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HomeMy WebLinkAbout38205-Z` Town of Southold P.O. Box 1179 53095 Main Rd +;> S. Al Southold, New York 11971 rj` 631-765-1981 CERTIFICATE OF OCCUPANCY No: 37425 Date: THIS CERTIFIES that the building DECK Location of Property: 740 (aka 619) Brown St, Greenport, SCTM #: 473889 Sec/Block/Lot: 48.-3-44 2/10/2015 2/10/2015 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/18/2013 pursuant to which Building Permit No. 38205 dated 7/24/2013 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 one family dwelling as applied for. The certificate is issued to Dinizio, James & Dinizio, Marie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED o ' ed Si ature F..> Offal TOWN OF SOUTHOLD 4,. BUILDING DEPARTMENT : r TOWN CLERK'S OFFICE • l,;S' 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 #: 38205 Date: 7/24/2013 Permission is hereby granted to: Dinizio, James & Dinizio, Marie 619 Brown St Greenport. NY 11944 To: construct a 12'X14' Deck Addition to an existing single family dwelling as applied for At premises located at: 740 Brown St. Green SCTM # 473889 Sec/Block/Lot # 48.-3-44 Pursuant to application dated 7/18/2013 To expire on 1/23/2015. Fees: and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $267.20 CO - ADDITION TO DWELLING $50.00 Total: $317.20 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. id,'2o I -t> New Construction: !/ Old or Pre-existing Building: (check one) Location of Property: �� (D S� �Y� "rw House No. Street U Hamlet Owner or Owners of Property:em e /_�2-I `Ji 1Yi ZL y Suffolk County Tax Map No 1000, Section - Block Lot Subdivision Filed Map. Lot: C Permit No. _ G� Date of Permit. -2q- Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate- Final Certificate: (check one) Fee Submitted: $ S Q pplicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION i FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING /STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ELECTRICAL (ROUGH) [ REMARKS: ] ROUGH PLEIG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) DATE 0T i?A INSPECTOR 2-;- 44 3 � OF SOUL cOUHi'1, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING/ STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ELECTRICAL (ROUGH) [ ] CODE VIOLATION [ ] ROUGH PLUMBING =ATION [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) [ ] CAULKING DATE INSPECTOR % L. r:,t r� +�;.+�Mto)� .�H{•icyME . r rIA Ar I •• r r t • r c : if � r• r ------------------- --------- IMMATION STATE VM•r; •r • � ��/ no 171 Aron* 31 t: 0 % L. -)F SOUTHOLD TG DEPARTMENT -A HALL BUILDING PERMIT APPLICATION CHECKLIST . JUTHOLD, NY 11971 " TEL: (631) 765-1802 FAX: (631) 765-9502 South oldTown.NorthFork.net PERMIT NO. �3,92-05 Examined ` , 20 /J Approved �/ 20 13 Disapproved a/c Expiration 3 , 20 j, 18 0 ELM. DUI. lowOf NUTHDLD Building Inspector 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 Mail to: Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date 7 & ,20 AJ 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. n ( 1 (Signature of applicant or nanYl,, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ki4 , ✓ Name of owner of premises (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. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section I Block 3 Lot 7 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 �S7; r�_ C l - b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition )C Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 30A06 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 -36, 6, Rear 3� 41 Depth a cS Height ac Number of Stories / & Dimensions of same structure with alterations or additions: Front 36- Rear 3S,- Depth ;1 -7 Height -'D6 Number of Stories / /a.. 8. Dimensions of entire new construction: Front / q Rear Depth I Height ac // Number of Stories --- 9. Size of lot: Front IS -0 Rear Depth 10. Date of Purchase 'J Name of Former Owner 11. Zone or use district in which premises are situated 'q i' -IC) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO–y— 13. Will lot be re -graded? YES NO_G Will excess fill be removed from premises? YES NO_�< 14. Names of Owner of premi �Wdress 'BVrc'Var SrG V Phone No. X31 `f7i– G S Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO f * 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. 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 ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNE D. B!JN'1 �i ' ttF (S)He is the(31�e� D [ 'a;nl a (Contractor, Agent, Corporate Officer, etc.)����-r 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 to before me this �- day of 20 ) Notary Public Signature of pli toQ i '.53, W %JrF. CO -TAY MAP DATA: - I�CUIKIZIO AT TIDWN OF SOUTHO L NLY", Is C� l:Mpv:,q of (DF NE cy, V4,v ON �,,j-arj . fwv CS lb ";)tion W*wl h WAC -4000c of GL*,w,,vr.~ aro not ir*nw€wobwfb F.,�.EL; iN 774E-�;UFF AS f,��PEWCJZ,VAN "PIPY"L PC. - rA LIC.LN-10 �5UW-VE"YOC215 ®C 0 UPA N C Fl! USE iS UNLAWFU-1. l F_ _VTH(­,')Ul_ CERTI. o Or" G'C" PANC7f OtA APPF T, _'Is -1 7 DATE- Z� c�I&— Tl,f, p, 4-r..o ow^ c e '4 Etr fle- cec. , QO vl ED AS N 3�lvo EM E/4 B� Z TIFY BUILE4NG'DEPA_,kTMENT AT ''765-1802 8 ANI TO 4 PM FOR THE z, A2-1lF,10W.OWING INSPECTIONS: 1. FOUNDATION -TWO REQUIRED I FOR POURED CONCRETE lt4. UGH - FRAMING. PLUMBING, STRAPPING, ELECTRICAL & CAULKING 1 INSULATION 4, FINAL - CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCnON SHALL MEET THE REQUIREMENTS O'F THE CODES OF NEW Trg YORK STATE. NOT RESPONSIBLE FOR IV foe DESIGN OR CONSTRUCTION ERRORS. :.00co' c.. RETAIN STORM WATER RUNOFF J) PURSUANT TO CHAPTER 236 , OF THE TOWN CODE :TA rA es 6)q 13 rp 14 40 V 9.3 q4'