HomeMy WebLinkAbout32268-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 10/17/06
No: Z-31924
THIS CERTIFIES that the building
ACCESSORY
Location of Property: 1695 CHABLIS
(HOUSE NO.)
County Tax Map No. 473889 Section 51
PATH
(STREET)
Block ~
SOUTHOLD
(HAMLET)
Lot 3.7
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 3, 2006 pursuant to which
Building Permit No. 32268-Z
dated
AUGUST 3, 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 ACCESSORY UNHEATED GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR.
Tbe certificate is issued to JUSTINE DE NICOLA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
101588C
08/12/05
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
.
Form No.6
TOWN OF SOUmOLD
BUILDING DEPARTMENT
TOWN HALL '3
765-1802 IS J
APPLICATION FOR CERTIFICATE OF OCCUPANCY \ i.- r _.1::1.\"" .
~-----
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
( !' Ie
~
c' D
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 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. $J /3/bI~
, ,
New Construction:
v
Old or Pre-existing Building:
fiU
treet
bCNltoLl.
(check one)
S (JI..J-/..() l D
Hamlet
Location of Property: ---J li~ <:
House No.
(' J..,t../>.16!>
J'w \-~ 'r'-e
Suffolk County Tax Map No 1000, Section (9,\ I
SUbdivisionckAt>()r'I~ E<;~/..<; @ SeuktOLD
Permit No. ~<3 -z:. Date of Permit. fjf) IV !fJ'1.,
d:L~~ '2)'1'+_03
Health Dept. Approval'" 6<\0. .rc if Underwriters Approval:
Planning Board Approval:
Owner or Owners of Property:
Block
(90 ~
Lot
001.0.0,
"7
Filed Map. l.j'(3lrX9 Lot:
Applicant: ~klL 'br?d'!ICb Lt.....
V
Request for:
Temporary Certificate
Final Certificate:
v
( check one)
Fee Submitted: $
,,2f
G?.ez .il) ~(L/
CJJ.f..,"1~r
----#lQ -"
Applicant SIgnature
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)
3, 2006
PERMIT NO.
32268 Z
Date AUGUST
permission is hereby granted to:
PETER DENICOLA
1695 CHABLIS PATH
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY UNHEATED GARAGE IN REQUIRED REAR YARD
AS APPLIED FOR. THIS PERMIT REPLACES BP 29653.
at premises located at
1695 CHABLIS PATH
SOUTHOLD
County Tax Map No. 473889 Section 051
Block 0003
Lot No. 003.007
pursuant to application dated AUGUST 3, 2006 and approved by the
Building Inspector to expire on FEBRUARY 3, 2008.
Fee $
252.60
IJ~~
, Authorized Signature
ORIGINAL
Rev. 5/8/02
JJ--~ P-2;-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] IN ATION
FINAL
] FIRE SAFETY INSPECTION
REMARKS: G.1~,P~ fflwfJA.eL- ~~..
r'/.-L- r~ L.(, -
DATE F/?/fJt
INSPECTOR
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~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] ~DATION 2ND [] INSULATION
[WRAMING [ .] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~. ~..
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I
DATE
iJ
I
~
INSPECTOR
:
.
Yt~S)-:C
"3 d-d.-Io 1$
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] F~DATION 2ND [
[ ~RAMING [
[ ] FIREPLACE & CHIMNEY [
,
Wt":A
J;;
~~
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DATE lii'r
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
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INSPECTOR
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FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC
ECTION
DATE
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FOUNDATION (2ND) I ' / A, ./ /.... }.. / .,
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INSULATIONPERN. Y.
STATE ENERGY CODE
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TO\VN OF SOUTHOLD
BUILDING DEPARTMENT
.
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SoutholdJ
PERMIT NO.
'3 "'d-;). ViS r e.y\
d9c')Jb
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 Fonn
N.Y.S.D.E.C.
Trustees
Contact:
~ S- , 20.Ll..i-
I If , 20 03
Examined
Approved
Disapproved aJ c
Mail to:
Phone:
Expiration
if/lf,20 Os
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---.-;
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Building Inspector
1!'lG1
APPLICATION FOR BUILDING PERMIT
_"u,"
~lTiris~~~lication 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 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 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 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.
i
, I
.;_ccc...__'
Date
7/30
20 () "3.
