HomeMy WebLinkAbout24686-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25621 Date: 04/01/98
THIS CERTIFIES that the building AGRIC. GREENHOUSE
Location of Property: 5745 ALVAHS LA CUTCHOGUE
(HOUSE .NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 101 Block 2 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 29, 1998 pursuant to which
Building Permit No. 24686-Z dated FEBRUARY 17, 1998
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 GREENHOUSE IN REAR YARD AS APPLIED FOR.
The certificate is issued to DENISE M ANTIGNANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
//BuAding Inspector
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 UN11L FULL
COMPLETION OF THE WORK AUTHORIZED)
Date.....F RUARY.....17........................... 19...98...
24686 Z
Permission Is hereby granted to:
DENISE M ANTIGNANO
..........................................................................................
5745 ALVAHS LANE
..........................................................................................
CUTCHOGUE,NY 11935
..........................................................................................
to .....�ONSTRUCT AN ACCESSORY GREENHOUSE IN THE REAR YARD AS APPLIED FOR.
.......................................................................................................................................
...........................................................:..:..........................................................................................
..................................................1. .............................................................................................................
..................................................................................................................................................................
................................................................................................................... . .......... ...............................
of premises located at................5745 ALVAHS LA CUTCHOGUE
...........................................................................................................
.....................................r............................................................................................................I.............
County Tax Map No. ....473889...................... Section ...101............. Block .....0002........ Lot No. .� ...............
pursuant to application dated ..,.JANUARY 29 19......98...., and approved by the
Building Inspector.
Fee $......143;80
,..
"'r / .. . ...............................
7.
Building Inspector
Rev. 6/30/80
r
7. corm no. o (�
TOWN OF SOUTHOLD KC-_P
BUILDING DEPARTMENT
:2f� TOWN HALL
765-1802
BLDG.DEFT,
A4 oF Soj=kg '
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildii
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property line:
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 build:
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
"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 applicar.
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
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
6.4
Date . . . . . .�J.. . . .... . . . . . . . . . . . . . . . . . . .
New Construction. . . .11':� . . .. Old Or Pre-existing Building. . . . . . . . . . . . . .
Location of Property. . . . . ./1,/.oa_j!-!:� .. . !.-,./1 L-�. . . . . . . . ...am . . . . . . . . . . .
House No. Street �/ Hlet
Onwer or Owners of Property.. . . ./�t:. . . J�.!lU!1 . ... . ,,�!YI . . . . . . .
County Tax Map No 1000, Section. . . . .).b,. . . . . .Block. . .6.6 ..Z. . . . . . .Lot. . . . U.{.��. . . . . . . . .
Subdivision. . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . .
4/733'87 7 '
Permit No. . . . . . . . . . . . .Date Of Permit. ....` . . .Applicant. .:. . ....Ilia !.��'�. . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . .. . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PAC` >q 2-Y2,-
APPLICANT
0 0-2 -95&-)-1
I()N JJDATE COMMENTS
3
H
- --- y
FOUNDATION ( 1st)
FOUNDATI01d ( 2nd )
2 .
o �
ROUGH FRAME &
�1
-PLUMBING
L
H
3 . r�
r�
• H
INSULATION PER N . Y. "
STATE ENERGY
CODE
4 .
FINAL
•z
ADDITIONAL COMMENTS : x
x
~0 00
3
H
O
z
-3
M
- -v
H
^' BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOI)THOLD- SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOU HOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CALI. . . . . . . . . . . . . . . . . . .
Ex<rnined.....���._., 19.�a MAIL. TO: . . . . . . . . . . . . . . . . . . . .
Approve,t]...... ,�' ..., 19.. Permit No. ..............
Disapproveda/c .................................. ....................................
......................................................
mod.,
(Ikri g Ir )ector)
JAN 2 9 9fJ �
APPLICATION FOR BUILDING PERMIT
-- ,
BLDG.D'EP7 Date. . . . . .99. . . . . . 19 E
TOWN OF SOUTHOLD INSTRUCTIONS
a. 'Ibis application nest be completely filled in by typewriter or in ink and suhrnitted 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 lxrildings on premises, relationship to adjoining premises or lxrbl.ic
streets or areas, aryl giving a detailed description of layout of lrroperty must be drarwn on the diagram which is part of
this application.
c. 7be work covered by this application Play not he coninerrced before issuance of Building Permit.
d_ Upon approval of this application, the Luilding Inspector will issue a Ikrilding Permit- to the applicant. Such
permit shall be kept on the premises available for inspection thrarghout the work.
e. No building slhal.l he occupied or used in whole or in part for any purpose whatever until a Certificate of.
