Loading...
HomeMy WebLinkAbout22693-zFOP~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-23743 Date JUNE 29, 1995 THIS CERTIFIES that the building ADDITION Location of Property 825 KIMBERLY LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 13 Lot 20.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31, 1995 pursuant to which Building Permit No. 22693-Z dated APRIL 21, 1995 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH CORNACCHIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A Building' Inspector/ Form No. 6 TONN OF SOUTHOLD BUILDING DEPARTMENT ' ~'~ TOWN HALL 765-1802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY 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 Boagd of Fire Underwriters. 4. Sworn statement 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 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 ail 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. 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~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. ,' . ,-1.,1 .4 .. Location of Property..~.40 ........ /(l'Oq._e ................. ' ........... Nouse No. Street Hamlet .hi< Onwer or Owners of Property ....................................... County Tax Map No 1000, Section .'J0 ...Block ..... J,.-~ ..... Lot ~.O.~.~ Subdxvxs zon .................................... Fi I cd Map ............ Lo t ...................... Permit No ....... Date Of Permit ' Applicant ...... Ilealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approve] ......................... Request for: Temporary Certificate ........... Finul Certicate ........... Fee Submitted: $...~.f,.Q.O.. . ................... _p .................... C 0 ~-- Q 37g APPLICANT FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) /'1 22693 Z Date ................... ~~,../, ........... ..................................................... ~~....~ ....... /~..,....7.., ...................................... County Tax Map No. 1000 Section ......... Z..~... ....... Block ......... ./...~. ....... Lot No..~..~?.,c.~ ....... pursuant to application dated ................ ~-_~...~.....~..Z,, 9....~..~nd approved bythe Building Inspec,~_r Fee s,,Z~..~.. Rev, 6/30/80 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 21, 1995 Mr. Peter Johnstone P.O. Box 91 Southold, NY 11971 Re: Prem: Joseph Cornacchia - TM#1000-70-13-20.5 825 Kimberly Lane, Southold NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22693-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 21, 1995 Mr. Peter Johnstone P.O. Box 91 Southold, NY 11971 Re: Prem: Joseph Cornacchia - TM#1000-70-13-20.5 825 Kimberly Lane, Southold NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22693-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION REPORT I~7~ATE ~ ........ II / ~ ~r -- ,/ ROUGH FRAME & PLb~BING INSb-LATION PER N. Y. STATE ENERG'~ CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN.N.N~LATION [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY. DATE INSPECT~~ _~ 765-1802 BUILDING DEPT. / ISPECTION [~3~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL ' ,,~:~ FORM NO. 1 I :, ~ ~' ~ TOWN OF SOUTHOLD i TOWN HALL ~ ~ ....................... ~ ~ $OUTHOLD, N.Y, 11971 !: BLDG. D~iP'[. l / , ~; _.,~,/l~)/,,~O~,~ U~T ~)2 ~,: ~..~ ~/ TEL.: 765-1802 ............ Disapproved. ~ ......... I~N FOR BUILDING'PERMIT BOARD'OF HEALTH .~.,.~ .... 3 SETS OF SURVEY SEPTIC FORH NAI~ TO: Date . ' ..; .......... ,19.. INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of Iot and of build/ngs on premises, relationship to adjoining premises or publ/c st~'cet or areas, and giving a detailed descriptioh of layout of property mu]t be drawn on the diagram which is part of this appi cation. c. ' The work covered by this application may n~t be commenced before issuance of Building Permit.. d. Upon approval of this application, the Building Inspector will igsued a Building Permit to the applicant. Such portal shall be kept on the premises available for ~nspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until Certificate of Occupanc' shall have been granted ~,y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departmer~t for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of South')Id, ·Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions'or alterations, or for removal or demolition, as herein described The applicant agrees to comply' with all appL/cable laws, ordinances, building code, housing code· and regulations, and t¢ admit authorized .inspectors on premises and in building for necessary inspecf .