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Home My WebLink About23326-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24246 Date MARCH 26, 1996 THIS CERTIFIES that the building ADDITION Location of Property 275 BANKS ST. (PVT. RD #8) CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 3 Lot 18.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 18, 1996 pursuant to which Building Permit No. 23326—Z dated MARCH 21, 1996 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ANTONIO & EILEEN MASSIMO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A GL ' ZP'lldifig 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 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ................ 0-V.............................. 19... N2 23326- Z Permission is hereby granted to: ......``./.....IJ..,!; ........................... �3.. .....xu .. .......� .............. .... to .. z�r .��............../ ..........,..,= �....... ..�J .......... .( `............ ......... ......... ............/��.,.5......... .. .... ....r.............................................................................. .................................................................................................................................................................. �r .......................................................... at premises located at................ ... �f .................... ................................................................................ . .... . . .......�.�...�.............................../.....,.../......... /�' ' . County Tax Map No. 1000 Section ...��............. Block.......��.......... Lot No. ............................ pursuant to application dated .........e�W q ....../Pp.-............... 19... .p.... and approved by the Building Inspector. Fee$........ ;.../.'K .... .. .... . ........................... By ding Inspector Rev. 6/30/80 - Form No. b TOWN OF SOUTHOLD BUILDING DEPARTMENT MAR 18 129S TOWN HALL 765-1802 7'V'N,' f0F Cis.;a"i..i01 01 I ' ---- -APPLICATION FOR.CERTIFICATE. OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 - $20.00 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. . . . . . . ..... .. . Location of Property.. . . . . .. . . . . . . . . . .. .8".9.q 4.. . . ;T,eQe.... . . . . . . .O.L/+.r4h. � c.�. _... ..... . . House No.. Street Hamlet Onwer or Owners of Property.,A4�:d 4�.�.° . .. A /.Ia AJE":.1:e .lq,44S51.'l.K..J. . . . . ... . . . . County Tax Map No 1000, Section. . .� .[. . . . . . .Block. . . . . . . � . . . . . .Lot. . . . . . :. ... . . . Subdivision. :.�e.��. . .a1S'-�:��r�. . . . . . . . . . . .. . . .Filed Map. . . . . . . . . . . .Lot... . ./. . . . .. . . . . . . ... . . . J Permit No. . . . . . . . . . . . . . . .Date Of Permit ff. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . .. . . . . . . ... . . . .. .. Health Dept. Approval. .3 . . . . . . .Underwriters Approval. . . . . . . . . . . . . . .. . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .. . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . • ./ .�/��.tt.-d.�CM.Zvi-. . . / ��. . . . . . . APPLIC co � 9� ?- 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 SULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE � 1�� INSPECTOR � ' �� ROt\RU ' OF iIEAi_TIi . . . . . r-ORM NO. 1 3 SETS OF PLANS . . . . . . . . . TOWN OF SOUT1-10LD SURVEY . . . . . - - - BUILDING DEPARTMENT, CiIECK . . . . . . _ . - TOWN I-IALI_ SEPTIC ("QRtl . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:0'r Ivy I xanrinccl . . . .� , . . . . . 19 .�?` CALI. : . . - - . . . . . . . . . . . HAIL To • Approved . . . . . 3��1 . . . . ., 19�6Pernri( No. , 3L (p Z' . . . . . . _ . . . . . . . . . . . . I)is;il pMvccl.;1/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . (BIT g it ..pector) APPLICATiON FOR BUILDING PERMIT Dale . . . . . . .''�.(. . r .�. . . . ., 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and subinitted to lire Building Inspector, wilt 3 scls of plans, accurate plot plan to scale. Fee according to schedule. In 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 mull be drawn on We diagram which is part of this Oil, c. 'Fite work covered by this application nraY not be conrmmwed before issuance of Building Permit. d. Upon approval of (Iris application, the Building Inspector will issued a Building Permit to the applicant. Such permit shrill be kept on the premises available for inspection througlioul the work. C. No building shall be occupied or used in whole or in hart for any purpose whatever until a Certificate of Occupancy shali have been granted by lire Building Inspector. APPLICATION iS IIRREBY MADe to the Building Department for (he issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Soul.hold, 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 wil6r all applicable laws, ordinances, building code, )rousing cost and regulations, and to admit authorized inspectors on premises arrd in building for necessar inspecdons. t (Signature of applicfi•1 , o Ram ; if a corporation) (Mailing address of applicant) Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Naine of owner of premises . A. vAl u, rr. , e .! ih, .S..S.1,'h� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on (he tax roll or latest deed) If applicant N a corporation, signature of duly aulhorii,ed officer. ........... (Nance-. and title of corporate officer) _.. . . _..... .. Buikler's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. ; . . . . . . . . . . . . . . . . . i Nclrician's License No. . . . . . . . . . . . . . . . . . . . . . . Too,PUMP' .. 