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HomeMy WebLinkAbout35081-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP/kRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34098 Date: 11/25/09 THIS CERTIFIES that the building DECK ALTERATION Location of Property: 2500 PECONIC I21 PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 74 Block 3 Lot 24.2 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 16, 2009 pursuant to which Building ~ermit No. 35081-Z dated OCTOBER 9, 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PETER J & CHERYLYNN A CASTIGLIONE (OWNER) of the aforesaid building. SUFFOLK COIR~TY DEPARTMENT OF HEALTH APPROVA~ EL~t-rKICAL C~KTIFICATH NO. PLU~ERS ~KTIFICATION DATED N/A Signature Rev. 1/81 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 D A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 3. Approval of electrical installation fi.om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contal~ 5. ,'-less man 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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 nnusual 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 ~ $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: __ Location of Property: __ Old or Pre-existing Building: X (check one) House No. Street Hamlet OwnerorOwnersofProperty: ,//~J~- qt ~/~,~ / Suffolk County Tax Map No 1000, Section ~)-7~ Block Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. ! O ~ Underwriters Approval: Request for: Temporary Certificate Filed Map. Lot: Applicant:/fi-D/9 f~O/7~/_) Fee Submitted: Final Certificate: L~ (check one) 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. 35081 Z Date OCTOBER 9, 2009 Permission is hereby granted to: P CASTIGLIONE 2500 PECONIC LA PECONIC,NY 11958 for : DECK ALTERATION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 074 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 2500 PECONIC LA PECONIC Block 0003 Lot NO. 024.002 16, 2009 and approved by the 9, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [i ] FOUNDATION 2ND ~,~~ STRAPPING ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE I/~ ~-~ ~ o ~ INSPECTOR ~r~J,D INSPECTION REPORT I DATE t COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) · ,, ~ ~S~ATION PER N. Y. STATE E~RGY CODE F~ ' ~ ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined (o./(~ ,20 0f Approved [Of[ ~ , 20 0 ~ 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 Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to/~0'q Vhone:~ff Expiration sets of  Building Inspector ~--~["~_ . A q~aa //~Jj! 'PLICATION FOR BUILDING PE~IT Date ]~[/~ ~ gC'~-- ~ INSTRUCTIONS ~' ,2~? ~letely filled in in ink and submitted to the Building ~spector with 4 by typewriter or ~ plo~ ~ 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 afl:er 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, 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections, p~.~'b/,Z~)~t~7'~' ~' ,'-') (Signatur o f ~i~0r--~ame, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises p~(.~{' Cj (As on the tax roll or latest deed) If al~icant i~s~ ~t corporation, signgt~e of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No..~/! O I /DF_. Other Trade's License No. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision 7¢ Block ~ Filed Map No. Lot ~x~%c:~' Lot 2. construction: State existing use and occupancy of premises and intended use and oc~cupancy of proposed a. Existing use and occupancy [ P-wo,~ ~ ~,/,fi~ b. Intended use and occupancy Nature of w~o~k (check which applicable): New Building Repair /~ Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garago, numbor of cars Addition .. , Alteratior~ OtherWork l~,/)lg.6~'~ ~ (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 Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of; Stories ~ ' ' ' ,',Rear 8. Dimensions of entire new construction: Front Rear i Depth Height Number of Stories ~ 9. Sizeoflot: Front Rear Depth 10. Date of Purchase 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 NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor ~,OYO FI/I. oI'I/I-?~..?) Address D.t),[~o~ 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. Is this property within 300 feet of a tidal wetland? * YES NOV' * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate fotmdation plan and distances to property lines. 17. If ele~,ation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO 5%'f · IF YES, PROVIDE A COPY. STATE OF NEW YORK) C01'I~IE a. 8o~lt;p~ Nota~ Public. State of New Yor~ SS: No. 018U6185050 COUNTY O~F~~ Qualified n Suffolk County .... Comm ssion Expires Aori114 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 ('~j57'Vl -'~I.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 tree 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 \ k~,.~ day of f~ C~'5~,c~-~ 20 O Oi Notary Public ~li~cant /.,~.- ? V- J- z~, z_ TOWN OF SOUTHOLD PROPERTY RE( :ORD CARD ~rN,l~ ~3¢~/t/lVt~ ~, ~f~/~ STRE~ ~~ VIL~GE,._ DI~. SUB. ~,~ . .p,~ ~ ~ S .E SEAS. vg FA~ ~ COMM. CB. MISC. Mkt. Value ~D IMP. TOTAL DATE R~ARKS AGE BUILDING CONDITION I ' ' ' N~ NORMAL BELOW ABOVE FARM Acre Value Per Volue ~re "illable ] · 'illable 2 'illable 3 Voodlond wampland FRONTAGE ON WATER rushland FRONTAGE ON ROAD louse Plot ,/ / ~ ~ / ~ DEPTH BULKH~D 'oral ~ ,~ ~ DOCK (tension (tension xtension orch orch ]reezeway ~arage >otio rotat COLOR TRIM lFoundation Ext. Walls Place Roof Recreation Roorr ~rmer Driveway Bath ~ Dinette Interior Finish Heat Rooms lsf Floor Rooms 2nd Floor LR. DR. BR. FIN. B. . A?h]©'vED AS NOTED N.~Th-Y FF ' ' -'L,' }r~T AT~ 765-1F0~ ~' FOLL,: ": ~; ':~: 1. F' ~ :']2. 2. ROL' ~.. F:: 3. INf;bL,:,';/' 4. FINAL - CO : ' MUST ALL CONSTRUCT?? SHALL MEET THE REQUIREMENTS O~ TWE CODES OF NEW YORK STATE. NOT .Eo-O,~SbLE FOR DESIGN OR CONSTRUCTION ERRORS. ': ' .... OF THE :SFATE 0