HomeMy WebLinkAbout34914-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPD~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~/NCY
No: Z-33952
Rte: 09/15/09
T~IS u~TIFIES that the building ALTERATIONS
Location of Probity: 52325 CR 48
(HOUSE NO.)
Co%~nty Tax Map No. 473889 Section 135.1
Subdivision Filed Map No.
SOUTHOLD
(STREET) (HAMLET)
Block 1 Lot 42
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 5, 2009 pur~,~t to which
Building Permit NO. 34914-Z dated AUGUST 6, 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 "AS BUILT" INTERIOR ALTERATIONS (BATHROOM AND WALL) AS APPLIED FOR.
T~e certificate is issued to IRIS BARBARITO
of the aforesaid building.
( OWNER )
S~FOI~K CO~DEPAR~TOF~IF~%L/~{APPRO~-~J~ N/A
EI~L-ZKIC3%L C~RTIFIC3~ NO. 09-3719 06/23/09
PL~ C~I~TIFIC2%TION DA'r~3 09/14/09
BILL YANTOS
~ut o~ri i~S ig~at ure'~
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCC
This application must be filled in by typewriter or ink and submitted to the Buildi
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property 1
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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. 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 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 - $I00.00
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
Date.
New Construction: Old or Pre-existing Building:
Location of Property: ,.5'-2~2._'~~ ~t2 g-t/o°~ . .~t57~Veff~'/~,/~/~
House No. ? Street
Owner or Owners of Property: ..~"'Z2-/..q /2-
Suffolk County Tax Map No 1000, Section /:~-5'. ~/ Block
(check one)
IIqT/
Hamlet
Subdivision
Permit No. 3qqlq
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~/~, ~d~
Date of Permit.
Filed Map.
'~/c:,2 I/t~ ~ Applicant:
Underwriters Approval:
Lot:
Final Certificate:
(check one)
Applicant Signature
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. 34914 Z Date AUGUST 6, 2009
Permission is hereby granted to:
IRIS BARBARITO
211-09 42ND AVENUE
BAYSIDE,NY 11361
for :
"AS BUILT" INT. ALT. NEW BATHROOM AND WALL PER APPROVED PLANS AS
APPLIED FOR
at premises located at 52325 CR 48 SOUTHOLD
County Tax Map No. 473889 Section 135.001 Block 0001 Lot No. 042
pursuant to application dated AUGUST 5, 2009 and approved by the
Building Inspector to expire on FEBRUARY 6, 2011.
Fee $ 400.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold~ New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No. 3q ~ [ ~
(Please print)
!(Piease print)
lead.
I certify that the solder uscd in the water supply system contains less than 2/10 of 1%
Sworn to bcfurc mc this }q~b~x
day of~l:~,~, 20C)~'~
Notary Public,~ .-~.~-___~ County
(P~umbers Signature)
CONNIE D. BUNCH
NotaPj Public, State of New York
No. 01BU6185050
Qualified in Suffolk County ,
Commission Exoires Aoril 14.
Electrical Inspectors, Inc.
308 East Meadow Avenue
East Meadow, NY 11554
Office: (516) 794-0400 (631)396-7474
Fax: (516) 794-5854
Website: .,vwv.elect~ calinspec t or s.com
Email: in fo~lectricalinspectors.com
Mail To:
East County Electric, Inc.
William Oster/Bruce Oster
PO Box 2620
Aqueboque, NY 11931
1005E
CertificateNumber: 09-3719
Municipality: Southold, Town Of
Inspector: 125
Issue Date: 6/23/2009~
Property Address: [ ]
Barbarito I I~
52325 Sound Av~2 '~
Southold, ~
EL_E C TRICAL APPROVAL J ER TIFICA TE
AREAS LISTED BELOW ARE APPR~/~)~/Y SURVEY
AND FOUND TO BE IN COMPLIANCE w~l ~,~X//4kTIONAL ELECTRIC CODE
No visual defects were found for the electrical inspection prodded. No ob~us unsat~ factory conditions were found in the aras
herein below only. '~ ,~
This is a visual Survey in compliance with NFPA 73, latest editionl~ection l-l, 1-2
ResidentiaI Survey/Maintain Existing Conditions ~
2nd Floor: 2 Bathrooms. Family Ro~;
Richard M. Bivone
President
Philip F. Goehring
Chief Electrical Inspector
Not vali~nless signed by an
a 'zed Ell Agent
Condon Engineering, P.C.
New York State Licensed Professional Engineers
1755 Sigsbee Road
Mattituck, New York 11952
631-298-1986
Fax 631-298-2651
September 4, 2009
Mr. Gary Fish
Building Inspector
Southold Town Building Department
53095 Route 25
P.O. Box 1179
Southold, New York 11971
Re: Permit No. 34914 - North Fork Condo Unit 42
Dear Mr. Fish:
I inspected the two bathroom renovations and new partition wall at unit ~42 in the North Fork
Condo's located on Route 58 in Southold. The renovation work was found to be completed and
was found to be in acceptable condition and the bathrooms were free of leakage. To the best of
my knowledge, the completed work is in conformance with the Building Code of the State of New
York.
