HomeMy WebLinkAbout32719-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No, Z-32263
Date, 03/27/07
THIS CERTIFIES that the building
ALTERATION
Location of Property, 45605 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 75
(STREET)
Block 2
SOUTH/PEC
(HAMLET)
Lot 13
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
FEBRUARY 13, 2007 pursuant to which
Building Permit No. 32719-Z
dated
FEBRUARY 13, 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 RENOVATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MICHAEL E & BARBARA L. DISILVIO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
-
Form No, 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
,
APPLICATION FOR CERTIFICATE OF OCCUPANCY
W\R?.\
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 unus,,"1 natural or
topographic features.
2. Final Approval from llealth Dept. of water supply and sewerage-disposal (S-9 fonn).
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 1% Icad.
5. Commercial building, industtial 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 requiremcnts.
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 Ccrt ilieate of (kcup,"1e\' IS
denied, the Building Impeclor shall state the reasons thcrefor in writing to the applicant.
C. Fees
I. Certificate of Occupancy - New dwelling $2S.00, Additions to dwelling $25.00, Alterations 10 dwellllle S25.1I1I.
Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.0n, BUSlllt's:'l'\ '].)().()()
2. Celiifieate ofOcctlpanc)' on he-existing J1ulldmg - $]011.00
3. Copy of Certificate orocc\lpancy - $.25
4. Updated CertiliGlte Ill' Occupane\' - $5I1t1t1
5. Temporary Celillicate ol'Occupancy, Resiclentliil $IS.OO, Conllnerci,,1 $] 5.tItI
U;ile
3;);)' 01
-_._~- ----.'--
Ne\v Constmction: ".______ __________ Ule! or Pre-existing Building: _ ~______ (check one)
Location ofPropcrty _i:J,'&o)",j'YJ/},//) 18::L.__~_l-t5o,/d _/l_C/-'-. 1/97/
f-IollseNn. Street 7 t-~ Iblllkt
Owner or Owners of Property:
Suffolk County Tax Map No I tltIlI. Section
Bloek
1(11
Subclivisioll
Pennlt No. 3d 7/,2.-2.. Date oC Penna.
Filed Map.
I.n(
______ Appllcant:__
Health Dept. Approval
Undcnvritcrs Approv,ll:
Planning Board Appnl\"(tl-
Fee Submitted: $
..J). 0'0
_L _,________
DC>
I'mal ('crlliiGlte __ ~ (check one)
(~flAi _
," Applicant Signature
Request f()r:
Temporary (\:rliJicatc __
rf'i) '17'75 '7
"^'~- I~'-:'- ./
go c3J),)~3
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.
32719 Z
Date FEBRUARY 13, 2007
Permission is hereby granted to:
MICHAEL E DISILVIO
45605 MAIN ROAD
SOUTHOLD,NY 11971
for :
RENOVATE AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS
PERMIT REPLACES BP # 23390.
at premises located at
45605 MAIN RD
SOUTH/PEC
County Tax Map No. 473889 Section 075
Block 0002
Lot No. 013
pursuant to application dated FEBRUARY 13, 2007 and approved by the
'~
2ee $
150.00
13, ;u2.Q8.
..../. /\
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Puilding Inspector to expire on AUGUST
ORIGINAL
Fev. 5/8/02
3 J-- 7 I r Z!:.-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] ~ATION
[ vlFINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
~('~
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REMARKS:
DATE ~/C/' J / rO 7
I
INSPECTOR It
.!.;I~'II.:'lI:il'U:lll)tl I{U'OHl U(\ 1 I'.
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SOIlTIIOl.Il, II. Y. 11971
'ml.: 765-11102
1l0AIlD Ill'" HEAl.TH ...............
1 SI~'I'S ()F PI.ANS ...............
SIIItVEY ........................
CIIECK .........................
SEPTIC FORM ................ ...
l<:x""ined.......Y;0r.. 19.7?
Awruvr>tl.........y?r '9.ff;> Permit No.
llisappf(Ned ale ............................ _.....
