HomeMy WebLinkAbout33070-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Tow~ Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33409
Date: 11/25/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 330 EAST RD
(HOUSE NO.)
County Tax ~ap No. 473889 Section 106
Subdivision Filed ~ap No. __
MATTITUCK
(STREET) (HAMLET)
Block 3 Lot 3
LOt No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 11, 2007 pursuant to which
Building Per,air No. 33070-Z dated MAY 23, 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 ACCESSORY IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
~e certificate is issued to JOANNE KARADENES & DIANE DICARLO
(OWNER)
of the aforesaid building.
SUFI~LKCOLR~i~fDEPAR~T OF }~2%LTH;kPPRO¥?~L N/A
ELRC'Iq{IC2%L C~RTIFICATH NO. 12025 05/14/96
PLIghtERS u~TIFICATION DATED N/A
rized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP
~is appli~tion must be fill~ in by t~ewriter or i~ ~d submitted to the Building Depaament wi~ the following:
A. For new building or new use: 1. Final su~ey of prope~y with accurate location of all buildings, prope~y lines, streets, and unusual natural or
topo~aphic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fo~).
-3. ~proval ofelectheal installation from Bo~d of Fire Unde~dters.
4. Sworn statement from plumber ce~ifying that the solder used in system contains less than 2/10 of 1% l~d.
5. Co~aereial building, indushial buildiug, multiple residences and similar buildings and installations, a ceaificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planing Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) nou-conformiag uses, or buildiugs aud .... ,,
pre-existing laud uses:
1. Accurate smx,ey of pmpe~%~ showing all prope~Xy lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect si~md by the applicant. Ifa Certificate of Ocmtpaacy
denied, the Building Inspecto~ shall state tim reasons therefor m whting to the apphcant
C. Fees
1. CeitificateofOccupancy_Newdwellmg$25.00, Addito stodwe ng$2500, AIterationstodweHing$25.00,
Swit~aing pool $25.00, Accessory building $25.00, Add ions to accesso~ build ~a $2500 Businesses $50 00
2. CetlificateofOccupancyonPre_existingBuildmg_ $10000 ~ '
3. Copy of Cm~ificate oCOccupancy - $.25
4 Updated Certificate of Occupancy - $50.00
5. Temporary Cel~ificate of Occupancy - Reside ltial $15 00, Connnercial $15.00
New Construction:
Location of PropelS. y:
House No. Street
Owner or Owners of Propel%~:
Suffolk C~unty Tax Map No 1000, Section ] ID(dP
Date._ ! ! --~ -C~
Old or Pre-existing Building: (check one)
Hamlet
Block
Subdivision
'~-"~D-~' ............................ Filed Map _ ............ f.ot: ..........
Pem~it No _~"~, CYTO_~__ ._ E)a(e nf Pel
Health Dept Approval:
Plaimmg Board Approval:
Request for: Temporal5, Certificate
Fee Submitted: $ ~ ~-.cD ~)
__ _ ~-\pplicant:
Under, vrtters Approval:
Final Cellificate: (check one)
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTON A VENUE
EAST PATCHOGUE, NEW YORK 11772
(516) 286-6642
5/t4./96
12025
APPLICATION No. ON ~
vtt, l~: MATTITUCK
$OUTHOLD
~ ;to: M2~ KARADENES
OUTSIDE,
1-20AMP SPEC.
SERF1CE CHANGE
BUILDING PERMtT No.
BLUE ORIOINAL YELLOW COPY PI]qK COPY OFFICE
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. 33070 Z Date MAY 23, 2007
Permission is hereby granted to:
PEARL KARADENES
1 HA/~OVER PLACE
ROCKVILLE CENTRE,NY 11570
for :
CONSTRUCT AN ACCESSORY IN-GROUND SWIMMING POOL & FENCE IN THE
REQUIRED REAR YARD AS APPLIED FOR THIS PERMIT REPLACES BP ~ 23284
at premises located at 330 EAST RD MATTITUCK
County Tax Map No. 473889 Section 106 Block 0003 Lot No. 003
pursuant to application dated MAY 11, 2007 and approved by the
Building Inspector to expire on NOVEMBER 23, 2008.
