HomeMy WebLinkAbout22834-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCuumANCY
No Z-23786
Date JULY 20, 1995
THIS CERTIFIES that the buildin~
Location of Property 500 (aka) 628,
House No.
County Tax Map No. 1000 Section 87.1
Subdivision
ADDITION
MEADOW COURT SOUT~OLD, N.Y.
Street Hamlet
Block i Lot 28
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 6, 1995 ~ursuant to which
Building Permit No. 22834-Z dated JUNE 16, 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 4'x19' DECK ADDITION TO EXISTINO DECK OF EXISTING OWE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to FRANCISCO SCIOTTO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
N9 22834 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ................. 4.~.. ,.~.~. ...........................
Permission Is hereby granted to: ~ ~ ,
....~........~-~. ~ ./.~.¢,~.......~.~,"~...o...
..... ~,.a.,.,....~....~ ................................
rJ' ~~.~....~.~....././..?.~ 7... ....
........ .........
.,../...o. ........... ~ ........ ~..~./.~ .......... ~: ........... ~..j~..~ ......... ~ ........
.... ,:~2....~ .......... ~../- .............................
County Tax Map No. 1000 Section.....?.,..'~..'..../.' ........ Block ........ .~...~.. ......... Lot No..,¢~.'...~... ...............
pursuant ,o application dated ................... ~./.2 ...................... 19.....~...~.., and approved bythe
Building Inspector.
-'Building Inspector
Rev. 6/30/80
I'otm Ilo. 6
'I()U~I OF SDU[tlOI,I)
'J'OUII HAl, l,
765~- I BO2
A['I'I tC,\"JON FOR CEIH'/.FICATE OF OCCUI'ANC¥ ~ ....... ~i~j~
.J.I~SB th~tt 2/10 of IZ
~. goltllltC~c.Lnk bu~J.d:Jng J. ncltlstt-~ll btH..1, d~t~g J.I J.p .e re~ .tdelleeg find ,' - '
tespo~sJb.te [or Lh~ buJ.Ld.Lug. ,,t ....
6. Stlblnt. l: l~J. nlHtJllg l~o~lv;tJ Apj~Eov~t~ o[ onplpL~d ~J.l:~ p.t~tll t'equ~te,lenL~,
~"Pt'e-exJ. sl:J. ng' lnnd u~e~: " '
I, Accu~:ate survey of property shm4.i, ng at.1. prope[~y J. ines,
C. Fees
AJte~ ~ti. ons to th4eJ, t.lnB $25.00, St~i.r,mi. ng pool. $~5.00, Accessory J~t.tldi~
2, Certificate of Dccupnncy on Pte-exJ. stil~g B~Lil. dJnt! - $[00.00
3. Copy of Certj_f).cttte of Occupnncy - $20.O()
6, Ilpd~ll:ed C rt].[tcnt'e of Occupal~cy - $50.00
S~ree~
~;ult~vJnLon ................................ [..jFLlud H:H; ............ Lo~.
~ /.,~ t,~ ~,,,,,,,,,,~ ........ ~ ...~.
........... . ..........
Hvn].ch I)~i)C' kpprova~ .............
rm ~;ul)mJ.t L ed: $,,,
4 ~/ .......................... ~'~ '
~CO. ~3 ~ ~ ........ · .....................
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
July 13, 1995
Mr. Francisco Sciotto
500 Meadow Court - #28
Southold, NY 11971
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 # 22834-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
0
FIELD INSPECTION REPORT DATE CO1414EIIIS
II
FOUNDATION
ROUG~ F~ &
INSULATION PER N. Y.
STATE EI'[ERG'Y
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INS/ULATION
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ ~
DATE
I NSPECTO~//~
76S-'t 802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [~FINAL
D~ ~/¢/ ,.s~o.-~/~
JUN -- 7 1995
F-xamined , .//.~.. i,
....... ....
FORIg NO. 1
TOWN Off SOUTHOLD
BUILDING DEPAFI1MENT
TOWN IIALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
19 ~>.~Permit No. C~...~,,~, ~..~.
13isapl)roved a/c '
, ..(~n~,J'fi'~g Inspector)
APPLICATION FOIl BUILDING PERMIT
BOARO OF IIEAL¥11 .........
3 SETS OF PLAHS
SURVEY
SEPTIC
CALL
BAIL TO;
Date ................. I ...
STATE cONSTRUCTION & ENERGY'
I. Local/on of hind on which proposed wore will ~c done ................ -
................................. , ......... ¢~., ................. ~ ~&%., .....
Ilonse Number ' " ' .........
Street , ~. , llamlet
(Name)
2. Slale exislhlg use and occnpancy of premises a~}tl intended use and oc'cupancy of proposed conslhmlion:
(Name and lille of corporale officer)
,.,ccnse No .............. OCCUPANCY OR
L,ce,,se No ............. USE IS UNLAWFUL
WITHOUI CERTIFICATE
Elech'lcl n s License No.
