HomeMy WebLinkAbout23428-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Z-23475
THIS CERTIFIES that the building
CERTIFICATE OF OCCUPANCY
Date MAY 21, 1996
ACCESSORY
Location of Property 1405 CLEARVIEW AVENUE MOUTHOLD NY
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 9 Lot 31
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25, 1996 pursuant to which
Buildin9 Permit No. 23428--Z dated M~Y 9, 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 AN ACCESSOR¥ SHED IN THE REQUIRED REAR YARD OF A S~NGLE
The certificate is issued to
FAMILY DWELLING AS APPLIED FOR.
MATHEW & ROSEMARY DIPIETRO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
FORE NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
No Z-23474
THIS CERTIFIES that the buildin~
Location of Property 1405 CLEARVIEWA%~NUE
House No. Street
County Tax Map No. 1000 Section 70 Block 9
Subdivision Filed Map No.
CERTIFICATE OF OCCUPANCY
Date MAY 21, 1996
ACCESSORY
SOu'£~OLD NY
Hamlet
Lot 31
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25, 1996 pursuant to which
Building Permit No. 23428-Z dated MAY 9, 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 AN ACCESSORY SHED IN '~'~u~ REQUIRED REAR yArD OF A SINGLE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to
MA'£~W & ROSEMARY DIPIETRO
(owner's)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
Building
FORM NO.3,
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
N_~ 23428 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
....... ............
...........
.... ~..:..~....~~.~.....~.......~...,~...~....~
...................................................
~oun~Tax~apr~o. lO0O seot, o,~ ........... ~... B,oe~
to application dated ............... ~. '.~...~ 19....~...~.., and approved by the
pursuant
Building Inspector.
Building Insp
Rev. 6/30/80
[orm No. 6
A_PPLICATION FOR r TYr7 y
C~R .... CAT_ OF OCCb~P.~NCY
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 ~iah 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-disposai(S-9 form).
3. Approval of electrical installation from Board of Fire Unde~ariters.
4. Sworn statemenn from plumber certifying that the solder used in system contains
less than 2/10 of i% lead.
5. C~ercla! building, industrial building, multiple residences and similar buildings
and insza!lacions, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of complet[d sz:e plan requirements.
For existing buildings (prior zo April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
i. Accurate survey of property showing al! property lines, streets, building and
unusual natural or %opographic features.
2. A properly completed application and a consent to inspect signed by ~he applicant.
If a Certificate of Occupancy ms denied, the Building inspector shall state the
reasons therefor in writing to the applicant.
Fees
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwei!zng
Alterations to dwelling $25.00~ Swimming pool $25.00, Accessory building $25.00,
Additions co accessory building S25.00. Businesses $50.00.
2. Certificaae of Occupancy on Pre-~xistin~ Buiidin~ - $100.00
3. Copy of Cart±ficaue of Occupancy - .25¢
4. Updated Certificate of Occupancy - $50.O0
5. Temporary Certificate of Ocoupancy - Residenuia! 815.00, Commercial $15.00
D,,, .....................
~ocatio~ of ~roperty... '1 ¢..o.,.'2. ..... ~gx~.. v/.z.~.../.ft~c.. .... .~o.v.'r>~.o.v ~ ..........
~ouse No. $Cree~
or ............
:o~y r~ ~p No ~000, s~:io~ .... ~ ...... :~o~ ..... ~ ......... ~o~...~l ...............
5ubdivision ....................................... ed Map ..... Lot ......................
~ermic ~o.. 2 3¢.~0:..~.~at~ Of *e=i~....~./.q../~:&...Applicant../4-.-¢,~C.. O..~.,~. CnX ......
:{ealch Dept. Approval .......................... Unde_mgricers Approval .........................
'fanning Board Approval ........................
~equest for: Temporary Certificate ........... Final Certica~a ...........
:et Suom,_t ~ed: $ .............................
~' '~ TO~ OF SO~THOLD ~
OFSOUTHOL~ .... ~P~LICA*iON fOR CE~,IWT~ATE OF OCCD~.~NCY
Thzs appiicaniou must be filled in by :ypewricer OR ink and submitted ~o the building
inspector ~i:h the fo!lo,lng: for new building or new usa:
!. Final survey of proper~y ~imh accurate location of all buildings, property lznes,
s~reecs, a~d unusue! nauura! or ~opogr~ph~c features.
2. Final Approval from Health Dept. of ~-ater supply and sewerage-disposal(S-9 fo~).
3. Approval of electrical insuallauiou ~rom Board of Fire Under~imers.
SNoru su~emeuu from plumber certifying uhau the solder used in sysu~ contains
less than 2/10 of ii lead.
5. Co~erciai building, ~dusuri~l building, multiple residences and s~i!ar buzldin$s
and insuz!lauions, a certificate of Code Comp!iauce from architect or engineer
responsible for mhe building.
6. Submi: Planning Board Approval of completed site plan' requiremenms.
For exzsuing buildings (prior uo April 9, !957) non-conforming uses, or bui!dzngs 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 consen~ to inspect si=~ned by the applicant.
if a Certificate of Occupancy. is denied, the Building T~__.sp_c_o~ - ~ shall state the
J. Fees
!. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
A!uerauions no dwelling $25.00, Swimming pool $25.00, Accessory building S25.00,
Additions to acoessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-~xisuin~ Buiidin~ -
3. Copy of Certificate of Occupancy - .25c
4. Updated Certificate of Occupancy - $50.00
5. Temporary Ceruificaue of Occupancy - Residenuia!
DEC.' ~X/~.~ .............
~ew Construction. ~ Old Or Pre-existing Building.
