HomeMy WebLinkAbout13991-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No ~-18358
Date
SEPTEMBER t1~ 198~
THIS CERTIFIES that the building
Location of Property 195 BUNNY LANE
House No.
County Tax Map No. 1000 Section 117
Subdivision
ADDITION
NEW SUFFOLK~ N.Y.
Street Hamlet
Block 6
Filed Map No.
Lot 21
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 22, 1985 pursuant to which
Building Permit No. 13991-Z dated JUNE 3r 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 ADDITION TO EXISTING ONE FAI~ILY DWELLING AS APPLIED FOR.
The certificate is issued to JOSEPH AREMA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
PENDING - September llr 1989
u~ '
lldln nspector
Rev. l/B1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NM 13991 Z
Permission is hereby granted to: /'~
.2.~.~...~,~~....~.., ..........
~... ...........................................~ ~.**.,.~, ~0~o /, .............. o~:~ .~..
..~....~~.~.~ ............................ ~_ ,,,._.-.~ ............................. _.....,..: ............................
at premises located at ..... ~..~..~.,....).~.~..,~....,.~......~/.~..~ .................
County Tax Map No. 1000 Section ....... ././...~. ......... Block ......... ~. ......... Lot No ....... ~../. ..........
to application doted ....... .......~.~.....~....~.. ................ , 19..~.'~..~., and opproYed by the
pursuant
Building Inspector.
Fee $ ...~.~..~ .........
Rev. 6/30/80
TOWN OF $OUTHOLD
BUILDINC DEPARTHENT
TOWN HALL
$OUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION
FOR CERTIFICATE OF OCCUPANCY
/~ATE
NEW CONSTRUCTION ....... OLD OR PR~-EXISTINO BUILDINC ...... VACANT LANO ........
Location of Property ............ ~
.~ ~ ..... ~ ..........
~OUSE ~0. STREET aA~L~
0w~er or Owners of Property. .2 .... ~
cou~ Ta~ ~a~ No. ,000 ~etlo~ d~Z. B~o~ ...&... Lot ...~./...
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ...... Date of Permi~ ---~pp£icant . ~0~.
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ ....................
rev. 10/14/88
APPLICATION FOR C~RTIFICATE OF OCCUPANCY INSTRUCTIONS
'This application must belfiled in type~rlter OR ink and submitted to the Building
Inspector with the following; for mew buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual ~atural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage-dlsposal(S-9 form).
3. Approval of electrica~ installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that solder used in system contains less
than 2/10 of IZ lead.!
5. Commercial buildings, ilndustrial buildings, multiple residences and similar
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6, Submit Planning BoardiApprova1 of completed site plan requirements.
Fur existing buildings (~rlor to April 9, ]9573 non-conforming uses, or buildings
add "pre-existing" land ~ses:
I. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed ~pplication, 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, ]957.
If a Certificate of O~cupancy 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.
For Vacant LandCertifie~te of Occupancy:
]. An application for vat!ant land Certificate of Occupancy shall be submitted,
and a certified abstra!ct of title issued by a title company showing single and
separate ownership of the entire 10t prior to April 9, 1957 shall also ac
· . , . . company
the applxcatlon. If a' Certxfxcate of Occupancy is denied, the Building Inspector
shall state the reasonis therefor in writing to the applicant,
FEES:
I.
3.
4.
5.
6.
CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $2~.00. Accessory building $25.00
Addition to AccessOry buildings, $25.00 - Businesses $50.00.
Certificate o~ Occppancy on pre-existing dwelling - $100.00.
Copy of Certlflcat~ of Occupancy - $5.00 - over 5 years - $10.00
Vacant Land Certificate of Occupancy - $20.00
Updated Certificat~ of Occupancy - $50,00
Temporary Certiflc~te of Occupancy - $25.00 Residential
$50.00 Commercial
FIELD INSUECTION COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
INSULATION PER N.
STATE ENERGY
~ODE
FINAL
ADDITIONAL COMMENTS:
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
July 28, 1989
Mr. Joseph Arena
96 Homestead Avenue
Scarsdale, New York
10583
Re: Building Permit 917278
195 Bunny Lane, New Suffolk, N.Y.
Suff. Co. Tax Map 91000-117-6-21
Dear Mr. Arena:
Enclosed please find herewith Certificate of Occupancy No.
Z-18193 for the deck addition to your home.
Also enclosed is Building Permit #17278Z which covers the
deek and the aeeessory shed. A Certificate of Occupancy is
still required for the Accessory Shed. Please call this office
and arrange for inspection for the shed, and also for a final
inspection for the addition under Building Permit #13991-Z.
Building Permit #13991-Z has expired. The last inspection
done was on July 21, 1988. At that time, CO was denied as a
smoke detector is required.
You are in violation on the Southold Town Code. In order
to avoid legal action, you must contact this office immediately
to resolve the violations.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined .~...u.?;o~.....~ ..... , 19~..x/.
Approved .. ...oy~... ~ .... , 19~..g. Permit No.! .~.~..cl./..~...
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
~. Tl~s 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,}ommenced 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.
q No building shall be occupied or used in whole oi' 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 appBcable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Yhe 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.
