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HomeMy WebLinkAbout34680-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33788 Date: 06/18/09 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 780 GOLD SPUR ST (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 95 Block 4 Subdivision Filed Map No. Lot No. CUTCHOGUE (HAMLET) LOt 18.14 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 2009 pursuant to which Building Permit No. 34680 Z dated MAY 11, 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 ACCESSORY SHED AS APPLIED FOR. I'ne certificate is issued to GEORGE N & MARIA GIANNARIS (OWNER) of the aforesaid building. ELECT~ICAL CERTIFICATE NO. N/A N/A //AuthOrized Signature Rev. 1/81 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. 34680 Z Date MAY 11, 2009 Permission is hereby granted to: GEORGE N GIAiqNARIS 780 GOLD SPUR ST CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN ACCESSORY SHED AS APPLIED FOR at premises located at 780 GOLD SPUR ST County Tax Map No. 473889 Section 095 Block pursuant to application dated MAY 1, 2009 Building Inspector to expire on NOVEMBER CUTCHOGUE 0004 Lot No. 018.014 and approved by the 11, 2010. Fee $ 100.00 Authorized Signature ORIGINAL Rev. 5/8/02 application must be filled in by typewriter or ink and aubm/tted to the Building D~partment with the following: For new building or'new use: 1.. Fi..! survey of property with aeeume location of all bu/ldings, property lines; streets, and unusual natural or . topographic fearing.. Z F/hal Approval from Health Dept. 0fy~at~ m~pply and aewerage-di~oaal (S-9 form). 3, Approval of electrical kmtallatiun frOm Board of Fire Unden,/fiter~. 4, Sworn atat .e!nent from plumber c~'tifyiag that the ~older uaed ia system contai,.~ leas than 2/10 of 1 ?A lead. 5. Commeroial building, industrial building; muRiple residences, and similar buildings and inatallation~,a certificate of Cod~ Compliance fr0fi~ arehite~t or engia~er responsible for the building. 6. Submit pla,ning Board Appwval of completed site plan requir~nants; IL F~rexis~ng.b~l~dings(pri~r.t~April9~957~n~n-conf~rminguses~rbui~dingsand"pre-existing~landnse~: 1. ' Aecurate aarvey of property s~howing ali property lines, streW, building and.unusual natural or topograph/¢ features. 2. A pr6periy completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shail state the reaaona therefor in writing to the applicant. C. Fees L Certificate ofOecupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwel/ing $25.00; Swim_ming po°t $25,00, Acec~sory building $25.00, Additions to accessory building $25.00, Businesses $50.00 2. Certificate of Occupancyon Pre-existing Build/ag - $100.00 3. CopyofCertificate ofOecupaney - $.25 4. Updated Certificate of Occupancy- $50.00 J Date. ,'~-- --(eT'q~ ~ ' (check--l/one) New Construction: Location of Property: -~ ~) Hotme No. Owner or OwnersofProp~y: (~-Eb~--/,~ Suffolk County Tax Map No 1000, Section Oid or Pre-existing Build/ng: Street Subdivision permit No. Z Date of Permit. Health Dept. Approval: Planning Board Approvah Request for: Temporary Certificate Fee Submitted: $ '~, Hamlet Block Filed Map.' Appl!cant: Underwriters Approval: Lot: Finai Certificate: (check one) · / .../ '~p~li~tnt Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INS~IJLATION [ ~-']~NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE COMMENTS rrE. I,D INSPECTION REPORT I DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUM~ING IIqSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Exarnined ,20 O? Approved Disapproved a/c Expiration PERMIT NO. 2~ q:G ~/. 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 ~ BLIP. OEPI. TO~N ~F SOUTHOLD { Bui~di~-~g Inspector Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20o 7 State whether applicant 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 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 pemfit for an addition six months. Thereafter, a new permit sball 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, New 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, ho~,dng code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.// - ,~ ~ ~,S/~namre~o f a~licant or name, if a corporation) ~, ...... OF TH~ (Mailing address of applicant) r;,yE. . ......... ,s owner, lessee, agent, afchiYec{,' engineer, general contract ~,¢~/[1~,~ ~l~[~r[~r builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer (Name and title of corporate ofticer~ . ~ ' Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. l. Location of land on which proposed work will be done: (As on the tax roll or latest deed) FOR THE House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Block o 5/ Filed Map No. Lot '~'~. V Lot '~' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost '~ t ~'~ '3 Fee · · .... i " (To be paid on filing this application) 5. If dwelling, number of dwelling units 1 .- Number of d~elling units on each floor If garage, number of cars ~ ; . . , b. It' business, commercial or mixed occU~iS8:¢, specify nature and extent; o£ each type o£ use. 7. Dimensions of existing structures, if any: Front ~.- ~o , Rear} Depth Height. Numb~Fo-f'Sldries Dimensions of same structure with alteratigns or additions: Front Depth Height W//~ Number of Stories I 8. Dimensions of entire new construction: Front /O Rear /o / Height 9. Size o£1ot: Front 10. Date of Purchase Depth Number of Stories Rear / '2 (- Depth '~(~ J-~', .5- ~ Name o£ Former Owner P&'r~\( [ ,:~ 4tf¢oo Rear 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO/M~ Will excess fill be removed from premises? YES NO~ 14. Names ofOwnerofpremises ~,,w_~,~_-(~t^~-,~,~ Address ~ Name of Architect w/~ Address Phone No ~,~ I Xob -~ '¢ ~P-~ (c~ Name of Contractor ~ / ~ Address Phone No. 15 a· Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~-~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls 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 fbundation plan and distances to property lines. 