HomeMy WebLinkAbout33263-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32691 Date: 10/25/07
THIS CERTIFIES that the building ADDITIONS
Location of Property: 505
(HOUSE NO.)
County Tax Map No. 473889 Section 88
LONGVIEW LA
(STREET)
Block 5
SOUTHOLD
(HAMLET)
Lot 6
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 11, 2007 pursuant to which
Building Permit No. 33263-Z
dated
JULY 20, 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 SCREENED PORCH & DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to GEORGE L CAVAGNARO & MARILYN COBET
(OWNER)
of the aforesaid building.
SUFFOLK COmITY DEPAR'l'MWIT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3048259
10/05/07
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
:iJ i~ r~ r:;q W r, 1
TOWN~~'S;;i:rHq~f-.' 23 J~I
BUILDING DEPARTMEN
TOWN HALL '.. ....
765-1802 ~~~~I~S.~O~D
APPLICATION 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 new building or new use:
1. 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 fonn).
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/l 0 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a celiificate
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) 1I0n-confol'ming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all propel1y lines, streets, building and unusual natuml 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
1. 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 of Certificate of Occupancy - $.25
4. Updated Cel1ificate of Occupancy - $50.00
5. Temporary Cel1ificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
(check olle)
.gu/- Jl6Lt}
Location of Property:
70S
Subdivision
.._ Filed Map
Lot
Pennit No. 8'--.22- ~"3 'l. Date of Penn it _~.
Health Dept. Approval: _--.M_A < _____
PlalUling Board Approval: ~.AT-~
Request for: Temporary Celiificate
Fee Submitted $ " 25, tJ ()~
Applicant:___
. Underwriters Approval: ___
Final Certificate:
~
(check one)
~M... 733/},:,
CO-C 3J~q I
l!I.l!I
~ BY THIS CERTIFICATE OF COMPLIANCE THE gg # - 5 -'- ~
I NEW YORK BOARD OF FIRE UNDERWRITERS I
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ 3 ~ ~tP:3 ~
i CERTIFIES THAT i
~ Upon the application of upon premises owned by ~
~ ~
~ JIM SAGE ELEC. INC. MARILYN CAVAGNARO ~
~ PO BOX 38 505 LONGVIEW LANE ~
I GREENPORT, NY 11944-0038, SOUTHOLD, NY 11971 I
~ Located at 505 LONGVIEW LANE SOUTHOLD, NY 11971 ~
~ ~
~ Application Number: 3048259 Certificate Number: 3048259 ~
~ Section: Block: Lot: Building Permit: BDC: n511 ~
~ ~
~ Described as a occupancy, wherein the premises electrical system consisting of ~
i electrical devices and wiring, described below, located in/on the premises at: i
~ First Floor, sun room, ~
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 5th Day of October, 2007. ~
~ Name OTY Rate Ratin. Circuit ~ ~
~~~~ ~
~ Outlet 2 0 Fixture ~
~ Fixture 2 0 Incandescent ~
~ Outlet 4 0 General Purpose ~
~ Receptacle 1 0 General Purpose ~
i Switch 2 0 General Purpose ~
i ::~~i:~~~ : ~ GFCI i
~ ~
i ~
~ ~
~ ~
~ ~
~ ~
~ H~ ~
~ ~
~ 1 of 1 ~
~ ~
~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~
~. ~
l!I~~IF.I~~l!I
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.
33263 Z
Date JULY
20, 2007
Permission is hereby granted to:
GEORGE L CAVAGNARO
505 LONGVIEW LANE
SOUTHOLD,NY 11971
for :
PORCH & DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
505 LONGVIEW LA
SOUTHOLD
County Tax Map No. 473889 Section 088
Block 0005
Lot No. 006
pursuant to application dated JULY 11, 2007 and approved by the
Building Inspector to expire on JANUARY 20, 2009.
Fee $
200.00
~CJL
I Authorized Signature
ORIGINAL
Rev. 5/8/02
33 J-0 3> 2:-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCnGN
[ ] ROUGH PLBG.
