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Home My WebLink About35749-ZFORM NO. 4 TO,tN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34562 I~ate: 09/20/10 THIS u~KTIFIE$ that the building PATIO WITH PERGOLA Location of Property: 230 MIDDLETON RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 33 Block 5 Lot 17 subdivision Filed Map NO. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26, 2010 pur~,~-t to which Building Pern~it No. 35749-Z dated AUGUST 3, 2010 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" PATIO WITH PERGOLA AS APPLIED FOR. The certificate is issued to CAROL GIOVANNELLI ( OWNER ) of the aforesaid building. Su~OLK ~)~l~f DEPART~T OF }~3~TH RY.RcJrKICAL C]~RTIFICATH NO. PLI~B~ ~TIFICJ~TION DA'r~u N/A N/A Au~rized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUII/DING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35749 Z Date AUGUST 3, 2010 Permission is hereby granted to: CAROL GIOV~_NNELLI 3 MIDDLETON RD GREENPORT,NY 11944 for : "AS BUILT" PATIO WITH PERGOLA AS APPLIED FOR at premises located at 230 MIDDLETON RD GREENPORT County Tax Map No. 473889 Section 033 Block 0005 Lot No. 017 pursuant to application dated JULY 26, 2010 a_~d approved by the Building Inspector to ex~ire on FEBRUARY 3, 2012. Fee $ 400.00 / V-Author~lzed Signature ORIGINAL Rev. 5/8/02 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 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: Old or Pre-existing Building: LocationofProperty: ~'~C) {'~i (,k ~t }e%"~ t~4~ House No. Street Owner or Owners of Property: ~/"O I ~l 1~ ~/tg~-(~ fN ~-~ l [ i Suffolk County Tax Map No 1000, Section '~'~ Block (check one) Hamlet Lot Subdivision Filed Map. Permit No. 5,~"') ~ ~ Date of Permit. Applicant: Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request Ibr: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) &'(,,.~Si~nature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ULATION [ ] FRAMING/STRAPPING [~J"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAf...,f INSPECTION [ ]F1,ERESlSTAN'rc0Ns11~uc'r10. [ ]FIRERESlST, WI'FENE'II~TION REMARKS: ~- /~-~./~'.~ DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INS?~.ATION [//]I~AL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRERES~rANTCONS~UC'nON REMARKS: ~ L DATE ~//~)//('~ INSPECTOR FOUNDATION (15T) FOUNDATION (~ND) INSULATION I'EB. N. Y. STA~ ~ CODE }6WN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ¢ ~ _, 20 lO Approved ~ 920 fO Disapproved a/c PERMIT NO. BUILDING PE~RMIT APPLICATION CHECKLIST Do you ~ave or need the following, before applying'? I Board of Health_ __ 'd~4 sets of Building Plans Planning Board approval ~ Survey Check Septic Form N.Y.SD.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: qbs- 7_.laZ. Expiration , (? (7--~,~ 1;~ 1[~'~/ Building Inspector !j [--~ ~[~ICATION FOR BUILDING PERMIT ~o~k ~ ?T'0 k~ Date ,20_ NST.e ,o s pla ~ rmng P' n~~Ofi~}Sd :; sc p~ thY:~l~.rltereuu~ or m ink and submitted to the Building Inspector with4 sets of b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pemit. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pe~it shall be kept on the promises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pan for any pu¢ose what so ever umil the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building pe~it shall expire if the work authohzed has not commenced within 12 months aaer 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 pe~it for an addition six months. Thereafter, a new pe~it shall be required. ~PLICAT1ON IS HE,BY M~E to the Building Depa~ment for the issuance of a Building Pe~it 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 heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, and to admit authorized inspectors on promises and in building for necessa~ 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 Nameofownerofpremises ? }x ~-(~) C-- &,,~V~.X~--[/, (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. l. Location of land on which proposed work will_he done: House Number Street Hamlet County Tax Map No. 1000 Section --,~3 Block 5 Lot I '7 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ~.~ 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 cars Addition Alteration Other Work Fee (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. Size of lot: 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 Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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 dat~ on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF~ 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, 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. S w °~n-~f° ~ea ~n; 1~ Notary Public 2ol /,~,~'~-3~-.~-/? TOWN OF SOUTHOLD PlioPERTY RECORD, CARD OWNER'~L ~ ~. '~ O V~ ~ ~3 e'//,' STREET ~.~-)~) VILLAGE DTSTRICT SUB. F, pRM6R OWNER . R/~5. ~ I ~ SEAS. LAN0 IMP. VL S TOTAL W /0 FARM DATE ACREAGE 'T"YPE 0t: BUILDING BUJ COMM. JlND. CB. J M,sc. J Est. Mkt. Value Form Tillable I 'TiJioble 2 Tillable, 3 Woodland Swampland Brushle41~ ~ Total Value Per Ac Value FRONTAGE ON WATER I FRONTAGE ON ROAD /~0 - )(' f f ~ ~ ~'- c~ ~. BULKHEAD ~ '~ DOCK Extension Extension Breezewoy Garage Foundotion Basement Ext. Wolls Fire P[oce Pot Jo Porch Porch Both Floors Interior Finish Roof Type Rooms Ist Floor Rooms 2nd FIoor Dormer ~ ~ '°*~ SITE PLAN.. ~ SITUATJ~ AT, j~ LOTI ~ ~PORT, N~ ~ ~ ~, ~ N 8~'00'00" ~ 15.04' ~0~ O~ ~THOLO ~PFOL~ ~OUN~, ~ TO~ , LIG~N~EP ~NP ~RV~OR~ SCOPE OF SUBHI~AL= PAGE: ~ITE PLAN ,~.,,z.~,o. o, ~x,~.,.~ ~.~ ~, ~.~,o ~PHIC SCALE I" = 20'-0" O~ JANUARY 2~. OF I EXISTIN~ DLLIELLIN~, P4,TIO 4,ND PEtrOL4, PLAN ]9' 4" 1 O' 2" FOUND4,TION PL4,N OCCUPANCY ~',' R USE tS UH',.,qV,.,FLIL AP~R0~S NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 ru FOR THE FOLEOWING iNSPECTh ,NS FOUNDATrON- TWO REQUIRED FOR POURED CONCRETE 2 ROUGH-FRAMING, PLUMBING, S"RAPPING, ELECTRICAL & CAULKING 3 INSULATION 4 FINAL -CONSTRUOTION & ELECTRICAL MUST SE COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORKSTATE NOTREBPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS CERTIFICATION OF NAILING & CONNECTIONS SC. OPE OF 5UE~hllTTAL: LEG4,LIZATION OF: EXIETIN~"A"~EAI~:t'lr~-~'~-.- AND PERGOLA ~UILT P~NUARY 2OO~ IN ~T P~OFE~IO~L OPINION TNI~ OF JANUARY 2003. JEFFf~ET T, BUTLER, P.E,