If you have any questions please call me at 298-1986.
Yours truly,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ~)~INAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PEN-- ~.ATION
REMARKS:
DATE ~-/'~- ~ ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]I~NSULATION
[ ] FRAMING/STRAPPING [~/] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
INSPEC~~----~
Condon Engineering, P.C.
New York State Licensed Professional Engineem
1755 Sigsbee Road
Mattituck, New York 11952
631-298-1986
Fax 631-298-2651
September 4, 2009
Mr. Gary Fish
Building Inspector
Southold Town Building Department
53095 Route 25
P.O. Box 1179
Southold, New York 11971
Re: Permit No. 34914 - North Fork Condo Unit 42
Dear Mr. Fish:
I inspected the two bathroom renovations and new partition wall at unit #42 in the North Fork
Condo's located on Route 58 in Southold. The renovation work was found to be completed and
was found to be in acceptable condition and the bathrooms were free of leakage. To the best of
my knowledge, the completed work is in conformance with the Building Code of the State of New
York.
If you have any questions please call me at 298-1986.
Yours truly,
SEP
BLDG. DEPT.
TOWN OF SOUTHOLO
~O~AnO~ ~S~
ROUGH FRAMING &
PL~G
~8~ON P~N. Y.
STATE E~R~ CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork. net
Disapproved a/c
Expiration
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
Smwey_
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Coataet:
Building Inspector
Phone: "TBS- 7
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,=0 oc}
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 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 Southuld, Suffolk County, NewYork, 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.
State whethers~'~1' '/~lJ~-- /' - -~ 200 [~ (Mailing adTs of applicant)
. ~n~~hitect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises eof J~' ~f~_~ ~ O~[~J~
(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. Locatign of land. on which oxoposed, work will be done:
House Number Street
County Tax Map No. 1000 Section I~'. I
Subdivision
Block
Hamlet
Filed Map No. Lot
2. State existing use and occupancy of pmm~es and intende~ use and occupancy of proposed
a. Existing use and occupancy {_..'or~clo ~Jf {~£1~/~,,L~ t~{_
b. Intended use and occupancy ~ ~- ~ ~1, Jd Off 0 ~0 t'l 6~d
3. Nature of work (check which applicable): New Building.
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of
Addition
Other Work
construction:
Fee
Alteration/~
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commemial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing s~mctures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front L~t~ 0 ct Rear
Height Number of Stories ~
Depth
Rear
9. Size of lot: Front
Rear Depth
10. Date of Pumhase
Name of Former Owner
11. Zone or use district in which premises are situated
12..Does proposed construction'violate any zoning law, ordinance or regulation? YES
re-graded? YES NO/~--.Will excess fill be removed from premises? YES __
1
3.
Will
lot
be
14. Names of Owner of premises.
Name of Architect
NO
NO
Address
Address
Name of ContraCtor ,Oot~ ~---oll~_ Address
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 liE R21~QUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO ~--~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
Phone No
Phone No
C~e~/OVb~ ~ Phone No' '7' q :~ - .~1~-
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
, SS:
16. Provide survey, to scale, with accurate foundation plan and distancesto property lines.
17. If elevation at any point on property is at 10 feet or below, must prov~i~¢ l~pographtcal da~ta on'survey.
18. Are there any covenants and restrictions with respect to this property? * ~YES NO
No. 01BU6185050
OualiflBd n Suffolk County
Corem ssion Expire~ Apd] 14, ~0_/..~
(Natalie ~[~di~v dua'l~t~i ~O~'cnntract)__________..__._.......__ above namedbeing, duly sworn, deposes and says that (s)he is the applicant
(S).e is the
(Contractor, A'~ent, Corporate Officer, erg.)
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 A ~ ~
~-~ dayof ,2q~t~>~ 200~
Notary Public
,4 C_
NEWJACUZZIUNITINP~CE % ~ ~ATH /~% ~I~TING PLUMBING RISER DIAGRAM z
WOND~ BOARD P~OI~TO
TILS INSTAnT,ON ~ 5ATH ~ ~ 0
CUDTOM F~ME~55TEMPE~D ~ ~ LIV NG 5PACE // ~ ~Hp~I~.V ~ ALL PLUMBINGWASTBoki~Ai Mmm¢~ O
~,s~,~// ~ USE S UNLA
MO~STU~ ~STAN~ ~0~ ~N LEAD CONTENT BEFO~[ING & CONNECTIONS~ /
~. gOLIGH - F~ u~]NG & PLUMBING ELECTRICAL NOTE~:
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.