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Home My WebLink About33691-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33016 Date: 05/02/08 THIS CERTIFIES that the building ALTERATION Location Of Property: 255 BROADWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 12 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 6, 2008 pursuant to which Building Permit No. 33691-Z dated FEBRUARY 14, 2008 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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CRAIG & ANNIE CANTELMO (OWNER) of the aforesaid building. SIIFPOLR CODNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N/A PI,DlBHRS CERTIFICATION DATED Authorized Signature Rev. 1/81 Form No, G TOWN OF SOUTHOLD L BUH,DING DEPARTMENT ~ ~"~" TOWN HALL ,-_- __ 765-1802 ,, . --- . _. ~._<_._. _--.~J APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must he 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 linos, streets, and unusual natural m' 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 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. (. Submit Planning Board Approval of completed site plan r<~yuirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or' buildings and "pre-existing" land uses: 1. Accurate survey of property showing al] 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; [he 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 [o 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 ofOccupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Corrunercial $15.0/0J Date. -/~~ ~~ New Constmction: Location of Property: 2~ ~ House No. Street Owner or Owners of Property: ~ ((ftti~tS~+ ~ /1~~. Suffolk County Tax Map No 1000, Section ~r7 Y Block Lot_o~ Subdivision _ Filed Map. _ Lot: Permit No. _ ~ ~ (~p~ ~ Date of Pennif Z~~ Applicant ~Gr, ~ ,Sc~~ Health Dept. Approval: Plamring Board Approval: Request for: Temporary Certificate •r(] Fee Submitted: $ ~S ~iOz~ 33d ((P ~c?~~ Old or Pre-existing Building: V (check one) Underwriters Approval: Final Certificate: _ / (check one) 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. 33691 Z Permission is hereby granted to: Date FEBRUARY 14, 2008 CRAIG & ANNIE CANTELMO 255 BROADWATERS RD CUTCHOGUE,NY 11935 for ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 255 BROADWATERS RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0012 Lot No. 007 pursuant to application dated FEBRUARY 8, 2008 and approved by the Building Inspector to expire on AUGUST 14, 2009. Fee $ 200.0 Rev. 5/8/02 ~~ ~.~ % Authorized Signature ORIGINAL TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying'? TOWN HALL Board ofHealth SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 S h ldT N hF k 3 3~ ~~ Survey out o own. ort or .net PERMIT NO. . 09 Check Septic Form N.Y.S.AE.C. Trustees Examined L , 20 Q~ Approved ~ 1 t Y , 2~0 Disapproved a/c~T~ Mail to: Mf},e,e .f'CHw~ /L % t @@ Phone://~ C Expiration V ( , 20~ (p 3~'3& .~- 7~ p 3 (~Y~ Building Inspector APPLICATION FOR BUILDING PERMIT Date O Z o ¢ O ~ , 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 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. £ 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 Southold, 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 regulati and to admit authorized inspectors on premises and in building for necessary inspections. i (Signature of applic t or name, if a corporation) ~~ /SoX 933 C~7Z f1~ ~~ (Mailing address of applicant) State whether applicant is owner, lesse ,agent, architect, gineer, general contractor, electrician, plumber or builder Name of owner of premises C (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 1` Other Trade's License No. 1. Location of land on which proposed work will 5 5 L'~/C~rrst-n w,I 7-~,,c „/~ i House Number Street Flood Permit Storm-Water Assessment Form Contact: 0 ~~/ % C f7`T/ ~i Hamlet County Tax Map No. 1000 Section ~ d ~ Block ~ Z Subdivision Filed Map No!~r w-.~ done: Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S~iV G L G Ff}~? / C y !Z F s r p G .y C E b. Intended use and occupancy S Nature of wor (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work KB~v w~NV.v~ sid..~.cr (Description) /C oo pz,~ 4. Estimated Cost 5. Fee (To be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. S~~ wc. ~N s Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories SGT Su~c~Ec~ 9. Size of lot: Front Re2r Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ ¢O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~ 13. Will lot be re-graded? YES_ NO~WiII excess fill be removed from premises? YES_ NO 14. Names of Owner ofpremises /'i o Address Phone No. 7~¢ - Z Z,j- ~ Name of Architect ~/I-iC~ c H~Is2 T'Z Address Phone No 7 ~ ¢ - ¢ / ~~ Name of Contractor Address Phone No. 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. 