HomeMy WebLinkAbout34785-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP/~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
~o: Z-33828
Date: 07/14/09
THIS CERTIFIES that the building ADDITION/RENOVATION
Location of Property: 6300 INDIAN NECK LJ~ PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~ap No. 473889 Section 86 Block 7 Lot 2.1
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 16, 2009 pursuant to which
Building Petit No. 34785-Z dated JTJNE 16, 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 SECOND FLOOR ADDITION AND MINOR ALTERATION TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
· ~ne certificate is issued to JOHN M & LINDA N SCOPAZ QUAL TRUST
( OWNER )
of the aforesaid building.
SuffOLK t~)~DEPART~TOF }~ALTHAPP~O¥1~L N/A
E~.~t-rKIC3~L C~RTIFIC3~TH NO. N 532540 08/04/00
PLI~B~ C~RTIFICATION ~}A'r~43 06/21/00
PECONIC PLUMBING
Rev. 1/81
APPLICATION FOR CERTIFICATE OF OCCUPANCY
-This. application must be filled in by ~tcr or iak and submittal to the. BuiJd~ng D~attment with the following:
A. FOr new building or'new use:
1. Final stlr~y of propo~ with aerate location of all buildings, property lines;.st~ts, and unusual natural or
. topographic f~tm~..
Z ;Final Ap~val from Health Dep~ of~at~r supply and ~orag~lisposal.(S-9 form).
3. Approval of ¢l~ric/dimtallatio~ ti~m Board ofHr~ Uad~it~rs..
4. Sworn gretna. ~nt from plumber c~i_fyi~ that th~ ~ld~r u~l in ~ contains' 1~ than 2/10 of 1 ~A lead.
industrial buildingi, m~il~pl¢ ~idomx~.~nd stmdar buildings a~d ins~allations,a
of Cod~ Complian~ from amhit~t o~ ~n0ea: r~pon~ible for lh~ building.
6. ~ubmit pJaaning Board Approval ofeompl~t~xl sit~ plan r~t~i~m~s;
B. For ~i~liag builai,,Es (prior to April 9, 1957) non~Onformiag.u~, o.r bullaiags and ~'pr~xi~iag" hnd.
1. Ao~uat¢ a~-vey ofprope~ .showiag all property lines, stm~, buildinE and.unusual, natural or topographic
f~atr~.
2. A-pr6p~rly e, ompt~ted'appliCation and COnsent to inspect signed by the applicant. If a Certificate of OCcupancy is
d~i~l, the Building Inspector shall state the reason~ therefor in Writing to the applicant.
C. Fees
Certificate of Occupancy - New dwelling $25~00, Additions'to dwelling $25.00, Alterations to dwelling $25.00,
SWimmi~§ pool $25~00, Accessory building. $25.00, Additions to ~cceSsory building $25.00, Businesses $50.00.
Certificate of Occupancy On Pre~x_isting Building - $100.00
.3. Cop:g.of Certificate of Occupancy - $.25
4. Llpdat~l'Ce~ificat¢ of Occupancy - $50.00
T~mP°rary Certificat¢ of Occupancy - Rcsidential $15.00, CommerciaI $15.00
N~w ConstructiOn:
. LOcation of Property:
L/ ~ or Pr.e-existing Building: ·
House No.. Street
Date.
(check one)
Hamlet
. Suffelk Cotmty Tax Map No 1000, Section '~,~,~a~o~;~ -; ~B lock ~.~O % Lot ~. ~r~./
' Sulx~vision
Permit No. ~ q '7 ~
Health Dept. Approval:
Filod Map.. ' Lot:
Underwriters Approval:
Planning Board' Approval:
Request foz: Temporary Certificate
Fee'Submitted: $
Finai Certificate: (check one)
p.o. B~ 117~
11971
C~R~X~xc&~XOi ....
x aezt.:L~ t. hat the aolde~ ~ed .L~ the v~t.e= ..~¥ ~t. em
cOn'C~lnl XeB. t. ha.G 2/10 o'g Xt Xe~d.
