HomeMy WebLinkAbout23910-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24897 Date FEBRUARY 7, 1997
THIS CERTIFIES that the building ACCESSORY
Location of Property 320 FLEETWOOD ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 110 Block 4 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 4, 1997 pursuant to which
Building Permit No. 23910-Z dated FEBRUARY 6, 1997
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 ACCESSORY STORAGE SHED IN REAR YARD "AS BUILT" AS APPLIED FOR
The certificate is issued to ROBERT J. SCHRODER & ORS.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
wilding Inspector
Rev. 1/81
DORM NO. f
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)
N® 23910 Z Date ......Feb 6......:.....'....................................., 19..97.....
Permission is hereby granted to:
Ongioni & Borrelli, Atty a/c R. Schroder
................................................................................
403 Front St. - P.O. Box 562
................................................................................
Greenport, N.Y. 11944-0562
................................................................................
to .......CONSTRUCT ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR
.......................................................................................................................................
"AS BUILT"
................................................................................................................................................................
of premises located at .....320..FLEETWOOD RD. CUTCHOGUE, N.Y
.............................................................................................................
................................................................................................................................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section ........110.......... Block .......4............ Lot No. .......13.............
pursuant to application dated .........Al:eb,...!+................................... 19....97., and approved by the
Building Inspector.
Fee $........35.00
Rev. 6/30/80
3uIL:)I:dG DEPa_RT,%_fr?iT
TOWN HALL
7o5-1SO2
�LP°LIC: GN -OR CZR-TI=T_CA7'% OF OCCTJPa1VC�r .
a. Th-is anoiicacion must be ri=?ed La by t-7pe-niter OR ink and suomiteed Co tle bu=?diag
L-is-_ ec=or ch the following: for ae*w building or neca use:
Final survey of .property wiCa accurate locar-on of all.buildings, Drop_ ert 7 iines,
sz eets, and unusual natural or copogra-ohic features.
2. 7inal approval from Health Dept. of water supply and sewerage-disDosal(S-9 for .
3. ApDrova_ Of electrical install2tion t_ ii0ard of Fira Under-vZite''S.
4. Swarm statement from plumber certifying that the solder used in systein contains
less chan 2/10 of 1a lead.
J . Commercial ouildlng, industrial building, mulciDle residences and similar buildings
and installations, a Cerz-ificata of Code COmp'liance from arch:Ltact Or engineer
responsible for the bu±11ding.
o. Submit Planning Board ADDroval of completed site plan requirements.
B. For exist--fg buildings (prior to April 9, 1957) non-conforming uses, or buildings and
1.1pre-Existing" land uses:
1 . Accuraca survey of property snowing all property lines, streets, bui di-ng and
unusual natural or topogr3DniC features.
2. a properly completed appiication and a consent to inspect signed by the applicant.
If a Cerzi_icata of Occupancy is denied, the Building asDector snail state the
reasons therefor in :-riling LO __:e aDDiicant.
C. _ S
1 rertif icata of GCcnpancy - New dwelling S25.00, additions to. dwelling 525.00,
a?teratiors to dwelling 525-00, Sw!=, n: g pool S25.00, 3ccessor7 building S25.00,
dd.itions co accessory building S25.00. Businesses 550.00.
=. Certifi=aC� of OcC'1D_anc7 on Pre-evisting 3uiidins - 5100.00
3 . Caoy Of CartifiCaCe Of Occupancy - .25c.
/ i,Todatad CertL;caCe of Occupancy - �50.00
5. Temporary Cortificate or Occupancy - Residential $13.00, Commercial S15.00
Date . . . .1/31./97. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Vera Cons tz-ac= ou. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location Of PrODerz7. .320. ... ..Fleetwood. . . . . . . . . . . .Road.. .. .: . . .. . .. . . . . .Cutchogue.. . . . . .. . . . . . ... . .. . . . . . . . . . . . .. . . . .
House No. Street Hamlet
Onwer or Owners of Property Schroder.. Richard. H. & .Elaine. L. . . . . al
. . . .. . . . . . . . _ __ _ .
