HomeMy WebLinkAbout31926-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32276 Date: 04/03/07
THIS CERTIFIES that the building ACCESSORY SHED
Location of Property: 1100 WHITE
(HOUSE NO.)
County Tax Map No. 473889 Section 127
EAGLE DR
(STREET)
Block 9
LAUREL
(HAMLET)
Lot 17
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 19, 2006 pursuant to which
Building Permit No. 31926-Z
dated
APRIL 20, 2006
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 ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to MATTHEW V TAORMINA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
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Rev. 1/81
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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 followirig:~o~
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 Dep!. 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 2/10 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 Plalming 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 consent to inspect signed by the applicant. If a Certiticate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinuning 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 - Residcntial $]5.00, Commercial $] 5.00
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Date. "-1/2.../07
New Construction:
Old or Pre-existing Bnilding:
<0 h / r&.' d,.-n:::;;--/ c ..&I,..
Street
(check one)
-t-n'<-> A!. g /
Hamlet
Location of Property: / / 0 D
House No.
Owner or Owners ofPropelty: ~_ /7h~-...) -/ A;7/"">~P'"7/',..Uv(
Suffolk County Tax Map No 1 000, Section / Z. 7 Block 9--
Lol _L /
Subdivision
Pennit No. 3/ '72. b
Date of Permit. </ /"'o/"ote
Filed Map. Lot:
-----
Applicant: /"'7.., 7"'r~.--0 /#cd...c-7/A.J~
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for:
Temporary Certilicate
Final Celtificatc:
y- (check one)
Fee Submitted: $
.........
plicant Signature
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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.
31926 Z
Date APRIL
20, 2006
Permission is hereby granted to:
MATTHEW V TAORMINA
PO BOX 44
LAUREL,NY 11948
for :
CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AS
APPLIED FOR
at premises located at
1100 WHITE EAGLE DR
LAUREL
County Tax Map No. 473889 Section 127
Block 0009
Lot No. 017
pursuant to application dated APRIL 19, 2006 and approved by the
Building Inspector to expire on OCTOBER 20, 2007.
Fee $
75.00
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! Authorized Signature
ORIGINAL
Rev. 5/8/02
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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
[.r><( FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE 3 -7-- () 7
INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS .
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FOUl'.'DATION (1ST) ~~
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FOUNDATION (2ND) 0",
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INSULATION PER N. y, 'e7t;;
STATE ENERGY CODE r ..,
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. ADDITIONAL COMMENTS .~
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PERMIT NO.
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BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALt
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthoId/
Mail to:
Phone:
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Building Inspector
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INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
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 Building 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 necessary inspections.
~-- -~ -
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(Sig re of applicant or name, if a corporation)
;Oodox '-/'1 Ll4und /fly /d'itf'
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OV;Ucrc.
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Name of owner of premises rP/4rrhci.J J Pft":>I"JA7/,vJ4
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location ofland on which proposed work will be done:
//00 WnfrE L3rl6-/I" LJ, L~VrE /
House Number Street
/Y'y //9o/~
Hamlet
County Tax Map No. 1000 Section 1 2. 7
Subdivision~/d<!'...v'/E<..J &Sf... k s
(Name)
Block 6 9
Filed Map No.
Lot ,..",.," , , /7
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2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy NONe ....
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b. Intended use and occupancy
Shed
t1Io OCC.U-jJA/lL V
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3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Y' Addition
Other Work
Alteration
4. Estimated Cost
ISOO
00
700
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specifY nature and extent of each type of use.
Depth
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front 2. 0 I
Height /6 I Number of Stories
Rear Z C> '
I
Depth
/2..
9. Size oflot: Front /90
Rear
/90
Depth
2./r
10. Date of Purchase S- // ~ 9 tt:.
,
Name of Former Owner dose,...,
II. Zone or use district in which premises are situated kSI 'd ~"" h;., I
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO Y'
13. Will lot be re-graded? YES_ NO YWill excess fill be removed from premises? YES_ NO /'
14. Names of Owner of premisesA..T7Z......
Name of Architect tJz,,,,../d aAI'ta
Name of Contractor Se /;:
'};f.or.....llw\.ddress /lode,)( '1'1 L..#,ye/ Phone No. Z. 9 tr 0/00 9
Addressf'o 40-'<. $'"9~,,(<:L~A;j~ne No 7 Z 2... :lor I /
Address Phone No.
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO"/
--
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(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 therewith.
Sworn to before me this
~dayof4~:\
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Notary Public
20 J2iL
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, ~ of Applicant
M__
-, Pub"c, _ of... V"'"
No. 01_141_
<II' "lid In __ c-.ty
eo.... I' ,Ian ExplIw FebnIory 27, 28 10
NOTE
AREA = 40850 SQ. FT.
· SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON AUG. 3D, 1984 AS MAP NO. 777D
· VERTICAL DATUM ~ N.G,V. DATUM (M.S.L. 1929)
· ELEVATIONS SHOWN HEREON MAYBE FROM MAPS OR SURVEYS
PREPARED BY OTHERS AND ARE SUBJECT TO FIELD VERIFICATION.
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El ::. ...ONU\I[NT SET .::. J,/01;_~UENT FOUNO A::> STAKE 5(T
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"::0 STAKE fOUNO
Young &:- Young, Land SurVeyors
400 Ostrander Aven1.le, Riverhead., New York 11901
516-727-2303
Alden W. Young, P.E. .t L.S. (1908-1994)
Howard. W. Young) Land Su;ryeyor
Thomas C. Wolpert, Professional Engineer
John Schnurr, La.nd Surveyor
HEALTH DEPARTMENT USE
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SURVEYOR'S CERTlFlCA TlON
· WE HEREBY CERTIFY TO MATTHEW V. TAORMINA &
FIDELITY NATIONAL TITLE (TITLE NO.
201 S46Bl THAT THIS SURVEY WAS PREPARED IN ACCORDANCE
WITH THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY
THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND
SURVEYORS.
g,p!.- -
JOHN SCHNURR, N. Y,S, L.S. NO, 495j7
HOWARD W. YOUNG, N. Y.S. L.S. NO. 45893
SURVEY FOR
MATTHEW V. TAORMINA
LOT 17 "GOLDEN VIEW ESTATES"
At Laurel, Town of Southold
Suffolk County, New York
County Tox Map Di,tdct 1000 Section 127 Block 09 Lot 17
BUILDING PERMIT PLOT PLAN
BUILDING PERMI T DATA
MAP PREPARED
FEB. 8, 2000
APR. 9, '996
SCALE ," ~ 50'
JOB NO. 96-0199
DWG. NO. 960199
1 OF 1
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