HomeMy WebLinkAbout36751-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
10/14/2011
CERTIFICATE OF OCCUPANCY
No: 35242 Date: 10/14/2011
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 650 Heath Dr, Orient,
SCTM #: 473889 Sec/Block/Lot: 13.-2-8.33
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/11/2011 pursuant to which Building Permit No. 36751 dated 10/13/2011
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 to an existing one family dwelling as applied for.
The certificate is issued to
DiJorio, Michael & DiJorio, Mary Lieber
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Auth6rl~ed Signat ~tre
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 #: 36751
Date: 10/13/2011
Permission is hereby granted to:
DiJorio, Michael & DiJorio, Mary Lieber
650 Heath Dr
Orient, NY 11957
To:
"as built" deck addition to an existing one family dwelling as applied for.
At premises located at:
650 Heath Dr, Orient
SCTM # 473889
Sec/Block/Lot # 13.-2-8.33
Pursuant to application dated
To expireon 4/13/2013.
Fees:
10/11/2011 and approved by the Building Inspector.
SINGLE FAMILY DWELLiNG - ADDITION OR ALTERATION
CO - ADDITION TO DWELLING
Total:
$904.40
$50.00
$954.40
Building Inspector
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PL~BG.
[ ]FOUNDATION 2ND [ ]INSUlaTION
[ ] FRAMING/STRAPPING [~J'FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) r[ ] ELECTRICAL (FINAL)
REMARKS: I~/'//~ ~._~/-~z ~
i'~ I .... ~
DATE
INSPECTOR
OCT-13-~:~ll 19:08 FROM: TO:18007098072 P.lxl
Robert James Higgins
Architect, AIA
50 Hidden Acres Path
Wading River, NY 11792
631-208-3351
Town of Southold
PO Box 1179
Southold NY 11971
October 13,2011
RE: 650 Heath Drive, Orient NY
The existing rear deck footings are 8" in diameter and are minimum of 36" below final
grade.
"[OW¢, OF $Ot~THOLD
Robert James Higgins
Architect, AIA
50 Hidden Acres Path
Wading River, NY 11792
631-208-3351
Town of Southold
PO Box 1179
Southold NY 11971
October 13, 2011
RE: 650 Heath Drive, Orient NY
The existing rear deck footings are 8" in diameter and are minimum of 36" below final
grade.
Ro
ert James Higgins, AIA
TOWN OF SOUTHOLD
BUILDIN~ DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
Examined
IC/(h, 2o _!J
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
C.O. Application
Flood Permit
Single & Separate
Storm-Water Assessment Form
Approved
Disapproved a/c
Expiration
Contact:
Mail to:
¢//3 20:3
OCT I1 2011
BLDG DEPL
TOI~,,)~ OF SOIJTHOtD
Phone:
i~IICATION FOR BUI G PERMIT
" I INSTRUCTIONS Date
a. This application MUST be completely filled in by typewriter 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 prelnises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may oot be commenced before issuance of Building Permit.
d. Upon approval of this application, the Bnilding 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 ill whole or in part for ally purpose what so ever until the Building Inspector
issnes a Certificate of Occupancy.
fi Every bnilding permit shall expire if the work anthorized has not comnlenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If Ilo zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, ill writing, the extension of the permit tbr all
addition six Inonths. Thereafter, a new permit shall be reqnired.
APPLICATION [S HEREBY MADE to the Building Department for the iSsLlance ora Building Perlnit pursuant to the
Building Zone Ordinance of the Towu of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regnlations, 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)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises .~.!d_ .,~ .~__~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Nme and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
't'z_¢vTld- OFF. N DC4044T' ]'--l'f
House Number Street Hamlet
I%
County Tax Map No. 1000 Section ~ Block % ~
Lot ~ '~-~
Subdivision Filed Map No. Lot
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
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work
(Description)
(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
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
Depth Height_ Number of Stories
_Depth
Dimensions of entire new construction: Front
Height Number of Stories
Rear
9. Size of lot: Front Rear
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
Rear Depth
Depth
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 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 of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
16. Provide survey, to scale, with accurate foundation 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 covenants and restrictions with respect to this property? * YES
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says
(Name of individual signing contract) above named, Notary Public, State of ~ Yor~
No. 01BU6186060
(S)He is the Comml**lon E~'~ ~fl114, 2 ~___[~ O'-'
(Contractor, Agent, Corporate Officer, etc.)
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 bis knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this __
) )'-J~ dayof ~~ 20/J
Notary Public
Town Of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSM,=NT FOR.U
pROPERTY LOCATIOH: $.C.T.M.~. THE FOLLOWING ACTIONS MAY REQUIRE THE
~ C:~ <~,'~ STOR.....m.~TERt GRADiNGf DRAii;iAGEAND~r~e._n~_!,~,~ONTROLpLAN$':-e.-u.!SSION OF A
$COPEOFWORK - PP, OPOSED CONSTRU~,;i'~ON ]TEM# / WORKA~q~.~qM~Ti'
I~OV/D~. ;BI~,I~F 1~O.1~-~ D]g, SC]Hlv~ON p.~,~,~=~ 2 D°esthe~eP~nand/m'~eY~tmwAIIPtoPesed
Dra~ 8~ctums In~ 8t~ze & L,o~allon? '1'I~ V/~ 1~
~tem must be ma~tab,,ed t~ougho~ h~e Ent;m
Exis§ng C-,rade Involving rnere ~-~an 200 Cubic Yards 1'~ _.~///
of Material wRhin any Pame}?
5 Will this ApPllc; ~on Require Land Disturbing Activities
(5,000 S.F.) 8~uare Feet of Ground Surface?
6 I~s. there a Natural Water ~oume Ru~nJng ihrough ~e __~
8~te~ Is th~s Project wilhin ~he Trustees jurisdiction
~eae~ DEC SWPPp Re,Wiremene: or within One Hundred (100') ~ Of a WelLsnd er '
Indu~',g cmsauctl~ ac, e~es k~,ng sot dismd3ance~ d leas ,mn cee (1) acm where whlc~ Exceed Fift,,e~, n (15) feet of Vc:~llcal Rise to
u~e DEC has de~m~ed that a SFOES pem~t Is required for akxm ~ dachargea. One Hundred (100) 0f Horizontal Distance?
STATE O1; NEW* YORK,
COUI~I~[ OF ............................. SS Notary Publk~, State of N~w ¥o~k
~.~ No. 01BU61,~060
~t~L~ ~.z~//;~- ~ Qualified in 8uffolk Counly
............... ............... .
And that hR/she b the ........................................
Ow~.r and/Or reprcscntadvc o£ thc Owncr or Ovmers, and is duJy author, ed to pcd'orm or ha,/c performed the sa~d work and to
makc am:l ~Je this applicat~on, that all statemeats co. tamed m tJ~s appllcaho~ are tree to the be. st of his knowledge and beliet~ a~d
that tJ)c work'wiJl bc p~fformcd ~n thc manner set forth [n ~¢ application fi]cd hcrcw~th.
Sworn to before m~ this;
· ........
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