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Home My WebLink About36115-ZFORM NO. 4 TOWIq OF SODTHOLD BUILDING DEPD=RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34805 Date: 01/18/11 THIS CERTIFIES that the building ADDITIONS Location of Property: 175 THE CROSS WAY (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 30 Block 2 Subdivision Filed Map No. __ Lot NO. __ EAST MARION (HAMLET) Lot 14 conforms substantially to the Application for Building Permit heretofore filed in tb/s office dated DECEMBER 22, 2010 pursuant to which Building Permit No. 36115-Z dated JANUARY 3, 2011 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 AND BASEMENT ENTR3%NCE TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT S & LISA C DELUCA ( OWNER ) of the aforesaid building. So~FOLK COUI~Y DBPlh~TMENT OF ItK;~LTH APPRO~-AL EI~C~I~IC~L U~KTIFICATE NO. i~LU[~EIIS C~TIFICATION DA'£~43 N/A N/~ N/~ i ze~ igna~ure 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. 36115 Z Date JANUARY 3, 2011 Permission is hereby granted to: ROBERT DELUCA 175 THE CROSSWAY EAST MARION,NY 11939 for : "AS BUILT" DECK ADDITION & BASEMENT ENTR3~NCE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 030 pursuant to application dated DECEMBER Building Inspector to expire on JULY 175 THE CROSS WAY EAST MARION Block 0002 Lot No. 014 22, 2010 and approved by the 3, 2012. Fee $ 641.60 Authorized 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 °f Property with accurate location of all buildings, p3'operty lines, streets, and unusual natural or topographic features. 2. Final APProVal fxom Health Dept. of water supply and sewerage-disposal (S_9 form). 3. Approval of electrical installation from Board of Fire Underwriters. -. 4. Sworn statemont from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commorcial 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 PI.arming Board Approval of completed site plan requirements. B; F°r existing buildings (prior to April 9, 1957) non-cenforming uses, or buildings and -pre_existing. land uses: I. AocUrate 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, Alterations to dwelling $50.00, · Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 51ew ConstrUction: Location of Property: House No. Street Owner or Owners ofPmperty: /--~o ~ ~ d~-~ - Suffolk Cotmty Tax Map No 1000, Section ~-~--/B ~ ~DBlo~k Subdivision permit No.' '3 ~l l ~ Health Dept. Approval: Planning Board Approval: Date. ~ % ~ 7 ~ ~ / t (check one) Hamlet Filed Map. Old or Pre--existing Building: Lot ~t ~ DateofPermit. /t/3//~/ Applicant"~"~-~°~.~ /3~c ~ Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ G 7 / ~ Final Certificate: (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ULATION [ ] FRAMING / STRAPPING [ '~/FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT I~BIETRAllON REMARKS: DATE~--~~ INSPECTOR PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 TEL:631.765.2954- FAX:631.614.3516 · e-mail:joseph@fischetti.com Southold Building Department Main Road Southold, New York 11971 Date: Reference: December 22, 2010 175 The Cross Way Please be advised that I have inspected footings and the framing and certify that they have been installed in accordance with New York State Building Codes and the building plans submitted for the Building Permit. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SO UTH. OLD,.NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.Nor thFork.net Examined ,20__ Approved ,20__ Disapproved ac Expiration ,20 PERMIT NO. 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 Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector /~-~~ ~1 I Date_ _ ,20/~O II II -'~ ' INSTRUCTIONS ~a. ~ ot~ pi t 1 fill d, g Inspector with 4 . , co~ e e Z ~ e in by typewriter or in ink and submitted to the Buildin s~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 applic.ation 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. fi 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 ora 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, ifa corporation) (Mailing address of applicant)' ~ t 9¢//_ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises '-"~pt~.4- ,,---e~ L- ;,5c4 ~'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 LicenseNo. /--/737'?' Plumbers License No. ' Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: /'7.5- / /?e' C;.=,~.5 ~ House Number Street Hamlet County Tax Map No. 1000 Section .SoO Block o ~'_ Lot / z/ Subdivision "~e.~.~te ~e~~-t, ~ ~ ~5 Filed Map No. (,v~(.o~ Lot /3 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 5 3. Nature of work (check which applicable): New Building Addition Y Alteration Repair Removal Demolition Other Work Estimated Cost ~ ~'c,/ ooo oo Fee If dwelling, number of dwelling units If garage, number of cars (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. Dimensions of existing structures, if any: Front Rear _Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stocie§ ' 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size oflot: Front ~/~ o '73 Rear ~7 7 7,~ 10. DateofPurchase Z_ co / Name of Fonner Owner ~'o 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 v"~Will excess fill be removed from premises? YES 14. Names of Owner of pi'emises Name of Architect Name of Contractor?4,,~>- 15 a. ls 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 cfa tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO r'~ Address ~7o'- 7-'0 ~,.os.s *'~D Phone No. G, 31 Address Phone No AddressZ~_~.~_v~.._~- Phone No. ¢,3 ~ NO ~ 6'7 7 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. I7. 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 · IF YES, PROVIDE A COPY. NO J STATE OF NEW YORK) SS: COUNTY 0 F Zd)..l~Z~X3~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH (S)Heisthe ~ e,., ~,~ ~ [ C'~o-~ f-,,-~c ~' c.-,~'- Notary~o#c, Otete of New_ ^.~.,o.,~,=t~nr~ (Contractor, Agent, Corporate Officer, etc.) Qual~l'n~'"S~k""'~C~unty 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. Sworn to before me t~is 5~q4~ day o f~{~:~X. 20tC% Notary Public Signature of Applicant . ToWn of Southold Erosion, SedJmentati°n & S~orm-Water Run'Off ASSESSMENT FOR,~ P.O~Em~ ~oc~TM S.~T~. (S~na~e o~ FORM - 06/10 N 83°27'45"E 77.73' LOT 14 TIE 115,~9' LOT 12 O THE LOCATION ( LINES, SEPTIC TANKS AND SHOWN HEREON ARE RELD TIONS AND OR DATA OTHER& S 83'27'42"W 77.73' FILE MAP No. 8266 6/11/75 SURVEY OF: LOT 13 MAP OF PEBBLE BEACH FARMS' EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 6/5/01 ,- SCALE: 1"=40' CERTIFIED ONLY TO: SCHEMBRI HOMES ~..... ~f DESTIN G.GRAF LAND SURVEYOR 73 Woodlawn Road Rocky Point, N.Y. 11778 516-821-3442 ~" r a APPROVE AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLO~NG INSPECTIONS. 1. FOUNDATION T~ REQUIRED FOR POURED CONCRETE 2 ROUGH - F~MING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3 INSU~TION 4 FINAL - CONSTRUCTION ~ ELECTRICAL MUS~ BE COMPLETE FOR C 0 , Alg C~S rRUCT[ON SHALL MEET ~E REQUIREMENTS OF THE CODES OF N~W YORK S FATE NOT ~SPONSIBLE FOR DESIGN OR CONSTRdCTION ERRORS, JOSEPH FISCH~i ii, ~ PROFESSIONAL ENGINEER 1725 HOBART RD / PO B(~( 615 9OUTHOLD, NY 11971 631-765-2954