The URL can be used to link to this page

Home My WebLink About37026-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 3/23/2012 CERTIFICATE OF OCCUPANCY No: 35504 Date: 3/23/2012 THIS CERTIFIES that the building ACCESSORY Location of Property: 577 Pacific St, Mattituck, SCTM #: 473889 Sec/Block/Lot: 141.-4-14.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/1/1900 pursuant to which Building Permit No. 37026 dated 2/29/2012 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" reconstruction of accessory shed with roof overhan~ as applied for. The certificate is issued to Janet Ciamaricone (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ~~ignatur~ 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 #: 37026 Date: 2129/2012 Permission is hereby granted to: Janet Ciamaricone PO BOX 1631 Mattituck, NY 11952 To: "as built" reconstruction of accessory shed with roof overhang as applied for. At premises located at: 577 Pacific St, Mattituck SCTM # 473889 Sec/Block/Lot # 141.-4.14.1 Pursuant to application dated To expire on 8/3012013. Fees: 1/1/1900 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS $200.00 CO - ACCESSORY BUILDING $50.00 Total: $250.00 Building Inspector 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 tbe Building Department with the following: For new building or new use: 1. Final survey of property with accnrate 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 fornl). 3. Approval of electrical iustallation from Board of Fire Underwriters. 4. Sworn statement from plumber cetlifyiug that the solder used in system contains less than 2/10 of I% lead. 5. Commercial buildiug, industrial buildiug, multiple residences and similar buildings and iustallations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planniug Board Approval of completed site plan requirements. 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 aud consent to inspect sigued by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor ill writiug to tile applicant. C. Fees I. Certificate of Occupancy New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00. Swimu~mg pool $50.00, Accessory building $50.00, Additions to accessory building $50.00. Businesses $50.00 2. CertificateofOccupaucyonPreexistmgBuildmg $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Cectificale ofOccnpaucy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 [)ate. 3 - ff'(,~ ~- [ ~-~ New Constructiou: Location of Property: ~/) q I louse No. Owner or Owuers of Property:¢'-~-k C~ Suffolk County Tax Map No 1000, Section Subdivision oYko Permit No. ~L{ Date of Permit. Health Dept. Approval: Planniug Board Approval: fO.~ld or Pre-.existiug Buildiug: L) Street (check one), Hmnlet Filed Map. Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: Final Certificate: (cbeck one) /~ 'A~plicant Signature - Town Hall Annex 54375 Main Road P.O. Box I 179 Southold~ NY 11971-0959 Telephone (631) 765-1802 Fax (631 ) 765-9502 rorer, richert~,town.so uthold, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Janet Ciamaricone Address: '585 Pacific St ~ ~ -? City: Mattituck St: NY Zip: 11952 Building Permit #: 37026 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: as built DBA: License No: SITE DETAILS Office Use Only - Residential ~ Indoor ~ Basement ~ Service Only ~ Corn merical 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 NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: storage shed, 1 paddle fan Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent FixtUres[~ Pumps Emergency Fixture Time Clocks Exit Fixtures L_J TVSS Date: March 20 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAI¢I' PENETRATION [ ] ELECTRICAL (ROUGH) ~ELECTRICAL (FINAL) REMARKS: [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY DATE ~/~//'~ INSPECTOR~::~~ 37o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) DATE INSPECTOR ~/~, ~ f~WN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined ,20 Approved Disapproved a/c · 20 ixpiration .20 FEB 2 9 2012 Bi DG DEPT 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 Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 a. This application MUST be completely filled in by typewriter or in ink and sublnitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to scbedule. 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. Sucb a permit shall be kept on the premises available for inspection throtlghout the work. e. No building shall be occupied or used in wbole or in part for any purpose what so ever until the Building Inspector issoes a Certificate of Occupancy. f. Every building permit shall expire if the work at~thol'ized 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 writiug, 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 oftbe Town of Soutbold, Suffolk County, New York, and otber applicable Laws, Ordinances or Regulations, for the construction ofboildings, 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. Q_,~ (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 ~3--'o.c~-e.