The URL can be used to link to this page

Home My WebLink About38856-Z Town of Southold Annex 5/13/2014 ,', P.O.Box 1179 54375 Main Road �,15 ,/` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36918 Date: 5/13/2014 THIS CERTIFIES that the building OTHER Location of Property: 255 Founders Path, Southold, SCTM#: 473889 Sec/Block/Lot: 64.-2-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/30/2014 pursuant to which Building Permit No. 38856 dated 5/6/2014 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: OUTDOOR SHOWER(NO STALL)TO AN EXISTING SINGLE FAMILY RESIDENCE AS APPLIED FOR The certificate is issued to Freudenthal-Passante,P&Passante,I (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 05-01-2014 Italo Passante A e ignature TOWN OF SOUTHOLD qr 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#: 38856 Date: 5/6/2014 Permission is hereby granted to: Freudenthal-Passante, P & Passante, I 25 Leroy PI New Rochelle, NY 10805 To: installation of outdoor shower- no stall At premises located at: 255 Founders Path, Southold SCTM # 473889 Sec/Block/Lot# 64.-2-32 Pursuant to application dated 4/30/2014 and approved by the Building Inspector. To expire on 11/5/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 /4"-- 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 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 Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of 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 of property 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 Date. L/—c19 —/Y Y New Construction: Old or Pre-existing Building: (check one) // Location of Property: ��S F0�0i4i �s Pot-1-11, Sol too House No. Street Hamlet Owner or Owners of Property: Tac-ias A 2i cidskv / avc N/Sc/L Suffolk County Tax Map No 1000, Section X Y 0 /Block (]a, 00 Lot D, a.Od Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ _ . 41✓I _it_ . k. A Id.r✓i Applicant Signature / 1 l r„,,. "�,, oleo OO SO(/jgo , Town Hall Annex ,i ~ 4 v lig Telephone(63 I)765-1$02 54375 Main Road Fax Fax(63 1)765-9502 P.O.Box 1 179 �Q',,i Southold,New York 11971-0959 `. , -`�CO Wes BUILDING DEPARTMENT _ TOWN OF SOUTHOLD CERTIFICATION Date: /y Building Permit No 3 S 'Z StP Owner Comet. ,!wigs f"ld eRo(.tX Y 0 ,LJL/CJ< 1-k/2S11 . IPI'cvn(Please print) . /o Plumber: i/Ifli.1 .dLIA r " S At (Please print I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (P umbers Signature) •..: -: 15r Sworn to before me this • day of Oa/ , 20 DAVID J.JANNUZZI , ; Notary Public, State of New York No. 02JA6052585 c )____ Qualified in Suffolk County dik91 1 ( I Commission Expires Becrter7"--' ' Notary Public, is I )/ County P ! FIELD INSPE ON REPORT 1 DATE COIVIlVIENT oQ FOUNDATION(1ST) r j • cJ FOUNDATION(2ND) - . o • g ROUGH maim& PLUMBING �� ! 1 INSULATION PER N.Y. STATE ENERGY CODE c> FINAL ADD ON Cr I I, i (13•\ 'e. (S beet C� E\r- • • • rn C • • M • origi r7 • TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees �./ ,, Flood Permit Examined ,20 /r Storm-Water Assessment Form I Contact: Approved ,20 it Mail to: Disapproved a/c Phone: Expiration /0,20/,,� 1.96,„....e.L. r"-- �! r, I l l Building Inspector 1 LICATION FOR BUILDING PERMIT �� ail APR 2 9 2014 1.-------1, c Date �/ ��—1 , 20 , F i'� _' rT. INSTRUCTIONS m,,_ 1 a.This application MUST be completely filled in by typewriter or in ink and submitted 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 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 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. f. 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 of a 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. r // b f ignature o applicant or name,if a corporatic / re o, 4:9( /do)?/ /7 -/ i1 4 ll SOL (Mailing address of applicant) _ ,.. -. ... 4 J'. '77. State whether applicant is owner, lessee, agent, architect, engineer, general contractor',electi�ician, plu'nIF er or builder 4 L DATE.�S7�f B.P. # �Y' iowner T Name of premises �rX/-'jeS / , e!