HomeMy WebLinkAbout25084-zFORM NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
Office of the Euilding Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25986
Date: 09/23/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3825 STARS RD EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 22 Block 2 Lot 26
Subdivision Filed Map NO. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 3, 1998 pursuant to which
Building Permit No. 25084-Z dated AUGUST 5, 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 WITH DECK AS APPLIED FOR.
The certificate is issued to PHILIP J.& MARIA E. FRUMENTI
( OWNER )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N462622 08/18/98
PLUMBERS CERTIFICATION DATED 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. 25084 Z Date AUGUST 5, 1998
Permission is hereby granted to:
for :
PHILIP J.&MARIA E. FRUMENTI
PO BOX 97
EAST MARION,NY 11939
CONSTRUCT AN ACCESSORY SHED AS APPLIED FOR. THIS REPLACES
BP #20700-Z ISSUED JUNE 9, 1992
at premises located at 3825 STARS RD
County Tax Map No. 473889 Section 022
pursuant to application dated AUGUST
Building Inspector.
EAST MARION
Block 0002 Lot No. 026
3 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
lt~BM NO. O
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)
20700 Z
Permission is hereby granted to:
.......... ................
.... ....... ~....~....: ..........
,o ...... ~..~....~..~...~~...~.). .......................
,,.~,~,, ~ ~,~ ~., ..................... :~ ~ : ............ ~...~: . ................................
................................................................ '~..~~ ....................................................
Count~ Tox Mop No. 1000 Section ....~....,.~.. ............. Block ...... ..~..~ ...... Eof No ..... ..~....~., ...........
pursuon, ,o application doted .............. ~,./...~... ............................ , ]9...~..*~., ond opproved by the
Building Inspector.
Building Insl~ctor
Rev. 6130180
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This 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 buildir
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, oK %uildings an
Ypre-existing" land uses:
1. Accurate survey of property showing ail property limes, 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.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, ~¢esspry buildin~ $25.00_~
Additions to accessory building $25.00. Businesses $50.00.
2.Certificate of Occupancy bn Pre-exist/rig Buildin~ - $100.00
3.Copy of Certificate of Occupancy -
4.UpdatedCertificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $~5.00
New Construction ........ Old Or Pre-existing Building ...............
House No. Street H~m]et
Connty 000, Seetiou ...... .... .... ........
Subdivision ................................. .. . Filed Map ............ Lot ........... ~ ...... ..
Health Depto Approval ................. . . .......Underwriters Approval .......................
Planning Board Approval .................. .. . ...
Request for: Temporary Certificate ........... Final Certicate .... ¢. ....
Fee Submitted:
APPLICANT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONIST [ ] ROUGHPLBG.
[ ] FOUNDATION 2ND [ ] INS/~ATION
[ ] FRAMING [ ~ FINAL
[ ] FIREPLACE &C.HI~INEY
REMARKS: ~."~
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU~.ATION
[ ] FRAMING [~/FINAL
[ ] FIREPLACE & CHIMNEY
REM~ A?.~S.' ~
INSPECTOR
BUILDING DEPT.
iSPECTION
[ ] FOUNDATION 2ND [ ] ,~'~ATION
[ ] FRAMING [/'I~INAL ~
[ ] FIREPLACE & CHIMNEY
DATE.. 7/~'~/~~> INSPECTOR .~ ~~
765-1~0Z
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST [ ] ROUGH PLBG.
J FOUNDATION ~ZND [ ] INSU~N
] FRAMING ~-41~AL
?~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ,
[001~1~ BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 1OO38
THIS CERTIFIES THAT
only the electrical ~uipment ~ ~scrlbed below and introduced by the applicant ~med on the a~e application number in the premises of
in the follo~'ing location; ~ Basement ~ Ist Fl. ~ 2nd FI. OU~ Section Bilk
~sexa,ninedon ~(~$~ ~3 ~99~ and found to be ~n compliance with the require.~ents qf thls Board.
Lot
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
3 3
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
S E R V I C E
JNOfOF NEUTRALS
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors ma)' be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATEMUSTNOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
eele 3 .UREAU Or ELEC R,C,TY
~- 40 FULTON STREET, NEW YORK, NY 10038
L
Date AUGUST 18,1998 Application No. on file 16599798/98 N 462622
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
PHIL & MARIA FRUMENTI, 3825
in the following location; [] Basement
was examined on AUGUST 13,1998
STARS ROAD, EAST ~LILRION, N'Y
[] Ist t~1. [] 2nd FI. OUT Section Block
and found to be in compliance with the National Electrical Code.
Lot
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FIXTURE RECEPTACLES SWITCHES
OUTLETS OTHER
3 2 3
DRYERS
SYSTEMS
OTHER APPARATUS:
WIRING OF 2 STURY STORAGE SHED-i
NO. O~ CC COND. A, W G. OF HI-LEG A.W. G NO'. OF NEUTgAM A, W. G
pI~R ~ OF CC. COND, NO OF HI-LEG OF NEUTgAL
DOROSKI ELEC. INC.
425 MONSELL LANE
CUTCHOGUE, NY, 11935
LIC.
GENERAL MANAGER
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect· Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
.PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
SOUTHOLD, N.Y. 11971
TEL 765-t802
.....................................
