HomeMy WebLinkAbout33151-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32484
Date: 07/26/07
THIS CERTIFIES that the building ADDITION
Location of Property: 2432
(HOUSE NO.)
County Tax Map No. 473889 Section 104
PINE TREE RD
(STREET)
Block 2
CUTCHOGUE
(HAMLET)
Lot 11
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 20, 2007 pursuant to which
Building Permit No. 33151-Z
dated
JUNE 22, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to PISCIOTTA TRUST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~~-
Au orized Signature
Rev. 1/81
f'(\cu \
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This applicalion must be tlUed 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 2/10 of 1 % 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 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, ~iooS-lel-df.l~I;l;th~t~f:"
Swinuning pool $25.00, Accessory building $25.00, Additions to accessory bUilding~. 5[!l0-,~uli1.n~~L .0.
2. Certitlcate of Occupancy on Pre-existing Building - $100.00 ' U [ \ I
3. Copy ofCertitlcate of Occupancy - $.25 \1 ~ iUL 20 " \ ~
4. Updated Certitlcate of Occupancy - $50.00 Ii" I \
5. Temporary Certificate of Occupancy - Residential $15,00, Commercial $15.00, . _ ---l ,
\ ocv_'9-~~' . ) i
7 -.' . 'K"."~' Q' S.THO . -- '
_ -Lu -~<=-'{'- .. .'
Date.
Location of Property:
2'132-
House No.
Old or Pre-existing Building: V
PI/VC TIZ.EE 12-07 A-O
Street
PI 50 <.:;if4
(check one)
New Construction:
CVicl-ftJG ue-
Hamlet
Suffolk County Tax Map No 1000, Section
f111-it1" f IfGlelt)
\0,-+
Block
;)..
Lot
II
Owner or Owners of Property:
Subdivision
Permit No, --.2..~ I Date of Permit.
Filed Map,
te:'7 ",1~3APPlicant:
~erwriters Approval:
Lot:
Health Oept. Approval: ____
Planning Board Approval: ___ ______
Request for:
Temporary Certitlcate
Final Certitlcate:
(check one)
Fee Submitted $
Q.O -2. 3;;;>~~
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111~ 1Zo~1t-
Applicant 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.
33151 Z
Date JUNE
22, 2007
Permission is hereby granted to:
MARIO A PISCIOTTA
2279 RIO CIRCLE
SPRING HILL FL, 34608
for :
CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. THIS PERMIT REPLACES BP# 19380
at premises located at
2432 PINE TREE RD
CUTCHOGUE
County Tax Map No. 473889 Section 104
Block 0002
Lot No. 011
pursuant to application dated JUNE 20, 2007 and approved by the
Building Inspector to expire on DECEMBER 22, 2008.
Fee $
200.00
~Qf
, Authorized Signature
ORIGINAL
Rev. 5/8/02
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nBII 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!
i9380
z
Dote ......1/Lp......................................, 19..1.f)
Permission is hereby granted to: t::J ,. _ I -#'
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.................................................................................................................................................................
County Tax Mop No. 1000 Section ...L~...Y.... Block .........~....... Lot No. ........./f........
pursuant to application doted ......~....................................... 19:t--Q.., and approved by the
Building Inspector.
d'O~
Fee $.......~/
Rev. 6/30/80
33/SI :z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING (01 FINAL
[ ] FIREPLACE & CHIMNEY -[ 1 FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS: ~~ ?~ ~
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DATE 7 --I ;L - 0 7
INSPECTOR ~.~
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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JC>60 - /0';-2-1/ -
OWNER STREET VILLAGE DISTRICT SUB. . LOT 7'/ 11/ ~ d r Jj--
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FORMER OWNER N E ACREAGE .229'
Pi/Cb- S W TYPE OF BUILDING
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RES. ~bo SEAS. VL FARM COMM. , IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
J..6t1 /6 tJ~ / "i'dO ..... 1/ 5/1<l1~~ It) /15/73 5"01 p '&.s:uO(). J:f. QUI<Z.KEP J; M. R, p,S(!/o r7'":.q
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONT AGE ON ROAD ( rFt. k' 1'1,):16
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable. 3 .
Woodland
Swampland
Brushland
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House Plot
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Extension Ext. Walls kbC S//)//1 l ~ nterior Finish kJl9t. /.... 'R L
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GarO'ge <). 1 " }r')./",' Su Driveway Dormer
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FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.Y. 11971
.). /, TEL.: 765.1802
Examined .91/~. . . . . . .., 19 ~
AP~ved .. 9ft!?..... ., I 970. Pennit No.I9.~3'!..r
DisflPproved alc )............... . . . . . . . . . . . . . . . . . . . . .
.~.~::..........................::~:. :.
~ifu~ Ins
BOARD OF HEALTH ;;-..........
3 SETS ~ PLANS ............
SURVEY . ....:.: . . . . . . . . . . . . . . . .
CHECK .1/.....................
SEPTIC FORH ................
NOTIFY
~~~~ ;~;p~.~.~....
cJZ{
APPLICATION FOR
.' : ,cil-.:~\! }","
. ;'j:i-s<0LsU\iJG:;;
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iJ~1 SEP - 41~ i~1
BLDG. DEPT. I
TOWN OF SOUTHOLD !
Date.................., 19...
INSTRUCTIONS
"
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tWs appli.
cation.
c. The work covered by tWs application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
. shall have been granted by the Building Inspector. .
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 applicab1e laws, ordinances, building co, de'eOUSing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary ins~ritions: . . '. .
.....,~.~..............
