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HomeMy WebLinkAbout33772-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33034 Date: 05/16/08 IBIS CERTIFIES that the building ADDITION LOCation of Property: 905 CEDARFIELDS DR GREENPORT (HOUSE NO.) (STREET) (HAMLET) CouIIty Tax Nap No. 473889 Sectioa 40 Block 5 Lot 1.18 Subdivision Filed Nap No. _.. _ Lot No. conforms substantially to the Application for Building Permit heretofore filed is this office dated MARCH 20, 2008 pursuant to which Building Permit No. 33772-Z dated MARCH 28, 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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to LETICIA A SANTANIELLO of the aforesaid building. (OWNER) SDFFOL& CODNTY DEPARTMSN'P OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLDNBERS CERTIFICATION DATBD N/A c A hori ed S gnature Rev. 1/81 Farm No, 6 TOVLN OF SOUTI30LD 1~UILDING DEPARTMENT TOWN HALL 765-1802 ~~) .1 v 7 ,J APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ ~ Tlus application must be filled in by typewriter or ink and submitted to the Building Departmen~~t with thefollowing~i~~~~ A. For new building or new use: L Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. rival Approval from Health Dept, of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. q. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Cotrunercial 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-conforndng uses, or buildings and "pre-existing" land uses: ] . 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 h~spector 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, Swiimning 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 CeniGcate of Occupancy - $50.00 5. 't'emporary Certificate of Occupancy -Residential $15.00, Cotmnercial $15.00 Date. -_._,_;r~ZOOQ New Consuuclion, Uld orPre-existing Building: / (check one) Location of Property: ~~~ _.___ ~q / ~L ~ltiS ,v /', ~/P>°vt~ D Y ~' House No // Street Hamlet Owner or Owners of Property. _. L. ZTI~C t ~ . ~ . SQ h~an/e(/O Suffolk County Tax Map No 1p000, Section / Q Block J`~ _ Lot r70 ~' ~~0 Subdivision __~C~r l~~C~~ riled Map. ~(p ~ ~1 Permit No ~~_ llate of Pcnnit 3 ~2~' OFD Applicant Le Ct t~ ~ , ~4 ~- ~.- n~nl2 ~O Health Depl. Approval _ Underwriters Approval: __ Plamting Board Approval. Request for. Temporary Ceriflcate Fee Submitted: $ `ZS . Gc7 ~ 33a3~- t~ c -l`i~.~ ~a Final Certificate: _ ~~ (check one) ~~ ~~q~rp~hcant Si ~atur I $S p l 1 RCo~~i~/y ~Y~1. S1-e S R~J~ tiu~d avy 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. 33772 Z Permission is hereby granted to: Date MARCH 28, 2008 LETICIA A SANTANIELLO 905 CEDARFIELDS DR GREENPORT,NY 11944 for CONSTRUCTION OF A FRONT PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 905 CEDARFIELDS DR GREENPORT County Tax Map No. 473889 Section 040 Block 0005 Lot No. 001.018 pursuant to application dated MARCH 20, 2008 and approved by the Building Inspector to expire on SEPTEMBER 28, 2009_ Fee $ 200.00 Authorized Signature Rev. 5/8/02 ORIGINAL ~3~~ v~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ FI AL [ ]FIREPLACE 8~ CNIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRllCT10N [ ]FIRE RESISTANT PENETRATION REMARKS: DATE ~ ~ Q P INSPECTOR ''"~ TOWN OF SOUTFIOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOU DATION 2ND [ ]INSULATION [ ING / PPING ]FINAL _.. [ ]FIREPLACE - [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT~NSfRUCT10N [~ ]FIRE RESISTANT PENETRATION REMARKS: 33 ~~z TOWN OF SOUTHOLD BUILDING DEPT. 765-1 S02 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION [ FRAMING TRAPPING [ ]FINAL [ ]FIREPLACE & EY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTAN/T C~ONSTRIJCI'I/OWN ,,[ ,~] FIRE RESISTANT PENETRATION REMARKS: '=" l~~ `~"~'1 , DATE ~ ~ ~ ®~ INSPECTOR 3 3 7~~ -~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 SPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY ( ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONS7RIlCTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE `~ / ` ~' ©o INSPECTOR FIELD L~~SPECTION REPORT DATE ~ COMMENTS p - `'., b ~-v ~ FOIT1`1DATION (1ST) ~-3 a 0 ~ ~ ~ FOUNDATION (2ND) ~ \ ~ ~`~~ l„ i ~I~ y ~ l ~~ ROUGH FRAMING & Ni13ING PI IJ _ -- . ~ ~ ~ , . . ~~ ~\ --- ~~ e Q -~---- - ' ' - LN~tJL.9 L10N PER N. Y . S"I~_4TF EYERGY CODE -__ y T! n \~ FINAL. ADDITIONAL COMMENTS ~\ O \ Z c ~ -- 1 ^. -_----- - __ n y C o z - ~ ~ _.. -~ x v TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. ,33 77a~i BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying 1 Board of Health Septic N.Y.S Examined b/ dY , 20f7g Approved ~~ , 20f7~ Disapproved a/c Expiration, 20~ Building Inspector 4 sets of Building Plans_ Planning Board approval Survey Flood Permit Storm-Water Assessment Form Contact: Mai] to: Phone: ~~ ~- V ~~U APPLICATION FOR BUILDING PERMIT Date ~ - a 7 , 20 0 8' 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. 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 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if~a-earprn-a- iio ~~1~-n.V.~n ~w~l~en.e.~~~C~ (Mailing addressaddress of~applicant) 1[Sol State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o uilder Name of owner of premises h Q. I l ~ t F} S F~-r,J'j~(-~ rJ I C LSO (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. 1. Location of land on which proposed work will be done: __~ec«-rtFle~Os ~r~tuf, ~i-ree,,.,pa>T House Number Street County Tax Map No. 1000 Section ~~ Block ~ Lot ~ • ~C~ Subdivision ~ -~ Cec~ov ~ [ •II,~cp6 Filed Map No. 5{S(o4 Lot 1 8' 2. State existing use and occupancy of premises and a. Existing use and occupancy S ~ n.e~L use and occupancy of proposed construction: b. Intended use and occupancy S ~ ti~(rr_ w., ' lu 1-~--arr.o 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work )`rowT ~I orc~ (Description) 4. Estimated Cost $ ~~ p00 Fee If dwelling, number of dwelling units / Number of dwelling units on each floor (To be paid on filing this application) If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~ i ~ ~ 7. Dimensions of existing structures, if any: Front ~jS . y Rear ,~, 3 Depth ,~ S" Height Number of Stories l `/Z Dimensions of same structure with alterations or additions: Front 3 ~ `~ Rear 3,f ; 3 , Depth 3 Z. Height Number of Stories I '~z s twc 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front ~ `i/.~ 1 Rear Depth o1 7S 10. Date of Purchase ZOD ~ Name of Former Owner ~ Z~ t--q-7-k-~ 11. Zone or use district in which premises are situated H ~ ~ 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 ~ 14. Names of Owner of premises 5~,,,T,g.,,,e.ll o Address Phone No. Name of Architect Address Phone No Name of Contractor i7.utidwn ~u.,~4,~ F/~ Address Phone No. (oat - 7~. 7-,$'dw 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 ~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O~{(~ ~~ c~4.ci.f o cJ~S (~ [ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ t-t c ~ CQ (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 before me thi ,~,pp day of QXI,Y/~ 20~ ~~~ SKI Not ublic NOTARY PUBLIC, State of NewYark No.01D04634870 Qualified in Suffolk County ~ T YomNSSion Expaes September 30!~ ~,o~k Town of Southold ,~ ~ Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM «bf ~ paoplaaTY LocnnoN: s.c.r.nt a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OPA STORM-WATER, ORADIN6 D O ~ OS CO P N Olstrlcr Section stock Lot CERTIFIED BY A DESIGN PROFES 10 . A NTH 6 _ n e nn Rem Number: (NOTE: A Check Mark (f) for each Question is Required for a Complete Application Yes No Will this Project Retain All Storm-Water Run-Off Genera(ed by a Two (2") Inch Rainfall on Sile? (This Item will include all run-off created by site clearing and/or consWctipn activities es well as all Sile - Improvements and the permanent creation of impervious surfaces.) 