HomeMy WebLinkAbout32317-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31806
Date: 09/16/06
THIS CERTIFIES that the bui1ding
ADDITION
Location of Property: 555 LLOYDS
(HOUSE NO.)
County Tax Map No. 473889 Section 99
LA
(STREET)
B10ck ~
MATTI TUCK
(HAMLET)
Lot 4.11
Subdivision
Fi1ed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
fi1ed in this office dated
AUGUST 23, 2006 pursuant to which
Bui1ding Permit No. 32317-Z
dated
AUGUST 24, 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 SOLAR ROOM ADDITION WITH DECK TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to LOUIS & ROSANNA LABARTINO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N-834980
09/30/87
PLUMBERS CERTIFICATION DATED
N/A
h"e-
Rev. 1/81
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29
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:
I, 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 2/1 0 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 bnildings (prior to April 9, 1957) non-conforming nses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusnal 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.
1/2-7/00
. /
New Construction:
~.
Old or Pre-existing Building:
-:J!j-S- J-!..<P'jbS LA/ }14TTi'TuU(.IUY
House No. Street /
l<oud. -J.- ;(054/1//14-
() t) r;
I I
(check one)
Location of Property:
IlfJ-2-
Hamlet
Suffolk County Tax Map No 1000, Section
L.4/Jt14-v'/l/o
Block f3~O.5>
Lot
ocr;. II
Owner or Owners of Property:
Permit No. ""3::l-.3(?--
Health Dept. Approval:
Planning Board Approval:
Date of Pennit.
Filed Map.
tu(/!il.f( 06 Applicant:
Underwriters Approval:
Lot:
Subdivision
Request for:
Temporary Certificate
Final Certificate:
( check one)
Fee Submitted: $ d 5"'. (j4 ~t></-
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Applicant Signature
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La :c 3 \ ~ 0 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.
32317 Z
Date AUGUST
24, 2006
Permission is hereby granted to:
LOUIS & ROSANNA LABARTINO
PO BOX 154
MATTITUCK,NY 11952
for :
CONSTRUCT A SOLAR RM TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. REPLACES BP# 15860
at premises located at
555 LLOYDS LA
MATTI TUCK
County Tax Map No. 473889 Section 099
Block 0003
Lot No. 004.011
pursuant to application dated AUGUST 23, 2006 and approved by the
Building Inspector to expire on FEBRUARY 24, 2008.
Fee $
50.00
L
.
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Authorized Signature
ORIGINAL
Rev. 5/8/ 02
3J-3/7 :z
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION .
[ ] FRAMING I STRAPPING [,x( FINAL ~ ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY~SPEC ION
REMARKS:
~~
rf ~ o/LL tJ k..
DATE r ~ ;}-f' - 0 t
INSPECTOR ~~~
Date
Application No. an file
f '} P., 6 ~, /r'<- '/
'N :c:3~'880
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THE
NEW YORK BOARD OF FIRE UNDERWRITERS
I
BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK. NEW YORK 10038
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by tlu! applicant named on the above application number in the premises of
"" ~,~. 1.
~
in the follou:in~ location~
was examined on
D
Baseme.nt
1.<r;tf'1.
D 2nd n
Sert;on
Block
Lot
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. i ;~. .-
and found to be in cOIllplimw(' u'ith the requiremenr.'! (~f thi.'! Board.
f1XTUR' FIXTURES
OUTLETS rECEPTACLES~WITCHES INCANDESCENT FLUORESCENT
~J ! I
FURNACE MOTORS
H.p:'-l-OAS
RANGES
COOKING DECKS
AMT. K,W.
OVENS
DISH WASHERS EXHAUST FANS
M R U Y
VA~R
AMi. K.W
AMT K.W
AMI.
JCW. I AMT
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H, P.
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1 A.W.G
AMT WATTS
AM'
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AMT
NO
AMT H.P
MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
DRYERS
FUTURE APfl'lIANCE FEEDERS
AM'
AM'
TYPE
NO. OF
METER
EQUIP. 1)62W ljif3W 3H3W 3jif-4W
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NO. OF CC COND
PERi!
C
E
SERVICE DISCONNECT
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"-W,O.
OF cc. COND
NO, Of HI-lEG
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Of HI-LEG
: NO. OF NEUTRAlS
A.W.O.
Of NEUTRAl
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OTHER APPARATUS:
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GENERAl MANAGER
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This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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MeW 3 , I98T
FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEALTH ......
