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