County Tax lap No 1000, Section. ..1 10 . . . . .. .Bloc'_,. . . 04--- - -.. . . .tat. . . 013 . . . ... . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fi ad wav. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
.3DD_iC�nt CARMELA L. BORRELLI
Permit No. . . . . . . . . . . . . . . .Dare Of Permit. . . . . . . . . . . . . . . 1 . . . . . .
Healzh Dept. 3oproval. . . . . . . . . . . . . . . . . . . . . .. . . .gild er*.-citars ADDroval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning 3oard dDproval. . . . . . . . . .. . . . . . . . . . . . . .
ReauaSt for: TeWpOrary Cartificata. . . . . . . . . . . .iZa1 CartiCate. . . . . .
Fee Suomi=zed: 5 -15 .0.� . . . . . . . . . . . .
? IC:_V=
c: o
ONGIONI & BORRELLI
ATTORNEYS AT LAW
403 FRONT STREET • P.O.BOX 562
GREENPORT,NEW YORK 11944-0562
TEL.(516)477-204B • FAX(516)477-8919
MARIE ONGIONI 7 MUCHMORE LANE
CARMELA L.BORRELLI EAST HAMPTON.NY 11937
TEL.(516)324.5209
January 31, 1997 FAX(516)324-7521
Town of Southold
Building Department
Main Road
Southold,NY 11971
Re: 320 Fleetwood Road, Cutchogue,NY
District 1000, Sec. 110, Block 04, Lot 013
Dear Sir/Madam:
Enclosed are the following for a pre-existing Certificate of Occupancy for a shed on the
above premises:
1. Application for C/O;
2. Check in the amount of$60 ($35.00 application fee, $25.00 C/O fee);
3. copy of new survey;
Please advise if anotoher inspection is necessary and we will make arrangements
for someone to be present at the time.
Very truly yours,
ONGIONI & BORRELLI
By: .
Carmela L. Borrelli
npd
encs.
cc: R. H. Schroder
schroderx/oUtr
F
LEET WOOD ROAD
(171.45' MAP )
N. 86040'00" E.
171.36' �fn�.•
O.as 'D1 �N
\i29' v O
243 w
c'
O�A
o
4 f W 0�
� sPho- R I
O
I \
�3 m� r'a ltti u
0 � yoo
p'k
oto
�'tT
PiP�pa� ur / 00"
01 �� �f�h� ��0 �,0
�1
SURVEY OF
LOTS 22, 23, & 24 Incl.
"RA VA TONE REAL rY CORPORA TION"
FX ED DEC, 22,1930 AS MAP NO. 539
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y,
1000 - 110 - 04 - 13
CERTIFIF_D 7-01 Scale Vf = 40-'
ABSTRACTS, INC. Jan. 8, 1997
12-65736
REIy 170
AREA = 28,821 sq.f t
ANY AL TERA RON OR ADDITION TO THIS SURVEY IS A VIOLA TION
Or,rOM M09 Or Tlf NEW YORK S 1'A TE COUCAT04 LAW, � 0 0�.,,,'���
E.YCEPr AS PER SEMON 7209-SUBOVISION 2 ALL CRMICA MNs �9 NO. 4961 r
HEREON ARE VALID FOR TMS MAP AND COPIES THEREOF ONLY A`• U S .
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL. OF THE SURVEYOR Sr R ON PECIC t'.
WHOSE.SICNA TURF APPEARS HEREON. PEE I C - 5020
ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' F. 0, BOX 90Q
MUST BE USED BY ANY AND ALL SURVEYORS U771l7JNG A COPY 1230 TRA V E-L.F5 S TREF.
OF ANOTHER SURVEYORS MAP, TERMS SUCH AS YNSPECTED'AND SOUTHOLD, Al. Y.
t?Rourvir-r0-pa rE"'ARF NOT INCOMPLIANCE WITH THE LAW
96 - 3,14
BOARD OP 11LALTil . . . . . . . . . . . . .
I,
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . .
-( Ic;`;( BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CALL . . . . . . . . . . . . . . . . . .
Exmined....c.�.[ MAIL TO: . . . . . . . . . . . . . . . . . . . .
Approved....�9.�t....... 19-1.3 Permit No. ................ ....................................
