HomeMy WebLinkAbout24851-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25807 Date: 07/01/98
THIS CERTIFIES that the building ADDITION
Location of Property: 55 VILLAGE LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 18 Block 5 Lot 9.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 28, 1998 pursuant to which
Building Permit No. 24851-Z dated APRIL 29, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EDMOND L PAPANTONIO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Buil~I~ng Inspec~6r
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. 24851 Z Date APRIL 29~ 1998
Permission is hereby granted to:
EDMOND L PAPANTONIO
55 VILLAGE LANE
ORIENT,NY 11957
for :
CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
at premises located at 55 VILLAGE LA
County Tax Map No. 473889 Section 018
pursuant to application dated APRIL
Building Inspector.
ORIENT
Block 0005 Lot No. 009.001
28 1998 and approved by the
Fee $ 75.00
Inspector
2/19/98
ORIGINAL
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEP'[
This 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 Health Dept. of water supply and sewerage-disposal(S-9 focm).
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 i% 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
~ '!pre-existing" land uses:
I. 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. Ce~lificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Al'~ations to dwelling $25.00, Sw~r, ming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - , .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ate ~'~',t ~o~9~. . · ·
,e. const=ction:.'?. .... i .......
~ Old Or Pre-existing~Building ......
~cation of Property ............................... ~ ...................................
House No. Street Hamlet
Owners of ~roperty ' ''
~wer ' '
...
~o~nty Tax Map No 1000, Section ............ Block ............ Lot ..............
~ermit ~o ................ Date Of Permit.~. ..~. .... Applicant ........................
-' Und App 1
vel erwriters rove .........................
{ealth Dept Appr - --
~lanning Board Approval ....
lequest for: Temporary Certificate. ~ .. Final Certicate...~ ......
Fee Submitted: $ .... ,'~.~IfD~. . ..~.... ~ ~ ..~
7; .......................
~o9 .......................
APPLICANT
OCCUPANCY OR
USE IS UNLAWFUL i
WITHOUT CERTIFICATE,
OF OCCUPANCY
BOARDMAN BUILDERS
P.O. Box 322
Orient, NY I1957'
1
P.O. eox 322
~,ie~ I~Y'
(616l 323-1221
FOUNDATION (]st)
FOUNDATION ( 2nd )
ROUGH FRAME &
,PLUMBING
INSULAT%ON PER N, Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[]FIREPLACE&CHIMNEY
[ ] ROUGH PLBG.
[ ~SULATION
[ ~'] FINAL
DATE ~//~~
INSPECTOR
'!. BLDG. DEPT.
~OWN OF SOUTHO~,p
FORH NO,
TOT~N OF
I!,UILD] NO DBPARl14ENT
'l'OgN I1ALL
8OtlTIIOI,D ~ N.Y. IIgTi
TEL= 765-1802
Disapproved a/c ..................................
BOARD OF DEAL'I~i ~ ..........
· 3 SBTB oF[~,A~,ANS ...............
SURVEY ,, .... .. ..............
c.~c~ ,-~.../. ~'// ...............
BEFTIC FORH ...................
APPLICATION FO~ BUILDING
INSTRUCTIONS
NOTIFY '.
C~,L ..................
.,. .u. ¢ ......
n. 'Ntis application nust be COnpletely filled in by L-ypc~riter or in ink taxi md~mttted to rim Ik,ildin8 Inspec[or ~*i
3 sets si' plans, accurate plot plan its scats. Fee accordJnl~ to acl~tute.
b. PIoC plan ~ho~lu8 locati~ JoE lot and olff Ixdldl~qls on premi~s, rmlatloomhlp to adjojnin8 premises or l~d)lic
streets or areas, nnd Bivin8 a deta?ed deaeriptioo o1~ layc~st DE property m~lSt be dra~n an tim dlaf~ran ddch [9 {~rt oF
this~ applica~ion.
c. 'Ihs ~ork covered by ~his applicatio~ may not tm cam~nced before issuance of lioildlntt remit,
d. tlix~ approval of title appljcatia~, tile lhtld[nt~ l~spector ~dl/ issue a Buildin$ Pemit to the epptlcant. ~ch
peru,it shall be,kept o~ dm prendse5 available Jot inspection ~hm4~mut tim ~ork.
e. No boildln~ droll be ~cc~pi~I or used in ~hole or in part for any purTose ~/mtaver ~til a ('~rciElcaCe of
Occupancy shall trove been granted by tim Ikdldt~lt Inspector.
