HomeMy WebLinkAbout25797-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Bouthold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26552
Date: 07/09/99
THIS CERTIFIES that the building ACCESSORY SHED
Location of Property: 820 TRUMANS PATH
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 31 Block 12
EAST MARION
(HAMLET)
Lot 16
Subdivision Filed Map No. -- Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 30, 1999 pursuant to which
Building Perrait No. 2S797-Z dated JUNE 14~ 1999
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 12' X 20' ACCESSORY SHED IN THE FRONT YARD AREA AS APPLIED FOR.
The certificate is issued to EUGENE & BARBARA PERINO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPART~IENT OF HE;tLTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
' Building In~ct~r
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. 25797 Z Date JUNE 14~ 1999
Permission is hereby granted to:
EUGENE & BARBARA PERINO
PO BOX 175
EAST MARION~NY 11939
for :
CONSTRUCTION OF A 12' X 20' SHED IN THE FRONT YARD AREA AS APPLIED
FOR.
at premises located at
County Tax Map No. 473889 Section 031
pursuant to application dated APRIL
Building Inspector.
820 TRUMANS PATH
EAST MARION
Block 0012 Lot No. 016
30 1999 and approved by the
Fee $ 35.00
~~S/ig/~re
ORIGINAL
~ev. 2/19/98
~T ~" ' ~rJuL~.iapp 1 ~ kRr_i~nJ must
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-I802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
be filled in by typewriter OR ink and submitted to the buildi
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property line
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and s~erage-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 (prier to April 9, 1957) non-conforming uses, or buildings
Ppre-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 applica,
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 $25.06, Sw~ing pool $25.00,~ccessor~ldimg $25.0~'
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate 'of Occupancy on Pre-existinR Building - $i00.00
3. Copy of Certificate of Occupancy - , .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $[5~/~ Commercial $15.00
~-------------------~ Date..... ........................... . .. . .
New Construction ...... ~ .... Old Or Pre-existing Building .................
.~.9 IR~.~a.~..'s Y, Sl ~ F_~/.~zt ~. ~ o~ .~./.
Locatio~ of Property .................
House No. Street Hamlet
Ouwer or O~mers of Property .... 6~..(f~../~J.~-~...~...~~.. ..~..~c-~(~. ~Q ............ . .
County Tax Map No 1000, Section...~.[ ........ Block ..... ~.~. ........ Lot ..... /.~ ...........
Subdivision .......... ~!(: ................. . .. . Filed Map ......... .. . Lot ..................
Pe~it ~o ...... V.:l. ¥ ~S--gate Of Pe~it. k X{X..7~. .... App~icant ....... .~e~n~.o .........
Realth Dept. Approval ............... ~J~ ....... Underwriters Approval ..... A3./~. ............
Planning Board Approval .......... ~. .........
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: S.~ .3~..~ ............... .. . ..
co
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOI,r~
June 30, 1999
Mr. & Mrs. Eugene Perino
P.O. Box 175
East Marion, NY 11939
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25797-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ .] IN_/SULATION/~
[ ] FRAMING [ ~FINAL
[ ] FIREPLACE & CHIMNEY
OtI~ATIO~ (IST)
'~',IDATION (2ND)
PLUMB ING
r~SULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMI~EHTS:
FO~fNO. I
TOgNOF SOoTflOLD
BUILDING DEPARTMENT
TO~gAIJ.
SOUTBOLD, N.Y. 11971
TEL: 765-1802
~Oa~~T~ ...............
~3 S~TS O~ ~LAltS ......... ......
NOTIFY:
/. ........ :..:
CML ... 77 7- y~s ~
MAIL TO: ...................
A~PLICATION FOR BUILDING PENHIT
INSTRUCTIONS
Date ................ ,19 ....
a. Tais applicatico anst be ccmpletely filled in by typewriter or in ink and setmitced ro the Building Inspector
3 sets of plans, ~-~n-ate plot plm to scale. Fee according to sdaed~le.
b. Plot plse ~ locatico of lot ~d of buildings co premises, relationship to adjoining premises or public
streets or areaa, aed giving a detailed description of layout of property ~mt be dr~ co the dingran vhich is part ol
this application. /
c. ~Pae work covered by this applicatico may not be ommenced before isstum~ce of Building Pemit.
d. Upo~ approval of this applicatico, the Building Inspector will issue a Building Permit to the applicant. Bud
pemit raga11 be kept oa the premises available for inspectico throagtmut the ~ork.
e. No building ~11 be occupied or treed in ~i~ole or in part f~r ~ ~ ~hatever until a Certificate of
APPLICATI(It IS ~ ~ to the Baildirg Del~,',--,t for the issem~e of a Building Pemit pursuant to the
l~ilding Z~e Ordln~ce of the T~m of Southold, Suffolk County, ~ York, amd other applicable Laws, Ordinances'or
l~;ulaticos, for the c0nstmction of buildings, additicos or alteratioas, or for removal or m~olitio~, as herein
described, lhe applicmat ~'~s ~o .-~p. ly will~ all applicable iai, ordinm~es, I~ilding code, housing code, and
on in building for nece i ,n~ecticos.
(Hailing at'tess of at~plicant) { ~.~
State ~hether ~ylicamt is m~er, lessee, agent, architect, engineer, gemeral contractor, electrician, plmber or bail,
............................ iP~. ~.~. ~.. .............................................................................
