HomeMy WebLinkAbout32630-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 04/19/07
NO: Z-32306
THIS CERTIFIES that the building DECK/DOOR ADDITION
Location of Property: 1480
(HOUSE NO.)
County Tax Map No. 473889 Section 66
ARSHAMOMAQUE AVE
(STREET)
Block 2
SOUTHOLD
(HAMLET)
Lot 30
Subdivision
Filed Map NO.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
DECEMBER 20, 2006 pursuant to which
Building Permit No. 32630-Z
dated
JANUARY 9, 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 FRONT STOOP DECK ADDITION WITH SLIDING DOOR TO A SINGLE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to J JEFFREY & CAROL T HAFER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
~ ./4 .'If /J.
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Au orized Signature -
Rev. 1/81
.~ Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY-
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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 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 I % lead.
5. Conunercial 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 Plmming Board Approval of completed site plan requiremeuts.
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 wriling to the applicant.
C. F ecs
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, AJterations 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 ofCeltifLcate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary CeLtificate of Occupancy - Residential $15.00, Commercial $15.00
If fit J D7
I I
(check one)
Date.
New Construction:
Old or Pre-existing Building:
v
Location ofPropelty: 1'150
House No.
,t/-,I(S<Jf 4/1f0"1If6;1l9 v4-~,
Street
.5;vn.{{) w:::,
Hamlet
Owner or Owners of Property: -::r: :::r'ef"F~ H Af:'€1Z-
Suffolk County Tax IItap No 1000, Section ~i:3S1Si'l 6 b
+ c..A-~OL 1";' -l-lfJ.n::1L
Block?.. Lot 3D
Subdivision
Filed Map.
Lot:
Pennit No. ~ b30-"2-
Date of Permit:
Applicant: ,....L ~e€ ~ I-i",,~
Underwriters Approval:
Health Dept. Approval:
Planni ng Boord Approval:
Request for:
Temporary Certitlcate
Final Certificate:
/
(check one)
Fee Submitted: $ -2c5: eo
CS2..uc.-l) 100
Co-l3.-230~
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.
32630 Z
Date JANUARY
9, 2007
Permission is hereby granted to:
J JEFFREY & CAROL T HAFER
31 HARBOR RD
PORT WASHINGTON,NY 11050
for :
CONSTRUCT A FRONT STOOP DECK ADDITION wi SLIDING DOOR TO A SINGLE
FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP # 23191
at premises located at
1480 ARSHAMOMAQUE AVE
SOUTHOLD
County Tax Map No. 473889 Section 066
Block 0002
Lot No. 030
pursuant to application dated DECEMBER 20, 2006 and approved by the
Building Inspector to expire on JULY 9, 2008.
Fee $
150.00
~C-u-
( Authorized Signature
ORIGINAL
Rev. 5 I 8 I 02
'3 (}-!O 3 0 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
P<(FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE if -? .-- () 1 INSPECTOR ~ ~
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Young &- Young
400 Ostrander Avenue, Riverhea.d, New York 11901
631-727-2303
Howard W. You.ng. Land Surveyor
Thomas C. Wolpert. Professional Engineer
Robert C. Ta.st. Architect
Ronald E. Pj'u.h~ Landscape Architect
Dougla.s E. Adams. Professional Engineer
AREA = 2"1.001 SGl. FT.
· 5U6DIVISION - "MAP OF 8ElXEDON ESTATES" FILED IN THE
OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAR. 16, Iq46
AS FILE NO. 1412.
SURVEYOR'S CERTIFICATION
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SURVEY FOR
..J. ..JEFFREY HAFER.
CAROL T. HAFER
LOT 1 4 P/O LOT e IN 6LOCK NUM6ERED
FIVE (5) "MAP OF 6ElXEDON ESTATES"
At Southold, TOl/lln or Southold
Su/'/'olk Count!:j, Nel/ll York
County Tax Map Ol,tri,t 1000 Sectloo bb 810"" 02 Lot 90
60UNDARY SURVEY'
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OF SOUTHOLD PROPERTY RECORD CARD
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IMP. TOTAL DATE
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TYPE OF BUILDING
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LAND
REMARKS
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DEPTH
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ush land
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Heat J-I I.A./. DR.
Rooms 1 st Floor BR.
Rooms 2nd Floor FIN. B,
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,.SURVE.Y. .. .............. I. I.....
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SEPTIC rOllll ..............
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Ex~mrned . . .
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
I :3 i9g5 TOWN HAll
/ sounlOLD. N.Y. 11971
j (]J TEU765-1BO:!
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Appro.ved . . . .
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Disappro.ved a/c ........ . . . . . . . . . , . . . . . . . . , . . . . . . . . . ,
. .
:;
CATION FOR BUILDING PERMIT
Dille ... . .QE;<;. :1.1., ~ Sl.9.5 ., 19. . .