'-
INSTRUCTIONS
(Si&~f2br n?ifa corporation)
Iloct, C kf!JL.~ ?A-l L SOu 4-1-0l iJ
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plwnber or builder
~ N. colt-
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
Name of owner of premises
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which ,e:oposed work will be done:
\ b 'I "\ ( t-61A 11 ~ .t:'rlb
House Number Street
SOv.JtoLb
Hamlet
County Tax ~~p No. 1000 Section
Subdivision~V\M1 (jJ()Of)>
(Name)
5"' o'
J Bl<llil<<<:....3
a.-l- ~J~OLf) Filed ~p No.
8~2.L
'Ld '3.7
Lot '7
,
2. State existing use and occupancy of premises an intended use and occupancy of proposed construction:
a. Existing use and occupancy "Mo. 'l.: .. ~\ -( <:.
.
b. Intended use and occupancy
'b# '"
3. Nature of work (check which applicable): New Building X
Repair Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost -1:2 5; I Old 0
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars &ttl"\
(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 7 {}
Height :<xl' Number of Stories ...2
Rear
to
Depth
'10 I
Dimensions of same structure with alterations or additions: Front Rear
Depth vi' Height Number of Stories
,
8. Dimensions of entire new construction: Front 3C1
Height \ 8' 10 0\.1.,4- (II ,QQINumber of Stories I
9. Size oflot: Front (0 to .J I I Rear '3 7~ ,q 'f
Rear
3q I
Depth
:2"8 J
Depth
/')'\.2..3
,
10. Date of Purchase O~+ q~
Name of Former Owner r-le,l ((ejO
I I. Zone or use district in which premises are situated
a.-yO
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L
13. Will lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES_NO_
~i.<+J.9..t~
14. Names of Owner o~remises~.t. ~l'/llcLI Address Ib4'5' CJ,;6/J~ rt.-IL Phone No. (D31-1/') -~3hi?
Name of Architect 6eM l:/l~~i 1"'" Address 4)"D !J.r7i>1'r- ~tM~ ~tl.Phone No (J~/-20t - }~f /
Name of Contractor t'tW(\(ll.. Address "D~") ,el Wo"l. Phone No.
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO l
* 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)
SSe
COUNTY OF )
~'G\-t..t. ~-e rt l LOLl< being duly sworn, deposes and says that (s)he is the~li~
(Name of individual signing contract) above named,
(S)He is the
(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 day of
tU~
Signature of Applicant
LYNDA M. BOHN
NOTARY PUBLIC, State of NewYorlc
No. 01 B06020932
Qualified In Suffolk County_
Term Expires March 8, 20.11-7
Ie ~ L SI- ~-3.7 I
OWNER
Be If,
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IMP, .-...j
LAND
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'6600
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-
STREET '
TOWN OF SOUTHOLD PROPERTY RECORD CARD
VILLAGE
SUB. LOT 1 J/9 c,
/'
5 Ch-:in---\onno\J y{ oed~-,.
/ f
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fe,/ '-c I-Lv, J{ fJ (,e f'
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DIST.
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REMARKS
n\ " ;
L- 1(\ ">' ~" !,
ACR rl C
, ,I C
TYPE OF BLD.
PROP, ~_LA~ i 'J'
~I\ ~'
TOTAL DATE
,." , D '\2S""
\--1 ( , 1\',._-,\('1 ,
\ \ Cion j CJ 110 '/43
Irn I nO 3/:J-olc;5
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!JA/OtJ7,f7t ;;2U~;Ztha~u/'1~! P;/J/ =- ~(AJ d
/1113//10 --:_~, 71/1 eJ'
FRONTAGE ON WATER
TILLABLE
-.--1-------
FRONTAGE ON ROAD
WOODLAND
DEPTH
MEADOWLAND
BULKHEAD
rfj ;{;-",eff'-
({:,CC
HOUSE/LOT
TOTAL
I 111(/
I
I
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j
13
~6D
190
~, 50
;2,00
(pc,
Patio
COli'
Porch
Foundation
-- Basement
Ex!. Walls
Fire Place
,9
/02) Dormer
b X 9J - 300
Deck
Breezeway
Garage
~.; X .2-!J s (rOO
?_i-
/.
/'--
'()
O.B.
Pool
g::r71
Driveway
3 Dinette I
OAK Kit.
51+, l~iL, L.A.
o J.-t-u.) 13B D.A.
BA.
,.
- - I
0 a.
D€tJ I
~
"'" " I\a I iT' +
51 ..... 15
13 +I
3fi - ^- ST 1I
:1 s \1 II' InI -t- (l,
-+- c.. i of c 17 + H ,u,
19 I I W
" C 0\ "1; ~ :i; . S
-...- 5C ",liJ
Bath
Floors
)' i lci-. a {f;:tt Interior Finish
ye5 Heat
Wood stove
Attic
Rooms 1st Floor
Rooms 2nd Floor
COLOR?/ ,..
