HomeMy WebLinkAbout14211-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18749
Date JANUARY 29~ 1990
THIS CERTIFIES that the buildin~ ADDITION
Location of PropertL 1185 BUNGALOW LANE
House No.
County Tax Map No. 1000 Section
MATTITUCK
Street Hamlet
123 Block 03 Lot 016
MAP OF MARATOOKA PARK
subdivision BAY LOTS Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 30~ 1985 pursuant to which
Building Permit No. 14211Z dated AUGUST 19~ 1985
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 DWELLING.
The certificate is issued to
RONALD & PATRICIA ZITO
(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
TOWN OF $OUTHOLD
B~JLDING DEPARTM£N?
TOWN HALl.
SOU'THOLD, FI. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
14211 Z
Permission is hereby granted to: ~
.......... ./.~~..,
· -- ~,-..--. / ~ ,~ .~'// ~,' ..........................
at prem,ses located at ...././....~...~. ...... .~.~-~:/A~.....¢2~i~ ...........................................
........................... : ................................. ./.. ........................... ~,//~.,..~.~
County Tax Map No. 1000 Section ..~/,..~.~. .......... Block ....~....~.. ......... Lot No.~../..~ ..............
· ..../,~.....~.~ ......................... , ~.~....¢'.7a~d"'~-- approved by the
pursuant
to
application
dated
Building Inspector.
Fee $....~. ...................
Building Inspector
Rev. 6/30/80
TO~N OF SOUTDOLD
BUILDING DEPART~fENT
T0~N ~ALL
SOUTDOLD, R~ ¥OR~
763 - ~802
! 197 !
APPLICATION FOR CERTIFICATE OF OCCUPANCY
EW COt;STRUCTION %// -
~ ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND
~ ,o,~ ,o. ' ~ ........... ~i~% ....... ~"
S]*bdivi.ion ~ ...................... Filed Map ........ Lot ..........
Pdrmit No .....
a ...... Date of Permit .......... ApPlicant ...............
H lth ~ep=. Approval .................. Underwriters Approval .......
P mning Board Approval ................
R~~ue=t for Temporary Cer~zfzcate ....... Final Certificate ..... .
10/14/88
APPLICATION FOR CERTI
A. 'This application must be fil~
Inspector with the following,
]. Final sUrVey of property w
2. Final approval of Health D~
3. Approval of electrical ins
4. Sworn statement from plumb
than 2/10 of ]Z lead.
5. Co~merclal buildings, indu
buildings and installation
or Engineer responsible fa
6. Submit Planning Board Appr
B. For existing buildings (Prior
and "pre-existing" land uses:
]- ACCurate survey of prepert5
unusual natural or topomra~
2. A properly completed ap~li~
and a certified abstract et
show single and separate ow
· If a Certificate of Occupan
reasons therefor in writint
3. Date of any housing COde oz
pertinent information requl
C. For Vacant Land'Certificate of
:v. I0/]4/88
FogM NO. 6
TOWN OF SOUTUOLD
UILDING DEPARTMENT
TOWN,ALL
765 - 1802
[CATE OF OCCUPANCy I~STRUCTIoNs
! in typewriter OR ink and submitted to the Building
for new buildings or new Use:
~th accurate locatioa of all buildings, property lines,
tl or topographic features.
:pt. of water supply and Sewerage-disposal(S-9 form).
allatlon from Board of Fire Underwriters.
~r certifying that solder used ~n system contains less
~, a Certificate of Code compli4nee from the Architect
~ the building, i.
,val of completed site plan req~lremeats.
to April 9, ]9570 non-conforming uses, or buildings
Showing all property lines, st.rents, buildings and
hic features.
atlou, a coaseut to inspect sig~ed by the applicant
title iSSued by a title COmpan~ which shall
mership of the entire lot prior to April 9, ]957.
:y is denied, the Building Insp~ctor shall state the
to tile applicant.
safety iuspe=tion of bdildings or premises, or other
7ed to prepare a certificate.
