HomeMy WebLinkAbout26341-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26933
Date: 02/16/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: · 3575 MILL RD PECONIC
(HOUSE NO.) (STREET) (EAMLET)
County Tax Map No. 473889 Section 67 Block 2 Lot 12
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 9, 2000 pursuant to which
Building Permit No. 26341-Z dated FEBRUARY 9, 2000
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 ACCESSORY SEED "AS BUILT" AS APPLIED FOR.
The certificate is issued to MATTHEW CAPPABIANCA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26934
Date: 02/16/00
THIS CERTIFIES that the building ALTERATION
Location of Property: 3575 MILL RD
(HOUSE NO.)
County Tax Map No. 473889 Section 67
PECONIC
(STREET) (HAMLET)
Block 2 Lot 12
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 9, 2000 pursuant to which
Building Permit No. 26341-Z dated FEBRUARY 9, 2000
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 REPLACE FRONT STOOP ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MATTHEW CAPPABIANCA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
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. 26341 Z
Date FEBRUARY 9~ 2000
Permission is hereby granted to:
MATTHEW CAPPABIANCA
368 BOSCOMBE AVENUE
STATEN ISLAND~NY 10309
for :
REPLACE FRONT STOOP OF EXISTING ONE FAMILY DWELLING AND CONSTRUCT
AN ACCESSORY SHED "AS BUILT" IN REQUIRED REAR YARD AS APPLIED FOR.
THIS PE~ITREPLACES BP# 20139-Z.
at premises located at 3575
County Tax Map No. 473889 Section 067
pursuant to application dated FEBRUARY
Building Inspector.
MILL RD PECONIC
Block 0002 Lot No. 012
9~ 2000 and approved by the
Fee $ 110.00
Authorlz~n Slgn~ure
ORIGINAL
Rev. 2/19/98
BUILDING DEPARTME~['
TOWN HALL
765-1802
~)PLiCATION FOR CERTIFICATE OF OCCUPANCY
Tbis application must be filled in by typewriter OR ink and submitted to the buildin
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 build~
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 a
"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 applican
If a Certificate of Occupancy is denied, the Building Inspector~shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory ~ui.l~ding $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .................................
New Construction ........... Old Or ,Pre-existing B~iding .... .. ...........
Location of Property ..... .~ ~ .~.. ........
House No. Street Hamlet
Onwer Owners f Property ..........
County Tax Map No 1000, Section ......... Block ............. Lot ................
Snbdivision ................................... Filed Map ............ Lot ..................
~.~.!~ I Appli
Permit No .......... Date Of Permit ............... cant .........................
Health Dept Approval Underwriters Approval ........
Planning Board Approval .......................
Request for: Temporary Certificate .......
Fee Submitted: $ ~ ·
Final Certicate ...........
/ APPLICANT
TO~'N 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)
N~ 20139 Z
Date~'/~ ~ ....
....~ ........................................... , ,,.~../.
/
Permission is hereby granted to: -- --
.~.~...~_~....~../......~..
_ ...... ~~...,.._~..,~..,....~./.~.~ .~.~
....... '~ -~ .......~= t~ ......... ~ ~ .... ~/ ~
. ~~ ~. :-...~~-~-~ .......... ~ ..........................
Ot ~,m~,,, ~,,ed Ot .. ~...~...~. ~ .......................
....................... ~~ ~: ...............................
County Tax Map No. 1000 Section ........ .~.....~.. ...... Block .......... ~ ....... Lot No ......~:../.c:~
pursuant to application doted ........ .~..../..~.. ................................... , 19...~./..., and approved by the
Building Inspector.
Fee
Rev. 6/30/80
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. 26341 Z
Date FEBRUARY 9~ 2000
Permission is hereby granted to:
MATTHEW CAPPABIANCA
368 BOSCOMBE AVENUE
STATEN ISLAND~NY 10309
for :
REPLACE FRONT STOOP OF EXISTING ONE FAMILY DWRLr,ING AND CONSTRUCT
AN ACCESSORY SHED "AS BUILT"
IN REQUIRED REAR YARD AS APPLIED FOR.
T~IS PERMIT~EPLACES BP#20139-Z
at premises located at 3575 MILL RD
County Tax Map No. 473889 Section 067
pursuant to application dated FEBRUARY
Building Inspector.