[ ] !'5ULATION
[0'FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
REMARKS:
DATE 9/ ;2f / () 1 INSPECTOR
3 3> ~ s'-C-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] ~NDATION 2ND [ ] INSULATION
[ ~FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: //-4"'~ c9f6- .
(LI~Al~7 cYr-
DATE
INSPECTOR
.~
FIELD :NS~CTION REPORT
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
.
DATE I
.
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COMMENTS
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ADDITIONAL COMMENTS
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AGE
NEW
FARM
NORMAL
Acre
Tillable
Woodland
Meadowland
House.,.eJo-
Total
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TOWN OF SOUTHOLD PROPERTY RECORD. CARD
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STREET 5-/ / '-,
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DIST.
LOT
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COMM. CB. . MICS.
Mkt. Value
DATE
REMARKS
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6 If 6-0 I
BUILDING CONDITION
BELOW
ABOVE
Value Per
Acre
Value
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
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COLOR )1 cr/.
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TRIM t:J Nwn
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Exten5io~-1 ~ v.' e ') ,,/ 'f/.f '> /.:? vf 3 !:." .//3/ it
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Extensrorl r. - .
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Extension /6): ;q - J. 'l S- 3. 2-5" 92-b
l. . , . " ,.., ,:r II') Foundation pc.. Bath .. ;2... .. Dinette
. -1 ',~ u'" ~ I
..a...h1fCJ<s ~~i~ ~'r;?'>517 ,'25 /zq Basement ~ol( Floors oo...lc K. .
Porch . Ext. Walls W,S. Inferior Finish s.e, ...... LR.. ..
B r9Qi;[~UI~}' Ale... 2('JO I Fire Place / Heat 0.1:'1.13. DR.
Garage -lJx'A3 C;/I3 !:.-<:' t:o~1 Type Roof Rooms 1 st Floor . BR ....
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Patio Recreation Room Rooms 2nd Floor . . . FIN. B
.
O. B. Dormer Driveway
Total / :> .
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7191 (9'1
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TOW/Ii"OF SDUTHOLD
BUILDING DEPARTMENT
.
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold!
PERMIT NO.
3 3 ~3c-
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:
Examined
Approved
Disapproved ale
Mail to:
Expiration
~
,200;
Phone:
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/ Building Inspector
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PPLICATION FOR BUILDING PERMIT
1/107
,204
~_.,,,.-,.
Date
INSTRUCTIONS
~r,
'v
a. . 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 of lot 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 ofthe 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 Perm' ursuant to the
Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordi ances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein d cribed. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and r lations nd to admit
authorized inspectors on premises and in building for necessary inspections.
~
//1lf
pplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
If applicant is
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on
"
House Number
Count y Tax Map No. 1000 Section ~6g
Subdivision
Hamlet
(Name)
,
IIOY"" '.H~h~:,,' ,~lltot;'.:,\,
~ICtAHr(j oV
'jInuOO *'*'8 nl bOihlC
._01 ~ '"""" _tMt.:>;"
Lot
b
Block
Filed Map No.
s
.
b. Intended use and occupancy
ded use and occupancy of proposed construction:
. .
2. State existing use and occupancy ofprem'
a. EXIsting use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost 1110tltl. b 0
Addition /'
Other Work
Alteration
(Description)
5. If dwelling, number of dwelling uJilits
If garage, number of cars iJ A
, .
Fee
(To be paid on filing ~ "lication)
Number of dwelling units on each floor
I
I
7. Dimensions of
Height
isting structures, if any: Front
Number of Stories
nature and extent of eaJif type of use.
Rear ~ Depth~
6. Ifbusiness, commercial or mixed occupancy, speci
Dimensions 0 same structure with alterati~s.or ~dditions: Front
Depth Height I>~ Number of Stories
8. Dimensionszo ntire new construction: Front k;! ~ Rear ~ Depth
Height _~ NumberofStories_,~tJ ~
-
9. Size oflot: Front /00 / Rear / n 0 / Depth /1' -.S" /
.
