HomeMy WebLinkAbout26150-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33002
Filed Map NO. Lot No.
THIS CERTIFIES that the building ALTERATION
Location of Property: 2545 HENRYS LA PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax Nap No. 473889 Section 74 Block 1 Lot 44.4
Subdivision
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 5, 1999 pursuant to which
Building Permit No. 26150-Z dated NOVEMBER 12, 1999
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 ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ANGELA M BATTAGLIA & VITO J. LOPEZ
(OWNER)
of the aforesaid building.
SIIFFOLR CODNTY DEPARTMBNT OF BEALTH APPROVAL N/A
ELECTRICAL
NO.
PLDNIDERS CERTIFICATION DATED
Date: 04/28/08
41761 04/05/00
02/01/08 TANDY PLUMBING & HEATING
thor' ed Signature
Rev. 1/81
~ ~ ~~
~, ~
~. _=u ~_~___---
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~ 3~- ~3y- yoga
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 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°/o 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 Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. 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
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 Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00
Date. ~~~ 3~ ~-
New Construction: ~ Old or1P~re-existing Building: /~ (check one)
Location of Property: ~ S/~ Jr (~FN~ % ~C' ~i9.U.E J'E~ (1.tJ ~ C' /17 ~ / / 45'rF"
House N~IO. ' Street -{-' Hamlet
Owner or Owners of Property:,.7/t/~tLJ~/~ ~ArTAC>d-l/~ A1~~ ~iy-0 ~t ~-!J%~/°>
Suffolk County Tax Map No 1000, Section '~JjL Block -Z Lot 4« - ~
Subdivision Filed Map. Lot:
Permit No. ~/~, /h-G - Z Date of Permit. i /~- Applicant: ~9y(r ~G/f~~IL~~T~r~/ i /',~
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ ~,~`
Applicant Signature
~,ac ~ ~'1/ 9 2
c o-~ ~506~
E/ect~icQ/ Inspection Certificate
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 2866642
Date: 4/5/2000
Issued to; Bataglia
Street: 2545 Henry Ln
Viflage: Feconic
Section: Block:
Introduced by: Smith Electric
Application No.: 41761
Zip: 91358 Tawn: Southhoid
Lot:
Lic.# 4376-E
war exomixd and fotmd to Ge in camp/ionce with the Nofiona/ E/ecfrica/ Codi
^ Attic ^1st Floor ^ O/S Resident?al ^ Pool ^ Det: Garage
^ Basement O 2nd Floor ^ O/S Commercial ^ Hot Tub ^.NV Defects
Switches Receptacles Fixtures GFI Heaters A/C Fans
8 6 12 2 1
Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal
Furnace Oil Gas Circulator
Meter Amps Phase Motors Telephone
1
Smoke Detector
1
Television
Bell Transformer
Carbon Monoxide
Other Equipment:
1 cab/e/1 jacuzz%
Kugo $! Surdi
President
Building Permit No. This certificate must not be altered In arty manner
Inspectors may be identifed by their credentials
Town Hall, 53095 Main Road
P.O_Box 1179
Southold, New York 11971-0959
~~o~~gUFFO~,(-coG
o s~
h z
rY •
1 'iy BUILDING DEPARTMENT
11 TOWN OF 50UTHOLD
'k25
_ I
'i ~
__~ - CERTIFICATION
Fax (631) 765-9502
Telephone (631) 765-1802
Date:_ ! 6 ~
Building Permit No. ~ ~,+~ SD- Z /~,~ j~-~ Ldp ~ • 1
Owner:
(Please print)
~- _
Plumber: I Ic(,F,4iL D I ~~n ~!i'-ND /~vv>7a3iti6 < ~~7iti~-
(Please print) ~- ~ Y
I certify that the solder used in the water supply s}~stem contains less than 2/10 of 1
lead.