, INSTRUCTIONS
a. Tills applicatlo.nmust be co.mpletely filled In by typewriter o.r In Ink and submItted to. the Building Inspecto.r, with 3
sels o.f plans, accurate plat plan to. scale. Fee,acco.rdlng to. schedllle.
b. Pial plan sho.wlng Io.catio.n o.f 10.1 and o.f buildings an premIses, telatlo.nsl1lp 10. adJo.lnlng ptemlses o.r public slreets
o.r altas, and giving a delalled descriptio.n o.f layo.ut o.f pro.perty, mUst be drawn an the diagram which Is part o.f this appll-
catio.n.
c. The wo.rk cave red by llll~ appllc~tlo.nmay no.t be co.mmenced befo.re Issuance o.f Building Permit.
~. Upo.l1lippro.val o.fthls appllcatlo.n, the Building Inspeclo.r will Issued a Building P~nn'llo. the applicant. Such permit
shall be kept an the premises available far Inspectlo.n through aut the wo.tk.
e. No. building ~hall be o.ccUpled at used 111 who.le o.r In pari far any putpo.se whatever unll1 a Certlncate o.f Occupancy
shall have been granted by the BuildIng Inspecto.r.
APPLICATION IS HEREBY MADE to. the Building Deparlment far the issuance o.f a Building Permit pursuant to. Ihe
Building Zo.ne Ordinance o.f Ihe To.wn o.f So.ulho.ld, Suffo.lk Co.unty, New Yo.rk, and o.lher applicable Laws, Ordinances o.r
Regulatlo.ns, far the co.nstructlo.n o.f buildings, addllio.ns o.r alleratlo.ns, o.r far remo.val o.r demo.lllio.n, as herein described.
The Applicant agrees 10. co.mply wllh all appliCAble laws, o.rdinances, building code, ho.uslng co.de, Bnd regula lions, And 10.
admll aulho.rlzed Inspectors an premises and In building far necessary Inspectlo.ns.
........;........ .....1...... .................,
(Signature o.f applicant, o.r name, if a co.rpo.ratio.n)
.. ...... ...... ..1... 1:....\; ...... ...... ......
(Mailing address o.f applicant)
St~te whether applicant Is o.wner, lessee, agent, architect, engineer, general co.ntracto.r, eleclrlclan, plumber o.r builder.
. .. . .G.Elf)~J:'.a.J.. Cpntt'<lc.tor. . . . . . .. .,. .. . . .. . .. . . .. . ... .. . . .. .. ... .. . . .., ... .. .. ., .. ..... .. . .. ...
N~me o.f o.wner o.f premises. .. . <;:?.r.q~ .1>. .J:Ei'f.f. .ijq.f~.L: . .. .. . . .. ... .. .. . .. . .' . , . ., . . . . .,. .. . . . .. . . . . . . .
(as an Ihe lax rail o.r latesl deed)
If ~ppllcAnl~ co.rpo.~io.n s~gnat eof IWly autho.rized o.fflcer.
pt;." , /<'2A. .
Ron Morizzo res)
.. ;.. .., ,. ...... .......c. ................ ....
(Name and lIt1e o.f co.rpo.rate o.fficer)
Builder's License No., .6.~??;-.I1~.............."
I'lumber's License No., :.,.....................
Electrician's License No.. ..,...................
Olher Trade's License No.. ............,......,.
I. Lo.callo.n o.f land an which pro.po.sed wo.rk will be done.CoJ:'ner. of . Hip.podromEi!. &.1\1; :;;P.p.)1)QIIIDlJ.Ue. A.v.e . . . .
f ~lf O. I _ . 1 . .. ... ~; j ;. .. . .. . . ..; . . j . l ..; ; . i ; .;. ..;. ; . ; .. .; l . .; .,. .. . ;;." . .. .. . ... . .. "
1'10.~~~ Nun;b~; . . . . .. .. . Slreet Hamlet
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Co.unty Tax Map No.. 1000 Secll~ll .,... ,j . . ., . . "':,' . .. Blo.ck.I.'. ,Q, .~ . . 1 , , I I .'. Lo.l:............;...."
Subdlvlsio.n . , . . '. . . . . . ... . . . '. . . .'. . . . . . . : . . . ; .. '. I . , Filed Map No.. .;.;.,...,'..... Lo.l . . . . . , , . . . . . . . .
(Name) . " '
2. Slate existing use and o.ccupancy o.f premises and intended use and o.ccupancy o.f pro.po.sed cQnstrucllo.n:
a. Exisllng use and occupAncy... .Hoase. .with- .br<e-K; .stoo!!'.....,..,.,................'.'."......
b. Inlended Use and o.ccupancy
. . .H.q~\l!". .lj'~ H\ ."f'??? .<:),\,,\,1'. .itI;1ll. .9H?i.'19. P.o;q~, . . .. . . . . . . . . . . . . . . . .
. B'f-. b "b€Gt..
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N81llre of work (check which applicable): New Dullding ',.".,." Addition" , , , , , . " Aiteration ,)C...,...,
Hepair ....,.,..,..,. Heinoval " , . . . . ~ . , . . " DemolitJon . '. . . .. . , , . . . , . Olher Work, . . . . . . . . . . . . , ,
(Description)
Eslimated Cost. , , . . . . , ,~~ ,5.o,~: ?? . , , ,'. , . . .. , . . . . . , . .. Fee. , . , , . . . , . . . , , . . . , , . . . ... . , . . . . , , . ',' , . .
