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HomeMy WebLinkAbout31088-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32156 Date: 01/23/07 THIS CERTIFIES that the building ADDITIONS Location of Property: 790 UHL LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 5 loot 24.15 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 2005 pursuant to which Building Permit No. 31088-Z dated APRIL 27, 2005 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, SCREENED PORCH, & DEN ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CAROL ALPERT & SARINA SCIALABBA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2058549 11/15/05 PLUMBERS CERTIFICATION DATED N/A /&UthoLzed Signature Rev. 1/81 Fom No.6 TO"OF SOUTHOLD BUILDING DEPARTMENT TON"HALL 765-1802 APPLICATION FOR CERTTFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the III Ilowing: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual or topographic features. 2. Final Approval from Health Dept.of water supply and sewerage4sposal(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 2110 of 1%lead. 5. Cominercial 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: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and a 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. 0 cl New Construction: Old or Pre-existing Building: %-' (check one) Location of Property:-1a C) I A, LAW6 MrwNi7 I ITouse No. Street Hamlet Owner or Owners of Property: �'>afrtV4' Saca&doo'. -,- (AW01 Suffolk County Tax Map No 1000,Section4739001 Block OCOS Lot OZ4-0(s' Subdivision Filed Map. Lot: PermitNo. Date of Permit q ?,�+JOS Applicant: OVAD444, Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ s5' ApeanAignature 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. 31088 Z Date APRIL 27, 2005 Permission is hereby granted to: CAROL ALPERT SCTLABBA 157 GARFIELD PLACE BROOKLYN,NY 11215 for CONSTRUCT ADD, DECK, SCREENED PORCH & DEN TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP29242 . at premises located at 790 UHL LA ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 024 . 015 pursuant to application dated APRIL 27, 2005 and approved by the Building Inspector to expire on OCTOBER 27, 2006 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 11100111 BY THIS CERTIFICATE OF COMPLIANCE THE 77_7 NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FuLTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. SARINA SCIALABBA P.O. BOX 38 790 UHL LN GREENPORT, NY 11944-0038, ORIENT, NY 11957 Located at 790 UHL LN ORIENT, NY 11957 Application Number: 2058549 Certificate Number: 2058549 Section: Block: Lot: Building Permit: 8DC: nsll Desc ri bed as Residentiol 600 gar occupancy, wherein the premises electrical system consisting of electrical devices and wiring, descriG'Me' w located in/on the premises at: First Floor,Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 15th Day of November,2005. Name OTY Rate Rating Circui T. We Miscellaneous I-room addition Alarm and Emergency Equipment Sensor 1 0 Smoke Wiring and Devices Outlet 8 0 Fixture Fixture 8 0 Incandescent Outlet 10 0 General Purpose Mffil Receptacle 9 0 General Purpose INI IN Switch 3 0 General Purpose Isk" Dimmers 2 0 J ri rlLi r seal of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 11111111511111 1!iiiiiiiiiiiiiiiiiiiiiiiji Pirdimc4imrjjrjjouUL3rt3l MI c;i M-1802 BUILDING DEPT. INSPECTION I FOUND ION IST F NDATION 2ND A,949-ULATION FRAMING FINAL FIREPLACE & CHIMNEY REMARKS: 12- L PATE INSPECTO TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION IST ROUGH PLOG. FOUNDATION 2ND INSULATION FRAMING / STRAPPING 1�rfilNAL FIREPLACE & CHIMNEY I FIRE SAFETY INSPECTION REMARKS: t--�7� co lxf� DAT /lapleO 7 INSPECTOR--t FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION ( IST) FOUNDATION (2ND) t�==�--------------- --------------- It -it r- it ROUGH FRAME & PLUMBING INSULATION PER N. Y. 7 7 STATE ENERGY CODE I Pill 04 FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD PROPERTY RECORD CARD Af Jj Xr— OWNER STREET VILLAGE,,, DIST. SUB. �-Afol mwc� 'f 0 �- Af -FORMER OWNER N E ACR. :�.-J \10-lrv) M07206ligug /, JIS' �,Te c /"/d A 02 S W TYPE OF BUILDING boo �Lyll�& pr-4 'P , , -- I RES. SEAS. VL.s1l FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS to sul-A�. lit /a 3 Q tflAwz��ci,41 L- c�-4()fi jt'Zr-'f AOF 0,7 J 0 c 16o () 17 _�Vfiz/lo - L 1)0q-7p171 Aazzorhl' Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPT �!.") - �2 House Plot BULKHEAD Total /—I� c. A Fire Place Type Roof ............... .................... FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,NY 11971 TEL:'765-1802 BUILDING PERMIT APPLICATION CHECMST: Do you have or need the following,before applying?: Board of HealtO 3 sets of Buildinj-Fla�ns� Survey .11 Check 4r-Aq7J IDS % Septic Form N.Y.S.D.E.C. 01 Trustees Examined 0�1�lVr 200/ Approved 20A:?,l PERMIT NO. Disapproved a/c Z11eV Building InsOctor APPLICATION FOR BUILDING PERMIT Date 200f 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 sale.Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining prerm'ses or public streets or areas, �md giving a detailed description of layout of property must be drawn on the diagram which is pati of this application. 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 Buitding 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 whatever until a Certificate of Occtlpancy 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. Ile applicant agrees to comply with all applicable laws, ordinances,budding code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder <-- e,"I 7-,ee4� r Name of owner of premises X.!9"e- 194, eVX -T (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of coiforate officer) Builders License No. Plumbers License No. Electricians License No. o,V Other Trade's License No. 1. Location of land on which proposed work will be done: -7Y 0 Q &4� e- 6?,--1 Z House Number Street Hamlet County Tax Map No. 1000 Section /;r -Block 57 Lot Z Y . 1�r- Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy W- / f oe ,Cr r A& 4,--- b. Intended use and occupanc /0�4� - '9 7-#_' ,�r C--�<- 3. Nature of work (check which applicable): New Building--_________Addition Alteration A-' Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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 Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear —Depth Height —Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner e-,9 '9 Z '0�01 11. Zone or use district in which premises are situated #- / 12. Does proposed construction violate any zoning law, ordinance or regulation: /l/C> 13. Will lot be re-graded Will excess fill be removed from premises: YES NO 14. Names of Owner of premises JVX1'-1'9 —Address 7 PD v&� /--o--CPhone No. -?z .7 2 Name of Architect Address Phone No Nameof Contractor Address Phone No. 15. Is this property within 300 feet of a tidal wetland? *YES NO 9 IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, indicate scope of project, to scale, with distances to property lines. 17. If elevation at any point on property is at 10 feet of below, must provide topographical data on survey. STATE OF NEW YORK) I SS: COUNTY OF_ (Name of individual signing contract) above named,being duly swom,deposes and says that(s)he is the applicant (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 thEUMkTH A STATHIS NOTARY PUBLIC,State of New York Swom to before me h No.01ST6008173.Suffolk County d �0 1'�6� TWM Expires June S.20Q.2--� a3 f 20c) 0 NZ�Pdblic Signature of Applicant 4a- ATP e'O �T sk� S�O� ."o ' kk" C 's n&,qeNk J"Ce el. cr o Azis _;77 6p k\,6 G�o 0� to 0, 1p i2c lij - --------- FY' MAP OF P14, P, 1,2 e -T< L D __q! 47 HOL iz,,pA ek v 'T ow MA 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. 29242"Z 10" Date MARCH 25, 2003 Permission is hereby granted to : CAROL ALPERT SCILABBA 157 GARFIELD PLACE BROOKLYN,NY 11215 for CONSTRUCT AN ADDITION, DECK, SCREENED PORCH & DEN TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#27083 . at premises located at 790 UHL LA ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 024 . 015 pursuant to application dated MARCH 25, 2003 and approved by the Building Inspector to expire on SEPTEMBER 25, 2004 . Fee $ 1S0 . 00 A d Signat, hori "'IQ Z 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) i44�0/ aqa�l PERMIT NO. 27083 Z Date FEBRUARY 15, 2001 Permission is hereby granted to: MACDONALD WOODWORKING CORP. P.O. BOX 145 ORIENT,NY 11957 for CONSTRUCT AN ADDITION, DECK, SCREENED PORCH & DEN TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 790 UHL LA ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 024 . 015 pursuant to application dated DECEMBER 6, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authoriz4d Sign lure ORIGINAL Rev. 2/19/98 .Jim A —T� P-Y J Y �,R� Z.. 1*14 u -0 rjwK- 4,F AONVd-0330 AO 10XVIVA qi 3sn T do AoNvdil000 9 AN TO FOR TH FOU&4INQINSPECrfONS: T7 1. FOUNDATION TWO REQUIRED FOqm',IUREDCONCRUE ROUaH m FRAMING A PLUMBING 36 INSULATION. p. IL FINAL - CONSTRUCTION MUSI 7-7 ECOMPLETEFORCAL NSTRUCTION $HALL NEU THIk REQUIREMENTS OF I STA E CONSTRUCTION THE N.Y. ENERGY con NOT RESPONSIBLE FOR 00 N OVA 0 NK ENDING cu DF4,k�11Q�i UNM W1700 CERMalt All REQUIRES k-1 ;,4 r,o� 4� tz:5 Fol eA , J.I&j UVd ol SV T I fl, o,�tpa� J?7 9'1 WA AA rl 0 N npr 7T -fv ,z-qi> �Lj U\/ WHO ; '44 e QO* Gs FOR + PROVIct'OPENI'R E AS INERGENCY ESCAP F Ij REQUIRED BY PART.714 0 j s7p;BUILDING CODE. 40 1 0*491 Yr, ...... mow A 'W(tl 'To Lo %�.Qfwl I