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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..~.~