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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