-�Sky j f�l" G DE ARTMENT AT (As on the fax roll or 11. PCs. ..1. J3 AM 0 4 PM FOR THE If applicant is a corporation, signature of duly authorized officer 'MG INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE (Name and title of corporate officer) 2 ROUGH-FRAMING,PLUMBING, NAPPING ELECTRICAL &CAULKING Builders License No. i i ry; Plumbers License No. • 4 I ,.-CONSTRUCTION & ELECT R - MUST BE COMPLETE FOR C.O. Electricians License No. - ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR 1. Location of land on which proposed work will be done: DESIGN OR CONSTRUCTION ERRORS. ).ss-- 7i(4r s Pct,744. S00 fd House Number Street Hamlet County Tax Map No. 1000 Section CZY,0o Block 0,4. 00 Lot 0, „'t, 00 Subdivision Filed Map No. Lot 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 3. Nature of work(check which applicable):New Building : ••' on Alteration Repair Removal Demolition ether Wor v , S - (D-escription) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear q Depth Height Number of Stories 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 Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. I. this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * . YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BEEQUIRED. .. Is 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 urvey. 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 << 'k /11477/L4' l47/fM////a./1 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, CONNIE D.BUNCH (S)He is the y Notary Public,State of New York (Contractor,Agent, Corporate Officer,etc.) No.018U8185050 Qualified in Suffolk County om ission Expires April 14,2� 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 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. Sworn tobefore me this clR day of ��/`j 20/ Notary Public Signature of Applicant ______ ..... _. ._... 1 c, Out.." -b0D1k--latoti,04ei ...._, —1,4 AP—_-17)F-PfaC-JPEF2.TY ' _ •• • ••••_• ,.... . . (.( a 1 \ . . • ..vu.r2vEYEr.,, FO.C.. ....--- . . — ---- \t,\.0.1AC ._____.._.. .. _ . I 1 .BAI2T2Y._, 6 icANDI2A--V...-WOVIC1/. • , \ . . t. . ZA2D1 aGLIVEA i . . \ . jg1:6-78.-40*E._ _i___ --/7 .:71=06 . ' , ritt . . • .. . ...; • , . _ -•• -_,-,.:, ... ..SOUI-HOLCZ. ...........'.... ...' . . . . 1. ' - .....TOW14-0F._ UTROLD,N.Y..ti......„:.i.•,- .. t ' . .• • • . . , • •• . . . . - , . , • - :* . . ,•• . , - —Iasi .7, ; .. ., . 3321. 7 i - 1 . ...„_______ / . . I I • • - - .. • , ___Lzr 5z_ . i2u/ .7.3r38-•-. •- •!..:,.., ... ...'' ,., ...-:" ..., ..;;:s..:,..f.i,-.. ..-•.:,, •.•....-: -,. .. •. . .,,. . icA 1 1 _. t 1 --- • 1 sg • 1 3.3't • _• . ' ' ' -''' 7-- '. , .: ' . •; -.-, .:-..--.?'. 1.:7's'. .' '• . • " • ... _. . . t , 1 i II . • . ,.•. .. , . .. • . . , 1 t- • • .,. . . , . ,. . ,.-• . . ,., , • - --•-• • , •. .. . . S.:11r27 Sa'.W. - Lifit31..1.-.. •, ,_ _.. . i . . . . w • . . ., - . . . . -. .. . • . , . . - • 1.:14Sal&ilF.DIE Lt. .._ .... LANE 3e•• . . . • , , • -/1 . I :.. . .. .1:ra MOROMEUT. . • , . • --/7:147IP.E1* ' • . . • . Ar.EA-_9,1045c.Fr . . . . _ . . , .-"ArZANTEer)..ro ANC1-10Q.S•KV1KIGS EAKILL. .—isICTE5: :e.,--th 72.`n c'rho her Yort 4., • 'r urnticn yen N SCAIZVEYEO .. .. APR.I I:1938 L LLT NO'S'.TaEFEIZ TO%MAP-C-ir T-7..."Uts.i DEP..; E`...767Er.,FI LEG Cas at he Ile-reefs+man re,r lar-• . ...---0 Tki THE.5',./Ft:CO.CLE.P_V'5 OFFICE A5 MAP NG.6..4.• dar,a.x stovaaor a mese;se,n Ror-)Erercie. VAt-,i.T.J',/i.. P.,'". o'ntnesee ses.ehnh not le c-neuSasen .o Le a vision nue copy -2.S.JFE M,TAY MAr DATA 100.:.-64,•2:32. .R ,.., • Gowen's.Ind.cateo nateon sh3t..... unly to ths person to,venom the sure, ..2 1,/ le freemen.sno on Ns behalf to the i C.. .....•■••• . ...company.fl...Tm.s.,..9.'cV f.e. ‘1-.,..m IS 2564,F14' ,:ehttno montane.hued henton ft C \-to w the snug..of the tannest rnsh- ' LI''.LAND Sz../12VEY.32S1.. --- GI2EE.RIPOrZr,MN! ...._LAND .."' arson Gestemort ate not tranOtorsnie - --- In treerhortei utoultottons or eub3e0uen1 •