' (Signature oi' applicant, or name, if a corpora non)
. . . .~.'f~~. .e~ .r;..~~.. .~: .~)~y
(Mailing address of applicant) .
State whether applicant is owner, lessee, agent, architect, engineer, general conthictor, electrician, plumber or builder.
...........O.~.........................................:.......:..........................
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N f f. IJAIl,^ It'c:.,^'T"'rA "" ,.,) 4 ,',',
J ame 0 owner 0 premises ... M ..... r... . 01... r.'. I .. .. . .. . .. . .. .. <.\'.. .. .. .. . ," .. .. . ..... ..'.. .. .. .. .. . .
. (as on the tax roll or'latht ~~etO.
.. ,'1'.;'1-1 (II )!.
If applicant is a corporation, signature of duly authorized officer.
............. .................................
(Name and title of corporate officer)
Builder's License No. .. .O.k'.l!J.IiP... . . . . . . . . . . . .
Plumber's License No. ........................
Electrician's License No. ......................
Other Trade's License No. .....................
1. Location of land on which proposed work will be dop.e. .................................................
. . ~'!.~?-: . . P, r.>E .TP.~E . . .R..~. . . . . . . . . . . . . . . .C.~..,..c,l:l.~ ~~. ~ ~. . . oM: . "- . . . . . . . . . . " . . . . . . . . . .
House Number Street. Hamlet!
County Tax ~lap No. 1000 Section .... /.Q. '/. . . : . . . .. Block ....1-:~......... Lot.. ~ . . .1\ . . . . . .
Subdivision.. .P.AS~.~)J.. .t:~@..~s.............. Filed Map No. .............. Lot.35......... ~..
(Name)
~. State existing use and occupancy of premises and intended use and Occupancy of proposed construction:
a. EXistinn use and occup"ncy Jfo..""'ti:'......................
b o.lo........ ....................................
b. Intended use and occupancy .' .~.~~A:::... .. ... . .. . . .. .. . . . .'. . . ',~" ... .......~ :... ..... .......... . .
3. Nature of work (check which applicable): New Building.... .'.. '" Additicn .......... A1tcration ........
Repair .............. Removal............ .. Demolition .............. Other Work.. .l?tE~A:... . . .
(Description)
4. Estimated Cost. . .:If/. ~~~. . . .. . . . . .. . . .. . . . 00 . .. . . . .. Fee.. ..~~.. . . . .. . . . 00 00 . . . . . . .
(to be paid on filing this application)
S. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each Ooor. . . . . . . . . . . . . . ,
If garage. number of cars .......................................................................
6. If business. commercial or mixed occupancy, specify nature and extent of each type of use. . . . . . . . . . . . . . . . . . . .
7. Dimensions of ')xisting structures, if any: Front... ~ (. . . . . . . . Rear . ..Jrf.. .,. . ... Depth .1,.f.".. .. .... . .
Height '" !~.. .... . . . . Number of Stories. .t. . .. . . . . . . .. . . . . . . . . . . . . .. . . . . .. . ...... ..... . '" ... .
Dimensions of same structure with alterations or additions: Front ................. Rear.................
Depth. . .. .. . . . . .. . . .. " .... Height.. ... " . . . .. . . . . . . . . . . Number of Stories. . . ..... . ..... . ..... .
8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .. Rear............... Depth ..............
Height ............... Number of Stories. . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot,: F~O!lt "'C' t','.S'. . 00 . . . . . '" Rear... /.1: .t:?.. . . 00 . . . . . . .. Depth I.~f:!....$'.~...... 00. ..
10. Date ofPurc ase :.: /.1t.-/.s~.7~............. 00 Name of Former Owner .A.Ir'~.if'. .<P.+lI.~if~......
I!. 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 N,
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 within300 feet of a tidal wetland? *YES....NO.X.
*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 frolT
property lines. Give street and block number or description according to deed, and show street names and indicate whethe:
interior or corner lot.
. A' RO DAS~-"
DATE: 0;: B.P. II .f
(') BY' '
~t~FV BUlL I DEPA AT
. 765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION - 'TWO REQUIRED
. FOR POURED CONCRETE
2. ROUGH - FRAMING l!I PLUMBING
3 INSULATION
4' FINAL - CONSTRUCTION MUST
, BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION . ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
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STA TE OF NEW YORK, S S 1>1iJ6 'T(t.U. l2.j)
COUNTY OF . . . . . . . . . . . . . . . . . .
........ M.14Lto.. P'S'c:CQ7.TA...... .. . ............. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .......................... ..
(Contractor, agent, corporat~ officer, etc.) . .........
of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to m:tke and file this
application; that all statements contained in this appliqtion 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 10 bdore me this '
. .. .. . . . J~. . 00 . . . . . .. . .day of. . .~.. .. . .. . .. ., i91~
NOlary Public, '" .U-e'N... Y. ./)k!J.~.... County
HElBIIt DE VOl
IIIIMV PIl8I.IC. StIlI a11le11 M
.':=~r,a"'l'
....~ .t.~+;jf...........
(Signature of applic3Ilt)
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Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
JULY 12, 2007
MARIA PISCIOTTA
2279 RIO CIRCLE
SPRING HILL FL 34608
To Whom It May Concern:
We are unable to complete your Certificate of Occupancy because of the following
reasons:
,./
An application for Certificate of Occupancy is not on file. (Enclosed)
No Electrical Certificate on file.
/
The Check is not on file - $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file. (All permits involving plumbing being
issued after April 1, 1984)
Certificate of Compliance from Southold Town Trustees.
Approval of the Zoning Board of Appeals
Final Planning Board Approval.
BP #33151-Z (DECK ADDITION)