17. If elevation at auy point on property is at 10 feet or below, must provide topographical data on survey. 1 g. Are there any covenants and restrictions with respect to this property'? * YES__ NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~O[~,-X'(, C,~q,ao~,~ ~' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the C) LY3 i, oL ~ (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 tree to the best of his knowledge and belief; a~gd~t the work will be perlbrmed in the manner set forth in the application filed therewith. / / Sworn to before me thisNOTARYPUBLiC, STATEOFNEWYORI( /// / ~ day of QUALIFIED IN SUFFIIlI.K COUNTY ~/' ~ NO. 01MO61997b'9- /(~ ~ ~ ~ ~. i- ';),%0% ' "" ~/Stgmat ure of Applicant Town _of Southol d Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORt,' PROPERTY LOCATION: S.C.T.M, #: 'District Section Block THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF J1_ _S, TORM-WATER; GRADING, DRAINAGE AND EROSION CONTROL PLAH C~-~¥i~-iED ny A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No Will this Project Retain Afl Storm-Water Run-Off Generated by a Two (2") Inch Ra nfall on Site? ~ r~ (This item will include all mn-off created by site cleadng and/or construction activities as weft as afl Site -- Improvements and the permanent creation of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? __[.~."'/~ This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! 3 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 Matedal within any Parcel? -- 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of I~ Five Thousand (5,000) Square Feet of Ground Surface? ~ 5 Is there a Natural Water Course Running through the SiIe? r'~ is this Project within the Trustees judsd/ction or within One Hundred (100' feet of a Wetland or Beach? 6 Wtil there be Site preparation on Existing Grade Slopes which Exceed Fi(teen (15) fee~ of Vertical Rise to r'~ one Hundred (100') of Horizontal Distance? 7 Wilt Driveways, Parking Areas or other Impervious Surfaces be Sloped Io Direct Storm-Water Run-Off ~ into and/or in the direction of a Town right-of-way? 8 Will this Project Require the Placement of Matedal; Removal of Vegeiation and/or [he Construction of r~ any Item Within the Town Right-of-Way or Road Shoulder Area? (This item wilt NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Wa ercourse? r~ NOTE: If Any Answer to Questions One through Nine 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 Permitl EXEMPTION: Does this project meet the minimum standards for classification as an Agdcutiural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl Yes No STATE OF NEW YORK, COUNTY OF ........................................... SS That I, ~...~...~ ..~:.q....~.~....~..~...~E~...~...~. .......................... being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing Doc~menti A~d that he/she is thc .... .~..L~...~!~,-~ .......................................................................................................................................... (Owner, Conlractor, Agent Corporate Officer. etc) Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the safd work and to make and file this application; that all statemenU contained in this application are ~ue to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application fired herewith, Sworn to before me this; ANDREW MORSE ............................................... ,dsI01~Y. I~U~.STAI~0[ I~"W. ~ 20 ..... QUALIFIF. D IN SIJFFOI,.K COLIN NO. 01MO6199759., Notary Public: ......................... My..p..~E)(i~,E$OJ~I~O 1~ .......... FORM - 06/07 x-/- % N S Young & Young 400 Ostrander Aven'~e, Riverhead, Ne~v York 63 ~ - 727-2303 Howard ~. Y~g, La~ S~eyor T~. C. ~olpert, ~ofes~l Rob~ C. T~ Architect R~ald E. P~h~ Lan~cape Architect AREA = 50,1~1 .Ge2. FT. · 5UODIVISION I'4AF~ - "O~EC~ON V'IEI~I EDTATE~" FILE[~ IN THE OF=FlOE OF THE C..LEI~K OF .GUFFOLK. AS FILE NO. .GU~VEY'O~'~ C, FI~TIFIC, ATION · THIS .~.JI~VE¥ BY' ~ FOR. C~EO~GE N. GIANNAD. I5 ~: MA~.IA DIANNAI~IS IN Iq'q-/ AND FI~OM FIELD LOOATION OF NEM FOUNDATION. MAR. I A ® I ANNAt I 5 LOT 14 "OR, EC~2N VIEI/N ESTATE5 A~ ~cho~u~, To~n oF ~u~old ~FFolk GounL~, No~ ~o~ T~X ~p District JO00 ~ti~ ~ 81~k 04 Lot 1&.14 0 btAP PREPARED AUG. 14, 2GOD JOB NO. 200D-0'5.~ DPiG,. 2~_~_~_1o~i~ TOWN OF SOUTHO. LD PROPERTY RECORD CARD OWNER STREET, 7~)"0 VILLAGE DIST. SUB. L°T FORMER OWNER N E ACR. .ES.~ S~S. VL. FARM COMM. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE R~RKS ": illeble FRONTAGE ON WATER /o~land FRONTAGE ON ROAD ~ ' ~e=dowlond DEPTH ~ ~ ~ ~- ' ouse Plot BULKH~D otol LOR TRIM Extension 95...4-18.14 3/05 Extension Breezeway/, L~arage · ~° ~C Total Foundation 7~- Basement ._~C~/ Ext. Walls ~2-~/ Fire Place .,,~j~' Type Roof -? o ~' Recreation Room ~ Dormer Both Floors Interior Finish Heat Rooms lit Floor Rooms 2nd Floor Driveway Dinette LR. DR. BR. FIN. B Extension Extension · ~ge Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Floors Interior Finish Heat 1st Floor Rooms 2nd Floor Dinette K. LR. DR. TALL BARN High walls and double doors make this shed great for storing equip- ment and tools of all sorts. 10' high. Shown is 8x12. SIZE PRICE 8X10 2555. 8xn ~~g,$ 8X14 3065. 8X16 3385. 8X18 3760. 8X20 4260. 10XI0 2940. 10X12 3160. 10X14 3440. 10X16 3715. 10X18 4090. 10X20 4420.