HomeMy WebLinkAbout7226-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z15607
Date April 8, 1987
THIS CERTIFIES that the building ....... A.d.d..i .t.i.qn. ...............................
Location of Pro eft 3000 SOUNDVIEW AVENUE MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section . .0..9.4 ...... ~Block 02 ....... Lot 003
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore fried in this office dated
May 3, 1976 ' pursuant to which Building Pennit No. 7226Z.
dated .. ~.a.y.. 3. .,.. 1.9. 7. .4 ............... 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 dwelling.
The certificate isissued to GIANCARLO BUGANZA & LINDA BUGANZA
..................... .....................
of the aforesaid building.
Suffolk County Department of Health Approval N/A .
UNDERWRITERS CERTIFICATE NO ............. .ti/.~ .................................
PLUMBERS CERTIFICATION DATED:
N/A
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. z15608 Date April 8~ 1987
THIS CERTIFIES that the buriding Ac c e s s o ry
tocatinn of Property 3000 Soundview Ave. Mattituck
Street Hamlet
County Tax Map No. 1000 Section 094 ... ~Block 02 003
Subdivision ............................... Fried Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore ~ed in this office dated
Hay 3, 1974
...................... ' ... pursuant to which Building Permit No.. ?.2.~6. ~ ..............
dated . . . .~. a..y..3.,.. ! .9.7.4. ............ 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 .........
Two car accessory garage.
The certificateisissuedto GIANCARLO BUGANZA & LINDA BUGANZA
..................... xx'x .................
of the aforesaid building.
Suffolk County Department of Health Approval .... .N./.A. ..................................
UNDERWRITERS CERTIFICATE NO. P e n d i n g
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
Rev. 1/81
FO~M NO. S
TOW~ O~ ~OUT#OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING I~ERMIT
(THIS PERMIT MUST BE KEPT ON TIlE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
7226 Z
Permission is hereby granted to: ,
,.e..~...~.~..~£..~.~,~..~......~.....~% ~,~,_ ~.. ~ ~,z~,~...¥, ,~/
o, ~,~,~ ,~o,,~ o, ..~,~.q..~....~.~..,.~....~/~..~...~C~.g .................. '., ...................... /.
........................................................... ,~_'_'_~.~.,~.~.., .~.."~..~/.~....~,.......~ ...............................
Building Inspector.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
§.Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings {prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1, Accurate survey of pzoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate,
C. Fees:
1. Certificate of occupancy $25.00 -- BUSINESS $50.00--ACCESS0RY $10.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property 3000 .S~..u~.d.v.i..e~. AVenue, Mattituck, New York
House No. Street I/am/et
Owner or Owners of Property ,Gi~r~q~],Q .~uganza .and .Linda ,Buganza ........................
County Tax Map No. 1000 Section 094 Block 02 Lot 003
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No 7~ Date of Permit .3~./3../Z ~....Applicant
Health Dept. Approval Labor Dept Approval
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ,..X
Fee Submitted $. 25.00
Ann can~: ~IX3R, DAVIDOFF,WOLFE/~iRA~BINO & KASS. p
.................~iancarlo Buganza
Rew. 10-10-78
for
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted I ~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of prOperty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion requ ired to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25.00 -- BUSINESS $50.O0--ACCESSORY $10.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewCons truc t ion ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property 3000 So.u:n..dyiew Avenue, Matti%uck, New York
House No. Street Ham/et
Owner or Owners of Property Giancarlo .B.u.g..an.z.a...an.d. Linda Buganza
County Tax Map No. 1000 Section 094 Block 02 Lot 003
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. '?~. ,~.~, .... Date of Permit .,¥./~/.7 ~ cant ......................
......... Appli ...
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate X
Fee Submitted $ 10.00
Construction on above , ~.~ ;~L ~_~e~ ~/~/j~ ~jj~
described buUdin a ' er ' I ' · ,
Applicant ,, ,KA_~,. ,R!,D~..V~.DOFP.~.~,~. ,~f13, ,B..,./~,, ?., .F~.S, P.C. attorneys for
Giancarlo Buganza' ~'~ ~ .................
Rev, 10-10-78
.EWS,ONS YOUNG & YOUNG
400 0STRANDER AVENUE. RIVERHEAD. NEW YORK
ALDEN W. YOUNG HOWARD W. YOUNG
SURVEY FOR:
FRANK M/EYBL. E
AT MATTITUC K
TOWNOr SOUTHOLD
~?o~ c0.,..~.
