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HomeMy WebLinkAbout16587-zFORM NO. 4 TOWN OF BOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22322 Date MAY 12~ 1993 THIS CERTIFIES that the building Location of Property 2005 PLATT ROAD House No. County Tax Map No. 1000 Section 18 Subdivision NEW DWELLING Street Block 6 Filed Map No. ORIENT., N.Y. Hamlet Lot 27 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10, 1987 pursuant to which Building Permit No. 16587-Z dated NOVEMBER 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 ONE FAMILY DWELLING AMENDED TO INCLUDE PATIO. The certificate is issued to RALPH & FLLEN PELUSO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-77-JI/LY 21, 1989 UNDERWRITERS CERTIFICATE NO. N-078607 - JUNE 28~ 1989 PLUMBERS CERTIFICATION DATED MAY 17, 1990 - STEPHEN R. DAVIS *THIS UPDATES CO Z-19075 DATED 5/23/90. Rev. 1/81 FO~ NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMpLIj~'ION OF THE WORK AUTHORIZED) Permission is hereby grc=nted to: ...... /..~. ........... ~.~ ........................ ..~.~......~.....~..~.,......l~.o.. .... , ..~_. County Tax Map No. 1000 Section.(~.. ~t~ Block ' b th~/~/~'~ ~ pursuant to application dated .................................... , 19.~...~.., and approvea y e ~z~ Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19075 Date MAY 23~ 1990 THIS CERTIFIES that the buitdin~ Location of Propert~ 2009 PLATT ROAD House No. County Tax Map No. 1000 Section 018 ONE FAMILY DWELLING ORIENT Street Hamlet Block006 Lot 027 Subdivision Filed Map No. Lo% No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10, 1987 pursuant to which Building Permit No. 16587Z dated NOVEMBER 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 ONE FAMILY DWELLING AMENDED TO INCLUDE PATIO. The certificate is issued to RALPH & ELLEN PELUSO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-77 JULY 21~ 1989 UNDERWRITERS CERTIFICATE NO. N078607 JUNE 28, 1989 PLUMBERS CERTIFICATION DATED STEPHEN R. DAVIS MAY 17, 1990 Bui~dlng Inspector Rev. 1/81 FORM NO. 6 TOI~/'I OF SOUTBOLD BI]'ILDING DEPAETHENT TOWN tlALL 765- 1802 · APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector 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). 3.~A~ppproval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of I% lead. 5. Commercial buildings, industrial buildings, multiple residences and similar. .. buildings and installations, a certificate of code compliance from tbm Architect oc Eugil~eec ~esp0nsible ~or the buii~in~ ...... 6. S~bmit Planning Board Approval of completed site plan requirements. B. For existing buildings '(Prior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant LandCertificate of Occupancy: !. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to t~e-appt~t:-:---- ..... CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - OVer 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial APPLICATION ON BACK :er. 10/14/88 APPLICATION TOWN HALL ", 765 - J802 FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ..~..~OLD OR PRE-EXISTING BUILDING ...... VACANT LAND.. ...... Loc~io~ of Prop rt~ ~ Pz~-z ~0~d- ~.~.e.~. HOUSE NO. STREET HAMLET Owner or Owners of Propgrty R~Iph/El£en Pelu~o ' · L~ounty Tax Map No. lO00iSect~on . .. Elock Subdivision ....................... Filed Map Pe rml t Health ........ Lot .......... No. -[&~7~Z ...DaCe of Permit 1987 --Applicant Rc, lph Pelto Dept. Approval·. ~ ~0~r.~ ....... Underwriters Approval. 6/8/89 Planning Board Approval' Request for Temporary Ce t~flcate .... Final Certificate ..~ ........ , ..... 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 April 28, 1989 Mr. Ralph Peluso 82-09 155 Avenue Howard Beach, New York 11414 Re: Building Permit #16587-Z Suff.Co. Tax Map.1000-018-01-26.7 Dear Mr. Peluso: 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 $outhold Article XXVlll 100-281 and 100-284 a building permit is needed for construction of a new dwelling and it is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. In order to avoid any legal action you must correct the above violations i~zaediately. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Fish, Building Inspector GJF:gar (Cert.Mail) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ ... ?. a: ~.~ ...... L .s?.7..~.: ...... ~.. ~-~..~ ~ ~. ~.~..~ ........... ' '. - oura hcatmn dated I'LEASE ra<E NOT~CE that y pp ':, ' County Tax Map No. 1000 Section .. ~se~ ~ 7~. f~ .................. : .......................... Buikling Inspector RV 1/80 IiiG/7~G November 9, 1987 Southold Town Building Department P. O. Box 1079 Southold, New York 11971 Attention: Georgia Re: Building Application Permit Peluso at Orient Dear: Georgia Enclosed you will find my $550.00 in payment of the Kindly issue your permit and or Kindly also return to the undersigned are now holding. replacement check necessary fees in Certificate in the sum of this matter. of Occupancy3 the check which you FC/sc Very truly yours TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR ,P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-I 802 Buildi~ Permit No. (please prlnt) I certify that the solder used in the water supply contains less than 2/1,0 of 1% lead. system (p~umber's signature) Sworn to before me this 19~(~ -- ~Otary Public, County BLDG. OEPT. TOWN OF SOUTHOLD April 13, 1987 Southold Town Building Department P. O. Box 1079 Southold, New York 11971 Re: Building Application Permit Peluso Attention: Georgia Enclosed you will find my check the amount being left blank as the fee for the filing of~the application for the building permit. I understand that the check will be for $50.00 minimum plus l~ per square foot over 850 sqaure feet. I would appreciate that once you have the amount calculated, you call my office and advise me of the exact amount of the check. FC/sc ~ Very truly yours FRANK CONIGLIO INSPECTORS Victor Le~sard Principal Building Inspector Curds Horton Senior Building Inspector Thomas Fisher Buik{ing Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supe~vis0~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 27, 1993 Re: Premises at 2005 Platt Road, Orient, N.Y. Suffolk Co. Tax Map ~1000-18-6-27 To Whom It May Concern: Please be advised that when the above property was subdivided in September 1988, it changed the address of the above premises from 2009 Platt Road, to 2005 Platt Road Orient, N.Y. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Curtis W. Horton Sr. Building Inspector CWH:gar ,, ~ ,, Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTM~ TO~ 765-1802 APPLICATION FOR CERTI~CATg OF OCCUPANCY This applicat~on must be filled in by typewriter OR ink and submitted to the building inspector wl:h the following: for new building or new use: ' 1. Final survey of property with accurate location of all buildln~ property lines, · s:reete, 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 s~a~ement from ~lumber eer~ifying ~hat ~he solde~ used in system contains less :hat 2/10 of 1% lead.' $. Comm~rcial building~ lndus~riat building, multiple residences and similar buildings and ins~alla~ions, a certificate of Code Compliance from architect or enginee~ ~esponsible for the building. '6. Subml~ ~lanning Board Approval~0f comple:ed si~e plan requirements, For exie~ing buildings (prior to' April 9, ~957) nonv~onforming uses, or buildings and ~3pre-e~is~ing" ~end uses: I, Accurate survey of property showing all proper~y lines, streets, building and unusual natural or topogrmphic features. Z. A properly completed applicagion and a consent ~%o ~i~$pec%'signed by the applicant. If a Certificate of Occupancy is ~enied, ~he Building Inspector shall state reasons ~herafor in writing to the applicant;' Cer~ifica~$ of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Al:erations to ~welling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions ~p accessory building $25.00. Businesses $50,00, 2. Certificate of Occupancy on Pre-existing Building -$100.O0 Copy of Certificate of Occupancy - $5.00 Qver 5 years - $i0.00 4. Updated Certificate of Occupanoy - $50.00 5. Temporary Certificate of Occupancy - Residen%ial $15,00, Commercial $15.00 Da e .......... ... e~ Construction ........... Old Or Pre-e×is~in~ 5uildiug ............... .. House No. Street Mamlet Ralph & ille~ Peluso' ewer or Owners of Proper~y ty Tax p 1000 18 ~lock .. 6 27 oun Ma No , S~ction ............. ' ..... · ..,...... Lot ...................... SCT~ 1000 18 6 26 ao~zvzszon ...................................- F%le4 M~p ............ Lo~ ...................... 16087 Nov 2, 1987 ~rmit mo ................ Date Of Permit ................ Applicant ............................. 7-21-89 #875077 June 28, 1989 ~alth Dept. Approval ...... .................... Underwriters Approval ......................... June 25, 1990 Uoard Approval ...................... .. X '~rV Certificate ........... Final Cer~ic~te ........... .................. BOARD OF HEALTH / 'FORM NO. I SURVEY ......... , TOWN OF SOUTHOLD CHECK ..... BUILDING DEPARTMENT SEPTIC R 't~/' TOWN HALL NOTIFY I $OUTHOLD, N'Y' 11971 TEL': 765--1803 CALL ................ Approved ~ ~...~'.., 1~9 ~."1. Permit No. ).[P..~..'~....~..~. It ~/I D,sapproveda/c ..r.q,.'i,,.:..'.-:.: ........ ... ' ; ,"'"~ (~/t ........ BLDG. OEP.'T / ~ TOWN OF SOUT . ' / HOLD ............ .>. :,It ................~ ..... L.,./ ......... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ......... 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 pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Y_~, 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,.bu/~.g code, housi.~ug~d~, and regulations, and to admit authorized inspectors on premises and in building for necessa~//C~r~i~~ (Signa~re of applicant, or name, if a corporation) .,E"...,% =P.. (Mailing address of applicant) I~ [4 lq State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................... ;~i~'of 2W~i; ~; ;;i 'milel ......................................................... (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 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~ ....... , ......................................... Oc ',.,.~',-,' .... .~'- .- .................................................................... : ' k-a''' .',t 'f//~' ' ltouse Number Street Hamlet County Tax Map No. 1000SectionO.'./.~(. Block ~ .. ~-'~/ .'d~...~.7. .... ............................. Lot .'...;-~. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and c~pancy of proposed construction: a. Existing use and occupancy....~..~ .'~.F.?.-'~.. '. Z.'~../. ............. b. Intended use and occupancy ......... /, . ,~. ,~. ~>~...~,.2.~/,...~~ 3. Nature of work (check which a~plicable): New Building ....... Addition .... '. ~ ...': ..... ~Al~[eration .......... W8 k' ~ ~ Repair .............. Removal .............. Demolition ....... .... . .. Other r ', ........... ~ " (to be paid on filing this application) 5 If dwelling ' ' ' Number of dwelling units on each floor · , number of dweillngl units .............................. If ga(age~ , number of cars .............i............................ ........................... . ... 6. If business, commercial or mixe~d occupancy, specify nature and extent of each type of use ......... '. ........... 7. Dimensions Cl~tiirlg ~lil~tur~s, if any: Front .............. Rear ........... Depth ........ .... 2.. Height .... ~l~lqu er of Stories .................................................. Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Dept,h ................... ... Height ...................... Number of Stories ...................... ' ' pth .Dimensions of entire new construction: Front .......... . ..... Rear ............... De ............... Height .............. Number of Stories ........................................................ 9. Size of lot: Front .......... ............ Rear ....... : .............. Depth ...................... 10. Date of Purchase .......... ................... Name of Former Owner ............................. 11. Zone or use district in which p{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 Address Phone No Nmne of Contractor ~ 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 set-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 .................. .................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the i i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the 'said work and to make and file this application; that ali 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 i ........................ day qf .... ~ ....... , 19 .~. Note ..... ~'~A.%. ~.. ~...~...~..~..., County//~.~ ~.ff_. _ _~...._ : ~j .... ;, .......... ~ ] NOTARY PU BUC' St~teik°t~N~u~'Yetk '~ .... 7 ..................... No. i707878, Suffok ~Ufd'/~q (Signature of applicant) I ]'m'm EXptms M~rch 30,1. -/ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~015054 BUREAU OF ELECTRICITy 7 85 JOHN STREET, NEW YORK, NEW YORK 10038 FIXTURE FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R OTHER APPARATUS: AWE. OF CC. COND, I C E AWE. OF HI.LEG O,OFNEUTRALS A.W G. OF NEUTRAL 194-05 I~Og~OS AVFL L Per , ' This certificate must not be altered in any manner; return to the office of the Board if incorrect. {nspectors may be identified by COPY I~OR BUILDING DEPARTMENT. THIS COPY OF CERTI NOT BE ALTERED IN ANY MANNER. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 765-1802 BUILDING DEPT. INSPECTION INSPECTOR 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 FAX COVER SHEET TO: FROM: DATE: Sherrie Georgia, Southold Town Buildin~ Dept. Hay 28, 1992 -% OF PAGES TO FOLLOW: 2 INCLUDING T~IS ONE Additional Comments: IF ALL PAGES ARE NOT RECEIVED, PLEASE CALL THIS OFFICE AT (516) 765-1802. ¢ SIN(~LE '.,EXPIRES TWO ~ 7-0 1~',,' ,~ 4 H S. NO. I ~:'~ I, "-' ' ' ' '' FAM ~.Y DW,.',I . .:, ,, . THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK C,J~ DEPT. OF.I~EALTH SERVICES. APPLII~ANT / ,'--~,~' -'?"~---Z~,.,~d~,/ / SUFFOLK COUNTY DEPT OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY /-~ --~ ~8'~"'~ DATE: ,.S. REF NO ~'~' ..~0 '-Z~ ) APPROVED' SUFFOLK CO. TAX MAP DL~ATICN: DIST. SECT BLOCK ~ PCL OWNERS ADDRESS: ~r ;'-~ ~ ' ~/d/'. ,"~, .'.'~' DEED: L. ,'"' ,, ,') P. TEST HOLE STAMP SEAL ,..., ,'~,~,~,~,'~ ,. N ,Cb N P~z.u~o 1141~. r · Hole l. or .i 52..L0'' OUT To Our F~~ I t'.-G" " L,, . - :--' YANKEE BARN HOMES, INC. Grantham, DESCRIPTION & REASON ? Description: scale j ¥~.,,= i.~0' G- B5oc~ -t Z4 .I ~'","--'/~" odT TO OUT C.b× RIEA$ON ENTF-,Y FF-.,k~NG .~F_.CT~ON~) - Lmm5 A&~ _. T~~ O.T.O. F~NG CoF..CT~ON5 - L~F_S do& 9 -- Detail Reference: Property of: YANKEE BARN HOMES, INC. Custom Design For: R~,LPH & E~.t~ Design Series: 5~ OLbE DESCRIPTION & REASON Custom Design For: Design Series: Detail Reference: Property of: YANKEE BARN HOMES, INC. Grantham, N.H. Description: scale , J drawnSL~ OUT TO OUT F¢,~ DESCRIPTION & REASON Custom Design For: R~,L.P~ & EB ~: lq Pc~_USO Design Series: Detail Reference: SEE. CoN,.ST P-, OC..TION Property of,' YANKEE 'BARN HOMES, INC. Grantham, N.H. I scale I drawn I drawing # J NTF..RJO~- ~EC.'T iON DESCRIPTION & REASON tom Design For: Series: ENTRT. Description: Detail Reference; SEE C"ON,~TROCTiON C-.-.-.-~tI~F- YANKEE BARN HOMES, INC. Grantham, N.H. # 5-65o94 -5 e' DESCRIPTION & REASON Custom Design For: Design Series: 52' Ot-~ ~oas Detail Reference: Property of' YANKEE BARN HOMES, INC. Grantham, N.H. Description: Isca,,le , I drawn drawing #