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Home My WebLink About16303-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18090 Date JUNE 6~ 1989 THIS CERTIFIES that the building. ADDITION Location of Property 2824 ROW OFF COX NECK RD. House No. Street County Tax Map No. 1000 Section 113 Block 8 Subdivision Filed Map No. MATTITUCK~ N.Y. Hamlet Lot 7 Lot No. conforms substantially to the Application for BuiLding Permit heretofore filed ih this office dated JULY 31~ t987 pursuant to whJch Building Permit No. 16303-Z dated JULY 31, 1987 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 INSTALL WOOD STOVE TO EXISTING ONE FAMILY DWELLrNG The certificate is issued to NICHOLAS FONTANA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buildinq Inspector Rev. 1/81 FORM HO. '~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING pI:RMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gronted to: ........... ....... ~o .. .................................................................................... ~- ............. .~ .......................... et premises Iocoted et .~ ............................ , ........... .~j)~. ............... ~..~J ..... ..~. .. County Tox Mop No. 1000 Section ........ 1.1..~ ........ BIo~k ...... ..~.~ ........ Lo~ No, .....~..,.'.']. ............. Building Insp~tor. Fee Rev. 6/30/80 TOWN OF SOUTBOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ 2824 ROW off Cox Neck Rd. Mattituck, N.Y. Location of Property ................. HOUSE NO. STREET HAMLET Owner or Owners of County Tax Map No. NICHOLAS FONTANA Property ................................................. lO00 Section II3 Block 8 7 ......... Lot' Subdivision ....................... Permit No. 16303-Z .......... Date of Fermit Filed Map ........ Lot .......... 7/3~/87 NICHOLAS FONTANA .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ......... Fee Submitted: $ ~00 ....... NICHOLAS F~TJ.N~. APPLICANT ............ rev. 10/14/88 Ae FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTHENT TONNHALL 765 - 1802 APPLICATION FOR C~RTIFICATE OF OCCUPANCY INSTRUCTIONS · hls application must be,l filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, property lines, ~reets, and unusual 9atural or topographic features. , 2. ~nal approval of Health Dept. of water supply and sewerage-dlsposal(S-9 form). 3. Approval of electrlca~ installation from Board of Fire Underwriters. 4. Sworn statement from ~lumber certifying that solder used in system contains less than 2/10 of lZ lead.i 5. Commercial buildlngs,llndustrlal buildings, multiple residences and similar buildings and nstallatzons, a certificate of code compliance from the Architect or Engineer responsih%e for the huildlng. 6. Submit Planning BoardiApprova1 of completed site plan requirements. For existing buildings (prior to April 9, ]957] non-conforming uses, or buildings and "pre-existing" land dses: ]. Accurate survey of pr6perty showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed 9ppllcatzon' a consent to inspect signed by the applicant and a certified abstract of title issued by a title company ~hlch shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of odeupancy ia denied, the Building Inspector shall state the reasons therefor in ~t~ng to the applicant. 3. Date of any housing code or safety inspection of b~ildlngs or premises, or other pertinent lnformat~onirequired to prepare a certificate. C ° ' For Vacant Land ertlf~c~te of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued b~ a title company showing slugle and separate ownership ofltbe entire 10t prior tn April 9, ;957 shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in mr tiring to the applicant. FEES: ~. CERTIFICATE OF OCdUPANCY - New D~elllng $25.00, Additions to D~elllng $25.00, Alteration to D~e~llng $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Aceesslory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occilupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00 4. Vacaut Land Certl£~cate of OccupantF - $20.00 5. Updated Certlficatle of Occupancy - $50.00 6. Temporary Certiflc!ate of Occupancy - ~25.00 Residential $50.00 Commercial rev. 10/14/88 TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN I/ALL SOUTIIOLD, N.Y. 11971 26, 1989 TEL. 765-1802 Mr. Nicholas Fontana 12 Long Acre Drive tJuntinRtou, New York I i}43 To rmom 'I'Ills May Concer,~, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /F/_ An application for Certificate of Occupancy is l]ot on file. (ENCLOSED) /--/ No Underwriters Certificate on file. /.~_/ The check [:;(x~~not on file.) /~/ No Ilealth Dept. Approval on file. /-~/ No final inspection has been made. $25.00 Please contact our office on this matter. Thank you for your cooperation. l;uil(]ir',g Permit # ! 