The URL can be used to link to this page

Home My WebLink About35535-ZFOR~4 NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34786 Date: 01/10/11 THIS CERTIFIES that the building ACCESSORY BARN REPAIR Location of Property: 14605 MAIN RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 114 Block 8 Subdivision Filed Map No. __ Lot No. MATTITUCK LOt 6 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 21, 2010 purs,,~nt to which Building Permit No. 35535-Z dated MAY 6, 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 RENOVATE AN EXISTING BARN AS APPLIED FOR. The certificate is issued to VICTOR & BARBARA DIPAOLA ( OWNER ) of the aforesaid building. S~FOLKCO~FI"fDBPART~TOF}~ALTHAPPROVAL N/A E~.~t'~RICJkL U~TIFICATH NO. 35535 01/03/11 PLIERS u~KTIFICATION DA'r~u N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Mall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35535 Z Date MAY 6, 2010 Permission is hereby granted to: VICTOR DIPAOLA PO BOX 379 MATTITUCK,NY 11952 for : RENOVATION OF AN EXISTING ACCESSORY BARN AS APPLIED FOR at premises located at 14605 MAIN RD MATTITUCK County Tax Map No. 473889 Section 114 Block 0008 Lot No. 006 pursuant to application dated APRIL 21, 2010 and approved by the Building Inspector to expire on NOVEMBER 6, 2011. Fee $ 287.20 ~~A~th~d Si gn~ture ORIGINAL Rev. 5/8/02 Form No. ~ TOWN OF SOUTIfOLD 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 accaratc lecation of all buildings, pFoperty 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/I0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, .a certificate · of Code Compliance fmm architect or engineer responsible for the building· 6. SubmitPl. ~anning Board Approval of completed site plan requirements. B. Fo~ existing buildings (prior to April 9, 1957) non.conforming uses, or buildings and ,,pre_existing,, land nses: I. Accurate survey 0f pr0perty 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 $50·00, Additions to dwelling $50.00, Alterafions to dwelling $50·00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50·00, Businesses $50.00· 2. Certificate of0ccupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 · 5. Temporary Certificate ofOccupancy - Residential $15.00, Commercial$15.00 New Construction: O~Id o~r~Pre--existing?~uilding: Loc~tion of Property: l fi//~ o 3~ ';M ,4~ ,V ~ ~ 4 · House No. Street Owner or Owners 0f Property: fi c~T~ ~ ~.~ , ~]~ · Suffolk County Tax Map No 1000, Section /f -7~ ~ ~' ! Subdivision permitNo.- _~ ~ ~ DateofPermit. ~-(~ ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,.~. ff0/~r' Date. check one) Hamlet · Block ~ Filed Map. /~ Applicant: Underwriters Approval: _ Final Certificate: / (check one) Lot oe G Lot: Annlicant ~on~f .... Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765~ 1802 Fax (631) 765-9502 rofler, richert~town.southold.ny, us ~ssued To: Victor DiPaola BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ~,ddress: 14605 Main Rd City: Mattituck St: NY Zip: 1195-~ 3uilding Permit #: 35535 Section: II L~_ Block: ~ Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel AJC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 2 story barn Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures~._~ Time Clocks Exit Fixtures ~ TVSS Notes: Inspector Signature: Date: Jan 3 2011 81-Cert Electrical Compliance Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 · (631) 765- 50 ro.qer, nchert('~.~wn .souJ~io~d .ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: ,,7',~ ~ 3 ~o/J ~.c,. 'T3,~x 279 ' ~rr/-r--o.~ Ny ~r?.