HomeMy WebLinkAbout12611-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22730 Date NOVEMBER 16, 1993
THIS CERTIFIES that the building. ACCESSORY
Location of Property 2125 STILLWATERAVENUE CUTCHOGUEr N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 103 Block 8 Lot 5.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 7~ 1983 pursuant to which
Building Permit No. 12611-Z dated SEPTEMBER 16~ 1983
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 ACCESSORY GARAGE AS APPI. T~ FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
GEORGE & STE~J.A PONTINO
PENDING - NOVEMBER 11~ 1993
N/A
Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 1~$11 Z
Permission is hereby granted,,t~,: ~ ~ _/~
...~......~.~.....~~ ........... ~ .......
..~~..~...~.,.~.:......I..~..~..~.~ ..... ., ,
............. ~..o~_..._~.~...~.~....~_.-~-...~. .... ~. ....... ~~ ..............
at premises located at ......-~....~.....~......~.~.~ ................. ~~-.
County Tax Map No. 1000 Section ...... .1....~.....~ ...... Block ...... .~....~... ...... Lot No..~..9.4...~....'~.,'...~.'...~ °~/
pursuant to application dated .....~,~....~.......~ ........... , 19.~...~, and approved by the
Building Insp~tor.
Fee $ ........................
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
-'APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
pre-exzstlng land uses:
1. 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.
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 - $100.00
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
ew Construction ........ 01d Or Pre-existing Building.. '...
House No. Street Hamlet ..........
~alth Dept. Approval .......................... Underwriters Approval...~.~Z/~./:,~. ........
~anning Board Approval .....................
~q~est for: Temporary Certificate ........... Final Certicate. ~ Submitted: $ ~, '--
oiR93r'O
INSPECTORS
Victor Lessard
Principal Building Inspector
Curti~ Horton
Senior Building Inspecto;
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TO'VVN OF SOUTHOLD
October 26, 1993
SCOTT L HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Rt. George Pontino
2125 Stillvater Ave.
Cutchogue, N.Y. 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
rAq~
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (cutdatcd/not on file.)$25.00
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 PERMIT # BPi 12611Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FIELD INSPECTION
FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
?LUMBING
INSULATION PER N.
STATE ENERGY
~ODE
FINAL
ADDITIONAL COMMENTS:
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Soulrhold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
NAME: ~ ~e~tD~0
ADDRESS: ~l& ~ ~T~&T[~
RE: BUILDING PERMIT
SEC. Ia3
This Building
DATE:
BLOCK
Permit has expired.
~ LOT 5.~
You are now in
violation of the Town of Southold Zoning Code.
Please contact our office, this matter must be
corrected.
Victor G. Lessard
Principal Inspector
TOWN OF SOUTHOLD
OFFICI'~ O[; BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTHOLD, N.Y. i 1971
TEL.
This is to advise you that the Job under buildln8
pcrmic no. __~ issued to George pontlnn
on ._~/26~R3_._ for Accessory is completed and
;, fi,tel in.pottles ha~ ( ) ~as not ( X ) been done.
tn order to complete this file, it is necessary that
;~ Certificate of Occupa.cy be issued. Please fill out the
enclosed form, return same to the above office ~ith a check
for $~0.00 payable to the To~n of Southold. Please indicate
to ~ho~ the Certificate of Occupancy is to be mailed, and
arrange ~ith this office for an inspection date
Occupancy o£ use is unlawful without a Certificate of
Occupancy. Please. help ~s to clear up thim matter so that
legal action does not have to be taken. .
Thank ye. far your prompt attention.
~'~A--Very trul~,~
Victor Leseerd
Executive Admlu{strator
VL:gar
earl.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined ....~.~... Ih.., 19 ~.~
Approved ..... .~?~.\ .kl., 19~..~. Permit No. ~.~..b...I..~...
Disapproved a/c .....................................
Received .......... ,19...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted 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 appli-
cation.
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 issued 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 pumuant 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.
aTdhme i~PaPu t~i'tz e~;; etc°t °Cr~n~Pnl~ r e~iL~2~mfi %%billed 'lma;~ t rndec~eassnaC~ 'inbsr~fldc ti~n~?d e ''" i~~~lica~ih°us~regulati°n-s'~;; ~n'e~ i~ ~ 'c;;~;;a'ti~)and .... to
.... (Mai~;f applica~i) ............
