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HomeMy WebLinkAbout8465-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22502 Date AUGUST 6~ 1993 THIS CERTIFIES that the building_ ADDITION Location of Property 1960 YOUNGS ROAD ORIENT~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 18 Block 2 Lot 37.4 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL it 1976 pursuant to which Building Permit No. 8465-Z dated APRIL 1, 1976 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ANTHONY & JOYCE SPINELLO PENDING - JULY 7~ 1977 il~ing Inspector Rev. 1/81 FOKM NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No, Z~'~67 ...... Date ............... ,~.u,l,y.....8...., 19.7.7.. THIS CERTIFIES that the building located at .R,0,1~... l~/lt. ¥oungs. ltd.. Street Map No.. ~ ........ Block No..X~ ...... Lot No. ~;X:~',' ' -01~lelt%. · lq,¥~ ........... conforms substantially to the ~ - ~ --- .' ~ ~ / ~' uilt . . e o ceu~ney ..... ' dated ............J~ty .... 8., 19. ~7, was issued, and conforms to ~1 of the req~e- ments of the applicable pro~sions of the law. The occupancy for which this certificate is issued is . P.~iva~. on~ .~'an~.ity. dvelting.. · ( summa~, oeeu~ney.) ............... The certificate is issued to ... Charles. Ga.tardi. ...... ~ner ....................... (owner, lessee or ten,t) of the aforesaid building. Suffolk County Department of Health Approval . · N.,lt,,..I::~e-e~lzt~g ............ UNDERWRITERS CERTIFICATE No.. Approved..~y. J., .Kubaeki. · ,7/~./77 ....... HOUSE NUMBER ... ~ 800 ...... Street .. t~.. E/$' ~o~gs 'Road ....... ~ri~nt' Building Inspector { TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N,. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8465 Z Permission is hereby granted to: ? , _. .......... ~/..~.~......-.~.~: ...... ~ / Fee $/~.... ........... Building Inspector TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLIGATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 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 installations, 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), Nomconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $.5.00 3. Copy of certificate of occupancy $1.00 7'7 New Building ................ Addition .....~.. ......... Old or Pre-existing Building ................ Vacant I.nnd .............. Location Of Property .~-~.~....,~'~....~.~.~.:....~.....~.'.~..:...~....~ ........... .~.i......J..~..'. : .......... Owner Or Owners Of Property ......................................................... Subdivision ........ ~ ...... ~ ........................................ Lot No ............. Block No ............. House No/.~.~ ...... Permit No..~.~.~...'~..?..JDate Of//~Permit ../~.../../~.~.~...Applicant ~'~?./~7~.~.../.i..~./~ ................. Underwriters Approval.. ............................................ Planning Board Approval .....~/././.../..~....~ ...................... Request For Temporary Certificate ........................................ Fin~ Certificate .......................................... Fee Submitted $ ..~'~.........~ ................. Construction on above described building and pet)~i~ meets~pp[k~qJ~e c.o~les and r?gulotions. to Sworn before me,ti ......... .~... doy of ~(~ ~.~..j../...~...~....'~... ...... (stomp or ~oal~)' ~ ~, ~'~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. ~his 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 f~om 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 ~ses: 1. Accurate suCvey ~f 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 - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 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.i..J.~.~. ~o~ ~&~.'.i] ............... ~ .................... .~t. ~ ........... House No. Street Hamlet Onwer or Owners of Property .... ~...~..~.~.~.~ .... '~z"~'{~'~ County Tax Map No 1000, Section ............. Block... ...... · ....... Lot .......... Subdivision .................................... Filed Map ............ Lot ...................... !Permit ....... oate Of Permit .............. Applicant ...... iHealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval .......... : ..... Request for: Temporary Certificate ........... Final Certicate ........ Fee Submitted: .... ................. ...... ' ....................... INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek O'rdinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 5, 1993 SCOTT L. HARRIS, Superviso~ Southold Town Hall P.O. Box 1179, 53095 MainRoad Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Anthony & Joyce Spinello 42 Maple Drive Great Neck, N.Y. 11021 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is not on file. $50.00 (2 CO's) No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PEILMIT ~ BP ~8465Z&13996Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. TrlWN ElF .qOUTHE]LD []FFI~E OF [~UILDINE~ INSPEOTOR TBWN ~LERK'S F1FFI~E 50UTHOLD, N. Y. 11971 March 31, 1977 TEL. Charles Galardi Box 362 East Marion, NY 11939 Re: Building Permit #8465Z Dear Mr. Galardi: Confirming our conversation today, we are holding your check and application for a Certificate of Occupancy for addition built under this permit number. The Certificate of Occupancy will be mailed to you when you furnish the Fire Underwriters' Certificate to this department. The following items must be completed before a Certificate of Occupancy can be issued for the original building on an all- year-round basis: Install moisture resistant floor covering in first floor and second floor bathrooms. 