HomeMy WebLinkAbout34135-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPAJ~TMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33486 ~te: 01/14/09
THIS CERTIFIES that the building ALTERATION & ADDITION
Location of Property: 69700 MAIN RD GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 45 Block 5 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 26, 2008 pursuant to which
Building Permit No. 34135-Z dated SEPTEMBER 3, 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" ELECTRIC AND PLUMBING UPGPJkDE AND DECK ADDITION TO AN
EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
7~ne certificate is issued to REITER'S SEVEN ACRE FARM INC
( OWNER )
of the aforesaid building.
SI)FI~DLKCO~ DEPART~4EI~T OF ~Fu%LTHAPI~ROIKILL N/A
ELECTR{IC~L C~TIFIC3%~ NO. 124367C 11/14/08
PLIERS Cq~RTIFICJ%TION Da'r~ 12/29/08
JOE WHITECAVAGE
/ Aut/orized Signature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF
TOWN OF SOUTHOLD
This application must be filled in by typewriter or ink and submitted to the Building Department with tl~e tonowlng!
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. Sworn 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 similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) 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, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees 1. 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
New Construction:
Old or Pre-existing Building: fi(
(check one)
Location of Property:
House No. Street
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section ~/.~
Subdivision
Permit No. ,.~ ~/I B
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Block .~'
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Hamlet
Lot
Lot:
(check one)
Ap-plicant Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PEP4~IT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34135 Z
Date SEPTEMBER 3, 2008
Permission is hereby granted to:
WALTER J ILLIGASCH C/O JOHN CO
P.O. BOX 253
GREENPORT,NY 11944
for :
AS BUILT UPGRADE ELECTRIC AND PLUMBING AS APPLIED FOR.
at premises located at 69700 MAIN RD
County Tax Map No. 473889 Section 045 Block
pursuant to application dated AUGUST 26, 2008
GREENPORT
0005 Lot NO. 002
and approved by the
Building Inspector to expire on MARCH 3, ~D10-
Fee $ 400.00~~//~
ize Sig e
ORIGINAL
Rev. 5/8/02
Town Hall Annex
54375 Main Road
P.O~ Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
CERTIFICATION
Building Permit No. ,.~ ¢ / ~ 5
Owner: /~'r~ --~'W~-~,'~ ,g~O_..t~' (Please print)
Date: //&/~
Plumber: doe.
(Please print)
I certify that the solder used in the water supply systeln contains less than 2/10 of 1%
lead.
Sworn to befbre ~ne this
day of .._~__~ , 20 ,~ ,ff
(Plumbers~ignature)
I~eue Date
1 t id 4/2008
Electrical Inspection Certificate
FleGb'IG~I InepeetJefl ~ervloe, Inc. Application Ih~nber
3?8 Dunten AvenUe 124387C
EaGt I~t~bOgl~, New Y~ tt71'3
leeued To: Reiters Seven Acre Farm
Street: 69700 Rt 25
Village: Greenport Zip: 11~,4
Section: 45 Block: 5 Lot: 2
Town: $outhold
Contmeter: Joseph Ploeger Electrical Contr, LIc.· 435~-I=
WIS axam;n~:J
', Cemmemlal ~'~ ~ [': P~l ~ 11tFl~r ~ indoor :-I ~t r':: HotTub
Btdg, Permit:
Other Equipment
ri :. {~-0'-~mp M/~ 'P-ar~e~"~ ;3~ ' ~'~"~ ................
,Washer/Dryer Combo/1-30 amp Hot Water
Heater Disc./1.Combo Smoke/Co
Hugo $, Surdi
President
John Mc Maho~ ~11
Thi~ ~efflfi~ muir n~t I~ i~(~¢1 In any mIN'4r. In~3e~orl mi}, I~1 ~ ~y th~f ~e~'nt;als.
L II/- o"
TOWN OF SOUTHOLD BUILDING DEPT.