3d7!? r~
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tlOTl1'Y :
CAI.I. ..................
HAIl. TO:....................
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...A~l.:..~....
(Bui Ld#I'I~1 .elm-)
APPI.I CAT! 011 FOR 1ll1I!.IlI IIG PERIiIT
IIISTRIICTIOIIS
Date...... y'/IJ~... . 19Ft.
a. 'Ihis upplici'ltiollllllfil he ('C1'1)lelely filled ill hy lYP(~'H-i(er or ill ink and R\lhnitled (0 the nuildinglnspeclor ,""dIll
) sets of plans. oc"rrate plot plan 10 ".:ale. Fee according to schellole.
h. Plot plan s1K~,.dl\g l(x:atioll of 101: and of blli Idings on premises, relell ionship to adjoining prenise.s or puh) ic
slreetfi or areas. and giving a cletniJed description of layout of pr-operly Illlst be dnl\m on the diagran whid. is P,""1r-t of
this appl ication.
c. 'Ihe Hork cover-ed by this applic:ntiolll'"'1.Y IK)t: he nmleIK:e<1 hefore iS511Hnce of Building Permit.
cl. 1I1xlll appnNal of this application. the Building Inspector Hill issue a Building Pennit to the npplicallL Such
1)(~lmit shall he kept 011 the premises availnhle for- inspection Lhro.ll~l()ut the \oKlIlc.
e. No huilding shall he occupied or llsed in tllote or- in part: for any IAlTlx),se -Ml<llever tUltil a Certificnl-e of
o.::cup<lIlcy sllall have heen gnlllte<1 hy Ihe nui hling Illspector.
M'l'I.HJ\TI(I'I IS In~HImY l-WE to lhe Uuildillr, lleparlllp.l1t for tile isslIance of a Building Pcnnit pJrstlallt to the
Ikdldillg 7,one Onlin<.nce of t.he 'Ih...... of S<}utholil. Suffolk County. Nc'H YOlk. and olhcl- applicahle 1.ilWs. Ordinances or
Hegtllati<llIS. for the c<xlslruction of huildingR. additions or alterations. or for reul:Nal or deunlitiOIl. as hen~ill
ck~sc..-ih(>d. 'Ihe applicant agrees to (.(II'{lly witll all applicahle laws. onlinances, IKlilding Ctxle, ho.Jsing c(xle, and
regllJ,aliol1s. fmd lo acluit: aullK)dzed inspectors on premiRes and in huihliog for- necessary inspe<:tiolls.
......................................................
(Signnture or nppl kanl. or- Bare, if OJ coqxlration)
...................................................
(Hai ling ikldress of .ilppl icant)
SLale ,A",ther "I~ll icant i~~ JeHsee, "gent, architect, engineec, ger",ral ""rrtractor. electrician. ph..I",,' or I..i Ider~.
...........,............................................................................................................
.M.\c.~.l\e~.. ~.".*.. .Rj\q~.~. .l...b \ ~.{.hx (. Q................
(as on the Lax Joll or latest d(~ed)
N;:.l.~ or (x.;rner of premises
If ilf'fll knllt is a coqxwatioll. Sig.lliJtllle of dilly a\llhod?R.tl officer.
.........................................................
(Ni_lIe and title of co.-porate officer-)
Buihlers License tl").
.........................
PIUliJet-S I.icellse No.
.........................
Electdcians License tl). .....................
ml",c Tn.""s License No. J
location of larkl on which ;,~.,;~~:I.~,:~.~:;;.:'" ,h"'.......Mf>;.l0....M.~...~~.~~\..................
.... .45:&..o.C........ .1'0..~,~. .~..... R.;t .~s:-:............ .~~~.\~\'.~........................
Ikll..lse thlher SLreet: Ihnlet
(~Jl.JJlty Tax Hap N;:). HXX) fi<->-clion .7~.......... Ulock ...b......... I.ot: .......\.3....
I.
Sulxlivisioll ...................................... Filf.."C1 Hap No. ............... lot ...............
