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HomeMy WebLinkAbout35078-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34241 Date: 03/25/10 THIS u~KTIFIES that the building ALTERATIONS Location of Property: 780 YEWNECOTT DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 6 Subdivision Filed Map NO. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15, 2009 purs~ant to which Building Permit No. 35078-Z dated OCTOBER 19, 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 KITCHEN ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT GUIRY of the aforesaid building. (OWNER) SUFFOLK COUN~"f DEPARTMENT OF HEALTH APPROVAL ELRC~rKICAL U~UiTIFICATH NO. PLUMBERS c~aTIFICATION DA'r~u 03/22/10 ~/A 131535C 02/26/10 MATTITUCK PLUMBING & HEAT Rev. 1/81 II ~fl]~ BUILDING DEPARTMENT ! 765-1802 IOWN OF SOUTHOIO ,~PPLICATION FOR CERTIFICATE OF OCC~CY This applicat/:on must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. 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. 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 - $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: '7 ~) House No. Owner or Owners of Property: '~O~2~T' ~ Ck_i ff~ Suffolk County Tax Map No 1000, Section (0~ Old or Pre-existing Building: / (check one) ~ Street Hamlet Subdivision Permit No. ~ ~g) -] Health Dept. Approval: Date of Permit. }O}lq]Oq Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~'. tr~ Block 0 190 ~p Lot Filed Map. Lot: Applicant: r/~OD f~' ~Z~ ~'/~l,~lS Underwriters Approval: ~ Final Certificate: ~// (check one) ~ture Issue Date 2/2612010 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 131535C East Patchogue, New York 11772 (631) 286-6642 Issued To: Guiry Residence Street: 780 Yennecott Ddve Village: Southhold Zip: 11971 Section: Block: Lot: Town: Southhold Contractor: Complete Quality Electric Was examined and found to be in compliance with the Nafionat Electrical Code. Lic. # 34161-ME [] Commercial [] NV Defects [] Pool [] 1st Floor [] Indoor [] Basement [] Hot Tub ~] Residential [] Det. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 8 9 9 3 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves I I 40 1 Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: 35078 Other Equipment K~chen Hugo S. Surdi President 11/18/2009 I InspeclJon: 02/24/2010 John Mc Mahon Ill This certificate must rmt be altered in any manner. Inspectors may be identified by their credentials. ~,;,,r' HaH, 53095 Main Road PO Box 1179 BUILDING'DEPARTMENT TOWN OF SOUTHOLD Fax (631) 765 Telephone (631 CERTIFICATION [~ad I certify that the solder used in the water supply system contains less than 2/10 o£ I% S~orn to before me this day oi' ~ , 20 /o ;xolar), Public; ,~~__Counly Signature) DENISE KING Notar? Pul)lie, State of New York Registration #01Kl6041757 Qualitied in Suffolk County My Commission Expires May 15, 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. 35078 Z Date OCTOBER 19, 2009 Permission is hereby granted to: for : INTERIOR ALTER3ITIONS ROBERT GUIRY PO BOX 1152 SOUTHOLD,NY 11971 (KITCHEN) TO EXISTING SFD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 055 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 780 YENNECOTT DR SOUTHOLD Block 0006 Lot No. 006 15, 2009 and approved by the 19, 2011. 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 ~ES~'T~IT CO~mUOT~I ]~IGH PLBG. ,,~INSULATION FINAL fiRE SAFETY INSFECTWN RRE IIESlSTANT PENETRATION MORIZZO,I Kitchens &Baths, Complete Kitchen & Bath Remodeling SHOWROOM: North Road Commons, Unit 19 22355 Route 48, Cutchogue, New York 11935 · DESIGN · SALES · INSTALLATION P.O. Box 789 · Southold, New York 11971 Phone: 631-765-5772 · Fax: 631-765-6196 October 16, 2009 To: Building Department From: Ron Morizzo In reference to the Guiry job: 1. Replace two Kitchens windows (same size) with new Andersen insulated windows. 2. Remodel Kitchen: new Kitchens cabinets and tops. 3. New Lighting. If you have any further questions, please do not hesitate to call. ,.~ .....r~ I a~S C~-r~ ~ ir ~,~ i L REQUIRED nt CER'f 5:~CATION OF NAILING 8' CONNECTIONS ,, , .¢~cc~I ;iRED. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF '[HE 'f0WN CODE. NOTIFY 765.1802 FEgLD INSpeCTION REPORT I DATE I COMMENTS FOUNDATION (1ST) FoLrNDATION (~ND) PL~G ~DITION~ COUNTS TOWN OF SOUTHOLD BU1LDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved 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 Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: ~--/~/~ [~(1~.~.0 Phone: 7C,"5- 5-t"7 Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner ofpremises ~',O]2~0 (7"' ~.~L/.t 1~ CAs on the tax roll or latest deed) If al~cant is,a corporation, signaturetqf duly authorized officer ~ (Nam~ and title of corporate oYf~ce{)-- Builders License No. Plumbers License No. ~ 9, lc, -t-~ Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: -7,fo HOuse Number Street Hamlet County Tax Map No. 1000 Section ~'"-~ Block ~ Subdivision Filed Map No. rot 6 Lot 2. State existing use and occupancy of premises ?d intended use and a. Existing use and occupancy ~F~-i ~1. b. Intended use and occupancy ] ~v~-~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~"~'10't70' Fee 5. If dwelling, number of dwetling units If garage, number of cars o~f proposed construction: Addition Other Work Alteration .~ (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 Height Number of Stories Rear Depth 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 Name of Architect Name of Contractor '~'~OV~ Soo ,,ot o 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOVv~N TRUSTEES & D.E.C. PERMITS MAY I~E/REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO~_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address Phone No. Address Phone No Address~.O ~o~ 7~q PhoneNo."7~:5'-O~'Tq 2-- 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 on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO _~ / * IF YES, PROVIDE A COPY. STATE OF NEW YORK) CO~'~'NI£ O. ~ONCH ~otary Public, State of New ¥o~ No, 01[1U6155050 , Qualified in Suffolk Count t-.ommissior~ Expires April 14 ~ ,J ~._ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing,,qontract) above named, (S)He is the (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 ~ ~ \~--~ dayof [-~c~ 20 ~)5 Notary Public /~icant TOWN OF SOUTHOLD OWNER FORMER OWNER ,TRE~r N S PROPERTY RECORD CARD V l LLAGE E w DIST. SUB. LOT TYPE OF BUILDING RES~/,~i O SEAS. VL. FARM COMJ~. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE /~/ ~ / ~ REMARKS Value Per Vclue Ac re AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowla~d DEPTH BULKHEAD House Plot Total DOCK COLOR TRIM M. Bldg. Exter~sion Extension Porch Breezeway Garage/' ¢o~9 Patio o B. Total Foundation Basement Ext. Walls · Fire Place Type Roof Recreation Room Dormer D/c Both F oars · }nterior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway I Dinette I LR. BR. FIN. B APPLICANT: 'CO TT 5O V3,~98 '