HomeMy WebLinkAbout33092-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32591
Date: 09/10/07
THIS CERTIFIES that the building
ADDITIONS
Location of Property: 1280 LANDS
(HOUSE NO.)
County Tax Map No. 473889 Section 15
END RD
(STREET)
Block 9
ORIENT
(HAMLET)
Lot 1. 29
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 8, 2007 pursuant to which
Building Permit No. 33092-Z
dated
MAY 30, 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 SCREEN PORCH & DECKING ADDITIONS TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to PAPA J A & M. REV. TRUST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
118230C
08/16/07
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
)
4d-C) 'f S 1 \)
~
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLlCA TION FOR CERTIFICATE OF OCCUPANCY
This applIcation must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For Hew 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 2/1 0 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 Planning Board Approval of completed site plan requirements.
B. For existing bnildings (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 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, Alterations 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 ofCertificale of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00
Date.
ffLDLo 1
Location of Property:
IJ g-c.>
House No.
Old or Pre-existing Building:
La"J} "1 j ~ A
Street
3u5rt~
v (1-eCk one)
()(I fl\
New Construction:
Hamlet
.} m"Jt/'.." li~
Suffolk County Tax Map No 100?, SectIOn S- Block ----Ef . Lot ~_ :2 1
SubdlVlsron 'l JJ (~J 1/11 or'-I'/I Filed Map. Lq" Jf f.. dLot: _ air
Permit No. .--110clcJ.. Date of Permit. S 1]6/ 01 ._. Applicant: Z WPJ&
Owner or Owners of Property: _
Health Dept. Approval: ~'~_"m
Underwriters Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Fee Submitted: $
)5'00
~JL<" - ") ,?oJ 3
CO~ 325?1
---
Applicant Signature
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.
33092 Z
Date MAY
30, 2007
Permission is hereby granted to:
JOSEPH A & MADELINE PAPA
PO BOX 385
ORIENT,NY 11957
for :
SCREEN PORCH & DECKING ADDITION AS APPLIED FOR
at premises located at
1280 LANDS END RD
ORIENT
County Tax Map No. 473889 Section 015
Block 0009
Lot No. 001. 029
pursuant to application dated MAY 8, 2007 and approved by the
Building Inspector to expire on NOVEMBER 30, 2008.
Fee $
200.00
!J~uu eft JL
, Authorized Signature
ORIGINAL
Rev. 5/8/02
3 )a1 }-1:
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRIJCnON
REMARKS:
~~
[ ] ROUGH PLBG.
[ ] INSULATION
[~NAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
.
DATE
INSPECTOR
33011-2;-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
REMARKS:
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~TION
[ ] FRAMING I STRAPPING [ ~NAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION
,;J D ~C1: _5' f
-P ~$(: 4{( ~
~ -J S,oUY! ~-:J
DATE
INSPECTOR
3309l-c
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] F~DATION 2ND [ ] INSULATION
[~RAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENE'lUTlON
fJ~
REMARKS:
(yt.
~
DATE 'f/:/d?
INSPECTOR
"
33092-?;-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
[ ~N~A~~S~E~]~~~~.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT NSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
INSPECTOR
.
FIELD INSPECTION REPORT DATE I COMMENTS W
1..17/0 ' P' / A-..) ( AI k Go./l R,; (;. tC...,...,-. r-: .L ',. W"d
Oi"l
FOUNDATION (1ST) 7( d '-" ?1.-_"-/ ~~
7i.~ 7 ~:;;
-------------------------------------
I~'~
FOUNDATION (2ND) -. t~
~fl
-
/'" 1717: -I--a AI. 'A "4 / f0Z
'n'f J' A (J~ IA /2J ~p
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PLUMBING ~
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INSULATION PER N. Y. ---- --- .. -
STATE ENERGY CODE
a ctl" L, Ll. jr! .0 'V.-2'
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FINAL // / / ( //f "
IV . / {/
ADDITIONAL COMMENTS J
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
t~(JtJ-~}~-I1t1 r- /.,2..9
OWNER S I!?O VILLAGE DIST.. SUB.
