HomeMy WebLinkAbout23298-zFORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24788 Date DECEMBER 5, 1996
THIS CERTIFIES that the buildin~ ALTERATION
Location of Property 200 E. LEGION AVE.
House No. Street
County Tax Map No. 1000 Section 143 Block 4
Subdivision Filed Map No.
MATTITUCK~ N.Y.
Hamlet
Lot 4
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 16, 1996 ~ursuant to which
Building PDrmit No. 23298-Z dated MARCH 14, 1996
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 ALTER EXISTING "SEASONAL OCCUPANCY" DWELLINO TO YEAR ROUND
OC~UPANCYAS APPLIED FOR.
The certificate is issued to
JOSEPH & DIANE AIELLO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N-291132 - DEC. 11, 1995
NOV. 19, 1996-JOSEPH AIELLO
Rev. 1/81
'- // B~lding Inspector
FORM NO,3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU.
SOUTHOLD, N.Y.
Ne 23298 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
37 ,
Permission Is hereby granted to:
..~.,,./......./...,.'.~../..~ ..........................................
.... ~......./-...~..,.~.~........~, ....................
.~.~...~.~.~c ........ ~:
,- ' ..... " " ft' ,
,o~.....:~ ....... ~~ ........ ~..,~.~.-~...a:.. ,~,~../...~ ..............
................... ~.'~..s. ....... ~. ....... "~'"'"':?~'~'" ....... '~'~ ................ ~'""""'7' ....................
....... ~...~...z.. ......................................................................................... ./. ............................
,~. -
at premises located at .......... ~ .................... ~ .~g.~.... ~¢ ...............................................
~oun~TaxMap~o.,o00 sect,on....././~ ......... B,oc~ ......... ~.>:.... ....... Lo,,o ........ ~ ........
~"~/"'~' /~' ~ 19.....~..~...... and approved bythe
pursuant to application dated .......... .,/~..z~..'~../...~. .............................
Building Inspector.
~ee*....7~.~ ......
/~/ / Buildlnglnspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
B. For
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 Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-existing" land uses:
1. 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.
C. 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 Buildin~ - $I00.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, C~mm~rcial $I5.00
.
Date ................ F ...................
['.
New Construction ........... Old Or Pre-existing Building..7~.~..--,-~ ....
Location of Property ........................ ~ ........... ~ ............................
House No~__., Street Hamlet
Onwer or Owners of Property ..........................................................
County Tax Map No 1000, Section .... -/--~.q ..... Block ..... ~/~. ......... Lot....~.1~ .................
subdivision ......... Filed Map ..Lot ......................
Permit No ................ Date Of permit ................ Applicant .............................
Health Dept. Approval ......... .Underwriters Approval ................ &L' ....... ,~
Planning Board Approval .........
Request for: Temporary Certificate ....... Final
Fee Submitted: $ ......
FEB 16 lgg
./
JOSEPH AIELLO
DIANE M. AIELLO
~,¥~, CHEMICAL
2o84
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building P__~ermit No.
Owner: '~"~/~]
(plehse print)
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1%
~umbe~ Signature)
Sworn to before me this
Notary~ Public ,'
'~ VI~ORIA B~NCHE
, Nofa~ ~51lc, State of New Yo~
County
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 19, 1996
Joseph & Diane Aiello
200 East Legion Ave.
Mabtituck, N.Y. 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
xx
No Underwriters Certificate on file.
outdated *
The check is ~r~x~o~xxf~kt~ $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23298-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
*YOUR CHECK ~2084 is RETURNED HEREWITH. PLEASE SUBMIT NEW CHECK
IN THE AMOUNT OF $25.00 ALONG WITH SOLDER CERTIFICATE (ENCLOSED)
SO THAT THE CO & PRE CO CAN BE ISSUED.
FII,~I.I) III:;I'IC(',L'Lk)II I~I¢I'(HUI
F{)IIHI}AT 101! (I:;T)
FOUtlI)A'I' I ol! (2HI))
I)A'I I'.:
['I,IJI'IIS 1 Nf:
II'I,~;II[,ATIOi'I I'I~.R ft. ¥.
ADDUI'IOIt^i. COHHI~ttTS:
L
Joseph Aiello
200 East Legion Ave.
Mattituck, NY 11952
516-298-1145 H
Town of Southhold
Building Department
Town Hall
$outhhold, NY 11971
Attn: Gary Fish
Dear Mr Fish:
Please find the enclosed application for C.O. and building
permit. I have provided copies to the board of fire underwriters
certificate and the insulation report.
I have enclosed a check for $100 to pay for the Pre-C.O. I
understand that I will need to get a final C.O. after the work is
completed.