2 Does the Sile Plan and/or Survey Show All Proposed Drainage Structures Indicating Slze & Location? / This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowl - 3 Will lhls.Projecl Require any Land Filling, Grading or Excavation where there Is a change to the Natural ^ Existing Grade Involving more than 200 Cubic Yards o/ Material within any Parcel? - Q. WIII lhls Application Require land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? ^ - !j Is there a Natural Water Course Running through the Sile? 1/ Is Ihis Project within the Trustees jurisdiction or within One Hundred (tOD') feel of a Wetland or Beach? ^ - s Will there be Sile preparation on Gxisling Grade Slopes which Exceed Fifteen (15) feel of Vertical Rise to ^ One Hundred (100') of Hodzon(al Distance? - 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direq Storm-Water Run-Off ^ into and/or in the direction of a Town dghl-of-way? - $ Will Ihis Projec( Require the Placement of Material, Removal of Vegetation and/or the ConsWclion of ^ / any Item Within iho Town Rlghl-of-Way or Road Shoulder Area? - (This item will NOT include the Installation of Driveway Aprons.) / / 9 Will lhls Project Require Sile Preparation within the One Hundred (700) Year Floodplain of any Watercourse? ~ / NOTE: I! Any Answer to Questions One through Nine is Answered with a Check Mark In the Dox, aStorm-Water, Grading, Drainage 8 Erosion Control Plan is Required and Musl be Submitted for Review Prior to Issuance of Any building Permit! EXEMPTION: Yes No Doe s this project meet the minimum standards for classification as an Agdcui(ural Project? Not e: If You Answered Yes to this question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Required! STATE OF NGV~(r PORK, COUNT'F C)P Su-~u~1L _.... SS That [, pp -_.._TwSl:b..'~,.. !!?_.,s.LS LL.R~ L ~~.. .___ Leurg duly sworn, dcpose> and says' that he,/shc is die appt]can t Cor Permit, (tVame of mUlvldoal signiny nccu:nenq d A ~~~' n th at Le she is the IGwner, Cmrtrador, Agent, Cogro,ale OIGce,, etc.) Owner and/or represenlawe of dre l)wner of Orr~ncr's, and is duly authorized Lo perform or have performed the said work and to make and file this application; lhaL all statements contained in this applica~on are true Co Use best oC Ius knowledge and belief; and tlaat U,e work r+~II be performed in Ute manner sct forth in the application Gled here~n~lh. Srr~orn to before. me Ihlc ~, __............ clay ~L_,~YY~Cw.~-_.... _..... , 20~ Notary Public: .. . . ,... V. (SlgneWre of Applicant) FORM - 06107 NOTARYNti 01D048 4870ewront Oualitied in Suffolk County ,~]~ t Commission Expires September 30, l S v D (G RoR MAIN RSA DBE R~~A, NoRTN MID r~~t ~~4.49, m r' ~+ \ R ? ~° ~ ?9, p~ ' Z •_ ~ ~ .S 76° 31. Q ~ Sp~~ F ~ e ~ O U Q ~~ ?~ 1 -tea ~ s~ .SG,FN~C ~ /' e~F'~F / O O R Z ~ SS, AREA = 20,066 sq. ft. SURVEY OF LOT 18 `°T 19 SUBDIVISION OF CEDARFIELDS FILED JUNE 27, 1990 F/LE NO. 8988 A T GREENPOR T TOWN OF SOUTHOLD H. S. REF. NO. 90 - SO - 58 SUFFOLK COUNTY, N. Y. r~ ~ ~ - 4 ~ - ~5 - PLO Q ~ Prepared in accordance with the minimum ~~ ~ standards for tit/e eurv9ya as established Sca%e ~ = 30 by the L.LA.L.S. and tppra~ed and adopted July "' ~g90 for ouch use by The New York Stets Land ! Title Aasociat,on. July 27, 1990(found.loc.) Nov. 16, 1390 (final) °s. ~, ?~7g?~ 1 bl hl i tEP JNE i 2 / 9~- ,r 2 ~ ~ ~.y sroy~ `y" ~. STEPS ~ y 9'Vf as J h ~Ly~ n- 2- ~\ ry / 2~3' ry0' SrEr}'~ 4~, `C. ~ 'L ~ ~ ~V2 9 `v w /~ qm„ ~ tbp O s ~ ~ \ X22 ~fyq ~ i so . rw ~ ~Q ~`~ j ~ ° ,ph~ Q~ t~. S~oFwewr ~~ _ ~;, / / / . ~ ~ 7 e~ ~ F`.' / . ~ ~., NY: LIC. NO. 49818 ~. 2 PEGONI ~~Ug.V_E_YORS, P.C. N. Y. 11971 CERT/F/ED TO: JAMES C. KLE/N LORETTA KLE/N HARTFORD FUI~/NG, LTD., F/RST AMERICAN TITLE /NSURANCE COMPANY OF NEW YORK TITLE NO. 805 - S - 8882 ~ LOT 17 LOT 18 ti OC ~r71 /10