~z_ JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES / NO Rough In Final YES / NO 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form TOWN OF SOUTHOLD BUILDING DEPT. PECTION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] n~m'r~rroommum'm~ [ INSULATION FINAL FIRE SA,-.', '( INSPECTION FIRE RESlSTANI' FENETRATION DATE /~). INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. AT~ [ ]INSULATION [ ] FINAL ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PE#,- i flATION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-t802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] RO~.PLBG. [ ] I~I&'ULATION [ ~"~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA,-.'i v' INSPECTION [ ] FIRE RESISTANT CONSTRUCllON [ ] .RE RESISTANT PENETRATION REMARKS: ~ ~d/~ / //~ /.2 TOWN OF SOUTHOLp~UlLDING DEPT. 765-t802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN/,,~J~ATION [ ] FRAMING/STRAPPING [i/~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSI~CTION [ ] FIIIERrr, SlSl'Am'COIA"TRLICTIO~ [ ] FIRE RESISTANT PENETRATION DATE . INSPECTOR ~ TOWN OF SOUTHOLD BUILDING DEPT. //~.~ ~.~,~ 765-1802 ~"~/,, ' - /)1 NSPECTION ~ [ ]~OUNDATION 1ST [ ] ROUGH PLBG. T] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING I STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]RRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) /~-~-J~LECTRICAL/. ' (FINAL) REMARKS: DATE iNSPECTO~~~:~ TOWN OF SOUTHO[ BUILDING DEPARTi~ TOWN HALL SOUTHOLD, NY 1197 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthF~ BLDG. DEPT. c Examined 5'//~ ,20 / 0 Approved Disapproved a/c Expiration II/ O,:o I[_ 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 Pemfit Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20 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 comxnenced 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 affectiug 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~ddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~,c t"-oR_ (As on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ~,~ ~53 ['~--~ Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section [! t./' Block 8 Lot 6 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 /~G 5- ~5,qa(ffl .5'7-o Cr4q,~ ~' ;q ,:t tX e?, ; 't FtaP-m tzg',;'.l~,*~.:'a,z b. Intended use and occupancy ~'ektx4 ,az"' ~ 3. Nature of workflcheck which applicable): New Building. Addition Alteration Repair 6,-' Removal Demolition Other Work (Description) 4. Estimated Cost _Dj~- o O Fee 5. If dwelling, number of dwelling units If garage, number of cars (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 ofexi,sting structures, if any: Front ,~, ~ ~ ~-" Rear aq t//', 7 " Depth Height ~ [ . 6" Number of S{ori~ ~ 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 9. Size oflot: Front ~']', ~; 7 RearT/,~/~', Rear Depth 10. Date of Purchase Name of Former Owner Depth 11. Zone or use district in which premises are situated ~x L?/rD 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO ,t~ 13. Will lot be re-graded? YES NO o' Will excess fill be removed from premises? YES NO ,d 14. NamesofOwnerofpremises I'/,~i~- "O,~<t~6a Address [~'~'t2~ Plata,' fl, p PhoneNo.