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HomeMy WebLinkAbout24538-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25634 Date: p4/10/98 THIS CERTIFIES that the building ACCESSORY GARAGE 8OUTHOLD Location of Property: 315 PARK AVE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 2.2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated ~CTOBER 27, 1997 pursuant to which Building Permit No. 24538-Z dated DECEMBER 5, 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 GARAGE IN THE REAR YARD AS APPLIED FOR. The certificate is issued to RALPH & CAROL SINOPOLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Buildi~ Inspect r Rev. 1/81 FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 24538 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ...... .g. ~ ,C,..~..~..~, .~. ~ ....... .5. .......................... 19,...g..~... Z Permission Is hereby granted to: BO~ a~Ia.O.~S(SINOPOL~ ........ ................................................. ........ ~.Q.U.,~.H.Q.L..D..,,~.Y....3.~.~.~. ....................................... to ...... Q.~.~.~.r~..~..~.G~.~B~...a.~...~..~.~...~N...2/.~.~...~.A]~...~.~....A~..~P.~.~.~...~.~ 315 PARK AVE S0UTHOLD at premises located at County TaxMap No ...... ~.~,~.~..... Section ....q.~ ............ Block ..... .~.~ ........ Lot No..~,~ ,0.~,... pursuant to application dated ....,.0.~.0.~ ....... .~ .................... :.., 19 ...... .~ .....and approved bythe Building Inspector, F 40 60 Rev. 6/30/80 BLDG. DEPT, i TOWN OF SQUTHOLD , APPLICATTON FOR CERTIFICATE 0F OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 form). 3. Approval of electrical installation from Board of Fire UndeCwriters. 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. AA 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 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 .~6J".~z.~ Date . .. ~_) .~. ,~ ....................... onstruction~. ......... Old Or Pre-existing Building ion of Property .... ~%~.%~ .../~o...~-~ .... ~.~.~.~.~P..~.~2~ ................................... A House No. Street Hamlet or Owners of Property..~.%--. .......................................................... y Tax Map No 1000, Section...~)..~.~. ..... Block ..... ~ .......... Lot .... ~-~ ............ vision .................................... Filed Map ............ Lot ...................... t No..~.~.?.~..~..?....Date Of Permit.~/~A-.~. t.~..~...Applicant ............................. h Dept. Approval... .................... .. . Underwriters Approval ......................... lng Board Approval ........................ j st for: Temporary Certificate ........... Final Certicate .... .¥ ..... ~;UIIIII~II (:1 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY [ ] ROUGH PLBG, [ ]/~iSULATION [ ~,~ FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION FRAMING [~/]' FINAL FIREPLACE & CHIMNEY 7GS-ZSO2 BUILDING DEPT. ,/o~u~,~~NSPECTION ATION 1ST [ ]ROUGH PLBG. ~/] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ]FINAL []FIREPLACE&CHIMNEY DATE ~~~ :NsPECTOR~ 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] INSULATION ] FINAL INSPECTOR 765-1802 __ ~BUILDING DEPT. /~~_~~ i NSPECTION ~ [ ~~AUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL FORM NO. I TONN OF SOUTNOLD ~0ILDING DEPAR2~IENT TOWN HALL SOUTOOLD, N.Y. 1]971 TEL: 765-1802 · BOARD?OF HEALTH .... 31 SETS OF '.PLANS ............... SURVEY..