HomeMy WebLinkAbout16305-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildin§ Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. z-16598
................. Date January 20, 1988
THIS CERTIFIES that the building Construct Deck Addition
Location of Property 4115 Stillwater Avenue Cutcho~gue, N.Y.
hSds~ ~/d .......................................................
Street Ham/et
County Tax Map No. 1000 Section .... 1.3. 7. .....Block 0 I .Lot 09
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
July 30, 1987
..................... pursuant to which Building Permit No. 16305 Z
dated August 2, 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 .........
DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to JOSEPH & PHYLLIS MARRAPODI
..................... ? o¥,,'o; ~ ~i,Y lffxt~fr,;r;8 .....................
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
N/A
PLUMBERS CERTIFICATION DATED:
Rev. 1/81
FORM NO. 6
TOWN OF SOUTHOLD I 9 J~88
Building Department
Town Hall w~LDG DEPI: J
Southold, N.Y. 11971 ! TO, N OF ~O01~IOLD
765 - 1802 --
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted I ~ 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 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 informa-
tion required to prepare a certificate.
Fees: Additions $25.00 POOLS $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00
2. Certificate of ~)ccupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated .C.O. $ 50.00 Date .... .~.~¢~.....~..~i~../f..~.~
NewCo:~-s t ruc t ion ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property .../1/.//..~.. .....-~..~../.'(< .~'/..~.Tf~/~ ~/C ~'/~7~.~
Hou,e No. ¢~. ./~ ..................................
Street
Owner or Owners of Property .J.~.~.... -- ~ .~.//./?. ~..~.C.~..~F~.~./ '
County Tax Map No. ~000 Section I ~ ? B~oc~ ~? Lot.
'(i-hill2) ~' .............................................
Subdivision ' .Filed Map No. Y-~C) .Lot No. ././..
PermitFJ° //~2~"~' Date of Permit ..~.~./?.Z.Applicant / , '~ .~.~: ........
........... .
Health Dept. Approval
........................ Labor Dept. Approval ........................
Underwriters Approval
........................ Planning Board Approval ......................
Request for Temporary Certificate ................ '. .... Final Certificate .......................
Fee Submitted $ . ~-.~.. ~._ ............. /~i .... _
Construction on above described building a~)~ e. r77/~/~.all ~.pplic,~l~/~z?odes and regulations.
Applicant...,,?~f~..'~ /~,~,: .'~'.¢ _~_1)'~ ~
,..,o.,o.,,:'";1:-" ' ...... T ..... .......................... '
FOB~ NO. 0
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
NO_
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
16505 z Date ................................... , .......
Permission is hereby granted to: .----~, t
...~.~.t...~.~ ........ ..~.l~~ .....
..~j..~.~..z,..~ ~....~..~ .....
~~...~~.....~4~....u.~..~.:
~ ...~~....~...~L..~~...~...~....~ .......
~~~ nn' ~ _n'~ ~
~at ~l~ated at .~. ~ * n~'
. I1~
premmes ............ ~.~..~., ....... ~~~ ...........
County tox Map No. 1000 Section ..... ~....~..~. ......... Block ....... .q~...~ ........ Lot No ..... ..~....~. ...........
pursuant to application dated ..... .~A~....~..D.. ............... , I9.~...'].., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN ItALL
SOUTIIOI. D, N.Y. 11971
November 18, 1987
TEL, 765-1802.
M&M Joseph Marrapodi
~L&62 Dutch Br~.zay
Jia~S£LuauG New Yoi-k~
11580
TO Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because ,of the following reasons.
An application for Certificate of Occupancy
is :lot on file. ATTACHED
NO Underwriters Certificate on file.
The check is(oa~t~d/not on file.)
No Health Dept. Approval on file.
No final inspection has been made.
$25.00
Please contact; our office on this matter.
Thank you for your cooperation.
Building Permit # I 6 3 0 5 Z
Building Dept,
***/~/ No Plumber solder Certificate on file.
( all perm}ts involving plu'mbing being
issued after April 1,1984 )
UNDATION ( 1 st )
UNDATION (2nd)
UGH FRAME &
PLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
FINAL
, ADDITIONAL COMMENTS:
TOWN OF SOUTtlOLD
OFI:ICI'~ OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTIIOLD, N.Y. 11971
November 18, 1987
TEL. 765-1802
M&M Joseph Marrapod{
1262 Dutch Broadway
Valley Stream, New York
11580
To Whom Thi.~; May Concern,
We are unable to complete your Certificate
of Occ:upancy becau'.;e .of the following reasons.