~oca:ion of Proper~y... ] .~ ........ ~.q~7~ .... ~a ...... ~ ~ X/~O.~ .......
House No. S ~ree~ Ha~eU
:ounty T= Map No 1000, Section .... .7.~ ..... Block ...... ~ ........ Loc. g/ .... .........
3ubdivision .................................... Filed Map ............ Loc ......................
:{eal;h Dept. Approval .......................... Underwriters Approval .........................
==nn_n= Board Approval.
for: Temporary Oerr'_'iiea[e ........... Final Cer~:.car. e ...........
The
Carriage House
765-1802
BUILDING DEPT.
INSPECTION
[ I FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [j. ] 1~8~TION
I FRAMING ~]'~INAL
[
[ ] FIREPLACE~H~NEY
SURVEY ........................
CHECK .........................
SEPTIC FORH ...................
HOTIFY:
HAIl. 3'0: ....................
INSTEIICTIONS
a. lhis applicati<~ nnst I~ co,~){etely fill~ it, by tyl~,~iter or in ink ~1 ~l~itC~ tO the ~dldin~tor with
3 ~ts of plus, ~ate plot plan to scale. F~ acco~i~ to sch~lule.
b. Plot plan ~i~ l¢~aticm of lot ~ of lxdldi~s ~ pr~i~s, relat, i~{Mdp ~6' Mjolning. pr~' '~ ~g:'* o~'~ fbi' ~'c
%Cr~Cs or areas, a~l givlt~ a ~tail~l &scrlptim{ of l~k of pro~rty ,ass~
~his al~licat i~.
c. 'lhe ~)rk c~r~ I~ ~his a~licatical v~y ,~ l~ cm,m~l ~fore iss~e of ~sildi,~ Pemlt.
d. [l~ a~al of this a~licaki~, the lhdldlr~ les~ctor will iss~ a l~ildi~ Pemit to the a~)llcant. ~ch
~mit ~mll 1~ kept ~l tie p~l~s ~ailal)le for ins~ctial thrca~O~t the
e. ~ ladldi{~ Mmll I~ mini)id or u~ in ~le or ia ~rt for m~ ~rl~ ~lat~er m~tll a C~rtiflcate off
~oJ~y al,al.1 have l~n gr~C~l 1~ ~m ~,ildi~ lns~tor.
AI~.I~TI~ IS 1~[~[~ b~ to tl~ ~dldi~ ~lmrOmnt for the isam~e of a ~ildi~ Pemit
~ildi~ ~ O~im~e of tim 'l'~m of ~tlmld, ~fffolk C~, ~v York, a~ oilier applicable ~s, O~i~os or
~flati~s, for tim ~stnrtim of Ixfildi~s, ~kllti{~s or alteratials, or for m~al or ¢~litiob as l~rein
{~mril~. '~m applicant a~s to cm~ly with all aH~llcable l~s, ordim~mes, hfilding c~, Imslag c~d, aal
re~datkms, a~ to ~lnit m~tl~riz~l insl~tors ¢~ pr~ni~s a,~ in ladl ' ' ' ti~s.
{fii~tx~re of a~licant, or m~, if a eor~reti~O
(~[ail i~ ~klress of a~llcant)
State M~ether applicant is c~mer, lessee, agent, architect, engineer, general contractor, elect{ician, plu,l)er or lalilder.
................. .O...~.../g~.r%. ..........................................................................................
~ o~ ~r of pr~i~ ....... t~qT'~..~.C;Od ....... A ...... ~ ................................................
(aS O~1 the tax roll or latest deed)
If applicant is a corlx~ratio~, signature of duly autl~nrlz~l officer.
(Rane m~l title of corporate officer)
Builders License ~) ..........................
Ph~,i~era License ~o ..........................
Electricians License No ..... , ................
1~,~ ~mfl~r Strut I~nlet
(~)
'1.
8.
I0.
II.
13.
fee ........ .......................
'-
PI.OT I) IAOITAH J
Iix:nrc clearly aixl diatincrly ali ladldll~Ba. whether exist;in8 or ~roi~med, m~l .il~licat¢ all set~l~k dJnenaJona
interior or cm';er lot:,
OCCUPANCY OR
USE iS UNLAWFUL
¥ J THOUT CERTEICATE
OF OCCUPANCY
APPROVED AS NOTED ,
NOTIFY BUILDING
76,5-1802 9~AM TO 4 PM FOR THE
FQLLOWIN G[INS PECTIONS:
I, JFOUNDATION TWO REQUIRED
iFOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3. NSULATION
4. jFINAL - CONSTRUCTION MUST
:BE COMPLETE FOR C.O.
ALt. CONSTRUCTION 8HALL MEET
THE REQUIREMEN'r~ OF THE N,Y.
STATE CONSTRUCTION & ENERGY
COt)ES, NOT RESPON~IBI.~ FOR
thai: lie i,~ the aPl)lit:mil
;qJl)J [<atiou; Lhnl. liJl ntat(~r~nt, contal,~.d iii this alq)l)J:ati(m nrc t r~ Lo the Ires:t: of Ilia klxml~lga taxi J~J. Jefj ;llXJ
IJl;lk the ~)~k will le le['l:onl~l Jn IJlo II~IIIIK~I' Bet: J:oILil ill Ihe nppl i(:;]l:JoI1 filed IJ~r~JLll.
.... ~.~..~.....,,,,~ ,,~ .
.~.~~.
......... HELENE D HORNE
J~oJ~ry Public, State of New York
~, ,. No 4951364
Qualified m Suffolk CounW ~
Commission Expires May 22, 19 ~[
(Sil~.att. e of Appllm,~ )