6 3 0 3 Z Building Dept. Ho Plumber Solder Certificate on file. ( all po, traits i~lvolvJ, ng plumbing being issued after April 1,1984 ) UNDATION 1st) UNDATION 2nd) UGH FRAME & ?LUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/-~FINAL REMARKS: ~, ,/~, ~ ~------ /; ~ "/ -;/~ /_~. ...... INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / [ ] FI~NAL REMARKS: ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST F ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION / FRAMING [,,~NAL REMARKS: U INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION ZND [ ]INSULATION ]FRAMING ?~FINAL DATE INSPECTOR 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..~.. $.~..., 19~.7 Approved .... .~. I.., 19~..~. Permit No. J.~ .~O..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY ......... CHECK ''*~'~', ..... SEPTIC 'FO[M~' ............. NOTIFY CALL ................ MAIL TO: Date ................... 19... a. Tiffs 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 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, housLng codc,-at~ rx~d~la.15~ and to~ admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) : ~. ~ ~.~ ~. ~, .d..~t...~.,~..~:z~.~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general ~ontractor, electrician, plumber or builder. Name of owner of premises . .~..~ .C,,.~. ~ ~ ~...~. ~eq'~f¥~t- ................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S ~fUST BE SIIFFOLK COI~NTY LICEI~SED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No...[~, .-/. ~.~..~..~'~.[ ... ~'~'~'0-~ ~ 1. Location of land on which proposed work will be done....~.~..~...~.*.~/~.~ .~..a~...~.~t, ./.~ ~,..~.,.)(': ......... ·..~..~. ?.t~. ..... .~. [~. 4[- ...... C,~..~,,./,...~..,~.. ........... .m. ~ .~.,:t.,, a ......... , ............. House Number Street Hamlet County Tax Map No. 1000 Section .... /./.~. .......... Block ...~. .............. Lot .7 ................. Subdivision ~. ,( ,o, .~..7'.~. ~ ~ ...................... Filed Map No ............... Lot .. ~ ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing rise and occu.pancy ~$.t.,gtt, av.t.t .~..~ ................ ~ ............................ b. Intended use and occupancy .. · ¢~.a ~..*<..t'.,q..t, ...................................... ; ~; b' ' .' -',3 ..... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ~ .... ' ..... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... Estimated Cost / ~ 0~ ~ Fee I ' (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'., i... ~ .............. 7. Dimensions of ex~st~ng structures, ff any Front ................ Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... i. · Height ...................... Number of Stories ...................... e~ '" str~ ti F pth Dim nsion~s 6f~Rire new con c on: ront .......... . ..... Rear ............... De ............... Height ............... Num!ber of Stories ........................................................ 9 Siz ofl t:F ' R Depth · e o ront ........... i ..... ear ............................................ 10 Date of Purchase i Name of Former Owner 11. Zone or use district in which premises are situated ..................................................... 12 Does proposed construction ' ' ' ordinance or regulation: · violate any zonmg law, ................................ 13. Will lot be regraded ......... ! ................... Will excess fill be removed~ fr~om pr~mises: ~es. No Name of Architect ~ Address Phone No. , ' Name of Contractor ......... i: ................. Address .... ; .............. Phone No ............ · .... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit maybe required. i PLOT DIAGRAM Locate clearly and distinctly all ibufldmgs, 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 whether interior or corner lot. STATE OF NEW~YggK:, COUNTY OF .~ .... S., ' being duly sworn, deposes and says that he is the applicant (Name of individual signinl contract) above named. ," '-i'~' ~ ~ '~...5 ~ He is the ,, .... ............. :, · .... '~ · .~ ............~'. ................................................ . I (Contractor agent corpor,ate officer, etc.) of smd owner or o~llers, and ~s duly 4uthonzed to perfOr/h or haV~ performed the said work and to make and file thru apphcat~on; that all st~ements contmned m th~s application are true to the best of hm knowledge and behef; and that the work will be performed in the manner s Sworn to before me this Notary Public .... ,~'~..~ JOY WAND~IRr~KY ] I / NOTARY PUBLIC, Sta~ ~CN'ew York,/ No, ,~818698 ~allflbd in Suffolk County l'e~'m E~plms December 31, ~,98~ ;t forth, in the application filed therewith. ~. County * (Signature of applicant)