Loading...
HomeMy WebLinkAbout22991-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23872 Date SEPTEMBER 14, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 265 YOUNGS AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 61 Block 4 Lot 38.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 1995 pursuant to which Building Permit No. 22991-Z dated SEPTEMBER 6, 1995 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 APPLIED FOR "AS BUILT" The certificate is issued to LORETTA DiMAGGIO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building 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 COMPLE11ON OF THE WORK AUTHORI -D) Date.......... ........ .. ......................, 19... ... NP 22991 Z Permission Is hereby grant to; r !`�1. .0 `/.Y;.:..... .. © � ............. ...... o�../ �.......................... U ................... . 11. ............ to ......:. ............... ,.;.�..—.. �� ` ��-�. ......... � ... ......... . .... �. j...... .�� ............. ............... ....... .% /..r................................................................................ .......................................................................... .... .................................................................................. at premises located at.........CrY..rP.cal......... '` .. ................................................ .................................................................... . . .. ..... ........... ...........................I.................................... r CountyTax Map No. 1000 Section ........... .�... Block.......... ............... Lot No. ............................ L....... pursuant to application dated ......................126-Cl. . �. 19....... approved by the Building Inspector. Fee$. ... . ..... ..............*/.1„ .. ... .... .......... Building Inspec r Rev, 6/30/80 Form No. 6 `�- f'VL/ TOWN OF SOUTHOLD BUILDING DEPARTMENT WN FIALL AUGUU 199Jr 765-1802 - - 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 build=ng or new use: I. 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 1.7 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.M, Additions to dwelling $2 , Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildi g $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentiall $15.00•, Comm rcial $15.00 Date . . . . ... .. . . . . . . . . . . . _ . New Construction. . . . . . . . . . . Old Or Pre-existing Bui dQi/ng. . . . . . . . . . . . . . . . . Location of Property. . . . . . . .!I ('. . . 5,. 11 "Al . v.e.. . . . . . . . . . . ... . . . . . . ... . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . . . �P � . Allik6'lo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :;ounty Tax Map No 1000, Section. . . . . . .f/ . . . . . .l;.luck. , . . . . . . . .Lot. . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .F11.cd Map . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applic:tilt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ilealCh Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . �tequest for: Temporar Certificate. . . . . . . . . . . Final Certic e. . . �. . 7 -ee Submitted: $. �J .� . . . . . . . . . . . . . . . . . _ _ _ . .._�. . 1 . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office AUG 2 2 1995 Southold, N. Y. Certificate Of Occupancy No. .-2 t . Date . . . . . . . . . . . . . ..A Ufa. . . . ., 19.-,:7 THIS CERTIFIES that the building located at W A . .Y.Q V.V.6 Street Map No. . . . .X_ . . . . . . Block No. . . X. . . . . .Lot No. .X. . . . . . S.0 ". T.h o !-.l� . . . . ./.(1 : � conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . ... A�. . . . 1. . . . . ., 19V. . pursuant to which Building Permit No. 903.y.�- dated . . . . . . . . . . . . . .a l. . . . . .1 19... , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is u A77e= ON C t 1 ,� \ issued is . .e �. . . . . . . . . . . . . . . . . . . . . Yet 1, . . . . �.w �. �t_ 0 G. . . .�/ —0 /�F T T r N Ai o U c,.J The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . �l �. . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. J Suffolk .County Department of Health Approval . . . . . .7 . . . . . .�. . . '. . . .. UNDERWRITERS CERTIFICATE No. ?Y.� �.�5�-`. . J v . .°�. l.?. . . . . . . HOUSE NUMBER . . . G'S. . . . . Street Yo.v N F . . . Ay(=. . . . . . . 5,.q.-I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector ector I T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS:�l DATE ?/7//rINSPECTO FIELD INSPECTION R►'PORT DATE COMMENTS __________________ II II b .V(-,� II ---II------------------------------- -------------- Ilk W II II 1'OUNDATTON- ( IST) IIII--- --- ----------- -------- _ II FOUNDATION (2ND) ------------------ --------------------- _________________________ i ROUGH FRAME & if------�I -- — PT.UMRING II• II — II — — ==_______ II II cn II H INSUT.ATTON PER N. Y. III— jj STATE ENERGY II CODE II------ii- a- - _ u � II H II FTNAT. II —__ADDITIONAL COMMENTS: t� K"r. — O x r � --------- --- -- -------------- --- --- C7 D7 BOARD - OF 11EALTII . . . . . . . . FORM NO. 1 3 SETS OF PL.\?iS . . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT C11EC1: . . . . . . _ _ _ . . . . . . . . . TOWN HALL SEPTIC FORK . . . . . . . . . . . . .. SOUTHOLD, N.Y. 11971 TEL.- 765-1802 rr011FY CALL . . . . . . . . . . . Examined HAIL TO: �.