HomeMy WebLinkAbout16642-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17746 Date FEBRUARY 7~ 1989
THIS CERTIFIES that the buildin~ ADDITION
Location of Property 68950 RTE 25 - MAIN ROAD GREENPORTr NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 053 Block 01 Lot 02
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 12, 1987 pursuant to which
Building Permit No. 16642-Z dated NOVFR4BER 20, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to GUS COSTAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N037142-OCTOBER 3, 1988
Building Inspector
Rev. 1/81
i~0~ NO. ~
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)
Permission is hereby granted to:
...~.~....~.:.~.,...z.,.~...~/..: ........ q ,
,o. ~~.....~._..~..~ .....~ ' ..~ ..
ID.~..~.....~....~~ ........... ~ .............................................................
at premises ,~ated at ...~.~.~ .......
~..~...~..&~...~2....g~ .....
c~.~w To~ M~p No. ~00 sect~o. ..... .~.~..~... m~k ........ ~..~ ....... Lot No ...... ~.~ ........
Building Inspector.
Fee $.,~..:~...
Building Inspector
Rev. 6130/80
TOWN OF SOUTHOLD
HALL
APPLICATION FOR CERTIFICATE OF OCC~FAN .
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ..... VACANT LAND ........
........... .........
HOUS~ NO. STREET
O~aer or O~er~ of Propert7 .................................................
County Tax Hap No. I000 Section --d~ Block ..l .... Lot . ]
Subdivision ....................... Filed Map ........ Lot ..........
Per.it No. Z~.~:.~ate of Per.it .......... Applleant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ ..... .. ~*... ........ ..
APPLICANT .... g~..'. ..................
rev. 10/14/88
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 25, 1989
Mr. Gus Costa
c/o Drossos Motel
69125 Main Road
Greenport, New York 11944
Re: Building Permit ~16642-Z
Tax Map ~1000-53-1-1
68950 Main Road
Greenport, New York
Dear Mr. Costa:
During a review of our files, it was noted that the above
building permit has expired and a Certificate of Occupancy has
not been issued.
According to the Code of the Town of Southold Article XIV,
100-141 and 100-144 a Building Permit is needed for construction
of an addition to an existing dwelling. It is unlawful to
occupy said addition until a Certificate of Occupancy has been
issued.
Your final inspection has been made. Please fill out the
enclosed application for Certificate of Occupancy and return to
this office with a check for $25.00.
This is your second notification. In order to avoid any
legal action, you must correct this violation immediately.
Thank you for your cooperation in ther matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VRW:gar
encl.
Vincent R. Wieczorek
Ordinance Inspector
TOWN OF SOUTIIOLD
OFFICH OF I'iUILDING INSPECTOR
ILO. [lOX 728
TOWN IIA LL
$OUTIIOLD, N.Y. ! 197!
TEL. 76.5-1802
To Whom This May Concern,
We are ur]able to complete your Certificate
of Occupancy because.of the foll6wing reasons.
/_~// An application for Certificate of Occupancy
is not on fil~.
/_--/// ?;o Underwriters Certific.a~t_~l~ile.
/_-_~ The check .[s(outdated~
/_-/ Ho llealth Dept. Approval on file.'
/_--/ Ho final inspection has been made.
Please contact our office on
Thank you for your cooperation.
Building Permit t~ ,[ ~ ~ ~.~ Z
this matter.
Buildin~r, Dept.
'~**/_7-/ Ho Plumber Solder Certificate on file.
( all permits invo!vinq plumbing being
.[s:Aled after April 1,19~4 )
FOU?__~ D^._~I~ON --~ ( 1
FOUNDATION (2nd)
2.
ROUGH FRAME /
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG,
/
FOUNDATION 2ND [~NSULATION
FRAMING
[ ] FINAL
INSPECTOR~ ~-~,. . , ~ _ . ·
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH 'PLBG.
[ ] ~OUNDATION ZND [ ] INSULATION
[XFRAMING [ ] FINAL
DATE
765-1802
BUILDING DEPT,
INSPECTION
[ ~FOUNDATION IST [ ] ROUGH PLBG.
FOUNDATION 2ND
FRAMING [
INSULATION
FINAL
INSPECTOR ~~/~*'', . ~.
765-1802
BUILDING DEPT.
INSPECTION
]FOUNDATION XST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
] FRAMING [~FINAL
REMARKS:(~,/'--/'. ~ ~., (~ ,
1000708 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICrTY
~ ''(~'r; OCTOBER 03,t9~ JOHN STREET. NEW YORK. N~/t~,)~OJB N 03'/142
~ppl~ation No. On file
CE~IFIES THAT
~y t~ ~t~ ~u~ment ~ k~ ~ ~ intM~ by t~ ~t ~M ~ t~ a~ ~tM numMr M t~ ~ o~
C.G. COST, S, 68950 ~N ROKD,. GREENPORT, N.Y.
~/o,0~i~.~%~,~_~8~-~ :.r~. ~ ~ n. .~t~o~ m~
~ examin~ ~ a~found to be in ~mpllance with the requi~ments of th~ ~rd.
