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HomeMy WebLinkAbout28371-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28724 Date: 08/20/02 · ~{IS C~TIFIES that the building ADDITION Location of Property: 2315 CEDAN DRIVE EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 22 Block 5 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2002 purs~nt to which Building Permit No. 28371-Z dated MAY 9, 2002 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. T~e certificate is issued to ANDREW & ELAINE SQUITIERI (OWNER) of the aforesaid building. SUFFOLK CO~ DEPARTMENT OF ~I~%LTH APPROVAL EL~t-rKICAL u~u{TIFICATE NO. PLUMBERS c~KTIFICATION DA'r~U Rev. 1/81 N/A N/A N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28371 Z Date MAY 9, 2002 Permission is hereby granted to: ANDREW & ELAINE SQUITIERI 2315 CEDAR DRIVE EAST MARION,NY 11939 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DEWELLING AS APPLIED FOR at premises located at 2315 CEDAR DRIVE EAST MARION County Tax Map No. 473889 Section 022 Block 0005 Lot No. 032 pursuant to application dated MAY 8, 2002 and approved by the Building Inspector. Fee $ 150.00 / Authorized Signature Rev. 2/19/98 COPY .~ ' 'L ~-%jV~,il,.~PLiCATiON FOR CERTIFICATE OF OCCUPANCY Thi~~st 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 a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date, .~_~ J l~r ~'~'~ New Construction: ~ Old or Pre-existing Building: Location of Property: ~1- ~ ~ 5 C e~- House No. Street Owner or Owners of Property: ~ O//~_~.ga.a ~ Suffolk County Tax Map No 1000, Section -~ ~__ Subdivision///~/-/,~1w'7"77 7- ~'Jar¢5?'- /~,~,e/ r~ Permit No..2-~,~ 7/~.2. Date of Permit. Block Filed Map. Applicant: (check one) Lot Lot: Oct) toE/Z_ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .,.~[ ~ Underwriters Approval: Final Certificate: ~ ,~" (c, hecl~n~.~ , . , Applicant~(ur-e TOWN OF SOUTHOLD PROPERTY RECORD CARD -OWNER STREET~,/~'~' VILLAGE DIST. SUB. LOT.~,."~ d' ~ol~O~ V ¢~..~ ~¢ S W ~PEOF BUILDING RES. ~2o Ig SEAS. VL .¢~', FARM COMM. CB. MlCS. Mkt. Value LAND IMP. TOTAL DATE REMARKS W~l=nd FRONTA6E ON ROAD M~dow~d DEPTH N~ PI~ BULKH~B Total t~ 22-5-32 10/00 M. Bldg. I SW,~ ~-~ ; [/~(~ ~'~ Foundation {~,c , Bath Extension ~ ~ ~ : ~~ ~ Ba~ment Floors fi~tension ~ ~ ~ ~0 fi~t. ~alt, ~[ Interior Extensmn Fire Place ~ Heat Porch G~ ~ ~ ,~o ~o Pool A~ic Deck ~ ~ I ~ ~ ,~ ~{ Patio Rooms 3~ Floor Breezeway D riv~ay Rooms 2nd FIoor O.B. ApplicmW' Owners Nmne: Architect/ Engineer SCTM #: ©istricl: L000 Projecl Single & sepal'aGe Required cem figa~ion: Req Project Description: f~_2~ REOUIRED FOR REVIEW Suffolk County Health' Dept. New York State D. E. C. Town Trustees Town Zoning Board. approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Date Reviewed: _, ~ Date Submitted: _D~fl~ Subdivision Name: __J [Rear Yard ~ Propose Rcq. [ I'°t c° vcragc -~ I', ol)(,scd~ ~°~ , Rcq, .N..O _Permit _YES N~umber 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~~-_.~. INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] RO~GHPLBG. [ ] FOUNDATION 2ND [ .,] ~2~ULATiON [ ] FRAMING [ g.