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HomeMy WebLinkAbout22454-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25680 Date: 04/24/98 THIS CERTIFIES that the building ADDITION Location of Property: 150 WEST SHORE DRIVE SOUTROLD (ROUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 80 Block 5 Lot 5.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 1994 pursuant to which Building Permit No. 22454-Z dated NOVEMBER 4, 1994 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 VINCENT B. MANETTI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FOgM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD~ N.Y. Ne 22454 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) .............................................. Z pursuant to application dated ................................................ 10 ..... Building Inspector, and approved by th~ uilding Inspector Rev. 6/30/80 I~" '~ BLDG. DEPT. Form No. 6~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR 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 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" land uses: i. 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-existinK Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ... ~t~ f/~ ~ New Construction ........... Old Or Pre-existing Building .......... ~. .... Location of Property.].~.~..%~..%.~..~.~ .... %?.~..~.~,,.~.~ ............................ ... .. House No. Street Hamlet Onwer or Orgflers of Property....~i~..~..~.~.~ ................................. ... .. County Tax Map No 1000, Section.~.~.P. Block.~.....~. ....... Lot~.~.:.( ............ Subdivision ......................... ... . ...... . Filed Map ............ Lot ...................... ' I~.t ~ ippli Permit No. ~.~..~.Y]...~...Date Of Permit.. ~.~ ....... cant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... e 0 APPLICA 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 March 5, 1998 Vincent & Laura Manetti 215-15 67th Ave. Bayside, New York 11364 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 #22454Z SEE ATTACHED Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION FOUNDATION 2. (1st) (2nd) ROUGH FRAME & :?LUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COM~ENTS:d~'--~'-~ 765-1802 BUILDING DEPT. INSPECTION DATE///~//~//~ 'I~SPECTOR~ ~ PRUDENTIAL tfO.~ hI~RT'~A~ ¢OMPAN)' ABSTRACTSf INCORPORA TED SURVEY OF ' PlO L 0 T 12 & /,O,,T,.,~ 10 & · ~ BI. OCK '.,4 .'~:~.¥. · '~,,~. o,=,~,,,~,,,~,-~.,Z.~,....:::..:..'-. ':" , ;, ,~ , ~Y~ 'TOWN OF SOUTHOLD ':.~ ',". '" 'Lt,.. ' ,': ' 'v ". SUFFOLK COUNTK N Y""" ':':'"'~' '"" ..... ' '" ' 1000 - 80 - 03 - 05 ..... Sc~e: 1"= 30' Ju/y 8, 1993 SOUTHOLD, N.Y. - TOWN or SOUT.OLD I~11 ~,~ I i~(~J~ ~L~ BUILDING DEPARTMENT ' "~,...~.,~,,.~ TOWN HALL ~~:p-~, SOUTHOLD, N.Y. 11971 W~"~IHOLO TEL.: 765-1803 Examined .ff~.} ....... , 19.~ ~' ~ Disapproved aTc ..................................... ~PLICATIO~ FO~ BUIL~I~G Pfi~IT BOAKD OF HEALTH ......... SETS OF PLANS .......... URVEY ................... ~SCI1ECK ...... . ~;OTI PY ~ GALL TO: 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 sho~'.mg loca~ibn~'of lot and of buildings on gremises~ relationship .tq adjoinin~ premises or public streets or areas, and givin~ a detailed description of layout of property must be drawn on the diagra~i~ay2ikslr)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 Buildifi~ 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 des~cribed. 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 necessarg inspectio,ns. · - .... ..... .................... - (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is ow.ner,..l.e.s~ee, agent, architect, 6n~neer, general contractor, electrician, plumber or bu, ilder. Name of owner of premises . ."(-..~.O~,~.. ~. ~~. ' (as on thee tax roll or latest deed) If applj~'~ is i corporat~on,~jgnat, la, re of duly authorized officer.// (Name and title of corp6rate officer) Builder's License No.....~.' .7.~'. Plumber's License No ......................... Electrician's License No ..... ' ................. ? ,. Other Trade's License No ...................... 1. Location o f land on w~pTd,~f~)o~e ............... )/~,~7~.. ~,~~.. ......... ................ '"f"~'~L~cL~"~"~/'~': .................... ~ ~1"' '~et ~'~~ t ......... House Nmnber Street County Tax Map No. [000 S~t~n .... ~ .......... Block...~.~ .~ .... Lot . ~~... Subdivision ~ .~ ............... Filed Ma; No..~. ~. ~ ...... Lot ~1 ./~./] .... ' ,~ (Name) ' ,~ 2. State existing use and occupancy of premise~and int~de~use and occupancy of propos~ construction: ~ a. Ex,sting use and occupancy ..... ~~ ................ ;~s;~2 ,~.,~ ~,,,].. ,5;:~ .,~;~.~... ?, V~,,tc4~ ........ b Intended use and occupancy ............. g~ ~.~,. ............ ~ ..... 3. Nature of work (check which applicable): New Building .......... Addition ..... Alteration >. ..... i ~' · Repair ............. Remgval .............. Demolition .............. Other Work...[<~. ........ .. !., .~ ~D~ription)~ 4. Estimated Cost ...... , . · Fee (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ................ If garage number of cars :' . .............................. 6. If business, commercial or mixed occupancy, specify, nature and extent of each type of use .... Dunenslons of existing structures if an,,' Front . ~O ~-- /~ O r)~,,,h .~.~ 5,5 ....... 7. Height .. ~ .......... Number of Stories ...... ~ ...... ~ .......................... ' Dimensions of same structure w!th alterations or additions: Front .... /.,,~q~.v~.~. .... Rear ... i ' . ...... Depth ~ Height Numberof Stories 8. Dimensions of entire new constrUction: Front ............... Rear ............... Depth ............... Height Number of Stories 9 Size of lot: Front ' Rear Depth 10. Date of Purchase ........... , ........ . ......... Name &Former Owner ............................. 11. Zone or use district in which promises are situated ............. 12. Does proposed constructiqn, vio ate any zoning law, Ordinance or regulation: ......................... 13.. Will lot be regraded .... ~X~O .I, ................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises ...i ................. Address ................... Phone No ................ Name of Architect .......... i ................. Address ................... Phone No ............ &x.. Name of Contractor 1'1.e [~. hO.~..[~.. (fk~. ..... Address ............. .,~... Phone No..~. 1.7..¥/Y..~.~. 15. Is th±s property w~th±n ~00 feet of a t±dal wetland? *Yes..~. .... No ......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all l buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. 7(:~5~802 9 AM ~'0 4 PM FOR THE 'FOLLOWh~!G iNSPECTIONS: 1. FOUNDATION TWO REQUIRED FOr4 POURED CONCRETE' 2, ROUGH - FRAMING ,8~ PLUMBING 4,. FINAL CONSTRUCTION MlJST BE COMPLETE FOR ALL CONSTRUCTION SHALL MEET THE )tEOll)REMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY (,'ODES, NOT RESPONSIBLE FOR o. CO.S*B.CTION E.BOBS SrA'rE [I,,'". S ...... · ~.; .~. ~1./~l. (. S. ~(.~-.~..~..~O..~. .... being duly sworn, deposes and says that he is the applicant (Name of individual signihg contract) ' above named. of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Commi~ilon ExCtea Oeoemb~r~ ~, 19 &.// ' ( g e of apphcant)