PECONIC
Block 0002 Lot No. 012
9~ 2000 and approved by the
Fee $ 110.00
Rev. 2/19/98
COPY
· 0~ NO. ~
TOWN Of: $OUTNOLD
· UI~.DIHG DEPARTMEHT
TOWN HALL
SOUTHOLD, iq. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°. 20139 Z
Date
· ...~/~ .......................................... , ,9.~./.
/
Permission is hereby granted to: __ _
....... ~~..., ...,Y2..-~..-....~.././..~.~ ~
~~ ....... ~ ........... ~~~...~...~ ..........................................
at premises I~ated at~. ~.~ ...~ ~ ................
co..~ ~ox ~.~ No. ~0o0 ~.~,o. ........ ~..~ ...... ~ .......... ~ ....... ~o~ No ...... ~./~
pu~uant to application dat~ ........ ~ ................................... , 19.~, and approv~ by ~e
Building Inspector.
Fee
Rev. 6/30/80
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INSULATION
[~AL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
3.
INSULATION PER N. Y.
STATE ENERGY
CODE
FI;;AL
ADDITIONAL COMMENTS:
~ FORM NO. 1
TOWN OF SOUTHOLD
, BUILDING DEPARTMENT
TOWN HALL
$OUTNOLD, N,Y. 11971
~.. ,~, ,/,, ,~,, TEL,: 765-1802
..... ,,?
,sapp[oved a/o ................. ', ...................
FOLLOWING I"S"~CTIO"8: ~rrLICATION FOR BU LDING PER~IT
FO~ POURED CONCRETE
ROUGH - FRAMING & PLUMBING
BOARD OF IIEAL'rH ............
3 SETS OF PLANS . . ......
SURVEY ............ :... ::..:
CtIECK
SEPTIC FORiI
NOTIFY
CALL ................ . . · ~ .
MAIL TO:
) BLDG. DE~T, ,
'" 3. INSULATION INSTRUCTIONS
~l FINAL,. -... CONSTRUCTION MUST ,..,,
a. ul~a~l~[~hl~rg~.~j.compie[eiy Hned in by typewriter or in ink and submitted to the Building InspeCtor, with 3
s of p~t~,~~~[[~l~ a~cording to schedule. , ,,,
b. ~ ~~a~n~l~ of bulldogs on premises, relationship to adjoining premises or pubUc streets
area~g~'~'~c~f layout of property must b~ drawn on tho diagram which is
o,' 'up'on a~a~is ~p~he Buildin~ Inspector will issued a Build~ ~c~it to the appQc~t. Such pc~it
dl be~:~pL~.l~e prem!.~:~ble for inspection throuCmut the work, ,!'
c, ~'~il~.~ ~Ee~~ed in whole or in parl for any purpose whatever until a Ce~ificate of Occup~cy
¢' I ' ' , ~,? ,
gula~g~/~%~d~.pZ~gs, additions or alterations, or fo removal or demolition as hereto described
e ap~li~~P~V~l~licab~e laws, ordinances, bu~di~code, housing earle, an~ regulatiom, and
nit a~t~~6~O~~ ~ bulldog l~r neccssa~ inspeet~s.
s~ co~v~ET~ VOR C.C..... ~9~XR~O.~.~2.. ~..
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
' CODES. NOT REsPONSiBLE FOR
DESIGN OR CONSTRUCTION ERRORS
(Signature of applicant, or name, if a corporation)
...5..q .--t~..t,oa.c,w,~ ~ .L,,,.~..
(Mailing address of applicant)
~te whether applicant is owneG lessee, agent, architect, engineer, general contractor, electrician, plumber or builder,
' ? ~.M, ~ ' B,¢..~.. 9 ~
.me of owner of pre~nises ............................................ , .... ...
(as on the tax roll or latest deed)
~pplicant is a corporation, signature of duly authorized officer,
(Name and title of co~porategg[ficer)
' fl-.t
Builder's License No .... · ............
Plumber's License No .........................
Electrician's License No .......................
' Oti]e'r Trade's License No ......................
.OCCUPANCY OR
USE,IS, UNLAWFUL
'WITHOUT CERTIFICATE
OF OCCUPANCY
Loe~tion of land on which p~'oposed work will be done '
.,,~.~..~.. ................ .f39. Lt.t.~--..,& ............................. ~ ............ ,,,,,,
House Number ..... ;..,S;;e;t ,~~, ' ~"~"\Z '" ~", ,,~.,.v.:~,, .' Lot .~/,~., ;Hamlet
, \
County Tax Map No. 1000 Section . · Bl~)ck .. .. : ,.
