Loading...
HomeMy WebLinkAbout27150-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27811 Date: 07/16/01 T~IS CERTIFIES that the building ADDITION Location of Property: 305 FASBENDER AVE PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 67 Block 6 Lot 6 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 2000 pursuant to which Building Permit No. 27150-Z dated MARCH 16, 2001 was issued, and conforms to all of the requirements o~ the applicable provisions of the law. The occupancy for which this certificate is issued is STOOP ADDITION "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. ~"ne certificate is issued to RALPH SCIBELLI of the aforesaid building. (OWNER) SUFFOLK COUI~TY DEPARTMENT OF BEALTH APPROVAL ELEC"~RICAL CERTIFICATE PLUMBERS CERTIFICATION DA'r~3 N/A N/A N/A ~A/i~ d/Si~ture Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27150 Z Date MARCH 16, 2001 Permission is hereby granted to: RICHARD D HAYNES 100 PIONEER STREET BROOKLYN,NY 11231 for : CONSTRUCTION OF A FRONT STOOP ADDITION " AS BUILT " at premises located at 305 County Tax Map No. 473889 Section 067 pursuant to application dated DECEMBER Building Inspector. FASBENDER AVE SOUTH/PEC Block 0006 Lot No. 006 15, 2000 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL~ 765-1802 JUN 4 2( ;J1 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ',':':~"C~'>?,!O~D,,I ~ Th{s 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...~ubmi~ Planning Board Approval. of completed-sit~ plan ~aql~J-rem~a+t-s-~---- 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. i. 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,S25.00. Businesses $50.00. 2. Certificate of Occupancy o~n Pre-existing Buildinm - $100.00 3. Copy of Certificate of Oc'~pancy - 4. Updated Certificate of Ocdupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ......... Old Or Pre-existing BuiSding...~.~ ...... Location of Property.iiHouse ..................... No. ~' '~'~f'~~'' ' i i i i i i 'Ha~e~~'~'~ '~'Street ....... ....... County Tax Map No 1000, Section .............. Block ..... .~ ............................ Subdivision ........... ~ ........................ Filed Map ............ Lot ...................... Permit No...~..?./.~..~.....Date Of Permit ................ Applicant.~J.~.~....~..~..~..~ .... Health Dept Approval Underwriters Approval . Planning Board Approval~ ....................... Request for: Temporary Certificate ........... Final Certicate ........... Fe~ Submitted: $..~.) ....................... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ (/]"FINAL [ ] FIREPLACE&CHIMNEY REMARKS: ~~)-~ DATE INSPECTOR JUN 5 001 ~,LDG. SANDY ROKOFF 718 339-6915 917 445-4581 modsand@cs.com 1720 E. 14th Street, Brooklyn, NY 11229 May 30, 2001 Re: Cert. Of Occupancy Peconic 67/66 Fassbender Ave. Enclosed please find my application for,,~ C of O for/the Peconic property stated on the form. Also please find a check for $2r5.L/00~for the fee. Please note~aynes has~r ~ pCna request. I understand that we need to make an ~tppointm--' -- ent with your offic'~,d have an inspector come out and dig to see the foundation of the addition. I am requesting June 18, 2001 to conclude this. Thank you for your cooperation and please do not hesitate to call with any questions. I look forward to a confirmation of the date. Very truly yours, Encl. Sandy Rokoff ~J[ure n£ work t£1tecKp, E~ova!~tch a[~)ilcaDle): New ~Jll. dl~ ~'~.., ....... '~.. ~1~1~ ...... ~...~ n,.~:~., tnt ~'~.. ~. ~.~. ~--~Jc~7 Esri~mt~ ~sr .... ~ ................. ~ . .~ .......................................... (to ~ ~id ~ filing thia I[ ~lli~, m~r o[ ~lli~ ~mlts ............ ~r o[ ~lling traits m e~ flmr ................ I[ ~rage, ~r o~ ~r8 ...................................... I~ Imi~ss, ~rcial or ~ ~, s~ci~ ~ture ~ ~tenr o[ ead~ ~ of ~ ...................... Dimnsi~s o[ ~isti~ ~t~res, ii ~: ~mt ................ ~ar ............... ~pth ................. lhi~r ......................... ~r o[ 8torle8 ...................... Dimnsi~ of ~ ~t~mm ~rh alteratlms or ~itlons: ~ont ............... ~ar ............... ~pth .................... ~t ........... / ........ ~r o[ Storie~ ............... .~,_~ o~ ~ ~ ~.~: ~~...~m~..~ .......... ~ .............. I~i~t ......................... ~r of 8torles ..................... Si~ o~ lot: ~t .................... ~ar .................... ~ptl~ .................... I. hte o[ h~rdm~ ..................... ~ o[ Po~r ~r ........................................ h ~s ~o~ c~t~tlm violate a~ mi~ 1~, odi~e or re~larlm: .............. ; ......... I. ~ill lot ~ ~ .................... ~ill ~sa Jill ~ r~ ~m ~8: i. ~ o[ ~r o[ ~s ........................... ~re~8 .............................. ~ ~ ............... PLOT I~aCe clea~ly ~ disci~Cly all ~i]di~s, ~H~u ~is~i~ o~ p~o~, ~ i~i~e all ~-~ d~usi~s -, .:.7:.,.,, , : . . _.. ........: .:.:. ....... ~ i~ the .................................................................................................. (~tractor, agent, cor~rate off{cer, etc.) ,f ~id ~r or ~rs, a~ is ~ly ~thorl~ to ~rfom or h~ ~rfo~ tl~ mid ~ ~ to m~ ~ file this ~1 icat[m]; that ali. stat~ats c~ta[~ in ~is a~licatim~ are tm~ to the ~st of his ~l~ a~ ~llef~ a~ J~at the ~rk will I~ ~rfo~l in tl~ ~m~r ~t forth in ~e a~li~ti~ fil~ t~. ~rn Lo before n~ this ....... /, ~.'~. ..... d,y o~ .~,..C~.~.. ~O~... ~i~~.~~.,. ~' ~'~ A STATHI~ NOTARY PUBLIC, S~te of New No. 01ST6008173, S~olk ~u~ Te~ Expires June 8, ~ (Signature of ^ppiicant) Disapproved a/e ...... FORH NO. I TORN Ol~ SODTUOLU BUILDING DEPARTHENT TORN HALL SOUTHOLD, N.Y. I 197 I TEl.: 765-1802 BOARD OF HEALTH ............... "-'~3 SETS OF PLANS ......... ' ...... -'~ SURVEY ........................ CHECK ..; ...................... SEPTIC FORM ................... DEC ........................... TRUSTEES ~ .............. ..,.,.~-~'-..,. NOTIFY. ~- ~ ..... ~"~ ~ ............ APPLICATION FOR BUILDING PERMIT DaCe ................. 26 .... INSTRUCTIONS a. This application must b~ canpletely filled in by type~rriter or in ink and submitted to the Building Inspector ~ 3 sets of plans, accurate plot p~an to scale. Fee according to schedule. b. Plot plan shoalng location of lot and of buildings on pr~nises, relationship to adjoining premises or public streets or areas, and giving a fi tailed description of layout of property mast be dra~n on the diagram ~hich is part of this application. c. 1be ~oxk covered by thi~ application my not be ccr~eeced before issuance of Building Permit. d. Upon approval of this aI plicati.~], the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on [he pre~ ses available for inspection thro~t~t the work. e. bb building shall be o~ upied or used in ~hole or in part for any purpose ~hatever until a Certificate of Occupancy shall have been grante by the Building Inspector. APPLICATIC~I IS I~m~mi ~ lo the Building Deparment for dm issu~ce of a Building Permit pur~x~nt to the Building Zone Ordinance of the T~ an of Sanrhold, Suffolk Camry, Ne~ York, and other applicable La~s, Ordinances or Ik~gulatians, for the constructlc~ of buildings, additions or alterations, or for removal or den~litico, as herein described. 1he applicant agrees[to cauply ~rlth all applicable la~s, ordinances, building code, housing cede, and regulations, and Co admit anthorl zed inspectors on premises and in building for necessary inspactlons. ..... (Siganture of applicant, or name, if a corporation) (paillng address of applicant) State ~h~tber applicant i~ mr leesce~ agent, architect, engineer,'geeeral contractor, eleetri¢ian, plmt~r or lmilde ........ ...................................................................................... p ...... ...................... .................. ................. ........... l(an on ~ tax roll or latest deed) If applicant ia a corporation, s~gantum of duly authorlxed offleer. Otber Traders Lieanse ~...I .................. I. It~catlon of laed on ~hlch Im)pnsed unrk will be de~ .............................................................. ~ Eked)er { Street [la~flet County Tax Hap No. I000 Seqtian ................ Block .............. Lot ~ Subdivision ....... Filed Pap No. Lot 2. State existing use and occupancy of premises and intended use and occupanc~,i~f/p~OpO.'~s~, cnsSC~hctlon. h. ~,t~,~ ,,~ ,~ ee~ ....... ~..'~t... ..... h~ . dL'.e. .... . . FA SBENDER A VENUE (private road ) o,~'e. \ 102. 30' ~F~ I N'~62°45'00''E' CONO. I00. O0 LOT ~ LOT I~ c~r $, ~ 2 o 4§'00" W. I00.00 N /O/ F LAND OF CONJCK FND PIPE ,or O) CERTIFIED TO' RALPH SCIBELLI COMMONWEAL TH LAND TITLE INSURANCE ,COMPANY SURVEY OF LOTS 9 & 10 "MAP OF BAILEY PARK" FILED SEPT. 26, 1932 FILE NO. 1097 A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. I000 - 67- 06 - 06 SCALE: I" = 30' AUG. 2~, 1986 DEC. I~ PO00 updote ) 12.30 TR.,4 SOU THOLE N,Y. I1~?1. L/C. NO. 49618 P.C. 6o71) 765 - 1797 ANY ALTERATION OR ADDITION TO SURVEY IS A VIOLATION OF SECTION T209 OF FEE NEE YORK STATE EDUCATION EXCEPT AS PER SECTION 7209 - SUBO(VI$10N 2. ALL CERTIFICATION9 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY SAID MAP OR COPIES 8EAR THE I~PRESEED SEAL OF THE .PURVEYOR WHOSE S/GNA TURE APPE~.,RS HEREON, ADDITIONALLY TO COMPLY W/TH SAID LAW THE TERM "ALTERED 8Y~ MUST 8E USED 8Y ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED' AND "8ROU~itI' - TO - DA,~E" ARE NOT IN COMPLIANCE W/TH THE LA~/..