()~
10. Date of Purchase
/q 81
II. Zone or use district in which premises are situated /
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO V
Name of Former Owner
13. Will lot be re-graded? YES NO Will excess fill be r~m~v~ premises? Yf~ NO
6(";;:- /NcVl' awa;y;~ .:.,:: ~D -
14. N~~OfO~~~~ ~d=;"<"c~dlt"'j,. PhooeNo. 65/- 7,1.5'-917
Name of Architec. Address Phone No .
Name ofContrac or Addres~ &;Y '>>-J$' ~o/; NLi j. /
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? * S _ ~O U
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE QUIRED.
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 s
18. Are there any covenants and restrictions with respect to this property? * YES_NO
* IF YES, PROVIDE A COPY.
COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
t) 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 9e.fore me this r:;i.
II~yof" J 20~
~R~fL
Not"TV~I". RA,~1.lQLP
. N"o'flrdW JIIIICIC, S1IIlI of,... YlIIlI
No. O1RM1_
no - r In IIlIaIIl 0IIIIlW. _
c........ .1I1...._~
S~~
Town
of South old
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M. #:
THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN
CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
District Section Block --.:ot
----------------------------------------------------
Item Number: (NOTE: A Check Mark ( J) for each Question is Required for a Complete ApPlicallon)'t Ys No
----------------------------------------------- ----
1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site?
(This item 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.)
2
Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location?
This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowl
3
Id
Id
Id
Id
Id
Id
Id
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?
4
Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of
Five Thousand (5,000) Square Feet of Ground Surface?
5
Is there a Natural Water Course Running through the Site?
Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach?
6
Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to
One Hundred (1 DO') of Horizontal Distance?
7
Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off
into andlor in the direction of a Town right-of-way?
8
Will this Project Require the Placement of Material, Removal of Vegetation andlor the Construction of
any Item Within the Town Right-of-Way or Road Shoulder Area?
(This item will NOT include the Installation of Driveway Aprons.)
9
Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse?
NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark In the Box, a Stonn.Water. Grading,
Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permltl
EXEMPTION:
Yes
----------------------------------------------------
Does this project meet the minimum standards for classification as an Agricultural Project?
Note: tf You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Required!
And
.
(Nam. Ofindi,~d.~...~~~~::~.~~:y~:~~s.es..~~.s.a~s.~~t.~e~s~.e.l~.~e..a~~.li.c~t.f~'..~~~~~
(Owner, Contractor, Agent. Corporate Officer, etc.)
)wner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to
lake and lile this application; that all statements contained in this application are true to the best of his knowledge and belief; and
at the work will be perlormed in the manner set forth in the application liled herewith.
'om to before me this;
ll~ I
........................................ day of ..~.J...L
. ~~ AJb
v Pubhc: .... .............. ................. ..U1i11'rfl;lli\NDiClIJIH......... ...........
NOI'.."l\..._.....
/I - 06/07
. .-==..0
JAMES}. DEERKOSKl, P.E.
260 Deer Drive
MattilUck. N.Y. 11952
(631)298-7116
Date: July 19, 2007
iQ) ~ (i1 ~ n W lli I.;'\~
Il~G2~ l~!
L tleD , DEP~. I
---T('.~"N.QF <;~~~n:iO'2__.;
To: Town of South old Building Dept
Re: Bob Saetta
Attn: Pat
To Whom It May Concern:
This is the Climatic & Geographic Design Criteria that has been requested. Any Questions
feel fl'ee to call.
~-_......_._ ,h_' . _
GROUND WIND 'II$MIC WEATHERlNG FItOlT WINTER I~LD FLOOD
SNOW lIPEEP DllIllN UNE TERMITE DECAY DEllctN UNDElU.AYMIiIfl' HAZARD8
LOAD (lAPIl) CATBGCIftY DEPTH TEMP. IU!QUIftElI
46 LIII. 120 . BEVERIi 3FT. MODIItAlI BLlOIfl'TO 11 NONE
TONiAV'( MOOIllATE .
CLIMATIC & GEOGRAPHIC DESIGN CRITERIA
....
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James J Oeerkosld P.E.
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07-20-2007 07:48 SOUTHOLD BUILDING DEPT 16317659502
PRGE1