3 SETS OF PLANS .o,.k,..
SURVEY _../J. t<.Ci . . .
CHECK .'fr jlf-:7./. . . .
SEPTIC FORM
iD
BLDG. DEPT
TOWN OF SOUn.jOLD
NOT IFY
CALL
MAIL
TO: If, 9~ Ccf;?,f 5''i
~~--,,-..e. I( 9. (
Examined .~..~....., 19~7.
Approved .~...~. _.., 19~7. Permit No_ J .~. ~.~~~
Disapproved alc _........................ _ _ . . . . . . . _ . _
................................. u:~&;:f......
APPLICATION FOR BUILDING PERMIT
,) / .JI J n
Date...... _...........,19...
\:
INSTRUCTIONS
a_ This application must be completely filled in by typewriter or in ink and submitted 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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_ i~~P~~t.i?!Jf.!!~.!:,,~.I.. ~'4:~'-c.'-:. . . . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
. ./~'r~_ .14-":<~: .1:/ -yg -. ~:.f1~<~. ?!:J-.-
(Mallmg address of applIcant) / Ictal
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
....... r?p-4:.... _.. _... _ _ _. _ _. _........................... _ _ _ _ _.......... _ _................ _..
Name of owner of premises . _. .L:9Vi.5... ?4.~'q~':f/AI.I................. _......... _......................_
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. ......... '...................................
(Name and title of corporate officer)
ALL CONTRACTOR'S MU~T BE SQFFOLK COUNTY
Builder's License No.' ../. .~(P.J.tt.J..... _.__ __. ._.--
LICENSED
Plumber's License No.
Electrician's License No. ......................
Other Trade's License No. ..... _ . . . . . . . . . _ . . . . .
1. Location of land on which proposed work will be done.
.................................. .......... ,_...
. .S?::i. . . _ . . _ . . . _ . . _ _ . . . ?l" y.Js . ~~4 A ~ . . . . . . . . _ . . . . . . . . . . . . . !':!~frf:i.Iv,l: . . . . _ , _ . . . . . . . . . . . .
HOLlse Number Street Hamlet
County Tax Map No. 1000 Section ...... ~ . .'!!. " Block ...~. . .:? . . . . . .. Lot.... II. . . . . _ . . . . . . .
Subdivision. . . J!.b!'-.'e.1 $."!<:,-t..L:<-. _ .lIit~>. . . . . . . . _ . . Filed Map No. .. ?o, '1. . . . . . _ Lot. F . . . . . . _ . _ . .
(Name)
2. State existing LIse and occLlpancy of premises and intended LIse and occupancy of proposed construction:
a. Existing LIse and occupancy ...... 'fie:~;.c~~. . . . . . . . _ . . . . . . . . _ . . _ . _ _ . . . . . . _ . . . . . . . _ _ _ . . . . . _ . . . .
b. Intended use and occupancy ..... t!-cfc!J:f'~, . . f:<~ _ R-es...c!.€:~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building. . . . . . . . . . Addition.. . ~. Alteration ..........
Repair .............. Removal.. . . . , . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . .
(Description)
4. Estimated Cost. . . . . . . ./5; 9<)(/ . . . . . . . . . . . . . . . . . . . . . . . . Fee.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
, (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. . . . . . :s:1i. . . . . . Rear ...:;:<........ Depth..3 ;'.'. . . . . . . . . .
Height ............... Number of Stories. . . .:t-. . . . . . . . . . . . . . . . . . . . . ',' . . . . . . . . . . . . . . ., . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front ...... ~ . . . . . ., Rear..s:<?............
Depth. . . . . . . Yo'. . . . . . . . . . . . Height. . . . . .. . . . '.' . . . . . . . . . . Number oJ Stories. . . . .'t?-:. . . \')' . . . . . . . .
S. Dimensions of entire new construction: Front.... .10........ Rear.. .j.G........... Depth...cr:..........
Height .... t :.... f!;,'.'. . . . Number of Stories. . . . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front .......'.~.'........... Rear../'8?:.............. Depth ..;;1.'37.'...............
10. Date of Purchase ..... J{(p.. . .. . .. . . . . . . . . . . . . . Name of Former Owner. . I!-~~"" . ., . " .... . .. .. . '"
II. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction viilate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ......If .0. . . . . . , . . . . . . . . . . . . . Will excess fill be ren;oved from premises: Y es ~
14. Name of Owner of premises . 4"i~ '1b>t,..,. f.'fW. . . . Address . S5:'~-: ?...'P.?.4.,.<f<. . . Phone No. . ~'U.-' :5. '/(!;.. . .