Occtrlkancy shall have been granted lry the Ikrilding Inspector.
r
tm,i ATION IS nERm MADE to the wilding Deparumnt for the issuance of a Building Permit pursuant to the
Ikrilding Zone Ordinance of the Town of Southold, Suffolk Canty, tea York, and other applicable Laws, Ordinances or
Regul'�tions, for the construction of buildings, addiGons or alterations, or for removal or derml.ition, as herein
described. Ibe applicant agrees to comply with all applicable laws, ordinances, lxailding code, (rousing code, and
r , lations, and to admit authorized inspectors on premises and in Ixrilding for necessary inspections.
(/�... ...........
(Signature of applicant, or name, if a corporation)
...................................................
(Mail.ing address of applicant)
State whether apllicant is owner, lessee, agent, arrhiLect, engineer, general contractor, electrician, plurber or Ixrilder.
................0WPj nk ..............................................................................._..........
��J
Name of owner of premises .P,/���,5.�.....1nn!.... ...- ._.. T7. r[. 1?-4�......_..N,..
(as on the tax roll or latest deed)
If applicant is a corporation, signature of drily autaxrrizecl officer. o 110
f"AS
INK
Mft,
''•
(iJarrre and title' of corporate officer) ...•'•.-.-.-® '• �
CCU r A �CY OR N(IIIF1f MlR01N0
765-IM 9 AM TO 4 !M 001�TIN
g
Ikri 1<ler., License ikr. ................. US rE IS-3 UNLA F U L fo....
Plhrrirers License No. ..................W 1THOUT CERTIFICATE."
Electricians License No. ..............®P 2,.aCCUPANCY 3. INSULATION
Other Trade's License No. .................... UNDERWRITERS CERTIFICATE 4. FINAL CONSTNUCTION MUST
Rr .y r BE COMP FOR C.4.
Itrcalion of land on which pmlxrsed work will. be done ....✓.c�.... _!'LL-_CO.NSTl�Q;9FC1'10I'� SHALL.Mom.
5 7, /S TH REQUIREMENTS OF THE N.Y.
...... ... `7....................4/.ll.�%l!���...)-ao e.............� . RUCTION 6 ENERGY
Ikxrse t`Iinber SLreet CO etNOT RESPONSIBLE FOR
DES N CONSTRUCTION ERRORS
t'.cxrnLy Tax Hap No. K)00 Sectiah ....�_p.�..._.. Ill.oc]c ....��...... �.��..... .
Sulxlivision ...................................... Filed Map No. ............... Lot ...............
Mule)
2. State existing use aryl occupancy of: premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ... .....................
1). Intended useandoccupancy ......... _ ►......._... .
go„yn.aumr»w.;��'�Li4'tl
I R.I(Ill C of ((..I leck %A I Nit alj)l icah I e): N--%j Ikii I(I i At kli L i of I . .. .. ... .. Alteration .. . ..... . . ...
. ... . . ... .... Roilovat ............. IN-11 to I i L ion I ... ......... Other Umk ......... ........... .. . . ... . . ...... .
(Desc r i pt ion)
6. EsLimated G)sl- 4Yoo.'.Op.......... . fee ............ .. ........(w be paid on filing this applicaLion)
I ihxd I ing, nIsA)er of: Avell ing tinirs . ... ........ Ikuber of: (hoel I iog Ind 1�s oil each floor .. ......... ..... .
If: garage, Otsiber of cars .......... . ........... ...... ... .... .. .
6. If Imisiness, coInnercial or mixed of.-(,Opancy, .speciby nature aixi extent. of each Lype of use..-.,..... .. ..... .......
1. Disicnisims of existing strtichires, if fifty: Fr(xit .... . . .. ... ..... Rear .. ....... ... ... Ik-pLI% .. ....... ... .....
lk.-ij;iL . ... .. ........ .......... gsd)er of Stories .... .... ... ..........
Dinvensions of saine sl.Ttscture with all-eraLions Or imhliLions: Front .... . . ...... ... Rear ...............
Do 1)111 ...... .............. lks i I;It: .......... ...... . .. . lksiber of Stories ..... ..........
it. Diniciusio4is of entire OI.,w collstillcHoll: VrollL . ........ ....... hear. . . . . . .. ........ I I I . .. . ..........
