HomeMy WebLinkAbout24270-zFORM NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25207 Date AUGUST 19, 1997
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property. 2405 BAY SHORE ROAD
House No. Street
County Tax Map No. 1000 Section 53 Block 4
Subdivision Filed Map No.
GREENPORT, N. Y.
Hamlet
Lot 17
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J%~NE 20, 1997 ~ursuant to which
Building Permit No. 24270-Z dated JULY 24, 1997
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 BRED "AS BUILT" IN FRONT YARD OF A
WATERFRONT DWELLING AS APPLIED FOR & TO CODE.
The certificate is issued to JOSEPH & CAROL BASILICE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
lt*OB,H NO. ft
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)~/~
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Budding I~tor
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING D EPART!~zNT
T 0 r,~ HALL
765-i802
'APPLICATION FOR CERTIFICATE OF OC£
This application must be filled in by typewriter OR ink and submitted to
inspector with the following: for new building or new use:
1.
tding
Final survey of property with accurate location of al! buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for~).
3. Approval of electrical installation from Board of Fire Umder~rriters.
4. Sworn s~atament 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 s~lar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of c~mpleted si~e plan requirements.
~For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'Tpre-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 sAg-ned by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in ~riting to the applicant.
C4
Fees
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
.~lterations 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-~xistin~ Buildin~ - $100.00 /
3. Copy of Certificate of Occupancy - ~ .25¢.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15100, Commercial $15.00
New Construction ........... 01d Or Pre-~xistinmBuilding .................
~ocation of ~roper~y...P.9~.T..~.-~..3.<.P ...........................................
House No.----~ '
Street Hamlet
Onwer or Owners of Property... .~c.....~.~ ... .~ ........... ? ........
count i000, section ' ?1
Block Lo~ ...........
Subdivision .................................... Filed M~p ............ Lo= ......................
Pa=it ~o.~. 2~.e. ..... ~ate Of Pe~it .................Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... N ' ' Finai Cartic~~. ~
'F
0
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
[ ] ROUGH PLBG.
[ ~ ].~ISULATION
[ ~ FINAL
] FIREPLACE & CHIMNEY
REMARKS:
DATE
~ j! ~ BUILDING DEPARTMENT
IOO7 ;~lJ I TO~ HAL1,
~,~o,~L~'? SOU~OLD, N.Y. 11971
TEL: 765- 1802
.... Z .............. ..............
.................................... ....
AI~ICAT]ON FOR BUILDING PEI~IT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
~HECK .................. : ......
SEPTIC FORM ...................
NOTIFY:
CALL -~
mn. TO: _~ .~m~[,¢.~. .....
.... .~.~. ~.V.~dJn...~.~.~. ......
..... .~ x...B,: !b...w,7:..~ ~
a. This application mint be ccmpletely filled in by typewriter or in ink and submitted to the l~fildlng Inspector with
3 sets 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 prauises or public
streets or areas, and giving a detailed description of layont of property must be drm~n on the diagram which is part of
this application.
c. The work covered by this application may not he cormenced before issuance of ~ilding Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Pemlt to the applicant. Such
patndt shall be kept on the premises available for inspection thronghe~t the work.
e. No building shall be eccupled or used in whole or in part for any purpose whatever until a Certificate of
Occ~,pascy shall have been granted by the Building Inspector.
APPLICATIC~ IS ~t~u¥ HAIg to tim Building Deparment for the issuance of a Building Permit t~trsuant to the
Building Zane Ordinance of the T(mm of Soutbold, Suffolk County, New York, and other applicable lmws, Ordinances'or
l~gulations, for the construction of buildings, additions or alterations, or for r~oval or de~olltioo, as herein
described. Toe applicant agrees to comply with all applicable l~r~s, ordinances, building cede, bunsing code, and
..... .............
(Signature o~pplicant, or na~, ~f a corporation)
(Mailing address of applicant)
State whether applicant is cw~er, lessee, agent, architect, engineer, general contractor, electrician, pltmber or builder.