THE NEW.YORK** ,BOARD OF FIRE UNDERWRITERS
118507.7
AUGUST ~4,2~ ~, Ne. ~,~ 1~5291~/~ N 53254~
TH~ ~ THAT
JO~ SCOPAZ, 6~ i~I
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. 34785 Z Date JUNE 16, 2009
Permission is hereby granted to:
JOHN M & LINDA SCOPAZ
204 CORLIES AVENUE
PELHAM,NY 10803
for :
CONSTRUCT 2ND STY ADD & RENOVATIONS TO AN EXISTING ONE FAMILY
DWELLING.AS APPLIED FOR. THIS PERMIT REPLACES BP 25535. DEC & TRUSTEES
at premises located at 6300 INDIAN NECK LA PECONIC
County Tax Map No. 473889 Section 086 Block 0007 Lot No. 002.001
pursuant to application dated JUNE 16, 2009 and approved by the
Building Inspector to exlDire on DECEMBER 16, 2010.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~ FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE
FO~ATION (1ST)
FO~ATION (2~)
ROUGa ~ &
PL~G
~S~ATION PER N. Y.
STATE E~R~ CODE
TOWN OF SOUTHOLD PROPERT~...EECORD C~D ....~-
OWNER STREET ~:;~::~C~)~~.) ' VILLAGE DIST. SUB.
~ ~ ~~9 S W ~ WPE OF BUILDING
~ES~J D~ S~S.. VL. FARM CO~. CB. MICS. Mkt, Value
~ND IMP. TOTAL DATE · R~RKS,
/ .
V~lend FRONTAGE ON ROAD ~ p~ ~ ~ ~~
4eodowl~d DEPTH ,/,?~ ~, ~¢
~o~. Plot BULKH~D ye ,.
'oto I
Extension
Extension
Foundation
TRIM /~ ~ ,"~
Bath
Breezeway
i~oroge
P(3tio
OoB.
Total
Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Floors
Interior Finish
Heat
Rooms ]st Floor
Rooms 2nd Floor
Driveway
DR.
BR.
FIN. B
Telephone
(516) 765-1801
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
Town H'o.11, 5309,5 Main Road
P.O. Box 1179
Southold, New York 11971
At the meeting of the Southold Town Conservation Advisory Council held
Tuesday, December 15, 1998 the following recommendation was made:
WR-128
Moved by Melvyn Morris, seconded by Kenneth Meskill, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
of the Waiver Request of JOHN and LINDA SCOPAZ 86-7-2.1 to construct a
new master bath and dormer on second floor; new roof tb existing house.
6300 Indian Neck Road, Peconic
Vote of Council: Ayes: All
Motion Carried
COLOR
TRIM
IrOR~ NO. I
"rO~H. OF ~OUTIIOI,D
BUll,DIN{; DEPARTHENT
.TO~N IIALI.
SOUTIIOLO. N.Y.. 11971
TEl..' 765-!802
BOARD OF liEALTII ...............
3 SETS OF PLAN,q ...............
SURVEY ;..; ...... '--;---; ...... :
CIII~.CK .........................
SEPTIC FORN ... ~_- ..............
NOTIFY:
HAH, TO: ....................
! NSTRUC:T 10NS
a. 'lhla aFpllcat|ot~ mat be completely filled in by tylmariter or in ink alii
3 ~ts oF plans· ~rflte plot pl~ to ~ale. P~ a~Mil~ to $d~Mle.
~ ~i l~att~ of lot ~i of Imiidit~s
b. Plot plm d .~ ..... ~ ~.~ -r ~.~t of -~rtv ~mt ~ dr~ m tim dl~ ~*id~ ~s I~rt of
e. 'llm ~rk ~ ~ thin nl~)lieati~ ~
~l~ n~! of this n~lienti~, tim I~fildi{~ lns~etor ~{11
e. ~ Imiidlt~ droll ~ <~i~l ~ ~1 in ~mle or In ~rt for n~ ~ ~mt~r ~til a ~rtifiente of
A~.l~'rl~ 18 I~n~ ~ to tlm'l~lldl~ ~r~nt for ~m tn~e of n ~lldt~ ~it ~rm~e to the
~..~rl~ ~{~,NT...I~ .......