IteiglI jq'6 X 7a' PJOL_9+7'C�
................ Umber of Swries ...... ... ....
it: .... ..1 6 V-ee liv
9. Size of lot:; V1 orl L ......... .... ... .... M.if r ................ .. .. De 1)t I I .... ... .............
10. ILI[I! of INJI-chase ..................... . Naive of Forner Owit,-r ..... ...... ............. ................ .
11. 7A x se or use district in xAd(Ji pretuises are wiLuaLed .............................. ...... . ................... . .... . ..
12. 1 k x!s proliosed ctmistioct-ion violate any zming lira, orditiaiwe or reppilal:ion: ....M?.................
Will lot- be regraded ........... ......... Will excess fill he railorved fron premises: YES ®R)
Ill. of ()Laver of prollines .................. ......... &klress ............. .............. ... I'llone t4o. .. ..... .. ...
Rvic, of Architect ..................... .... ........... AtIfIress .... ..... .... .................. 11 lone R). ... .. . . . . ...
Mmic of: (kxil:ractor ................................... NkIress ... ...... ..... .. ...q.... .......Molk-, No. . . ..... ..
IS is (his I)rx)lx!rt.y wiLhin :XX) feel: of aLidat weLlaivil 'YES ...... .... a) .....
*IF Yli-S, '"1111MI) .1"m -lulls-11T.'s 19?II-11.1. ItAy lui-
PLOT DIAGRAM
T.(x:;jl e"el early a(w] distAnctly all Imildin8s, uliether existing or prolIosed, mul indicate all set-back dilllensir&w
Fvmi property lines. Give,
street: aril1)1(x--k rx.mher or description according uo deed, aM show sLreet tames aixI irxli(,.ill:e
%viiether inferior or coriter lot.
cmv�Ch NOY-MA _S/ CLt_
YD
C-00 ry-Ly
Pk
TA "UNTPAM MOB
I K'!-i I Ill duly :worn; Oe[X)S_�(f, all(l s;lYs 1.11;IC lie is the ;jpI)Ii('aII1
(Na NIX! Of ilKlividual.
rt
k .... ... ...... . .. ......... ... .. . ..... . .. ... ......... .... ...... ... . .............. ....... ... ......
J
A R-T-fiCUOr" agghl( 'corix)rate officer, etc.)
iiij-difly,mithorized Lo IM1101111 Of- hilve perf:otiwd (if(-- said wort( aixi t.o (mike -,fix] I i le I his
;I pfi I"i1Z;6 ,RTx i-;,'V.h"I A contaill(A in this ill)l)l iCalAOI1 are LIIX! 10 (Ile Of his kO0WIC41j1,(! aIKI NO i(!f" ItXI
IlUlt. the WOFI( Will Ix! IX-1-1:011111A in IN! IIVIIIIW!I- sel: forth in (.he application filcd therewith.
10 IKJOI_e 11)(2 111i.193
. .. ....ZIT-11 ....(lay o . . . ..... .. . .. 19.
Notary hiblic . ..........
90BERT 1. SCOTT JR. (Signature of Applicant-)
Notary Public,State of'Ne ork
Qualified in Suffolk CoMy
No.01SC4726
Term Expires May 31.
lnon
co
O
co
N/ O/F N/0 / F N/O/F WILLIAM H . MASTON o
IROBERT L. HUBBARD JOHN FORD a ALVANIA MASTON o
& JOIDA HUBBARD & LOUVINIA FORD
A.
9w N. 56 ° 28' 20"E. 517. 50'
CO InaP O
P' e O O
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\ - I fr.hosa d Q. 120
—— — — —-50: 'o.-5 v�
WNGE
25.7 69-7 'C) 0 t
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cn �V ` Z.5`x 4io` K
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S. 56c28 20" W. f�ae 528. 22' W v
o �
N/ O/F VILLAGE OF GREENPORT
� o�eN A. /!yG fCo�� - - SURVE y
Ile-
J AT TCHOV UL
O
TOWN OF SOUTH_ O L
!9bb'S a� Sl3FFOL K COUNTY , M;
s0 L� - - I ;N.Y. S. LIC. NO. 49668 100 0 10! 02 -3 w
x Prepared in accordant® SCALE I n e b0 i
-CONIC S f R V E YO R S a ENGINEERS ) P. /�j?` �_ standards for ti;c with the
i16 ) 765 / 5 sune minimum NOV. IJts a IgeS
0. 13 OX 909 � the , 1•A. L.S and oPproyed established by
IN ROAD TitlOsuch use fy The New and adopted
)UTHOLD, N.Y. 11971.
Associatiol York State Land