HomeMy WebLinkAbout34627-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~qTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33664
Rte: 04/22/09
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 8585 NEW SUFFOLK AVE
(HOUSE NO.)
County Tax Map No. 473889 Section 116
subdivision
CUTCHOGUE
(STREET) (HA~4LET)
Block 1 Lot 1.4
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 22, 2009 pursuant to which
Building Permit No. 34627-Z dated APRIL 22, 2009
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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING, ATTIC TO BE USED FOR
STORAGE ONLY, AS APPLIED FOR.
The certificate is issued to ANTHONY J & PATRICIA LAURO
(OWNER)
of the aforesaid building.
S~FFOI~KCO~DEPAR~TOF}~J~THAP~O%~%L N/A
E~.R~-£KIC~%L CERTIFIC3%~ NO. 127582C 04/03/09
PL~S CERTIFIC3%TION DASD N/A
Authorized Signature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANI
This application must be filled in by typewriter or ink and submitted to the Building Dep,
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, sm
topographic features.
BLDG. DEPT.
ets. and Ul~{lll/bl:glrSltttl~l ~r
2. Final Approval from Health Dept. of water supply and sewerage<lisposal (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 Oeeupancy 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:
Location of Property:
Date.
Old or Pre-existing Building: (check one)
House No.
Owner or Owners of Property: ~ 'FI~'~
Suffolk County Tax Map No 1000, Section
Subdivision
Permit N,~. _31.1~-~) (~~
Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Street
Hamlet
Block
Filed Map.
Applicant: ~,
Underwriters Approval:
Lot:
Final Certificate:
(checkone)
Issue Date
4/3/2009
Electrical Inspection Certificate
Electrical Inspection Service, Inc. Application Number
375 Dunton Avenue 127582C
East Patchogue, NewYork 11772
(631) 286-6642
Issued To:
Street:
Village:
Anthony & Partricia Lauro
8585 New Suffolk avenue
Cutchouge
Section: Block:
Contractor: Good Ground Electric (L)
Zip: 11935
Lot:
Town: Southold
Lic.# 4233-E
Was examined and found to be in compliance With the National Electrical Code.
[] Commercial [] NVOefects [] Pool [] lstF!oor [] Indoor [] Basement [] HotTub
[] Residential [] Det. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
4 5 2 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
1
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
/
Bldg. Permit:
Other Equipment
3rd Floor Dormer Extension
Hugo S. Surdi
President
Inspector: John MC Mahon III
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
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. 34627 Z Date APRIL 22, 2009
Permission is hereby granted to:
ANTHONY J & PATRICIA LAURO
8585 NEW SUFFOLK AVE
CUTCHOGUE,NY 11935
for :
CONSTRUCT ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. THIS PERMIT REPLACES 22314.
at premises located at 8585
County Tax Map No. 473889 Section 116
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
NEW SUFFOLK AVE CUTCHOGUE
Block 0001 Lot No. 001.004
22, 2009 axld approved by the
22, 2010.
Fee $ 75.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO,$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HA~
SOUTHOLD, N.Y.
No
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Z3~'~.~'~,. ~te ................ ~.~...!.~., .................... ~....~...
Permission is hereby granted to:
............. .~...."~.....'~..~...C.~.~'P~.~.~.~.,~...~.,..:..~,I.g...I,AI~o, ~'r,o~ &
829 N. BAYYIEW EXT.
............. .s. pP~9.~ ~...~ ....... L L?.?. l ...................................
at premises located at......~.5..8..5...~...S.~.O..~..~....A...t~:..~., ....... ~g.~..O.~ ......................... ~ .................
CountyTax Map No. 1000 Section ......... I..1..6. ........... Block .......... ! ............... Lot No .......... !.:~ ..............
pursuant to application dated .................. .~.~.S~...2..2. ..................... 19...~./T. ......... and approved by fhe
Building Inspector.
F~,..~.~,.~
Rev. 6/30/80
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:
DATE
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:
INSPECTOR
FOUNDATION ( ls t )
FOUNDATION (2nd)
2.
ROUGH FRAME
iNSULATION
&
.FLUMBING
PER N.
STATE ENERGY
CODE
FI;JAL
ADDITIONA'L COMMENTS
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET, ~.~ VILLAGE DIST. SUB. LOT
' ACR. ~, / ~ REMARKS
. ~ FRONTAGE ON ROAD WOODLAND
: BULKHEAD HOUSE/LOT
, :l ,o,~
COLOR
TRIM -
//~' /2. = ~_~2_ 9Y~ ..3~/7~- Foundation
c., ~,C. Bath ~ Dinette
Exte~ ~/XA~ ' ~ ..-~ /~// Basement C.*WL
. SL*, FU ~/ Floors ~ ~ Kit.
Extension --,, Ext. Walls O~ ~ Interior Finish ('
Extension /~ ~ ; ~' ~ // ~ '':~''' ;~ '
.'. ~ Fire Place , f Heat ~, ~[.~.. D.R.
~] ~= ~ ~ :': ~-;~ Woodstove BR.