...... ...................... ,: ....
t~gnature of apptlcant, or liaJTlC, .~.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
/
..... ..... ......... .....................................
Name of owner of premises . .V~..~.~. ~'.~..~.../~./~e_,_~./.,?.~....~'~2'.ff~.~. ...............................
(as on the tax roll or latest deed)
If 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{and o~n which proposed work will be done ......................... >~ ...................... ,
.../.e. ........ ..... ......... .............
House Num ber~ \ ! Street Hamlet
County Tax Map No. 1000 Section . .(/. ~..-..~.~.7.~.../. 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...."~/./..' .' .~./.."~'. ~. .......................... .............................
J
b. Intended use and occupancy .....~../.~./..~..~ ......... . .............................................
3. Nature of work (check which ~pplicable): New Building ..... ' .....'Addition....x~t.. .... Alteration ..........
Re~.! ~ .~ .¥~ ....... Removal .............. Demolition Other Work
(Description)
4. Estimated Cost ...... .~.~. ~2 ....................... Fee ......................................
~ (to be paid on filing this application)
:
5.If dwelling, number of dwelling units ............... Number of dwelling units on each floor .... . .'TT.- .........
If garage number of cars '
6. If business, commercial or mi~ed occupancy, specffy nature and extent of each type of use ....,P{.~. ...............
7. Dimensions of existing structm'es, if any: Front .... ~..~ ........ Rear ...~. ~ ........ Depth..~..~.. .........
Height ... ~. ~.: ....... Number of Stories ......... ,~ ............ , ................. .~.: ............
Dimensions of same structure with alterations or additions: Front ..... ~.~/ ......... Rear ...-~..~.. ...........
Depth ..... :~ .Z. ......... i'" Height ...~.~'~.~.;~..~.,~.' ........ Number of_Stories....~. .................
8. Dimensions of entire new construction' Front . ./ . Rear .... ~' ~. . De th .~.27 .
Helght'~;~"~...~'. ...... .,,Number of Stories ....... .~. ............................. .~ ................
9. S1 e of lot: Front ...... ~-~.; ............ Rear ..... .~. .............. Del)th ... ~ .,~'~. ...............
10. Date of Purchase .... f.'.~..~.O. ................. Name of Former Owner ..~/~..,~_~.~. ...........
11. Zone or use district in which Premises are situated ~..~? r'~.e,'ur t','~-
12. Does~proposea construction viblate any zoning law, ordinance or regulation: ,'~t9 .
13. Will lot be regraded ....... i .................... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises ~7'~'~e~..,q',',',',',',',',~////////'Z~.,~... Address .~..(..~'t~t~t.o4'~.,~.,f~'Phone No.~/~..~..,~-~.
Name of Architect ........ I ................... ~ ............. Phone No ..... ' ...........
. Nam~ofContractor ,,,'~...,,~o~.~_~,,~. ~.~E.,'F- ...... .. Address .
.. Address ?.~.. ~...'?A~..t'~'~'~.,f~.¢Phone No.9/.~.. ~/,2..~.C~.~.~..
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
interior or corner lot.
number or description according to deed, and show street names and indicate whether
STATE OF NEW. YOR~./7 ~ i ~ ~
.......... .:~.~..~,.,..~..p,(. .... /L,,~ ,~~~ .......... being duly sworn, deposes and says that he is the applicant
' (Name of individual mgning contract)
above named.
He is the ..........................................................................
~ (Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is dgly authohzed to perform or have perfomed the said work and to m~e and file ~is
application; that all statements conlalned~,~this application are true to the best of his knowledge and belief; and that the
work will be perfo~ed in the m~er set foi~h in the application filed therewith.
Sworn to before me this ~ ~
..... .~.~ ........ day of.. ~ ........ 19 .~.~
Nota~ e~. ~A~~~._~[. }.. County &~
' C ..... , ......................
' ~offifed in ~4che~t6r County.~ (Signature of applicant)
~m~la~ion Explrea March 30, ~
AP;ZC- ~_D AS NO'I~
SUPPLY SYSTEM CANNOT : .v. _~, l~, ~
EXCEED 2/t0 of 1% L~. ~V~ "UlLDiN6 ~
765-1802 9 AM TO 4 .~ ~ mE
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFOR~
G~,I~TIFICATE OF OCCUPANCY'
FOLLOWING INSPEC'~'ION$:
1. FOUNr)ATiON . TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULA'v!ON
4'-FIN~'aL ' Ct")IX~T~U~T~,~4 MUST
BE C'"~.,~ol '"rE FOR C.O.
ALL CC)Nc~R,~(:::TiON SHALL MEET
THE EF~'".'";'~EN'I-S OF THE N.Y.
STA'VF C~N~TRUCTION & ENERGy
CO'ES. N'"T RESPONSIBLE FOR
D~IGN O.~ CONSTRUCTION ERRORS.
If copper tubing is used
for water distributing
system; piping shall be
of types K or L o~ly
OCCU?ANCY
USE !$
........... __.e6_ '- o -
TELEPItONE
(914-) 699-7502
(914) 472-4099
Thmnas P. Arena
GE~ERAI~ CARPENTRY CONtRAcToR
96 HOMESTEAD AVENUE
SCARSDALE, N.Y. 10583