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Home My WebLink About33163-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 10/10/07 No: Z-32661 THIS CERTIFIES that the building ADDITION Location of Property: 4020 THE (HOUSE NO.) County Tax Map No. 473889 Section 30 LONG WAY (STREET) Block L- EAST MARION (HAMLET) Lot 98 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15, 2007 pursuant to which Building Permit No. 33163-Z dated JUNE 25, 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTONIO & GINA CINELLI (OWNER) of the aforesaid building. SUFFOLK COOlITY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED ~~~"..,",. Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 e:) i \ APPLICATION FOR CERTIFICATE OF OCCUPANCY L --~ 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 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. 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 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 aud unusual uatural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is deuied, 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, Altemtions 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 of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~-8-o1- New Construction: J Old or Pre-existing Building: Location of Property: 40& -rH/E LorJlr WAf 1.-.4,,[ House No. Street Owner or Owners of Property: .4 N "TV rJ I 0 cJ- (;iN A C, /J P-.L I . Suffolk County Tax Map No 1000, Section 3 0 Block 0 ~ Subdivision ft;;"I3I3/J. F)~t}c..)I FAf'V115 Filed Map. c'0I~ to Permit No. ~ ~ \ (0 ~ Date ofPermit.b -:7-8.- () 1- Applicantj}tJ17J.J I C> (check one) E r1 s, jA,AR /0;0 Hamlet Lot 9~ (.,3 C; Ne.U."" . Lot: T'" ~','A Health Dept. Approval: Plarming Board Approval: Request for: Tempomry Certificate ,c-. Q2 Fee Submitted: $ 0\..)' Underwriters Approval: Final Certificate: J (check one) ~~ G\ g,C.. ')307.:1 0 co t: 3J(p (p ( 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. 33163 Z Date JUNE 25, 2007 permission is hereby granted to: ANTONIO & GINA CINELLI 4020 THE LONG WAY E MARION,NY for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 4020 THE LONG WAY EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 098 pursuant to application dated JUNE 15, 2007 and approved by the Building Inspector to expire on DECEMBER 25, 2008. Fee $ 200.00 ;&.u,:' d.J(l. r Authorized Signature PATRICIA CONKLIN ORIGINAL Rev. 5/8/02 LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. Box 162 Greenporl, New York 11944 (631) 477-1652 October 3, 2007 Mr. Michael Verity Department Head Town of Southo1d Building Department Main Road Southold, New York 11971 Re: i.~r 1(. ~J r-. [.1" , ,vr'''' J,' IIp i 1Ir', 5 --7/',/ , New Deck L ffUl1 Cinelli Residence I L-" I U · 4020 The Long Way ~ i:L~ :~~P--J / East Marion, New York 11939 eyN , L5":}T~Q'') Permit# 33-163'--" To Whom It May Concern: This letter is to certify that the footings, both existing and new, at the job referenced above are constructed as stated on plans and are complete in accordance with both the New York State Building Code and the Southold Town Code. Sin:IY~/ ~ ? J; ~~ce M. Tuthill, P.E. 33!h3i;- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RAE RESISTANT CONSTRUC'nON [ ] ROUGH PLBG. [ ] IJJ80LATION [v-1FINAL [ ] FIRE SAFETY INSPECnON [ ] FIRE RESISTANT PENETRATION REMARKS: co DATE INSPECTOR 3~ \lo~:r; TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION FOUNDATION 1 ST ] FOUNDATION 2ND ] FRAMING I STRAPPING ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION ~ [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON , c A1- ~iS ~-t'l INSPECTOR FIELD INSPECfK>N REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PERN. Y. STATE ENERGY CODE FINAL . DATE I COMMENTS <y V'/,,/~ "} 4J . - - ('<JL Jtt_L- hUL; Jl~ fL' ... r ~ 1Jl;:l / f /r~A77''/_.I / ~// ~tjJi,,, /). /~. AfL ? ~ A ,:- L.Ut",.