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HomeMy WebLinkAbout34250-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33366 Date: 10/31/08 T~IS CERTIFIES that the building ACCESSORY Location of Property: 2085 SHIPYARD I2k (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 38 Block 1 subdivision Filed Map No. __ Lot No. __ EAST MARION Lot 23 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 22, 2008 pursuant to which Building Permit No. 34250-Z dated OCTOBER 22, 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 "AS BUILT" ACCESSORY CARPORT AS APPLIED FOR. The certificate is issued to RICHARD J ROSSETTI & SUSA/~ RACKETT (OWNER) of the aforesaid building. SI~FFOLKCOb~I"fDEPART~4ENT OF }~AL~"dAPPROV~%L EL~L-i~ICJkL C~RTIFICA~ NO. pLI~BERS CERTIFICATION DASD N/,~ N/A Rev. 1/81 TOWN OF SOUTHOLD *~ I~ I'~ ~ ~1 ~/ g i ' BUILD~G DEP~TMENT TOWN HALL APILICATION FOR (ERTIFK 4TE OF OCCUP~ y This application must be filled in by typewriter or ink and snbmitled to the Building Depamnent with the following: A. For new building or new use: Final su~ey of property with accurate location of all buik]ings, propc~%, lines, streets, and unusual natural or topographic features. 2. Final Approval kom Health Dept. of water supply and sewerage-disposal (S-9 3. Approval ofelect~Scal installation from Board ofFi~e Undemqqlers Sworn statement kom plumber ceaifying that the solder used in system contains less than 2/10 of 1% lead. 5. Conm~ercial building, industrial building, mulliple residences a~d similar buildings and installations, a ce~ificate of Code Compliance kom architect or enginec~ responsible f%r the building. 6 Submit Planmng Bond Approval of completed silo plan B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land rises: 1 Accmatesurveyofpmpe~%,showingallp ope , linc,sucels, huildingandutmsualnatnralortopographic features. 2 Aproperlycompletedapplicalionandconscm u,m pc~l:;iancd b5 t eapplicant lfaCellificateofOccupancvis denied the Buildinff Inspeclo~ shall slate Iht icax<,ux I[ie~el}~ ii1 wNting to the applicant. ' C. Fees I Ce~tificateofOccupanc} -New(we ?$ 51~,J x,d,htu-,n I,)d',,,dlin~$2q00>,&Iterationstodweiling$2500, Swinmaing pool $2500, Acc(ssoU' buihtilig $25¢u~. A&lili~n< to accessory building $2500, Businesses $50 00 2 Ceitit]cate of()CCUlganc5 on lhe-cxistin~ Iguihlilqn $1 (N 3. Copy of Certificateof'Occupancy $ 2~ 4 UpdatedCcltificateof()ccupa~x:y Sq00~ 5 l'empo~a~yCe~lificateof(>ccupam:y lhcsi<icnti:d% 4 N ¢?rmm~e~cialSi500 New Constm,ction: Location of Property: .'.'.~O ~ House No Oid ol Pre-¢xistu;~ ~ lildin~ ~ (check one) ~rcel Han~et Suf~blk C6unty Tax Map No 1000. Sco~;o,,~ o~?~ _ Lot Snbdix ~sion Filed Map Pelmit No '~ k[~ 0 Date of l'u,m~l. &pi>lie, ant: Health Depl Approval: _ Plalming Board Approval: Request for: Temporalw .emncate Fee Subnfitted: $ 0-....~- ~ t lndep,vriters &pprova[: _ kinal Certificate: ~ (check olle) Applicant Signatu7 ~/ ' 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. 