Porch ~y¢ /~} ~ :~0 ZdG Dormer Fin.,.
~0~2~ ~ ~O t ~ lDO Attic
Breezeway ~ ' .,-~::: . ~ - '" Rooms 1st Floor
G.,.ge ~¢> ~ ~ ·"/~ ?~ D~iv.~.Y,: : F''''~;~ Room~2ndF~oo~
~ , , , ,';, , ,
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CllECK ....................
SEPTIC FOR,H ..............
....... .....
APPLICATION FOR BUILDING PERMIT
Date ................. .~/.~
~ INSTRUCTIONS
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
-'ts 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
r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
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
hall 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
aall 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
:uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
'.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
~mit authorized inspectors on premises and in building for necessary inspections,
............
(Signature of applicant, or name, if a corporation)
.
(Mailing address of applicant)
:tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ·
........
;amc of owner o f premises ~ ~'~' ' ' i~ ' :~.' .' .~.' 'd,.~i' ' '~.' ~;' ................................
(as on the tax roll or latest deed)
5applicant is a corporation, signature of duly authoriz~ officer.
· '~ (Name and title of corporate officer) / -
Builder's License No .... ~.."/. .~. ' .".2:..~.'.'Z. ~. ;~. ....
Plumber's License No .........................
Electrician's License Nb .......................
Other Trade's License No ......................
Location of land on which proposed work will be'done...~. ~ .'..~ ~.~9....~-'q'.-~.~l.~....~..o..~, .........
llouse Number Street Hamlet
County Tax Map No. 1000 Section . .~.l (.o Block .1~). 1, Lot ...
Subd v s on ............... Filed Map No.
(Name) .............. Lot ...............
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... Z .~s~,.~
b. Intended use and occupancy ....... : ....................................................
3. Nature of work (check which applicable): New Building Addition":.. .. Alteration
Repair .............. Removal .............. Demolition .............. Other Work ...............
4. Estimated Cost [ ] ,OeeC;, (Description)
" '1 ................................. Fee ......................................
(to be paid on filing this application)
5. If dwelling, number 0f dwelling uniJ~ ..... { Number of dw$11ing 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...l.~. ........ Rear .. [.O.~.. ....... Depth . .3'...~ ..........
Height ............... Number of Stories .2~... ....................................................
Dimensions of same structure with alterations or additions: Front ./.~.'i: ............ Rear.../..O.c( ...........
DDrmP tehn .................... iH°;i:~Ftr .... ~ ........ .... rN.U.m. !7~ 7! !I°..ri:~ .... ~ ....... ¥' ......
8. sio2 o~ ~ntire new construct out ........ Rea .Depth ....
Height ............... Number of Stories ...............................
9. Size of lot Front ..".~.~. Rear .~. ~ .. t,-~.. ' ...........
.................... ~.'~ ............. ~e tn .... ~. ......
10. Date of Purchase ..... ~/gt'..I.~/.q (' .... . ......... Name of Former Owner . .~..~.
1 I. Zone or use district in which premises are situated .... ~2,.~...s ..............
12. Does proposed construction violate Any zoning law, ordinance or regulation: ..
13. Wi 1 lot be regraded ~l.)r..~ Wil ...... '
......................... I excess IlU remov a
14. NameofOwnerofpremisesa fa°mpremises: Yes
l ............................. ~b~Phone No.
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor ...................... .... Address ................... Phone No ................
15. Is this property within 300 feet of a tidal wetland? *Yes ....... ~ .......
*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 coruer lot.
STATE Or NEW rOT3 C£ .U./b
COUNTY __ '
. ~
...... ~ .... .~.~. ~~ ...... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
'~bove named.
~{e is the ........................... ; ..............................................
(Contractor, agent, corporate officer, etc.)
ff said owner or owners, =d is duly authorized to perform or have perfo~ed the said work and to m~e and file this
~pplication; that all statements contained M this application are true to the best of his knowledge and belief; and that the
.york will be perfo~ed in the manner set forth in the application filed therewith.
;wom to before me this ~~.~ V-
- O~l~ in Su~k C~ ~ (Sig ature of applic~t)
,R
....... 482J7
:
I
~4 t2 ~o
LAI2 O
LICENSED LAND SURVEYORS
GRIEENC'OR T NEW YORK
rEA
STATEMENT OF INTENT
WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE
CONFORM TO THE STANDARDS
SUFFOLK CO. DEPT. OF HEALTH SERVI[C£S.
(SI
APPLICANT
SUFFOLK COUNTY DEPT. OF
SERVICES -- I~OR APPRovALi :'~F'
CONSTRUCTION ONLY
DATE: :., ~.:~
H. S. REF. NO.: ~'-/- ,GO ~ I~!
APPROVED:
.i~
SUFFOLK CO. TAX MAP DESIGNATION:?
DIST. SECT. BLOCK PCL
OWNERS ADDRESS: - .: · , ",
':z65~ F~B5
DEED:~L. ~4
TEST HOLE
t
UNDERVAIITERS CERTIFICAI'~
REQUIRED
~r