(./ i(
TRIM ~u:l>t
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". '-"
f~c~
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
., , , , , no. ,. 1 ,//?J
OWNER STREET ,. VILLAGE DIST SUB. LOT
,
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f'/ ,';.c \.(. \---,/, '_',' -' -iOl,\ --u'~ ~,
ACR ,Y 1 'X REMARKS / I 1'2001-
v -tot) I
TYPE OF BLD. cr:-~ ~V( I ,
<-1' -,. 'ff-
f. ',""" ) c/ "fr or.'. 16M ,dwel, I~i": U//)(i (,Vl c: .
if '\~' //.,.-.
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PROP.~ f , C ,(/ U I., I
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crh/13-L ;; /)f?N,'cc/cl{ ...
LAND IMP. '-' TOTAL DATE (1/,400-(7Q -f?{?QO 1/ '56 f CQd
n
I \ZSi 4/~ki /) I J f
, 'j( \ P 0 c14.
- .. i. - !J.,.{i , X(i
\L-\C> '. , /'\ 1'0""1 ?/IC;/91:/-Bp# ,Or) :'/.f;o f 4';&jftin~)i) q~l,q~ -
V....; 'I , , , I lJe Lk
-, . - co/) S1-
' "- ,
I /, I~:_~ \ /)-:/[',6 \ \ Cj (;C 1/ 1//0 l(q3 , ,
(/i .(i -/ ,-'-- '- ,/, ,.', .
15-;(-) .,<') I (n InO :7 h0j.J5 "k/t?~ -r,p-1T;21 J-:;~~q~1 P;IJ/:: ~l~ d
'2:',600
'.-' --
) f )" 31rJO - --'{/;>I) , '/1/1'(lIt/l.
, , . -c J u.
n
- in
n
n
-
-
FRONTAGE ON WATER TILLABLE
, _.~ _n."._ .----
FRONTAGE ON ROAD WOODLAND
,
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT (Q' ~ :'~o'
" V:._
t.' ,....,
TOTAL I ioC
Id/O
()
93
qqO
c: 60
'50
;;2,00
Patio
CI2 '
Porch
,9
1<"..
IW (
~. X SD - 300
Deck
Breezeway
Garage
~.; X J.-5-'~ if OD
I ?:.i'
,
/-.
.()
O.B..
Pool
~
S::r71-
,~
",,- " \3 , ~n +
5i +-I. 15
1:'7
30 A. 1sT J
;l. s ~J I IT'J +- I~
l-re- I of C. 7 + I~ IoU;
Ii I I 2.0
~.
6 Ie 0 "l l!., s
"" ~
COLOR ./
.
TRIM A. lJ i/./
Foundation Bath 3 Dinette
Basement Floors .;' OAk.. Kit.
Ext. Walls lid. /i; litf Interior Finish 51+. I~IL . L.R.
~
Fi re Place yes> Heat O!+Lc) /3B D.A.
Wood stove BA. "
Dormer
Driveway
Attic
D~,-J
Rooms 1st Floor
Rooms 2nd Floor
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S.C. T.M. NO. DISlRICT: 1000 SECTION: 51 BLOCK: 3 LOT(S): 3.7
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LOT 6
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THE WA TER SUPPL Y, I'ELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
ELEVA TlON DA TUM: _________________________
FOUNDATION lOCATION 06-28-04
AREA: 39.998.94 SO. FT. OR 0.92 ACRES
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIOERED TO BE A VALID TRUE COPY. GUARANTEES INDICA TED HEREON SHALL RUN
ONL Y TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE DFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIOE THE ERECTION OF FENCES. ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUe'fURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHY.SICALL Y EVIDENT ON THE PREMISES A T THE TIME OF SURVEY
SURVEY OF: lOT 7
MAP OF: CHARDONNAY WOODS AT SOUTHOLD
FILED: SEPTEMBER 28. 1989 No.8822
SITUATED AT: SOUTHOlD
TOWN OF: SOUTHOlD
SUFFOLK COUNTY. NEW YORK
CERTIFIED TO: PETER DENICOLA;
N. Y. s. Lie NO. 50227
KENNETH M. lfOYCHUK L.S.
Land SurveyiD& and Desip
P.O. Box 3. Mattituck. Ne.... York. 11952
PHONE (831) 298-1588 rAX (831) 298-11188
malntalnina the record. of Robert J. Henne..y
FILE #24-75
SCALE: 1"=40' DATE: JUNE 28. 2004
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