(11m.,)
2. Slal-e existing w;e
.1. Existing IJse ill)!:)
h. lnlencbl use and
mxl oCCl.ll'alK~Y of pr{'J:nises UllC"1 illlell(l~1 use arK) (x:ClJparK:Y of proposed COllSlluclioll:
Ik''''I"''''Y ...... s.~ . . TR.'. . :. ~ . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . ... . . . . . . . . ..
rx:"')"lIq ........'?~......~.\..~ .~.........................
I.
JJ....11II e of \JOd< (d\(~(:k \~ddl
I(,~p..il ..V..... llenr::rval
nl,,1 iCllldl~):
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E';I ;"..1 L,I I')~ . '\J 40.9. . . . . . . . . . . . .
Il.'\J n...i Iding
l'Icunl itioll .
fvklilitlll .......... ^Il{,\.illion ..........
III her \~" k ~t;I.~ )/.~.~U.'! .. .131.t:'1J~;J.I"":r (.f;; c,
~l)enc,'ipt:ion)
fee
............................................
(10 he pnid Oil fi'illg thi!~ i1l'plknl:ion)
';. If 1~J(dlillg. IH.ller of l)...xd1 illg Hllil!> ............ Ullhcr- of f.......elling IIllils on ench floor ................
I r gnrilge. IJl.J1hcr- of <:ill fl .......
(). If b(lHil~Hn, Ullll'el-cinl or lIIiKE:'d occllpancy. specify nultHe mw:1 extent of em:h type of tlse.................
F, oot _ . . . . .. .. . . . . . .. Hear _. _ . _ . . . . . .. ... Depth
I.
Ilh,'(!/HdOllS of exisl ing AltuCltll(!9. i r i1IlY:
Ikd,~'1: .........................
llill'ellsions of 9lJr~ fJllucl\Jn~ \.,lith
Depth.................... Ileil~ll
II.
lliU"!lIHiotls of ellt ilH new UMIAtn..:1 ion:
~lllher of ~'HodeA ......................
nllelal:icMHJ or additiollr.: Frollt ............... Henl' ..............
.................... n..,.)(~r of ~jIOl-ieB ...............
Floor.............. .
Heill-
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!Jh'_e of
1l.:~il~11 ......................... tl..her of !illldefl ..
....... Hept"
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lo!:: Flonl ............
I\"d,,,,;,, t.//2.'ir/7'b........
10.
1,"lle of
l.one 01' UHe dislli<:t ill ,Adell (lTenises me nitualr!d
Niu'(! of FOIl1"_~[- ()...mer
. MO(.h\""-." ........ _. .........
II.
'" Hem- ......
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11. I)OCH propo~u~1 (:ooslluc::lioo violllte nllY 7.ofling I,,,,,,, Olllimlllce 01- H~glllf1lion: .f.J~..................
Hill In!. he Tegra(k~d .....t-?a.......... \-lill (~Xre!itl fill l~! n'J''(Ned hUll pi ('JIlines: YES (Th)
Ni'lII:~s of ()...n \e 1- of IJlf:"lniE;eg Y.--:t.'..P.l:).d1l.~......... hldrcns ..._........_................. l'IOlle 1'<<:).
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tl;Jl,,~ of ^lch Ileel
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N:ne of ConlHlctor ................................... I\ckhess .............................. .1110l\e t-kl.
III .1/......
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Ig tlds I'ropeTly within 30:) feel: of n lillal \Jetlflllc)'l * YF..S ..........
'IF YES, fHJI1I11J .I\l~l 'I1n/f;IEJ\S ml~IIT HW IVi IIliJ~IlHF.J).
l'I.0T III M:I\^H
IOG.le clearly and distinctly nil btlil(lillg~l. ,.Alelll{~t. exiSling 01' ptOlxlsed, nnl! inclknh~ all set--Imck c1il1'W"wdoIlH
flllll plflpel'Y lillcs. (:ive flllet!1: <II'M) hlc)(:k I"I~)(!I or .ler.cr-ipliot\ nccmdillg 10 l'eetl. nnil rJ1C"-'I' ntreet n.men <111(' indicale
\A\(~lhel- illt!'!1 inr or COITler lot.
