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HomeMy WebLinkAbout34865-ZFORM NO. 4 TOWIQ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34592 Rte: 10/05/10 THIS CKa(TIFIES that the building DECK ADD TO GARAGE Location of Property: 995 WEST RD CUTCHOGUE (ROUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 7 Lot 3 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 2009 pursuant to which Building Permit No. 34865 Z dated JULY 15, 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" DECK ADDITION TO AN EXISTING ACCESSORY GARAGE WITH ACCESSORY APARTMENT AS APPLIED FOR. · ~ne certificate is issued to PAT IAVARONE of the aforesaid building. ( OWNER ) SUFI~DLK COIHqTY DEPART~4ENT OF H]~AL~{ APPROV2~L EId~L-i-KIC~%L C~KTIFICATE NO. PLUMBERS ~KTIFICATION DA-r~u N/A N/A N/A ignature Rev. 1/81 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. 34865 Z Date JULY 15, 2009 Permission is hereby granted to: PAT IAVARONE 995 WEST ROAD CUTCHOGUE,NY 11935 for : AS BUILT DECK ADDITION TO ACCY GARAGE PER APPROVED PLANS AS APPLIED FOR at premises located at 995 WEST RD County Tax Map No. 473889 Section 110 Block pursuant to application dated JULY 9, 2009 Building Inspector to expire on JAI~UARY CUTCHOGUE 0007 Lot No. 003 and approved by the 15, 2011. Fee $ 200.00 Authorized Signature Rev. 5/8/02 ORIGINAL Form No. 6 , ;.'-7=~ - - TOWN OF SOUTHOLD j: ;~i', BUILDING DEPARTMENT ~1 ~' TOWN HALL ~U~I APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mUSt be filled in by typewriter or ink and submitted to the Building Department with thug: J tOw~ ;~ A. For new building or new use: 1. Final survey of Praperty 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 tess 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 requiremems. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unUSual natural or topographic features. 2. A properly completed application and consem to inspect signed by the applicant. If a Certificate of Occupancy ~s denied, thc 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 $25.0~], 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 $ l 5.00. Commercial $15.00 Date. ,~'//~ ? New Construction: Location of Property: 7~'' House No. Owner or Owners of Property: - Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building.' Street Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ PermitNo. 3 /-//~'b~f DateofPermit. Applicant: Underwriters Approval: Final Certificate: ~/) (check one) (checkone) Lot: Block c) '~7 / Filed Map. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ] ~JLATION [ ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: ~~~'.~ ~, .//~.~/~ DATE INSPECTOR FIELD ]NspECTI/oN REPORT DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRANLING & PLUNIBING INSULATION PER lq. Y. STATE ENERGY CODE ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork, net/Southold/ Examined Approved Disapproved a/c " ,20: · ' ,20 Expiration PERMIT NO. ~ · ',/ti (; ; BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health ~ 3 sets of Building Plans ~ Planning Board approval Survey. ~ Check ~._.-~-' Septic Form N.Y.S,D.E.C. !5 - ~ ---____~__ _ Trustees [ ~_.b :' EPT l Building Inspector APPLICATION FOR BUILDING PERMIT Date (?(~ c~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 pe]~ni[ ~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 fi'om 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. (Sig~re ~f applicant or name, if a corporation) (Mailing adaress of dpplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises /~ IMPel ~ ~r~("bPl~f~'F~_~g. (As' o~t 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. Location of lafid on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section / [ O Subdivision (Name) Block 0 Q Filed Map No. Lot Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy r'~,q'~ /h Et,47-t~c_ b. Intendeduseandoccupancy t~ F_.