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HomeMy WebLinkAbout34167-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33438 Date: 12/12/08 THIS CERTIFIES t~at the building ACCESSORY Location of Property: 450 CEMETERY RD (HOUSE NO.) County Tax Map NO. 473889 Section 31 subdivision EAST MARION (STREET) (HAMLET) Block 10 Lot 8 Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 2008 pursuant to which Building Permit No. 34167-Z dated SEPTEMBER 18, 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to JOSEPH VENTRANO ( OWNER ) of the aforesaid building. N/A ~/A N/A Rev. 1/81 ~ Form ,No. 6 c ~ ,.- Et?- DO)< 0~ } towN~,~LL Illll/~-c ....... ~a appli~tion must be fill~ in by t~ewrite or i~ and subl~tted to ~e B~ildi~ Dep~t wi~ ~ followi~: A. For new building or new use: 1. Final su~ey of property with.a~urate lo~tion of all building, propeay lin~, street, ~d ~us~l ~t~ or topo~p~c f~. 2. Fial Approval ~m flal~ Dept. of water supply and ;eweag~isposal (3-9 fo~). -3. ~rov~ ofel~l imallatioa kom Bo~d of Fire Sworn satem~t ~m plumber ~Ri~ing that th~ solder us~ in system ~ai~ las ~ ~10 of 1 ~ lad. 5. Co~e~ial buil6ag, industrial building, multiple r~idenca and similar buildings and insulations, of Code Oo~liaace kom arohitet or engiaer raponsible for the building. 6. Submit Planing Board Approval of~mplet~ site plan For existing buildings (prior to April 9, 1957) noa-confm-mhlg uses; Or baildhlgs and "Pre-existing" 1. Accurate ~¢y ofprop¢ay showing all prOp~y [hies, stl'~ts, building and mmsual natural or topographic f~tures. 2. A properly complet~ applicatiou nod cous¢n( Io Jasper si~l~ by the applicant. Ifa Cellificate of Occupancy deni~, the ~uilding Inspector shall state tim r~sons Ib¢refof in writing to the applicant. Fees 1. Ceaificate ofO~upancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swi~iag pool $25.00, Acc~sol~ building $25.00, Additions to accesso~ building $25.00, Businesses $50.00. C¢~Tifi~te of Occupancy on Pre-existing Building - $100.00 3.Copy ofOeaifi~te of O~upaucy- $25 Updat~ Ceaifi~te of Occupancy. $50.00 5.Temporary Ceaificate of Occupancy - Residential $15.00, Connnemial $l 500  Date. Const~tioa: _. Old or Pre-existing Building: -- ~u~ivision q -- Health Dept. Approval: Planning Board Approval: Filed Map. Lot: ,- ' ~ - _ Unde~vriters Approval: ~ ~ -- Request for: T~nporary Certificate ~ Final Ce~.ificate: Fee Submitted: $-ta2~. ,00~ '~ ~(check one) 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. 34167 Z Date SEPTEMBER 18, 2008 Permission is hereby granted to: JOSEPH VENTRANO P.O. BOX 105 CUTCHOGUE,NY 11935 for : · 0 ~L~ ACCE~©~¥ SHED TO ~E LO~ATED IN REQUIRED R~AR YAR~ AS APPLIED FOR. at premises located at 450 CEMETERY RD EAST MARION County Tax Map No. 473889 Section 031 Block 0010 Lot No. 008 pursuant to application dated SEPTEMBER 16, 2008 and approved by the Building Inspector to expire on MARCH 18, 2010. Fee $ 100.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD v BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. Examined q i /C-~ ,20 [~ Approved ~ t l,~ ,20 O~ Disapproved a/c Expiration ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have Or need the following, before applying?I Board of Health · 'i 4 sets of Building Plans ~ ' Planning Board approval Survey. Check Septic Fofin N.Y.S.D.E.c. Trustees Flood Permit Storm-Water Assessment Form Contact: i' : Mail t Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date !]