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Home My WebLink About32947-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33049 Date: OS/28/08 THIS CERTIFIES that the building ADDITION 11...-'5-0 Sl-\\l'iA\'2.l:) L..JJ Location of Property: Jl.1'" JJR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 38 Block 7 EAST MARION (HAMLET) Lot 10.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 2007 pursuant to which Building Permit No. 32947-Z dated APRIL 25, 2007 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 REAR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SALVATORE A & CYNTHIA L AGOSTA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMHNT OF HEALTH APPROVAL N/A N/A ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A ~ri~ Rev. 1/81 . . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 2 2 765-1802 'I J , , i APPLlCATlON FOR CERTIFICATE OF OCCUPANCY L_.____ ~, ) I .~ This applicalionl1lllst be filled in by typewriter or ink and submitted to the Building Department with the following A. For new building or new use: I. FlI1al 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 fonn). 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. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming nses, 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, Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy ofCerlificate of Occupancy - $.25 Updated Celtificate afOccupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, COlTunercial $15.00 2. 3 4. 5/ 2/ lor _ . Old or Pre-existing Building: (check one) 7'Yri v'o(, (1.25(5 S},.IAfRrri / AMP ~~'oYL House No Street Hamlet Owner or Owners of Propelty -~D[aJ:6 re-- ~~ f -1";+~ 'v.. ~ JdSYkl1 t.. -/.\-210 Jk. ~ Suffolk Coullty Tax Ivlop No 1000, Section ~L_..___ Block --.:J. Lot --J~L?..._. :::~::::~2'i 'i?-Z _ 0", :""m" 4/2.f5F:; :;;':,:::-f~nd'f; 'Z.1li~odk Health Dept. Approval _ ._~__. Undenvriters Approval: Date. New ConstlUction: Location of Property: r;;()~ Plalming Board Approval Request for Temporery Cel11flcate __ Pmal Certificate: ./ (check olle) Fee Submitted $ --.f)y~ 0 tJ Co -2 ?>?:>o Lf ~ o G '/1.f3~'4 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. 32947 Z Date APRIL 25, 2007 Permission is hereby granted to: AGOSTA PO BOX 747 EAST MARION,NY 11939 for : REAR DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 80 GUS DR EAST MARION County Tax Map No. 473889 Section 038 Block 0007 Lot No. 010.012 pursuant to application dated APRIL 24, 2007 and approved by the Building Inspector to expire on OCTOBER 25, 2008. Fee $ 200.00 ~ ORIGINAL Rev. 5/8/02 3?-1tf7 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING J><[ FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRAnON ~ DATE r-If-Il t INSPECTOR ~$IL .----' ---;!'~ '--~ - 32--?C;;}c -- -.- --------- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 SPECTION FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS. &/7jD r ,,,(,,;..ty. - . DATE .of-" (e 7 { INSPECTOR . . FIELD INSPECTION REPORT DATE COMMENTS "'"/.2.1, fn"1 (J;(::' fD JI. . ,.....~, ~<v>j uJ... . ul'"l / 1 I / <4' ;/ JJ~ FOUNDATION (1ST) - , / .....;:...=1 --J"" ------------------------------------ , / t?~ IJI.//II FOUNDATION (2ND) GO r I'j , of 1/ K z 9 f; ~ GO 5-/1.(... ~X' F~,-~ ~~.,~ '1\'"' >:l- ) Gi ROUGH FRAMING & cVI (J (7,0 K d-'?J <;: '~ PLUMBING ~7 . If' '"' \ , C- . i\0 A' \ ' - - ~ / f . , t"' INSULATION PER K Y. I\!~ STATE ENERGY CODE /J/ / /J.- ~ c' I 'I it- ~ c' r <'- ~' __ -IlL Dl( - - G r~~{)KJ file _lJn ,~ ~//l .,-' 11"-' - ~ ~ FINAL . . ADDmONAL COMMENTS :L LC) . 0 V- '. -+ , ~ 0 -' ::"i z v~m. '), ;:tJ k-- < " ( + c-) A\' . . _. l'"l " a ;.< q.... ... - VI 1;' >-i 0 - . 0 . "\' z ::t -, I'j L-.::-- . t"' ---~ - .J-! - 0 I'j ... :3 PERMIT NO. 38-ct Lf ':f- ~ 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: TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502- www.northfork.net/SoutholdJ Approved Disapproved alc 1j;?--:~~~ Examined Mail 10: Expiration ,20_ Phone: ---- ~.2.4{ APPLICATION FOR BUILDING PERMIT Date ,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. 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C'JA. )n-PfC Name of owner of premises ~IIVr.4-h)'rf'~' r2ynJ.l1//~_ A~o~-h/\.. (As on tJie tax roll or latest ed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. \ 3 C)...la l - +\ Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: I "'_ House Number Street Eo Hamlet County Tax M~. No. 1000 Section .3 ~ SubdlVlslOn ~U rn Tn ,../ E s -tt'.A~ +~ ,c.. (Name) Block -=; Lot I () I I 2 Filed Map No. to -=) (oct Lot -::tt 0)(/ , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b. Intended use and occupancy Alteration f) F:C/<_ :f/ ~OO (Description) (To be paid on filing this application) Number of dwelling units on each floor 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work ,/ 4. Estimated Cost ~4JOOD Fee ~ If dwelling, number of dwelling units If garage, number of cars 6:-- Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ""Z Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth 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 oflotFront C) 00 ) Rear d ()() / Depth / ud I , 10. Date of Purchase II/DLj- Name of Former Owner &7 J 5;fY7/2 rfPCI/~-1- I -~ U II. Zone or use district in which premises are situated f'\-(' '5; 01.