-~q t 3. Nature of work (check which applicable):' New Building Repair Removal Demolition 4~ Estimated Cost ~ '), S~C).. c2o c3, ~ Fee 5. If dwelling, number of dwelling units., Addition t~' Alteration Other Work (Description) · ~ '*~ (To be paid on filing this application) t Numbe(~f dwelling units on each floor If garage, number of cars ,. 6. If business, commercial or mixed occupancy, specify nature, and extent of each type of use. '7. DimensiOns of existing structures, if any: Front Z,/( ' Rear Height ~ C~ ' Number of Stories ..~ Depth ,-/,fl L ~'" Dimensions of same structure with alterations or additions: Front Depth ~_/~ t_ ~ ,, Height (¢ o ' 8. Dimensions of entire new construction: Front ,~,? Height ,'~ rD ' Number of Stories 9. Size of lot: Front { [ C),'~' Rear [ .-~ ' Rear Number of Stories Rear ,~ -~ ' Depth ~/? L~ ~ Depth ."-~d') 9, ~, 9 / 10. Date of Purchase Name of Former Owner 1 I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES /. NO__ 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. ]5 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 ora tidal wetland? * YES l./. NO * IF YES, D.E.C. PERMITS MAY BE R.EQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point o.n property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ?OUNTY ..7~(~ Wi~ ,.~.fl4A)~] 5' being duly Swornl dePoses and says that (s)he is th,e applicant (Name of individual signing contract) above named, (Contractor, Agent, Corporate Officer, etc.) >fsaid owner or owners, and is duly amhonzed to pc,onn o ..... e verf~rrn,d .h~ said work and to make and file this application; hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be )erformed in the manner set fomh in the application filed therewith. Cwom to before me this,, ~ '~ day of 0(~ 23C~? ~ '" Notary Pul~c~tar¥Public, State of New York ,.. No, 01R~6042467 Qualified in Suffolk County Signature of Applicant Commission Expires May 30,-2~02~), ~/& TOWN OF SOUTHOLD ~ROPERTY RECORD CARD OWN ER FORMER OWNER LAND ..TL 4 o o Farm Tillable 1 Tillable 2 Tillable 3 Wcodland Swampland B rushla'~l~ House Plot Tara I _.. SEAS. IMP. ~7oo Acre VL TOTAL STREET VILLAGE /~oo / DISTRICT SUB. ACREAGE LOT DATE REMARKS z~,z ~I ~/,/~ Value 'Per Ac~ [ Value M. Bldg. Extension Extension Foundotion ~ Basement ~£ 6-8 Ext. Walls ff~ Fire Place L '.~0 i' ' ~,), , ;' oo Patio ,Z fi'Z 0 Driveway Porch Porch Bath Floors Interior Finish Hea!t /~: .~. Attic Rooms 1st Floor Rooms 2nd Floor M. Bldg. Extens]on Foundation I Bath ~,- j mrer~or Pnish M. Bldg. Extension Extensio,~ Foundation Fire PIoce Bath Floors Interior Finish Heart ANGELINA PROPERTIES, LLC cio Pat J. lavarone, President 6 Sutton Place, Manhassett, NY 11030 March 5, 2008 I hereby authorize Thomas C. Samuels of Samuels and Steelman Architects or 25235 Main Road, Cutchogue, NY, to apply for all required permits from the Town of Southold, Suffolk County and State of New York, for my project at 995 West Road and Cutchogue Harbor in Cutchogue, NY 11935. Sincerely, Pat J. I, ! ro ~n;~ Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: $.C.'LM. #: /Ot.~ ~ c~q . 0,3 District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING~ DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? Ye~s N~o 2 3 4 5 6 7 8 9 (This item will include all mn-off created by site cleahng and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This tern shall inc ude all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! 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 Matedal within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? W~II Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right"of-way? 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.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? I-Z'l FZl_/ r-zl NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Requ red and Must be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION: Yes No Does this project meet the minimum standards for classitication as an Agdcultural Project? / Note: If You Answered Yes to this Question, a Storm.Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl __ __ v' STATE OF NEW YORK, co_uj~ oF......~,~.E.£.~..c.....K......, ss ,-Y'7" _, , r'o Cl _.i That I ................ i~~-~;~'~i;.Z~/~ ~ ~..-being duly sworn!, d[~o~se/s ~says['~th/at h% ts/~e ap~p~cL~t' i'or Permit, And that he/she is the ........................ ~1~,.(~4... ................... ' ........................................................................................ (Owner, Contractor, Agent, Corporate Off. er, ~tc.) 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 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 herewith. Sworn to before me this; .......................... 2. ............. .......... Notary Vubhc: ~¢~"~'~"~-~'P'~'fi~¥f:'7.~t'~'~"Of"~ew Y,~.m ................. i ........................... No. 0 i R[5042467 FORM - 06/07 Qualified in Suffolk County Cor;~llis~ic, n Expires May 30,~_.~/~ R Fisher 63~-76~-~8o2×~o28 SOUTHOLD TOWN FIRE INSPECTOR roberUisher@town.southold.ny.us Page FireNotes S A M U E L S & ',~S T E E L M A N November 21, 2008' Southold Town Building Department Town Hall Annex Main Road Southold, NY 11971 Re: ADDITIONS TO THE IVARONE RESIDENCE 995 West Road, Cutchogue, NY. 11935 SCTM # 1000-110- 07- 03 The drawings for the above referenced project have been revised per your concerns regarding side yard setbacks (porch width) and the non-expansion of the Attic (per ZBA). The SCDHS permit has also been revised to account for the approved use of the accessory building as an "apartment". Attached documentation includes the following to be added to your existing file for the project: 1) 2) Four (4) sets stamped revised Construction Drawings Red-stamped revised SCDHS permit Please review the enclosed and get back to me with any questions. If application is complete, please prepare a BUILDING PERMIT, and contact my office with a total fee for same. As always, I appreciate your efforts. Sincerely, Thomas C. Samuels ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11%5 (631) 734 6405 FAX (631) 734-6407 I (2) ~,' DIA. CA~= ROOF AREA 82-~ sf' 82'7 :,4 O.16 = IE,2.E, c..P x 4' DEEP DRAINA,.~E RIN¢ = 1'78.6 c.'~ 1'7~.6 c..~ > ID2.~, c..F 1822 DRI"YEP, IA"r' AREA .~1. 25E,,a' .~.~ 25E, q x O.16 = 406.24 c.~ 5' DIA. x IO' DEt=t=' DRAINACE 'RIN¢ = 422.4 cf 422.4 c..F > 406.24 Cf' SITE DATA SCTM # 1000-110-07-03 .IVEI,~A"r' AREA ~2, 1822 eF 1822 x O.16 = 2'¢11.52 of 8' DIA. x '7' DEEP DRAINACE RIN® = 2q5.68 c.'~ 2q5.68 cF > 2qi.52 cF PROPERTY: ADDRESS OWNER: SITE: ZONING: 995 WEST ROAD CUTCHOGUE, NY 11935 ANGELINA PROPERTIES, LLC cio PAT IAVARONE 6 SUTTON PLANE MANHASSETT, NY t1030 34,932 sf = 0.802 ac R-.40 SURVEYOR: NATHAN TAFT CORWIN III PO BOX 1931 RIVERHEAD, NY 11901 LICENSE # 50467 DATED 1/4108 NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:~ EXISTING CONTOUR LINES ARE SHOWN THUS: RESIDENC. E ROOF AREA ~l, 2OI-'t 5'P ,'-'\ ~ 2OI"7 x O.I6 = ~,22.'"/ cf ~ ---~" (2) 8' DIA. x 4' DEEP DP, AINA~E RIN® = ~-~.q c~'~"~-~. ~¢ 55'Lq c.F > E,22."'t cF ~.~ SI PLAN SCALE: 1" = 20'-0" ID[ENCE ROOF AREA #2, IqSO 5.F (2) 8' DIA. x 4' DEEP DRAINA®E RIN® = ~.q cF / / / / / BALE5 xJZJ BY MARK McDONALD TEST HOLE o osc .c NO SCALE SOUTHOLD, NEW YORK 11971 TEST HOLE DATA (5120108) +/- 24.0' 1.0 FT. DARK BROWN LOAM OL 5.0 FT. BROWN SILTY SAND SM PALE BROWN FINE TO MEDIUM SAND SP 17 FT. NO WATER ENCOUNTERED LOCATION FLEETS NECK O I SCALE: 1" = 20'-0" SHEE/T. _TITLE4.. % SITE x SURFACE WATER DRAINAGE / %--...~PLAN ,' SHEET NO.: 11 BATH CL. KITGHEN SECOND FLOOR PLAH SCALE: 1/4" = t' -0" ®ARA®E ~TORA®E ENTt~.'r' 5TOt~.A~E .25,..~1. FIRST FLOOR PLAF' SCALE: I/4" = 1' -0" CERTIFICATION OF fA/LING & CONNEcTIONs REQUIRED. ~NI~'/' POUN~ATION 2x4 T~. 1~:~. Ff~N.,IIN~ vdix~, T$~ VEI~TIG.N.. LIF~ OF GAd~iTILEVE~ ~ C, CCUP/~NC? OR I !~"E IS UNLAWFtJL ~'Zi'I'HOL!'F CEi'!TIFICATE OF'OCCUP,'~,NCY UF ~ hE TOWi~ CODE. ~ ,,x, 8 I ~4x4 ~ H~. PO~T ON 1.2' 07O7 FOUNDATION PLAN SCALE: 1/4" = 1' -0" RJB TCS 7/08/09 '1/4" = 1' - 0" 'fiLE: AS BUILT PERMIT 1