Name of Architect.. ~1.;'!"; .V~.I)f. ?f"0....... Address... ,Y':'1/.~'/:;I"" Phone No. .q'J,':I-:-.?~~~J,....
Name of Contractor. . o.,,~! J'\(.<:'/<:. . iP.'~<: ~!i'h . . Address. . P, (1/...,,, .r....-t:~ . . . . . . Phone No. . .7."""~ ..y..l;~:~ . .
IS. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .)<..
*If yes, Southold Town Trustees Permit may be re~uired.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
)roperty lines. Gi~eLJwd block number or description according to deed, and show street names and indicate whether
nterior or co/.refIot.
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;TATEOFNEWYORK, SS
~OUNTY OF . . . . . . . . . . . . . . . . . .
.. . ., .. . . .. .... DOkl l\.ir.:..k. . . .O.,G~~.. . .. . .. .. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
,bove named.
Ie is the. . . . . . . . ~'l";'~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
york will be performed in the manner set forth in the application filed therewith.
;worn to before me this
............ .3.(..... .dayof.. ..'11:-t.~......., 19f7.
lotary PUbliC,....~.. It.. NV. )jH./.\...
~*:
HnEN It DEVOE
NOTARY PUBLIC, State of New Vorl
No. 4707878, Suffolk Counly"'q
Term ExjIirIs Mmlt 30, lL-.e. I
County ~ < ~ lJ y:J) - V
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(Signature of applicant)
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OF HEAL Tt-! SERVICE>
SURVEY FOR
GEORGE PALUMBO
LOT NO. II, "HONEYSUCKLE RILLS"
AT MATTITUCK
TOWN OF SOUTHOLO
SUFFOLI< COUNTY, NEW YORI<
DATE'
SCALE'
NO.
GUARANTeeD TO'
SOUTHOLD
.II/Ne 21, 1985
I" = 50'
85-589
;TRUCTiON ONt Y
NO.
PPRO'&L TO CONSTRUCT
E ~ WATE.R. MI"YE _PU8l.1C_
gll _ ILOCK .J1L LOT ---!LU
'0 FEET 0' rtlS 'ROPERTY
AL- SVITEII FOR THIS RDIDEHC!
:l SUfFOLK COUNTY Oll'ARTMlNT
lit UHlUTHQlnz[0 ALTERATION OR ADDITION TO THIS
SU"VEY IS" VIOLATION M SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW
W CO'IES OF THIS SlJlltVEY NOT I[ARING THE LAND
SURVEYOR'S INKE 0 SEAL OR ENBOSSED SEAL SHALL
HOT lfirCONS'DUIEDJO liE A VALID TRUE COPT
M GUARANU:"U INDlorPE:D HEREON SHALL RUN OHL Y 10
THE PERSON FO" WHON THE SUlINEY IS PRlPA"ED
AND ctl HIS 8EHALF TO THE TITLE COMPANY t GOVEltN~
MENTAL -AGENCY AND LENDING INSTITUTION LISTED
HEREON, AND TO THE ASSIGNEES OF THE LENDING
INSTITUTION. GUARANTE.ES ARE HOT TFtAHSFERA8LE
TO ADDITIONAL INSTITUTIONS 0" SUBSEQUENT
OWNERS
* DISTANCES SHOWN HE "EON F"OM ""OPERTY UHES
TO EXISTING STRUCTU"ES ARE fl'OIlt A SPEClfI'lC
PURPOSE: AND ARE NOT TO BE USED TO ESTAILISH
PftOPERTY LINES OR FO" THE ERECTION QIf FENCES
TEL.
YOUNG a YOUNG
400 OSTRANDER AVEMJE
RIVERHEAD, NEW YORI<
O:PIPE
OFFICE OF THE ClERK OF
81 AS FlLE NO. 7019
ALDEN W. YOUNG, PROFESSIONAL ENGINE ER
AND LAND SURVEYOR N.Y.S. UCENSE NO.12845
HOWARD W. YOUNG, LAND SURVEYOR 5: Ii..,. _'
N.Y.S. LICENSE NO.45893 II,
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;a CESSPOOl.SICPJ IHOWN HOllON
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