- ~~. --J~
(Plumbers Si me)
Sworn to before_me this ~-~~~~~ 1a,.x~~ .pica...-~ ~ ,~? $~/_~.,.~ P
day of _-t ~1~..ti<.,.k 1 20 0 $
Notary Public, Sw~~<11t~ _ _County
JOSEPH A. MIDDLETON
Notary Public, State of New York
LIC # O1MI6071890
Qualified in Suffolk County
Expires March 25, 20 t_
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 N0. 26150 Z
Permission is hereby granted to:
Date NOVEMBER 12, 1999
ANGELA M BATTAGLIA
61-20 71ST AVE APT J-6A
GLENDALE,NY 11385
for
ALTERATION TO AN EXISTING ONE FAMILY DWELLING TO CODE AS APPLIED
at premises located at 2545 HENRY'S LA PECONIC
County Tax Map No. 473889 Section 074 Block 0001 Lot No. 044.004
pursuant to application dated NOVEMBER 5 1999 and approved by the
Building Inspector.
Fee $ 75.00
t~...1~
Author'ze Signature
ORIGINAL
Rev. 2/19/98
~~
765.1802
BUILDING DEPT.
1 NSPECTION
[ ] FOUNDATION iST
[ ] FOUNDATION 2ND
( ] FRAMING
[ ]ROUGH PLBG.
[ ]] INSyLAT10N
[ F/INAL
DATE ~ C ~ ~ INSPECTOR
[ ] FIREPLACE & CHIMNEY
~ ~ / Sr~-~
~6s-iso2
BUILDING DEPT.
I NS~ECTION
[ ] FOUNDATION 1ST
[ ]ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] 1 ULATION
[ FINAL
DATE ~ INSPECTOR
[ ] FIREPLACE & CHIMNEY
~~
765-if02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE A CHIMNEY
[ ]ROUGH PLBG.
[ ]INSULATION
[ ]FINAL
DATE ~"3 v-~ INSPECTOR
~~
a~~5~~
765-1802
BUILDING DEPT.
I NS~ECTION
[ ] FOUNDATION iST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE,~~ C~HIMN//EY ,~
REMARKS: _ 17 Y~ /<L-~"/~
~iIJL/1 /-A ~ . 7'1~1~ C/ L~ ..
c
DATE ~ INSPECTOR ~-E
~ ~ ~S~ ~; ~d ~ z
`~~~
- ._ C
ass-iso2
BUILDING DEPT.
INS~EC7`ION
[ ] FOUNDATION iST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ j FIREPLACE & CHIMNEY
[SRO PLBG.
[ INSULATION
[ ]FINAL
REMARKS:
-~ --~ , -
- --
._.c..__ Grf
DATE ~ ~1/ INSPECTOR '
~~ ~ ~ -~--
T65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ ] F NDATION 2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
L
DATE l l INSPECTOR
[ ] FIREPLACE & CHIMNEY
~, f..
n}
/-
•
,~~,~ TOWN OF SOUTHOLD PROPERTY
R~ORD CARD
•
._ G1- 3
'
~ STREET ~~~ C.f~G VILLAGE DIST. SUB. LOT 3
;. 7 /
ER I l ~ N E AC 9`
,~"/ m ,Q~h?RC(cill~~ ~U{
~' R 5 W TYPE OF BUILDING
RE5.te~: ~O SEAS. VL.~ 3~ ; FARM COMM. CB. MICS. Mkt. Value
'^bi~it~M > rt IMP. TOTAL DATE REMARKS ~ .
y
'`~
S"e-co ~ 70a
/~00
loo ~ ~ 7
// -8 - S,Z
~/s/ Sys 3a o~~t~,r J~,~-G~ _ ,~~ ~,~A~a/!~ - U ~R e~yti
b ~ ~1. Sole ~ i o _ n D,v~ ~ , G/,s~ e - i - - r . So /~ /A~r
~3e ~3 B e »+%T'~23 ~ ~ c%/e//x &,C~S~a aQ~
--~ ~
.
~~ ~ ~o
'I o iv 1~11,~ ~lo.ooo was
l.. Ivsroz z$ ~ I ~ ~ r ~ ~ o
„~*~~. 31 I_ R~7-_LI ~g75A^73-Solle~ ~ ~Q¢(-aq(IC~ ~#av~o ~173c~
Tillable - FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
M~d~~d DEPTH
House Plot' BULKHEAD
Total
Uo
.,. .. TT..,~. _...,..,.~ . _ .
/~
\_~
- ~~ i
~~~I
COLOR ' /t~la to
\~
~° F,4~
/i
TRIM ~F'~wn
~;; ~ ~ -
--
-
-
j - - -
- -
R ~ ^~ Yy.
