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HomeMy WebLinkAbout9905-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. Z-15241 Date February 3, 1987 THIS CERTIFIES that tbe building RAISED DECK ADDITION & SCREENED IN Lncntl nfPrm tv 1265 Island View Lane Greenport, N Y. House No. Street Hem/et County Tax MaD No. 1000 Section ...5.7 ........ Block , ,..2 ........... Lot .... 1.7 ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 21, 1978 pursuant to which Building Permit No. 9905z dated August 21, 1978 , 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 ......... RAISED DECK ADDITION & SCREENED IN EXISTING DECK TO EXISTING ONE FAMILY BWELLING. FRANK CARLUCCI The certificate is issued to ..................... [o~n'o~','lo'~f~Tt~'t~]( ..................... of the aforesaid building. Suffolk County Department of Health Approval ... N/A UNDERWRITERS CERTIFICATE NO. N 576443 N/A PLUMBERS CERTIFICATION DATED: B'uildin~Inspector Rev. 1/81 FORM NO. 2 TOWN OF SOUT8OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,~ N.. Y. /~ ~ BUILDIN~ PERMIT :,~(THIS PERMIT MUST BE~' KEPT ON THE PREMISES UNTIL FULL coMPLETION OF THE ~ORK ~UTHORIZED) ' '? 9905. Z. Dote .......... 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION SST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subm tted in duplicate 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. 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or preCious 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ..... ~ .. New Building ....,~-~: ,., Old or Pre-existing Building(X) ,. ....... =/Vacant Land House No, Street Ham/et County Tax Map No. 1000 Section ............... Block ............... Lot ..... ~ .......... Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Unde~riters Approval ........................ Planning Board Approval .............. ' .... , ,. ~ Request for Temporary Certificate ..................... Final Certificat~ ................. * Construction on above described building and permirmeets all app~cabl~o~es and regulations. FORM NO. 6 TOWN OF SOUTHOLD BUilding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new bu ildings 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. 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 peoperty 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 coda or safety inspecti,?n of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ..... New Building ............. Old or Pre-existing Building(X) ........ =/Vacant Land ............. House No. Street Ham/et Owner or Owners of Property F/~/~.LIZ'./',~. /z~,/~ ~,~. ~[/~-/~/,//'g/~ ,'~, L~ C' z . County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,,. Underwriters Approval Planning Board Approval ' Request for Temporary Certificate ..................... Final Certificate ........ - ......... * Fee Submitted $ ............................. Construction on above described building and permit~meets all appLi, cablg.co.das and regulations. Applicant ...... ,~,- ................. ../.. ............................... . Rev. 10-10-78 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ 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. 5. Su bm it 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 required to prepare a certificate. C. (~es: Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-~ dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $i0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date /'."./~ '-.~. 7 New C on s t r uc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property t,~, /~/, .~./~//~ V~,!/~ ~ ./~../tf.?~, .~-.~..~.~.~/~)~ /.~ House No. Street Ham/et Owner or Owners of Property ;f??,~, ./,~?vb ¢/~ (7~.A /¢.¢/F, /~ ~ u ~ ¢C .~. County Tax Map No. 1000 Section .~..'~.'7 .......... Block ... ,.~. ......... Lot../. Z .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. f..~.~./.~'.. Date of Permit°~..: .~.~'?.~.Applicant...~./~../?..~'./.~. ..... .L/~..z.~..~...~'.~....~..( Health Dept. Approval Labor Dept Approval Underwriters Approval '7 d A ....................... Planning Boar pproval ...................... Request for Temporary Certificate .................... Final Certificate ~ Fee Submitted $ ~./~. ~ ' ~ Construction on above described building and ~per~mit meets all applicable codes and regulations. Rev. 10-10-78 oo W THE NEW YORK BOARD OF FIRE UNDERWRITERS : BUREAU OF ELECTRCTY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~ , o.~, Sept:e~er 15, 198g ,~ppllc, tlon No. onyile ~.8i660-82 N 576443 THIS CERTIFIES THAT only the electrical equipment as described below and D~troduced by the applicant na~ned on the above application ~urnber in the premises of Frank Carl~ci~ 12 Islendview La. , Greenporc, N.y. itt tbe followirtg location; [] Baseo~ent ~ 1st FI. ~e:,~,,~in~do,~ September ]:~, 1982 rot [] 2nd FI. Section BIocl~ and found to be in cornpliance with the requirements of th s Board FIXTURE FIXTURES RANGES OVENS EXHAUST FANS DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: E R V .o,%~%~o.o, o~w~§~o, I I C E NO OF HI LEG A W, G, NO OF NEUTRALS A W G OF HI.LEG OF NFIITRAL Frank Carlucci ' 157-48 24th Ave. Whitestone, N,Y, 11359 This certificate must not be altered in any manner; return to the office of the Board if inco~rect nspectors may be February 14, 1983 Mr. Feank Carlucci 157-43 24th Avenue Whitestone, N.Y. Dear Hr. Carlucci: On my recent inspection of your deck-screen porch, found everything t~ be okay except the s~eps. Tl~e stuir stringers are not properly anchored to the deck framing° Upon corroc%£ng this matter, contact this I expect to near _'r,o~ },ou before June 1, 1983. The ,~jt~ps n,~eu ~,ten%~,.)n b~fo?e you use bh~m .~ii this ~pr'i~lg~- Sincerely, Ge~ge H. Fisher Sr. Building Inspector GHF: ec TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 January 14, 1987 TEL. 765-1802 Mr. Frank Carlucci ~ _~_j 157-48 24th Avenue Whitestone, New York 11357 Dear Mr. Carlucci: This is to advise you that the job under building permit no, 9905Z issued to Frank Carlucci on 8/21/--/~F for construct ad~z~-~-i~h~,%az~e deck is eomnl~rod a final inspection has ( ~has not [ XX ) been done. and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $~15'.