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HomeMy WebLinkAbout13743-z? ,%~/,~,rq~..~: Form No. 6 1993 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '?pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... ~a3..10,....1~ ...................... . . Construction .......... .' Old Or Pre-existing Building ................. ~tion of Property ....... 5685! MAIN ROAD ~..~.~.L.D.,..N~.~yp.~.. House No. Street Hamlet VINCENZO & ILEANA DOLOMITE or Owners of Property ................................................................ . . Tax Map No 1000, Section ..... ~% ..... Block. 3 .... Lot. !7.4 )division ................................ .... Filed Map ............ Lot ..................... . No .... ~%~ ..... Date Of Permit..!~8~ ........ Applicant. A'..R?7~.~. PP~'. 7~.' ....... alth Dept. Approval ........................ .. Underwriters Approval... ~-~97~. ............. . Board Approval for: Temporary Certificate ........... Final Certicate ........... Submitted: $ 25.00 ~~~.'~ INSPECTORS Victor Lessard Principal Building Inspector 'Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Superviso~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 1197t Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD I~b-Y 5, 1993 VINCgNT & ILEANA DOLOMITE 56861 MAIN ROAD P. O..BOX 14~3 SOIH~OLD, ~ 11971 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 not on file. (Enclosed) No Underwriters Certificate on file. The check is ~not on file.)$25.00 No Health Department Approval on file. No final inspection'has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 13743-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT, FIELD INSPECTION COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13743Z issued to Vincenzo Dolomite on 3/8/85 for Accessory is completed and a final inspection has ( ) has not ( X ) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $10.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Victor Lessard Executive Administrator VL:gar encl. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTUOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ..~.. VACANT LAND ........ HOUSE NO. STREET ~A~LET 'ermit No ........... Date of Permit .......... Applicant .~./~ ~o/o~z~ ealth Dept royal ............... Underwriters Approva ...... ~ .... lann£ng Board Approval ..Ae~ ........... -~quest for Temporary Certificate .~.. .... Final Certificate ................ ~e Submitted: $ .................... APPLICANT. . . '- ]o/14/88 FORH NO. 6 TOIl/ OF 80[ITI~LD BUILDING DEPARTHENT TO~/NHALT. 765 - 1802 ~PPLICATIOX FOR ~ERTIFICATE OF OCCUPANCY I~STRUCTIONS A. "This appllcation must b~ £11ed in typewriter OR ink and submltCed to the Buildlng Inspector with the foll~wlng; £or new buildings or new use: 1. Final survey o ' · f property wzth aCCurate location of all buildings, property lines, streets, and unusualinatural or topographic features. 2. Final approval o£ Health Dept. of water supply and sewerage-dlsposal(S-9 form). 3. Approval of electrlc~l installation from Board of Fire Underwriters. 4. Sworn statement £romjplumber certifying that solder used in system contains less than 2/10 of 1% lead~ Commerczal buildingsi industrial buildings, multiple residences and similar. buildings and instal~atlnus, a certificate of code compliance from the &rchltect or Engineer responsibl~ for the building. 6. Submit Planning Boar~ Approval of completed site plan requiremen'ts. ~. For existing uxldxngs (~Prlor to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" lan~' luges: i. Accurate survey of pr,~perty showing all property lines, streets, buildings and unusual natural or to~ogra-hlc fe-- 2. A:preperly completed~applicatlon, a consent to inspect signed by the applicant and a certified abstrhct of title issued by a title company which shall s~nw Single and separhte ownership of the entire lot prior to April 9, 195~. If a Cert~flcaEe of O~cupaney is denied, the Building Inspector shall s~ate the reasons therefor in Wiring to the applicant. 3. Date of any housing c~de or safety inspection of buildings or premises, or ocher pertinent informatlon~requlred to prepare a C. For Vacant Land Certlflc~te of Occupancy: I. 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 accompanF ~he appllcaClon. If ~ Certificate of OcCupancy is denied, the Building Inspector shall state the reasogs therefor in wrlCin§ co the applicant. D. FEES~ I. ge ' CERTIFICATE OF OCCUPANcy - Ne~ D~elling $25.00, Addlt~ons to I~e[llng $25.00, AlCeratlon to l~elillng $25.00, Swlnn~ing Pool, $25.00. Accessory building $10o00 . Addition to Access?fy buildings, $10.00. Businesses $50.00. Certificate of Occ!upancy on pre~existing dwelling - $100.00. Copy of Certlfieat~ of Occupancy - $5.00 - over 5 years - $10.00 Vacant Land Certifllcatc of Occupancy ~ $20.00 ~pdated Certif~cat~ Of Occupancy - $50.00 Temporary CertlflcaCe of Occupancy - $15.00 ~'e~,. IO/l'4/~g TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date OCTOBER 5 89 ........................................................ , 19 ........ VINCENZO DOLOMITE (owner or authorized agent of owner) .~.6..8..5..1.....~..LN. R.O...~.. ~ SpUT~OLD,..NY. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance CHAP. 100 Other Applicable Laws, Ordinances-'or Regulations ............................................ at premises hereinafter described in that A swinnning pool is being used w£thout a (state character of violation) Certificate of Occupancy and an expired building permit. in violation of A~TICLE xxviII-Chap. 100-281 & 284. (State section or paragraph of applicable law, ordinance or regulatian) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOI~ATION refers are situated at 56861 MAIN ROAD, SOUTROLD, ................................................................................. County of Suffolk, New York. SUFFOLK COUNTY TAX MAP l! 1000- 63- 03- 17 Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of may constitute an offense punishable by fine or imprisonment or both. B.P. # 13743 Z (Cert. Mail) VINCENT R. WIECZOREK 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ,r. ~/FINAL REMARKS: ~ DATE_/O//, ~/~ '~ INSPECTOR (//~ ~f)f~ 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ~amined .... 1~ 0~..~...~..., 19~.~./' pproved....~q~ *~,~'[ ."~ .... 19~.(. Permit No..}..~.~..~.'.~..~. [sapproved a/c ..................................... .............................. ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tion. 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 all 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 all 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 filding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or · ,gulations, 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 mit authorized inspectors on premises and in building for necessary inspections. .... t~' ....... ~ ........ 2 ..... (Signature of applicant, or name, ~f a corporation) (Mailing address of apphcant) ~7 ~. ' ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. x._ ....................................................... ........ aneofowner of premises .~ Z0.G~?D.. :7-~.O.. :t~.. /'~t~'.~.~. . .~O.,ql./..)~'~.. ....................... (as on the tax roll or latest deed) I~ apl~t is a corporation, signature of dul~authorized officer. (Name and ti~~'~r') ......... Builder's License No ........ ./..O. .............. Plumber's License No ......................... Electrician's License No.. ~}~J?/~.~- /gtll.a.¢ (~ Other Trade's License No ...................... Location of land on which proposed work will be done...~J~/. ~.~../~..-.....~..~P.. .... (~) .~.....~..~....c.~. ~ .... .... .............. House Number Street Hamlet County Tax Map No. 1000 Section ...... .O..~.~ ....... Block ..... .~. ........... Lot ..... ./.~. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ . .~?.5/..~...~.~d..' .7.~../.~..~. ..................................... b. Intended use and occupancy ............... .~. ~.'~../~...~.'~. ........................................... 3. Nature of work (check which applicable): New Building .......... Addition . ~ ........ Alteration .......... Repair ............ Removal .............. Demolition ......... ~. ·. Other Work 4. Estimated Cost ......... ~ ............ Fee .... '~ [to bel paid on fihng this apphcatlon) 5. If dwelling, number of dwelling units ............... Number of dwelling un,ts on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ...... ~ ....... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ........... t ..... Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear . . i ....... Depth ............... Height Number of Stories 9. Size of lot: Front ...................... Rear ......... j Depth .. ........ 10. Date of Purchase ............................. Name of Former Owner ~ ............................ 11. Zone or use district in which premises are situated .. 12. ' x ....... · .....' ...... ~ ............................ Does proposed conStructlon v39Iate any zoning law, ordinance or regulation: ... i ............................ 13. Will lot be regraded ...... r~*~' .............. :_... Will excess fill be remov,e~from premises: Yes (~ 14. Name of Owner of premises .~r.~'~... (~2~.O .t~. t. FI.{. Address .~'I~/~..~o.~.O../~tt. .~.. Phone No ................ Name of Architect ............... ., ........... Address .............. ~ .... hone No. Name of Contractor.. ~.-./'/.1:.~..~..t,..~. t,7~b.a,4C.... Address . .t~t. ~.T~/.2'J~.~..~. Phone No.. ~...~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, ifidicate 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 coruer lot. STATE OF NEW Y..~RK~,~ .......... ~.0..~. ~1~1 lq/ .... ~ .... ~.'[~.k.. ~ ....... being duly sworn, dePdses and says that he is the applicant (Name of individual signing contract) above named, He is the ........................................ , ..................... (Contractor, agent, corporate officer, etc.j 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 all statements contained in this application are true to the best of hi~ 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 Notary Public, ....... ount, ~n~ 9 AM ~0 4 PM FoR TH u.,c 'FCTIONS: FOI ~ FO ~ P' 2. ROIjfm~ ' 3 INc~9 '~'' 4. ' ALI- Cr),~ ~q T~IE RF~ - ,-,--rc r,~: T}IE N. STATE CODES. NOT RESPONSIBLE '~r"." ~