~ ...... INSTI1UCTIONS a. This application MUST be completely filled in by typewritor o~ 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 Buildi~g Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit tt~ithe applicant. Such ~ permit shall be kept on the premises available for inspection throughout the work. :,' e. No building shall be occupied or used in whol~ or in part ~r 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 To~vn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buddings, adtht~ons, 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. I1 fi ' (Si~'-m~ of a~licant or name, if a corporation) tot Tc o6.( ~ail~g address of applic~0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~"0~1~0 ~ f~j0 "i'(I.~ b)~) (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 LicenseNo. Plumbers LicenseNo. Electricians LicenseNo. OtherTrade's LicenseNo. Location of land on which pro, posed work will be done: House Number / Street Hamlet County Tax Map No. 1000 Section gl Block i0 Lot O~ Subdivision Filed Map No. Lot .., State existing use and occupancy of premises and intended, use and occupancy of proposed construction: a. Existing use and occupancy. ~t06~J~4 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Demolition 4. 5. Repair Removal Estimated Cost ~ 'L, 0°°, 61) if dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee (Description) (To be paid on filing this application) N'umber of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 10 6011)"(14 Rear ~ Lt £odq Depth Height [1, ~t, Number of Stories [ 5'r~ Dimensions of same structure with alterations or additions: Front Rear Depth. Height Dimensions of e~n~ire n~w construction: Front Height I~ ~t~ Number of Stor-~'e~ Number of Stories Rear .Depth ! 9. Sizeoflot: 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, })rdinance 6r regulation? YES __ 13. Will lot be re-graded? YES__ NO NO ~t Will excess fill be removed from premises? YES__ 14. Names of Owner of premises Name of Architect ' Name of Contractor .. Address qS' 01v¢"I'/~,,/ ~t), Phone No. Address ~ Phone No Address Phone No. 15 a. Is this property within ~00 feet of a tidal wetland or a freshwater wetland? *YES NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PER.MITS 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 lin6s. 17. If elevation at any point on property is at 10 feet or below; i:nust provide topographical data on survey. 8. Are there any covenants a33d restrictions with respect to this property? * YES NO ~t * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~ 2 xJ~("~i°d~l/~ ~/Q, .~,".~/) 0 being duly sworn, deposes and says that (s)he is the applicant ~me df individual ~fi~ontract) above named, (S)He is the ~ -~ .... ~ .'," -, (Contractor Agent Corporate Officer etc ) 9f said owner or owners, arid is~dUly authorized to perform or have ~erformed the said work and to make and file this application; that all statements contained_~ in ~his,..,_application are tree to the best of his knowledge and belief; and that the work will be performed ~n the manner-s~ f6r~hm the apphcatmn filed therewith. ~wom to before me this · NANCY A. PESTER r '~'~Y Public, State of New York ', 4940985-Suffo k County ,~ :,::~ion Expires Aug. 1 ~ Applicant 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:_~ ~ ,~_~_j COI'd~IgT8 FOLFNDATION (1ST) FOE,q'~)ATION (2ND) hNS~ATION PER N STATE ENERGY CODE ~DI~ON~ CO~S ~ z OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFIC OF O,~UPANCY ARPRdVEDAS DATE:~ NOTIFY BU,~,~ 765-1802 8A~J TO ~ :M FOR FO~uC~¢ NG INSPESTLL;4S: ~. FOUNDATION - ~,'.JO REQU!REB FOR POUREU CONCRETE 2. ROUGH - FRAMING & PLUMBIN 3.INSU~TiON 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR O.O. ALL CONSTRUCTION SHALL MEET REQUIREMENTS OFTHE COBES OF YORK STATE. NOT RESPONSIBLE DESIGN OR CON~RUOTION , ,.