-
-
-
-
4:
A~'. ~
,
ll'I
~
i
i '
3
~ ~~ .. -
~
4. h~i' Y
~ ~ .. i l
+ So /
Exter~5jgtS
h' =~ 33
~r a- -3 ~
i
E
t
on
x
ens
Extension
Foundation ~~ ~' Both ,j ji Dinette
Porch ~~,~,;/_ /yam (6; ,~~ /G~~ Basement (~v~/ Floors ~2K K.
Porch `Y ~a X uv, S~~ 6 Ext. Walls / 2X ~~/ Interior Finish .S Q LR.
Breezeway Fire Place Heat ~j, l.~ ~ DR.
Garage /a X a,2 _ ~ ~ - ~ ?3 33p ~ Type Roof Rooms 1st Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
O, B. Dormer ~ Driveway
Total S ~ 3 s
FORH N0.
TOWN OF SOUTHOLD
BUILDIiiC3 DR1~~'MENT
TOWN HALL
SOUTNOLD, N.Y. 11971
TEL: 765-1802
BOABD OF HEALTB ...............
3 SETS OF PLANS ...............
SURYBY .•..•.-•.~....~.........
CHBLwR .........................
SEPTIC FORN ...................
NOTIFY:
CALL ..................
Emaired .................. 19....
Appmved......~l~!Z....., 19.c.1.1
Petmit No. .~~~.~J.~.~-~.
MAIL TO :....................
Disapproved a/c ..................................
..................................... .. r.........
---- - _ .-
r- ..........~ ....
'~ APPLICATION FOR ILDING PERMIT
--~ Date .................19....
~- ,
~~ - _,_ s_.__v~=-~ INSTRUCTIONS
a. This application oust be mq~letely filled in by typewriter or in ink std subnitted to the Building Inspector v
3 sets of plena, aca¢ate plot plan m scale. Pee according to stele.
b. Plot plan sbwing location of lot aid of buildings on prmdsea, relationship to adjoining premiaea or public
streets or azeas, acd giving a detailed description of layout of property mist be drawn an the diagram Whtch is Par[ of
this application.
c. Tne work covered by this application may tat be eamenced before issuance of Building Permit.
d. Upon approval of Chia application, the Building Inspector trill issue a Building Permit to the applicant. Such
permit shall be.kept m the pcaaises available for inspection throughout the Work.
e. No building shall be acapied or used in Wlwle or is part for arry purpose Whatever rmtil a Certificate of
~P~S' shall have been granted by the Building Inspector.
APPLICATION IS BE[ZEflY IY+TL m the Building Depazurent for the isauence of a Building Permit pursuant to the
Building Zone Ordinarra of the Town of Southold, Suffolk County, New York, and other. applicable Laws, Ordinarrxs or
Regulations, for the construction of buildings, additions or alterations, or for raroval or demolition, as herein
described. 'Die appli~rt agrees to cmQly with all applicable laws, ordi e, build , housing ~. and
regulations, and to adnit authorized inspectors on pr~isea mid in bur ing for nece nsWplection~~~s~~,,//,,((~~
(Signature of applicant, W ~!1r~''!~:'.:.•d..••••••••••
nave, if a corporation)
HenrX' s. Lane
......................
(Mailing address of applicmit)
State Whether applicant is caner, lessee, agent, azchitect, engineer, gereral contractor, electrician, plusfier or builder
. ......................................................
...............AxCh1.~EGt..~~C....1~, kV ~Q ~P;HH~~JM......
Name of owrer of r~isea Angel? .$3~.~~9~.7.1 ..........................:................................
p .....
(as m the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(time and title of corporate officer)
Builders License No . .........................
Plu~ers License No . .........................
Electricians Liceoae No . .....................
Other Trade's License No . ....................
I. 'Incation of lard m Whid~ proposed Work will be dore ..............................................................
~S'I 5 ..... HenrY.. s..Lane ...................................................>?~.GP.D7.C..........................
Home Nuaber Street d haslet
County Tax Map No. 1000 sectim ...~.~:[....... Block...... ~1....... Ivt . 4.9::4:.......
Sddivisim ...................................... Files Map No. ............... lot ...............
