HomeMy WebLinkAbout36544-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
7/25/2011
CERTIFICATE OF OCCUPANCY
No: 35084 Date: 7/25/2011
THIS CERTIFIES that the building SHED
Location of Property: 2560 Thc Long Way, East Marion,
SCTM #: 473889 Sec/Block/Lot: 30.-2-120
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
7/5/2011 pursuant to which Building Permit No.
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:
Lot No.
filed in this officed dated
36544 dated 7/7/2011
as built 12' 20' accessory shed as applied for,
The certificate is issued to
Zappala, Joseph & Zappala, Marta
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
~uutfio/o~Sig~ure
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36544
Date: 7/7/2011
Permission is hereby granted to:
Zappala, Joseph & Zappala, Marta
429 Herricks Road
New Hyde Park, NY 11040
To:
as built 12' 20' accessory shed as applied for
At premises located at:
2560 The Long Way, East Marion
SCTM # 473889
Sec/Block/Lot # 30.-2-120
Pursuant to application dated
To expire on 1/5/2013.
Fees:
7/5/2011
and approved by the Building Inspector.
ALTERATION OF ACCESSORY BUILDINGS
CO - ACCESSORY BUILDING
Total:
$296.00
$50.00
$346.00
~Building Inspector
~orm No. 6
TOWN OE 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 Apprnval from Health Dept. of water supply and sewerage-disposal (S_9 form).
Approval o f 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 ~f pr~perty sh~wing a~~ pr~perty Iines~ streets~ building and: unusua~ natura~ ~r t~p~graphic
features.
2. A properly completed application and consent to inspect signed by the applicant. Ifa 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. Ceytifieate 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
Date.
New Construction:
Location of Property: '~- 5
House No.
- Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit NO.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Old or Pre-existing Building:
Street
Date of Permit.
(check one)
Fee Submitted:
Hamlet
Blook
Filed Map.. Lot:
Applicant:
Underwriters Approval:
Final Certificate: / (check one)
Lot
TOWN OF SOUTHOLD
BUIL. DINC; DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
E×anlhled '~//~ .]0 .[/'
Approved
Disapproved a'c
Expi,'at?n ]/~', 20 /~)
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applyiag?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Single & Separate
Storm-Water Assessment Form
Mail to:
Phone:
Building Inspector
'PLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
7- /---- ,20/1
a. This application MUST be completely filled in by typexvriter or in ink and submitted to tile 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 tbroughout tile work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until tbe Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire i£the work autborized has not commenced within 12 months after the date of
issuaace or bas not been completed within 18 months from such date. If no zoning amendments or other regulations affecting tire
property have been enacted in tire interim, tile 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 tile Building Department for the issuance ufa Bailding Permit pursuant to the
Building Zone Ordinance oftbe Town of Southold, Suftblk County, Nex~ York. and otber applicable Laws, Ordinances or
Regalations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. Tile
applicant agrees to comply witb all applicable laws. ordinances, building code, housing code. and regnlatioas, and to admit
authorized inspectors ua premises and in building lbr necessaO inspections.
ff'<.,"~, i ....i J~¥¥, ~_ ~ '~Fur~0fap~li~a%./// '
-. ,,, AS NOTED
State whether applicant ,s owner, lessee, agent, arch,tect, engineer, general ~ct~i~n_pl~mber or builder
NOTIFy BUILDING DEPARTMENT
765-1802 8 AM TO 4 PM FOR THE
Name of owner of premises ~o%~ ,~ 7~/ ~ e~,
~[e~ATION - ~ REQUIRED
If applicant is a corporatiom signature of duly authorized officer FOR POURED CONCRETE
2 ROUGH - FRAMING,
STRAPPING, ELECTRICAL & CAULkinG
3. INSU~TION
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Othcr Trade's License No.
l. Location of land on which proposed work xvill be done:
t(ouseNumber ' ' - { -
4 FINAL- CONSTRUCTION & ELECTRICAL
MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
Hamlet
CountyTax MapNo. 1000 Section 3C> Block ,9,. Lot /~O
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use an,~ occupancy of proposed construction:
a. Existing use and occupancy ~/q (g~ jK) ~,~__ {e~,~l ~ _72),.Od)O
/
b. Intended use and occupancy S ¢) ~..~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost {~'3 90
5. If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Fee
(To be paid on filing this application)
Number of dwelling units on each floor
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front /eD- Rear ~ Depth
Height /:2' Number of Stories !
Dimensions of same structure with alterations or additions: Front
Depth { O Height t/gL Number of Stories
8. Dimensions of entire new construction: Front Rear .Depth
Height Number of Stories
Rear
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 cfa 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
16. Provide survey, to scale, with accurate foandation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any co'v~e~.,and.,~ec~rictions with
* IF YES, PROVIDEt'A~(5~Y.
STATE OF NEW YORK) :
S~:
COUNTY OF ~ ) ~ ,,.t
respect to this property? * YES NO__
Sworn to before me this
] ~ day of(X~X~O~ 20 [ }
Notary Public7-- - ' '
· ,, , being duly sworn, deposes ,3nd says tbat (s)he is the applicant
(Name of indj'vidual SignJ ng,,contract) above narned, CONNIE D. BUNCH
· · Notary public, State of New York
(S)He is the ,., ' ': · No. 01BU6185050
(Coiltract9¥, Agent Corporate Officer, etc.) Comml~io~ Expires AOr~, ,4.2___.~]~--
of said owner or owners, and is ~uly authorized to perform or have performed tile said work and to make and file this applicanon;
that all statements contaid, ed in this applica~tomare true to tile best of bls knowledge and belief; and that the work will be
performed in the manner Set forth,,in the application filed therewith.
NO.
THE GROSS WAY
YOUNG · YOUNG
SUFFOLK CO., N.Y.