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HomeMy WebLinkAbout33205-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: z-33772 Date: 06/11/09 THIS CERTIFIES that the building ADDITIONS Location of Property: 340 BROWN ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Nap NO. 473889 Section 48 Block 3 Lot 42.5 Subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15, 2007 pur~,~-t to which Building perrait NO. 33205-Z dated JULY 2, 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 COVERED PORCH AND GARAGE ADDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL & CHRISTINA M DINIZIO ( OWNER ) of the aforesaid building. S~I~DLKCO~DEPAR~TOF~-LTHAPPROI~%L N/A Er.RL-rKIC~kL C~RTIFICJ~TE NO. 4028641 05/11/09 PLUMBERS CERTIFICATION DATED N/A //Au t~ r~ z e~JS ignat u r e Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This appheation must be filled in by typewriter or ink and anbmitted to the Building Department with the following: A. For new building or new use: 1. Final aurvey of property with accurate location of all buildings, property lines, slxeets, 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 inatallation f~om Board of Fire Underwriters. 4. Sworn ~tatement from plumber eeVdfying that tt~ ~older used in system oontains less than 2/10 of 1% lead. 5. Commercial building, induatrial building, multiple reaidenees and similar buildings and installations, a ea~iflcate of Code Compliance from architect or engineer rea'ponaible for the building. 6. Submit Planning Board Approval of oompleted site plan requirements. B. For existing buildings (prior to April 9, 1957') non--conforming uses, or buildings and "pre-existing" land us~: 1. Accurate survey of property show. lng all property liae~, streetS, building andunusualnatural or topographi~ features. 2. A properly completed application and oonaeat to inspoet aigned by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therofor in wTiting 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 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: y Old or Pre-existing Building: Location of Property: _~7 House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ 3 ~.90J~'~7'Date of Permit. Health Dept. Approval: A~//fft (check one) Street ~'~ 5/C~ Block 0(903 Planning Board Approval: Request for: Temporary Ce~i~ Fee Submitted: $ 2 Hamlel Filed Map. Lot: '~-~-~ Applicant: ~ ~/~ Z/O Underwriters Approval: Final Certificate: (check one) ApSe ' BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FlEE UN BUREAU Of ELECTRICITY ~__.~! 40 FULTON STREET ~ NEW YORK, NY CERTIFIES THAT BLDG DEPT. TOWN OF SOUTHOLD Upon the application of upon ~m~ uwned by PAUL DINIZIO PO BOX 591 GREENPORT, NY 11944 PAUL DINIZIO PO BOX 591 GREENPORT, NY 11944 Located at 637 BROWN ST GREENPORT, NY 11944 Application Number: 4028841 Section: Block: Lot: Certificate Number: 4028641 Building Permit:. BDC: NS37 Descbbed as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Attached Garage, ()utsidc, Porch/Deck, A wsual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on theIlth Name, )'ID3LY.R at__.~ Miscellaneous as built 2008-garage addition and porch Wiring And Devices Fixture 15 0 Outlet 15 0 Outlet 18 0 Receptacle 6 0 Receptacle 9 0 Switch 6 0 Rating Day of ,~1.),, 2009. Circuits '["r i~' Fixture Gen, Purpose GFCI I of I seal This certificate may not be altered ~n any way and is validated only by the presence of a raised seal at the location indicated, BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by PAUL DINIZIO PO BOX 591 GREENPORT, NY 11944 PAUL DINIZIO PO BOX 591 GREENPORT, NY 11944 Located at 637 BROWN ST GREENPORT, NY 11944 Application Number: 4028641 Certificate Number: 4028641 Section: Block: Lot: Building Permit:* BDC: NS37 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Attached Garage, Outside, Porch/Deck, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on thellth Name 0TY Rate Miscellaneous as built 2008~arage addition and porch Wiring And Devices Fixture 15 0 Outlet 15 0 Outlet 18 0 Receptacle 6 0 Receptacle 9 0 Switch 6 0 Rating Circuit~ Day of May, 2009. Incandescent Fixture Gen, Purpose Gen, Purpose GFCI Gen, Purpose An as built visual inspection, oftbe delineated electrical installation, determined that an obvious hazard is not present and thc installation is believed to be in conformance with the applicable reference standard for the estimated period of construction oftbe premises wiring system. I of I seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~'~ DATE INSPECTOR ~'~~ 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. 