(' .kI-+iaL 12. Does proposed construction violate any zoning law, ordinance or, regulation? YES ~ NO --1 / 13. Will lot be re-graded? YES NO / Will excess fill be removed from premises? YES NO L Cv/0ffl/'t{ b Sa/val-ore. flao5 tzL. _ ~ 14. Names ofOwnerofC!:.emises . Add~els fV;x f4::t Phone No. 4--:;':;-(0<..100 Name of Architect dill &1VIr1 0 Address PhoneNodii;l':;ro(~' Qd.4<;3 Name of Contractor KI-J..~~jl (;r,lrI,~rYI1+h Address Phone No. '=;:; - a.. R 'T(fl 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO d- * 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) S: COUNTY 0 . being duly sworn, deposes and says that (s)he is the applicant (S)He is the ()Wy/--o f\ (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. C THIA M. MANWARING 11JTARY PUBLIC, STATE OF NEW VOFl" NO:01 MA61 00507 QUALIFIED IN SUFFOLK COUNT'( COMMISSION EXPIRES OCT. 20 ll5' -- -- ~~------- ----~I ~o - 3'6 - '{- IOJ2J TOWN OF SOUTH OLD PROPERTY RECORD CARD j"es-r fn - STREET 'go GUs, Dr ,& VILLAGE DIST. Ea<;.t '2- ACR. TYPE OF BLD. s('rO( Real LAND IMP. 2DO 200 \'Loo ~\O-O \ c90 ~~\l ~ 4}/8 05" BP# . ~~C7-D3\o ~~ ~ lQ .l\,)~ !f; _~oo ~ ("UlO"1' \ FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT L~___~ TOTAL --- / COLOR 1:C:~~,t:t~Jsl;~~mf&'ill"t;~PHijH"i_,";i~'- III -~ L 4\- ~ ~ ~~ I~ t~ I ,11 I r II" :2-' <w TRIM J [!:> v / , i:> 2 \ ~ _: -:. '. '," " \ e" \ ;1. ~ \_l,e 38.-7-10.12 9/06 , , I I ~-~!~R ~ Foundation ~ Fin. B. Bath .3 Dinette ;'0 ~ 3<0' 10~ ./ a 1<.1+ ~ \\"2. ~~ ~ COMBO ~ / Extension \4S~ 5\03 Basement L PARTIAL Floors Kit. {""X l~" 7--+0 SLAB Extension \1-~Q" 0 ~e, Ext. Walls --J,""'I' .5\..,,,",,,,, Interior Finish 9/t?- LR. 0/ \ J '/e~ U I ~~"'" , ?~~~~~n ,'O'i:>'o = ..I!'to '- , ;>0<0 22..0 "2- Fi re Place Heat 010.$. D.R. .; 2-\'{~1 ~ b~\ { -,- 1" '-l Patio Woodstove SR. 3 Porch 6\3Cc= tSo -8 nz .eo ~CI Dormer Baths I ;.. Deck Dock Fam. Rm. J A.C. 0 ~ l:JOD G"QV' ./ Garage 22 '( cS: ; '55<.) \~ Co~~ \...0.,,""4 j O.B. g'Z..7'1 ~ I '2c>O~ ~l j Pool '( 1st 2nd Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes 1 EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. Note: If you answered Yes to any ofthe above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required. ------------------------------------------------------------------- ACTIONSREOUIRING THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (J) for each question is required for complete application) 1. Will this project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site clearing andlor construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Yes No /g [d/ gL [;]1 bJ/ 8/ [;]1 [dl Note: If any answer to questions 'One through eight is answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permn. 2. Will this project 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? ------------------------------------------------------------------- 3. Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? STATEOFNEWY.ORK~ I K- CO TYOF fV ' ss That I, . . td Un Awh~g duly swam, deposes and says that he~ls the apphcant for Penrut, (Na e of mdlVldual 19mng Document) J.."I.: r.v And thatHe@iSthe ...........CtWfW\ ..................................................... .............................................. (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owner's, 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 belier; and that the work sill be performed in the mallier set forth in the apphcation filed herewith. 4. Is there a Natural Water course running through the site or is this project within One hundred (100) feet of wetlands or a beach? 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction ofa Town Right-of-Way? 7. Will this application require the placement of material, removal of vegetation andlor the .construction of any item within the Town Right-of-Way or road shoulder area? (This item does not include the installation of driveway aprons.) 8. Will there be site preparation within the one hundred (100) year floodplain of any watercourse? Swom to before ~ "~ ! ........c2L{f).:.._dftf~.....XtW1I ....... .....20()1- NotaryPubhc: "'LA1lL~..... TARY PUBLIC, ST NO:01 MA6 507 QUALIFIED IN SUFFOLK COUNTY. _ COMMIRSlON EXPIRI=R n~T ~n r\.:::r