(Name)
2. State eristing use and ocapaocy of pr®isea and iptended use std octupmKy of proposed constnrtion:
a. Existing use and oc~y ...,Sin91~. F:~i2~.).Y..Rs~$a.dot?re .......................................
b. Intended use and ocurparxy Single Family Residence A~~~"~j~~
............................................ . ..........................
~. M+ture of wrk ld~eck rA:id~ applicable): Nov Building ....,..... Addition X ... Alteration ......-,.
Ile it Reooval Ikernlition other Work beck
pa ............ ............. ............ ..... ......................r.....
(Description) '
4. Cstirnated Cost .........~ ~ r Q Q ~....... fee ..............................................
(to be paid on filing this application)
5. if duelling, rwber of dwelling rmits ..... ~...... lknirer of duelling rmita on earn floor ,N/A
If garage, rrurber of care ...:..................................
6. If busiresa, camercial or mixed occupancy, specify nature and extent of earn type of use ......................
7. Dimensions of existing structures, if airy: Front..`)~~a4....... Rear ..4`~~.:4~~.... Depth .30'_.5°_.._.,_
height ......................... tludrer of S[oriea ... 2 ..........
Dimensions of same atmcture with alterations or additions: P4mrt 49 t 1 1 " 49' -11 "
...... Rear ...............
Depth .................... height .................... Nurirer of Stories ...............
8. Dimensions of entire new coostmction: PYont ... 1.6' -0" Rear 1 6' -0" ~ ~ 22' -0"
Deck 16t-ptr..... ........... p 5r_.6,,......
1@ight ......................... Nrdrer of Stories .... ~................
9. Size of lot: Pram ... _ ~ fo"I.'1 ~....... Rear ... i (v8:0"7........ Depth ..244 : S$
10. (late of Plrrclrase ..................... Name of pormer Ourer ........................................
II. Zara or use die[rict in which ptrirriaes are situated ..............................................................
12. Dues proposed construction violate arty zoning law, ordinance or regulation: ....... A1G1 .............
13. Will ]ot be regraded ...Nn .............. Will excess fill be rmwed from premises: -•YES ND
14. Nanea of Ourrer of premises .............:............. Address 11eA~y.'.s..Lane............ Phone No. (.51fg1........
Nare of Arclritect .P.:i.~:~~l.Mdl4lP~.na ............... Address 97-77..(~ueens,.BLVd..... Pig ~71y~~~:~g13
Name of Contractor ................................... Address ...............................Mare No. .............
I5. Is Hris property within 300 feet of a tidal wetland? * YES .......... ND ..........
*IF YES, 90U11[HD 'IOldi TRUSIFE,S FERM['E MAY l~ R17¢1IRED.
PLOT DIAGRAM
locate clearly arcl distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
frvs property lines. Give street and block nnlrer or description according to deed, and elrow street names and indicate
whether interior or comer lot.
SfA'IE OR N3.1 YURK,
gamely ~ ,,,,,.,Suffolk
,,,,,,,,,,,,,,,, David, Mammi na.....................,being duly swnr, deposes arxl says that he is the applicant
(Name of individual signing curtract)
above Hared,
Ile is the
(Contractor, argent, corporate officer, etc.)
of said owner or carers, and is duly autirorized Co perform or have perforred the said work acrd to peke auxl Eile llria
applicatior; that all staterents curtained in Ibis application are true Co U:e beat of his knowledge aril belief; and
that 1}re work will be performed in tire rrernier set forth in tare application filed thexewith.
Sworn to before ne this ,, / c
.................day of .{Y O VQ ni~g{..19..L ~...
Notary Public ..~.,~.,
. .... ... . . ..... .. .........
( Tgnature of Applrcant)
Notary Gubl c~ StateEof New York
9uali fi Nq in Su~ Ik CounTy
Commission Expires Nov. 18, 199
NOV 09 '99 02~35PM SOIJTH4LD TOWN HALL 516 765 1823
STATE OF NEW YORK )
ss.:
COUNTY OF )
David Mammina ,being duly sworn, deposes and says:
That deponent is over the age of 18 years, and resides at
97-77 Queens Boulevard
That On the 9 day of November , 1999, deponent, being the
P.2
architect/engineer, licensed by the State of New York, hereby states thats/he
accepts full responsibility for the accompanying plans compliance with the New
York State Fire Prevention and Building Co 9 NYC R).