18. Are there any covenants and restrictions with respect to this property? *YES NO l/~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) n~1 S: COUNTY OdFJ~ ' I y ~~rt, ~ ~ ~/~7 (hJ14 /2 / 7/ being duly sworn, deposes and says that (s)he is the applicant (Name of individual sigping contract) above named, (S)He is the 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. metro yof 200 c~ ~• G-ZI,~-~~ f7A7iY`pCJgUC stab Of PNw YbIM No O'RA6119660 Corgi ~ ~. oir@S JuN SiD~•f 33~gl~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: Q~ -~, DATE ~' ~~ ~ ~ ~ INSPECTOR ~-._ 33~g1 ~- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [~ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~~ a~~ ~~~~,~7 ~-i7-~~ DATE INSPECTOR r / :~^=~~- ~3~~' I z TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION '[~ FRAMING STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT COPISTRUCTION [ ]FIRE RESISTANT PENETRATION Q~uwerc. DATE ~~~+~~ INSPECTOR ~ ~ " FIELD INSPECTION REPORT DATE COMMENTS ~`'' ~~' =:~ FOUNDATION (1ST) t'~~ a --------------------------------- yZ 1 ~ FOUNDATION (2ND) ' z o P yJ ~f~ 3-ao ~ 8 ,. ,; , ,., ~ ~ ~ ~ ~, ~: ROUGH FR~vIIlVG S ~ " PLUMBING (7 /' .~ --------- - ~-- --------- 7 - - -- 7 ~. y INSULATION PER N. Y. STATE ENERGY CODE r: ~ ( t ~'.~' ~ W -+-. g Q ~ ~ C FINAL / ~ -~ (, r ADDITIONAL COMMENTS ~' i >-- O i ~ n z m z _ `l fi - e y '~ O z ~r .~ x ;c b .~ ~; a°~ • ~ ,; „ _ , ~ ~,_ „ _ 7TOW~ OF SOUTHOLD PROPERTY .RECORD CARD r~ - OWNER STREET 2 VILLAGE DIST. SUB. LOT ~~9 y~ p ~ ~ D •~ a W s'f e rS od v~ ~(/ ~C It 0 t/ 2 !J ~i~ S~S'a4 t/ .~ ~Q t ar ¢ FORMER OWNER N E ACR.~ I ~, ~,:~~ ~!/ernc ,~~ `",.lf/ecK g y~ TYPE OF BUILDING :ES. i SEAS. ' VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL .DATE ~; , REMARKS / ~~ ~Z fa ~/ ~a r ~J~OIJ /'-~~'.E'v' ~~ ~ ~ `r; ~. ~d ;~ 4 a:3 ~ ? ~r~2 ' ,~ / e~.2 /.~// ~' ~'.f'.Z. ErTL'a~ e°s . va u = ~~, na,~ Jl~o•r,:: ~ 00 iO :> ,~d ~ 7 ~ C? /!d o ~ S~~•'' v .f'i7 62 ~~. ~~G~~ ~ ~ 7 a ~ ~p~va / d /T`o /~ ~ts v ~ w-T /~ Z!/S ~ZY )fl' ~u ,~a~ ~f,3 Soo Cr Crr. U ~r f(e wars ,~ ~PO doR y [ .~ y u U e3 t7-er~ ~ .S ~/ Y ~G T' p // ~/2 / ,f~,-PaL `~.~ o~ o-s-a v a GJa/~[ Y /° 7 // G' ]~ `~ ~K ~. Y- ~P w ZF,',:a v 3.s`n G ,i.:r %~ "" 5 rtrr,~s 5 Q.IIO, _~1 S- Y -b Cc at al 9a'~-.111 AGE '~ o / ~y /.1~e ~ BUILDING"CONDI 10 ~ ~ ~ 5 Ve 151 n c~'~OSPaI ~ ~9'S - L~eai~'C!e ~r ~- NEW NORMAL n BELOW ABOVE ~ -Llal `SeIiCCK~~a~•'~o ('arTt-~el~#~: 3/5,na~~ FARM Acre Value Per Acre Value Tillable 1 tillable 2 tillable 3 ~ Noodland iwampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD ~ ~? '~ o : ,-- ,r ~_ louse Plot ..o ~~ ~" ,.yr ~ DEPTH BULKHEAD <*';~ a, total I ~ DOCK ~,o~K Town of Southold ~ ~ Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM ~~or ~ pltopERiv t.ocniloN: s.c.T.m. a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN District Section slack Lot CERTIFIED SY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No ---------------------------------------------------- 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 Slte Plan and/or Survey Show All Proposed Drainage SWctures Indicating Size R Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlow! - 3 Will lhis.Pmject 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? - Q. Will this Application Require Land Disturbing Activities Encompassing an Area In Excess of Five Thousand (5,000) Square Feet of Ground Surface? - tj Is there a Natural Water Course Running through the Site? Is this Project within the Tmstees jurisdiction or within One Hundred (100') feel of a Wetland or Beach? - 6 Will there be Sile preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? - '7 Will Driveways, Parking Areas or other Impervious Surtaces be Sloped to Direct Stonn-Water Run-Off into and/or in the direction of a Town dght-of-way? ~~~yyy---~~~ - $ Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of In/ 1 any Item Within the Town Right-of-Way or Road Shoulder Area? W\J - (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, aStorm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be SubmiHed /or Review Prior to Issuance of Any Building Permit! EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this question, aStorm-Water, Grading, Drainage & Erosion Control Plan Is NOT Required! _ STATF, OF NEW YORK, (('~~' QQ OUNpTY OP . . ~1!a..1.J.~'~..... SS Thal I, ....~t~~~~....(~~. ~~/..`.~.~Zbcuig duly svotn, deposes ;uid says Urat he,/she is Use applicant for Permit, (Name of individual signing Dooumeni) //~~ // ~- And that hc,ishc. is the ............................... .....r.L...VL.~................. . _............................................................................. (Owner, Contract Agenae Olkcer, etc.( Owner and/or represcnlaUve oC Ure Owner of Owaicr's, and is duly auUiorized Lo pedonn or have perfonued the said work and to make and file this application; that all statements contained in this application are taste tp Ute best of his knowledge and belief; and U~at Ure work will be perfonued in Uie manner set forUi in Ute application filed herewdth. Sworn to before me this; ....................4~ ............dayof...~:~.n~A:..................,20~g ~,~n n ~ /, ~ , Notary Public.G......`.~ .......................................................... ..........'~Ll. `..::......................................... -w LINDA P _R (Signature o pli t) FORM - 06/07 ti f:orr.ItN.lorl I