-¥ C~o,_w,o, o~,o t c oR ~._ (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 License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work xvill be done: House Number Street Hamlet County Tax Map No. 1000 Section I~-I~ Block ~ Lot I k'~. \ Subdivision Filed Map No. · Lot ° State existing use and occupancy of premises and intended use and occupancy of proposed construction: Addition / Alteration Other Work ~ J4eT- '~ (Description) a. Existing use and occupancy b. Intended use and occupancy $~ck Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee 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 of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth ¢}5"g" ~,~ ~ 77~" Height ~' Number of Stories I 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 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 v/ 13. Will lot be re-graded? YES__ NO ~/ Will excess fill be removed from premises? YES NO v/' 14. Names of Owner of premises~g,u:~L.~CgddressD,~o~A~h Name of Architect Address Name of Contractor Address Phone No.ohq g 8 53-~' Phone No Phone No. 15 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. ls this property within 300 feet of a tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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 NO ~" · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ~&-hmt ) ~'&¢~ e.,¥ ¢, ~', ~ o~--,,., being duly sworn, deposes and sa~q:~j~. ~l~tapplicant (Name of individual signing contract) above named, ~lotary Public, StSto of NOW York No. 01BU6185050 (S)He is the Oq,o','~--~ Qualified in Suffolk County (Contractor, Agent, Corporate Officer, etc.) C ....... ;~;u, E~oim~ April ~4. z OJ:,l~.. of said owuer or owners, and is duty authorized to perform or have performed the said work and to make and file this application; that all statements contained iu this application are true 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. Notary Public Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPER'PI LOCATION: $.C.T.M.~ THE FOLLOW/NG ACTION8 MAy REQUIRE THE SUBMISSION OF A ~b.! L~ ~t' ) $¥v~n'WATER, GRADIN~ DRAINAGE AND EROBION CONTROL PLAN alimet ls~oc~ ~-~, tri~u BY A DESIGN PI~O~I:~IQNAL IN THE 6'rATE OF NEW YORY~ SCOPE Oi~WORK - PROPOSED CONSTRUct'ION ITEM # / WORKAS~F_..SSMENT' [ Yes No a. Whal is//~ Total Ama ofth~ ~oj~ct Parcals? (Indiude Total Ama of all pamais Icoatnd wltl-~ I W}I tills Pre}ecl Rslath Ali Storm-Water Run-0ff the Scope of Wink for ProDo~d Co~lsln~don} Generaled blt a Two (2') Inch Rainfall on Sits? is.F./.~r~) (This item will include all mn-off created by silo ~/' b. What is the Area o~ Land Cleedng cJERdng and/or constmctico acflvitie~ as well as alt and/or Ground Dislurbance for ~ Ixoposed Site Impn~,emente and ~he permanent creation of con~tmction ac~vily? impervious PROVIDE BP. IEP PROJECT DESCPAPTION 0'~.~,~ p~,, ~) 2 Does the Site Plan and/or Survey Show All Proposed Drainage S~mctums [ndlca0ng Size & Leiden? This Itera shati induda all I~oeq~ed Grad® Changes and -- {,~}(~0C~ ~ec~ t-,~,~ ~.~/F SlepesContrel§ngSurfacaWaterFIow. 3 ocos the site Plan and/or Survey d~:~ibe ~ erosion and sediment control practices that will be used to ,.~ control site ems'ion and ston-n water dischmges. This -- item must be maintained ~hroaghoul the C~nstmctien Pedod. 4 Wrll this Project Require any Land Riling, Grading or Ex~sth3g Grade Involving more than 200 Cubic Yards of Maledal within any Parcel? 5 Wilt this ,~oplicalion Requlra Land Dislurbing Activities r=~ Encompassing an Area In Excess of Five Thousand ~'/ (5,000 S.F.) Square Feet of Ground Surface?~ -- 6 Is them a Nalural Wa~er Course Running through ~e Site? Is this Project wilhln the Trustees jedsdlction General BEC SWPPP R~ulrements: or within One Hundred (100') feet of a Wetland or -'~ including C~stmction a~:~itles irw~lving s~l ([skeban~s o[ less then orre (1) acm where which Excesd Fifteen (15) feet of veracal RiER to ST^TE O~ NEW YORK, CO U'~3_~' O~ ........................................... SS And that he/she i~ thc (_~ 0,~ f~ e~ ~ Owner and/or representafiw of ~he Owner or Owners, m~d is duly authorized to perform or have performed the s~Jd work and to make and file this applic~6on; that all ~atement~ contused h~ this application am tree to thc beast of his h~owled~ and belief; and that the work wifl be performed in the manng ~et forth ~n the appllc~on filed h~re~fll. Swom to before me this; I, ./ (Signature of Ap~llcam) FORM - 06/10 Town Hall Annex $4375 Main Road P.O. Box 1179 Sou~hold, NY 11971.0959 BUILDING DEPARTIVIENT TOWN OF SOUTHOI,I~ APPLICATION FOR ELECTRICAL INSPECTION Telephone (631) 765-1802 roger, dche r t ~,t~[,~.~ ~1~o~1. ny. us REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: JOBSITE INFORMATION: (*Indicates required information) *Name: ~(\(~r ~'~xr~v~(L~'~ ( ~,_ ~,~ . *Address~ ~- ~{P~! ~5 /~f~(~ ~, *Cross Street: ~ ,~ ~ *Phone No.: (~ ~ ~ ~ ~ ~ Permit No.: '~ 7o7 ~ Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print 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 tn YES / NO Final 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 N /0! F jusTYN A G- $LAGA N/O/F GRIFFIN coRNER REALTY MA~TIH L · 284:00 GRIFFIN'S Prepared in aacordane, e with the minimum standards for title surveys as establishecl by the L.I.A. L S. and approved and adopted for such use by The New York State Land Title AssoCiation. s.T9· 06' 00" Y/' . / o'/F £O'W~RD ~tL'CENSKt zsa.6a, ,~ SURVEY OFAT PROPERTY MA TTI TUCK ,~''-c~"s'" TOWN OF SOUTHOL D SCALE I"= 40' ~ ROAD JUNE 20, 1989 u~ o ~o~ ~IREA = .FT. '89 - aa(aJ