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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 ~"1!!!::::"<. Rev. 1/81 ~ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 f,(f. 6!:ut:'Lfo/ ~,n'lIWfi' ~ .' rll? 22 APPLICATION FOR CERTIFICATE OF OCCUPANCY ".'...." 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 /' 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 ~'7~qS CO.c..3~1c.. 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 ~~ C!.-i/. ! Authorized Signature ORIGINAL Rev. 5/8/02 -,'-~-'"'- - 311J{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 [.r><( FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION r~ ~ ~~ ~...:t.~\ DATE 3 -7-- () 7 INSPECTOR ~~ , i , ~,-"" ..,~I ,~ , FIELD INSPECTION REPORT DATE COMMENTS . . OJ.." l';l FOUl'.'DATION (1ST) ~~ - ~;; r ------------------------------------ ~~ FOUNDATION (2ND) 0", " (,~ ~~ 2 ~ - - 0 0 '" .., ROUGH FRAMING & f:;j ~~ PLUMBING . r: CT 0./\ ~~ INSULATION PER N. y, 'e7t;; STATE ENERGY CODE r .., ?; -7/ b r7 j-~ lAYOr/;r .-r.g J-- ~ , p . c' r' - "':,,; (\\ FINAL \" . . ADDITIONAL COMMENTS .~ '(9 .:N <, 3 .-. ::> <::..:E .::1> z , TI. .3 :0 . ! ';:"- ~ ~ - " - l';l 0 ~ .." - ';\'~ J - , 0 -52 ::Il l';l ?~ . "--.., ---::Il - t1 ~l';l .." . . ~ . PERMIT NO. 31 9;;..6 b ~, 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: ~~'" ",,--- ..-~ -\ ~ ~ -<-;:n ~, \ '" -\\ ... ~\ ',., ,I., _ '. , "", \.... 'I', ,. /{~ Building Inspector " ",' 1\- 'o\", \ 9 Date ,20_ 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. ~-- -~ - /./J __ ~/..r_ (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. -- 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 !f:-JVwefm"r;2 :~.- ~,q \lryid~!i1 ~f~iM,"cv.~M '(!msc~ Jfln"u~ ni iYl'i'iilwO os: . 'is ~t.U1M~ ~!r;j~,,,,,~ fl{ii~;:,:" - '11):) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy NONe .... " b. Intended use and occupancy Shed t1Io OCC.U-jJA/lL V / 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~:\ ~,A:;? Notary Public 20 J2iL --- ~ ~/-/ , ~ 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. @ !!Joung ~ !!Joung 'lanDing I:nglnl'tring hrlll'!ling ) -0 "1'~ , : ,\\1 ~~ fJ ',-? 9z- "'1l ~ )> ; ; \'0 ,,0-<'" 0<'" 00c /' /' ; ; /' ; ; ; ; /' \1 o\. V . ,.fl. ~~. ".{/;" ,,~ ?o. ~o \, " , ; /' . '(.. .,'0 ~ ~1''j,'O ........W \tft \~o. , ; ",1:, "'J.."t.'<> -"" :0;..0 ~""Jo ~('O \. 00....-' .. ~ -1 ~ '/ ~ \, \, .... .... \en. "0 \,: .. ~ J 11 :,\''j,~,i A '~~~l'/U s ~ i fr"r l~~'j.. 6~ \D 0-<'" <," V ..),oco I:: , \. 00....-' .. ~/- -, Y. ,:::, "> \- ~ I ~d~ \v . O~' . C; / , ; /' , / \ NO "Sl8lt "E \ ~ Wrn'ilfV 'so' LL \ 0 \ <-",~ C- <'0 \ "'0':'>' \ ~~ \ ~~ ?", \ (.. <- \ (1t":. \ -0 V ~ <(.. '\ cP El ::. ...ONU\I[NT SET .::. J,/01;_~UENT FOUNO A::> STAKE 5(T I I / / / "::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 II - -- __ (.rj""""}:,.,...'l'.... --.--_'_ 1.~'I..IX'<'1-"J..J;i" ~{IL -;'f"'V /.... -.,. . _ . -----__ - ~. . ;\.-../,..~,'::,...;~.-- "'I..,.".. l - - ---.. ~.r ~iJ,:-'F;L 'T:l C;Pt:. ........,../... . . ....'At t :.'..;.:;..:. Fi' ,.,. - ,,> , h ", I ---'.. - - ....,;, - f ....-~i" -J~ .- -. -__" . . -". '" -. . 1,....~rF..~'!; . .';(, I ! ',.,.. 3 I, ~';~O'"' . '. '.'.::'," " ,~,;~:;~t' .. uYU I ,,:,...\;,,-::j.lJf~J!t.: .. ~ .-! ~j' '};.'"'' LLt,Q.:jj.t.2:;.,Q () 5 I ." ...", "n ;;;::;:~,,:f:{1<<.. rt"f1~ - ~X?li~~::;~;::~:~:~_,::~: ;';:;::' ,~~:~~~~~~;;::~:::=- 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 @ ul' i i w&; --~ igc ~ei ~.- g~J ""~ ~.- ~. -. 0 w .; ~.~ au ~~. ~tl j;~ ~~~ i~i J> "'1 .~ i~ .~~ ;'cc ~~i iie~ ~~! ~". ~II!~ '~i~ .~!~ 'u ~ , cDc :~~~ .~. 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