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
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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. 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
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