Fee S 150.00 ~~[
ORIGINAL
Rev. 5/8/02
N? 23284 Z
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HA1.[
SOUTHOLD, N.Y.
BUILDING PERMIT
[THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
......... Z.~.. Z~,~/....~../.,. ........ /.../..z~./ ......
.............
......
atpr~m,~s,ecatedo,....-~.~.~ ....... ..~....~.....~..~.. ..............................................
Counly Tax Map No. 1000 Section ...... Z~.~..,,, Block ......... ~ ...........LotNo ......~ ..................
pursuant to application dated ............... ~~...,.~.,..~.. ........ 1 g..'.'~.~. ..... and approved bythe
Building Inspector.
F-- ~..1~,,~,.....~.~
Rev. 6/30/80
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]I~ULATION
[ ]FRAMING / STRAPPING [~/]FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE REal,ANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:- /~'~/~-~-,~ C~//~-/ //~ ~/c
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING
FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: /~/0-~ I~~ .~ ~ .~x~
DATE
V lICI.ll IIl:~l)l~('k iUtt
F()flIIliA'I' I Oil (
I'-OtlIII)AT I 0/t
Iti)U(;ll FItA~IF. &
i'I,IIFIIT I
II~I~;III.A'rlOH I'F.R }'1. ¥.
.':;'1'^ '1'1r.
(.'01)1".
UA'i'I'~ (: (J( Il {1'~ II
Ii
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
BOAaD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CIIE£K ....................
SEPTIC FORH ..............
Approved~-/-~.~...~. ..... 19~?~.;ennit No.' ' '~" ' ' '~' ' '~' ~/~-~,c
Disapproved a/c ...................................
ilding Insp~
fLICATION FOR BUILDING PERMIT
INSTRUCTIONS
tlOll p¥ |
CALL ...................
MAIL TO:
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, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli*
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 necessa~ i,nsl~'figns. ~
~ -:13,'; ': .i
$-'~ ~ ' . .......................
~' 'i; ~ 'c'o'r~oration )
, (Mailin~,addr, ess of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general ciSntractor, electrician, plumber or builder.
............................ ............................................
Name of owner of premises ...?.~.~(~-..~ .... ...~..(~..~..'.Q..G4..."~.~. ......................................
(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 Lice iSa NO. '~."~, .~.. ~...~'~ .'~.
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done..O,0. O. g,,'U.~ .5..~.~..'~,.....C~..3~...~. ~c~S,.XT.. ~ ......
.... ............................... ....
House Number 530 Street Hamlet ....
County Tax Map No. lOOOSection fi..Of~. ~ q~v~'~ x"~c:3k .~
............ Block .... .~.'~. ......... Lot .~.~. ........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...(~--~5~k .~.Q. ,.~.~',. ~c~ ! .............. , ........ : ....... , ...................
b. lntended use and occupancy . .X'~C (?,.~.0~.~.'.~,. ~...tQ..~ ~
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work Yx, .............
+o,~5~\\ ~ r't--~*'~'[."lx i.c,Oc~f<_~,.~ev(~ ~q._-~,/,.Q\¢,Jo3~. 5,.-~\v~vvx~c~ ~c:~ (Description)
4. Estima~e~t%~st~.~.~7...~..°i..?.o..~..~ ..... .~...~(3.(3.O ....... Fee... X..~.. 9..~.~/ ..........................
(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 .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of S}ories ......................
8. Dimensions of entire new construction: Front....~..~.. \ ...... Rear... ~ ....... Depth . .~.'~.~.'7.~. '.
Height ............... Nu~nber of Stories .................................. . .[.q.(~.: ~.(~,~..........
9. Size of lot: Front ..... LO. 0 ............. 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 a~v zoning law, ordinance or remdation: .~.k4..O. ..........................
