HomeMy WebLinkAboutZ-39555 Town of Southold 3/16/2018
53095 Main Rd
Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39555 Date: 3/16/2018
THIS CERTIFIES that the structure(s) located at: 4805 Alvahs Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 101.-2-22.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 39555
dated 3/16/2018 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame accessory garage, wood frame accessory barn, wood frame accessory shed and wood frame accessory
chicken coon.
Note: There is no housing code inspection report.
The certificate is issued to Cacioppo Living Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 101-2-22.1
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A t nd Signature
OYI4 Existing Accessory Buildings
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Form No. As per Site Survey
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D f �Q
� (�, TOWN OF SOUTHOLD -Framed Shed 19x32 �ff'1
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BUILDING DEPARTMENT -Frame Barn 74x38
TOWN HALL -Frame Chicken Coop 20x30
F E B - 1 2018 765-1802 -Frame Garage 25x26
APPLICATION FOR CERTIFICATE OF OCCUPANCYn C
ThTQ &*AA %Qd 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. 02/01/2018
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 4805 Alvah's Lane. Cutchogue
House No. Street Hamlet
Owner or Owners of Property: Cadoppo Living Trust
Suffolk County Tax Map No 1000, Section 101 Block 2 Lot 22.1
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: $ 100
J��10 Applica Signa
CONSENT TO INSPECTION
Paul Cacioppo, Cacioppo Living Trust , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 4805 Alvah's Lane, Cutchogue ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 101 , Block 2 , Lot 22.1
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre Certificates of Occupancy
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: 02/01/2018
(Signa
Paul Cacioppo
(Print Name)
(Signature)
(Print Name)
oF so�lyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.Box 1179 �� roger.richert(aD-town.southoId.ny.us
Southold,NY 11971-0959
COUN N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Cacioppo
Address: 4805 Alvahs Lane City Cutchogue st: New York zip: 11935
Building Permit* Pre-CO Section: 101 Block: 2 Lot: 22.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: Glens Electric License No: 4770-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Barn
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: "GARAGE" - 1- Receptacles, 3 - Switches, 4- Light Fixtures, 3- GFCI Receptacles.
Notes: "BARN" - 2- Switches, 6- Light Fixtures, 1- GFCI Receptacle, 1- Sub Panel.
Inspector Signature: Date: February 28, 2018
0-Cert Electrical Compliance FormAs
APPLICANT/OWNER
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The Purpose of this
form is to Provide information which can alert the town of Possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOUR NAME : Paul Cacioppo, Cacioppo Living Trust
(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a
company.If so,indicate the other person's or company's name.)
TYPE OF APPLICATION:(Check all that apply)
Tax grievance Building Permit X
Variance X Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) Planning
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or
employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"
means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or
employment by)a corporation in which the town officer or employee owns more than 5%of the shares.
YES NO X
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either
check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this 0th day of October ,2017
Signature
Print Name Paul Caciopp"acpo Living Trust
guff04 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
• Southold, New York 11971-0959
o! ' ' Telephone (631) 765-1802 - FAX (631) 765-9502
roper.richert(�town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: /� l
Company Name:
Name: e
License No.: �,/��o_ME email: tLwAs 0-(Q.c.Q5C10Llr"SM- - CdWL
Address: o /SC
Phone No.:
JOB SITE INFORMATION: (All Information Required)
h 1
Name: G!a
Address: S
Cross Street:
Phone No.: _ o
Bldg.Permit#: email:
Tax Map District: 1000 Section: J01 Block: Lot aa. I 22•�
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: rte / NO Rough In Final
Do you need a Temp Certificate?: YES'✓ Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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82-Request for Inspection Form As .Y.
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TOWN OF SOUTHOLD '.-
)WNER STREET yjro VILLAGE DISTRICT SUB. LOT
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ORMER OWNER N r 1/00/1
ACREAGE Y
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S .— TYPE OF BUILDING
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S.'-� SEAS. VL LA
FARM comm. IND. CB. misc. Est. '
2N D IMP. TOTAL DATE REMARKS
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Form Acre Value Per Acre Value FRONTAGE ON ROAD
liable 1 4z :?o a t o BULKHEAD
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liable 3
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az - TOWN OF SOUTHOLD - .: OPERTrY "t� CORD CARD
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BLAND IMP. TOTAL 'DATE REMARKS ,��• Z
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S, L B VE FRONTAGE ON WATER I 1.2)) 3 ,SBoo
Form Acre Value Per Acre Value FRONTAGE ON ROAD
Iloble 1 BULKHEAD
rilloble 2 DOCK
rillobie 3 — s041114 -L, 1x893 --
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g � OF SOUlyO6
IfTOWN OF SOUTHOLD BUIL NG 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)
REMARKS:
DATE 2Z INSPECTOR
L orw e,--
SOF SOUIy Qr� � � 'T*i
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)
REMARKS: 4
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v-✓
DATE INSPECTOR
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LOCATION: � ✓�nS V�PK%
(number & street) (munii ality)
SUBDIVISION: MAP-N-O.: _-- ` LOT(S): ..
NAME OF OWNER(S)-
-OCCUPANCY: Q tf 01-Wlly R:
(type) (owner-tenant)-
ADMITTED BY: _ ACCOMPANIED BY:
KEY AVAILABLE: SUEF. CO. TAX MAP'NO. 1000- 9 — 3- — �.Y•
SOURCE OF REQUEST: 4Ci\0 10 DATE: FAry wu. l Yo l
G •
TYPE OF CONSTRUCTION: STORIES: # EXITS:
FOUNDATION: CASEMENT: CRAWL SPACE:
# OF BEDROOMS: IST FLR: 2ND FLR: _ 3RD FLR:
BATHRO-OM(S): TOILET R.'OOM(S): UTILITY ROOM:
PORCH-TYPE: DECK, TYiPE: .. . PATIO;TYPE:
BREEZEWAY: FIREPLACE: QARAGE:
DOMESTIC HOTWATER: _ TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: _ WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
STORAGE, TYPE CONST.: s /or,
SWIMMING POOL: GUEST,TYPE CONST:
OTHER: Y b 11'f�1 —m c,,,,twp 6P x
�✓ 1 r I
+NoX jqo
VIOLATIONS:. CHAPTER 144 &N.Y. STATE-UNIFORM FX PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
, Y ti i �enn2 iI 'c pr�,rr��
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y 1' Y lH V11�
REMARKS:
INSPECTED BY:;:�6h,T `J ndsb l DATE OF INSPECTION:
TIME START; 10'• D END: 10'. 40
_.............. ......................_......_................... .. _... . ..... __ _. ......._......_............................ .................._........................... .......... ............._..... _.. . .......................... ........._........ ......
SURVEY OF PROPERTY
SITUATE: CUTCHOGUE
N
TOWN: SOUTHOLD
w e �
SUFFOLK COUNTY, NEW YORK W E
SUFFOLK GOUNTY TAX #
1000 - 101 - 2 - 22.1
1000 - 101 - 2 - 22.2
S
SURVEYED: AUGUST 25, 2016
REGERT AUGUST 24, 2016 S
cC]EIR'IIMED TO:
PAUL F. ACIIOPPO AND MAURIE EN cCACIIOPPO AS TRUSTEES O F TEE cCACIIOPPO]LFENG TRUST
ALL—WAY ABSTRACT,ILC
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TOTAL AREA = 313,511 S.F. OR 1.2041 AGRES JOHN C. EHLERS LAND SURVEYOR
WOOD FENCE UNDER CONSTRUCTION ALONG ROADLINE ORAPHIG SCALE 1"= 50' 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
® MONUMENT FOUND _ - RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287
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