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.