765- t 802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INS~JI.ATION
[ ]FRAMING/STRAPPING [~]' FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [. ] FIRE RESISTANT PENETRATION
/~ REMARKS:~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ~TION
[ ,~ FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE ~ INSPECTOR~
Fo~XT~O~
FO~ATION (2ND)
ROUG~ F~G &
~S~A'~ION PER N. Y
STATE ENERGY CODE
TOWN OF'SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined ,20
Approved ,20
Disapproved a'c
Expiration ,20
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Stom~-Water Assessment Form
Contact:
Mail to:
Phone: t'/~ '-} 'Q- 1],02
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date August 26 ,2008
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 an5' 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 nor 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 ora Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, fbr 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.
ter' s~_~cre Farm, Inc.
' (Signature of applicant or name, ifa corporation)
P.O. Box 253, Greenport, NY 11944
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor~ electrician, plumber or builder
Owner, Shareholder
Nameofownerofpremises Reiter's Seven Acre Farm, Inc./ John A. Costello
(As on the tax roll or latest deed)
If applicm)M,s~a co~ooration, si~jilal,~a.r.~af~uly authorized officer
finel~, nd title of corporate officer) *'
Builders License No.
Plumbers License No. 433 ) l -NP
Electricians License No 4~52-NE
Other Trade's License No.
Location of land on which tSroposed work will be done:
69700 .Route 25
House Number Street
Greenport
Hamlet
County Tax Map No. 1000 Section 45
Subdivision
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy small residence
b. Intended use and occupancy small residence
Nature of work (check which applicable): New Building_
Repair X Removal Demolition
Estimated Cost $2,000
If dwelling, number of dwelling units 1
If garage, number of cars 0
Fee
Addition
Other WorkUpgrade
& landscape
$20O
Alteration
electric, plumbing
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor 1
6. Ii'business. commercial or mixed occupancy, specify nature and extent of each type of use. N/A
7. Dimensions of existing structures, if any: Front 32 '
Height 20 ' Number of Stories 1
Rear 32' .Depth 26'
Dimensions of same structure with alterations or additions: Front 32' Rear 32'
Depth 26 ' Height 2o, Number of Stories i
Dimensions ot'entire new construction: Front N/A Rear N/A
Height N/A Number of Stories N/A
Depth N/A
9. Sizeoflot: Front 691' Rear 634' Depth 544' West, 345' East
10. DateofPurchaseMarch 13, 2008 Name ofFormer Owner Walter J. Illigasch
11. Zone or use district in which premises are situated Liqht Industrial Offices (LIO)
12. Does proposed construction violate any zoning law, ordinance.or regulation? YES NO X
13. Will lot be re-graded? YES X NO Will excess fill be removed from premises? YES NO X
P.O. Box 253
14. Names of Owner ofpremisesJohn A. Costel]~ddressG r l1944Phone No. 477-1102
Name of Architect Address Phone No
Name of Contractor Self Address Same Phone No.631-902-1711
15 a. Is this property within 100 feet of a ~i4a-!--wetkmd or a freshwater wetland? *YES x
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. is this property within 300 feet ora tidal wetland? * YES NO x
* IF YES. D.E.C. PERMITS MAY BE REQUIRED.
NO
16. Provicie 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. N/A
1 8. Are there any covenants and restrictions with respect to this property? * YES NO X
· IF YES. PROVIDE A COPY.
SLATE Ob NE\V YORK)
COUNTY O F~~t~
John A. Costello being duly sworn, deposes and says that (s)he is the applicant
(Name ot'mdividuai signing contract) above named,
(g)He is the
Contractor, Corporate Officer
(Contractor, Agent, Corporate Officer, etc.)
or' said ox~ ncr or owuers, and is dhly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application l~re true to the best of his knowledge and belief; and that the work will be
pertbm~ed in the manner set tbrth in the application filed therewith.
S{~,m to beibre me tlu, s~ ~
~i~ ~. ~1, ~ ~ Signature of Applicant
/ Pr~n~
Prom~ / sh~ ~
. . Reiter~s Seven Acre Farm, Inc.
June 2008
Reiter's Seven Acre Farm, Inc.
9/3/08
Reiter's Seven Acres
1/7/09
Reiter's Seven Acres
l/7/09
Reiter,s Seven Acres
t/7/09
TOPOGRAPHIC MAP
SCT~ 10OO-45-5-2
Situate: Arshamomaque
Town: Southold
Suffolk County, NY
Surveyed: March 20, 2008
(4) NYSDEC Wetlands
Flags added: 05-10-08
I 1" = 5~'
N
S