~.. ...................... ' CHECK~...,i i ..................... SEPTIC, FORM . . .; ......... ; ..... MtII, TO: .................... INSTRUCTIONS a. This appllcatlom mast be 'completely filled in by t3fl~writer or in ink amd submitted to the PIHldlng Inspector witl 3 sets of plans, aecurata plot plan to scale. Fee according to schedule. b. Plot plan sbewing leeatlon of lot and of buildings ee premises, relationship to' !ldjolping premi.s~.s or. public streets or areas, and giving a detailed description of layout of property mast be drimm o~ the diagram ~ld~ is lmrt of this application. ' , , e. 'lhe work covered by this application may not be ccmnenced before issuance of Building Permit. d. Upon approval of this application, the I~ilding Iespector will issue a l~ailding Permit to the applicant. Such pannlt shall be.kept on the premises available for inspection throngh~t the work. ' e. NO building shall be occupied or used ia ~t~ole or ia part for any purpose mSatever ontil a Certificate of Occupancy shall Imve been granted by tim l~ildlng Inspector. APPLICATI(Iq IS ~ ~ to the lluildin8 Department for tim issuance of a l~ildlng Pet~dt pursuant to the Ihiilding Zoae Ordinance of the Town of S~thold, Suffolk County, New York, and oti!er:a~p,licable Laws, Ordinances'or Regulations, for the construetlm of t~ildlngs, additions or alterations, or for r~roval'.or demolitlon, as herein described, lhe applicant agrees to comply with all appllcable laws, ordinances, beildi~g code, housing cede, and regulations, m~t to admit authorized inspectors on praises and m bu~ld~ng for. seces.sery iSpectlons~. (l'~ailingtaddres8 of applicauO State ~t~ther applicant is ar, less~, agent, arehlteet, engineer,' genoral contractor, eleetrleian, pluai~r or builder. (as on the tax roll or latest deed) If applicant is a corporatiom, signature of duly authorized officer. (Name ~d title of corporate officer) P~ailders License No..l ....................... Plm~bers Liceiase No .......................... Electricians License No ................. Other Trade's License NO ..................... I. Location of land on which proposed work will be done ........... ; ........... '. ...... .; ........... , ................... .................... ; ......... a~.....0.~.~ ................ ,; .... ~.~.~.. ~ ..................... tlottse Number Street '~; IL~e~ , , tion .... ...... ' iv,s,on .............. ......... ....... 2. State ~i~ti~ ~ ~ ~ o: ~i~ ~ inte~ ~ ~ m~ o~'~ c~s~rlom ~. ~u~ ~ ~ ~ ...... ~ ~. ~. ~n ~x.~... ......... ~.,.:.:~'?.. ZL.- ...... ~. ........ ~. ~ ~ ~ ~.., ...... ~. x.o..~~ ....... :.~..:.:;.-.:~'~.~5~...: ....... 3. P~t,,re si work (dmck ~h~d~ appll]cable):~ New hnldmg ...x;~ .... bzl4~tj~n ~]. ~,/ ...... Alteratxon .......... . .k ~ ' (to I0. 12. ~s pro~ mt~ti~ vi61~te any ~ing 1~, o~h~e or regularly; ..... ~. ~ .............. it .... ~. o~ ~r~o~ .~.~.~-iG.~.~.~- ...... ~ ...... t.--., ................ ~ ; PLOT x~imtlmr interior m' cqrner lot. .... . .(,.0..~..~..~ .......... ~J~ ,,~l~ ~o~,, ~,~.~ a~ ~,s ti,hr ,,e is t,~ ~.i~,,~ (~ o' [ hfl[vid~ signlug I~ i~ the ..... ~ ...... ~ .............. : .......................................................... ((~tra~hg~ne',icor~rnte off,cer, etc.) ,, . of ~id ~mr~a~[ is &~ty[ ~thori~ to ~rf?m or l,~e lmrfem~ the ~id ~rk at~l to rake a~ fil.e this a~flicati~; ti]at att state,eta c~ai.~ in this al~llcati~ are tn~ that the ~rk will lm ~rfo~l in' t~e t~m~mr ~t forfl~ in the al~l. lcati~ fil~l timoptic. (Slgaature of App~Ft:) i~ ' .1 i/ . (VACAf,,,l-l']) 249.,50 I, dAI ~ / .. - ,J. ~- ' .(~.av^T,6 .rz~.,,,p) -U ,4 (,.L~,,IV.~VA) '