Occupancy:
I. An application for vacant l~nd Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title cOmpan~ showing single and
separate oWnership of the cz tire 10t prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupant ' i
shall ~tate the reasons therefor in writine t,Yt~s deu~?d' ithe Building Inspector
J- CERTIFICATE OF OCCUPANC9 - New Dwelling $25.00 Add'~' i ....
to Dwelling Pool, j?s to e, ing $25.0o,
~t~on to Accessory btildin-s ~ ~n _ . ' · ~ccossory buildln $25.00
2 .... - ~ · ¥ ..... BUsinesses $.50.00. ' g
· ~ertmzzcate of Occupaoc on pre-exzst~ng dwelling - $10~.00.
ccupancy - $5.00 - OVer $ years,:- $]0.00
mf Occupancy - $20.00
=cupancy - $50.00
Occupancy - $~5.00 Residentlai
$50.00 Com~ercial
3. Copy of Certificate of
4. Vacant Land Certiflcat
5. Updated Certlflc~te of 0
Temporary Certificate of
\
FIELD INSPECTION DATE
JNDATI~
COMMENTS
ROUGH FR
INSULATION PER N.
STATE ENERGY
~ODE
FINAL
ADDITIONAL COMMENTS:
VICTOR LESSARD
PRINCIPAL BUILDIblG IblS?ECTOR
(5 ! 6) 765-1802
FAX (516) 765-1823
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York I 1971
January 22, 1990
Mr. Ronald Zito
568 He Cullogh PI.
Haworth , N.J. 07641
Dear Mr. giro:
I am enclosing a copy of a letter seat to Mr. Chester
Orlowskl in Dee. 1987 and July 1988. This is in regard
to Building Permit #14211Z taken out Aug. 1985.
To date we have not received the application and check
for your certificate of occupancy for the deck. It is
illegal to he using the deck without a certificate of
occupancy.
I have enclosed an appllcation for you to fill out. The
fee is $25.00. Please take care of this immediately.
Thank you.
Yours truly,
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN tfALL
SOUTHOLD, N.Y. 11971
SECOND NOTIC~
DECEMBER 8, 1987
To Whom This May Concern,
TEL. 76%1802
We are unable to complete your Certificate
of Occupancy because,of the following reasons.
/-/
An application for Certificate of Occupancy
is not on file. Enclo,sed
No Underwriters Certificate on file.
The check is(outdated/not on file.)
No Health Dept. Approval on file.
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
~uildin9 Permit # I 4 2 1
DECK %
Buildin9 Dept.
***/5/ No PlumbDr Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
RON & PAT ZITO
Bungalow Lane
Mattituck
SENT
TO:
CHESTER ORLOWSKI
MAIN ROAD
CUTCHOGUE, N.Y. 1~935
cENTER
~ ?f?EE 7'
.~v~so,$'- 'f.,-~.i~.,.;':',-. ':~: ,..'--'. YOUNG & YOUNG
.'..,./'.:--'.~.~' ?~.;,'::~.~:~?400~OSTRANDER AVENUE R VERHEAD' NEW YORK
-...., .C~ .~"'~. ~, :~- ~t ~ ~,..,.... 4 ,"~, .' ..... .... .
",:'-' ' -;'~ ALDENW, YO~NG' ~ .¢' ' ' . .'' -' HOWARD W. YOUNG
.;.-,,,.. ~-.. ~on'E~Z ~R~N:~'.""~'.,'; ,
..~-......,:,..__..,:.: ~{~.~.V+~. ~%~ ~
TES"
- ." :'~ .t~- '-;:.,,' .' . ~
". %.~.:I~- .x.,;-.~?~SOUTHOLD,~.. =- - .. ' ~o s~
TOWN .OF.~ .... ~ ~,'~ ~'~ :~ /
.,. ,. ,
".. "~ - . .... 7/'
' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Ttds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
s~ts of plans, accurate plot plan to scale. Fee according to schedule.
