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HomeMy WebLinkAbout34742-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34399 Date: 06/11/10 l~{IS CERTIFIES that the building PORTICO Location of Property: 3600 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 103 Block 14 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 26, 2009 pursuant to which Building Permit No. 34742-Z dated JUNE 3, 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 MINOR ALTERATION (ROOF OVER ENTRY DOOR) TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MATTHEW & ALEXANDRA NINFO (OWNER) of the aforesaid building. SuFfOLK COUN~"f DEPART~T OF ~EALTH APPRO%5%L N/A RLE~-rKICAL ¢~a'rIFICATE NO. N/A PL~ C~RTIFICATION Da'r~a3 N/A Signature Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD 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 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 ~opographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval o~' electrical imtallation from Board o f Fire Undenvriters. 4. Swom 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 rcaponsible for the building. '6. Submit Planning Board Approval of completed site plan requirements. 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 ennsent to iuspect 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 Cerlificate of Occupancy - New dwelling $25.00, Additious to dwelling $25.00, Alterations to dwelling $25.00, Swimmin~ 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 Ocaupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: OWner or Owners of Property: Suffolk County Tax Map No 1000, Section. Subdivision Old or Pre-existing Building: House No. Street Date. PermitNo. ~q'7 '-J~"7 DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ".~, Off (check one) Bleck ot. Underwriters Approval: Filed Map. Lot: Applicant: /VI ~ r774-~g4f,~M~) Final Certificate: (check one) 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. 34742 Z Date JUNE 3, 2009 Permission is hereby granted to: MATTHEW & ALEXANDRA NINFO 3600 PEQUASH AVE CUTCHOGUE,NY 11935 for : MINOR ALTERATION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 3600 PEQUASH AVE County Tax Map No. 473889 Section 103 Block pursuant to application dated MAY 26, 2009 Building Inspector to expire on DECEMBER CUTCHOGUE 0014 LOt No. 002 and approved by the 3, 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 [ ] FIRERESlSTAm'COIA'TRUCtlO. REMARKS: ~~ [ ] ROUGH PLBG. [ ]~LATION [ ~ FINAL [ ] FIRE SA,-.. a ~ INSPECTION [ ] FIRE RESISTANT PENETRATION DATE FI~J,I~ ~NSPECTION R~PORT FO~ATION (1ST) FO~ATION (2~) ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE E~RGY CODE ~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 ~/'~ :~ 20 ~ Approved ~/0..,<~,207 Disapproved a/c Expiration l l..-/ /~i. 201O row~ OF ~0ur~0t0 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Plamfing Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mailto: M rwro, o Pa2u¥Od.,4- · uilding Inspector APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and subnritted 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 Buiiding 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 dr name, ifa corporation) (Mailing addres~ of applicant) I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 ,Jt4e B-- Nameofownerofpremises ~{A-'~',I Ott4¢-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. ~S g tq - ~ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: ") oo Peo.,.las Aqet, lcc.-E House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block O O ~ I-4- 0O2-- Lot Filed Map No. Lot 2. State existing use and occupancy of premises and in,,te~ded use and occupancy of proposed construction: a. Existinguseandoccupancy p]~./14 ~, ff'//1/r~t~ l~;q l~,, L ~ t~-.WS I ~ ~A/ (-e b. intended use and occupancy_ ff'/cJ,,t//~_ Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost -~ 12 ~ ~ o. ,,o Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work v):o,C.,:._~,o,o ,¢ ~,=~:vu (Description) (To be paid on filing this application) Number of dwelling units on each floor Depth_ Height 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front ~ (X~) i Rear [ 0 0 I If business, commercial or mixed occupancy, specify nature and extent of each type of use. t Dimensions of existing structures, if any: Front ~"~ Rear ~ '~ ~ Depth ~ Height i(~ / Number of Stories ~. ...... ................ .-~, ,, Dimensions of same structure with alterations or additions: Front ,,, , Rear ! i . Number of Storest, ~ hg Rear i th ...... __t Depth \ ~-O t ...................... 