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HomeMy WebLinkAbout37835-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/5/2013 CERTIFICATE OF OCCUPANCY No: 36191 Date: 4/5/2013 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building DECK 1740 Pequash Ave, Cutchogue, Sec/Block/Lot: 103.-11-14.3 Filed Map No. conforms substantially to the Application for Building Permit heretofore 2/14/2013 pursuant to which Building Permit No. Lot No. filed in this officed dated 37835 dated 3/1/2013 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: DECK ADDITION TO AN EXISTING SINGLE FAMILY RESIDENCE AS APPLIED FOR The certificate is issued to Giancontieri, Louis & Giancontieri, Donna (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 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 #: 37835 Date: 3/1/2013 Permission is hereby granted to: Giancontieri, Louis & Giancontieri,Donna 1570 Pequash Ave Cutchogue, NY 11935 To: construct a deck addition to an existing dwelling as applied for At premises located at: 1740 Pequash Ave, Cutchogue SCTM # 473889 Sec/Block/Lot # 103.-11-14.3 Pursuant to application dated To expire on 8/31/2014. Fees: 2/14/2013 and approved bythe Building Inspector. CO - ADDITION TO DWELLING AS BUILT - SINGLE FAMILY ADDITION/ALTERATION Total: $50,00 $880.00 $930.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-180l APPLICATION FOR CERTIFICATE OF occUPANcy This application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey of property with aooUrate location of all buildings, property lines, streats, and unusual naturat or topographic featur6s. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi'om Board 0fFire Underwriters. 4. aw. crc statement from plumber certifying that the solder used in system contains less than 2/I0 of 1% lead.. 5. Commercfiat building, indtmtrial 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 of proPerty shoWing all property linc~, streets, building and. unusual naturai or topographic features. 2. A properly c~,.mpleted application and cor~sent 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 $$0.00, Additions to dwelling $$0.00, Alterations to dwelling $$0.00, Swimmiug pool $50.00, Accessory building $$0.00, Additions to accessory building $50:00, Businesses $50.00,. C¢[tificate 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 $15.00 New Construction: ~/ Old or Pre-existing Building: (check one) Location of Property: [.~¢/~ .~6~Ik~ A~tet~g~ ~'~O'[<[~a0¢ [1~[~ House No. - Street .a . Hamlet . O, ro Ow. omop .y; lq. G, nCo,4,e , InJ - Suffolk County Tax Map No 1000, Section Subdivision alo , 11 Lot Filed Map. Lot: Applicant:. LO~I$ ?, ~aCocv~er, Undemfiters Approval: 3 7935 Health Dept. Approval: Planning Boarfl Approval: Request for:. Temporary Certificate Fcc Submitted: $ ~0 '/~ Date of Permit Final Certificate: (check one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [~] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL INSPECTION [ ] FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~~4- z~_ TOWN OF SOUTHOLD BUILDING DEPT. INS K)N [ ] FOUNDATION 1ST []FOUNDATION 2ND []FRAMING / STRAPPING []FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] I~ATION [ j,']' FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCllON [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: /1//~ ~o _ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING D~,~ARTMENT TOWN I-}ALL ' SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined 20 D Disapproved a/c 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 Sorvey (Di. ~9 (~ t/~? Septic Fm'm ~ {-- I N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate _ Storm-Water Assessment Form Building Inspector Phone: APPLICATION FOIl BUILDING PERMIT INSTRUCTIONS Date FCbc,x¢,.) 