(~ili~ ~re$s of n~lle~t)
State ~tl~r a~licmlt is.~r, le$~, ~ent, nrddt~t, chRis--r,
.~~ .................. : ..................................................
..................................................
(as ~ tl~ tax
If n~lic~t is n ~ntitm, si~tum of ~ly mltl~ri~l officer. .
3. t%h.e o~ ~k ((~e~:k vhldl applicable): I~ I~dhli.l~ .......... 6~liti~ ..~. ..... Alterati(xi .....~...., : :"~
I
( ~rlpt ~
.... (to.l~. ~ d
6. Ir Ix:si,~.., ~zmercJal or zni~l ~(~lm~, '
si~ct[y emt,ure m~l extent: o~ each tyiw o~ tJ~ .... ~ ................
7. I)'.~nOt~lS o[ existi~T strtmtttres, if rely:
..... ~ ...~ ........ ~p,, ...~Z ..........
~i~O,~ ........ ~Z'. ............ ~,,,~ o~ s,,~i,, ..... .~ ............
Ikq~lh ...... ~ ........... I~i~el; .... ~ ............ ~ndmr of ~torie~ ...~ ..........
fl I)iiie~ i f th 'cCX~l~i~:' i~ ....
~. ni~ ,,~ ~,,t: ~,,.,t ...~' ......... ~ .... ~..~ ........,~p~h .... ~.~.~ .........
.~.-,, ~ .,~ ~,r,~,,,~ .... ~:~:fi~ ...... ~"~ 0~ """"~ ~ ' ~lO~'r ~]~ ..............
II. 7xx~ or u~ district j. d~idl pzonl~a are ~t~l
12. I~ prol~l ~st:n~tim violate a,y ~d~'~ l~'ordh~e or
13. ~ill lot I~ ~8r~ ...... ~a .......... NilI e~,~
15. ls this prOl~rty vlthhl ~) f~t of a riehl ~la~l? * YF~ .... ~. .... ~ ..........
PLOT DI~I~AH ....
~tl~r Interior or c~nwrJot. ' ......... ;:" ........................... .
k: h~ the ..................................................................
(('x~fl:roctor, nsent, corlx~rflle offh:er, etc.)
~1~ ~mid ~r or ~r,. taxi i~ dul:y ~Jthoriz~l to l~Tfon, Or hnve i~rfo~.~ tim ~l(I ~tk o~l to n~ke o~x).. [ile Ildn
q~l)lleflti(~l; thnt: nil stol:e~tlt.,.c:(x~toh~l ht t,hi~. ~,lq)f.~c:ot[(~ ore tt~ .to the I~nl: oE hio ku~l~e taxi Ix~tieE~:~L
hill:, ti)e ~.k ~iTL I~ I~rron~l Jn the mr.~r ~t Eo~th in the al~l. icaClo, fl]~ t:lm~ith.
NORTH ELEVATI~
NORTH ELEVATI(
SCALE: 1/4" = 1"- 0"
EAST
SCALE: 114" = 1'- 0"
ELEVATION
NAUU TO
DSo~G-Fo ~AT
'PARTIAL
SCALE: '1/4" = '1'- 0"
u~OOg.~ 70
:PARTIAL SECq
/ N
/ ~ /
MASTER BA~- "A" /o~'--PlON
MASTERBATH "C"
EBEKENCY ESCAPE ~
REQUIRED BY PA~' 714 OF
N.Y. ~A~ BUILDIK CODE.
~~
FLOOR PLAN
~ N
01oo
PROVtDE OPENINGS FOR
EIERGENCy ESCAPE AS
RiQUIRED BY PART. 714 OF
N.Y. STATE BUIL~IK CODE.
AS'B PAlff.?n.I
FLOOR ,PLAN
~ND,
MASTER ~TH "B"
INTERIOR ELEVATIONS
SCALE: 3/8" = 1'-0"
BATH "D"
Checked By: ~
Date: //~//,:~/c~ ~)
Scale: ~ ~H~)~N
Sheet Title:
FLOOR
PLAN
ELEVATIONS
Sheet No:
2
SITE PLAN ENLA' GEMENT
SCALE: 1 "= 20" 0"