ........................ 6. 7. 8. 13. Will lot be regraded .................... will excess fill be reunved fron prenises: YES NJ 14. Nllnes of Owner of prenises ........................... Mdress .............................. llione No. NIIne of Architect .................................... Mdress .............................. llione No. NIIne of Contractor ................................... Mdress ...............................llione No. 15. Is this property within 300 feet of a tidal wetland? *' YES .......... NJ.......... *'IF YES, !U1IID.D 'lmN 11<lr.51u..'l ~ MI\Y BE ~. PLOT DIAGRAM locate clearly and distinctly all buildings, v.ether existing or proposed, and indicate all set-back d\""nsions fruD property lines. Give street and block ...roer or description according to deed, and shcM street nares and indicate v.ether interior or corner lot. I /7 I. , J~l.' _~J~~{ ~.\ I!~' .. ~ J. s Y : ~ 'j' F; -. CJ , .~ I J If" Sf AlE <X' !I'M YORK, ~_. -::s:rJ L/~ s.<; axJNIY <X' ...::::?IJ/../..-:......... .....\9,:)..Q..~yq.~.\~.....................:...:bei~ duly sworn, deposes and says that he is the applicant (Ibre ofUMividual signing contract) above nm-ed, lie is the.. .C). W.~.~.~.... ..... ...... .............. ........ ...... ......... .......................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perfonn or have perfumed the said work and to neke and file this application; that all stat"",,",,ts contained in this application are true to the best of his knowledge and belief; and that the work will be perfumed in the nenner set furth in the application filed therewith. ~rn to befd "" this ' u~~:,:~;1:lJl.~J1L ELIZABETH A STATHIS NOTARY PUBLIC, Slate ofNewYcllII No. 01 ST6OO8173, Sulfalk CoulItv 181m ExpIra......~ 0