13. Will lot be regraded ...'~...(~Q ~ ......... i ....Will excess~fill be. removeA from premises:
14. Name o f Owner o f premis~ ~c2~ . ~qOq:~J~. Addres .s~O.... ~t~. p,.hone No. ~_?~.~. ~'~j .t~.
Name of Architect ..~O¢x.'.~%&,cqlg~q~r'~. .......... Address ~5.~ ~(-~,_ .kl>.~ ~c~. t~.O[hone No. ~.~.~ 7.'X.t~ .~,..~_..
Name of Contractor ! 1. \~. jC-.%.e.V. ~. .............Address ?X2)..-~ .~<..'~...c& ~..?~, Phone No. ~.~.~ha-~w .-F'~-'~.~/..
15. Is th±s property w±th±n 300 feet of a t±dal wetland? *¥e~?..~..~%,~..~o..)Fx,
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and~indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
A~°BROVED AS NOTED
NOTIFY BUILDiN~
ULLUWING INSPE~IONS:
1. ~UNDATION . ~O REQUIRED
FOR POURED CO~4CRETE
2 ROUGH . FRAMING & PLUMBING
3.
~- F~NAL CO~STRU~ION MUST
~E COMPL~E FOR C,O.
ALL CONSTRUCTION SHA~
THE REQUIREMENTS OF
STATE CONSTRU~ION & ~ERGY
CODES. N~ RESPONSIB~
DESIGN OR ~NSTRU~ON ~ROR~
UNOERWRIT£RS CERTIFICATE
RE(~UIR£D
STATE OF NEW YORK, ~ ~ ,~ ,,~ ,~
country OF ........
........... .~-0 (~.~. ~.. ~~ .... being duly sworn, deposes aad says that he is the applicant
(Name of individual signing contract)
above named.
He is the .............. ~ ~.~ ................................................................
(Contractor, agent, corporate officer, etc.)
of said owuer or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e ~d file this
application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the
work will be perfo~ed in the m~ner set forth in the application filed therewith.
Sworn to before me this
................,~~e. ~..dayof ..... ~.~~19~~ 0
Notaw Public,..x~.~O~u~:3 .......... County
No. 62-46, ~...
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
May 8th, 2007
Pearl Karadenes
1 Hanover Place
Rockville Centre, N.Y. 11570
RE: 330 East Rd.
SCTM: 106 3 3
2nd NOTICE
Dear Ms. Karadenes,
Please be advised that your Building Permit #22577 issued January 27th, 1995 and
Building Permit # 23284 issued March 7th, 1996 have expired According to the Code of
the Town of Southold; a Certificate of Occupancy must be issued prior to use of the
structure.
To renew your Building Permits, please submit a fee of 300.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDiNG DEPT.
BP# 22577- $150.00/PORCIt ADDITION
BP# 23284-$150.00/IN-GROUND POOL
TO
ATT ITUO. K
~II~'FOLK
O-Ou
~5
UNDERWRITERS CERTIFICATE
REQUIRED'
i:~.~,,~ ~.~-,~ T~)tN OF SOUTHOLD
OWNER t ~ STREET ~ VILLAGE
FORMER OWNER
RES.
LAND
30o
~6o
AGE
NEW
Form
Tillable 1
Tillable 2
Tillable 3
Woodland
i Swampland
Brushland
House
Total
SEAS. VL.
IMP.
/goo
NORMAL
Acre
PROPERTY RECORD CARD
TOTAL
N E
S W TYPE OF BUILDING
FARM
DATE
BUILDING CONDITION
BELOW
DISTRICT SUB.
ACREAGE ,
COMM. I IND. CB. MISC.
