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