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
............. -
Name of owner of premises ...~...e~..F. ~.~....]~.o.a?. ! .~..c) ...................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ....... .~. ~ ...............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ...................... -
1. Location of land on which proposed work will be done .... .~. ~ [~..*~.%~.~.~...~ .v .% .~..t~.T~.~. ~ ~[~. ~ ......
House Number Street Hamlet
County Tax Map No. 1000 Section ....... [. ¢~. ...... Block... ~. ~ ........... Lot...0.*..~ r ~ ~,
Subdivision ..................................... Filed Map No. .[.~ ...... Lot .., .............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~W ~
b. Intended um ~d occupancy ...............................................
3. Nature of work (check which applicable): New Building ~ Addition .......... Alteration
Repair .............. Removal .............. Demolition .............. Other Work ...............
1~ ~ (Description)
4. Estimated Cost....~./..d?.O. ............................ Fee..J..~{ ~.O.() ............................
(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 ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ............. /. ......... Number of,Stories .......... ~,;/ ........
8. Dimensions of entir~ ,~,e~' construction: Front .... .-3-.Ill.', ..... Rear..'7-~:~..t ....... Depth ,~ ~ ..........
Height ......... /. ~.... N¢!It~ of Stories .... f. ..................................................
9. Sizeoflot: Front ........ ./.-~.. .......... Rear ....... ~.~..~ .......... Depth ~.~ ..............
10. Date of Purchase .... [..~. ~ ~. ................... Name of Former Owner ~ .~, .'2~a& ~ ...............
11. Zone or use district in which premises are situated ..... (~2,~.S t ~.*--. It.~.g L ................................
12. Do~s proposed construction violate any zoning law, ordinance or regulation: .. (k~ .~ ........................
13. Will lot be regraded ........ ;r ~ '~ .... ~ "c ....... Will exc~rfilt~be re~ove~ from premises:s_ -. Yes~ (~
14. Name of Owner of premises . .~T. ??K~?...~.~.xl t.~,~.. Address . .~ (g (./.~qq (~. ?. & ~ Phone No. './.~. ?. :~./..~,~..
Name of Architect ..... ~, ......... ,-w.. ,~. ·; ·. · Address ....d~.~.,~_.?'.~..k,. i.~.~x... Phone No ................
Name of Contractor ... (~.o.r. ~f....~. I~.l. ~..~.~... Address .. ~. t. ],/~o ~.~./Ira Phone No. ~. ~ .~.¢~'~/;~..~..
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all ~et-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.
!
13o
STATE OF N~'"~RK,~/_.~,~ S S
COUNTY OF~. · · '~, ~
........ ......
above named.
being duly sworn, deposes and says that he is the applicant
nt, corporate officer, etc.)
of said owner or owners, and is duly au'thorize~-d-f'6~perform or have Performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
............ ~..'~ ..... day of .~...,., 19~-~
No~ubli~, ',~2~; ' ~ .... ~County {~ ~.-~~
fo _ ' ,
. .......
~o~t ~m. s~e ~t~ v~ ff (Signature of applicant) -
S~JRVEY FOR
GEORGE PONTINO & STELL. A PONTINO
AT CUTCHOGUE DATE : OCT. 14, 1982
TOWN OF $OUTHOLD SCALE.* 1"~40'
SUFF~i-'I~ COUNTY, NEW YORK NO. .* 82-6OO
# UNAUTHO~IiIZEO ALTERATION ON AOOITlON TO THIS
MENTAL A~NCYAND LENDIN~ INSTITUTION LISTED
PURKSE ANO ARE NOT TO I~ USED ~ ES~ILIIH
~OPERTY LINES OR ~R THE ERECTION OF FENCES.
YOUNG e YOUNG ~~AN~RAVENUE
~EAD , NE~ YORK
AND LAND SU~ N.YS. LI~N~ ~.12845
~WARD ~. YOUNS, LAND SU~VE~
N.~S. LICENSE ~.4589~
SUFR CO. TAX MAP: DIST. SECT. BLK. LOT
I000 IDS OS O04
I000 I05 08 P/O 005
· = MONUMENT
O= PIPE
SUBDIVISION- "MAP OF SECTION TWO, PROPERTY OF M.S. HAND"
FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY
ON MAY 12, t959 AS FILE NO. 1280 . -
I
NOTF~ Bt, qLD[~G DEPARTMENT AT
755~]80~'9 AM TO 4 PM FQR T~E
't,' ' FOq POu~ED CONCRETE'"
2. R~IJGH ~ FRAMING & PLUMBIN~
~ FINAL -, CON'STRUCTION MUST
~TATE CONSTRUCTION & ENERGY
'~ODES ' NQT' ~ESPONSIBLE FOR
~ESIGN OR CONSTRUCTION ERRORS,
Ii