~.~'/~ ......-, ~/~-'.~ ;- . ' · . (Signatur~ of al~l~ffant, or name, if a corporation) (Mailing address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, generai 'contractor, electrician, pIumber or buiIder· Name of owner of premises ~c'~ ©c' C'x q,, c. ~ ............ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authori:/ed officer· (Ne eand titl ofc ...... i m e orporate er u' , · ./.3, 07/ k/.ZT'. ........ B alder s Lmense No ....... Plumber's License No ............... Electrician's License No ....................... Other Trade's License No ................ l. Location of land on which proposed work will b ~one.. House Number Street Hamlet ' J3 County Tax Map No. 1000 Section .... · ............ Block .............. '. ·. Lot...~.Q,: ..c~ .......... Subdivision ............ ' Filed Map No (Name) ....................... 2. Statd existing use and occupancy of premises and intended use and occ.upancy of proposed constructionl a. Existing use and occupancy . ' b. In/ended use ~nd occupancy ............... · · 3, Nature of work (check wl~mh?pplicable): New Building . ~ ....... ; Addition .......... Alterati.~n_ ;~ ..... i, Repa/r .............. Remova1 .......... Demolition .... : ...... Other Work 4 Estimated Cost ,~;P.O.O · (Description) ...... i' Fee (to be paid on filing this application) 5, If dwelling, number of dwellin~ units'. .... ........ , Number o~' dwelling units on each floor ............ If garage number of cars ' ' 6. [bus'n.ess co..mm.e.r.calorm?~doc pan y speclfyn and tent re'achty;eofuse · uimensmns of emSnng structures, if any: Front ....... ; ....... Rear .......... ' ..... H,eight N mb fSto les . . Depth ............. ............... u ere r ....... Dmaens ons of same structur w~th alte orions or additions Front i'i ............ ~2; ................ 8. ~tmenslons olentlre new construction Front.,. t,o.. ,. --' ..... : ....... 9 Si eof lot: Front Re ....................................... , z .......... [ ............. ar ............. . ' Depth 10 Dot of Purchas ................................. · e e ....... '.,., .......... ' ........ .. Name of Former Owner ............ 11, Zone or use district in which premises are situated 12 Does proposed con uction vioilate y oni law ordi'n'a" .......................................... ' ..... g egulation: ..... '. ' ' 13. e regraded ........ ', ................... Will excess fill be removed from premises: Yes No' 14. Name of Owner of premises . Address .' . Phone No. . Name of Architect .. .' .'~'~..~?..'~. .... Address ', ............... . ........ Phone No. " Name of Contractor U'CR~ .O. qOtg~rlg~.. . Address o /~ .5'00 15.' I.s .this property within 300 feet of a tidal wetland? .... · If yes,' Southold Locate clearly and distinctly all property lines. Give street and block interior or corner lot. *Yes ........ No ....... ,. 7own Trustees Permit may~ be required. ' PLOT DIAGRAM buildings, ~heth~r existin~ or.proposed and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate W.hethe. r AP~PllQVED AS NOTED. 765-1802 g AM ~ ~PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDAT{O~¥ l~tO R~OUIRED FOR POURED '~ ~~ & STATE OF NE~r~¥ORI~,t~ ,,, ~.C7.~'..~.~.~y~... ........ being duly sworn, deposes ~d says that he ,s the applicant (Name of individual signing :contract) zbave named. ~e is the ........... ' gent, corporate officer, etc,) )f said owner or owners, ~d is duly m t~ta ~om or have perfo~ed the said work and to m~e and file this ~pplication; that all statements containe ~ this'application are t'rue to the best ofhis knowledge and belief; and that the ~ork will' be perfo~ed in the m~ner set~ forth in the application filed therewith. ' ;worn to before me this .............. ..... , ' ~ Ct~tRE t. GLtW '~ ' tare of ~ Y~N ' A VO¸ OTOHlnOS