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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
1110: Z-32803
Date: 12/27/07
THIS CBRTJ:FIBS that the building
ADDITION
Location of Property: 320
(HOUSE NO.)
County Tax Map 1110. 473889 Section 86
RICHMOND LA
(STREET)
Block L-
PECONIC
(HAMLET)
Lot 4.7
SUbdivision
piled Map 1110.
Lot 110.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 1, 2006 pursuant to which
Building Penlit 110. 31964-Z dated
MAY 4, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ROBERT J. & VIRGINIA A. CORAZZINI
(OWNER)
of the aforesaid building.
"UFJ.'UW[ UJUI!I"~' DBPARTIIBII'r OP IlBALTH APPROVAL
N/A
BLBC'l'RICAL CBRTJ:PICATB 110.
N/A
PI,lWRImS CBRTJ:PICATJ:OIII DATED
N/A
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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 foUowing:
A. For new building or new use:
I. Final swvey 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 instaUation 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 instaUations, 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 aU 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 shaU state the reasons therefor in writing to the applicant.
C. Fees
I. Certificate of Occupancy. New dwelling $25.00, Additions to dweUing $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
Date. 0/J..l/rfl
New Construction: 4;:
Location of Property: ? }tJ
House No.
Owner or Owners of Property: ~ i,,. / ./
Old or Are-existing Building:
/1,1./,"0" ) h,,<t
Street
(check one)
,II /1/1 /r ,/V'lv
Hamlet
J L/Jr422./".'
;Jr.
v
Date of Permit.
~0
~ Jq Ib/o
f /
Block
/
Lot
'/4
7
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. S 11 ~ ~
Health Dept. Approval:
Filed Map.
Applicant:
Lot:
Cor4Uin:
Underwriters Approval:
/(CheCk one)
Plalming Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ;;) r 00
Final Certificate:
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. nt Sign~
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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.
31964 Z
Date MAY
4, 2006
permission is hereby granted to:
ROBERT J CORAZZINI
320 RICHMOND LA
PECONIC,NY 11958
for :
DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at
320 RICHMOND LA
PECONIC
County Tax Map No. 473889 Section 086
Block 0001
Lot No. 004.007
pursuant to application dated MAY 1, 2006 and approved by the
Building Inspector to expire on NOVEMBER 4, 2007.
Fee $
150.00
~~.
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
,,,=.: ,i,~J'(<,~_.tidj',.~,. ""..'
SURVEY OF '
LOT 7
MAP OF
RICHMOND SHORES AT PECONIC
FILE No. 6873 FILED NOVEMBER 20, 1979
SITUATED'AT
PECONIC
TOWN OF SOUTH OLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-86-01-4.7
SCALE 1 "=.0'
MAY 24, 2000
JULY 24, 2000 REVISED WATER SERVICE
APRIL 9, 2002 REVISED PROPOSED HOUSE '" ADOED WETLANDS
AUGUST 2, 2002 ADDEO ADDITIONAL TOPOGRAPHY
SEPTEMBER 13, 2002 FOUNDATION LOCATION
APRIL B, 2003 FINAL SURVEY
AREA = 27,772.42 sq. fi.
0.638 ac.
S.C.D.H.S. No. R10-00-0146
PAEf",trRED IN ACCORIWC[ WITH THE MINIIIIl..IW
STANDMDS FOR ~ SUfMYS fSTAl;K.lStfED
If' M L.I.M..S. AND APPAC:NED NlOPttD
fllR SUCH llS[ In' lHENtW STATE LAND
mU:ASSOClATtON.
Lie. No. 49668
Jose L
Land
JitM SuMJII - SubdlvIsIon:t - Sit. Pion. _ eon.trucHon layoul
PHONE (631)727-20g0
Fox (631)727-1727
lIMJ.. NJ/JRfSS
P.O, Box 1931
Riverheod, New Yon 11iIJI-0965
THE EXISTENCE or RIGHT or WAyS
AND/OR EASENOITS Of Rl"CORD, If
ANY, NOT SHOWN ARE HOT CJUAfW(TE[O,
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0FF1CES LOc.rllD AT
1380 ROAHOI<E AVENUE
Rll/ERHOO. New York 11901
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TO 1M: ASSDEES Of THE lfNDllfG 1NSTl-
1UT1ON. c:arnncAllONS ME NOT ~
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CERTIFIED TO:
ROBERr J. CORAlllNI
VIRGINIA A. CORAlllNI
ULSTE~ SAVINGS BANK
F1DEUiY NATIONAL TITLE
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MARTIN F. SENDLEWSKI, A.I.A.