Disapproveda/c .................................. ....................................
......................................................
...................
(- ilding Inspector)
APPLICATION FOR BUILDING PERMIT
Date- -January- 31 - 1997. .
INSTRUCTIONS
a. This application mist 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 giving a detailed description of layout of property mist be drawn on the diagram which is part of
this application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
j d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
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 whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS HERKBY MALE 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 Lams, 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, ord'nances, building housing code, and
regulations, and to admit authorized inspectors on premises and in bu for es Lions
CC
C v"
.. ..................................................
(Signature of applicant, or name, if a corporation)
P. 0. Box 562 , Greenport, NY 11944
...................................... ..........
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.....p:pplicant--is- agent- for. owner.........................................................................
Name of owner of premises Richard -H;-&- Elaine.Iis..! cgbrQdQr c..Qt.aI.•...................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.....:...................................................
(Nam 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..3. 0.. i,1r Q t WQ.Q a.RQ ad,..au tC h0 igup c.XX..........
.......................................................................................................................
House Number Street Hamlet
County Tax Map No. 1000 Section .1 1 0, ....... Block ..P 4-.......... Lot ...0 1 3.........
Subdivision ...................................... Filed Map No. ............... Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .. storage shed ..................................
.........................................
storage
b. Intended use and occupancy .. . shed. ......................... .. .......................
3. Nature of work (check wliich applicable): New Ikiilding .......... Addition ..... Alteration .
Repair ............ Removal ............. Demolition ............ Other Work existing metal shed
(Description)
4. Estimated Cost .......................... Fee .... $3 5 .0 0................................
(to be paid on filing this application)
5. 11 chaell ing, nuiber of dwelling units N�A....... Mvi),r of ((�el.l ing emits ar each floor -N/A
If garage, number of cars ....NIA.............................
G: If Ixisiness, eomnercial or mixed occupancy, specify nature and extent of eadi type of use......................
7. Dimensiais of existing structures, if any: Front..... ........ Rear 1 0.:.......... Depth ..1...............
Deigiit ..8 ...................... Number of Stories ......................
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
DepLh .................... lleiglit .................... Dkid)er of Stories ...............
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
Ileiloit ......................... Ujd)er of Stories .....................
9. Size of lot: Front .................... Rear .................... Depth ....................
10. Date of Purdiase ..................... Name of Former ()weer ........................................
II. Zone or use district in whidi premises are situated ...............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................
13. Will lot be regraded .................... Will excess Fill Ire removed from premises: YES NO X
M. Names of Owner of premises ... ...................... Address .............................. Phase No. ..............
Name of Architect .................................... Address .............................. l'llone No. ........ ....f.
Name of Contractor ................................... Address ...............................Phone No. ...........
15. Ts this property within 300 feet of a tidal wetland? * YES .......... NO ..X......
*1F YES, SO(MUD TUI4N TTAJS M ,S M, MFr MAY BE RCQUIRM.
Pi.O•r DIAGRAM
Locate clearly and distinctly all buildings, A)eLlier existing or proposed, and indicate all set-back dimensions
From property lines. Give street and block number or description according to deed, and show street names and indicate
MieLher interior or corner lot.
SrntE (V raw YORK,
SUFFOLK SS
COI IN1Y O .......................
.____...._.CARMELA L. BORRELLI................be.ing duly sworn, deposes and says Lhat he is Lhe applicant
(Mane of individual signing contract)
above Framed,
ieis Lhe ... ...........................................................................
(Contractor., agent, corporate officer., etc.)
of: said owner or owners, and is (July authorized to perform or have I)er.formed the said work and to make and file this
alpl-icatio i; that a.lI statements contained in this ai pl.icaLion are tnie to the best of his knowledge and b6l.ief; and
Lhat Lhe work will be performed in the nka(mer set forth in the application filed therewith.
Siwor_,n ,to before me this
...r:........ ( y of .'I an la a r :...199.7...... )
Notary Publi
NANCY P.DISTILLI (SignatUre of Appl-i.canL)
NOTARY PUBLIC,State of New York
No.30.0969815
Qualified in Nassau County
4oriawsz1on Expires
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