HomeMy WebLinkAbout32137-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 12/18/07
No: Z-32791
THIS CERTIFIES that the building
ALTERATIONS
Location of Property: 2105 BROWNS
(HOUSE NO.)
County Tax Map No. 473889 Section 13
HILL RD
(STREET)
Block ~
ORIENT
(HAMLET)
Lot 8
SUbdivision
Filed Map No.
Lot 1110.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 16, 2006 pursuant to which
Building Permit No. 32137-Z
dated
JUNE 21, 2006
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 "AS BUILT" ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to CARMELA & RALPH CONSTANTINO
(OWNER)
of the aforesaid building.
SUFFOLK COUN'l'i' DEPARTMKR'l' OF HEALTH APPROVAL
N/A
BLBCTRICAL CERTIFICATE Il1O.
06-4800
08/06/07
PLUMBERS CERTIFICATION DATED
07/07/06 CUTCHOGUE EAST PLUMB&HEAT
~ed~
Rev. 1/81
Form No.6
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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:
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 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, 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 Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
J;l.bJ ort
Old or Pre-existing Building: V (check one)
.:< I 0'5 (3 r-av VIS Ut lL<; Rm&
House No. Street
OwnerorOwnersofproperty: (1VW'ela~A-L-YH l1n~D
Suffolk County Tax Map No 1000, Section /3 Block ~~ I
Date.
New Construction:
Location of Property:
Hamlet
Lot
f]
Subdivision
Permit No. ~J I 31 "'Z-Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
~/l-I /~
Filed Map.
Applicant:
Lot:
( !armek. &n~1M TinD
/'
Underwriters Approval:
Final Certificate:
(check one)
Fee Submitted: $
9-.~--
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Applicant Signature
~u..7.35~~
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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
CERTIFICATION
Date:
7 / '7 I 6(
f
Bwldm, P'I"J No. e~tJ
Owner: l'aJ(~ ~__AJTi !I/O
(Please print).
Plumber: . -~. ~ \ "i ~"'''~! j; ( V Ie. l" JC
(Please p
~
'<
p- H I'".C
lead.
I certify that the solder used in the water supply system contains less than 2/1 0 of 1%
Sworn to before me this -p.
daYO~' 2Q')h
~97~
Notary Public,
County
aU_AN J, NAGY
~~~'Kts~~~o State of New York
Qualffled In S.uffolk Coun
CommissIon Expires May~oQZ
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.
32137 Z
Date JUNE
21, 2006
Permission is hereby granted to:
CARMELA CONSTANTINO
260 GARFIELD PLACE
BROOKLYN,NY 11215
for :
AS BUILT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR. ADDITIONAL CERTIFICATIONS MAY BE REQUIRED.
at premises located at
2105 BROWNS HILL RD
ORIENT
County Tax Map No. 473889 Section 013
Block 0001
Lot No. 008
pursuant to application dated JUNE 16, 2006 and approved by the
Building Inspector to expire on DECEMBER 21, 2007.
Fee $
300.00
Au horized Signature
ORIGINAL
Rev. 5/8/02
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DATE,J2/9/86' SCALE 1"=40'
FILE NO, 86-1498
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TITLE NO, SP5S05-S
- SPA-S-846i94
Map af
DESCRIBED. PROPERTY
S.c.r. M 1000-:'13-1-8
,
situated at
ORIENT, 770 SOUTHOLD
Suffolk ~, New York.
WMI'...IOUJCO BUTlES. EASeMlHrs NOT SHOWN ANfl
-.un- 101.1- IDCAflONS AlE NQT OlTAI.ANT&D
~.....t_. Of c....ifiC<lfiOll'l ladlcat.d br_ ""all ... eM.. ..
till. ptl.-- f~ wIlotn ftle scrrve" Is pt'.pa~. _ ow Ill, ....-at ..
the fltle comP<:;!IY, goyernmGllUll c44..q' a~ ~ ~
~bf.d II.ereo!l. and to the .,~i'iJ:leu of tb4 I~ ~...,
$uer.ntMs Of' certffi;:atiOfts" are eo. .ruskf........ .........
.......'1... M ..&.eowent. ttWMIn... .
Guaranteed to: Security Title 8 Guaranty co.
, Ralph Constantino a
Carmela Constantino
Spano Abstract Service Ccrp.
PA T T. SECCAF/CO
PROFESSIONAL LANo SURVEYOR
109 LOOP ORIVE
SAYVILLE NEW YORK
(SI6J567-4773
NYS, Lie 49281
32-( 3 7::c
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [~GH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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REMARKS:
DATE PI ;jOt,
t
INSPECTOR
, t'
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LD BUI
765.1802
G DEPT.
[ ] FOUNDATION 1 ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
REMARKS:
- ~7:JfJ
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-
DATE l./Oq/O(p
/ l
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
~
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INSPECTOR
3 ~l ) 1 2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONS1RucnoN
[ ] ROUGH PLBG.
[ ] INSULATION
~INAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
:lARKS:
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DATE
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INSPECTOR ~~
.
