HomeMy WebLinkAbout32611-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 01/18/07
No: Z-32144
THIS CERTIFIES that the building ADDITION
Location of Property: 280 BEEBE
(HOUSE NO.)
County Tax Map No. 473889 Section 97
DR
(STREET)
Block 7
CUTCHOGUE
(HAMLET)
Lot 2
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JANUARY 3, 2007 pursuant to which
Building Permit No. 32611-Z
dated
JANUARY 3, 2007
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 ADDITION TO AN EXISTING ACCESSORY STORAGE BUILDING.
The certificate is issued to FRANCIS & DOROTHY W ROMANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3019971
01/04/07
PLUMBERS CERTIFICATION DATED
N/A
~ ~I'/J/J
~~"'---
Au orized Signature
Rev. 1/81
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.
32611 Z
Date JANUARY
3, 2007
Permission is hereby granted to:
FRANCIS & WF ROMANO
PO BOX 1151
CUTCHOGUE,NY 11935
for :
CONSTRUCT AN ADDITION TO AN EXISTING. THIS PERMIT REPLACE
BP # 15331
at premises located at
280 BEEBE DR
CUTCHOGUE
County Tax Map No. 473889 Section 097
Block 0007
Lot No. 002
pursuant to application dated JANUARY
3, 2007 and approved by the
Building Inspector to expire on JULY
3,2008.
Fee $
75.00
&~~ Ch_~
, Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 2/1 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.
/-r'D7
New Construction:
x
Old or Pre-existing Building:
;)&-0 _~.pk bre.
Street
boiO'f-Ay
Owner or Owners of Property:
FrCU',ci'5 +-
g~
Block
(check one)
W~~
Hamlet
Ko~a
7
Lot
:2
Location of Property:
House No.
Suffolk County T3j< Map No 1000, Section
Subdivision Filed Map.
Permit No. 3;::)..[ () U -2 Date of Pelmit):- 3 =a.- Applicant,
Lot:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
pphcant Signature tr\ I , c.. ~IA
{>t(lll\. f\"Y\nh V Lht. }.J I ~ ~'IJ'
"")""1:1'-\'"") ('vb
Fee Submitted: $ ::)5,00
t:./D ~ 3)../ c.r If
K'e. c.... 't \ ~
N d- +0 o.ec--'-j
01/08/2007 14:51
OLSEN & OLSEN,LLP
PAGE 02
6317347712
BY THIS CERTIFICATE OF COMPLIANCE THE
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
GARY FLANNER OLSEN
P.O. BOX 70e
CUTCHOGUE, NY 11935
FRANCIS & DOROTHY ROMANO
280 BEEBE DRIVE
CUTCHOGUE, NY 11935
Located at
280 BEEBE DRIVE CUTCHOGUE. NY 11935
. Application Number:
3019971
Certificate Number:
3019971
Section:
Block:
Lot:
Building Permit:
BDC: nsl1
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
storage shed,
. . .
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 complience therewith on the 4th Day of JanulI)',2007.
li!lllli mY B.m Bil.Ins ldwi!1 IYm
Miscellaneous
lUI built 199500
WIring and DevIces
Outlet S 0 Fixture
Fixture 2 0 Incandescent
Fixture 3 0 FloUl'l!Scenl
Outlet 5 0 General Putposo
Receptecle 3 0 General Putpose
SwllCh 4 0 Gmeral Purpose
An as built Inspection, of the delln..ted electrical instelJaUon, detennlned that an obvio., hllZll1'd iJ not prelOOt and tho irullalletion Is believed to
be in comfonnance with the applioable refe"",co Slandlll'll for the cotlmatod period of COnstnlotlon of the premis"" wiring "YSlcm.
$I#JI
1 of I
This certificate may not be all'ilred in any WIly and is validated only by the presence of a ralsGd seal at the location indicated.
01-08-2007 14:35 SDUTHDLD 8UILDING DEPT 16317659502
PAGE2
I
I
3 Q--.-' II Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~INAL
[ ] RRE SAFETY INSPEcnON
[ ] RRE RESISTANT PENETRATION
REMARKS:
-
p~,~~,~
DATE / -- tf.. - 0 '7
INSPECTOR
~,~
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n._
r'lELD INSPECTION DATE CON11ENTS .,,\JJ
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FOUNDATION ( 1 st) "" ..
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FOUNDATION (2nd) @F
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ROUGH FRANE & 0
PLUMBING
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INSULATION PER N . Y. I'"'
STATE ENERGY t
CODE
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, ADDITIONAL COMMENTS: '''' ,
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FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
eOUTHOLD, N.Y. 11971
TEL.: 765.1802
. tS:~~40~j ~
, 31.DG. DEPT.
