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HomeMy WebLinkAbout29120-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29232 Date: 01/30/03 THIS CERTIFIES that the building ADDITION Location of Property: 1000 GIN LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 3 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 21, 2003 pursuant to which Building Permit No. 29120-Z dated JANUARY 22, 2003 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 "AS BUILT" REAR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & JUDY RICCIARDI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signa re Rev. 1/81 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. 29120 Z Date JANUARY 22 , 2003 Permission is hereby granted to: MICHAEL & JUDY RICCIARDI 970 GIN LANE SOUTHOLD,NY 11971 for . AS BUILT DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR (NOTE- DECK BUILT PRIOR TO 2003) at premises located at 1000 GIN LA SOUTHOLD County Tax Map No. 473889 Section 088 Block 0003 Lot No. 012 pursuant to application dated JANUARY 21, 2003 and approved by the Building Inspector to expire on JULY 22 , 2004 . Fee $ 300 . 00 Authorized Signature COPY Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALT, 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 o8w Za.20 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$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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one) �LLocation of Property: q 7 6 b0 or, 11(N ST SOy c4b" House TTo. j Street Hamlet 'Owner or Owners of Property: k l C fAA- -L (}•» 5U 1 q l LC t 426 I Suffolk County Tax Map No 1000, Section sl� Block Lot 01 Subdivision Filed Map. Lot: Permit No.'.2 9 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ V2 c, j _330 Applicant Signature _ Z TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT I r'c Cie q i CC FORMER OWNER N E ACREAGE ;a .� S W ( TYPE OF BUILDING RES. SEAS. VL. FARM COMM. IND. CB. MISC. LAND IMP. I TOTAL DATE REMARKS a- a7 �.t �Ai/ARNQ�J ,�� .r ��or.,e� Ts�r��.r,.ced-Po. h!A d!� S cy U � s% -j i3 0 10 9 OL AGE B ILDING O 7 NEW NORMAL BELO 4BOVE i r Farm Acre Value Per Acrd"/-; Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland `` F House Pot Total l 4.1 rfrFil _ 1. 1< 060 dr—a i M. Bldg. .�L/ y 2 I r� .j / Foundation3 Bath lCL-�1 i�— l1 1� Basement j Floors �! Extension.. . I �( f 3 _ l� } ✓ Ext. Walls Interior Finish Extensionr Place ' Heart Porch _ Attic Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage �. I,� r 0 8 / ° D J. , `Driveway . 0. B. BUILDING PERMIT EXAMINER CHECK LIST ,1 DATE REVIEWED: /.2.2/03 APPLICANT: �IcC(A�DI M1cw-gsx- DATE SUBMITTED:i/,�__/0j SCTM#DISTRICT: 1,000, SECTION: �$ BLOCK: 3 , LOT: la $AY JI EW STREET ADDRESS: IQob Gh LAt-� CITY: S0v-rtt06x-N SUBDIVISION: PROJECT DESCRIPTION: SAS BUILT" 14000 W11- 041Turd ESTIMATED PROJECT COST: — ARCHITECT/ENGINEER: Fis�weTri FAST TRACK? N SINGLE & SEPARATE CERTIFICATION-REQUIRED? N NOTES: LOTS 40,o00SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Mergen(A nonconforming at anytime after 7/1/8: ZONING DISTRICT: R-40 CONFORMING? Ne REQ. LOT SIZE: 46,000 ACT. LOT SIZE: ?REQ. LOT COV. 20 7. ACT. LOT COV. REQ. FRONT 3,T4PROP.PROP. FRONT </�JJREQ SIDE , f ZS ACT. SIDE REQ. REAR 3 s PROP. REAR 4;*- � REQ. HEIGHT PROP. HEIGHT WATER FRONT? No DESCRIPTION: PANEL FLOOD ZONE:, l APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES orNC , (BED #): DTE:—/_/ PERMIT #:R10- TOWN SEPTIC RECEIPT: Y ore NEW YORK STATE DEC: PRE-DEC 9/1n5 YES or To SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or W TOWN HISTORICAL PRE (SPLIA): YES or to NYS ENERGY: YES O EGRESS (18 H min.? 4 sq` &*) — VENT (SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) -- BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INTI' OTHER TOTAL TOTAL: SF FEE FEE FEB SF)-C-SF)= SFX$ =$ +$ l-y +$X a _$ 3 a r� 2. ( SF)- ( SF)= SFX$ =$ +$ +$ _$ 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ( ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [Z-1,FtOAL [ ] FIREPL40 CHIMEY REMARKS: DATE INSPE FIELD INSPECTION REPORT DATE COMVIENTS b FOUNDATION(1ST) r �c ---------------_— FOUNDATION(2ND) z - _ c ROUGH FRAMING& PLUMBING . r INSULATION PER N.Y. y STATE ENERGY CODE � FINAL ADDMONAL COMMENTS O z. m z I � d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL -4o��=Healtl,- SOUTHOLD, NY 11971 74 3 sets of Building Plans TEL: (631) 765-1802 --1q g_Board-app FAX: (631) 765-9502 71, Survey www. northfork.net/Southold/ PERMIT NO. a/h' V Check 300 , oo S tic rm � N. D.E.C. T steel Examined aZ ,20 U-3i �� 2 n Contact: Approved J,20 0 3 Mail to: Disapproved a/c i —= Phone: Expiration 7 d J- ,20 D tl -. Building Inspector APPLICATION FOR BUILDING PERMIT / Date / � 20 INSTRUCTIONS 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, 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, / (Signature o applicant or name,if a corporation) �d �oK ,srS P/= (Mailing a ess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ✓���/ /Gff/�f B L o� c. l'l/ / C C / /� d (As on the tax r9fI or latest deed) If applic l a orporation, afore of duly authorized officer ame and title of corporate officer) Builders License No. -2 S Plumbers License No. Electricians License No. ti/9 Other Trade's License No. /U A 1. Location of land on which proposed work will be done: �, -20 e;r LIq so c`7-A o L-y /v House Number Street Hamlet County Tax Map No. 000 Section 0 8-9 —03.-o Block Lot —0� 7 Subdivision fr /// /1277U J A i�i�i filed Map No. Lot (Nanie) r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ©f7/, /= In L r/ Z) Gv b. Intended use and occupanc /rr /L c/ 3. Nature of work (check which applicable): New Building Addition 1/ Alteration Repair Removal Demolition Other Work k oo o (Description) 4. Estimated Cost �` d-U 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. ,GSA 7. Dimensions of existing structures, if any: Front 6V Rear c/ ' Depth z(.' s a Height Number of Stories Dimensions of same structure with alterations or additions: Front vf�"/;i;z- Rear ' Depth Height Number of Stories 8. Dimensions of entire new construction: Front S)0 rr q Rear Depth Height Number of Stories 9. Size of lot: Front Rear /o o Depth / `/ ' - 10. Date of Purchase / F9 `/ 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 NN 1 Will excess fill be removed from premises? YES NO 14. Names of Owner of premises /C'/<G/ i7r.�a i . Address 57,20 Phone No. Name of Architect Address Phone No Name of Contractor 604 Gni Address _700 AL Phone No. 7& :s' 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRE 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. STATE OF NEW YORK) COUNT OF & Ss- being being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)He is the �lJj✓ � (Contractor, Agent, Corporate Officer, etc.) 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 thi 3 is day of tNewYork o Public Signature of Applicant ROSE Notary Publ ,S Qualified in Suffolk County No.01SC472508 TOMExpires May 31, `I /V BAYV/EW ROAD 226% i S 52°59'30"E 112.71' NW CORNER "MAP OF BAY HAVEN" FM 2910,FILED ✓AN.22,1959 p O LOT 6 #MAP OF BAY HAVEN t i 5 52a 05'50"E /48.7/' p dl 12- Q O N I CE,,R 263' 43.7' O 25'R/W I STORY WOOD FRAME Z ' ra RESIDENCE , Z X4.0 We 39.71' v tk � 2 4.6' 127' r o ✓/ v GARAGE 313 e saG Q) N 520 05'50"W /50./2' LOT 7# MAP OF BAY HAVEN 3v 330 .q IYy' TM+/000-088-03-012 MAP OF SURVEYED 9 DEC,1993 SCAL E DESCRIBED PROPERTY AREA /4,94/50 S.F. S1 TUATE BAYV/EW /N THE TOWN OF SOUTHOL D Copies of this survey map not bearing SUFFOLK COUNTY, N.Y. the Land Surveyors embossed seal shall not be considered to be a valid true copy. SURVEYED FOR MICHAEL A. RICCIARDI a Unauthorized alteration or addition to this ✓U40Y RICCIARDI turwy Is a violation of Section 7209 of the Now York State Education Law. GUARANTEED TO SURVEYED BY MICHAL1 A. RICCIARDI STANLEY I. /SAKSEN,✓R. JUDY RICCIARDI PO BOX 294 F/DEL I TY Tl TL E INSURANCE NEW SUFFOL K, N.Y,//956 NORTH FORK BANK (516) 734-5835 TOWN OF SOUTHOL D Guarantees indicated here on shall run only to the person for whom the survey Is prepared, and on his behalf to the title company, C overn.enicl Agency, Jending institution, if listed hereon, and to the cssignees of the lending institution. Guarantees are not transferable to LIC ENS Q AND SURVEYO NYS /C. 'O 49273,. a, itional institutions or subsequent owners. _ .....' 93RS27 v DO C 2-)( 4 , ti + I° e,a � )f NEwI- a J G A�y�4ED AS ` TED FEE: --3y:- NOTIFY —3Y: 7 NOTIFY 3WI ',u C rI ii i ME71 T AT tuwul 765-1802 9 r ! TO 4 "M FC i.lE OFESSIONP� Fug .i' �lnlrkF"c t 2. MOUL;l - F�?AM;Nu & t�LUMBINa IN 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. JOSEPH FISCHETTI, PE ALL CONSTRUCTION SHALL MEE7PROFESSIONAL ENGINEER hD r r ry!p f i �F THE REQUIREMENTS OF THE N=Y1725 HOBART RD/PO BOX 616 �. „ STATE CONSTRUCTION & ENERGY SOLITHOLD, W 11971 VL - CODES. NOT RESPONSIBLE FOR 631.765-2959 ;V€ OERTIF8C y� - DESIGN OR CONSTRUCTION ERRORS OF OCCUPANCY