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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