011ler 'fracle's License No. l . Location of laird on which liroposed work will be clone. . . .k AW)� ' -A . , S,� ` d�"L�1Dava— �5 . . . . . . . . . . . . . . . . . . . Ilouse Nuni her Street ilanrlet Coun(y 'fax Map No. 1000 Section . . . : .� !, . . . . . . . . . Block . . . . . . . Lot . . . . . . . . . Subdivision .��R�'Q �.0 'y. '�'l4. . . . . . . . . . . . : . . . . . ... Filed Map No. . . . . . . . . . . . . . . Lot . . . �. . . . . . . . . . . (Nance) �''krlc existing use and occupancy of premises and intended use and occupancy of proposed construction: N'r 1�1 use and occupancy . . .'`K 4—t �G�l. ,ed Ircc and oc:crwrincy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :'. . . . . . . . . . . .,. . . . . , . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): 1�ew 13uilding • • • • • • Addition . . . . . Alteration Repair . . . . . . . . . . . . . . Removal Demolition . . . . , . , . . Other Work . . . . . . . . . . . . . . . (Description) 4. [3stilttalecl Cost . : . .l �.� ° . . . . . . Fee . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing tills application) S. If dwelling, number of dwelling units . . . . . . . . . . . . . . .. NL►Illber of dwelling units on each floor . . . . . . . If garage, nun►ber of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7, Din►el►sions of existing stntctures, if ally: I'CUltt . , . , . . . . . ' ' ' ' ' ' ' Ileigllt . . . . . . . . . . . Rear . . , Depth . . . . . . . . . . . . . . . Number of Slorics Dimensions of S-41111C structure with alterations or additions: front Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . Height :I . . . , . ; N►1mber of Stories 8, Dimensions of entire new construction: Front . . . .► * , . , , , . . , , Rear ,� height . . . . . , . . . . . Depth . /. .'. . . . . . . . . . . Number of Stories . 9. Size of lot: Front Rear. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of l'urchase . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . : . . . , . . . .Depth . . Nante of Fonl►er Owner I'M' ri I !. Zone or use district in which premises preises are situated , , . . , . . . 12. Does proposed construction violate any tolling law, ordinance or regulation: Will lot be regraded . . ... . . . . . . . . . . . . . . . . . • . . • . b Will excess f111 be removed from premises: Yes No ,i. Name of Owner of hremises"..+,.'o :4.CJeew. . 114¢ ddress 3!s3;�=r�?u?�.` Phone No. ��.`�- 79�8 Name of Arcltilect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address I'I►one No. Name of Contractor Ar�foA.�4 . /.►?.AS,a, �+►� Address /�3 adc koL �, 9• 1 hone o.�� ! 9a 1< 5. 1S Lids properLy w.l.Lh:l.n 300 feet �.1. .a. .Lidaa. welland'1 h . tL[ yes, SouLholcl 'Town TrusLees Permit may be requ1red. NO. � • � . . . I'l.0T DIAGRAM Locale clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from aroperty lines. Give street and block number or description according to deed, and show street names and indicate whether 11terior or corner lot. APPROVED AS NOTED f DATE: A AZZE13.P.# IKo FEE: � BY: NOTIFY WILDING DEPAR MENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST RE COMPLETE FOR C.O. ALL CONS'rRUCT10N SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY -CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS f'A'l•r OF Nf?\Y YORK, M.,Y O 1--,�?J}�o/t�. . . . . . . . S.S • . . . . . . . being duly sworn, deposes and says that lie is the applicant (Name of.indivi(Iual signing corltracl) •lclvc named. istile . . . . ..( e-Al . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contraclor, agent, corporate officer, etc.) said owner or owners, and is duly,aulhorized to perform or have performed the said work and to make and file this plication; that all staternertls contained in this'apPlication are true to the best of his. knowledge and belief; and that the Irk will be performed in the manner set forth in [lie application filed therewith. vorrl to before n►e this ,y . . . . . . . ;r.(lay.of. . . . . . . . . .�//ll�� ✓!. . ., 19 )lary Public, . . . . . . . Count y MARY JANE WADULL Notary Public,State of New York No.4948216 � . . . . . . . . . . . . . . . . . ty (Signature of applicant) t�1 +c>a�atl txllirgs Mar.6. 19� Qualified in Suffolk,Coun pla OCCUPANCY O USE IS UNLAWFUL WITHOUT CERTIFICATE, OF OCCUPANCY ,Z72 � S - - ' • Ztc6 G