Subdivision ' F~i!cd Map No Lot
(Name) ¥
State existing u,se and occupancy of premises and intended use and occnpancy of proposed construction:
a. Existing use and occupancy ...~..~./
b.,. Intended use and occupancy ....k~..~
3. N k.( '
stare of wot check whic I applicable) New Buildin ...' . .
Repair , .~. .... e , g % .... Add~tmn. Alteration ,., .....
R, moral ..... "{ ' '
' I ' ' ~ ........... Demo men ............... 0 her Work ..............
, O0 ,~: (D~scdption)
.... Fee
5,. ' { (to be paid on filing this application)
If dwelling, number of dwell ng units ,~ ~. ,'.. ~, ........
lf-araoe nun. b--~ .... , . ~numoeroluWCllnlg units on each floor .
6. . colnl~ercla[ or ~xcd occupancy, sDecilv nnfnr~ n , . - - -
if business . .. . ..................... ,...,.
7, Dimensioqs 9(e~istingstmcthres, if any: .Fro~t ~'ZvC~I¢ .ns cxt~m ~.~ c~c~p[q[,usc ..... ,.,
Hulsht ', ~ti ~,~, ~;~ ~ r~, N-,.,.-- - e ~._~.. ' ............... t~aar , ,,~.~; ~ , ,, Don th ,
Dunensmns of sam0 stmctur~ w~th alterations or additlanm grn.t ......... 2 ....... ' ' ' ' ' ' ' ' ' ,~,,,
9. '.' · '~' '. .....
~0, Dat~ of Purchasa ~/2~..7.~..
........................... .~am~ of Fo~er Oxvner .......
: 1. Zone or uso district in which aremisea are situated... ' ' ~ ..... ' .... ~ ....... , ,,
, , ..................... ,.,,..
2. Does proposed Construction lolato any zoning law, ordinance or regulation:
W~l
3~ lot b= regrad~d ....... · .......................
4. N~o of Owner of pr~miies ~ x' '~'A ~LV.'~' ' ' Will ~xc~ss fih bo rq~mved from pr~mis~s:
'" . df rho.
of Architect ........ i .................. Address ,~ ................. Phone No ......
N~o of Contractor ~g~q~,~, ,~% Address
IS,la.this propnrty loaated ~iehln~OO feet of a tidal ~tlandr ~YgS...aNO.:...~
· If yea, Southold ~ogn ~ruatees Permit may be required..~ . :
' '"1 PLOTDIAG~M '- ': '~
",'LOcate cl~l ~d dist' ~ ' · , : ~' ':;
.... ~ racily ~1 buddings, whether ex~sting or proposed ~d in ' . ·
replay ones. Give street ~d block number or descry*; ....... a: ..... , ,, _ dtcat~ ~1 set back d~ensions from
~tenor or comer lot. -- ! ~ ..~..~- a~,mn~ to Oeea, ~a snow street n~es an~ ~icato~ Whether
ATE OF, NEW YORK,
(Name of md~wd ual s~gnl~g cO~tract)
being c~hly sworn, deposes and says ,tha! 137 is ,the' appl[cant
,~:-, -- . I ~...~,~,,-uautu~..agent, corpor,.te ofi,cer, etc.) , , '" ;' '
,a,u owner or owners, and Is duly; autho~rfor- · , ~ . .! , ' ~.,;,
', · p~ IIIor llaYe [}CIIQIIlle * ,
hca[mn; that all statements contailned in this ---':..~-' d the 3a~d work and to m~e and file
· . I aFPllg~tlon are true to the b, - , ,, , "-
k will be perfo~ed m the m=ner set forth .in the ap"licatio- '= ...... , .~st of Ins knowledge and be!{cf; and that the
m to before me 'this j v n i}~cu [nercwltn.
~ Public, .... ~' .......... ~ ....... CounJ~ ~ ~ ~
'oung Sc Young, Land Surveyors
SURVEY FOR:
MATTHEW CAPPABIANCA
At: PECONIC Town of: SOUTHOLD
Suffolk County, New York
I
'oung & Young, £and Surveyors
NOTE'
1. · = MONUMENT FOUND ~ = MONUMENT SET
2.0 = PiPE FOUND
SURVEY FOR:
MATTHEW CAPPABIANCA
At: PECONIC Town of: SOUTHOLD
Suffolk County, New York
surf. Co. Tox Mop: ~ 1000 ~ 67 ~ 2