HomeMy WebLinkAbout16632-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPART~I~NT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17344
Date SEPTEMBER 22, 1988
THIS CERTIFIES that the building.
Location of Property 48130 MAIN RD.
House No.
County Tax Map No. 1000 Section 069
Subdivision
GREENHOUSE
Street
Block 06 Lot 9.2
Filed Map No. Lot No.
SOUTHOLD~ NEW YORK
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 13~ 1987 pursuant to which
Building Permit No. 16632-Z dated NOVEMBER 17~ 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 GREENHOUSE AS APPLIED FOR
The certificate is issued to
SALVATORE CATAPANO, SR.
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
ui~ding Inspector
TOWN OF $OUTHOLD
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_o 16632 Z
Permission is hereby granted to:
~..a..:.~........~...~... ...........................
.~..~....~..,~,.:...u..t ~..1 ....... , ~
at ,rem,ses' located at ....tJK. ...... ~' .~.......~ ............................... ~ ~ ~ ........................
· o~ ~ ..el .-~--
County Tox Mop No. IOOO Sect,on,~ ........... ~ ......... Block ........... ~ ....... Lot No .......................
pursuont to application dated ..... ~...~.~.....~...~ ......... 19.~..7.., and approved by the
Building Inspector.
Fee *.~...:..~. .....
Rev. 6/30/80
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - Z802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~m mam,,mm~ to the Building InSpec-
tor 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 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 pz"operty 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.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling.$25.Q0, Accessory ,.$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0
3. Copy of certificate of occupancy $ 5.00, o.ver 5 years $]0.00
0.00
5.Upcta~.ecl C.O. $ 50.00 Date
NewC°ns ~'ruc t'i°n ...... Old or Pre-existing Building ............ Vacant Land ..............
Location of Property ..... .......................
House No. Street /~am/et
Owner or Owners of Property ................................................
County Tax Map No. lOOOSection ..... .~..~'2 ..... Block ... ~. . · Lot....~.-.'L~
Subdivision ................................. Fired Map No ........... Lot No ..............
itNo. ~'~¢~.~, . DateofP mit .
Perm · . . er ......... Applicant ......... ~ ....
Health Dept. Approval ........................ Labor Oept, Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .....
Fee Submitted $ .............................
Construction on ebove described building and ~mit~/'~- .( meets all applic,~cod_des and regulations.
Applica . . ..............
Rev, 10-I0-78
FOUNDATION
1st)
FOUNDATION
2nd )
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORM NO. 1 SURVEY ..........
TOWN OF SOUTHOLD CHECK ..........
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
NOTIFY
$OUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL ................
MAIL TO:
Approved .k).~../da~-...1..~.., 19~...-/. Permit No..J..~ .~..~..~..'~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled/n by typewriter or in ink and submitted to the Building Inspector, with
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 street
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl
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 perm
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 Occupanc
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 tE
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c
Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describer
The applicant agrees to cmnply with all applicable laws, ordinances, buflz~ing code, housing code, and regulations, and t
admit authorized inspectors on premises and in building for necessary ins~ctio~n_~___
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is.owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
Name of owner of premises .... .~i ./~. ,../. ~C'..~? ..... ~..k · ~i . · · .~-.~ ............................
If applicant is a corporation, signature of duly 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 .................................................
...... .... ....... ................... ...........
House Iq'umber Street . Hamlet
County 'Fax Map No. I000 Section .... .~..~.~. ........ Block .... .~. ............ Lot....~/..g~. ..........
Subdivision. '. ................................... Filed Map No ............... Lot .............. '.
(Name)
' 2. State existing use and occupancy of premises and intended use and occupancy of proposed constrnction:
a. Existing use and occupancy ..... ~.,~ ' · '--t/.' · ..............................
b. Intended use and occupancy ................. 1./. ................................... : ...........
3. Nature of work (check whlc lcable): Ne~v Bml&ng .......... on , ~.,. Alterallbt~ .......
Repair .............. Removal .............. Demolition ............. '; Other Work ..... ~ .......
k~rip~ti)
4. Estimated Cost ....... , ...................... Fee ......... ~.~[ i ................ :;~... ......
i ' (to b~'l~ai4~.on~filing th!s apl~lic:Rion)
5. If dwelling, number of dwelling units ............... Number of dwelling units on ~a6~or '.~: .' .' i ~:: .........
If garage, number of cars ... 1 ................................................................... ..
6. Ifbusiness, commercial or m~ed occupancy, speclfy nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ?'~' '" i ' ' ' Rear.....'~v~' .~. ' ... Depth_. /..~: .....
' ' ";' ...........
Height ............ NUmber of Stones ...... '..* ..........................................
Dimehsions'of same structure iwith alterations or additions: Front ................. Rear ..................
Depth .................. i .... Height .... !.~. ~. ..... ~ ........ Number of Stories ......................
D~menmons of e¢hre new con~truction. Front ........ ~.. .... Rear ..... .,?-r .~.' ..~. !
..... ' ~- ' ~. ..... Depth . ! ...........
14~ght . 4fitr~ N kmb~,r of Stor4e~ .... g. ......... i*'' .... .,
· ... ~'~- .......... ...
9. Size of lot: Front .... ~'.~q,.~. ....... Rear ....... 7. .......... Depth. . .,~.~.q.t..
10. Date of Purchase . ~'//../~fi~. ..... i i 7 ......i Name of Former Owner ... ~ .~[-. Z.~.'.~, .................
11. Zone or use district in which premises are situated .... . .~M~. p~ .............................................
12. Does proposed constructio~n violate any zoning law, ordinance or regulation: . .~ ............................
13. Will lot be regraded .... .110! ...................... Will excess fill be removed from premises: Yes
14. Name of Owner of premises .~. ~.'W~-~q..o--~... ..... Address .~r.~t4...~. Phone No.
Name of Architect ........ i ................... Address ................... Phone No ................
Name of Contractor ....... , ................... Address ................... Phone No ........
15. Is this property locate~ within 300 feet of a tidal wetland? *Yes ..... No .~''
*If yes, Southold Town TCustees Permit maybe required.
, PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and bloc ~ number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF .................
................................................. being duly sworn, deposes and says that he is the applichnt
(Name of individual si lning contract)
above named.
He is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner~ or owners, and is dhly authorized to perform or have performed the said work and to make and file this
application; that all statements contmned in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manher set forth in the application filed therewith.
Sworn to before me this
day ~f
Notaw Public ................................... County
(Signature of applicant)