,
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END X't;
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ACR.
9;-0
TYPE OF BUILDING
LOT .:<
E
S
W
RES. ~ 10
LAND
FARM
COMM. CB. MICS. Mkt. Value
IMP.
TOTAL
/YtJtJ
o t' <qj
"iIIable
louse Plat
,'?L
bo:~
72-
(! 1?co'
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
,
200
Voadland
~Iand
otal
COlOR
1 r~1
w~IM
-.
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't-'i / .It kI,.
~ r-
A '>- "f
'^' 2 fsi'
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r. ..J ~
/' , e
'" "l- "
, , -<2- _L
I ,
l'(." 0 '8 > ZCo 26'0 qo -
M. Bldg. 2,<\4- ~ ?6 .
IZ:~- ~on \\ "'- \2.. \3/_ ~7~ 4 q:S-
~./ . .
Ion 311 '< "'h < \0 2> 0 S~ SQ10
2~
. ExteNion 19';\ ~
Foundation .c. Bath Dinette
Poich ~"^t, B'l.I2-' qeo .7'0 72- Basement ,";:;,,\ FIQOrs K. ./
IIorch g'(y[~~;g ~ ? ...,.~ ,50 11<f) Ext. Walls '.,}'""I(" a~o I nterior Finish LR. V'
. S~~~t'2b ( ,Ob Irf5'" Fire Place '{ee, \ Heat DR. /" ./
\:0 106
Garage '?'I',(.R,~ r ~2, \ 26' (.,04 Type Roof Rooms 1st FIQOr SR. 4
Patio Recreation RQOm RQOmS 2nd Floor l-nt J.l5 ./ /
~ k ~ 40,,", Dormer Driveway W1 ( ..;
:Twol 77-'(l. ~!w..r,<t ') ~. t I
.'
. ..- .1
. P' ....
PERMIT NO. 3309,;) z:::
BUILDING PERMIT APPLICA nON CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Chock
Septic Fonn
N.Y.S.D.E.C.
T...._
Contact:
." .
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSoutboldl
,
Ex"";nod~20.27-
Appmvod~~20ilL
Disapproved ale
'1./~ Z
1'1 ,20 0
Mail to:
Phone:
Expiration
\,iiAY - 8
APPLiCATiON FOR BUILDING PERMiT
Date ~~f
I
2001
,~
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 plaRshowin~location oftot 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 of1his 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 pennit 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.
APPLICA nON IS HEREBY MADE to the Building Deparbnent for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old. 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.
Z6JM.. {o 1r"J,1I
(Signature of applicant or name, if a ration)
r., 0>,-",.Jbi w~d;::v f{.'~
(Mailing address of applicant I
I/V) 1j/1~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber Of builder
~l>' \ ~<r
--) 0 jff~ t
,tl(;f J.f L",~ f Cl/,,,
(As on the tax roll or latest deed)
rporaljl>n, signature of duly authorized officer
C:4 r~
(Name a d title of corporate officer)
Name of owner of premises
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1.
o ('If/l
Hamlet
County Tax Map No, 1000 Secti
Subdivision L" (OJ cl
(Name)
4.11
Block q
Filed Map No.l4...6J
~ot \. .) 4
{:,j Lot J q
. ,
.