2. Complete first floor bathroom and install exhaust fan ducted Co the exterior. Install perforated plate on fresh air vent pipe for building.'s sewage system. Another inspection will be required to see that the foregoing has been completed properly. Please pass this information on to the people who will be purchasing this building. Yours truly, EH:med Edward Hindermann Building Inspector .b BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ............................................................................................ (Building" InspectorJ Application No. ~...'.~..~'..~... ............ AFPLICATION FOR BUILDING PERMIT Date //~.P.'~' / O:~--~ 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 the 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 n~.~j~..~ i~ (Address of applicant) State whether applicant is owner, Jesses, 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) Builder's License No ..................................................... Plumber's License No ................................................. Dt:. "( Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposedy0 t)/xi (aw°rks w ,1,~ end~o~.,, ,-,, ~, Mop N~'~.i.~..~(j.~,`. ,~- ......................... : Lot No ......................... Street and Number ............... f. .................. - ......................................................................... Municipality 2. State existing use and occupancy of premises and imended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ................................................................................................................................ 3 Netare of work (check which applicable): New Building, ................. Addition .................. Alteration .............. Repair. ................. Removal .................. Demolitior'. ................... Other Work ..................................... f.'...'....,.'-.. (Description) 4. Estimated Cost .......... ,/...~.....~....0. ................................... Fee /~' ~ (to be paid on filing this application) 5 If dwelling, number of dwelling units ............................ Nc, tuber or dwelling units on each floor ........................... If garage, number of cars ............................................................................................................................................ 6. If basiness, commercial or mixed occupancy, specify nature and extent of each type of use ........................... 7. Dimensions of existing structures, if any: Fror,~ ........... ~;~.~. .........Rear ................................Depth .................... Height ....... ~..~'. ........... Number of Stories ....... .../."~.~ .............................................................................................. Dn~ensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................ Number of Stories ................................ z ~/' ' 8. Dimensions of entire new construction: Front ......... .~, ........................ Rear .........~7.- ................ Depth ........................ Height .................... Number of Stories ........ P./6~...,~q ............................................................................................... 9. Size of lot: Front .... ~..O.:.~...~......~ ....... ~-,~...' ................ Rear ..... .~.../..'.',.,~..,,~. ..................... Depth ..4E2..~.:~..~ ............... 10. Date of Purchase ........ .~. /. /. ~. ./. .~. '. ............................ Nome of Former Ownerg/~..,~.~--./~.~../~'2.,~v',~.~...~-...~ ........ 1 1. Zene or use district in which premises are situated ............... ,~T~....] ............................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... Z~.~...; .................................... 13. Will lot be regraded ,,,~.,,.~,,,,.~ ............... Will excess fill be removed from premises: ( ) Yes ('~ No 14. Name of Owner of premises .................................................... Address~?~c..-?'~,.~..~..,~.:,,/,./'~.:. Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Fd,_~me of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate dearly and distinctly oil buildings, whether existing or proposed, ~nd indicate all set-back 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,~ t cOL , OE .......................... f C:~^ ,PL£~ (~A L A~ ~! being duly sworn, deposes and says that he is the opplic~nl (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) o~ said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this appliccfion that the work will be performed in the manner set forth in the applicati~d~rewith. Sworn to before me this ELIZABETH ANN NEVILLE ~e~m Expires Ma~ch 30.