L.."IQ'''JN Of. SOUTHOLD
Examined 4)-~'~~ 19 ~~
Approved ~"t~. .~ $':, 19 .1l~Permit No. .lba :a..~.t
Received 000... . . . 0 . ,19. 0 .
Disapproved a/c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
... ....................... ..... "\'/<'" ....... r.
.Y.~".-~..~~......
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ~.J:{f.... ...., 19f6.
INSTRUCTIONS
premises or public streets
hich is part of this appli-
. Such permit
rtificate of Occupancy
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.
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 neces~~~. ~.s~~~ .K~ . . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
tp.8.rd: . . ! ! ~7 . . . . C wtJ....O'J..~ f:. . ~ ~ y.1.~~J:(
(mailing address of ~pllcant)f"
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . t7.~kfJ?.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nameofownerofpremises ... .F..~fT~~.i;.1 J>.q~i1~j ~,.R.I'I1~~!'.....................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. ..... a \Ii' k.tf~.. . .. . . . ..
Plumber's License No. ........................
Electrician's License No. ......................
//
/
Other Trade's License No. .....................
I. Location of land on which proposed work will be done. .................................................
. J..8.P. .. . . .11.lf~~f.. P.~I.~If. .. .. . . . .'. .. . . c.~rc.~.~~~.. Poi. . . . . .. . .. .. . .. . .. .. . ... .. . ..
House Num ber Street Hamlet
County Tax Map No. 1000 Section ..... t? .f.7. . . . . . . . .. Block .... <'.7. . . . . . . . . . .. Lot. .Q~.~. . . . . . . . . . . . .
Subdivision.. . . .. . .. .. . .. . . . . .. .. .. .. . .. .. . .. . .. Filed Map No. .7.,-i'~........ Lot . .~ ~.. . .. .. .. .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occ~pancy ... f'.~tf. . pftl'1(/y.. .~~l?I.{.~"'j.. ... . . .. .. . .... . . .. .. .... .. .. . .. . ....
b. Intended use and occupancy ....... s.r(J.tr,~6;t;. . . . ~.f:I.~p. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . '.
,
3. Nature of work (check WhiC~ applicable): New Building. . . .. . . . . . Addition.. . ./.. Alteration .. v(':. . . .
Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . .
I .. I (Description)
4. Estimated Cost.. .. .. ~~...... ., ... . .. ...... ....... Fee. .......%"........ ... . . ..............
(to be paid on fIling this application)
5. If dwelling, number of dwelling units.. . . . . . . . . . . . .. Number ofdweIling 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 . . . . . . . . . . . J . . . . . . . . .
7. Dimensions of existing structures, if any: Front. . . ./k!. . . . . . . . Rear .. .I.~. . . . . . . .. Depth...'..........
Height .,~.'-~'......... Number of Stories .....!..................................................
Dimensions of same structure with alterations or ad~ji.\Pls: FroJlt ...... J!I:~ . . . . . .. Rear... .1~/ . . . . . . . . . . .
Depth. . . . r. ~ . . . . . . . . . . . . . . . Height . . . . . .~ . . . . . . . . . . . . . . . Number of Stories. . . . .I. . . . . . . . . . . . . . . . .
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 .............................
11. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
<
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .. ........ . .. . ...... Address... ...... ... ....... Phone No. ...............
Name of Architect ...... . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. ............ . . .
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. ...............
15. Is this property located within 1.00 feet of a tidal wetland? * yes..... No.....
* If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot. . . . .... /J
~.<4 :4 P-vJ2"'-<-tY::" ~ ~ "Jt>I.I?~ ~
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APPROVED AS NOTED
DUE: 'il. B.P f Js:a:.I~
.;J~/ By.jp G.J.....
~~TIFY BUILDING OF.PARTMENT AT
71'501802 9 .AM TO 4PM FOR THE
FOllOWING INSPECTIONS:
F<lUNDA TION TWO REQUIRED
FOP POUfl!iD CONCFiH€
;. ROUGH "~AMING &. PLUMBING
3 INSULATION
4' FiNAL CONSTRUCTION MUST
3t COMPlETE FOR C.O.
All .;011I5'" RUCTION SHALL MEET
THE' REOUIr.u;MENTS Of THE N.Y
ST. Tt CONS-mUCTlON & ENERGY
CODES Nm ~Sf'ONSlBLE FOR
"'ESIGN Ot< CC.,~STRUCTION El'lRORS.
STATE OF NEW YORK, S.S
COUNTY OF . .SVfF?r.-.K . . . . .
