HomeMy WebLinkAbout32546-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 12/12/06
No: Z-32067
THIS CERTIFIES that the building
ADDITION
Location of Property: 2125
(HOUSE NO.)
County Tax Map No. 473889 Section 103
STILLWATER AVE
(STREET)
Block ~
CUTCHOGUE
(HAMLET)
Lot 5.3
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
DECEMBER 5, 2006 pursuant to which
Building Permit No. 32546-Z
dated
DECEMBER 5, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to GEORGE & STELLA PONTINO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~d~
Rev. 1/81
L___l; ____
O!J!
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
/J'fvr:NJ ~.O. t3rrr 2..
c,u.::r~~; r). ~,
\ I f35
DEe I I 20CG
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 2/10 of 1 % 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,
I'
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
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 - $5000
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. ,De', c _ ~7P 6 (
. V Old or Pre-existing Building:
Location ofproperty: ~ J ~ s .s i \ L J.. w ""T ~y Au>e. - C L\ 1;:. h "" J /.<,- t{. y_
House No, Street Hamlet
Owner or Owners of Property: , G-e.t5Yi<e. C>...nA 5TeUQ R1J}('nc '__~__,_
Suffolk County Tal' Map No 1000, Section t 6 'if Block ----.J?___ Lot _5'" 3
Subdivision 1). . S. i-J a...)'\ J Filed Map. Lot:
Permit No. 3;;,,5 'f('-Z Date ofPermit.1Jec:_~~.:;} l> (If. APplicant:C~o~_, ecLhU 11-0,,- ___, ~
Health Dept. Approval: f/ I /1/ Underwriters Approval: _N...:_L______ ______ _.__
N. 7i.
New Construction:
(check one)
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ S. 01)
Final Certificate:
v
(check onc)
~i~~
G\ v:. 7 ftf '6 C,
Cot3.:20G 7
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.
32546 Z
Date DECEMBER
5, 2006
Permission is hereby granted to:
GEORGE & STELLA PONTINO
PO BOX 2
CUTCHOGUE,NY 11935
for :
CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR. (THIS REPLACES BP #24318-Z)
at premises located at
2125 STILLWATER AVE
CUTCHOGUE
County Tax Map No. 473889 Section 103
Block 0008
Lot No. 005.003
pursuant to application dated DECEMBER
5, 2006 and approved by the
Building Inspector to expire on JUNE
5,2008.
Fee $
75.00
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING h FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ).e,cJ;- ~
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INSPECTOR ~~
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"FORM NO. 1
TOWN OF SOUTHOLD
::~lUILDING DEPARTMENT
" TOWN HALL
"I SOUTHOLD, N.Y. 11971
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEy........................
CHECK .........................
SEPTIC FORM...................
...
!1t~..LW -~
"--~"'-"
2 2 /997
..~I I
.~~~~:~~-:~mL lb.~YJlf/
NOTIFY:
73'f~57H
CALL ..................
HAIL TO:....................
ExmIi
.. . .. . ~ .. . .. 6 . . .. ~ . .... . .. . . .. . . . .. .. . . .. .. . .. . .. . ~
....................................
.............................................
PLICATION FOR BUILDING PERMIT
..-.-
"Date.J.J~~ r... ,19.rt
INSTRUCTIONS
a. This application IIlISt be """,letely filled in by typewriter or in irK and subnitted to tbe Building Inspector with
3 sets of plaos, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot ani of buildings on pmnises, relatiOOBhip to adjoining pmnises or pillic
streets or areas, and giving a detailed description of layoot of property IIlISt be drawn on tbe diagran ""ich is part of
this application.
c. The...,n covered by this application 1'H}' not be CUm.,uced before issuance of Building Pennit.
d. Upon approval of this application, tbe fuilding Inspector will issue a Building Pennit to the applicaot. Such
pennit shall be kept on tbe pmnises available for inspection throoghoot tbe ...,n.
e. lb building shall be occupied or used in >ihole or in part for any purpose >ihatever mtil a Certificate of
~cupancy shall have been granted by tbe Building Inspector.
APl:'LICATIllf IS IIlREBY !WE to tbe Building IlepartnI!nt for tbe issuance of a Building Pennit prrsuant to the
Building Zone Ordinaoce of tbe Town of Southold, Mfolk County, New York, and other applicable lam, Ordinances or
Regulations, for tbe construction of buildings, additions or alterations, or for rBIDIIal or dmDlition, as herein
odescribed. The applicaot agrees to """,ly with all applicable laws, ordinances, building code, bousing code, and
regulations, and to ahit authorized inspectors on pmnises and in building for necessary inspections.
