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Home My WebLink About34719-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33908 ~te: 08/18/09 THIS u~RTIFIES that the building DECK ADDITION Location of Property: 845 SILVER COLT RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 95 Block 4 subdivision Filed Map No. Lot No. CUTCHOGUE (HAMLET) Lot 18.5 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 2009 pursuant to which Building ~x~it No. 34719-Z dated MAY 28, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALLAN M DINIZIO (OWNER) of the aforesaid building. SII~FOLK CO~ DEP~T~T OF }~ALTH APPRO~rAL BL4~C"~RICAL u~KTIFIC-~ NO. PL~ u~KTIFICATION Da'r~u3 Rev. 1/81 N/A N/A Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department wi~ A. For new building or new use: 1. thefollo Final survey of property with accurate location of all buildings, property lines, streets, 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 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. F~r existing buildings (pri~r t~ April 9~ ~957) n~n-c~nf~rming uses~ ~r bui~dings and ``pre-existing~~ land uses: t. 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 Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. 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: Old or Pre-existing Building: House No. Streel OwnerorOwnersofProperty: (tll /n Suffolk County Tax Map No 1000, Section ~ ~.~ Date. / , . (check one) Hamlet Block Subdivision Permit No. $9(/7 t Health Dept. Approval: planmng Board Approval: Request for: Temporary Certificate Fee Submitted: $ Lot DateofPermit. 5'%200'~d~ Applicant: tlh n Underwriters Approval: Final Certificate: (check one) Applicant Signatur~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34719 Z Date MAY 28, 2009 Permission is hereby granted to: ALLAN M DINIZIO 845 SILVER COLT ROAD CUTCHOGUE,NY 11935 for : DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 845 SILVER COLT RD CUTCHOGUE County Tax Map No. 473889 Section 095 Block 0004 Lot No. 018.005 pursuant to application dated MAY 14, 2009 and approved by the Building Inspector to expire on NOVEMBER 28, 2010. Fee $ 200.00 / -- ~thorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~fI~'ATION [ ] FRAMING / STRAPPING [P/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ r~--~& ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~J.AT-ION [ ] FRAMING / ST'RAPPING [~,~"'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE R~ CONSTRUCTION [ ] FIRE RESISTANT PENETRATION RE MAR I~.. ~"-/0'0-~ ~ ~ ~'- INSPECTOR DATE // FIELD INSPECTION REPORT [ DATE } COMMENTS FOUNDATION (1ST) FOUNDATION (2~) ROUGHpL~GF~G & ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTowu. NorthFork.net Examined yj?r% , 20 ] Disapproved a/c 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 Suwey Cheek Septic Form N Y S.DEC. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS %i l~'- ,2o oq 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 PermiL 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 tl~roughout 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 fi-om 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, New York, and other applicable Laws, Ordinances or Regulations, for the construction ofbinldings, 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 Of applicant or nanie, if a'~rp*oration) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ,qlhcn D') iaiz o (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. 1. Location of land ~n which proposed wDrl~ will be done: House Number Street County T~ Map No. 1000 S~ction 0 ~ ~ Block Subdivision OrE Filed Map No. O,~ ~1 Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended useandoccupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling 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 Height Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Size of lot: Front 1.50 Rear /&L/.dO Depth d37, 7 / I0. Date of Purchase ~aYch / q~3 Name of Former Owner Il. Zone or use district in which premises are situated ~ e,~ J'd ca 0/[?'a [ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~'~ 13. Will lot be re-graded? YES__ NO Will excess fill be removed from premises? YES__ NO 14. NamesofOwner ofpremises ~[[~tl /~, 6101 ~ddress ~ t/~rJ~/I/e(~J/~P/-hqneNo. ~,,~l~ 7~4 t]~ tl/~0~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. ls this property within 100 feet ora 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 ora 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 ~survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO v · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: 1~'3rl I c~/'x ~l ¥31 ~-~} ¢' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ (Contractor, Agent, Coq>orate 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 trae 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 dayof C.X,I, :0 ( Notmy Public Signature of Applicant ~ ~ Tewn ef Seutheld Eresien, Sedimentatien & Storm-Water Run-off ASSESSMENT FORM PROPERTY OCATION: S,C.T.M. #: /000 V STO"M-WAT"",O "'"G,D' .N^OE^.UE.OS,O. *District Section Block Lo~ CERTIFIED BY A DESIGN PROFESSIONA, IN THE STATE OF N~ yO~, THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Item Number: (NOTE: A Check Mark (~') for each Question is Required for a Complete Application) Yes f4o (This item will include all run-off created by site clearing and/er construction activities as well as all Site Improvements and the permanent creation of impervious surfaces,) 2 Does the Site Plan and/or Survey Show A 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 Excavafion where there is a change to the Natural r~ Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? 4 Wil~ this Application Require Land Disturbing Activities Encompassing an Area in Excess of III Five Thousand (5,000) Square Feet of Ground Surface? ~ -- / 5 Is there a Natural Water Course Running through the Site? IIII s this Project within the Trustees jur sd c on or with n One Hundred (100') fee of a Wetland or Beach'~ 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vedical Rise to II~ One Hundred (100') of Horizontal Distance? 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Hun-Off II~ into and/or in the direction of a Town hght-of-way? ~ -- 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of O/ any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons,) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? 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: Ye~s N__o~o Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredt __ -- STATE OF NEW YOll. K, OtlS~l '10 V ~:~ ~. (.-~,..~. · SS That 1 .......... ~..k~. ..... }...P'i.)...~..!.~ ......................... I,eing duly s'~roI]~, deposes and says d~at he/she is tim apphcmt for Permih (Name of individual signing Oocumend And that Ira/she is tim ...................~ ..........................................................: ............................................................. (Owner, Contractor, Agent, CorpoCa~e O~cer, etc ) OwBer ~nd/or r~pr~sen~dvc of ~c Owner of Owner"s, ~d is duly au~oriz~d to perform or bare performed d)e s~d work and to m~e ~d file this application; d~t ~l s~tcmen~s con~incd in ~is application arc mm to ~e best o[hJs ~owled~ ~d belief; ~d · at dm work will be performed in ~m m~Der set Forth in fl~e application ~]ed tmrewid~. ......................... , ............. ~ ~ ~ ~ ~ ~;~;;.;;7;~ - ~,~ ...... FORM - 06/07 °"~r~'~'9'-~0 0 ~ PLAN VIEW SCALE: ¼" : 1' SYNTHETIC BOARD DECK (5-1/2"W ; 1-1/8" TH) DATE: L. FEE:~-3'c~o __ CY: NOTIFY £, ~ING > ..................................... 765-1832 F_ ~.~iiH .FOR THE z. r,'..; - & PLUME NG ALL Co;q~,~,~ -...''~ '. ME~T~HE · · USE NFH/____ REQUIRE, ~ .... ~ ~ OF NEW YORK $TATE, k~; m ',~S E FOR .~ , ,~-,,-,. 'VITF qFICAIE DESIGN OR CO~ nUv,,¢N ~ RORS. -i A),.~,o, ~n of this Document except ~,~ ~n Architect or Licensed Profes- r_ngm~er, is illegal." Ss,':tion 7209, Subdivision 2, N. Y, State Education Law. DECK PLAN AND CROSS SECTION SOAL~: t/4' = 1'--0" 7/8/08 NICHOLA~ MAZZAFERRO, P,E. ALL CONSTr MEET THE REC. :' :'3ES OF ;, t .... SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. .,r-' ioie'L.,Jf--'b_l,~ I "'F ......................... STAT~EM,ENT OF INTE;NT ~]' THE WATER SUPPLY AND SEWAGE C [.~¢r~.._O~jE SYSTF. J~S FO. THIS RESIDENCE WILL .............. - CONFORM TO THE STANDARDS OF THE ~'~ ~ ~OL~ N ~ ~FFOL~CO. DEPT. HEALTH SERVICES, ~ICANT surrau~ cOuaTv OEeT. OF H[AUTH CONSTRUCTION ONLY ,. DATE: .... ~ ~FFOLK C~. TAX MAP DESIGNATION: ~ DI~T, ~CT. BLOCK PCL. x2~, OWNERS ADD~E~: ', ~O 50U~qD f~OAL- % "~-' DEED: L. P. '~,* (x, TEST HOLE STA~ ', r/C~8