The URL can be used to link to this page

Home My WebLink About23085-zFORM NO.3 TOWN OF SOUTHOLD 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) ~o~ z °°'~ ................ '/'"~ '/'"' Permission Is hereby granted to: at premises located at .......... / .~.., ............... ~ ........ ..~...(...." ............ ~ ............................................... ....................................................... ~.~..~. ....................................................................... CounIyTax Map NO. 1000 Sectlo~ ....... ..~.,,?.,. ,~,, ..... Block. ........ .,67, .~,, .......... Lot NO ....... ~.,,'~,,i ......... Building Inspector. Fee $.......?~,,~. Rev, 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-24903 Date FEBRUARY 13, 1997 THIS CERTIFIES that the buildin~ ADDITION Location of Property 105 PRIVATE ROAD %31 House No. Street County Tax Map No. 1000 Section 77 Block 3 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 25 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17, 1995 pursuant to which Building Permit No. 23085-Z dated FEBRUARY 13, 1997 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 coVERED PORCH ADDITION TO EXISTING ONE F~/4ILY DWELLING AS APPLIED FOR. The certificate is issued to ARTIE & CAROL SIRICO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-049528 - APRIL 12, 1996 N/A - / /Bu 4ding Inspector TOWN OF SOUTHOLD BUILDING DEPARTME~NT TOWN HALL 765-1802 A~PLICATION FOR C~RTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building o~ new usa: i. Final survey of.property with accurate loc~tion of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply amd 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 i% 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. B. For existing buildings (prior to April 9, 1957~' ~on-conforming uses, or buildings and ?pre-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 Buildinm - $100.00 3. Copy of Certificate of 0ccupancy - $20~00 4. Updated Certificate of Occupancy - $50.00 5. ~Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Construction .... .... Old Or Pre- isting Building ............. ocation of Property .... ....... .......................................... House No, Street Ha~et Subdivision ............................... Filed Map ............ Lot ...................... Permit NO./..J.dP..~.3~. ....... Date Of Permit./f.~./. ?.././ ...... Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..../.. .... Fee Submitted: $ .... ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 8~)5~52~ BUREAU OF ELECTRICITY ElS JOHN STREET. NEW YORK, NEW YORK 10038 Oate AP.RIL 3.2,1996 ~4pplic.tion No. onfile 114~3496/96 H 04952~ THIS CERTIFIES THAT oldy the electrlctd equipment as described below an~t ir~troduced by the applicant named on the above application number in the premi~es of ARTI~ SIRICO, 575 CVOOSE GREEK LAN~ SOUTHOLD, N.Y. in the followlng loc.tion; [] Basement [] 1st FI. · . APRIL O9,1996 FIXTURE FIXTURES OUTLETS ~IECEPTACLES SWITCHES· ~NC DESCENT FLUORESCENT OTHER DRYERS ~l FURNACE MOTORS .i, FUTURE APPLIANCE ~EDERS [] 2nd /~7. OU~ Section Block and found to be in compH'ance with the ,National Electrical Code. RANGES AT K W, F~ECIAL REC'PT coOKING DECKS OVENS DISH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SERVICE DISCONNECT AMT. AMP. TYPE ~g~. ~'2W 1,~'3W 3~'3W 3.ff4W NO O~E~C~.COND AW.G* NODE HI.LEG OF Hi-LEG OF CC. COND. , )THER APPARATUS: OUTDOOR PORCH LIGHT-1 R V i C Lot EXHAUST FANS AMT. H. P, DIMMERS AMT WATTS OF NEUTRAL ARTIE SIRICO 575 GOOSE CREEK LAN~ SOUTHOLD, NY, 11971 GENiAL'MANAGER Per this certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified b~' their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIRCATE MUST~NOT BE ALTERED IN A MANNER. BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. [[]] ;ORAUNMiDNAGTION 2ND i~]~TION DATE// INSPEC~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ [ ] FO~DATION 2ND [ ~ FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~*~~~-~ DATE INSPECTOR 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 April 9, 1996 Mr. Daniel West 656 Goose Creek Lane Southold, NY 11971 Re: Arthur & Carol Sirico - SCTM#1000-77-3-25 Pram: 105 Private Road #31, Southold 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) xx 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 # 23085-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. OUNDd'[ION (2ND) PI.UHll I NG ~ qSIH.ATION I~I{R N, ¥. STATI:: I{NERGT FJNAL i I.'gcJ. O. , ~. C'~ i, 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT,. TOWN HALL SOUTHOLD, N.Y. 1197~1 TEL,: 765-1802 ( B(iilffing Inspector) APPLICATION FOR BUILDING' PERMIT BbARD OF RE^LTII ......... 3 SETS OF PLANS ......... SURVEY .................. CIIECK ......... t .... --.