APfl,ICA'rI(~I IS tlE~II~/~ to ~lm Ikdldlntt Depart~nt Esr tim issueece o a guJldi~ Pemlt I~rswmC co tim
l{oildin8 Zone Ordinance of the l~uJoE S(~itlmld, Suffolk County, Ne~ York, and otlmr applicable Laws, Ordbmnces
~lations, for tim co~structio~ O? hdtdinlim, additions or atteraCions, or for removal or .d~?.ltti~u, ~s herein
described. The 8pplicant agrees to uonply vl~h all applicable la~s, ordirmnc~s, butldln8 toM, noim u8 code,
reBulattees,~m~l to admit aub'aorlze( Inspectors o~ premiees and in buildin8 ~or n~casaary inapmctt~s.
...........................
(SiBnature o1[ applicant, or m, if s corl~ratlon)
· ~.o..~.}.z..z....~..~!~..~.¥...LB ~.?...
(Nailin8 address DE applicant)
{
(a~ ~ tim tax roi t or latest deed)
If al~flicm~t ia a corporatio~ signature of duly ~Cl~ri~l oiflcer.
: USE IS UNLAWFUL
' OF O~CUPANCY
4, FINAl.. ~ MtI~T
ALI. CON~RUilION ~ Mmm'
THE RIOUmIMENT~ O~ ~ fi.Y,
STATE CONSTRUCTION & IMER~Y
Ocher Tr~le's Liter, es ~ .....I ................ ~-,,~' COOEI~. NOT RE~PONeI~ F~
m DESIGN OR CONSTRU~ ERRORS ....
~ ~XX~ ~ i o~e~r ...........................................
I~ ~r I 8t~t l~eC
~ Tax ~p ~). 1~ ~t~*, ..... J..~ ....... Bl,~k ....~ ......... '.. l~t ...~.:.~ ........
~ivi~im
.................. , .................... ~i1~ ~p ~.~ ......... ~ ..... I~ ........... ' ....
2. State extst~ u~ ~ ~o.A~..,a°~ ~t~s ~ tnte~ ~ ~ ~ Of pm~ c~stn~t{~
a. r~sci~ ~ a~ ~y · .~,~.~ ...............................................................
b. ~,,~ ,,~ ,~ ~..~¢~ .............. , ..............................................
J~epair ............ Ibamval ............. l)emol il:i/m ............
, --(~ ~- .~-~/~.~.~.~
5. I~ (k~llit~, txmlmr of ~lllt~ lu:lrs ............ ttml~r of (k~lltng t~l~s ~ ead~ fl~r ................
If garage, t~mlmr o cars
6. If Ixmil~es. ~ercial or mi~f~aq~. ~ci~ ~t.ure
7. I)i.e~ml~m of ~tati~ stn~s, iE any: ~: ................ '~ar ............... ~p~h .................
Ihi~: ......................... ~ml~r ot 8corSes .... ~ ...............
I)imensi~s of ~m a:n~re ~ith alteratiima or ~t:ions~ Fr~: ............... ~ar ...............
I~pth ............... .. ... I~J~t ......... ; .......... ~i~r of Stories ...............
................ ~ar ............... ~p~ ..............
I0. I~te og ~rl5m~. ......... .. . . · .- .... ~ of For,er ~er ........................................
II. ~e or u~ district in ddd~ pr~l~a are at~t~
12. ~a i)ro~l ~:~:i~ violate any ~lng 1~. o~li~me or reg~latt~ ...... ~ ..............
13. ~ill Io~ I~ r~r~ ~ .... ~ ............ ~i~1
it ~1 ~ '
15. Is this p~r:y within ~ f~:.of a riehl
PLOT DIAGRAH ~
locate clearly and dlacinctly all buildings, dmtl~r exiactng or proposed, and l~licate all ~et-t~ck dimensions
from proi~rty llnea. Give al:~eel: and block re,il)er or description acco~dinB to deed, and abo~ street hanes ara indicate
~dmtber InLerior or corner lOC.
i. ....... ..............................................................................
(C~tr~c~or, oBen~cor~ra~e officer, e~c.)
o~ ~{d ¢~r or ~r8, taxi J~ r~ly ~tl~rJ~ to i~r~onn or h;~e {~rfor.~ the ~}d ~rk aT~l ~o n~ke alxl ~{I.e this
.'~)rt~ Lo I~fore me Ufle
....... ...... d., ,Z. ....
ROBERT I. SCOT ~.
NotaW Publi~/~te 9~New YO~K
Qualified in SuRg[k~unw
No. 01SC4725~9
T~m ~pires May 31.
(Sis~ml:,re cfi: Applicm~t)
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
BOARDMAN BUILDERS
P.O. 8ox 322
Orient, NY 11951
~oo
~o o
~o ~
~Y,o o
V~'.~
I~OAIIDMAN 8UILI:)ER:S
P,O~ 6ox 322 "'
Oriel. FlY. 11,657