HomeMy WebLinkAbout33907-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33140
Date: 07/08/08
THIS CERTIFIES that the buildlIIg ACCESSORY GARAGE
Location of Property: 1295 YOUNGS RD ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 18 Block 1 Lot 2
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 15, 2008 pursuant to which
Building Permit No. 33907-Z dated MAY 15, 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 NON HABITABLE ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED
The certificate is issued to EDWARD & ANDREA ESPOSITO
(OWNER)
of the aforesaid building.
SIIFFOLR CODNTY DEPARTMENT OF HEALTH APPROVAI,
ELECTRICAL CERTIFICATE NO. 2008299 06/09/08
PLL1lBSRS CERTIFICATION DATBD N/A
A on ed Si nature
Rev. 1/81
i~,
Form No.6 y ,----,- - -
TOWN OF SOUTHOLD ~ 1 `
BUILDING DEPARTMENT
Town xALL !UL Z ~
~6s-ISOZ '
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. Swom 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 similaz buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Plamring Board Approval of completed site plan requirements.
B. P'or existing buildings (prior to April 9, 19s7) 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, die Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
l . 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 p/
Date. ~ I7/~ 0
it
New Construction: ~ S ~^Old or Pre-existing Building: (check one)
Location of Property: _ _ ~ ZQ 5 ~ Q (,~ Vl~.l ~ ~ pI O ((~ ~ ~ 1~1~ f ' 9 S-7
House No. ~ Street, i ~ ~ ~ Hamlet
Owner or Owners of Property: ~~,1~0.~C~ ~y~O~ C~~ ~ ~C ~ ' "
Suffolk County Tax Map No 1000, Section ~ ~ b Block 0 ~~ ~ Lot ~ ~ Z.
Subdivision Filed Map. ~ Lot:
Permit No. -3'~9~~ ~ Date ofPenniL~ ~~ ~~ Applicant / ~Ya~-f"tQ f
r
Health Dept. Approval: Underwriters Approval: yw6~y7~s , ~-/~~
Planning Board Approval:
Request for: Temporary Certificate _ Final Certificate: (check one)
Fee Submitted: $ ~`~ ~ C~
l ~ ~t
~~~~ ('/~3 \ ~ ~-~P Applicant Signature
~,~e ~ ~Ys f'Si
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. 33907 Z
Date MAY 15, 2008
Permission is hereby granted to:
for
EDWARD & ANDREA ESPOSITO
1295 YOUNGS RD
ORIENT,NY 11957
CONSTRUCTION OF A NON-HABITABLE ACCESSORY GARAGE IN THE REQUIRED
REAR YARD AS APPLIED FOR.REPLACES EXPIRED BP # 30082
at premises located at
~~r~o vnrrnrna nn
ORIENT
County Tax Map No. 473889 Section 018 Block 0001 Lot No. 002
pursuant to application dated MAY 15, 2008 and approved by the
Building Inspector to expire < -"- _-- "- ----
Fee $ 395.00
ORIGINAL
Rev. 5/8/02
x
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. 30082 Z Date FEBRUARY 12, 2004
Permission is hereby granted to:
EDWARD & ANDREA ESPOSITO
50 CROYDEN LA
HICKSVILLE,NY 11801
for
CONSTRUCTION OF A NON-HABITABLE ACCESSORY GARAGE IN THE REQUIRED
REAR YARD AS APPLIED FOR
at premises located at 1295 YOUNGS RD ORIENT
County Tax Map No. 473889 Section 018 Block 0001 Lot No. 002
pursuant to application dated FEBRUARY 12, 2004 and approved by the
Building Inspector to expire on AUGUST 12, 2005.
Fee $ 395.00
i
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL EB ~ O
BUILDING PERMIT APPLICATION CKLIST
Do you have or need [he followin ~ ore applying'?
