HomeMy WebLinkAbout664-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
To~rn Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31827
Date: 09/20/06
THIS c~KTIFIES that the building NEW DWELLING
Location of Property: 2902 COX NECK RD MATTITUCK
{HOUSE NO.) (STREET) (HAMLET)
Co~nty Tax Map No. 473889 Section 113 Block 8 Lot 7.4
Subd/vision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 5, 1959 pursuant to wh/ch
Building Pexm/t No. 664-Z dated MAY 7, 1959
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 PRIVATE ONE FAMILY DWELLING. THIS CERTIFICATE OF OCCUPANCY UPDATES
C/O # Z-402 ISSUED 9/15/59.
The certificate is issued to CAROL NUCCI0
of the aforesaid building.
(OWNER)
SUFFOLK COUNTYDEPARTM~NTOFHEALTHAPPROVAL
ELEC~i~ICAL c~KTIFICATH NO.
PLUMBERS CERTIFICATION DA'£~U
N/A
Rev. 1/81
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 imk and submitted to the. Building Depanmen~f~ 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 cerlifying that the solder used in system contains less than 2/10 of 1% lead.
5. Cmmnercial building, industrial building, multiple residences and similar buildings and installations, a ce~lificate
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 co. nsent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writiug to the applicant.
C. Fees
1.
3.
4.
5.
New Constrnction:
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.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
Updated Cedificate of Occupancy - $50.00
Temporar,~.Cer:tificate of Occupancy - Residential $15.00, Commercial $15.00
Date. 9/14/06
"Updated Certificated of Occupancy
Old or Pre-existing Building: (check one)
Location of Property: 2902 Cox Neck l.an~ liattituck, N.Y.
House No. Street
HmTdet
Owner or Owners of Property: Carol Nuccio
Suffolk County Tax Map No 1000, Section 113 Block
Subdivision ~,~..,.... e,.~.a-~-~-~- ~, ....... _~ ~, ........... Filed Map.
Fontana 6/~2~(eS~.Penr~it.5/7/5~ Applicant:
Permit No.6f,4g
Health Dept. Approval:
8 Lot 7,4-
Lot: 1
Itlcnolas Fontana CO ~ Z402
Undelwvriters Approval:
Planning Board Approval: 5/7/_59
Request for: Temporary Certificate
Fee Submitted: $ =t~ ,~,~
~l~mdat ed CO
al Certificate: X
OLSEN & OLSEN LLP
82495 MAIN ROAD
PO BOX 708
CUTCHOGUE, NY 11935
/ff~ff~/..,~ne) , .
// .~l~p~ca~t Signature
TOWN OF SOUTHOLD BUILDING DEPT.
765-t 802
INSPECTION
FOUNDATION t ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING/STRAPPING [ ] FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
FOI~M NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N?
664' Z
Permission is hereby granted to:
Fred L. Moore A/C Nioholas Fontana
~a%tituc~ N?Y.
to Build new dwelling
at premises located at
.......................................................... ~.t.~.t.~.,....~.:~.: .......................................................................
pursuant to application doted ...................................... ~.y.....~. .............. 19~.~....., and approved by the
E~uilding Inspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. Z A02 Date ~Se]~te~l~e~ 1~ , 19...~.9...,
THIS CERTIFIES that the building located at...E./.S....0..°..x...~.e.~.k..'R'..°~.~. ................................ Stree, f
Map No. xxx Block No. XXX /~+ Ixl~ x~4x: ~a,%t~%t~ctk~ ~]oYo .
conforms substantially to the Application for Building Permit heretofore fi[ed in this office dated,
........................... [~.....~. ................. , 19.~.?...., pursuant to which Building Permit No ..... ..~....6.~./¢. ............
dated .......................... ~!&F ........ .~ ............ , 19.~.9..., 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 ..............
.............................. D;~.~..¢~...~..~.. L~: .%Y...~.~ ~!: .~..%n. ~ ............................................................................
This certificate is issued to .......... l~:[¢~halafi..F..c~ll~,J~. .......................... ~.9.~..~..e..~.). .................................
(owner, lessee or tenant)
of the aforesaid building.
Building InsPector / '
FOR~ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
E×om~ned .......... ...%..%.. .......
Approved ........................... c. ............ 19 ........ Permit Ne .............................
(Building Inspector}[
Application No .........~-. ?...c-. L .........
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS,
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Bul]ding
Inspector.
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 must be drawn on the diagram which is part of this location.
c. The work covered by this oppllcation 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
permit shall be kept on the premises available for inspectidn throughout the progress of the 'work.
e. No building shal~ be occupied or used in whole or in p art for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuanoe 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 and regulations.
(Signature of applicant, or name, it a corporation)
- r (Address of app-lT~ant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ......... ~~ ............................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Location of land on which proposed work will be dgne. Map No: ....................................... i.... Lot No: ..~...M.~... .......
Street and Number ....k~../,;~'....~'~. ~..~~...~- ---.-.,~.....~~.¢~.'.~,.~ ............................... / T MunicipefFty ,
State existing use and occupancy of pr. emises and intended,~use and occupancy of proposed construction:
a. Existing use and occupancy ............. ~../..~----~,;....~~
b. Intended use and occupancy ........... ~¢~'~.~¢.....,~.~.~'/~ ~¢~' /7~ ..........................................