~FINAL [ ] FIREPLACE & CHIM~NEY REMARKS:~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ /] IN~ATION [ ] FRAMING [./_~FINAL [ ] FIREPLA I E FO~DATION (1ST) FO~ATION (2ND) ROUGH F~G & ~S~ATION PER N. Y. STATE E~RGY CODE TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined ~/~, 20 OoX .approved ¢,20~ Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 ~ta of Building Plans Planning Board approval Survey. Sq~tio Form N.Y.S.D.E.C. Trustees Contact: Mai! to: · Phone: Expiration f(~ ,20 ZK~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ., 20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relation~kip 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 Peamit to the applicant. Such a permit shall be kept on the prerrfises 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 fi:om 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 ora 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 a 't authorizedinspectorsonpremisesandinbuildingfornecessaryin~pections~___~j~,~t. ~ (~tl~re of a~pii~ant or name, if~ c~oration) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder (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 will be done: ;28/5 Ced, House Number Street County Tax Map No. 1000 Section.,,/ Subdivision ~,,~H,Za2,,~,,",oT' ~"~qV'/'/~v/e/ (Name) __Block ~ Filed Map No. Lot State existing use and occupancy of premises and,i~ttended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ,/~D~'c2~ ' . ' / Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~' ¢ J~,>D Fee Addition Other Work If dwelling, number of dwelling units If garage, number of cam Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 7. imensions of existing stmctares, if any: From ~ Height_ ~or Number of Stories If business, commercial or mixed occupancy, specify nature and extent of each type of use. Rear ~ / Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stodes Rear ')Dimensions of entire new cons~uction: From ~ ~ z Rear _k~/Height 2~o" Number of Stories 'be~., -~ Size .~' Rear ? .~y' Depth of lot: Front 0. Date of Purchase Name of Former Owner Depth 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 14. Names of Owner of premises4o, 7~r-~t' Address.2-3,~'t~et~x. 2)~ Name of Architect Address Name of Contractor Address Phone No. g-?2-,-/>,f' ~ Phone No Phone No. NO ~/ 15 a. Is this property w/thin 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 th/s 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. STATE OF NEW YORK) SS: COUNTY OF ) . tr.) , ~ ~7/~1¢ ' being duly sworn, deposes and says that (s)he is the applicant (Name of individu~ siLming contract) above named, (CortUactor, Agent, Corporate Officer, etc.) (S)He is the 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 his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swo~/to before me this yf_-6 dayor Notat~ Pu"b']]c - r LINDA J- COOPER Notaw Public, State of NewYo~ No. 4822563, Suffolk County 3/~.~ Term Expires Decembur ~1,~--9~-i'~ Signature oy]>llcant JOB No. 99-18 TAX~I. D. No. 1000-22-05-32 LOT 30 , ~ Z TAX LOT 28 THE LOCATION OFWELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. CONC ENT 31.9 ~. 11.1 35.~ ~ 1 ST FRAME GAR WOOO PORCH R/O ~. /. SEPTIC L=130.00, R=580.00, CEDAR DR~E [ 50'] TAX LOT 14~ LOT 49 TAX LOT 13 ' FILE MAP No. 7755 7/13/84 - ' ' SURVEY ~' --i.~T 29 In ,~ u~m u~ u~ I I C~Y,~ Age~c~ and Le~ding $~o~e~,a~dto~a~e~fl~Len~ngl~o~ ~P OF HIGHPOINT AT ~ST ~RION ~~~.~-~,~--,~.~ SECTION 2 The oll~e~ [ er ~lin'm~a3ae ] ~,,~ heme~ frt:~ ~t~,cturee to the pincer/llr, e~ are CERTIFIED ONLY TO: ~DR~ SQ~RI ~ E~NE SQUITIERI CFS ~ STEW~T ~ ~~E C~ANY ~ DE~ G. ~F N.Y.S. LIC ~. ~7 ~ EAST MARION,TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 8/6/00 SCALE: !i'=40't DEST1N G GRAF LAND SURVEYOR 73 W(xx~lla~ Road Ro~ P~, New Yo~ 11778 516~21~3442