33205 Z Date JULY 2, 2007 Permission is hereby granted to: PAUL DINIZIO & WF. PO BOX 591 GREENPORT,NY 11944 for : ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 048 pursuant to application dated JUNE Building Inspector to expire on JAiqU~kRY 340 BROWN ST GREENPORT Block 0003 Lot No. 042.005 15, 2007 and approved by the 2, 2009. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765ll 802 ......J NSPECTION [,~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION RE.MARKS:, ~ ~--~ ~ ~ DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [,~RAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE ~ CONSTRUCTION [ ] FIRE RESISTANT PENETRATION INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]~NDA~~ [ ]INSULATION [4 FRAMING ~__~~ [ ] FINAL ( ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]/~)4JNDATION 2ND [ k']' FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION DATE INSPECTOR F1E!,D INSPECTION REPORT I DATE ! COMMENTS ...................................... £~/~, ~__..'-?-~ .~.~ody'~ ~' ~' ' .... ' ' -' _d :/ ~o~v~tio~ (2~) . ~ ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ~//'~-~/Z' ' 201.920!')77 Approved // , Disapproved a/c Expiration t~i_O*s. DEP[ TQ_W~ ~! OF an, ,I_Hni ' 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 Contact: Mail to: /~nspector Phone: ~.,,~/~ ~77-2,o~y APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20o 7 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 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 alter 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 Town of Southold, Suffolk County, Now 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 necessary inspections. (Signature o-f ap'pl-icant o¢/i~te, if a corporation) (Mailing address of a~licant) I ' ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises H I (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 License No. Plumbers License No. Electricians License No. Other Trade's License No. Nl°l- 1. Location of land on which proposed work will be done: House-N'umber - SU'eet '! -Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block Filed Map No. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ('~5] ~..('Xk'-~ ~'~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition Addition 7 Alteration Other Work 4. Estimated Cost '~0 x Dtbt~3 Fee 5. If dwelling, number of dwelling units If garage, number of cars '~, (Description) (To be paid on filing this application) Number 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 ~2kO, q tl t_]" _ Rear e-~)~ Depth Height ~' Number of Stories Dimensions of same structure with alterations or additions: Front cTl. O~ ~" Depth 3. Height c~ Numberof Stories 8. Dimensions of entire new construction: Front ~O' t{,, Rear v3,,D' c/'~ Depth Height 9' 9. Size of lot: Front 10. Date of Purchase Number of Stories lq gO Name of Former Owner 11. Zone or use district in which premises are situated C'65 ~ c[,e-~ } a~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 7 13. Will lot be re-graded? YES NO N/Will excess fill be removed from premises? YES__ NO / 14. Names of Owner ofpremisesPo, xd, C~xc~ %-~r~ro,._ Address (~ 'B 7 ~ COt. t)t3 ~t_ Phone No. (l'~l,-~'~'7- ~ Ky NameofArchitect 't'~ac~c~fl,e&~-Mr-~ujrx Address ~o~ ~&~,(~o, PhoneNo a~,t-cD~- qTs.~ Name of Contractor t~ tx; ~ ~ F5 Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO d * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS 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 lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) fin h ('[~-~ I' tqdk. ~) i th [' 2_~ 0 being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~) [O,) ~'~Q ~~- (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 5'~ dayof JOfio-- 20 0'-~ Notary Public Signature of Applica~) Erosion, Sedimentation and Storm.water Run-off Control Plan ASSESSMENT FORM '" :' .-~ 4"-- EXEMPTIONS: ~' ' A. Does this project meet the minimum standards for classification as an Agricultural Project. Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required. ACTIONS REQUIRING THE SUBMISSION OF A STORM~WATER, GRADING~ DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK- Item Number: (A Check Mark (,/) for each question is required for complete application) Yes No Will this project retain all Storm-Water Run-off generated on Site? (This will include all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? 4. Is there a Natural Water course mrming through the site or is this project within r~ One hundred (100) feet'of wetlands or a beach? 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to r~ One hundred (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? Will this application require the placement of material, removal of vegetation and/or the construction of any item within the Town Right-of-Way or road shoulder area? (This item does not include the Installation of driveway aprons.) 8. Will there be site preparation within the one hundred ti00) year floodplain of any watercourse? Note: If any answer to questions ~)ne through eight is answered with a check mark In the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit. STATE OF NEW YORK, l, That I...~]~,....~../.t~'..'~z~5~>' ............................ being duly sworn, ~poses and says that he/she is the applicant for Permit, (Name of individual signing Document) And that He/Wae4s the ...... (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owner's, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belier; and that the work sill be performed in the manner set forth in the application filed herewith. Sworn to before me this; - Notary Public: ..... ~~R/VANfi' ROOOE~ ........... Notary Public, State of New York No, 4855805 Qualified in Suffolk County ~ Cemmission Expires April 14, mm TOWN OF SOUTHOLD PI[OPERTY RECORD CARD OWNER STREET ~ ~/0 VILLAGE DIST. SUB. LOT S W CODE DATE OF CONSTRUCTION LAND IMP. TOTALJl DATE REMARKS .~ - ~, %',..1 Tillable FRONTAGE ON WATER W~lond FRONTAGE ON ROAD ~ ~ H~ PIct BULKH~D T0t0~ ~ ~< /'~ ~- Extension Ba~ment Extension Ext, Walls Extension Fire Place ,~) ~ Pool A~ic 'Deck Patio ~ooms l~t Floor 'Breezeway Driveway ~o~ms 2nd Floor Garage O.B. I ? 3 4 5 G '/ 8 9 I0 II 12 13 14 15 IQ 17 ~" WATER, MAIN ~ r-r' ~ pROPOSED~ , GARAGE ~/ / -- ADDITION / ~ O / / · , ~ . ,~ ~PROPOSED ~~o, ~)NEWpoRcH / .~ N ~ eom P~NCY OR ~ ~,', . CER~FiCATE ~, C 7, )C CUPA~Y ~ DINIZIO ~ 6T~EET , kr~ RO ~ ,,.D A,, NOT:~ TOWN, 5TATE ~ ADD~TIO~ . ~ DESigN O~ co~smuc~m~ ~~TL D~W[NG RET~ST~ WAT~ ~,,,,?~ ~ Ju.~?,2oo~ JUN 2~ 2006 ~~Tlr ~ O~N~ ~o. SCALE I I,__ 20' 0Il -- - 0000 K J H G F E D C [3 A 2 3 4 5 G '/ 8 ~ I0 II 12 13 14 15 IG I'/ I GROUND FLOOR PLAN (6" MULL) (2) TW2 JO4 I0 ANDEP-,~EN 400 5ER,lEE , EZZZZZZZZZZ~ ////////////] JUNE 28, 2007 JUNE 27, 200G 003 K J H G F TO ?OPT FOUNDATION STRUCTURE ¢ DECK PLAN ~) EZZZZZZZ-ZZ3 ~'/////'///'/'//I INDICATe5 N~v' WALL5 tNY WAY. ANY A T[4ORIZEO DINIZIO RESIDENCE 5TP-,,EET TOWN, STATE ADDITION FOUNDATION ¢ DECK STRUCTURE PLAN 0000 D C A I 2 3 4 5 G '/ 8 9 I0 II 12 13 14 15 IG 17 FRONT ELEVATION (~ V~NT7 ~dW Po~c~ ~ ~ ~ REDIDENCE DIMENSIONAL aOY~ ~FHALT '~ ~ STREET i F~"IN~ ON ~Ob~ ~UlLDIN~ J I // %~ ~ // 2 = k SHINGLED ON SOlD BUILDING PAPDR ~L~O gOWN ~ ' ~ ~',4" ~uo~ a ~6',o,c, ~ ADDITION X ..... %7,; ;;~ ....... ~ STRUCTURE P~N ~ ~,~ ~,_o,,,~,.o,~,,~, ,"-~",~ ~ ~ ,~u~ I 5 E C T I 0 N ~,~.., ~':',, , ~,,~.o. ~,,,.ESS ACTING UNDER .... ~'-~'~. OOOO K J M G E D C A I 2 3 4 5 G '/ 8 ~ I0 II 12 13 14 15 Ig I'/ ~HOUsES) . WATER MAIN _ ,' ~/ / ~ ' GAUGE ~ / ~-ADDITION ~ PROP05 ED ~"~**~' '"~*'~"~"~*'~ ~ ~ , ~~ Po~c~ ~ 0 ~ OINIZtO / -°/e~', ,. O ' ~ / / F ~ ADDITION 51T~ P~N ~'qf~IT,~E~W. - JUN i 1 2009 ~ J SCALE: 1"-20' O" 0000 J H G F E D C A I 2 3 4 5 G '/ 8 9 I0 II 12 13 14 15 IG I'/ ANDERSEN ~ ~ ANOE~EN ~ DINIZIO ~ RESIDENCE ~ STREET , ............... ............ -- F "¢ ~ ADDITION 4. ,~,-~,., ~ ,~,-~,.,, t ~,~,, , .,_~,, DECK I~1 ~J ~SCRiBEmNACOO~D~C~ JUN 17 20og Ii ff 0 U N D A T I 0 N ¢ O E C K~ ~¢;;¥~,Fi., OOOO K J H G i= E D C D A - ff~ONT ELEVATION ~ KIDGE EXI6TING MOUSE ~ NEW ADDITION TO GA~G~ ~ '% ~ DINIZIO WN~ N~ ~o~c. , DIMENSIONAL 30YK ASPHALT , KE61DENCE ~s~N~ ON sore ~U~L~N~ ~ ~ DT~EET L ~ ...... : ~ / ~ ~OUNDATfON * DECR 5TRUCTURE ~,~'~'~' 4 ~ ~ ~.o~.~,_o,,o.~. d~.~,~oo~,~~,-,,~ 'v,o, ~ ~ ~'~ 5ECTION ~ ' ~o.o~u~ ~.~ ~o.=~~ .,~..~ .._o..  / ~ JUNE O9, 2009 JUN 1 1 "~ FH THE ~W* [% ~ K J H G F E D C D A