REMARKS
FRONTAGE ON WATER
ABOVE
Value FRONTAGE ON ROAD
BULKHEAD
DOCK
Value Per Acre
Est. Mkt. Value
/(A'~BIcjg'/] (? '~ ¥ 9^ = ¢~'~01 ~7///'~d~ ~° Z' 20jF°undati°n C,~, Bath
Extension [ 6 )~' 0 ~ ~7~ Ext Walls -~-I'~'~'~X- Interior~--- Finish
Extension Fir~_~.!q~- ..... ~..~ Heat
............................... [ Porch Roof Type
~aJ/~ __ ~6 ~.~.; /~03 ~ ,/0 3~ Porch Rooms 1st Floor
Breezeway Patio Rooms 2nd Floor
Garage Driveway Dormer
Suffolk County Executive's Office of Citizen Affairs
VETERANS MEMORIAL HIGHWAY · HAUPPAUGE, NEW YORK. 11788
DATE ISSUED ?.a.r..e.N..~. :..~.9 9 4 No. 2 2,6 0 8-H I
SUFFOLK COUNTY ...............
This is to certify that Donna Stonis
doing business as Max-Tec Construction Corp
having furnished the requirements set forth in accordance with and subject to the provisions of applicable
laws, rules and regulations of the County of Suffolk, State of New York, is hereby licensed to conduct
business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk.
THIS LICENSE EXPIRES . .~.a.r. qh...~., ................
NOT VALID WITHOUT DEPARTMENTAL SEAL
Director
CA-22
36-120: 393cs
NATIONWIDE
CERTIFICATE OF INSURANCE.
The company indicated below certifies that the insurance afforded by the policy or policies numberefl-a~ j
described below is in force aa of the effective date of this certificate. This Certificate of Insurance
does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any
policy numbered and described below.
CERTIFICATE HOLDER:
OFFICE OF CITIZENS AFFAIRS
NORTH COUNTY COMPLEX
BLDG 340
HAUPPAUGE, NY 11788
INSURED:
DONNA STORIS AND MAX TEC
CONSTRUCTION CORP
24 CROFT LANE
SM I1 NTOWN,,
11~787 ,~ · .~
I POLICY NUMBER I POLICY I POLICY I LIMITS OF LIABILITY
TYPE OF INSURANCE I & ISSUING CO. IEFF. DATE IEXP. DATE I (*LIMITS AT INCEPTION)
05-03-95 05-03-g6
LIABILITY
EX] Liability and
Medical Expense
EX] Personal and
Advertising Injury
EX] Medical Expenses
EX] Fire Legal
Liability
[ ] Other Liability
AUTOMOBILE LIABILITY
EX] BUSINESS AUTO
EX] Owned
[ ] Hired
EX] Non-Owned
66-PR-85422q-O001
Nationwide
Mutual
Insurance Co.
Nationwide
Mutual
Insurance Co.
05-03-95
Any One Occurrence ........ $ 500,000
Any One~Person/Org ....... $ 500.000
Any one person ........... $ 5,000
Any One Fire or Explosion $ 50.000
G~nera]~Affgregate*~ ...... ~ $ 500,000
Prod/Comp Ops Aggregate* . $
05-03-96
Bodily Injury
(Each Person) .......... $
(Each Accident) ........ $
Property Damage
{Each Accident) ........ $
Combined Single Limit .... $
300.000
EXCESS LIABILITY I I Each Occurrence .......... $
i ~ Prod/CJmp Ops/Disease
[ ] Umbrella Form I I Aggregate* ............. $
05-03-95 05-0!)b96 )' STATUTORY ~=IMITS'
66-WC-854224-0003
Nationwide
Mutual
Insurance Co.
EX] Workers'
Compensation
and
EX] Employers'
Liability
) BODILY INJURY/ACCIDENT ... $ 100~00
I Bodily Injury by Disease
· I' 'E~CH EMPLOYEE .......... $ 100,00~
I Bodily Injury by Disease
J POLICY LIMIT ........... $ 500,000
Should any of the above described policies be cancelled before the
expiration date, the insurance company will endeavor to mail 30 days
written notice to the above named certificate holder, but failure to
mail such notice shall impose no obligation or liability upon the
company, its agents, or representatives.
DESCRIPTION OF OPERATIONS/LOCATIONS
VEHICLES/RESTRICTIONS/SPECIAL ITEMS
Effective Date of Certificate: 02-05-1996
Date Certificate Issued: 02-05-1996
Authorized Representative: P. P. O'Brien Agency, Inc.
Countersigned at: '612 'l~oui~e 1,12