34250 Z Date OCTOBER 22, 2008 Permission is hereby granted to: RICHARD J ROSSETTI PO BOX 391 EAST MARION,NY 11939 for : CONSTRUCT ACCESSORY CARPORT STRUCTURE "AS BUILT." ADDITIONAL CERTIFICATIONS MAY BE REQUIRED. THIS PERMIT REPLACES BP 32096. at premises located at 2085 SHIPYARD LA EAST MARION County Tax Map No. 473889 Section 038 Block 0001 Lot No. 023 pursuant to application dated OCTOBER 22, 2008 and approved by the Building Inspector to expire on APRIL Fee $ 150.00 / Au~ i ~ Siqnature ORIGINAL Rev. 5/8/02 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) PER~IT NO. 32096 Z Date JUNE 12, 2006 Permission is hereby granted to: RICHARD J ROSSETTI PO BOX 391 EAST MARION,NY 11939 for : CONSTRUCTION OF AN ACCESSORY (CARPORT) STRUCTURE AS BUILT ADDITIONAL CERTIFICATIONS MAY BE REQUIRED. at premises located at 2085 SHIPYARD IJt EAST MARION County Tax Map No. 473889 Section 038 Block 0001 Lot No. 023 pursuant to application dated MAY 10, 2006 and approved by the Building Inspector to expire on DECEMBER 12, 2007. Fee $ 150.00~ed!i~~ ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INS~UL'A~ON [ 'I' FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENL=TRATION DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRA2VII1NG & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ / Examined tS" /Z~, 20 Approved /~'2- :~, 20~ Disapproved a/c -/gt Expiration ,20 10 BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Forat N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date Nc~ i o ,20 oto 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, v ~/ ~,, /~ (M~ailing address of appllcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises P-.ic%o,O 3'. ~-.osse~ ~ 5ktsrx~ N, ~o.c.r.~rtt- (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. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block ~ i,~ ,' ;.,,,;~'~,,,[,~.. '-~ Filed Map No 3. Nature of work (check which applicable): New Building Repair Removal Demolition State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy c,[cw~ln~ea 'rz~¢ ~or~c' ~4~( k~x~/~e~'ac~c X,~,~r~ is~(xc~ b. Intended use and occupancy o,\~,~,~o~w,, '6o,~(~ect:' - ~:>f Iocfxk/,,Jekack~/\J'"~ Addition Other Work 4. Estimated Cost ~/¢, 5. If dwelling, number of dwelling units If garage, number of cars Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~q/f~ 7. Dimensions of existing structures, if any: Front ~O/~ ~<~ ~ .R.o~ _De4~l Numher'of Stories Dimensions of same structure with alterations or additions: Front t3//~ Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front N/la Height Number of Stories Rear .Depth 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__ t'd 13. Will lot be re-graded? YES NO__Will excess fill be removed from premises? YES NO M / A- 14. Names of Owner of premises -~X~ aC 0q24' Address Name of Architect Address Name of Contractor Address Phone No. Phone No 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 v~ * 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) SS: COUNTY OF ,~L~O ! ,5'~tSo~rl ~c4~hl--- ~$St'ht~ ot~d ~J~%' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) abo~ (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. 20 RECORD CARD /~/-~? /~M-,Y~'-t-~¢ TOWN OF SOUTHOLD PROPERTY OWNER STREET '-; "'~-- , VILLAGE LAND :AGE NEW Farm Tillable Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot SEAS. IMP. VL TOTAL Gzeo ~ ~/ DISTRICT SUB. ACREAGE TYPE OF BUILDING FARM COMM. ' [(IND. CB. [MISC. DATE REMARKS Est. Mkt. Value BUILDING CONDITION NOP, Cv~AL BELOW Acre Value Per Acre LOT Total M. Bldg. Extension Extension Extension I Breezeway Garage Foundation Ext. Walls Fire Place Patio Driveway Porch Porch Bath Floors Interior Finish Heat Roof Type Rooms Ist Floor Rooms 2nd Floor Dormer -I -t 50 DEEDS. ~T ,OWN OF [dOM SUFE CO. TAX h'IAPr I0,.,~)-" ...... i: 2, L:; E E i.d id. VA.,N T '"" ~""