RXTUel RXTUI~S RANGIS OVENS fANS
1~ 12 12
SMWIC! 01SGONNICT S E R V I C
MOTORS: 2-F ii.P.
8ALVATORE C. PRATO
iilGGINS LANE
R.ii. BOX 208
GREENPORT, ~, 11994
LICENSE NO. 1049 E
~is ~ific~e mmt Mt ~ aheredin any manner;returntotheoffice of theBoardifincorrect, lnspectorsmay ~ i~fiedbylheircredentlah,
COPY FOE BUILDING
1) H~TING EQUIP~ ~ ~ET 7813.23 - 75% EFF. ~ THE BEST OF ~ ~O~EDGEi
2) ~TING CO~ROLS ~ ~T 7813.13 BELI~, ~ PROFESSIONAL
~GE 45 ~ 75 DE~S FACEIT. ~ THESE P~S ~
3) WAT~ H~TING PER 7813..31 T~U -38. IN co. nieCE ~TH THE ~DE.
6) ~NS~UCTION ~ ~ N.Y.S. ~R~ CODE.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N,Y. 11971
TEL.: 765-1802
Disapproved a/c .....................................
(Building Inspector)
BOARD OF HEALTH ~ ......
3 SETS OF SANS~
SURVEY .....
CHECK ~( .... ,
SEPTIC FORM
NOTIFY CALL ................
MAIL TO: ,
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a, Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~ets 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 thc 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, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
...... ....................
(Signature of applic~tnt, or name, if a corporation)
. . ./. . . ¢. .V/. . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ~OS
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized 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 ...................... (~q °l gO
1. Location of land on which proposed work will be donel ..... T~.4... 9 5 ..... .~.e.'~..'~..k~. · .C~..~. .............
House Number ~ St ree~,_~ / Hamlet
County Tax Map No. 1000 Section .... s.,.. · · ........ Block ................. Lot ................
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 ~ ~-./?rm'~
ti it
b. Intended use and occupancy ....................................................................
3. Nature of work (check which applicable): New Building ' Addition i .... Alteration ..........
Repair Removal Demolition ' Other Work
. (Descriplion)
/ 3, dc)..O.
4. Estimated Cost ................................. Fee ........ ~ .........................
(to he paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling uhits on each floor ................
If garage, number of cars
6. If business, commercial or mixed occupancy, specify ,nature and extent of each t, ype of use ............ ./ ........
7. Dimensions o~Texisting structures, if any: Front ./ff.0 .~/~.'~ Rear ./-/0. ~ . . Depth ~.~
Height ..... , .......... Number of Stories ..... c~. ................ .............................
Dimensions'of same structure with alterations or additions: Front ....~.Wf.... i ....... Rear .... ./q.O.r. .........
Depth .... ./Xt~.~ .... Height -7 Number of Stories ..D~
Dimensions of entire new construction: Front ... $ O . Rear .~ (3 Depth ./~. .
Height . .~..../4t/~.~. ..... Number of Stories ....... /. ...........
9. Size of lot: Front ... ear ...................... Depth .. /$.~...57.O.
10. Date of Purchase ............................ Name of Former Owner i...~~ . .~-o. i~.??~.
11.
Zone or use district in which premises are situated .......................
12. Does proposed construction vig~ate any zoning law, ordinance or regulation: ..!..~.'o.'i ........................... .........................
13. Will lot be regraded ........ ~?.~'. ................. Will excess fill be removed from premises: ~'e-e~., No
14. Name of Owner of premises ~,o..,q ~'o~.4'~:~. AAdres~ i ph~,,~ w,,
Name of Contractor .CO.q:7.C ~K ~..~.~"... Address /%0 ~'~h ~ ~/'77-gCqC
..................................... Phone No ................
15. Is this property located with'in 300 feet of a tidal wetland? *yes ..... t~%> .....
*If yes, Southold Town Trustees Permit malt be required. :
PLOW DIAGRAM
Locate clearly and distinctly all buildings, 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.
............ "' ..... ,~,,,~. ...................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract) ·
above named.
He is the ("
(Contractor, agent, corporate officer, ete ) ! ~ ~ , ~ '.. '
of said owner or owne~, ~d is duly authorized to perform or have perfomed the smdi~ork ~nd to ~ and :file th~s
application; that all statements contained N this application are true to the best of his ~,~ge ~nd,b,elief; and that the
work will be perfo~ed in the m~ner set forth in the application filed therewith.
Sworn to before mC this
........................ day of ...............
Nota~ Public ...... ~..~.~.~. County .
~[[~ [ ~[ ~[ .....................
NOTARY PUBLIC, ~te of ~w ~ (Signature of applicant)
N0. 4107878. Su~ik C0un~9 ~
~rm Expim~ ~arch 30.19~ [
., :q]
OCCUPANCY OR
USE IS'
WITHOUT CERTIFICATE
OF OCCUPANCY