-. SEPTIC FORH ....... ' ' Date d~'~, ,?'~ 19 2J- INSTRUCTIONS a, This application must bi completely filled in by typewriter or in ink and submitted to thc Building Inspector, with 3 sets of plans, accurate plot plan to scale, Fee according to schedule, b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sti'eets or areas, and giving a detailed deseriptioh of layout of property mu~t 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 Bnilding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall bo kept on the premises available for inspection thronghout 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 l~y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursnant to the Building Zone Ordinance of the Town of Southbld, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectdrs on premises and in bnilding for necessary insp ns., . -- . (Signaturp of alS'plicant or name, if a corporation) (Mailil}g address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or bnihler. Name of owner of premises . .:. .~... ' ......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorb;ed officer.' (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ....... · .................. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land oo which proposed work will be'done .................................................... ', .'. % ' ' ' ' Hoose Number Street itamlet Cou'nty Tax Map No. 1000 Section . :. :.~..'.?..7.... Block ..... ~.. ' Lot .... o~..~. ........... Subdivision ........ , ............. ' ......' ......... '. Filed Map No ............... Lot ............... (Name) State existing use a ~d occupancy of premises and intended use and occupancy of propg:sed c6n~ir(i~:tion:.~ a. Existing use ando(:cupancy., ............ . ......................... :..' ........ '" .; ....... '.i..'. ....... inten, e, ,,se ;,nd oc .pa,0y ........ . , - Repair .............. Remo? DemolRion Other Work Estimated Cost ........ ,¢ ........ If dwelling, number of dwelling ttnits ..... (Description) (to be paid on flhng fins apphcahou) N ~hber6fdw Il'ag nits ~ floor · If garage, number of cars ..... ~ ........... 6. If bus.re,ess, corem, er,cml or ml.xed occupaucy specify nature and extent of.each type of use ........... , .... 7. Dimensions of existing structure!, if any: Fr, ont.. '~dd ..... Rear .............. Dept ~ ........... It,eight ............... NumberofStorles ..... i';' ~'~"" .... ""; ...... "': ................... Dm~ensions of same structure with alterations or additions: Front~, ........ : ....... Rear. ................. Depth .... '. ................ I · Height ....... ', .......... ;. ~ Nmnber 6f Stories .......... '.: .......... 8 Dimensions of entire new construction: Front · Real Depth Height ' Number of' Stories ............................... 10. Date of Purcb.ase.... ......... , .. ...... ' ......'. Name ?f Fenner Owner 11. Zone or nsc district m which premises are mtuated' "' . ' ' ............................ ' .12. Does proposed construction violate any zoning law, ordinance or regulation: ..... '...' ................. 13. Wil bt beregraded ; . ..':'~.~ ......... Will-": .... '" ' . " ....... ' ' ,' ' ' ~ ........ *exceSS I111 De remorse item premises. Yes No 14. Nam e o f Owner o f premmes ,:~.~.-?.~. ~-7~ ."~..%l'? .--?.~.eAdd tess ~e. · · ............... Ph ................. :... ' Nfime of Architi~ct ........... ........... i ....Address ........... . ........ Phone No ............ : .... Name of Contractor .......... , ................ Address ............. . ...... Phone No ................ 15.' I.s this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold T~wn Trustees Permit may. be required. '". i PI.~OT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or proposed, and. indicate all set-back dimensions from 1 roperty bats. Give street and block number or description according to deed, and-siiow stre, et names and indicate Whether interior or comer lot. ST^WE OF NE 'I 9, _ //..__ S IS COUN'F.y OF, ~-~7.M, [.(?,L.r~....', _ , ...... ~ Itl '{"~"{' ' .~. ...... t~'~' .... being dt, ly sworn, deposes and says that he is the applicant (Name of indiv dual signing contract) ~bove uamed. )lc is tile ] (Contractor, ageut, corporate officer, etc.) ~f said owner or owners, and is duly huthorized to perform or have performed the said work and to'make and file this ~phcatmn; that all statements contained in fids'application are frue tO tbs best of his knowledge and beltef; and that the .york will be performed in tbs manner slet forth ill tile application filed therewith. ' ' ' ;worn to before me thifi. .............. . ..... Notary Publlc. $tsm of NewY°rk ~ ~"/'~;' (SIg.natureofapplican,) - Oualifi..ed in Suffolk C.oun~ '~.~ , ~;ommiasion uxpirea oeoeml~er 8~ 19 ~. ~