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/ PERMIT NO. ,3~~~~
Disapproved
Expiration
20
20~
Board of Health
3 sets of Building Plans_
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
x- Phon~(o7/) 323-CJ/ ~6
c e %/C9iYl 9a6- 7t s'8
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date , 20
a.,This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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, anN 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 pemut shall expire if the work authorized has not commenced within 12 months afrer the date of
issuance or has not been completed within 18 months from such date. Tf ~o 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 pernit'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.
~,~'[ ~O!LOs7
(signature o ap cant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As oii 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
House Number
Hamlet
/~'s
~y 1,....~ ~ -
County Tax Map No. 1000 Section ~ p Block ! L/tY~+'
Subdivision Filed Map No. 4'a .iy, - -
(N~e) , , . ... ,
proposed work will be done:
2. State existing use and occupancy of premises and intended usg and, occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and
d'
3. Nature of work (check which applicable): New Building~Addition Alteration
Repair Removal Demolition Other Work
o.. (Description)
4. Estimated Cost aY07/I/ ~ Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front Rear Depth
Height/Q,, r 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 Rear Depth
Height Number of Stories
9. Size of lot: 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_
14. Names of Owner of
No.
Name of Architect ~~~., 5'~~dw Address Phone No_
Name of Contractor.~i be de 7P~.~..~o/ Address Phone No.
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~REQUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES NO
* IF YES, D.E.C. PERMITS MAYBE 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 I 0 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
CG7ld cc >.( ~S'n, O S ~ ~ being duly sworn, deposes and says that (s)he is the applicant
Name of individual signi g contract) above named,
(S)He is the
(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.
Sworgto before met ' `_
_~Q day of~2EXOG(~ 20~_
Notary Public
B NIEI.DONl1S10
Notary Publk, State Of NeurMNt
No. 01006095328, Suffolk Comb
Term EapiresJuy 7, 20~
_a~~~~
Signature of plicant
3~~ ~~
TOWN OF SOUTFIOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN ATION
[ ]FRAMING /STRAPPING [ FINAL
[ ]FIREPLACE & CHIMNEY
[ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT
REMARKS:
[ ]FIRE RESISTANT PENETRATION
DATE f~_/ ~-7 l ~ ~ INSPECTOR
3~~~-~--
TOWN OF SOUTFIOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING /STRAPPING
[ ]FIREPLACE 8~ CHIMNEY
[ ]ROUGH PLBG.
[ ]] NATION
[ FINAL
[ ]FIRE SAFETY INSPECTION
( ~ FIRE RESISTANT COy$TRUCTION [ ]FIRE RESISTANT PENETRATION
REMARKS:
DATE ~ ~ INSPECTOR
~ ~Y~
765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ]ROUGH PLBG.
[ ] IN CATION
[ FINAL
[ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION
REMARKS:
DATE ~ INSPECTOR
~~~z~
765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ] ROU LBG.
[ ]FOUNDATION 2ND INSULATION
[ ]FRAMING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
REMARKS:
/O ~ c/~
DATE
_f'~ a
INSPECTOR
~~~~
765.1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUND iON 1ST [ ]ROUGH PLBG.
[ ] F NDATION 2ND [ ]INSULATION
[ FRAMING [ ]FINAL
[ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION
REMARKS:
Dq~ ~ ~ INSPECTOR
3~~Z~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDAT 1ST [ ]ROUGH PLBG.
[ ] FO ATION 2ND [ ]INSULATION
[ RAMING [ ]FINAL
[ ]FIREPLACE HIMNEY [ ]FIRE SAFETY INSPECTI~ON~
/ L2i~-.
REMARKS:
~ ~~~ ~
~~~~
1
[/l
765.1802
BUILDING DEPT.
PECTION
1ST
FOUNDATION 2ND
[ ]FRAMING
[ ]ROUGH PLBG.
[ ]INSULATION
[ ]FINAL
DATE ~~ i1~ `' ~' 1
[ ] FIREPLACIF-8~ CHIMNEY [ ]FIRE SAFETY INSPECTION
J
FIELD INSPECTION REPORT DATE COMMENTS
~ ~
FOUNDATION (1ST) R
// _ ~J ~'
~° /
`7J G~-~ 4/ ~ -- ,~ ..
j " a
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FOUNDATION (2ND) ~~
__ _
_ vo
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ROUGH FRAMING & ~-~_ -
~
PLUMBING y
- ~
~~
- x
Y
~
INSULATION PER N
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~
.