\ ./ AT >'-:-1ti~,- nLJt"2 .A y~ GJ ~ / _I / j7./ iY \7~ , en l"J ~ , -- Z 9 S- O y~ o ~ '" t~ f ~ "> --- -- -.----- -- ------------ r-= f~ .., . . r; /dn i;) tJ(..u'..., (' // I' I '//A /~ II' / // / N' [ fY~/ .+ }'/ J ~ l <::--~ (' ;;. rfll/' / k-L ~'. y , f--- 3 ADDITIONAL COMMENTS r= , ~ ? (V r c--o J .::E z m " -:.v i- ('"', -, I 9-->'" , ~ ~ ~ .., - 00 Oo(jZ ;:J --E=; ~ --== "'b~ -- !;l ~ ~~ e e 1tJo-3o- 2- 92 TOWN OF SOUTHOLD PROPERTY RECORD CARD )WNER STREET 6:;2 ! VILLAGE DIST. SUB. LOT A 6.J> -ry ~ 1-6n Jfd. Eui ~I iJ n 2 Pt'~~/e fkr;i.cA J-h1V'J',/J, N E JIll j -J),~ 1;11....,.,i..j W TYPE OF BUILDING ~ANC."'" - - .. ,M-J7 FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ~'3oo 7<'&>OD p... '/3 Sf?o ,5 00 liable FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD oocl/and eadowlond lUse Plot tal . e e ~ \ o..y " ,- COLOR N Q" ..u-e-AI.. C~bM<:_ TRIM L0 \\ ,\t" V -~ -- +---- -- 2- U' OLO I, , l~ C ~ \1. ~ " r- - !: - , :~ 'I 3 I" I ql IlC - II 2/ '10 1- 12' . ~!> --.....- ~ \~,'Bld@,. 110 '(27; Ll~.2.. =3,50 \511<., ..~~~ t-:,~.; III '1.27 c ~78 3.7S" 1'1 't! ~ ens~ I:' >< 3D -- 3'7b 3.50 1 31oS"" "" "' ! Extension 5.50 4,0'18 Si~ + e. 2-? '<32. ~ 73b , Extension Foundation ~,c: . Bath ;?, If 'L Dinette Porch 'l:>td<- \2. 1< 2-4 ~ 2.S'8 .2.5" 72... Basement -L'u\l Floors Co~ l-IlAi K. .; Porch Ext. Walls C rd)o v Interior Finish LR. V Breezeway Fire Place I Heat 6,\ l.\."'^ DR. Garage Type Roof Rooms 1 st Floor - SR. }\ Patio Recreation Room Rooms 2nd Floor FIN. B -0. B. / Dormer Driveway ~ ~J4 IS- . 5J~~o - 0.6 \.0 0,.-C? Total ~v .......;. r-. -~i: \ ('0 v u~,(t V- I' .. "7. _~_.( ~ '-.J - 1[qr::., 0/'1<:> PERMIT NO. ?3Ib3~ 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 NYS.D.E.C Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAJl:(631)765-9502 www.northfork.net/Southold/ Examined Approved Disapproved alc {, /a r:;-, 20 D7 ( /.;). ~ .,..'7 6 S,20~ Mail to: Phone: r::::::-.].-. -;, " I . i 'J I 1>1;;. S:20~ ~5~~W Ir~ ~ { Building Inspector Expiration PPLICA TION FOR BUILDING PERMIT iI~O\J. DEPT. ~ WN F S.Q1!THQL:J Date JUNE IS" ,20~ INSTRUCTIONS --------- a. This application MUST be completely mled 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 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 otherregulations 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 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, ho . co e, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections, (Yk. (Signature of applicant or name, if a corporation) 1'7/4 PARI< M&IIJf:.. NEW Hy{)(, fJJteK tJ Y IID'-fO (Mailing addfess of applicant! State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OWNeR Name of owner of premises A r.JTo rJ i 0 -t- G-i '" A C. i N E I..L_.'I (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. -/fsD 40--- All", , AI/a. , 1. Location of land on which proposed work will be done: 40:;'0 tHe LONtr 1tV-4~ '. cAST N1AA/(uJ NEw '1oR'f::.. 