HomeMy WebLinkAbout29980-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31819
Date: 09/14/06
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 2560
(HOUSE NO.)
County Tax Map No. 473889 Section 30
THE LONG WAY
(STREET)
Block L-
EAST MARION
(HAMLET)
Lot 120
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
DECEMBER 31, 2003 pursuant to which
Building Permit No. 29980-Z
dated
JANUARY 2, 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 ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to JOSEPH M & MARTA ZAPPALA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
109910C
08/01/06
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
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This application must be filled in by typewriter or ink and submitted to the Building Department with th 'following: ~
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A. For new building or new use: L( \/ " "
I, Final SlU'Vey of property with accurate location of all buildings, property lines, streets, and unusual natu 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.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
,
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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
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
New Construction:
/
:J'SlDo
House No.
Date.
Location of Property:
_ OW or Pre-existing Building:
'-th~ ku{)~ ~
Str t
!i1( check one)
[o;sf ~17dY/ (} { i/fl:/!
'! Hamlet
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Owner or Owners of Property: ---5U t". 0 J.... ~
Suffolk County Tax Map No 1000, Section ?, Cl
Block
:l.-
Filed Map,
DateofPermit~Applicant: l!l(,.Jh\LA--
Underwriters Approval:
Lot l.;t b
Lot:
Subdivision
Permit No. ~,q ~D of:
Health Dept Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
/
(check one)
Fee Submitted: $ :lS. trrJ
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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.
29980 Z
Date JANUARY
2, 2004
Permission is hereby granted to:
JOSEPH M & MARTA ZAPPALA
429 HERRICKS RD
NEW HYDE PARK,NY 11040
for :
CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD
AS APPLIED FOR
at premises located at
2560 THE LONG WAY
EAST MARION
County Tax Map No. 473889 Section 030
Block 0002
Lot No. 120
pursuant to application dated DECEMBER 31, 2003 and approved by the
Building Inspector to expire on JULY 2, 2005.
Fee $
75.00
w~ CI~
I Authorized Signature
ORIGINAL
Rev. 5/8/02
--.........--- - --- ---_...~._-~-- ---_......-----
~Cf Po 2::-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
REMARKS:
~
] ROUGH PLBG.
] INSU l'ION
INAL
] FIRE SAFETY INSPECTION
r
~~~~ INSPECTOR
DATE
HOLD BUll G DEPT.
765.1802
[ ] FOUNDATION 1 ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
,GO
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REMARKS:
ION
] ROUGH PLBG.
] INSU N
INAL
] FIRE SAFETY INSPECTION
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DATE
I
INSPECTOR
4
)OvotP
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] ~NDATION 2ND [
[ tfiRAMING [
[ ] FIREPLACE & CHIMNEY [
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/
REMARKS:
, J
(JA:)~ L~
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
rL-
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DATE
INSPECTOR
:Pt9- ~O.c-
765.1802
BUILDING DEPT.
NSPECTION
[ [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ,4- . --t ~ ~-
DATE
INSPECTOR
,
".
FIELD INSPECTION REPORT ,
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
COMMENTS
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ADDITIONAL COMMENTS
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VILLAGE
DIST.
SUB.
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SEAS.
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A;R. f.I~ -.,/), ~ Ma
TYPE OF BUILDING
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FARM
COMM. CB. MICS. Mkt. Value
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TOTAL
LAND
IMP.
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FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
'oodlond
leodowlond
ouse Plot
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30-2-120 1/02 ~ I~ Il> I,. ! f .~
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M:Bldg:" /S;,~"i~.. ~J..J.~ --" I~ I"", 1/ .-
, , lJ~, +4' r1'H 34,,".2:., ~ ~I --, ,
Extension , / r ~s ::. !J).,S" /t'JL., ,~
Extension '/.r-rf~1l/ :: Ill. -
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Extension '"
Foundation /.C Bath / Dinette
fFo~f>sed /2 Y /.t:" 186 2-e. S[..,t\' Basement , (\.. d. .... J JJib t. Floors b4~ K.
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Porch Ext. Walls loo-rl dkit! Interior Finish sip LR.
Breezeway Ae. ('u.) ~\ ~ !=ire Place / Heat !:Lee DR.
Garage /t/X"Z/ = 2-9t/ IB-- .2 fJ~ Type Roof- . ~ ~~.uR Rooms 1 st Floor BR.