1'5 ,20 15 a. This application MUST be completely filled m by typewriter or in ink and subnritted 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 ad.joining premises or public streets or areas, alld waterways. c. The work covered by this application ma3 no! be commenced beE)re issuance of Building Permit. d. Upon apprm, al of this application, thc Building laspector will issue a Building Permit to tile applicant. Such a permit shall be kept on tile premises available for inspection throughout thc work. e. No building shall be occupied or used in whole or in pm1 ibr an5 purpose xx hat so ever until tile Building laspector issues a ( ertificatc of Occupancy. f~ Every buildiog permit shall expire if the work authorized has not conrmenccd within 12 months after the date of issuance or has not been completed withia 18 months fronl sach date. I[' no zooing amcndmeats or other regulations affectiag tile property [lave beer enacted in the interim, tile Building Inspector may authorize, in xwiting, tile exteasion of the permit for all 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 tile Building Zone Ordinance of the Town of Southold, Suflblk County. Ne,,,, York. and oilier applicable Laws. Ordinances or Regulations, for the construction of buildings, additions, or alterations or fbr removal or demolition as herein described. Tile applicant agrees to comply with all applicable laws, ordiaances, building code. hoosing code, and regulations, and to admit aulhorized inspectors on premises and in building for aecessar3 iaspections. L* .,.~-- · (Signature of applicant or name. ifa corporation) (Mai[in= address of applicant'j" State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Lao[s ~1. ~l~(l¢or~'~l~'rl' at~d ]~nfllK. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly attthorized officer (Name and title of corporate oflScer) Builders License No. Plumbers License No. Electricians l,iccnse No. Other Trade's License No. Location of land on x~ hich proposed x~,ork will be done: llouse Number Street -- ",* .... -':'~ ' H~alet County Tax Map No. 1000 Section 0 3 ...~.~oc~.~ .. ~, Lot ~ Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and .occupancy.oj~ proposed construction: a. Existing use and occupancy Oth~. ~tra;5 ~W¢}~t~ {'l:~d~ b. Intended use and occupancy ©tl~, ~ Nature of work (check which applicable): New, Building Repair Removal Demolition Estimated Cost Fee If dwelling, nomber of dwelling units If garage, number of cars Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occapancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, it' any: Front Rear Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front ~e,~ <~VrV~ Rear .Depth Height Number of Stories 9. Size of lot: Front L~{}" Rear I~;O/ Depth 1.~' 10. Date of Pnrchase '~-I'1- [qq'} 11. Zone or use district in which premises are sitaated 12. Does proposed construction violate any zoning law, ordinance or regnlation? YES__ Rear Name of Former Owner 4 ~ ti[ ~' 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 BEt, REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO~-- · IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO X 16. Provide survey, to scale, w'ith accurate tbundation plan and distances to properly 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~'O¢-f~ll( ) i%cod-ie ; being dul~ swon,, 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 perlbrm or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief: and that the work wild be performed in the manner set forth in the application filed therewith. Sworn to before me this 13~~'~ day of ~be~xt~ Notary Public .~ Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) ~. 0~n~r-Agen~-C~nsultanI-C0n~'?ctorer0~h~ Clrcle01~ ~11 th~ Pm~ D~U~ f~e (5) or Mom ~ms at ~ Ins~flo~ will ~r and ~r ~at Pe~ of ~ ? Yes No __ Of In~t and SWPPP Acce~ Fo~ ~r Rev~w ~ STA~ OF NEW YORK, ~ --,~/ lhatI .... i~'~'[~i;~i'~ ................... ~d~yswom. de~ses~d ~ysfl~t t~she sflmapphc~t forPe~t, ~d ~ hWshe ~ ~ ............................................ 0 ......................................................... ~er ~Wor ~p~;en~fi~ of ~e Own= or O~e~, md i~ duly au~ m ~om or ~m peffo~d ~e ~d ~k md to · at ~e ~rk ~ ~ ~ffomed in ~e m~ner set fo~ ~ ~e ~p~mfio. Filed h~. S~m ~ before me ~; ~'~,~ T.O.S. "SWPPP' Preparation - Chapter 236 ~ Storm Water Pollution Prevention Plan Review Checklist Checklist ~ 1 REQUIR~ PL~ INFORMA~ AND IMPLEME~A~ON D~AKS: ~ ~6 ~ NO ~ N~ ~ C~lanaUon for NO or N ~ Plan Sheet g. ~ne ~fic~ PaEem of Su~ D~ ~ga Duflng P~ds of ~ak Run~ff. ~~ 7. Des~E~on d ~lMon Pmven~on Me~ ~at ~ll ~ Implem~ , ~ ,~ ~ I~a~ by ~gement C~d;.~l Plan Che©ldlst # 1: 03-12 ............ . L_OJ 7- ' _.~_?.J ...... ~ ....... iO], APPROVED AS NOTE[ NOTIFY BUILDING DEPA~' 765-~802 8 AM TO 4 P~ FO~ ,,, FO/LO~ING INSPECTIONS 1 FOUNDATION- TWO REOUI~ , q WITHO(!T" :F. RTIFICA'T'E OF OC(';i ;; '~!"!<,:Y cERTIFtCAI'IoN oF NAILtNG& coNNEOI'tONI~ ,REQUIRED.