~ o~ ~ of ~ises ...... .~,+~...,..c..~.¥o.1 .... ~;J:~---~ ................... APPnOY~D ~$'S~D--
.DATE.
If ~he~t is a co.ratio, si~e of ~ly ~t~ri~ officer.
OeO
'::t~ ...... ~7"::'";tir~e or ........ c~mrare:'"~;:orncer~' ' '( ................... USE IS ~l~tM~fllt,~ wUL 765-18029FOLLOWING INSPE~oNsAM ~ 4 PM: FOR THE
~ITHO~T CERTIFICATE
.- OF OCCUPanCy
Electricians License No ......................
Other Trade's License No .....................
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3. :NSULATION
4. FINAL CONSTRUCTION MUS~
GE COMPLETE FOR C.O~
ALL CONSTRUCTION. SHALL MEE~
THE REOUIREMENTS OF THE N.M
l. lx~cation of land on which proposed work will he done ................................ $:r/~T~ · GO;'$$TRO$1q(~N - & - ~NEMG~
C,,.~DE,.~, NOT RESPONSIBLE FOR
.............. ~'. ...... ~r.~ ~¢~ .... ~Acb... ~....~; ................ ~Zs[~.~ com,~c~ ~ao~s
~ ~r 'Strut ~let
~ T~ ~ ~. I~ ~tim ...~ ........ Blink ............. ~t ...........
~ivisim ...................................... Fil~ ~p ~ ................ lot ...............
(~)
2. state misti~ ~ ~ ~m~ of Fmi~s ~ inte~ ~ ~t m~ of ~ cmstmetim:
a. ~sti~ um ~ m .............................................................................
,. ,.t~,, ~ ~= ...... ~ns~. .... gE~.'O.~ .........
'l. Px~inre al: work (clmck ddeh al: ,licable): Nc~ I~illling .......... ~kliti~ .......... AlleraLien ..........
~ ~ ~0, ~scriptitm) .... ~"'
Eat in~fl ~1 (~st .................. fee ..............................................
~ (1o Im Imid (m filling this a~licati~O
If I~mi~maa~ ~ercial or mi~l ~:caqmr~, a~ei f~ l~ll.tlro nmi extent of each tyl~ of use... ~ ................
I)i~ensic~m of ~i81:ing atnmtu~'ea~ if any: IktmC ................ ~ar ............... ~pth .................
I)in~enai~m of 8a~e atngture w~it alterati(ms or m~itions: Prone ...............
k. pth .................... I~l~t ..................... K~tmr of Stories ...............
r~m or u~ dist'rlec in ~id~ pt'~a are n}tamt~l
~a of ~r of p~ni~a
~m of ArddtecL ........... ~ ...................... Nklres8 .............................. H~ ~ ..............
~ of O~rract'or
15. Ia lifts pm~rty within ~ f~y. of a ti~hl xetlaml? ~ H~ .......... ~ ..........
PI,OT
l~:ate clearly m~ diatilmt:ly 011 l~ihlings, ~mtlmr existing nr pro~, a~l it~licate all ~t-I~k di~nsiona
9.
lO.
II.
12.
13.
14.
whetlmr interier or emptor lot.
~xm~, delx),,ms taxi say~q that he is the *qfffl lc:mt
Ik: is I.he ..................................................................................................
(Ctmtractor, sgent, Icorporate ol:fieer, et:(:.)
oF said ~r nr ~r~, m~l i,s duly ~authori~l te I~rfolm or have I~rfi)[.~l the ~ald ~)rk m~l to nnlm taxi file Ihls
application; that all ntat. a~ents contTah~M in I.hls nlq)l ication are tn~ Lo the I~sl: off his ktx~lt~lge m~l Ixd ief; a[gl
IhaL the ~)t-k will I~ i~rfomed in lite n~snmr set IBrth in tl~e appl icatloo fi. led tl~r~[H~.