10. DateofPurchase .'211r27-]'2OC;3 Name ofFormer Owner [L_~ bP~P-~lC,,[4' 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 //~. 1~ I~q¢0 Address '3~, ~ ~¢1 Phon~ No~ Name of Architect Address ~ Phone No NameofContractor ~O~~O~ Address · - Phone No. ~l) 9. 15 a. Is this prope~y 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 prope~y within 300 feet of a 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 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) SS: COUNTY OF /~ ,~'['lc/4 e ~' ~J i I/I -~O being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Oj/VN~.~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 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. S w°c~(~ f°~tea~n; :hi s/~(~ 200¢ No. 01T06100696 Signature of Appl~t Notm~ Public Ooalified n Suffolk ~un~ . _ ~mmission ~pi~ July 28 2D/~ OWNER LAND IMP. STREET ~&) 1 VILLAGE 1 DIST.t SUB. LOT ACR. /"' _ ,~ REMARKS ~.~.~ - , I; / ' ~ [~[~ TYPE OF BLD. PROP. CLASS TOTAL I DATE FRONTAGE ON WATER TILLABLE FRONTAG~ ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL TRIM 1st 2nd M. Bldg. Foundation c B Fin. B. Bath Dinette FULL COMBO Extension Basement CRAWL PARTIAL Floors Kit. SL~B Extension Ext. Walls Interior Finish L.R. Extension Fire Place Heat ~ D.R. Patio Woodstove BR. Porch Dormer Baths Deck Dock Fam. Rm. Garage O.B. Pool ~THOLD PROPERTY RE, ORD CARD OWNER STRE~L3G©~V.~GE D~ST. ~ES.~ S~S, VL FARM COMM. CB. 'MISC. Mkt. Value BUILDING CONDITION ,~ ~ ~1~ ~1~ ~.~ C~,. / FARM Acre Value Per /Val~e ': rushland FRONTAGE O~ ROAD ou~e Pmo~ DEPTH M. Bldg. v Extension i Extension Extension Por~h, ~ e Breezeway Garage O.B. ?//~o Total ~ 103.-14-2 3105 w7 q :)LOR [I,M Foundation Basement~ Ext. Walls Fire Place Type Roof Recreation Roorr Dormer Driveway Bath Floors Interior Finish :/~££:r~¢C~ LR. Heat ~/,~, DR. Rooms 1st Floor i Rooms 2nd Floo~ Dinette K. BR. FIN. B. M, Bldg, ~ Extension Extension Extension Foundation ~. /~ Bath Floors Interior Finish ~eat Rooms 1st Floor 2nd F[oo~ Walls Fire Place Type Roof . Town o_ f $outhold Eros,on, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A //~ ~ &~//-~ ~2.~ ~TORM-WATER, GRADING, D~INAGE AND EROSION CONTROL p~ Section Bilk ~t CERTIFIED BY A DESIGN P~SIONAL IN T~TATE OF N~ YO~. ._ Yes No I Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") rich Rainfall on Site'~ (This item will include all run-off created by site clearing and/or construction activities as well as a~l Site Improvements and the permanent c~eaflon of impewious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating S ze & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Waled:lowl 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Mateplal within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-O;/ into and/or in the direction of a Town right-of-way? 8 Will this Project Require the Placement of Material; Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) 9 WiU this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Walercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Sox, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION: Yes No 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 Requiredl STATE OF NEW YORK, (x~~ -./- or ss That I, .-..~.,..C~-~.~. ..........~...~.../....,.~..~, ......... being duly sworn, deposes and says fllat he/she is file applicant t'or Pen'uit, (name of individual signing Document) And that he/she is the ~ ~-,-~. (Owner, Conlractor. Agent, Corpc~ate Officer, e~c.) Owner and/or representative of the Owner of Owner's, 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 herewith. Sworn to before me this; · No. 01106190696 (S,go~t~r*;';~ ~*~;~ ....... ~* ............ Qua tried n Suffolk FORM - 06/07 c~,',t,,~i~s~on ~xp res lul,~ ~ ', ~:~'~ 'l'mm Hall AlmcX 54375 Main Road P.O. Box 117!t Soudmld, NY 11!171 Tc~lcphonc (631) 76.%1802 Fax (631) 765-950'2 BI IlL1)ING DEPAI/TMENT TOWN OF $OUTHOLD May 28, 20'10 Matthew or Alexandra Ninfo 3600 Pequash Ave Cutcho§ue, NY 11935 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) __ Trustees Certificate of Compliance. Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 34742-Z minor alteration APPROVED AS NOTED DATE: FEE: Z~-q) NOTIFY BUiLDiNG u~-'AR~M~N~ AT 165-1802 8AM TO 4F~ FOR THE FOLLOWING INS~ , 1.~,, Tv') REQU~ED ALL CONSTR~ :7 c :~ k,~,.T THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUOTION ERR~S. OCCUPANCY OR USE IS UNLAWFUL ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE CCDES OF NEW YORK STATE.