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) '