.......... OF' OCCUPANCY
Other Trade's License No ......................
785-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION * TWO REQUIRED
FO. POURE~ONCRI~I'F
2. RO~H.'- '~MING & PLUMBING
3, ~SU~ON .:~
4. FINAL - CONSTRUCTION MUST
BE CO~L~E FOR C.O. '
ALL CONSTR~CTION SHALL MEET
THE REQuirEMENTS OF THE N.Y.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing 19cation of lot and of ~uildings on premises, relationship to adjoining premises or public sl}eets
or areas, anti giving a detailed description of layont of property mast be drawn on the diagram which is part of this appli-
cation.
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 igsned a Bnilding Permit lo lhe applicanL Such l>ermit
shall be kept on the premises available for inspection thronghout the work.
e. No bnilding shall be occnpied or nsed in whole or in part for any pnrl)ose wbalever until a Certificate of Occupancy
shall have been gianted by the Bnilding Inspector.
APPLICATION IS IIEREBY MADE to the lhfilding Department for tbe issuance of a Buihling Permit pnrsnant to the
Building Zone Ordinance of the Town of Sonlhbld, Snffolk Connty, New York, and other applicable Laws, Ordinances or
Re~nlations, for the construction of buihlb~gs additions or alterations, or for te noval ~[ demofition as I ere i t escribed.
The applicant agrees to comply wilh all ap)licable laws ordinanc~ but d lg cot e lot si Ig code~ and regulM oas, mt to
admit aulborized inspectors on premises and_ in buihling }for necessa{y[i~spections.
Slale wbelber applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder.}
Repair .............. ~, Removal .............. . Demolition : ......... Other Work ...............
'~"O~W .... (D il li)
4 Hstimated Cost , O~ escr ~ on
' ' ' ' ........................... · · · · · Fee
i (to be paid on filing tiffs applicafion)
5. lfdwelling, numberofdwellingtmils......,.......,' Nmhberofdwelhng' urals' on eacb floor ................
If garage mm}bet of cars I '
6. I[ business, commercial or mixed, dccupancy, specifynah~re and exte,t of.eec ~ type of use .....
7 Dimensions of existing structures iifany: Front ¢~( Rear ¢¢ "'~'~'
' ' ............... Depth
lleight...............Numb6~.ofStores ~ ' ' ' ................
~ itl~ "
Dimensions of shine structu e w alterations or add't~ons: Front .......... ....... Rear ................
l)eplb ' lleigbt ' Number of Stories
8. Dimensions of entire new construction: Front ' Rear Depth
Height- Number, of Stories "
9, Sizeofl0t: Front% ..... ~ '
,, , ,j .......... Rear ............. ; ........ Deplh ..... ~ ..... , ....~....I
10.11. Dale ofPurcl,ase . .~.,, ~..~ )l.qS.~.... ......... Name or Former Owner ~~. ..... Y~'.
Zone or use district in wlucb ~remises are situated . ~ .. '
12. · ~ ......... '
Does proposed constructmn vlola[e any zoning law, etd na Ice or ~egulation' ~ .........
13. W 6t be regraded ~iO. --. .. W ...... ' ............... ,' ' '
· '....~ ~. ~.~ ........ vmexcesskq~oer~movejl~rompremises: les ,
14. Name of Owner of prem,ses k~.~%~l.I.Q . Adt,ess~.~y~[¢~.%~ Phon No.% qYL& .....
Name or Architect ~ Atkh Phone No
NaimofContractor . ......................... Address ........ : ...... Pm~e~ ......... ~..
l,s ~his properCy ~1~ in 3QO ~aak o~ a kfdal wakla~d? *Yes ........ No..~.~..'''
· If yes, Soukbold T~wn Trustees Permit may. be required.
... P LOT DIAG RAM
Locale clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
properly lines. Give street and block number or descrlptiot{ according to deed, and show street names and md'cate whelher
hitcher or comer lot.
[5. '
(Name of mdividual'~ignb,g cohtracO
and says that he is tile applicant
lie
is
flte...
' ' : "" 5' (Contractor, agent cor'porate officer etc.) ' ' ......
of said owner or owners, and is duly authorized to perfom~ or I ave per£om ed tile satd work and to nrake and file this
application; that all statements conta~bmd ill tiffs'application are true tO tile best of his knowledge and belief; and tltat tim
work will be pet formed in the manner set fo4tb tn the application filed therewith.
Swetn to before me this
........ .... ',. ,,,ay oi ....... ....
II,,,.
. .
., ~TH_~IE. VJI.LE. /
~otargPubiic, Steteo~L'cwyork , . ' ]~ [ ' [~.lgliature Olappllcan{)
~o. 52-8125850 Suff61k Cou}t~ ~ , ~' '
lerm Expires October ~I, 19..~.~