[?l ~qq o¢2-c Name of Architect Do~o 6~. ~q=-I ~ Address ll'l?,,5'(n~t/~ ~ /~6,1Itltt~-No q-°l~3 'G'4~=3 NameofContractor.J~a/~. /'~t~,sh. Address i,E¢,.E3' ~,q,mgO PhoneNo. ~-~ o~q~l 1¢5'6 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM1TS 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 1,/ 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at l 0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO V¸ STATE OF NEW YORK) COUNTY O~F~S: V)(.._J"-oYr ~)1 ~0~ V~' ~"'~ ' ~")O---0-~ being duly s~vom, 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 perfom~ 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 pertbrmed in the manner set forth in the application filed therewith. Sworn to before me this ,,q _ ,~ ~ day of ~ Iq Notary Public Signature of Applicant TOWN OF SOUTHOLD PROPERTY RECORD CARD FORMER OWNER STRE~ / ~-/6 05 Vt LIEGE ACR. '" I ~.,4oo, 1 SUB. LOT' ' SEAS. VL. FARM LAND IMP. TOTAL DATE w TYPE OF BUILDING COM~,.CB' MICS. Mkt. Value REMARKS FAR~ · ~'/00 NORMAL BELOW Value Per Acre ABOVE Value Tillab!e Wo~dlancl H~Jse Total FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH J BULKHEAD __LDOCK Extension ExtensiOn Extension ,' :/~: / Porch ~reezeway ~arage 114.-8-6 10/08 ~7 Foundation JFire Place /L(O · Both Floors Interior Finish ~ B[_-~ Heat ~ ~.~ J DR. Roams 1st Floor BR. l'ota !. Rooms 2nd Floor FIN. B Driveway . New York State Insurance Fund Work'rs~ Compensation & Disability Benefits SPecialists Since 1914 8 CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK 11747-3129 Phone: (631) 7564300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE YOUR HOME II INC PO BOX 524 MATTITUCK NY 11952 POLICYHOLDER YOUR HOME II INC PO BOX 524 MATTItUCK NY 11952 CERTIFICATE HOLDER VICTOR DIPAOLA 14605 MAIN ROAD MA'T-FITUCK NY 11952 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE ~ 11301 748-8 59139 08/01/2009 TO 08/01/2010 4/21/2010 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1301 748-8 UNTIL 08/01/2010, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 08/01/2010 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOTASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE IS ISSUED AS a MATTER Of INFORMATION ONLYANDCONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. U-26.3 NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/certJcertva/.asp or by calling (888) 875-5790 VALIDATION NUMBER: 767279383 CERTIFICATE OF LIABILITY INSURANCE Date:4/21/2010 03:20 PM Page:l of 2 OP ID NF YOURR-1 04/21/10 Neefus-Stype Agency, Inc. 711 Union Avenue P.O. BOX 2340 Aquebogue NY 11931-2340 Phone:631-?22-3500 Fax:631-722-3591 Your Home II Inc. dba Custom Carpentry by John B Ki~ish Jr 15955 Main Road Mattituck NY 11952 COVERAGES THIS CERTIFICATE rs ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLfCtES BELOW. INSURERS AFFORDING COVERAGE NAIC # A 3DD0970 01/27/10 01/27/11 LIMITS 1000000 1000000 GENERAL AGGREGATE [ $ 2000000 P~ODUC'S COYP/OO^OO [ $ 1000000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF YHE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIATION -- -- ~1988-ZOOgACORD¢ORPORATION. The ACORD name and logo are re~ered ma~k$ of ACORD victor Dipaola 14605 Main Road Matti[uck NY 11952 ACORD 25 (2009101) ~, ~. ,, :l , ,. _ - _ ,~,, ,I,,, , SEISMIC ZONE B WINDSPEED 120 mph [ ~POSURE CATEGORY B ~TH~RrNG Sev~e --' FROST LINE DEPTH ~" TERMITE M~erite to he~ ,.,..,,.,. WINTER DESIGN DRY BULB TEMP 11 Degrees F (AF&PA) W~d FrameConstru~ion Manual for One&Two ......... _ .... ~-. -- ..... q -_: .................... ,,.,,, ~.._ --- _-x ................. ~L}:~ ............. , , , , [ i [ , I " ' I i I~`- ' , I NO,:~,~d~Lx, · ~ ', , , ~ , ~ I,' ' I ' Ii~ ,-,rill I" ' Ii Ii '-~ ~ ' ~1 : ; * ,~ I : ' : , : ~ - [ ' I ,: ; ~ : i ! I ' [ ~ i I i : , : i !i ' , i , [ : i [ I ~EQUrR~MEiN~ ':.;FTHECODESOFNEW ,, il ' ' ' ' ~ ' ':"-; i '1: 'il I i , I ,i - , : ~ , ,,, , , : i ~ : , i , , ~ YOR< STATE. 40~ RESPONSIBLE iI i : .... , I , i , :,l i~ i : , , i l::i~ : i ---::* i I [ i i ; i i i i : ,I I , Il i i Il: i ,~ I I ' : ,i ~ ,l : ~ i . : ii! ! ~ : ' ' : ' I ' ,~, "i' , ~ MEETTHE REQUIR ........ CODEC OF NEW YO&K 3TA~