~u ¢. CODES OF COMPL~ ~¢' , .... L ~EW YOm( STA-FE & TOWN ,S R~Q~ ~-,c ~ AND CONDITIONS SO~ED TOWN ZBA . SO,HOLD . SO,HOLD TOWN, RuaTEES N.YS. 8TO~U WAT£~ RUIVOFF CHAPTER 236 of $outhold · Town __ Eros,on, Sedimentation & Storm-Water Run-off ASSES8MENT FOI~M PROPERTY LOCATION: S.C,T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF STORM-WATER~ GRADING~ DRAINAGE AND EROSION CONTROL CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YO~. Item N umber: (NOTE: A Check Mark (,~) for each Question ts Required for a Complete Application) Yes Ne Will Ibis Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or conslruction activities as well as all Site Improvements and Ihe permanent creation of impervious surfaces,) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include atl Proposed Grade Changes and Slopes Controlling Surface WaterFIow! Will this Project Require any Land FitTing, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? 2 3 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feel of Ground Sudace? Is dlere a NaturaJWater CoLrseRunn gt rough lhe Site? Is this Proiect within the Trustees iurisdicfiof~ or wkhin One Hundred (100' feet of a Wetland or Beach? 5 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of VedJcal Rise to One Hundred (100') of Horizontal Distance? wirl Ddveways, Parking Areas or other hnpenvious Sudaces be Sloped to Direct Storm-Water Run-Off iuto and/or in the direction of a Town dght-of way? 7 8 El Will this Project Require Ihe Place e o datedal, RemovaJ of Vegetation and/or the Construction of any Ilem Wilhin the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installatior~ of Driveway Aprons,} 9 Wilt this Proiecl Require Site Preparation with0~ the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, aStorm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit[ EXEMPTION: Y e~s N~9_o Does Ibis projecl meet the minimum slandards for classiflcalion as an Agdcullural Project? Note: If You Answered Yes ~o this Question, a Storm-Water, Grading, Drainage & ~rosion Control Plan is NOT Requlredl ~n(l that I~c,,"shc is the O~mc~ and/or reI rcscnmfive of d~¢ Owner of Owucr's, and is duly au~odzcd to perform or have performed fl~e s~d work and to m~e aa~d file this application; d~at MI statements contained in ~is application are ~¢ to d~e best of his ~owledge ~d belief; ~d fl~at tim work will be perforated m d~e m~ner set furth m the application fi]ed herewifl~. Sworn to hefor¢ nm ~7" daLof ............................... 20 ..... Notary Public: ................ ........ Qualified iR ~, :; Corem ssiog Ex~i. / / SURVEY OF PROPERTY · ~ ~ A T EAST MARION UA/N ROAD (XR. ~S) ,~ ~ TO~N OF SOUTHOLD ~ ~~ ~ SUFFOLK COUNT~ N.Y. ~ ~/o/~ e~ cu~m~ ~0-~-I0-08 , ~ SCALE' 1~30' ~ NGO~'O0'E ~ 2~0.~' ~ APRIL ~5, 20~ ~ . ~Y ~ .~ ~oo, oo ~ CER T/F/ED TO: SUFFOLK COUNTY NA HONAL BANK FIRST AMERICAN HTLE INSURANCE COMPANY ~ / ~.0~'.~ ~ ~=STAKE SET AREA=~,~ SO. ~. ss~'~ o'w 2o5.~' ANY ALERAHON OR ADDIHON TO ~IS SURLY IS A ~A~ON ~~~, P.O. ~ ~c.~ 72o~ ~ NEW Y~K SrA~ EOUCAn~ ~ ~ ~ (6~1) ~ FAX (651) 765-1797 EX,PT AS PER ~ 7209-SUBDI~SI~ 2. ALL CERH~CAH~S HERE~ ARE VAUD F~ ~/S MAP AND C~/ES ~ERE~ ONLY/F 1230 TRA~LER S~EET ~ID WAP ~ C~IES BEAR ~E IWPRES~D ~AL ~ ~E SUR~Y~ N/O~ JOANNA k ~SPEH CHERNUSHKA P.O. BOX 909 ~o~ ~,~ ~ ,~. soupcons. ~.~ ,~ 08-]28