ARCHITECT - PLANNER
Town of Southold
Building Depaalwent
53095 Main Road
PO Box 1179
Southold, NY 11971
Re: Building Permit No. 31964.C
To Whom It May Concern:
This correspondence certifies that the eight inch (8") Sonotube footings are installed to
forty eight inches (48") below grade and that all framing and connections installed in
accordance with the above noted building permit for the deck located at 320 Richmond
Lane, Peconic, NY have been completed in accordance with all necessary building code
requirements.
Martin F. ewski AlA
License No. 017163
P:\MFS\Corazinni.doc
215 ROANOKE AVENUE. RIVERHEAD. N.Y. 11901. (631) 727-5352 . FAX (631) 727-5335
-
3/1(,Lf-7-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
f><{ FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS:
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DATE
INSPECTOR
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FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMiNG &
PLUMBlNG
lNSULATION PER N. Y.
STATE ENERGY CODE
FlNAL
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COMMENTS
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TOWN OF SOUTHOLD, "i ii ~ , ii
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/ PERMIT NO.
J /'1 (p c.( 'E:::
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:
!>tA ' 20~
~,20~
Examined
Approved
Disapproved alc
Mail to:
Expiration
I / / 'f, 20Q2
.
IWl ~
! Building Inspector
I
Phone: 73'1-;;1';'3 '/
Crll 335 - Q9'9 ~
APPLICATION FOR BUILDING PERMIT
,20_
Date
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets Df 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 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.
911 .L:'&h"",,,,rI ,J..~. A-rt7yVc 4/Y/19'5J
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OW/lr,r
Name of owner of premises Robr,/ J (~'--A u....... 'J'r.
(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.
I. Location of land on which proposed work will be done:
3::>0 /:'r,<""o~ J I-r-.
House Number Street
p:;. r C).^. 'c
Hamlet
County Tax Map No. 1000 Section ~
Subdivision
Block J
Filed Map No.
Lot~Y-., 7
Lot
(Name)
. '.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy :;;;. :".., /" /': - . ;: /' P /,./ '-7
/ '
b. Intended use and occupancy j?,-.e A--I~ I.'. _
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
6?Nk A-IJ.,ktl /.> j,NJ"
(Description)
4. Estimated Cost
?
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
~ ;, ., ~ Number of dwelling units on each floor
'"
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. --..
7. Dimensions of existing structures, if any: Front 5,--<" ~.. Rear Depth
Height Number of Stories +
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
'.
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
Phone No.
Phone No
Phone No.
14. Names of Owner of premises
Name of Architect
Name of Contractor <; r /../
Address
Address
Address
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _
* 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_
* 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'SJ~ X-)
~ 0 ~-t- Co I(~\ n: being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the <::)wV\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.
Sworn tojrfure me this
~~~
Notary Public
;;il::J~-/
Sigi!lture of Applicant
BARBARA ANN RUDDER
Notary Public, Stata of New York
No. 4855805
Quall118d In Suffolk County;::, "-
g,mml88ltn 1"Ir88 ,.,," 1., ......, \ (J
New York State Department of Environmental Conservation
Division of Environmental Penn Its, Region One
Building 40 - SUNY, Slony Brook, New York 11790-2356
Phone: (631)444-0365 . FAX: (631)444-0360
Webslte: www.dec.stale.ny.us
-
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~
Enn M. Crotty
Commissioner
LETfER OF NON-JURISDICTION: TIDAL WETLANDS ACT
August14,2002
Pete Schembri
Schembri Homes, Inc.
2042 North Country Road
Wading River, NY 11792
Re: Schembri Homes Property
sls Richmond Lane, 220' elo Shore Lane, Lot #7
Peconic, NY 11958
SCTM# 1000-86-01-4.7
DEC# 1-4738-03060/00001
Dear Mr. Schembri:
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that:
The portion of your property which Is located landward of the ten foot (MSL) elevation contour on
a gradual, nalural slope, as shown on the survey prepared by Joseph A. Ingegno last revised
August 2, 2002, Is beyond the jurisdiction of Article 25 (Tidal Wetlands).
Therefore, in accordance wilh the current Tidal Wetlands Land Use Regulations (6NYCRR Part
661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no
construction, sedimentation, or disturbance of any kind may take place seaward of the tidal
wetlands jurisdictional boundary, as indicated above. without a permit. It is your responsibility to
ensure that all necessary precautions are taken to prevent any sedimentation or other alteration
or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may
result from your project. Such precautions may include maintaining adequate work area between
the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area)
or erecting a temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of the responsibility of obtaining any
necessary permits or approvals from other agencies.
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