..~..(?~.....................
(Signature of applicaot, or naue, if a corporation)
'J...I ~;. ~J: .f).~<;\.r";-Y.tiV.<; .~.C.<.:-'1.h. "Fe.:-. (JJ.~
(Mailing address of applicant)
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State >ihetber applicaot is owner, lessee, agent,bitect, engineer, general contractor, electrician, plmber or builder.
.......... Q,::,;, .~~;r..;-;. B.....J ~;J~~..................................................................................
Nlm> of owner of pmnises . .~<?X.:t.e....lI::. ~1~U.~...P~ ."::t:r.l~.I?..............................................
(as 6:. tbe tax roll or latest deed)
If applicaot is a ""'I"',ation, signature of WIy mthorized officer.
.....................................................................
(Nlm> and title of corporate officer)
Builders License lb.
Plmbers LiCEll8e lb.
. .J. ?. . ./.J. i?: .-: tt :.f:
..............................................
Electricians License No. .....................
Otber Trade's License No. .................... ;r
I. location of land on ""ich proposed ...,n will be 00ne..;?. J. ~ .f... ~.f:. U. ':'Y. r:.T.",..~. A.v.c:......-::................
.................................................................,.............. .C.<:-..1:c;.h9'.)'l-}-..,.,....................
House IbdJer Street Hamlet
County Tax Hap lb. 1(0) Section ...f.t!.3....... Block ......8......... lnt .5:.~.........
Subdivision. M....'5... Jt.~"'" J.................. Filed Hap lb. ............... lnt ...............
(Nlm>)
2. State existing use and occupancy of 1Jl"'l'I!ises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........f.?~~.(~~.~.~~.~................................................
b. Intended use and occupancy .........~.::.~.!.~.~~~~.~...........................................
or'
, ~
J.
"'iltllre of work (dleCk "hid. applicable): New Illlilding .......... Jlddition ..... ... Alteration..........
llel.,ir ..... ....... lla10val .. ........... llennlition ............ Other Work . .D.e cz.K.......................
(Oeseri ption)
.. ~.<? 9..'.. --:-::........
fee
r
. . . . . . . - . - . . . . . . . . . 4 . . . . . ~ . . . . .'.. . . . . . . . . . 4 . . . .
(to be paid on filing this application)
'..
Est irJ1i)ted Cost
5.
1',.
If a.ell ing, lll,l",r of dwelling ,mits ............ tbrl",r of '~.ell ing .mits on eadl floor
I f garage, lllJ1'ler of cars ......4...... _ . . . 4 . . . . . . . . . . . . . . . . . . . .
If business, conrercial or mixed occupancy, specify nature aoo extent of eacll type of use..4...................
Dimensions of existing stUICtures. if any: Front...4..7.~..... Rear .4_7..~....... Depth .~~.~.."..H.
~":ight. .....f..................:.1 /UJIl",r?f Stories :.:................r..; 7. ...4../.../.......
lmenSlOOS 0 sare: stn.cture wIt, a terattons or i)ckhttons: Front. 4... .1.. ...4.4 Rear
Depth......... .~c....... Ilei/lJlt .................... ttJll",r of Stories...............
I r ~ /
Dill"nsi{)(jt<lf entire new construction: l'ront ...1.Q.......... Rear ...jQ......... Oepth ../...........
lleigllt ....4.............4.4.... tlJl'>er of Stories....... -..........4 _ 4
Si..e of lot: l'ront ....J.3..:?:........ Rear ...'J...-?.6........... Oepth ..!-i.CJ.C1..:.........
Date of Pllrd.ase .....J.?.C;.r)........ N.,...., of I'onner l>..nerM~.$..'...fJ.~Y.\.d....................
Zone or use district in >A,id. premises are situated ... ..R ~.:?,<;I. ~).(\:r.~!-:....................................
Does pl'oposed construction violate any ZCIling law. ordinance or regulation: 4..t:l. ~ 4 4........4......
Will lot be regraded ....N.c:........... Will excess fill be renoved fT{)(JI pnmises: YES ~
Nanes of ()mer of premises ~q\'.<j.. ?T.",) J.Q.. FP.ylt&!Jress . :!-J if. -?Tr. JJ.W wrer.&C-P1~%":'7~3.Lt:-.S(-!.?.