~l~~~D AS NOTED c
DATE: " ~ '. B.P.II J331[' t:::
FEE?" 75- .y-- Byfi~~
NOTIFY BUILDING OEPAR ENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. rlNAL . CDNSTRUCTION MUST
BE CO!\i~PLE1E FOR C.O.
ALL COI'~~:-.8~fCTlON SHALL MEET
Ti-1'- ::"," 'j:<:-;-\'H;~~TS OF THE N.Y.
~~'i/,T'.. ~li:'ICT;ON & ENERGY
r.C> " :-,-: n~'.Sr'ONSIBLE FOR
D~~:.; ~"l Qh CO,\'$lnUCTION ERRORS
~ilAm OF "1;'-1 YOHK.
. . (, (I ._
(UINIY 0' ..>).It...!.,....I.k.
PI'
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OCCUPANCY OR PLUMBER CERTIFICATION
, FUL ON LEAD CONTENT BEFORE
USE IS UNL!\W fERTlFICATE OF OCCUPANCY
WITHOUT CtRTIFICAT SOLDER USED IN WATER
OF OCCUPANCY SUPPl.Y SYSTEM CANNOT
EXCEED 2/10 of 1% LEAD.
If copper tubing is used
for water distributing
system; piping shall be
of types K or L onlv
UNDERWRITERS CERTIFICATE
REQUIRED
/V1,(
...-..t......
(H:m.~ or illdivic:hml
,..I..c.c,.:L., L'
..I~dl1g ,luly !:wI.lrll. deplHH!N mwl !lily~; thnt he if; the f1l'l'liculll
nigllil1g cOlli Illet)
Ill)\,ve Ila,..~{I,
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of !;:lid l,.m(~I- 01 l""llern, 1111(1 j~l (Iuly i1l1lhOl-i7.(?tl 10 l)(~lfol1n Ot IInve I'I.~rf{)J""~c1 lhc:! tHlid work nnll to 1ll:11c:e and rilf! lhi'l
l1l'plicatjoll; thfll. 1111 f;tat(1lV~1l111 cOlllail'1ed ill thin i1l'pIJc;!t iOll nn~ II1)(~ 10 the hen!: of hi!J kncJlt..'Ie-tlge :Jill:! 1)(!Iier; ulId
thill the wurk will he perroll!1(~1 ill lilt! 1I""IIl(~r' .net: forth ill the lIpplication riled I henMiI.1t.
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//
N
SURVEY FOR
MICHAEL E & BARBARA L. DiSIL VIO
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
1000-75 - 02-13
Scale: 1" = 30'
Mar. 20, 1996
.'l-
\
/
ANY AL TERA TION OR ADDITION TO THIS SUWEY IS A VIOt.A TION
OF SECTION 7209 OF THE: /'EW YORK STATE EDUCATION LAW,-_,._
EXCEPT AS PER SECTION 7209-SUBDlVISION 2. ALL CERTFICA, KJtW:i
HEREON ARC VALD FOR THIS MAP AND COPIES THEREOF ON/.. Y F
SA" MAP OR COPIES BEAIf THE: IW'RESSCO SEAL OF THE: SLf'lVE"YOR
WHOSE SIGNA TURE AI"PEARS HEREON.
ADDITIONALL Y TO COI/PL Y WITH SA" LAW THE TERM "AL TERE:D BY"
MUST BE USED BY ANY AND ALL SURVE"YORS UTI.JZHi A copy
OF ANOTHER SLf'lVE"YOR'S MAP. TERMS SUQI AS "INSPECTED" AND
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CERTIFIED TO-
MICHAEL E. DISIL VIO
BARBARA L. DlSIL VIO
USA MORTGAGE. BANKERS OF AMERICA INC.
PARTNERS ABSTRACT CORP. as agenl lor
CHICAGO TITLE INSURANCE COMPANY
NO. 49618
96 - 131