HomeMy WebLinkAbout25061-zFORM 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. 25061 Z Date JULY 28, 1998
Permission is hereby granted to:
ROY & DEBRA LOCASCIO
1170 PARK AVENUE
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR
YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 1170
County Tax Map No. 473889 Section 056
pursuant to application dated JUNE
Building Inspector.
PARK AVE SOUTHOLD
Block 0001 Lot No. 002.008
16 1998 and approved by the
Fee $ 35.00
Building I nsp~o~
ORIGINAL
Rev. 2/19/98
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26195 Date: 12/29/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1170 PARK AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 56 Block 1 Lot 2.8
Subdivision Filed Map No. Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 16, 1998 pursuant to which
Building Permit No. 25061-Z dated JULY 28, 1998
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 STORAGE SHED IN REAR YARD AS APPLIED FOR.
The certificate is issued to ROY & DEBRA LOCASCIO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 Neaith 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. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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.
~ Fees
1. 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 $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
/
~ew Construction ./... - · ·
....... Old Or Pre existing Building ...............
;ocation of Property...].).7.O. .........................................
House No. Street Hamlet
)nwer or Owners of Property · ·
Map ~ ~ '~'' ' .....
~ounty Tax No i000, Section. ~--~ .Block ..... Lot ..... '
;ubdivision ............................... Filed Map ...... Lot ...... ' ...........
~ermit No ~1 .~.. Date Of Permlt Applicant ......
{ealth Dept Approval Underwriters Approval .....
'lanning Board Approval ...............
{equest for: Temporary Certificate ........... Final Certicate ........... ~
OO
?ee Submitted: $ ....... ~..'~..' · ................ .~___~3~~ %. ....
......
APPLICANT
co-g
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPAR~I'MENT
TOWN OF SOUTHOLD
November 12, 1998
Roy and Debra Locascio
1170 Park Avenue
Southold, New York 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT 9 25061-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
OUNDATION (1st)
OUNDATION (2nd)
;OUGH FRAME &
.PLUMBING
2NSULATION PER N.
STATE ENEROY
CODE
COMM£~T£
O
FINAL
ADDITIONAL COMMENTS:
C~on s+r~tc_~ ~ o r~
7G5-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ]ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ]FRAMING
[ ] INSU. U.U.U.U.U.U.U.U.~ION
[~I~AL
[]FIREPLACE&CHIMNEY
REMARKS: ~~~ ~~z~--.-~
DATE /~/?//~ I NSPECTO~
BOARD OF HKALTN ......... ; .....
3 SBT$ OF FI,AH$ ...............
8URVBY .',~; .....................
CI1BGK ,',, ~ ..;{ ...................
~EPTIC FORH ...................
NOTIFY:
CAl.,...~. ,5:. {o.9.~.~.. ·
HAll. TO.' ....................
INSTRUGTION$
a. This application must be co~letely filled in by typewriter or in ink and ~nltted to the ihllding lrmpector vi
3 sets of plarm, accurate plot plan to scale. Fee according to acl~d~le.
b. Plot plan ~aing loc~tion of lot and of b~ildi~gs on preml~a, relatio~hip to adjoining premises Or wbllc
streets or areaa, and giving a detailed deacripE{oo oi layover o[ property moue be dra~ on tbe dia&raa ~h|dt {a [mr~ of
this aplfl icacion.
¢. 'lite ~mk covered by this application may no~ be co~renced before is~mce o~ Ikiilding Permit.
d. Upon approval of Ods a~l.i~ci~, tl~ {~lldl~ lus~cCor wtlI ls~ a ~ildi~
~ ~mll ~ ~pC ~ ~ ~s ~ail~le for i~Ct~ ch~C CI~ ~rk.
e, ~ ~iidi~ droll ~ ~pi~ or ~ In ~le or in ~rC for ~ ~ ~m~er ~il a ~r~ificaCe of
~H.I~'~ IS ~ ~ Co ~l~ {kflldi~ ~rt~nC for ~ issue o~ a ~lldt~
~laCi~s, got Cbe ~c~i~ of hflldi~, ~lct~s or al~eraci~, or for x~,~al or
~ri~. ~ appli~C ~s Co ~ly vt~ all a~licable l~s, ordi~es, ~tldt~
~St8~tu e o ~ ,
..... I.!20 ................... t...-: ............
(~ili~ ~ss o[ a~ltc~tl
8Cate d~O~r a~llcanC la ~r, lea~, ~ent, arO~lt~t, e~i~r,'~eral ~t~tor~ el~trtci~,., plier or~ betlde~
..... ~a~%: ............................................................. · .... '"' ...............................
~ of ~r of pr~l~ ~0~ CO
(~ ~ tbe ~ wll or latest ~)
~,~a ~.,~e'~ ,~ ........... d/...: .......... OCCUPANCY ORt mm. ~ · ~
~l~be. u~,.~ ~ ........................ USE IS UN~UL~' ~
.. 4. FINAL- ~U~ON MUST
WITHOUT CERTIFICATE ~ ~ ~ c.o.
El~trici~ l,ice~ ~ ...................... ALL ~N~U~ON SHALL MEET
OF ~UP~ THE REQUIREMENTS OF THE
Oiler ~'~ Ltc~m ~ ..................... ~TI~ ~ON~YNUCTION · ENERGY
l~oti~ of 1~ ~ d~id~ p~l ~rk ~111 ~ (~ .......................... ~:,N~'~LE"FOR'
I_. . ~ ] ORCa, CTI ~
/7o ........
1~ ~r 8t~t i~et
~ ,,,~ m. ,~ ~,ton ...~ ......... ~,.~k ...... 9.! ...... '. ,,, :.:O.'.g .......
oek ....................... go3,7 ....l~t ' &~'
~ivlsi~ .k ..... ~0 ~s~a~?S ~ ..... ~tl~}2p~ ........... · ..............
(~)
2. State exl.tlng u~ ~ ~ o[ I~t~s ~ lntea~ ~ ~ ~? o[ p~ ~t~t~.
a. ?~sti~ tm a~ ~y ............................................................................
b. Inte~ tm a~ ~ ......... ~ ............................................ ' ..... ? ...............
I0.
12,
13,
14.
I~lture oE ~ork (dmck
,,
(to ~ ~ld cm filing this
garage, txmfMr oE ~rs .. .... { ....... .
/.
SJ~ ol loci l~t
~ or u~ district in ~[dt pr ~[~a n~ at~C~ ................................
~m o~ A~dt~t [ ~ress
prol~r ty ll~a. Interior or
S~
,~ I'A'I I,~ Olr
oF ~nld (~r or ~rs, nt[I ta (~[y Jti~rl~ to I~rfonn or lume I~rFor.~l I.l~e ~l(1 ~tk mxJ to nmke a,xl file t.hi~
tirol th9 ~rk w[ll I~ ~rfo~l In tim net. mr ~t forth in the n~l, icati(m fil~
.... ........... day o~ .~ ...... 19.' .......
{ (SJiFml re ()~ lppllcnnc) .....
' ~ JOYCE M. W{LK{NS] ~
Note~ Pub o, State of N~
No. 4952246, Suffolk
Term Expires June 12,
..4
LoT
LOT
pARK
15~.00'
AvI~NU,E.
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