Nm" of ArdJitect ............... ..................... Jlddress .............................. Phone lb. ..............
N.,...., of f.ontractor .~r.f'~' .~.0:tx(\......... hklress CfkIC::,)1.9.'j.':':~............. .Phooe lb. 7..J.It-;.f.?~.?'.
Is this property within ](X] feet of a tidal l.etland? * YES .......... W..........
,oIF YES, mmnn 'lI:Hl TRlJS'IEIlS PIlBMIT MIlY IlIl RIlQJlRllll.
6.
7.
8.
9.
10.
II.
12.
IJ.
15.
PLOT DIAGR1M
locate clearly and distinctly all buildings, >A~"'r existing or proposed, and indicate all set-back dimensions
[r{)(JI property lines. Give street and block IUJber ~scription acconling to deed, and show street oanes and indicate .
,d",U",r interior or comer lot. ~ NGvJ
r;iI5'i Uf>e.v\},
1 ~6'i'""Vl <<...-:;;l I
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~3D AS NOTED
DATE: B.P. # c:6
FEE: 7j"""~"
NOTIFY BUILDING DE TMENT AT
765.1302 9 AM 10 P FOR;}fE
FOLLOWING INSPECTIONS:
1, FOU~IDATION . TWO REQUIRED
FOr-: POURED CONCRETE
2, RDUG'i . i=HAMING & PLUMBING
3 ::\J:'::r,Y /--:--~ni'<
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~ ~. r:>!,i/..,," ":"V~::,::..HUCTION MUST
<~ RF C(!~.:/::~.., ;: fOf.j G.O.
c_______________~m~---- "'iL,"P:,"-L' ''''''I 1;114H: i\leET
__==-_=3 '[' I !0J",-r,=r:~-~U-PANCYOR----"'.~;':'::\:;':""~:i,;!:\j;~N O~f~~E:~:i~
USE IS UNLAWFUL"" . !{!':PONSIBLE FOR
WITHOUT CERTIFICATE 1'''" (,:: ';ONSfRlJCTION ERRORS
mINIY OF ....................... OF OCCUPANCY
....c;~'("J.'?..~)tr.;..J.o........,..................I"'i"g duly SWOOl, deposes and says lhat he is 1I", applicanl
(HeIle of indi{idual signing contract)
alXJVe ''k'IOC'd,
SIJl:1E llI' /I\W Yl lK,
SS
lie is the ..... .r.t!-!.\(\. ~ Y..................................................................................
(Contractor, agent. corporate officer. etc.)
of said <M.ter or owners, arxl is duly authorized to perfono or have perfomed the said work arxl to mke and file this
appl ication; that all statE.'llEnts contained in this application are tn.e to Ule best of his knowledge and belief; flIKI
that Lhe work will be perfonned in tire 1I111l11",r set forth in lI,e application filed lI",rewith.
~)m to before n~ this
....dJ:-.d....day of .... .....19.'1:2...
~,.~ ..U. ~.,;;:. ~:~.......... .
Notary Public, State of New YorIc
No. 4952246, Suffolk ~~
Term Expires June 12, 18-'41
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TOWN OF SQUTHOLD P~PERTY RECORD' CARD
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VL. __. FARM COMM. ----I.IND.'.. I CB. , MISe.
TOTAL DATE REMARKSj-~ A' /)/,;-/16 ,/,,~:O(),). (.IJ},<p"I/IIi>.
J cJ (J v' /(;/6/(; 1~2/r/. \ I., 11' ';/.Ji I, {. I;~'/'i., ,~ ,;';,' ,
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OWNER
STREET Z I /'__,
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FORMER OWNER .
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ES. " SEAS.
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LAND IMP.
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-
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.-
AGE
BUILDING CONDITION
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NEW NORMAL
BELOW
ABOVE
Form
Acre
Value Per Acre
Value
liable 1
liable 2
--- "...
liable 3
oodland
VILLAGE
(00 7, ,.; "
E
DISTRIC1'
LOT
SUB.
:tJ; 1.2...
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.; (/ 0:_
rOd "(,,
ACREAGE
+.-~G I ,~,'7""
TYPE OF BUILDING
. J SuHI1\d?.
'1 Est. Mkt. Value
FRONTAGE ON WATER
..--~J -
FRONTAGE ON ROAD
BULKHEAD
DOCK
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-use Plot
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