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~/..