.
STATE ENERGY CODE --
_ y
~
.
~ ~~
FINAL
C~
.,
ADDITIONAL COMMENTS L~'
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
GLEN'S ELECTRIC OF L.I. INC EDWARD ESPOSITO r,~
PO BOX 1304 1295 YOUNGS AVE ~L'
JAMESPORT, NY 11947, ORIENT, NY 11957 ~J
Located at
1295 YOUNGS AVE ORIENT, NY 11957
Application Number: Certificate Number:
2008299 2008299
Section: Block: Lot: Building Permit: BDC:
0 ns11
Described as a Resideniiaf occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Detached Garage, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the lyth Day of Jaue, zoos.
Name
Service
Service Disconned:
Servicel Phase3w Service
Rating200Amperes
Wiring And Devices
FiMure
Fixture
Outlet
Outlet
Receptade
Receptade
Receptade
Switch
Rate Ratine CIrCUiiS Tvce
0 200 cb
5 0 Fluorescent
8 0 Incandescent
9 0 Gen, Purpose
11 0 FiMUre
1 0 20a Appliance
2 0 GFCI
4 0 Gen, Purpose
8 0 Gen, Purpose
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
t~-r-z
3c~g~.
WARREN A. SAMBACH, SR.
CONSULTING ENGINEERS ~ PLANNERS
7675 COX LANE ~ P.O. BOX 1033
CUTCHOGUE, NV 11935
6 31-(`??~ 73a-7as2
May 6 2004
~ f) Z~
Building Department
Town Of Southold
53095 Main Road
Southold NY 11971
Re" Ed. Esposito
1295 Youngs Avenue
Orient NY 11957
To 'rlhom it May Concern:
Fil•a No: 3409
Site observation reveals that strapping ties, ride beam ties
and hurricane clips were installed according to tha New Yor'.-
State Building Code.
Sincerely,
Warren A.Sambach Sr. P.E.
was:s
cc: Esposito
~ ;1: `-; ,
``
~ ~, ~ ~ _ ~~ ~ _ ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD ~, _ ,
OWNER STREET (a 9,S VILLAGE DIST. SUB. LOT
'FORMER O NER
ril n ~ C
~l
C~ ~
E~ ACR
ou .:: • ~C~
,~
f S ~
. ~ TYP OF BUILDING
e
tES.~ ~ SEAS. v' VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS -~ j~ D ~ ~ )
Y
{ '
~ (' ?'
AGE BUILDING CONDITION
NEW
NORMAL 0
BELOW ABOVE ~ ~ ~ 3 a ~ ~-~
FARM Acre Value Per
Acre Value ~ ~
~ ~ /
tillable 1 ~
.~' 1. i~
~~ ~
i'
tillable 2
tillable 3 - 2 a - rk sr ~ ~ooo ,
Noodland
swampland FRONTAGE ON WATER
~"
kushland FRONTAGE ON ROAD 0 ~~ e~ t?5 _ ~. ~~
louse Plot DEPTH ~
BULKHEAD
'ota I DOCK
i
i COLOR
L ~.. ::~r
~
TR6M
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M. Bldg. k, a L/ ~. ( Foundation `. B Bath ~ Dinette
-
Extension ~, t~J a 9 ~ _ _ k _
Basement /~U L ~ Floors K. /
Extension ~, ~~~ _ .~ ~ ~ ~ ti ( Ext. Walls /, , _ ;;~s,~ Interior Finish -~ LR. ~
Extension Fire Place . ~ .-}," Heat DR.
ype Roof s(;' f Rooms 1st Floor ~ BR. ~~
Porch F ~, _ z i ~ a ,~ ~, ecreation Room Rooms 2nd Floor ~ ~ FIN. B . ,~ r 1'~ '-- --
Porch ormer
Breezeway Driveway
Garage
Patio
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