2. State exis~n~ use and occupancy of premises and intended use ~nd occ1Jlancy ~f proposed constwction:
a. EXlstmguseandoccup8ncy~__ jt~ loA... ~tVt.~l Ow-clJJ~
b. Intended use and occupancy
"'
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition )(
Other Work
Alteration
4. Estimated Cost~__'l 101 (J ce- 4.....
(Descriptinn)
Fee
5. Ifdwelling, 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.
LJ~
7. Dimensions of existing structures, ifany: Front
Height ) ( Number of Stories
f~
,.J
Rear
Depth ::> f
Dimensions of same structure with alterations or additions: Front f o'l
Depth ]> <; Height ;) ( Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
9. Size oflot: Front
.{ bo
Rear
Joo
Depth
,)00
10. Date of Purchase
Name of Fonner Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES _ N~
13. Will lot be re-graded? YES ~ NO ~ Will excess fill be removed from premises? YES_ NO Y
14. Names of Owner of premises D< JlII.J1 <f'~~dress H'O ("IJ, t J Phone No. 67. ~ 811.j.- r7/7
Name of Architect -( Vii Address,.f] 4..., 1'--t<4.,)PhoneNo 'lli~ () Y Do
Name of Contractor ......" Address;9.e>. f,...lCI Phone No. '1J"~Yr71
lr' ,J'~J Il' 011- \.--
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? "YES_NO 1.......
" IF YES, SOUTHOLD TOWN TRUSTEES & D.E.e. PERMITS MAYBE REQillRED.
b. Is this property within 300 feet of a tidal wetland? " YES_NO L
" IF YES, D.E.C. PERMITS MAYBE REQillRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. Ifelevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS,
COUNTY OF~~)
U / (,.. h C 'Ai 7iJJ /11 A. J being duly sworn, deposcsand says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~ CO'1fr';j)"~
(Contractor, gent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perfoon or have perfonned 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
perfonned in the manner set forth in the application filed therewith.
Sw
_foremethi'l1~ f11A Dl i
-'I daYOf~-=t--.20~_, ^ I I
~ -~ .
otaryPublic ~ sgn~b'k."_
ANNIE e. eSGRO
Notary Public. State of New York
No. 01 ES5078083
Qualified In Slifolk County
Commission Expires Mav 19. 2007
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CERllFlEO ONLY TO:
;/4...L/ F r;~J.-
~ROLD F. TRANCHON JR.
,~
~~~. No. 048992
PENN. LIC. No. 211!FE
LOT _ JO
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9
200.00'
LOT _ 21
NOTE: CESSPOOL. SEPTIC TANK .. WELL
LOCAllONS En' OTHERS.
12-5-2003 FINAL SUIM.'Y
9-15- 2003 FOUNOAlION LOCAllON
7-17-03 PROP. DWElUNG
JOB No. 01-230 FILE No. LANDS END
SURVEYED FOR
LOT NUNIlER 29
loW' OF LANDS END AT ORIENT POINT
SITUATED AT ORIENT POINT
TOWN OF SOUTIiOlD - SUFFOLK COUNTY N.Y.
SCALE 1. - ~' DATE 9-4-2001
FILED loW' No. 5909 DATE 5-3-1973
.
TAX loW' No. (REF ONLY) 1000-15-9-1.29
DISK 500
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
ti66 WADING RIVER-MANOR RD. WADING RIVER.
NEW YORK, 1U92
6J1-929-4695
. 'LOT AAEA- 40,000 801. ft.
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CERTlF1ED ONLY TO:
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H~ROLD F. TRANCHON JR.
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J".~r;. No. 048982
PENN. LIe. No. 21fi-E
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NOTE: CESSPOOL. SEPTIC TANK '" WElL
LOCATIONS BY <mtERS.
12-5-2003 FINAL SURVEY
9-15-2003 FOUNDAllON LOCATION
7-17-03 PROP. DWELUNG
JOB No. 01-230
FILE No. LANDS ENO
SURVEYED FOR
LOT NUMBER 29
MAP OF LANDS END AT ORIENT POINT
SITUATED AT ORIENT POINT
TOWN OF SOUTHOLD - SUFFOLK COUNTY N.Y.
SCALE 1. - 40' DATE 9-4-2001
FILED MAP No. 5909 DATE 5-3-1973
TAX MAP No. (REF ONLY) 1000-15-9-1.29
DISK 500
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
,
1166 WADING RIVER-MANOR RD. WADING RII/ER,
NEW YORK, 1T792
631-929-4695