Loading...
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 . f'7/'J/3? u? . 7 // . ~ JA-. ~ --~. .I- COMMENTS ...J.. -/? j:r-. A otf---. ~, f / ~./ ~ ---.- ---- - ------------ -.----- -- . ()/u/n 17 &t;;f!JiJ,n f/"/ // At7h , I^,~ // / vI . . ADDITIONAL COMMENTS - .. l/ '" ;Yd /# / t/ - <<JJ4 ~ n .. j / J \}J fJ.J;ll V~ ~..., \Y"" l1?? \" ...,0: ~;~ 4- z ~ U\ 0", V\~ I'l <-..., C ~ . cJ:, t. L ~ r-~ - I'l ~. ..., ()\ [I ~ ~ ~ p <. 5> " C:s ~ ~ o !B o , t'J 'Y~ ~I ~ (, ..., _~ 0 Z ~~ ::::~ 1" ; I'l 'd ~ . /c:J~o - 3' -..r~-.6 OWNER IMP. 0<0-0 3th) 8Vc 7(f(J .5 706 / tf, ,'~ <> I trP ~ AGE NEW FARM NORMAL Acre Tillable Woodland Meadowland House.,.eJo- Total . TOWN OF SOUTHOLD PROPERTY RECORD. CARD · ;11- 9 STREET 5-/ / '-, <; l/ / DIST. LOT VILLAGE SUB. E I{/~<u S;.lJ ,LeA 1"1 .v: )/}c; C._. S W VL.~ TOTAL FARM COMM. CB. . MICS. Mkt. Value DATE REMARKS c:< I?'() -"DO v' .~(iu \' ~ fo c' / 6 If 6-0 I BUILDING CONDITION BELOW ABOVE Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK --- -- COLOR )1 cr/. I ) TRIM t:J Nwn :,j., ~. I " . I.. - . .< , . . 1 -..- ,,_. , . I <; N . Ie. , . . ~ '- oJ ./ ~ , I - , ')) - 1 !j,1 "I.. ;/ 1)t1 , lJ( I", 11- .J .. (3 "" /':1. - ..... I.L .' " . _.... I.. . . .,.-- , j. 1 1- I; M. Bld'~!.o .2 f/.x -? S' : 600 ... Exten5io~-1 ~ v.' e ') ,,/ 'f/.f '> /.:? vf 3 !:." .//3/ it . -t <''''l : .. . Extensrorl r. - . . ,.2J -/1 /:5;{;l,3-.- c~ 91' .].- 97-<.. ' .. 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 .... :: / .. Patio Recreation Room Rooms 2nd Floor . . . FIN. B . O. B. Dormer Driveway Total / :> . . '.. '. . . . 7191 (9'1 !JOTl!,' 5'1 eJ-C> ,iYTAL '1.? +- l?:{;6.~ +ddd;."". . 7 / !.;":j/ . 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: \ , \ ".' , ' ,tJ c;J--{ / Building Inspector /~\ _--,:--;'1 ~ ''''\. __"--r:"-'\" . ',- I v0' ' j'U\. \ \ "(",1 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 .... \,"'" , .\ , \ '~~' James J Oeerkosld P.E. f\ I \ . . \ \\ " \ \\ \\ \. ~ 07-20-2007 07:48 SOUTHOLD BUILDING DEPT 16317659502 PRGE1