�� _ � . . . . Approved . . . . . . . . ., 19 . Permit No. G / , Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . r i (Building Inspector) APP CATION FOR BUILDING PERMIT . . . .. . . . . . . . . . . . . .Date ., 19 . . . -- 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 buildnigs on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 HEREBY MADE to the Buildung Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southo' ld, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions'or alterations, or for remova-l�or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code./ ousing code d regulations, and to admit authorized unspectors on premises and in building for necessary inspections. . . . . . . . . . , �� . ✓. ' ✓L��tG. . .v . . . . . . . . -- (Si,ture of bicarilt� t ame, if a corporation) . . . (Mailingaddrespin . Y. .� . . . State whether applicant is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . .� � . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . . . . ./. �= .I �;�0 6 Crel . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. y_ h� Plumber's License No. AUG 2 2 1995 Electrician's License No. - _ - - - Other "Trade's License No. . . . . . . . . . . . . . . . . . 1 . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . cl- 0. . . . . . . .... . . . . . . . . . . . . . . . House Number Street Hannlet County Tax Map No. ]000 Section . . . !. . . . . . . . . Block . . . . .� . . . . : . . . Lot . . .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 . . . .. . . . . . . . . . ... . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s. Nalure 01 work (check which applicable): New Building Re air • • • • • • • • • Addition . . . . . . . . . . Alteration . . . . . . . . . . . • . . . . . P . . . Removal . . . . . . . . . . . . . . • Demolition ... . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost : . . . (Description) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S. If dwelling, number of dwelling units (to be paid on filing this application) If garage, number of cars . . . . . . . .. . . . • . . . . . .• Number of dwelling units oil each floor . . . . . .. . . . . . .'. • G. If business, commercial or mixed occupancy, specify nature and extent rl structures n of•eaclt type of use 7. Dimensions of existing . . . . . . . . . . . . . . . g , if any: Front . Rear Depth . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Depth . . . . . . . Rear . . . . . . . . . . . . . . . . Height . Number of Stories . 8. Dimensions of entire new construction: Front .Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . , Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . • . . • . • . . • . .: . . Rear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . 10. Date of Purchase ' . " " " " " • • ;.• • • • • • • • Depth . . . . . . . . . . . . . . . . . . . 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: 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises:14. Name of Owner of premises . . . . . . . . . . . Yes No • . . Address . Phone No. Nance of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . Name of Contractor • ' ' ' • • • • • • • • • • • • • • Phone No. . . . . . . . ... . 15. Is this property within 300 feet of a tidal 'wetland? *Yes• • . •" " • Phone No. . . . . . . . . . . . . . . . *If yes,- Southold Town Trustees Permit may. .be required. No. . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether 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 naives and indicate whether interior or corner lot. �4C l e le!5� i1 �ICTUL�1� , tom C-/k DATE: RP 4 ,�; mf1i3' 3 NOTaF1' &19LC)d�i(, EE 1.1.0 J d �T}� �6 rA /-1 t�jp �•Ld' 6: �NT141y r,i t �'aF (� FOc.4.11l. ri,t�.:i to7 ff' ticy t . r� I. F ,.. N' EC 10A i' a���c U E'er Ol r s�,-1 PC, ;t _ 8 •'° '." OR ou E_t:C C31Er 1V REQUIRED RETE A a 1t1�4?L�7dC�t '"�A.rY��6� r; �ff1!tHo 4. CON 1=/hiEs.l. G � RE CC�iI�,qR1-FTE E E'TRUCTION MUST ALL Of' Co THE RE SHALL �t11���1i:1ur� �F T1�E�E�r STAre C®NSTRUCT1Or11 �.� ;TATE OF NEW YO C®1�E�^, 1VOT 8s E�ERy. ,'OUNrY OF . zl. . �`. . bES1.S.S RE PONS113LE FOR C;i�1.®Fp,.GQN �- • STRvCT101y ERR®R8 • • • • • • . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. :e is the . . . . . . X . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this �)plicatiort; that all statements contained in thiss-application are true to. the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therew' worn to before me this . . . . . . . . .! . . . . . .day of. . . . . . . . . . ... . .. otary Public, Q� / • • County JOSEPH H. GIBBONS • • • • • • • • • • • • • • . . . . NOTARY PUBLIC, State of New York (Signature of applicant) No. 524618265 Qualified in Suffolk County Commission Evir®4 April 30, 1T t N EEC STR GNP 5 � C PRY P r- N z NN � C!� 10 �_ r VEM I %N• m orF e � Nr EVP �,, // 3�.� , , m SURVEY FOR 0 0 0.0°" E' �/ �E = s o c CaIUSEPPI & LAURIE COMO 66 2 6 �` ,2� - ' m AT SOUTHOLD Zil TOWN OF SOUTHOLD _ SUFFOLK COUNTY, N. Y. o Z �� JePa 1000 - 61 - 04 - 38.2 4 , 200 96' Scales 1" 30 Aug. 16, 1995 10 O O jC ,Zo 00" w ORETT P 81 S 66 /o/f L CERTIFIED TO, Z _ N GIUSEPPI COMO LAURIE. COMO NORTH FORK BANK - T \ ATI- TITLE AGENCY ^ OE NEwy0 J�N T. ME TICS AREA = 15,022 sq. ft. ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, p EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS .Y.S. LIC. NO. 49618 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF °• a SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR A`�$ YORS P.C. WHOSE SIGNATURE APPEARS HEREONr (5/6) O2O ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' P. 0. BOX 909 MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYORS MAP. TERMS SUCH AS "INSPECTED' AND 1230 TRAVELER STREET BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH THE LAW. SOUTHOLD, N.Y. 11971 95 - 219