/L~- n
Archite~
$ to before me this
y of y,:.?~~ 1?.,9h, _ 1999.
rQa+-
ry Public
EILEEN M. SPELLMAN
Notary Pu61ic, State of New York
No. O1SP4776095
Qualified in Queens County
Commisswr; Ezpi~es Septerwer 30.2000
ee: applicant
M1
I•. '
`f .,
't
a
~`;
~~
C~ .
~ -
7. ~ ~5 ~F'
~~:'-~ .
)^~Q
A
~„
. ~~
s
~~
NEALTN,DEPARTMENT-DATA.FOR APPRO~MI. TQ CONSTRUCT
~N. MLAR[fT IfA1Q. MIN YI. ~ N fOYlltt Df ffATEN. NIIY1tt X /OLLIC _
'N.fUff 0!'0.0. TAK DMT.fp012fLCT10N OT4 LLOCR cI LOT Gd.l
•NTNLIIL- ARLNO. bfLL~NMtfYITNIN 100 ff[T 0I TWf MOP[RTY
OTNLR ;THAN TNOfL tNO1fN N[R[ON.
M i'N[ fMT[R fVMIY ANp 1LYIN[ WffOfAL fTLT[M /011 7Mq ROID[MCE
WN.4 CONfONN )D 1NL fT1NMIlOf 0/ TNL fU/f0.K CWWTT Dt-ARTN[MT '
0/ NfALTN tEKVIt[f.
AR6ICANT.
Y~N.~_.
ttl.
r`.`_ NQTE't' /~.>, AMNUMENT FO(/NO STAKE FOUND
~, `SUED/V/S/ON MAP' F/LED /N THE OFF/CE OF THE CLERK
OF SGF'~K'CO//MY'ON SEPT. 29, /977A5 f/LE N0.6607
4~~ M~1R_I+fCANEllfl.r[r.LIMO,fMflCTANKIfTI{Y[fY00LfIV1fNOMN NLIIEON
4, ARL RIOM,/ILFD.O~iLR111T10Nt.A11D p110Ad MiMN(D IRON OTNERf
4
~a,
.~ 5~p~`
d~J'
t~Jn
SURVEY FOR
V/TO LOPL'Z Q ANGELA M. BATTAGL/A
LOT NO. 3 ~~ PECON/C KNOLLS •"
AT PECON/C DATE: NOV. /B, /997
iowN of souT,voco scALE: / •• 50 •
SUFFOLK COUNTY, NEW YORK NO. 97-0750
R UWYTNOIIK LD. ALT[RATION OR ADDITION m 7NIf CERT/F/ O TO:
NEf1YYORK fTATIL LWCAT~ON LAN M 7200 Of TN[ y/TO LOPEZ
Meorles Q TNIf fO11Ytr NOi ftARWf TN[ IAMD ANGELA MBATTAGL/A
fuRVEgRf INKED ftA4 OR [NfOff[O fEAI EMAIL R/OGEW000 SAVINGS BANK
MOT LL CONfID[R[D TO LLAyAL10 TRUE COPT F/OEL /TY NAT/OAWL TITLE INSURANCE
MWMANTEtf W0 0 M(MON fIMLL RYNOMLY 7D COMPANY OF NEW YORK
THE fGIfON fOR WMOM THE fO1NEY q PREPAR[D
Mf1160N, AND TO THE AfflfN[[f Of TN[ LENOINt
W[TIYUTIOM. 6UA11ANTLd ARE NOT TRANffNTAflf
TO AODITONAL WfTITYTNWf pR fULf[
OMNERf
N DIfTANCLf fNOfiN MERLON FROM fROPERTT UNEf ~/~/J '
TO [KItTWf fTRUCTYRLf ML fM A fPLClflt 7GV ~~~/
-IM POf[ AND ARE MOT TO EE Uf[0 70 [fTALLUN
-RO/ERTY LINE[ OR fQR iNf EIIECTION OF fENtEf
.f
YOUNG ~ YOUNG ~RFE~AD~,NEW YORK
ALOEN W.YDUNG,PROFESSIONAL ENGINEER
ANp LAND SURVEYOR N.Y.S. LICENSE N0.12B45
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S.LICENSE N0.~3GG3
< z:.eRATipip';afsONb,.Wd:-tflf ...
~~ . `?. ~ ~