FIELD INSPECTION REPORT DATE
COMMENTS
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FOUNDATION (lSn
FOUNDATION (2ND)
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ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971 ! .
TEL: (631) 765-1802 L----!.,c_....m
FAX: (631) 765-9502
www.northfork.netlSo
16
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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 11 :300. :lt319("
Septic Form
N.Y.S.D.E.C.
Trustees
Contact: C,4 F> {)
111 c..PfJ~ftl'tJ T/Y1
Mail to: 2h0(J,4tl-+idcl. 1"/..,
IBklylV{ N'f ilL IS
('lit) 7gg-;2~6,.
Phone: f"lJc;e (ILl/Will flc..kl.(p.
A., 8/A.i/+- i,", p-wU4!J
Examined
Approved
Disapproved ale
i
',)L') I
-'-"-"--.-------'
PERMIT NO. 3;J1?~
Expiration
,20_
APPLICATION FOR BUILDING PERMIT
Date
(Pl,s-
,20~
INSTRUCTIONS
a. This 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 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
sh~<I 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
iss,ues 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 of the 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 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.
~ rk~1hu,
(Signature of applicant or name, if a corporation)
Jfoo ~(J( ~/12/5
(Mailing address 0 ppl t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OW'fle'R
Name of owner of premises CaV'n1pJa. COffiTO/YIT ;no
(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.
,q1~q- It
a?~'11- P
100 h - E
I. Location of and on which proposed
05 w \\ls
House Number Street
ork will be done:
cl. D-rle iT'
Hamlet
(Name)
>. Lot <6
Lot
"'j
County Tax Map No.1 000 Section
Subdivision
/3
Block /
Filed Map No.
')
,'1; J
2. State existing use and occupancy of premises and int nded use and occupancy of proposed construction:
a. Existing use and occupancy .
b. Intended use and occupancy
~L4
d..Lv..dlw.A.
o
Addition
Other Work
Alteration V
3. Nature of work (check which applicable): New Building
Repair../ Removal Demolition
4. Estimated Cost 11 $6,@ Fee .~ ,
. " S k &m\ 1'1 _ . (To. be paid on filing this application)
5. Ifdwellmg, number ofdwellmg umts ~';i}t-\\ · nO' Number of dwellmg umts on each floor
If garage, number of cars
(Description)
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
N/4
Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
(See Su.V'IIe.t.j)
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front ((\0 n.e w Co I'l ~Wa-i 0'(")')
Height Number of Stories
Rear
Depth (See.. 54 ~)
9. Size oflol: Front
Rear
Depth
(See. Su ve~)
\llil~n
10. Date ofPurchasd)",(I.. \" 'XL:. Name of Former Owner ~~-tb...:LR\ckvd..
11. Zone or use district in which premises are situated Re'5 ~ ~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NOli"
13. Will lot be re-graded? YES NO ./ Will excess fill be removed from premises? YES NO ./
- - --
14. NamesofOwnerofprcmi3es~lme. :r(l.f1~~ddress ~t.o 6r\.r \cl~IIlZ:/SPhoneNo.tI l~) 1'illl-DZ-5't
Name of Architect 1in -e\ no Address ID · hone No lD31 1w~- ~5'gO
Name of Contractor ~ \ Address ';!u'fj,~8":)'193" Phone No. 1.31 ?,?$'- o'SS"
~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO---.!L...
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines. Q~
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 ot;~\x.. )
CPt R W\do... ~sm lAT\'t\o being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
OWV\e.v
(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.
Sworr- t~before me.
l~. day of
20.Db...
~a~~
Signature of Applicant
MELANIE DOROSKI
NOTARY PUBLIC, State of New Yodl
No. 01004634870
Qualified In Suffolk County!'1 ,""'6
Commlssion Expires September 30~
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
/;/-
LOT
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/()'OQ- 13-/-/$
OWNER
S:rD"~/DS
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I FARM
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RES. . ;Iff)
LAND IMP.
VL.
TOTAL
DATE
co
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~ 900
AGE
NEW
BUILDING CONDITION
BELOW
ABOVE
NORMAL
Farm
Acre
Value Per Acre
Value
Tillable 1
Tillable 2
Tillable. 3
Woodland
Swampland
Brushland
~.
House Plot
Total
VILLAGE
DISTRICT SUB.
~.
ACREAGE
.Di,
TYPE OF BUILDING
COMM.
CB. I MISC.
1\
REMARKS
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M. Bldg. ,/ Foundation I Both ,
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Extension 1 i'A )( ~o . -3 u( "q~ /I"" 71 (;Ii ~ment Fvt l--- Floors ~ ",' k
.... , ,
Extension - Ext. Walls 'w."c ~1r:>/N Interior Finish S/lEE7 l? '" (', 1",
Extension Fire Place "f So Heat IfvU
PA-!""::J olt-OIlf.3o :: ~/)l>'/ SD 300 V Porch Attic
Porch Rooms 1 st Floor - -
Breezeway Patio Rooms 2nd Floor
Garage 2.1 X:-It. = 3 '"t>r..'/ /L5 </).-0 /Drlveway
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