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HomeMy WebLinkAbout23137-z ~ w. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24108 Date JANUARY 5, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 445 BUNGALOW LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 3 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13, 1995 pursuant to which Building Permit No. 23137-Z dated NOVEMBER 28, 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 ACCESSORY GARAGE WITHOUT ELECTRIC AS APPLIED FOR. The certificate is issued to BERNARD TURCHIANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..........J(/°z 19..<.~ N2 23137 Z Permission Is hereby granted to; A Ca.? G ~/L>/~ /4/CCS~i , {.c ......?....F.......1..~.s"~ to... r ex.............. L`......~/~ ~ .......~~T~9 / //97044.....A .......i./~~~o at premises located at......... ~`.7`. L C Block ......®,1........... Lot No. d CountyTax Map No. 1000 Section-/ pursuant to application dated 19.... cf and approved by the Buliding Inspector. " ~91-0 Fee .:7=.... B ding Inspector Rev. 6/30/80 TOWN OF SOUTHOLD 3 } BUILDING DEPARTYF-1 Lx TOWN HALL ~pN 3 765-1802 APPLICATION FOR CERTIFICATE 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 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-dispcsal(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 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. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: 1. Accurate survey of property snowing 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 525.00, Alterations to dwelling 525.00, Swimming pool 525.00, Accessory building $25.00, Additions to accessory building 525.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing- Buildins - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 515.000, Commercial S15.00 Date --0 New Construction...../.1.... Old Or Pre-existing Building Location of Property ~ /a e`k&`uA A........ House No. Street Hamlet Onwer or Owners of Property...... 9a rl.leler-nl.. Cd.~C~tQ//P County Tax Map No 1000, Section.../ Block ...7........... Lot.... 6 Subdivision ....................................Filed Map............ Lot...................... Q / ~7 Applicant. Permit No.~J.k J7. l.. .Date Of Permit. ..L.~~J~°•/%,1:. ~•/~~•!.l ...f Health Dept. Approval.. 0.. S~!l~ ~•YS. Underwriters Approval..~(Q • • ~AC ?-anning Board Approval...... f./ Request .or: Temporary Certificate........... Final Certicate...x n ~r 'ee Submitted: APPT CA T yI0$g O~Og1aFF0j1r O c~ rn x Town Hall, 53095 Main Road p A Fax (516) 765-1823 P. 0. Box 91971 Telephone (516) 765-1802 Southold, New York 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 28, 1995 Mr. Charles Taplan County Road #48 P.O. Box 336 Peconic, NY 11958 Re: Bernard Turchiano - SCTM#1000-123-3-6 Prem: 445 Bungalow Lane, Mattituck 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 (outdated/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 # 23137-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - Electric Underwriters required if electric is installed. It would be better to install electric now while permit is still open. PLEASE NOTIFY WHAT YOU WILL BE DOING. 'tlilefl -t i<nl"cr'LoN_ RIirUR'C-- DATE COHMISNTS Q' ouNnnrloN (ISr) - - - - - r'OUNDAT'ION (2ND) II P1 I I loUCl1 FRAME a I . r LIMA I NG I HISULA,riou Pi,-.R N~ Y. STATE Vlr.VWY " CODE Xll I ~j r3 C I - - - - - - - - - - - . -44 AA DUITI C MrNTS: - - Fi O - z ~1 - a' r' t*t 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] IN ATION [ FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: tte- Jv Y r Xl~ . DATE INSPECT l i f 1000-123.00-03.00-006.000 DEe*p HDt- E C~'EE (18,0) INDICATES ELEVATION SHOWN IN LI SC. 6 G8 PLANE / •'r ~4%i.,.,~ y'~"o .SI~~ r FROM RENCH E-373 AT MATTITUCK AIRPORT 'ja /''L> .VATwr4s.ADDaD 70 8URVEY MARCH 24 1003 mj" N p 'man ~V PAUL T.CANAUIZO SURVEYOR N !-IAMPTON DAYS. N6W YORK 0 of NEW y Nc4~ CAN- r2 Qt 10 b 1 y a \ti c<r 6 y /S7Opt, QI C to ro0 1101, FR44, c Q Q' Z FF \ V e 0 f( v i' 4 Q~ y ry sy• aQ v~ p O p 4, r 7 l y'.w._._ d_ j frri~,'/ T,v r`w~, V3.rrvrr A ~ 1 ~ rESr~ioRrNp` rr 9Abt.DY h a\ 3,. _ . ditA E L, QQ P~ jJ ~ a~ t O lr'" ,r,a tIiACE~ Dl?,. a at' 946.60 100.00 N.6704 'OUtw• nog/r~ /e 7+u 4lir wn/ - -1- N [3UNGAL:`dw~. fro N ~y ~fWO///t f Na 11 NO WAT N1., SURVEY FOR REFERENCE s BERNARD M, TURCHIANt) AT MATTITUCK' %s TOWN OF SOUTHOLD ~*A µTEFD 70 SUFFOLK COUNTY, N.Y. 31 SCALE) I40x 40' JULY 18, 1976 JAM 4,1977 r~ LAND $U VEYO1t N.ke. LOC. No. 90725 RIVERHEAD. N.Y. HOARD OF HEALTH FORM NO.1 3 SETS OF PLAYS 1!Q~) 3 195 TOWN OF SOUTHOLD SURVEY . . BUILDING DEPARTMENT CIICCI . . . . TOWN {TALL SEPTIC FORM _ . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 1"DTIFY; L} CALL ..7 ~ Examined lI& RAIL TO: ~ Approved 19p/.J. 1'ennit No. "231S72"- . Disapproveda/c ' v .rte /ec~o . (Buil i o Ins ) io, r APPLICATION FOR BUILDING PERMIT Date ! 19: ~ 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 location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of properly must 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout 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 by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, 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 inspectors on premises and in building for necessary inspections. (Signature of app rnant, or name, if a corporation) (Mailing address of applicant) State whethh/e--r~~ applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises fle'° - / c"4'.'& ~lv® (as on the tax roll or latest deed) If applicant is a coporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. r~©6 G Plumber's License No . Electrician's License No . . . Other Trade's License No . I. Location of land on which proposed work will be 'done . (louse Number Street r~ Hamlet County Tax Map No. 1000 Section Block ..3 Lot ....4~ Subdivision Filed Map No. Lot (Name) 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: .B~„$" fdj'I~ ,t Ffi3i?~Jf1 a. Existing use and occupancy Y.1°`.,;n.~a;a:r'i,.'¢r.J ! 3 5'};!1'fJl , y b. Intended use and occupancy fYCY; ` .....'.........:::•,Ps••y`:'"; c::'.q;<.3.m7^a LOP Repair of work • , . applicable): New Building , , Addition , . Alteration Re 3, Nature check w. Reru vat . . . . Demolition , . Other Work (Description) 4. Estimated Cost `JJ .t~,'rJ C Fee . , , , . 5. If dwelling, number of dwelling (to be paid on filing this application) If garage, number g. g t'mits Number of dwelling units on each floor , 6. If business commercial or mixed, Height g occupancy, specify nature and extent ofsach type of use 7. Di t sons Of exi tin a structures, if any: Front Rear ; Depth . Uer of Stories . . . Dimensions of same structure with alterations or additions: Front Rear . . . . . . . . . . . . . . . . ' Depth . . . . . . . . . . . . . . . . . . t . Height . , , , • , , , , Number of Stories : , 8. Dimensions of entire new construction: Front Rear . , , . • Depth ; , 2~•, . . , v2 . Height Number of Stories ~ . 9. Size of lot: Front /ak~. , Rear ...~f ~ . . . . Depth ...'L S'?4..:on 2 .S'O, . 10, Date of Purchase , . , , ••••''•••••••.,........NameofFonner Owner 11. Zone lor>~sedistrict inwltichpremises aresituated 12. Does proposed construction violate any zoning law, ordinance or regulation: . , 13. Will lot be regraded MP Will excess fill be removed from premises: Yes OD 14. Name of Owner of premises Qe.~w~r;i~ rc aityoAddress.2~>y. 0.(lOWA/, , , , , Phone No....... . Name of Architect . . . . . . . . . . . . . . Address Rrook/ynl. !k>'<.. Phone No. . Name of Contractor Address . . ! f41 Phone No. 15. is this property within 30p feet of a tidal wetland? Yes........ No......... *If yes, Southold Town 'trustees Permit may be required, PLOT DIAGRAM Locate clearly and distinctly all b4 iildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. iTATE OF NEW YOR C S.S ~OUNTY OF... v.. . it, aP rF art •'I~ • • •E'l. / being duly sworn, deposes and says that lie is the applicant (Name of in idua signing, con tract) bove named, r le is tile.......... 6rY?i a c'! (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained ht this application are true to the best of his knowledge and belief; and that the iork will be performed in tine manner set forth in the application filed therewith. worn to before ine this day. ...tQ~?ari~44r.., 19 lotary Public, . , County R. e . NOTARY RPUB T I.ISC to N.Y., ure of applicant) ROBE No. 4725089, ffolk Cou y Term Expires May 31, 19 i i ? ~ ? ~ _ l~' {Jf t~ ~ ~NJ. STEC? boor- ~ I ~,.+4-'....,.1~-.~F4°F-A'~-? ..._.'.~-r .....~:c:A.:,. r' ~L~R.~~-"`_~{.}~',.1~~3.s ' ~?a.' s _ ' / ~Irle fD i I tom: x& 16 l0e, aC _ f J y~f G Ail, y t .IF j" i~ APPROVED AS NOTED DATE: 4 rB.P.m 2xFrec~ FEEV31 'i BY: NOTIFY BUILDING DEPARTMENT AT 766-1802,9 AM TO 4 PM FOR THE nrr11Pemrv nQ I . FOUNDATION - TWO flEnUIRED USE IS UNLAWFUL UNDERWRITERS CERTIFICATE FOR POURED CONCRETE REQUIRED 2. ROUGH FRAMING & PLUMBING 3. INSULATION WITHOUT CERTIFICATE - 41 BFINAL ~ E COMPLETE FOR C.O' CONSTRUCTION MUST OF OCCUPANCY, ALL CONSTRUCTION SHALL MEET OF " - THE REQUIREMENTS OF'THE N.Y. - ae- ,UVRgve rv we "av. ,STATE CONSTRUCTION & ENERGY - CODES. NOT RESPONSIBLE FOR . OA ? ,C ~ IIFVISe4, DESIGN OR. CONSTRUCTION ERRORS - 1 tllu My.NUMjleN- ~ )