Patio 1/ y/t./ - I~t./ /,1 /S Recreation Room Rooms 2nd Floor FIN. B
O. B. ('~~ ~-c- Sl:> Dormer Driveway
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Total ./ ....
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3770 ,fl-2.-- ~ .......Lc.&$d.tx2 -10 f(7-"1BS.c~, <;,IOv~
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoIdJ
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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: -c~~ 4rdc..
4..1ill (()rt\ ),Itl..ll..Y~ tIC..
Phone:!3(,-739.f,,8-f7 XIt JluJ./()
J~N - 2 [.\:It'll
PERMIT NO.
Examined J 1::2- ,2001
Approved ./ ,-). ,20~
Disapproved alc
Expiration 7/;}. , 20 oS-
fJu~._
t Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIOl'l~
Date
,20_
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 oflot 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 ifthe work authorized has not commenced within 12 months after the date of
issvance 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 South old, 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.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(J
0w~f:rL
Nameofownerofpremises ~~~ m ZA-ft:ALA-
(As 0 e tax roll or latest deed)
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 on which proposed work will. b:, d?n~: . _ .
a-s c;, t) UJ^) c.., u..JA1 'F ~ lofT I( \ {} IU
House Number Street Hamlet
County Tax Map No.1 000 Section 36
Subdivision
Block ~
Filed Map No.
Lot / c)..(')
Lot
(Name)
2. State existing use and occupancy of premises an.d intended use and dtcurMhcy of proposed construction:
a. Existing use and occupancy V Aiil vu-I
--~dedUSeandOCCUpancy b(1{ag-e- wI e kd('( c.
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost
.~. Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, 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 Rear
Depth Height > Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
II. 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_
,
Phone No.
Phone No
Phone No.
t
Address
Address
Address
14. Names of Owner of premises
Name of Architect
Name of Contractor
IS 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.
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)
COUNTY O~S:
".-
o -:2 C( ~qbeing duly sworn, deposes and says tbat (s)he is the applicant
ual signing contract) abo e named,
(S)He is the
'6 u..J'f\-t r
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or bave performed the said work and to make and file this application;
tbat 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.
'--,
Claire L. Glew
Notary Public. State of New York
No. 01 GL4879506
Qualified in Suffolk Countv.-,.". I"
Commission Expires Dec. 8.~",
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i' MAIN ROAD
GUARANTEES INDICATED HERE ON SHALL RUN
ONL Y TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
nnE COMPANY. GOVERNMENTAL AGENCY,
LENDING INsmUnON, IF LlSTEO HEREON, AND
TO THE ASSIGNEES or THE LENDING INSTlTUTlON.
GUARANTEES ARE NOT TRANSFERABLE TO
ADOmONAL INSTITUTIONS OR SUBSEOUENT OWNERS
UNAUTHORIZED AL 7ERA TlON OR ADOmON TO THIS
SURVEY IS A VIOLA !ION OF SECTlON 7209 OF
THE NEW YORK STATE EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSm SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
COPY.
FM# 6266
DATE FilED JUNE 11, 1975
TM# 1 000-030-02-1;Z4-1 C).O
GUARANTEED TO:
JOSEPH M. ZAPPALA
MARTA ZAPPALA
OPEN SPACE "G"
N 76'59'40"E
RESIDENTIAL STRUCTURE
THIS AREA
S 76'59 40 W
LOT 53
NYS 25
f) P 2-'1 'i8fJ
c~
270. t
23.8'
POURED
CONG.
FOUNDATION
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~CYLlNDRICAL
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FOOTINGS
270.15
SURVEY OF
LOT 54
IN
MAP OF PEBBLE BEACH FARMS
SITUATE
EAST
MARION, TOWN
SUFFOLK
OF
COUNTY,
SOUTHOLD
N.Y.
SURVEYED FOR: JOSEPH M. ZAPPALA
MARTA ZAPPALA
CONG
MON
SURVEYED: 6 AUGUST 2004
SCALE 1"~ 30'
AREA = 21,619 SF
OR
0.496 ACRES
SURVEYED BY
STANLEY J. ISAKSEN,
PO BOX 294
NEW SUFFOLK. N.Y.
631-73 -5835
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-GARAGE
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of!) TI-IE LON:; WAY
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SCALI:: 1"= 30/-0"
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