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
· , (B/a'ild~ng Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTll .........
3 SETS OF PLANS ..........
SURVEY ...................
SEPTIC FORN ..............
C^~L .q72:PS..t~ .........
HAIL TO:~ ......
. ¢, .'P,~¢~, .~..¥, ....
INSTRUCTIONS
a. Tlds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
ets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or publ/c streets
,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
¢. The work covered by this application may not be c[mmenced before issuance of Building Permit,
d. Upon approval of this application, the Building Inspector wi/1 issued a Building Permit to the applicant. Such permit
hall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purt~ose whatever until a Certificate of Occupancy
hall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
te~lations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and/n building for necessary inspectior}~-D %..
(Signature of applicant, or n~me, if a corporation)
(Mailing address of applicant) / / ~) ~
;tare whether applicant is ~wne..L lessee, agent, architect, engineer, g.~erat contractor,, electrician, plumber or builder.
, on the roil or latest ..........
f applicant isa corporation, signature Of duly authorized officer. ' DATE}~.R # ~L~, ~'-
(Name and title of corporate officer) NOTIFY BUILDING DEPARTMENT A'Tr
765-1802 9 AM TO 4 PM FOR THE
Builder's License No ..... ~..~..4. ,~. ~' .
fa.'.vH .~... OCCUPANCY OR ~OLLOW~NG,NS,EC*IONS:
. , · .... USE ~S UNLA1NFUL ~' mUNVATION - IWOREQUiRED
PI tuber s License No ..... FOR POURED CONCRETE
............. g{ITHOillr CERTi FICATE..oua. - ,RAMmG &
PLUMBING
3. ~NoULATIO,~s ~~
Electricia,n's License No ....................... OF OCCUPANCY ,~. ~m~,L - CO~mT, UC~ON MUST.
t , · BE COMPLETE FOR C.O.
Uti er Trade s License No ......................
~ ALL CD~STRU~TJON SHALL MEET
Location onand on which proposed work will be d';ne. .??'~ (S/T.~E~E~ THE N.Y.
IIouse Number Street Hamlet
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction
a. Existing use and occupancy '
~ k ( h ~ppli
3. Nature of wot check whic cable): New Building .......... Addition ......... ,'alteration
Repair .............. Re~ovai .............. Demolition ....... Other Work
4. Estimated Cost ~J ~ , ese on
.......... i ....................... Fee ...............
5. f dwelhng, number of dwellingl units ............... Number of dwelling units on each floor ................
I ' (to be paid on filing this application)
If garage, number of cars .
I..f,~busin.ess, co.mmercial or mixe~ olcupancy, sl;ecif; no;ute a'nd exte'nt 'o'r'/.~-~,'t~J.~,'.~r' ........................
7. ~lmensmns oI ex,ting structure's if any. Front ~'~ ,~ ' ~ ~v~, ~,,nse ............ ! ........
Heb,~t /~,.- ~, 't,' ~" -~-7 ...... ~'t ........ ltear ...¥ ....... Depth.../,.~.'.
.............. r~um'toer o! Stories ....... I. ................... . .... '
Dimensions of same structure wi!h alterations or additions Front , Rear
Depth ..... ~ ., ............. ~ .......
,. . - ..... ~ · Hmght .................... Number of Stories ........ : ....
8. Dimensions o~enttre new constniction: Front ............... Rear .......... '., ....Depth .... i... ~i .....
igl D f St
He ~t ............... Num ere eries ...........
9. Size of lot: Front ..... ~: '~ ........... ~ .......................
I0. Date of Purchase ..... · '{.'ff~ .,, .... near ............ Depth / 0 .........
..... ' .............. Name of Fenner Owner ...~-,o.~ <df.~.~£,,.q' .........
1 I. Zone or use district in which prew/ises are situated ............
ti gl ................ .......................
12. Does proposed construction viola any zonin aw, ordinance or regulation:
13. WLi1 lot be regraded .... · ..............................
....... ', ................ Will excess fill be removed fr6m premises: Yes No
fp ~
14. Nmne of Owner o remises ..... ~ ........... Address Phone No ...........
Name of Architect .... I .... · .......................
....................... Address .................. ~ Phone No ................
Name of Contractor ........... i .............. Address .................. ii Ph o ................
i5. Is this property within 300~ feet of a tidal wetland? *Yes ........ No.-~w.°~...
· If yes, Southold Towh Trustees Permit may be required.
... ' PLOT DIAGRAM
·
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate' all set-back dimensions from
property l/nes. Give street and block number or descriptioh according to deed, and show stre&t names and indicate whether
interior or comer lot.
TATE OF NEW YQRK,~.
OU~V C~ . ~'.6'.~)~.~ S.S
· o ........
............ .... ,
(Name of individual signing contract)~t '
being duly sworn, deposes and says t~at he is the applicant
e is the ',0 ~ ~
(ContYactor,. agent, corporate officer, etc.)
,md ow,ncr or owners, and m duly nut mnzcd [o perform or have performed the said work and t0 m~e ~d file this
~pdcatJon, that all statements contained in this application are true to the best of his knowledge an~ behef; and
that the
)rk will be perfo~ed in the manner set forth in file application filed therewith.
yom to before me this ,