~- o~ ~ o~ ~-,~ ..... C~..~..~.~ .... t...~F..~..0£~ ...... ?.gM./M.o. .....
'(as on the tax roll or latest deed)
If appliomt is a corporatico, signature of d~ly aithorized officer.
...................... ~/.~ .............................
~ ~ ,,,e of ~o~ o~.~,~) OCCUPANCYOR
~i,~,~ ,,:~.~ ~, ........... .~./..~.USE. IS UNLAWFUL
~ IUIU)INO DEPAR~VIEI~T AT
......... ~.a. ~ ............ 7.8. ~ t~i.~).'~ .... ?~4~-~ ................... ~ff~.<...~. ~ _ .~~'~. ?.?~.
~ ~r ~t ~let
~~. ]~ ~ti~ ..... ~J ........ ~ ...... /.g. ...... ~t .... Z~ ........
~iMsim ............. ~/J .................. Fil~ ~ m ................ ~t ...............
(~)
2. s~ ~ti~ ~ ~ ~ o~ ~. ~ ~t~ ~ ~~~i~:
~. ~ ~~ ...... :~ a~ .............................. ..........
P~= -~ ~ ........... ~/.d..W. IT. HOUT CERTIFICATE '~ ~
4. FINAL - CONSTRUCTION MUS,
~,~c,~ .~ ~ ....... ~/~ ·OF-OCCUPANCY ~ ~,, ~. ~.o.
~r ~'a ~ ~ ...... ~./.~ ....... ~EA~ CONSTRUCTtONREQUIREMENTS SHALLoF THEMEETN Y
Natsre of ~ork (check ~,tdch applicable): NO~ Building . .. i~dltion .......... Alteration ..........
r............ ~,~ral ....... .. . ... De~oli~ioo ............ O~er t4brk ............... .. ~.~ .~..~ ........
.. ,(Deacript i~xO '
'~stlmated Cost ...~..~.~..; ............ fee ........................................
(to be paid oo fih~ th~s apphcattc~)_~.~"~
Ir d~elli~g, rxmtJer or ~lli~ units ...~....~. .... limber of O~elling units on each floor .... ~..~. .......
If ~ra~e, ot~er or cars .... ./X..~. ...........................
If I~siness, co~m~rclal or mi~d occupancy, specify nature m~I extent of each ~ of use ..... ~.!..~. ...........
Dimensions o[ existing stmct~rres, if any: Prunt...~. .......... Rear . .~.d. ......... Depth ...~.d. ..........
DeiSt ... ~.~.~ ................. ~r or Stories ..& ..................
Oi~ensioas of s~e strocture with alterations or additions: Froat /v/~ Rear A/
Depth........~..~. ....... ~leight................../V ~ . . limber or Stories ..............
Dimansioas or entire ne~ cc~stmctiun: Froot ...M~../ ....... Rear -~ / l)epth
Dei~ht .... /?. .................. limt~r of Stories .../. ................
si~ or lot.- r~t ..~...~.f ............ Re.~ ..... Z.~K.~ .......... Depu, ..X.~C ...........
Dace of Pordmse ..././..:. i~. Z ......... s~re of ror~er O~er . .~..~..~.....~. J..Z:..~..~.~..q ..............
Zose or use district in ~,t~ich premises a~ slt~ated .......................................... . ... ... ........ . . . . .
l~oes proposed cunstructloo violate any z~in~ la~, ordinance or rei~alatiom . .~/..~ ..................
gill loc be regrmted ...~...~. ............ Will e~cess fill be removed frcm premises: /1/~ES
Na~ or Architect..............~/A ................... ... Address .................. . ... .. . .... . Pts~e llb ............
Nam~ of Co~tractor ................................... /kldress ............................... ~ No ............
Is this property within 300 £eet or a tidal ~etla~xl? * ~S .......... NO..........~ ~ '
PLOT DIAGRAM
Locate clearly a~d distinctly all Imildlogs, ~,~ether existi~ or ~, ~ i~i~te ~I ~t~ d~i~s
~r~ li~s. Gi~ s~t ~ bl~ ~r ~ ~rip~i~ ~i~ ~o ~, ~ ~ s~ ~s ~ i~i~e
~r interior or ~r lot.
~ is the ..... , y~a~j~ .
(~l~'~ate officer, etc.)
,f ~id ~r or ~s~T~Ci~ ~Y~t~ri~ to ~rfo~ or ~ ~rfo~ ~m ~id ~ ~ to ~ ~ file
imt ~ ~ will ~ ~f~i'~ ,im,,~r ~t fgrth i~ ~e a~ti~ti~ fil~ ~.
~m to ~fore ~
~~ _ .-': ...........................
PEi !'NO '
f
· ' TOWN oFs,:ZUmo~?, ~.¥.
· SU,~ (~UNTY ' :'~---" ' --'
The ~waEe disposal and
tocatlon have ~en
'0.
E. LEV.~T. IOI,4_5 I~.I:;'tFE~ T'O 16,8 T'O '~zVAi'E'I2 IN T~.~T HOLE'
TO THE ~TANDAt~i)S OF TH
SUFFOLK CO. DEPT. OF HEALTH SERVICE;
Is)
¢[~V(.~[S - ~0~ A~OV~ 0
DATE: .
~D: ·
~LK CO ~AX ~ ~N~:
.:~:~ .B.1. ]~ ,
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