' (to be paid on filing this application)
If dwelling. number of dwelling units. . . . . , . . , . . . . " Number of dwelling units on each Ooor . . . . . . . . . : . . , . . ,
If garage. number of cars ",...,..,...........,.......,..""...,.....,.,.,............".",.,..
If business, commercial or mixed occupancy, specify nature and extent of each type of use ,. . . . . , . . . . . . . . , . . . . .
Dimensions of eXlsUng stmctures.if any: Front, . . . . , . . . . , . . , . Rear ',.".",.,... Depth...."".",..,
lIeight ...., ,'. , , '.' . , . . Number of Stories.. , . . , . , , , , , . , . . . . , . . . . ... . , ., ' . , . . , . , . , . . . . . , . . , . . . . . . . .
Dimensions of same stmcture with alleraUons or addltlons: Front .,..",...,..,.., Rear..,.,.,."...."..
Depth, . , , . , . , , , . , . , , . , , ' , , . Height, . , . . , , , , , . , . . , . , , . , . . Number of Stories. , , . , ., . , . . , . , . . , . , . , .
Dimensions' of enUre new construction: Front. , . . , . , . , , . . , , .' Rear, . . . . , . . . . . . . , . Depth .....,...", , , .
Height ".:,..,.,..." Number of Stories, " , . . , ',' , , , , . , , ' , , . , . , , , . , . , . , , . , , . , , . , . , , . . , . . . . , , , . , .
Size of lot: Front, . , . . . . . . , ' . . , . . . . . . , '," Rear. , . . , , . , . , , . , , . . , , , . ., Depth ',..,',..".,...,..."
Date of/'urchase ......."....,.,.,. .', . . . . , , , , Name of Former Owner ",..,.,.".,.,.",.,........
Zone or use district in which premises are situated. . . , . . . . . . . . . . . . , . . . . . . . . . . , . . . , . . . . . . . . . . : . . . : . . . . . .
Does proposed construcUon vIolate any zoning law, ordinance or regulation: ........,...........,...,.,.....
Will lot be regraded .,..,.,.........,.,...,,'..,. Will excess fill be removed from premises: Yes No
Nume of Owner of premises . . , , . . , . , . , . , . . . . . . . Address " . . . . . . , . , . . . , . . . , Phone No. ... , . . . . . . . . . . ,
Name of Architect ,."...,..",.....",."... Address :. . . :. . . ; . ; . . . . . . . . Phone No. " , , , ' . . . , . , . . .
Name of Contraclor , . , . . , . . . .. . " , . ,'.. . . , . . . . Address. . . ' . . . . . . , . . , , . , . . Phone No. ...., ,'. . , . , . . ..
Ia thia property within 300 feet of 8 ti<ial wetlan<i? , '*Yea.....,.. No..,...... '
*If yea, Southold Town Truateea Permit may be required.
' PLOT DIAGRAM
ocate clearly and dlstJnclly all buildings, whether exlsUng or proposed, and, indicate all set.back dlinenslons from
rty lines. Give street and block number or description accordIng to deed, and show street names and indicate whether
)r Or corner lot. .. ,
, /i-a br~~~/hA.
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~pp. OV~D~NOTED 0
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NOTIFY BUI DING
765-1802 9 AM 10 4 P FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATIOili . TWO REQUIRED
FOR POur.m CONCRETE
2. ROUGH . FRAMING & !>~UMBING
3, IIIJSUlATlON
4: FINAL - CONSTRUCYION r)lUST
8E COMPLETE FOR C.O.
ALL CONSTRUCTION SHAll MEET
THE REOUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES.' IIlOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
OFN~~/k S,S ,
~. ~~.'.'. '.1(o.h~'.'/i1~{,I~ ~~.,....,.....,
(Name of individual signing conlract)
uned.
(
being duly sworn, deposes and says that he is, the applicant
:; . . . . . . . . . . . . . . . . . 0 0 i .. ; 0 0 0 . . 0 . . 0 . 0 . . 0 . . . ~ ~ 0 0 ; . ! . 0 . ; . . . . . . . . . . . . . 0 . . . 0 0 . . . 0 . . . . . . . . . . . 0 . .
'(Colltractor, gent, corporate officer, etc.)
:>wller or owners, Dnd Is dnly author ze 0 perform or have performed the said work and to make and file this
Ollj that nil statements contained In this applicatioll are true to the best of his knowledge and belleI'; and that the
I be performed in the manner set forth tn the application filed thereWith,
J before me thl\. IIJ ,
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Qualifiad in Suffolk County V
Commission Expires December 8. 19
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RON MORIllO BUILDER I C
PO Box 789 . .
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.516) 765-5772
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BUILDER. INC.
HOME IMPROVEMENTS
CUSTOM HOMES
CARPENTRY
P.O. Box 789 . Main Road, Soulhold, NY 11971
(516) 765-5772 . Fax (516) 765-6196
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