/._~ An application for Certificate of Occupancy
i~; llot on fiji3.ATTACHED
/- / No Underwri. ters Ccrtificnte on file.
~ '{'h(, check i:;(oax~,x~d/not on file.) $25.00
/ / I!o Ileal. th Dept. Approval on file.
/~/ Ho final ins[gection has been made.
P](;ase contact our office on
you for your cooperation.
lht. i]dkng Permit I! 1 6 3 0 5 Z
13u tdimt Dept.
this matter.
Pl~lmb(;r :3()icier Certificate on file.
all f)(-rluit'.; involving plumbing being
j~';mtc!<t after April 1,1984 )
FORM NO. 1 SURVEY ..........
TOWN OF SOUTHOLD CHECK . ;~. ~ G.9.-.~.
BUILDING DEPARTMENT SEPTIC FORM .............
TOWN HALL
~OUTHOLD, N.Y. 11971
BLDG. D~iPT.
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .................. , 19...
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
s~ts 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
ar 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 comte, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary/~t~t)°~slg...-<.~ .~~e~d.~~
(S~gnature of applicant, or~(ame, if a corporation)
& . dd.ssofappiican,
State whether applicant is owner, lessee, agent, architect, engineer, generalfftSntrac-for, electrician, plumber or builder.
...................................................................................
Name of owner of premises .~.. ),~.lll..fi"... · ~/~ .O,C ~..~,. ~..~ .1.' ...........................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of dnly authorized officer.
(Name and title of corporate officer) .
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
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 ..................................................
...d'u. s7 ................ . .5'T;, l l a.77 , c . . .G. ............... .,*. u. ..............
House Number Street Haml~t
County Tax Map No. 1000 Section ./.~, .7 ........... Block .. ~. ] ............. Lot.. ~.O..~. .........
Subdivision ..................................... Filed Map No... ~,~.0 ....... Lot. ,/! ...........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... .~. ! ...... g.(..e.q/.c. ¢ .................... ~ ..................
b. Intended use and occupancy ... ~).6.c- ....................................... · ............ ~.~..
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Rem~oval .............. Demolition .............. Other Work ...............
I ~ (Descrip~tion)
' 4, Estimated Cost .... ./ ....... ! .......................... Fee ......................................
,t ' (to be paid on filing this application)
5. If dwelling, number of dwallin~ units ............... Number of dwelling units on each floor ................
If garage, num bet of cars .... r ....................................................................
6. If business, commercial or mix{d occupancy, specify nature and extent of eaeh type of~use .:.'.~..'. .... ..........
7. Dimensions of existing structures if any: Front · · Rear ......... De. pth
Height ............... Number of Stories ......... '. j... ~. ..................
Dimensions'of same structure w~th alterations or add~tmns: Front ................. Rear ..................
Depth ................... I. 4~_; ~ ........ Number of Stories ......................
· ' ' ~ " ~ D pth
· 8. D~menslons of entire new construction: Fr .... . Rear .............. e ..............
Height Number of Stories
9. Sizeoflot: Front .......... , ........... Rear ........... ~ ............ Depth ......................
1 0. Date of Purchase .......... ,: ..... ' , Name of Former Owner .............................
h pi
1 1. Zone or use district in whic emises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ........ i .................... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .. i .................. Address~ ................... Phone No ................
Name of Architect ......... i .................. Address ................... Phone No ................
Name of Contractor ........ i ................... Address .... : .............. Phone No ................
15. Is this property locatediwithin 300 feet of a tidal wetland? *Yes .... ; No .....
· If yes, Southold Town TrUstees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all sbt-back dimensions from
property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
~S.S
COUNTY OF .................
..... k . [ I'.~. .o · / ............ being duly sworn, deposes and says that he is the applicant
(Name of individual sigping contract)
above named.
Ite is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is du!ly authorized to 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
2
........................ day of ............. ,
N6tary Public, . .'.'~
' NElL W. TONER
Notary Public, State of NeW York
No. 4854162
' Opalified in Suffolk C~ur~
S0mrai~i0n Expkes 3/10/1988
.~-/f'~?-,4%.I ......... County ~ ~/].. ~_~ ,.