I b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
o~ 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.
i d Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
s~ail ~e k~pt on the premises available for inspection throughout the work.
i 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.
ih APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit p~rs,uant to the
uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, ~Jrainances or
egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
a~mit authorized inspectors on premises and in building for necessary i~e"qtion~.
· ..... ;'i;; ....
(S~gnature of applicant, or name, if a corpo at' )
(Mailing address of applicant)
itate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~ame of owner of premises .(~7'Y~'....~.~. ~. ·... ~ 'o'n' ;t~e' ~a'x' ;o'li ;; i~t;~t' c'l~)
f applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No....~..~..~ .................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done ..................................................
................................... .................
House Number f/,e~~- Street Ha
County Tax Map No. 1000 Section ..... ].~.~ ........ Block.. ~ .............. Lot~..[~ .....
. ~.~.~~.~. ~d Map No...~ .? ......... Lot..~ .........
Subdivision ~.~ ~ (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .. ~. · ~ ...........................................
b. Intended use and occupancy ..... ~.~ .~m~w~;~:~ ................
3. Nature of work (check which applicable): New Building ..... ' ..... Ad~
Repair .............. RemoVal .............. Demolition ....
5. If dwelling, number of dwelling tlnits ............... Number of dwe
l.f. garage, number of cars . .:.. .................................
6. If busifiess, cOnimer~ial Or mixed:occupancy, specify nature and extent et
[ition .... ;'. ..... Alteration ..........
......... Other Work ...............
(Description)
(to be paid on filing this application)
,ling units on each floor..-. ............
"' .... iii
.....................
of use ................
7. Dimensions of existing structures, if any: Front .... .~ .O. ........ Rear ...'~. q ........ Depth . ,,~ ./. ..........
Height .. 'i~'{.~ .,7. lt,' Number of Stories ......... ~ .........................................
Dimensions'o~F~d/ne stl~l'/~ure:wi~h alterations or additions: Front ......... .~. ....... Rear .... ~. .............
~' ' ' ' Height ~ N~ mber of Stories -
Depth ";
8. Dimension~ of.~ntir~ new ~gnstrCction: Front ............... Rear ........ '--. .....Depth .... -~ ..........
Height '.. ~- ... Numlier of Stories '7 .... ~ .....................................
9. Size oflot:'~;~t' i i i i .~L_~t.'~.[..~ ........ Rear'. ....... (~.~.,...., ..... Depth .~.~C.~'. f ...............
10. Date of Purchase ........... i .... /. ~.'7 .'1~. ....... Name of Former ( ~wner . ~. ~-~,J~.../~ ~ .........
11. Zone or use district in which premises are situated .................. / ...................................
· 'l~t 'gl d' 1
12. Does proposed construction vie e any zomn aw, or ~nance or regu atan .................................
13. Will lo~ be re~raded ........ ~ ................ Will excess fill be removed from premises: Yes No
14. Name of Ow:er of premises. ~.~. ~ .... ~Add~;::: .[.~.~..~.°.~: pPhhoO~ee NNoo ................
Name of Architect ... r~ ..... · .,, ............... :.~ · ._. · ~ ...........................
Name of Contractor ~..~ .'a- .P.~.~...~ ..... Address. (~,.~J~. ~. .... Phone No ................
.. , PLOT DIAGRAM / .
Locate clearly and distinctly all l buildings, whether existing or propose~ and. indicate all set-back dnnensions from
property lines. Give street and block pumber or description according to deed, nd show street names and indicate whether
interior or c'ornar lot. '
STATE OF NEW YORK,
~S.S
COUNTY OF '
I being duly s~
(Name of individual sig~ing contract)
above named.
He is the ..................... i ...............................
, (Contractor, agent, corporate of
of said owner or owners, and is duiy authorized to perform or have perfor
application; that all statements contained in this application are true to the
work will be performed m the manner set forth in the application filed there~
Sworn to before me this
Notary Pubhc, . ...... ~ · ·
orn, deposes and says that he is the applicant
'icer etc )
ned the said work ~nd to make and file this
)est of his knowledge and belief; and that the
ith.
(Signature of applicant)