HomeMy WebLinkAbout7365-z TOWN OF SOUTHOLD
BUILDING DEPART~NT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26503
Date: 06/14/99
TEIS CERTIFIES that the building ADDITION
Location of Property: 205 CARRINGTON ROAD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section ~11 Block 11 Lot 27
Subdivision Filed Map No. __ Lot No. ~
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 28, 1974 pursuant to which
Building Permit No. 7365-Z dated JUNE 28, 1974
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 CARPORT ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS
PER ZBA #1900.
The certificate is issued to LEONARD & SHIRLEY TRAPIDO
{OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Rev° 1/81
FORWI NO. ]~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN GI-ERK'S OFFICE
SOUTHOLD, N.. Y.
BUil'DING PERMIT
('THIS PERMrT MUS'T DE KEPT ON 'THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 7365 Z
Permission is hereby granted to:
..... ~,~O~, ..~[:~-~O .......................................
.......... t4.? ..... O~ ....... $~c..La..~Bc~u~ls ............
............ Ksw...Ga~d~n~l ........... .N~.~.......1..1.t~ 8...
to ..~..~..~.¢lo~..oz~...~.~&~S..~l~z.~J,J,J,~g ..............................................................
at premises located at ...~...O.~...~..~. ....... .~...~.§.~,,~......?..~.....P~..,~.....i ........................................................
................................. .9..a...r..r..t...n.~,~o.~., .~.9..a...a..... ~.~.~ ~:.a.~.. ?.~.. ~....q.~.e.~.~ ........ ..............................
pursuant to application dated ......................~.~...3..~..~.~ ............ , 19.~b~.., and approved by the
Building Inspector,
Fee $.! ~.,,..0. Q ...........
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Ao
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Upre-existing" land uses:
1o 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 dwelling2~00,
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 Buildin~ - $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
Date ...~..f.~fff ..................
House No.~ Street ~ Hamlet
Onwer or Owners of Property.~.~~....~.~..}~-~../) ~ ' ~ ~/ ' ~ ......
Subdivision ................ -- ................... Filed Map ............ Lot ......................
Health Dept. Approval .......................... Underwriters Approval
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ............ i~~ ~.~.
765-1~
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [
DATE INSPECTOR
TOWN OF ~OU?HOJ~
BUILDING DEPARTMENT
~ ~ERK~ ~FI~
~pr~ ..... ~..~...~ .......... , 19A.[.. Pe~it No..~..~ ................
.... ....... :-'tl ................. .......... .......... : ...........
INSTRUCTIONS
a. ~This jppplicoti~n, must /~e-: completel~y filled iD by . typewriter o~. in ink and subtiiitted in triplicate to the Building~v
Inspector, with 3 ~set~ of plans, aceumte plut plan to.l~ale. Fee according t~sch,.e~ule.
b..~tot plan Showing Iocotion'of Tot and of buildings on premises, relaYJoh'shil~ to adjoining premises or public streets or
aras, and giving a detailed description of layOut ofprpperty must be drawn on the diagram which is part of this application.
c. The work c;overed by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this appl!catiOn, the Building Inspector will issue a Building Permit to the applicant. Such permit
~all be kept on the premises avadoble 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 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, b,~f~ing c..ode, hou~ code, and regulations, qncl to
admit authorized i,spectors on premises and in buildings for rmceg~r~j/nsoect~ons.--~/
~ J~It" Jl T~ '(Sighatura.9~'applJcar]~', orDame, if a corporation) '
~ ~~-~'~;~ ~ , (Address of apphcant~
~tate whether applico~.s~o~ir~ssee,.' a_gent, architect, engineer, general contractor, electrician, plumber or builder.
If applicant is a corporate, signature of duly authorized officer.
Electrician's License No .............................................
Other Trade's License No ...............................................
1. Location of land on which proposed work will be done. Mop No.: ........................................ Lot No..~...~...~... ..........
Street and Number ...~il~~..rl~-~...~..~....../~:~e..]r~._ -------~-~-- ---~ .............................................................
Municipality
2. State exisfi~ use and ~cu~ncy of premises a~ intended use and ~cu~ncy of propped construction:
a. ki~itin~ u~ a~ ~oupan~ ......... ~.~[jj~ .......... ';,~.......: ......... ; .............................................................
b. Intended use and ~cu~ncy ~ ~ ~~~ ~
3. Nature of work (check which ~: New BOilding~;. ......... ....... Additi .... ,~. ....... Alteration ..................
- .-.
Repair .................. Removal ................. ; Demo t on .................. Other Work ................................
4. Estimated Cost ........................ :::: ............. ,.,..:..:..;~.....Fee ..........................................................................................
(to be paid on filing this application)
5. If dwelling, number o~ dwelling units ............................ Number of dwellipg 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 ..:L.....- ..................
7. Dimensions of existing structures, if any: Front ...~.-~¢1~ ........ Rear ..~l.t ............. Depth ..~.~3~.l.~1.~.
Height .~-~.~ItS.~ ...... Number of Stories ....~ ............................................. ~ ............................................................
Dimensions of same structure with alteratiOns or additions: Front :.~,,~i~'~t.~ ............. Rear ...... .~..t'e~.l~ ....
Depth ..... :.~.R0...£e.e.~.....~e~ght ..~..~.e...elltumber of Stories ...........
8. Dimensions of entire new construction: Front ,.~..,~IS.~.. .............. Rear ...~. .................. Depth ....~..I.. ................
Height~lL.~'.~..e..~ Number of Stories ........ ..3:. .................................. J.::.:L..~ .................................. =~'~'v .................
9. Size of lot: Front ........ ........3~....~. ........................... Rear .......... ./...~'.....(~... ................... Depth ...~ ...................
10. Date of Purchase ..~..~I~I..~IL ................................ Name of Former Owner ........................................................
~ ]. Zone or use district in which premises are situated ............................................... ~ ....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .... ]r~l .............................................
13.' Will Iotbe regraded ...... ~. ......... ,,,,. Will excess fill be3.r~ ,
14. Name of Owner of premises ...,,~r.~l~ll[I...°..~ ................. ~ Phone Nc~/~.~....,~ ...........
Name of Architect .............................................................. Address ................................ Phone No ................. v ....
Name of Contractor ............................................................ Address ................................ Phone No .......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set4~ack dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot
see &tSaehed d~awimg
.................. : .................... ~/~.~...~...~..?........~.~..~...~..~.R' ................. being duly sworn; deposes~ and says that he is the applicant
(Name of individual signing cont~s:f)~ ~, ' ,:,
above named.
He is the ........................... 4~.~.~'.. ........................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform"~r h~ve performed the said work and to make and file
this application; that all sta~e~ent~ ~rif~i~ed' ~n this application are true to the best of his,,J<nowledge and belief; and
tha~ the work will be performed in the manner set forth in the applicat, iop filed therewitl~. /' /
Swam to before me this -- . < / / ~
........ ./:....; ........ da,, of ....... '7,',I .............................. . '¢.- ..... .-._ ¢ _ X
Public,. .................... :..~. · ~ ...~..¢. · .'~...~- ....... County ·/~'..%~...... ~~ ...........................
Notary
I~)ot~,r~- Public, State of New York
No. 31-7299400
Qualified In New York Coollty
Cemmission Explreu Margb R0, 197~