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that ]egal action does not have to be taken. Thank you for your prompt attention. Very trul Victor Lessard Executive Administrator VL:gar M,emorandum from BUILDING INSPECTORS OFFICE TOWN OF $OUTHOLD TOWN HALL, SOUTHOLD, ]~,~. Y0 11971 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 February 14, 1983 Mr. Frank Carluooi 157-48 24th Avenue Whitest©ne~ N.Y. Dear Mr. Carlucci: On my recent inspect£on of your deck-screen porch~ I feund everything to be okay except the steps. The stair stringers are not properly anchored to the deck £raming. Upon correcting this matter~ contact this office for a reinspection, I expect to hear from you before June 1, 1983. The steps need attention before you use them in this spring- summer season. Sincerely, George H, Fisher Sr. Building Inspector GHF:ec FORUM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........ ................... . .......... .................... ~proved ..~....~/. ......... ,~1~ Permit ~o ......... Disapproved o/~ ..............., :......~ ............ ~::~..~~ ................. 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, relatibnship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is port 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 o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other opplicob e 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 apd in buildings for necessary inspections. ~Signature of applicant, or name, if a corp~'l](~i~i ........ (Address of apl~lica~)' State whether applicant' ow~__~essee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises [~N/~ ~N~ ~L/~ C~/ If applicant is a co~orate, signature of duly authorized officer. (Name and title of ~rate officer) ,.,,~.~,~ ~,~..~. ~o ...... ~-~.~. ........................... ~ ~/~ ~ ~7- z ~/7 Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. M? No.: ............................... ~ Lot No Street and Number ...... /...~.. .'.~... .5..' .~.. .~...~. .~. .~..L. .~. ..~... .~.,.'~..~....~... - ~... .,'~../..~ ~'Igl/~'~,,,~ :F'i'"~"~;' · '"' " '"'""'"'"'"'""'"'""~"'"'"w" ~JMunicipality// 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .................. ~ ........................................................................................................ b. Intended use and occupancy ..~'......../~.....~./~.....~....~.. ....... .~.....~...~./..~.....~.~....~(....~.~.... .~....~.. .................... 3. Neture of work (check which applicable): New Building~. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... ',/ ,~ ~/,~,- ~ (Description) 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 ............................ ff garage, ~umbar ~{ cars .............................. L~ ........................................................................................................... 8. ff business, commarcial ar mixed occupancy, speci{y ~atura and extam ~{ aack typo a{ usa ............................ 7.~imansio~s o{ axi~ting ~tr~ctur~, ff any: Front ............................~a~r ................................ ~ptk .................... H~ight ........................ ~mbar ~ Storia~ .~ .................................. ' ~im~sions o{ soma stmctura witk alt~ratia~ or additions: Fra~t .................................... ~aar ............................ Paptk ................................ Haigkt ............................ Numbar o~ Storias ................................ 8. ~Dim~sians ~ ~ntir~ ~a~ c~n~tr~ctiom Fr~t ............... ~.~ ................. ~aar .......... ~ .......... ~ptk ......~.~ .............. Heigkt .................... ~mbar ~{ Stari~s ..................................................................................................................... E. Siva o{ lot; Front ........................................................ ~ear .......................................... ~a~tk ................................ ...................... o, 1 1. Zone or use district in which promisos oro situoted ..................................................................................................... 12. Does proposed construction violote ~ny zonin~ I~w, ord[nonco or re0ulotion: ........................................................ 13. Will lot be re0roded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) ~o ]4. N~me o{ Owner o{ premises .................................................... Addross ................................ Phono ~o ...................... N~me o{ Architect .............................................................. Addross ................................ ~h~ ~o ....................... ~ome of Contractor ............................................................ Address ................................ ~hon~ ~o ....................... PLOT DIAGRAM ~ocate clearly and distinctly ail buildings, whether existing or proposed, a~ indicate all set-~ck dimensions from properly lines. Give street and block number~gr description accordin~to d~d, and show street names and indicate ~hether interior or corner lot. _ ~ ~[~ ~ STATE OF NEW YORK, [ ¢ ¢ COUNTY OF ................................ £""~ . , ....................... ..~~ ........~..~ ,,,~...~'~..<~,-r:'~: ........... being duly sworn, deposes and soys that he is the app[icam (N6me of individual signing~ontracf) above named. He is the .............. ~ ....................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that oil statements contained in this application are true to the'beet of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith. Sworn to b~e this ~ , ~ ...... ........... , .2ff / ' Notaw Public, ~Z.Z~..~ .... Coun~ ........... ~~. .~~' .. .... ~~~ ..... ,~ ,~ ~/ ' ~ (Sight, re of applicant) .. c ......... ~~ ~j ~-~r .... ( /