HomeMy WebLinkAbout37851-Z St1FFat;f Town of Southold Annex 6/12/2013
449Gy P.O.Box 1179
54375 Main Road
oy �� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36296 Date: 6/12/2013
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 2460 Albertson Ln, Greenport,
SCTM#: 473889 See/Block/Lot: 52.4-1.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/4/2013 pursuant to which Building Permit No. 37851 dated 3/7/2013
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:
alteration to an existing one family dwelling as applied for.
The certificate is issued to Sheryl T&Richard C.Finch
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Auto ed Si ature
rI- '. TOWN OF SOUTHOLD
�v gVFFO(K
BUILDING DEPARTMENT
y g TOWN CLERK'S OFFICE
2 . o� 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#: 37851 Date: 3/7/2013
Permission is hereby granted to:
Guarino, Margaret & Caruso, Joseph
2460 Albertson Ln
Greenport, NY 11944
To: Alteration to an existing single family dwelling as applied for.
At premises located at:
2460 Albertson Ln, Greenport
SCTM # 473889
Sec/Block/Lot# 52.-4-1.3
Pursuant to application dated 3/4/2013 and approved by the Building Inspector.
To expire on 9/6/2014.
Fees:
CO -ALTERATION TO DWELLING $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
Total: $250.00
wilding Insp ctor
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 2110 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 S50.00,
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 $1 5.00,Commercial $15.00
D te_
New Construction: Old or Pre-existingBuilding:' check one
g: ( )
Location of Property: 2�
House-No. Street Hamlet
Owner or Owners of Property.
Suffolk County Tax Map No 1000, Section Z Block Lot ( � 3
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: $
Applicant Signature
OF SOUTyO�
couNr►,��'
TOWN OF SOUTHOLD BUILDING-DEPT.
765-1802
IN SPECTION
[ ] FOUND TION 1ST [ ] ROUGH PL13G.
[ IF DATION 2ND [ ] INSULATION
[ FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
Of SO(/1�0�0
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLB.G.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING /STRAPPING [ ' INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: 11U6 -
�5 Z
DATE / INSPECTOR
SOUryo�
N e
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING /STRAPPING [' FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUG ] ELECTRICAL (FINAL)
REMARKS:
DATE (� INSPECTOR
el
FIELD MSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
... ................
FOUNDATION(2ND)
0
ROUGH FRAMING& y
PLUMBING
04
INSULATION PER N.Y.
H
STATE ENERGY CODE
ol
V
FINALzzzt-61 -
ADDITIONAL COMMENTS
m
z
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 f Survey
SoutholdTown.NorthForkxet PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
E � Flood Permit
Examined 20 FIMAR
Storm-Water Assessment Form
—'4 2013 ontact:
Approved ,20 Mail to:
Disapproved Ede
BLDG.DEPT.
D Phone:
Expiration ,20
C
ut ing Ins for
APPLICATION FOR BUILDING PERMIT
Date 3 A , 20 13
INSTRUCTIONS
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.
(Signa e(of applicant or name,it a corporation)
ffkf��OA btme, ("pepaptL&I,
(Mailing address of applicanl c� Uc/
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bull ilder
Name of owner of premises `7�(J v^1,1 1\ (,`n
(As on the tax roll or latest deed)
If applicatJs a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. AZI
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done-
2 �o wb P,4 o N Lct l\ (,) i-
U
House Number Street Hamlet
County Tax Map No. 1000 Section 7 Block Lot
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 T
b. Intended use and occupancy CL S' e z (k
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost j, s6r' ' 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. At
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase 1 - Name of Former Owner 7WPOIN r a ii -t5 �`CQ �t (,(jQ f "V1 d
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO J
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO V
14. Names of Owner of premises Address Phone No. 91 J �5 9 S_7 )3
Name of Architect Address Phone No
Name of Contractor fa AJ t G °(S 6 Address Phone No.
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 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__),Z
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
SI�-e rl` r being duly sworn, deposes and says that(s)he is the applicant
(Name of Wividual signing contract)above named,
(S)He is the G 6)11
(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 in this
dayL 20 I3 r
gT1ERNEY
CHAREstate of New York (J
p1T1622a2fi4117
AQ)w I
Notar lic t1o• s Coun, i nature of Applicant'
y 1n Se tgo bsr
pualifiedreS$ep
Ca�misslon Ex4
SURVEY U PROPERTY
S/TUATED AT
ARS
OWN O SOUTHO C
TOWN OF SOUTHOLD
I SUFFOLK COUNTY, NEW YORK
- S.C. TAX No. 1000-52-04-1.3
SCALE I••=40'
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Land Surveyor
•i -
JOSEPH FISCHETTI, PE
PROFESSIONAL ENGINEER
1725 HOBART RD/ PO BOX 616
AP R VED AS TOTED S®1JT631-765-254LD, NY 1971
DATE: J3 B.P.4S
FEE.; _ ®F IN
NOT FY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: r
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING ® 52��®
I ULATION �ESSlO `
INAL - CONSTRUCTION MUST
E COMPLETE FOR C.O.
qLl. CONSTRUCTION SHA 'ffE;
E DUIREMENTS OF THE CODES OF NEW
0 IK STATE. NOT RESPONSIBLE FOR
_ E IGN OR CONSTRUCTION ERRORS.
COP,:PLY 1P,1ITHALL CODES OF
NEW K STATE- & TOWN CODES
5 l� AS IRED
L
SOUTHOLD ZBA
OLD TOWN PLANNING�� �. NNING BOARD
SOOT TRUSTEES
N.Y.S.DEC
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