3. Nature of work (check which applicable): New Building ....... ~.....Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
, --- .......................................................................
4. Estimated Cost .......... :_..~,'..~.K .......................... 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 ..............................
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 Star es ..
..................................
8. Dimensions of entire new construction: Front ........... Rear .. Depth ........ ~ ......
Height .......... ./.4 ............ Number of Stories ...~
9. Size of lot: Front ........... ../~.../'..~....~... Rear .......... ./.../..~....... Depth ............ ./..../.'....C~.....
10· Date of Purchase ..................... ................... Nome of Former_Owner .4.~.~~.:..z ......
· ,, ........... ..d'.. ........
11 Zone or use district in wh,ch premises are s,tuated .......... ~........~'/.~Z,-~<...: ....... ?'. ~..: ...................................
·
12, Does proposed construction violate .any zoning law, or_~;Jjj3ance or reguJatign ............. .~...,-:?....'m-r~'.. .......................
13. Nome of Owner of premises...~..~/-~i,~.~dd~r~......~'"'"~O '~.~,, ~(._.~ .,_,~ ..................
Name of Architect ...... ~~~~Address ....... ~~ne NO .....................
Name of Contractor .................................................... Address ........................... ./.. .............. Phone NO.' ....................
PLOT DIAGRAM
Locate clearly end distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from
property lines. Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW ~[~K>;,~ .~/7) S S
COUNTY OF~-~-~K~~../_/~./~ _ ..--(-~-/'~ /.f~. ~, .~'
(~ome of individu~nino~pJication)
above named. He is the .......... ~~~ .................................................................................................
(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 a lication' that a statements contained in this application are true to the best of his knowledge an~b~;.
~4 t~ th~ w~rk will be ~erformed in the manner set forth in the application filed therewith·
...................... .
Sworn to before~e th~s ~ ~
............. ~2of ......... ~ ..... 19...~.~ ~Signature of applica~}~x~*~'
Nota~ Public,~.,~~~-'~ ~ ~tL~
TOWN OF SOUTHO/D
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ........... ??. ,.'....c.,~.-:~ ....... i.-!. 19...5. ?
Approved ........................................ ]9 ........ Perm't No ..........
........ ...... rt. ...............................
(Building Inspector)J
Application No ......... .~...(:(L .c.. ! .........
APPLICATION FOR BUILDING PERMIT
Date . . ~ ..... ?~..~.'.. 19
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 must be drawn on the diagram which is part of this location.
c. The work covered by this applicatlon 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
permit shall be kept on the premises available for inspection throughout the progress of 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 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 and regulations.
...................... ............
(Signature of applicant, or name, if o corporation)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................... .....................................................................................................................
Name of owner of premises ......... ~-~,,5, ~/:.~',-'.-~,;;/, .~.'f-*~ ................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be do,ne. Map No: ............................................ Lot No: ...........-~"~'-.'; .......
~ , ~/, ,, ......
Municipa~y
2. State existing use and occupancy of p~emises and intende~se and occupancy of proposed construction:
a. Ex,sting use an~ occupancy ............. ~,~, ................ ~ ............................................................
,n e.ded ,..., occ.,..., ............... .........................................
3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration ....................
Repair .................... ,,¢~-- ~ ,,,,,'Rem°vol .................... Demolition .................... O~.er Work (Describe) ....................
4. Estimated Cost ...........'~......~./..~..~...... .................. 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 ..............................
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 [~pmber~of Stories ........ , .,~.¢,~ ,
8. Dimensions of entire new construction: Front ......... ~....~ .... Rear .. Depth ............... .~-~..~......
Height .......... ~.~.....~...../..... Number of Stories .....~...:?~ .........
9. Size of lot' Front ........... ..~...~..'-'~.:..--'7... Rear ........ .~....~..~ Depth ....... ../..../...?~,~..
10. Date of Purchase ................................ /..../......~ .......... Name of//F/~9~r,mer/..C~v_ nar ...~¢',~.'~..: ............. ;~ .................
-
1 ]. Zone or use district in which premises are situated ............................................. ~ ......... ¢' '~;"t)'"'""--" .......
]2. Does proposed construction violot~any zoning la~-c~c,~ or r~c~,~tio~?~.x~.,.,,,~.,~..~,~.~i'..~./....,.~ ..................
13. Name of Owner OT premises~.....;.(.:'....~......~..~, ........ u.~.,~.' '~adress .......... ¢.~.~¢~.~;~uc.~,~,~.Tz/r.~,~ J'~ .....................
'--" -
Name of Architect .........~'~..~.~.~..~?....~..~ddress .................... O .....................
Name of Contractor .................................................... Address ............................................ Phone 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 numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YOJ~, ,4~,b' t,~S~,S
COUNTY OF ..,,,,~.....~....~.'~,f(~',..~,~ '
...................................... , .......... :~ ............................ oemg y sworn, deposes and says that he is the applicant
(Name of individual sign~ app~-ion)~
t
above named. He is he ......................................................................... . .
(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 ali 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 ~Hed th~re~.
Sworn to before me th.s
............. ~o~
/
NOW SNOW
? /[/
COX's NECK ROAD
- .'. ,~;~;~,~
N.Y. LIC. NO. 048992
NEW YORK, 1!792
516-929-4695