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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