1/939 House Number Street. Hamlet . JIJ VlHZ m :,,!du'l y1IIII County Tax Map No. 1000 Section 30 Bloc 'll<.ilioM Lot Cj 8 Subdivision-PEe:.BLt BEALI-I FA~S; fi~. ap.~ Lot Co?, (Name) 2. State existing use and occupan~'Y of premises and intended use and occupancy of proposed construction: a Existing use and occuplmcy___J2!J.,IPoQ&--- _.j{E;/lL-'IA~D _____.~~"J<_ .-..- -----.--- b. Intended use and occupancy _____.D cJ:rJ::>..o.Q~__gEfj~--2J-l1gfJ.---..kECJ<;...-- -- ... .. -.- 3. Nature of work (cheek which applicable): New Building___~_ .______ Addition_.___ _.______ Alterallon_._~_._._ Repair _______._____Removal---------Demolition-------.----Other Work___._ .-- --.~ -----.-.- -.- .. ..-- fi 00 '$ 00 (Description) 4. Estimated CosL__ _.lL,..QQQ~----- _ ___.__ __ Fce____QLQ"O~________._.______________ (To be paid on filing this application) 5. If dwelling. number of dwelling lmits__ .. ._ __.___Number of dwelling units on each Ooor______ .-..--.--. -... If garage, number of cars 6. If business. commercial or mixed occupmlcy. specify nature and extent of each type of use. -.---.---.-- ----.----- I 1 I 7. ~~7;~:ions <g)~isting structure~~~~~~ ~;~ttOrie~-'2--T-Jear---~...L..------DePth.-L~- .---- . . , : I Rear 3~i iH ('0 I Depth 0 Dimensions of same structure with alterations or additions: Front 3;;1. ,. Depth~ B I Height 6 I Number of Stones I Rear 30l.. 8. Dimensions of entire new construction: Front 3 ~ Height t) I Number of Stories '). Si~e of lot: Front 8\, S D ' I 80.00 I Rear Depth 3'14, q 0 AA,JC:J A. R-4o LE<5:.-n:{<, 10. Date of Purchase ~ -- ;;((,. ~Oo (P Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinmlce or regulation? YES __. _ NO V. 13. Will lot be re-graded'l. YES NO J Will excess fill be removed from premises? YES NO V ---.-~' ('1"-1 PM_I<-- MI!; .-- --.--- 14. Names of Owner ofpremisesC-INELL, Address ,..Jew 1-11j)(/A~"', ,Jkhone No 5110 .. 35 ~ .1'13 :l.. NameofArchitectf'ENN5 /YlAR::rAfY\ Addressll1AlH RI> ("!..f&JRJR:fPhoneNoIo31- Ljll-D~o Nmne of Contractor ""--80 .D Address Phone No. 15 a Is this property within 1 ()() feet of a tidal wetland or a freshwater wetland? *YES NO V * IF YES, SOUTI-lOLD TOWN TRUSTEES & D.E.e. PERMITS MAY BE REQUIREii"' --.-- b. Is this property within 3lK) 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_____~_) ____(3-1 1'1../1___ ~_~__ L_u.!. f L-L-;__.._ being duly SWOlll, deposes and says that (s)he is the applicant (Name of individ.;;,\ signing contract) above named, (S)He is the___________O VII N tJi..________________.__________._ -- (Conlractor, Agent. Corporate Officer, etc.) .- -------.----. .------- of said owner or owners, and is duly authorized to perform or have pcrfOllned the said work and to make and Iile this application; that all statements contained in this application arc true to the best of his knowledge mId belief; and 1I1at the work will be perfomled in the manner set fOrlh in the application Iilcd IIlerewith. .....,NIic~ ~~1i.A61"~ ~"Nassau EIpim Feb. I, II SWOlll to before me thiJ-';: _ / 3.tt:. day of _---'::!_v:!'-____ 20 oJ_ ., ~~<JAJ _~___,,__~._,_~ ___ _ _.~_.._ _ J _.__._._ otary Pnblie .' Erosion. Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: ~ n I A. Does this project meet the minimum standards for classification as an Agricultural Project. !!t. - ....L- Note: If you answered Ves to any of the above, a Storm-water, Grading, Drainage. & Erosion Control Plan Is not required. ------------------------------------------------------------------- ACTIONS. REOUIRING THE SUBMISSION OF A STORM-WATER. GRADING. DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (J) for each question is required for complete application) 1. Will this project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Yes No /~ b]J gJ [;]J [dJ g~ [;]~ b]/ Note: If any answer to questions 'One through eight is answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit. 2. Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? ------------------------------------------------------------------- 3. Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? ,,<9.;ffo{~ _"CIN~l/'" . """"" ss ." being duly sworn, deposes and says that helshe is the applicant for Pennit, Sworn to before me this; ~ .........~~...~"~.~.... Notary Public: .".....~NWurr...'O;~j,_..... NI. 011tM1_ ~ - - -.1llIIIIl Oallnlr C... ... .....I/Jj.t' (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owner's, 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 belier; and that the work sill be performed in the manner set forth in the application filed herewith. 4. Is there a Natural Water course running through the site or is this project within One hundred (100) feet 'ofwetiands or a beach? 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction ofa Town Right-of-Way? 7. Will this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? (This item does not include the installation of driveway aprons.) 8. Will there be site preparation within the one hundred (100) year floodplain of any watercourse? STATE OF NEW YORK, 0, COUNTY OF ";VA A Thatl, ......................... .. (Name of individual signing Document) And that He/She is the ..........."..QiAI"'ISb ~~;;~;............. 01 ...... 20...... PREPAAED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR fiLE SURVEYS AS ESTABliSHED BY THE L1ALS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STA.TE LAND TITLE ASSOCIATION, ---+-~ LONG WAY --------------------- -------- SURVEY OF LOT 63 MAP OF PEBBLE BEACH FARMS FILE No. 6266 FILED JUNE II, 1975 SITUATED AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-30-02-98 SCALE ,"=30' MAY '0, 2007 , 379.52 1'~ <", "'0 u\/o_ 6'. '", ~ '" '" o. AREA; 31,009.57 sq. It. 0.712 ce. J,or@ o o z o c o ~ " ( ~ 7f;2'O'30 Lor@ oec:.,," ~~o ",.,-ef"'> ~~ -roe<" .,.000 o;~ ~\\:,.r ",,..0 e>U- ~ . 0 . 01<1'6.'1'" ~ Lfl .' />S'P\"'J'l. i ~ " ~ " 00 c.J 11 -1 --- _8~'_ _ --- --- Z 0 ",,~\-\O\.~ --------0 c""'- ~ 0 0 0 ~ W l"- e; " "" ~ ~ . ~ " '-N ~ ~ '30 11 0 CGAS VAlVE 7082'0 ~ w S oc 8 g w z <g?,. tg'fPHotvc p ~ "'~ 'L Z , 394.90 Lor@ "'~ ~/l"lO~D UNAUTHORIZED AlTERATION OR ADDtTlON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES Of THIS SURVEY MAP NOT BEARING THE lAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAliD TRUE COpy Jo eph A. Ingegno Land Surveyor CERTIFICATIONS INDICATED HEREON SHAlL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES Of THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. ~ lfl .... ~ t-J Ol. -'> o~ ~ Z l::l .....z 1:"', 1:"'0 ,." , ..., f'"\ >; C":l ~ ><. N.Y.S. Lie. No, 49668 PHONE (631 )727-2090 Title Surveys - Subdivisions - Site Plans - Construction Layout THE EXISTENCE or RIGHTS or WAY ANO/OR EASE~ENTS or RECORO. IF ANY, NOT SHOWN ARE NOT GUARANTEED. OFFICES LOCATED AT 322 ROANOKE AVENUE RIVERHEAD. New York 11901 Fox (631)727-1727 /JAIUNG ADDRESS P.O. Box 1931 Riverhead, New York 11901-0965 27 -108