If you have any questions please feel free to call or write me.
Thank you for your time and consideration in this matter.
~~r gu ds,
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION2ND [ ]INSULATION
[ ]FRAMING
[ ]FIREPLACE & CHIMNEY
REMARKS:
INSPECTOR
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
., 19~?. eermit No....~../L?..?~..
Disapproved a/c .....................................
BOARD OF HEALTH .........
CHECK . ' . . . . ......
SEPTIC R ....
NOTIP¥;
CALL ...................
MAIL TO:
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Tiffs application must be co~npletely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of ~lans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildh~gs on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
catiom
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS ttEREBY MADE to the Building Department for the issuance of a Building Permit pursum~t to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the constructinn of buildings, additions or alterations, .~. Or removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws ordinances, bull, ~g code, 1)tbusing ~xode, and regulations; [tnd, to
admit authorized inspectors on premises and in building for necessary inspe ions. J [ [ ) A~= '/l "'-\ ~ /J' t ]
..... .c
(Sil~m ~ of applicant, or name, if a corporation)
~"V (Mailini ~(~;ess of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..................... ' a'x' iD'ii ;; i t; t' [lldd) .........................
If applicant is a corporation, signature of duly authorized officer ............... z;-"~ ..... ~ '
,ui, R[tP Y .......... .OT,.. BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
E LAWFIIL
FOLLOWING INSPE~IONS: '
PlUm ............. :~:---- ' .... 1' ' ~6UN'd~ION - ~O REQUIRED , ,~4~,~, ( ~[ ~,' ' r
., Wi I HUH[ CFRTIFI AT '
mecrrici~m~me~ ...~..~'.~ '~2.' ROUG~ L'FflAMING & PLUMBING ~DERWfiITERSCER'[iFi~AT[
Other r s ~cen ............ 4/ FINAL 'z 'CONSTRUCTION MUST
BE COMPLETE FOR C.O.
Location of land on which proposed work~l ~UCtlO~' SH~.LL. ~EET ................................
THE REQUIREMENTS OF THE N.Y,
................................ ~Y~T~..¢OffiSTRUCT~Offi. ~. E~ERO~ ................................
House Number COmE,et NOI RESPONSIBLE FOR Hamlet
DESIGN OR CONST~UCTIO~
County Tax Map No. 1000 Section .................. Block .................. Lot ...................
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of ~remises and intended use and occupancy~of?opOsed construchon:,
a. Existing use and occupancy ..., :,~. · ~ ............................. . ........ ~,..~ :~. .............
b. Intended use and occupancy . ~ ~ ............................................................
3. Nature of work (check which applicable): New Building .......... Addition ......... Alteration ..........
Repair .... .~. ....... Removal .............. Demolition ..... ,~ ...... Other Work ...............
17[]<,0[..~' (Description)
4.
Estimated Cost
(to be paid on filing this application)
5. If dwelling, number of dwelling u~its ............... Number of dwelling units on each floor ................
· If garage, number of cars ...... ~. ~ ..........................................................
6. If business commercial or mixed bccu~ancv snecifv nature and ~**,m, ,,~h · .... ~,~
Dimensions of same structure wit~l alterations or additions: Front ..... ~.~. ......... Rear...~.~i ............
Depth ...... .~ ............ i. Height ....... [~. ............ Number of Stories ..... / ................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Numbler of Stories ........................................................
'9. Size of lot: Front ............ ! ......... Rear ...................... Depth ....................
10. Date of Purchase -i ................ Name of Former Owner ~o~'pN/-t~/b~c~
11. Zone or use district in which preniises are situated ....................................................
12. Does proposed construction violaie any zoning law, ordinance or regulation: ...... .~. ........................
13. Will lot be regraded ....... ~).0 ................. Will excess fill be removed from premises: Yes
14. Name of Owner of premises .... i ............ Address ................... Phone No ................
Name of Architect ........... 1 ................ Address ................... Phone No ................
Nmne of Coutractor
.......... 1 ................ Address ................... Pho~n~.No ........... , .....
Is this property within 3Q0 feet of a tidal wetland? *Yes ........ No..'.~f .....
· if yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from
property lines. Give street and block ngmber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, S."
u£folk
COUNTY O1~ .................
·..~.i.a. qe~ .4/..e.l.l~q ................[ .................. being duly sworn, deposes and says that he is the applicant
(Name .....
of individual signing contract)
above named.
He is the ..........................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to lnake and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will bp perf0rmed in the manner scot. forth in the application filed therewith.
Sworn to~efgr~4/me this
"Notary Public, '. {li~il~il~;~oiS~i~.~,
· Commleslon Expires June :~, ~ .~ ~r ~
(Signature of applicant)