Approved ................ ~.~ ..................... ,
FOF,.M NO. I .
TOWN OF $OUTNOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
1~. .....Pemit No .....................................
Application No.
Disapproved a/c ................ i .......... _...~......~. ..............................................
/
APPLICATION FOR BUILDING PERMIT
Date ............... ..../.......~. ................... ,
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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 diagram which is part of this application.
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 issue 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 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .....~...~...~.......~. ~.S. ....... ~.~...~...~...~.........~.....~,...~...~... ...................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed w~ill be done. Mai:L_No.: ...~... ............................................... Lot No .............
Street and Number ..~...~?. ....... ~...~?....-¢~/....~...~.~.~...~....-~... ........................... .~'-~.1:~ ./.Z..,* ................
Municipality
2. State existing use and occupancy of premises and intended use and occupa,ncy of proposed construction:
a. Existing use and occupancy ......... [....~..~. ~([..~ ........... ~..¢~....~..(.!..t j6 .~, ..............................................................
b. Intended use and occupancy .......... . .~.....~.....~...~....~.......b...~...~....~.. .............................. .~,~ .............
3. Nature of work {check which applicable): New B, uildin~] ..~...~....~.~F'. Addition,~&(-...~7,,,.~;~, ,~-.. Alteration ...............
Repair .~ .. Removal ............. Demolition ........................ Other Work ....................................
........... ',~' ...... '~ ,-- .~ ~..- ? ~ Description)
4. Est mated Cost~......~..~..~: ........................... Fee .1~.~1.. ........ ; .............................................................................
(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 ....~;~.~.~',4~.......-~. .................................................
Dimensions of same structure with alterations or additions. Front ...~..~..'. .............. Rear ..........~. ............................
Depth ..... .~....~...:...~.. ...................... Height ......................................... Number of Stories ....~ ./J~,(~-~.. ......................
8. Dimensions of entire new construction: Front .....~...~ .............. Rear ...o~..?/ .................Depth ...... .'J. ................
Height ......... .ti ..................................... Number of Stories .........................................................................................
9. Size of lot: Front ...................................... Rear .......................................... Depth ..................................................
10. Date of Purchase ..l~.~z.O...~.....~'?..I.~.?.~....-- Name of Former Owner ......~..~..~......~.E~--~, ....... ..~..V..J~-.Xt'..ti..~. .............
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 _~.1~. ....................... Will excess fill be removed from premiss:.[ ] Y~es [/~] No
14. Name of Owner of premises /J/~p,~-..J~...~.. ~:~1~o~,~, ~ ............... j~~ .....................
........................................... (Address) (Phone No.)
Name of Architect .......................................................................................................................................
. ~ (Ad r ss) Ph n
Name of Contractor ......~......~..).~!.J..~....g~'....~ ............................... -.~.~..~-~...~.~ ..............................P.~..~,.r..~......~.~..~..Q ....
(Address) (Phone No.)
PLOT DIAGRAM
Locate clearly and distinctly ali 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 names and indicate wheth-
er interior or corner lot.
STATE OF NEW YORK.~/ /~/,
COUNTY OF .....~~.....)
.......... ~ ............. ~.TA..~..:.....~;:.. .............................................. being duly sworn, deposes and says that he is the applicant above named.
(Name of individual signing contract}
He is the .................................... ~...~....~..~..~..,. ................................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said w~)rk and to make and file this application; that all
statements contained in this application are true to t~f~' be~t.pfcth s. ~r~edge and behef; and that the work will be performed m the manner
set forth tn the apphc~tlon filed therewith.
................... ~ ............... oay OT ............... ~... ,~..l./.~,,, .'~,..~,~,, ............ /~ .............
Notary P u bli c ~..(~"...... d..%--~/... ?'... d~-.~t'.:c'.".'2~.'--~-:.~Co u n t y ...~....~....~ .................. ~ ...................................
L} ~ ~ (Signature of al~licant}
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION XST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [~NAL
DATE ~/~/~/:/~ 'NSPECTOR~ /~/
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND I' ] INSULATION
FRAMING £)/~INAL
iNSPECTOR ./~- ~/