...... F.FVtN<:;,I;=?.. .po/H.IWO'.... .... ... ....
(Name of individual signing contract)
above named.
being dulfsworn, deposes and says that he is the applicant
!.;
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 tru~ 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
. . . . . . . . . . h tf: . . . . . . . . .day of . . . .
Notary Public, . ~
.$~P.I......., 1936
-
.... '"~J
M~RK 1. G~GEN ...
NOT~RY PUBLIC. Slate of New York
No. 4695650
Qualified in Suffolk County
Commission ExDife' M."h 30. 19'i7
oun~~ .~~. ~frM..~... ......
(Signature of applicant)
.
~. -- ----.--.--._--._-_._----,-----""'..~-----.-
000- '7'_ 7-2-
OWNER
TOWN OF SOUTHOLD NOPERTY RECORD CARD
STREET 2 D VILLAGE DISTRICT SUB.
-/t
Ft-.> h c. ('-r 6<'?t.L....o 1 W:f;
FORMER OWNER
I'i,/e
/ 'IV 7'-e A' ~
E
lie
~ I21dd
ACREAGE
LOT ;4& ...:? .z.
Cov€.- J.))
"
vU. M. 13-ee. 6..,. 1- 0 hr
S
W
TYPE OF BUILDING
~
40()
TOTAL
DATE
RES. ~ 0
SEAS.
VL.
FARM
COMM.
I IND.
I CB.
I Est. Mkt. Value
LAND
IMP.
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V'
o
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(,;be, -IV
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100 e::;f.
AGE
o
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NEW
NORMAL
ABOVE
i:Jaf"l', <lit <..'1doU /. @ / .V"
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
BULKHEAD
DOCK
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
B rush land
-
-
,
House Plot
M. BI~.f
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extensIOn ?
- t
::xtension
.2 - 79
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3' 12, / : Foundotion
If- f" If Bosement
t-
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! Fire Place
,f Y 2..0 -:0 /lfe
~xtension
Parch
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.~ Roof Type
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Floor
tAt, <>
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3reezeway
/5/,,3<, J</S
5/ f> $' ()
. /() ~61'
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II t..! i 7;J1 Driveway
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~BII NO. .
TOWN OF sOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH OLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 15331
z
Date ...~l:~4Y-..;.?;(........., 19.'-.(,
Permission is hereby granted to:
....d:~~..~~.~~....7.~.~.a....................
.....;?.~.~....']?,.~~.~.~..~~.....................
....~~....~..:':\.:......IL~.~~........
to ..~.4::...Q.""":... ...... .:.... ....:to....~...~....~.!;~.9..~.~.!!..,.
~.\.\...~.....9lf~.~..........................;.................................................................
ot premises located at ....;;?.~.o.....~.~..~~.........................................................
................................................................................................................................................................
.................................................................................................................................................................
County Tax Map Na. 1000 Sectian ....~.~J......... Block ......~"]........ Lot No. ....9.9.~.....
pursuant to application dated .....~:t""1o....1.Lv......;:;>...~.......... 19j.~.., and approved by the
Buildfng Inspector.
Fee $.~.'~",
.~
... ..e............... .......................
Building Inspector
Rev. 6/30/80
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T~N OFS UTHOLD
BUILDING D ARTMrNT
TOWN LL
SOl.lTHOL . N. Y.
01: II
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DUILDIlllG ~EltMJT
(THIS PERMIT MUST BE KEPT ON T~f PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHorZEDl
N9 15331 Z 0 'te ...~'TSl-.tl.fIM-..ifI.~.......... 19.1..<t
Permllslon I. hereby granted to:
....d:A:~.~...J:....... ..:~A....................
.....~.~.~....:P.:.~!.M.~........ . ~~.....................
....~~.:.:~.......l;I. ,~:.....J.L'l.'i4k.........
to ..~~...~;... '.. '.. :.. ...:fA ..Q",:\...~:~:t.;~....9.,.~~.'l.;:,~..~~.~
~\""'~""~~'~""""'"''''''''''''';''''''''''''''''''''''''''''''''_'''''''''''''..................
of preml... lceated at .....::z.:S.~....~..... ...~~......~...................................................
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-............................................,........................................... .,...................................h....................................
Counry To" Map No. 1000 ~ctlon ....~.~"1........ lcek ...._.~"]....._. lot No. ....9..9..~.....
p"nuan' to application dOfed .....~~ ... ... ....;;1...*........., 19"i.!..., and opp"",oc! by th.
BuildIng Inspector.
,
'~ FA $.~.t~...
......,,~~~. .......................
I 'Building Inspector
Rev. 6/30/80