HomeMy WebLinkAbout21456-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
southold, N.Y.
CERTIFICATE OF O~UU~ANCY
No Z-22951
Date APRIL 18, 1994
THIS CERTIFIES that the building,
Location of Property 890 WELLS AVENUE
House NO.
County Tax Map No. 1000 Section 63
ADDITION
SOU'~OLD, NEW YORK
Street Hamlet
Block 7 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 13, 1991 pursuant to which
Building Permit No. 21456-Z dated JUNE 4, 1992
was isaued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which thia certificate ia
issued is ADDITION TO EXISTING ONE FAMILY DWELLING ~ APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
JAMES & KATHLEEN DENNIS
N/A
H-040080 -MAR~H 29, 1994
N/&
Rev. l/B1
~om~ NO. ~
TOWN O~ SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NgN°, 214511Z , , Dote ...~...~.... ........................................ ,
Permission is hereby granted to: ~
~~.~~..~.~ ................
...~..~....~~ ........................
.... ~~~..~.,.~.....,...~.~.~.z~. , ~
~~.....~....~~ ........ ~ ................................................................
~ ~,.~ ,=~ed ~ ...... J~~~ ...........................................................
...................................................... ~:~~ .......................................................................
County Tax Map No. 1000 Section ........ .~...,.~. ....... Block .....~.. .............. Lot No...~,.. ..................
pursuant to application dated .... ~/.. .......................................... 19.~./...., and approved by the
Building Inspector.
.........................
Rev. 6/30/80
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Yo
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
N°- 19712 Z
Co~nt~ Tox Mop No. lO00 Sect,on ....... ~...~ ..... mo~k ...... Z ........... Lot No....~ ................
pursuant to application dated ........... ~. ............................... , 19..~/..., and approved by the
Building Inspector.
Rev. 6130/80
Form No. 6
TO~ OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
7~5-1802
. APPLICATION FOR CERTIFICATE OF OCCUPANCY
~his 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-Risposal(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
Vpre-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. Foes
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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...~. 1.~'..~....I.'~.~., .. ..........
New' Construction ........... Old Or Pre-existing Building .................
Location of Property .~..~0
House No. Street Hamlet
Onwer or Owners of Property ........................................ .........~
County Tax Map No 1000, Section .... .~..~..~. .... Block....O..~. ......... L.ot..O.O.g ..............
·
Permit No. J. ~.?.7..~.. ~...,Date Of Permit ;~J~.?/.~...~.~. ?~licant .... .~ .'~..~.~..~. { .~.: .. .
Health Dept,. Approval ................. Underwriters roval .... ' ..........
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ~ 7 .~.. ~~
o..., ......... ' '. .....................
INSPECTORS'
Victor Lessard
Principal Building Inspector,'
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 26, 1993
SCOTr L. P~RRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Sr. gerald J. Dennis
890 Wells Avenue
Southold, N.Y. 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificatg//of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file/
The check is (c ....... /not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made. /
No Plumber solder Certificate on file.'
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # BP# 21456Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
?iELD i~S'7 ECT±O~I tIDATE
FOUNDATION ( 1 s t )
FOUNDATION
ROUGH FRAME &
.PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDIT!ON~L COMMENTS:
(VACANT)
, .
; ,~" ~-- 76.55 '"
m/
~/ELL5
RON MORIZZO BUILDER, INC.
Contractor - Home ~mprovements
P.O. Box
789
AVENUE
T
_3
(¥AOANT) .... '-~
UNOERWRiT£R$ C£RTIFIC41~
OCCUPANCY OR
USE IS UNLAWFUL
W~THOUT CERTiFiCATE
OF OCCUPANCY
RON MORIZZO BUILDER, INC.
Contractor - Home Improvements
P.O, Box 789
SOUTHOLD, NEW YORK ;I, 1971
(516) 765-5772
........................... ~
,~
RON MORIZZO BUILDER, INC.
Contractor - Home Improvements
P.O. Box 789
SOUTHOLD, NEW YORK 11971
(516) 765-5772
765-1.802
UILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [/~'II~ULATION
[ ] FRAMING
REMARKS:
FINAL
DATE · , ,INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[~OFOUNDATION 15T [ ] ROUGH PLBG.
FRAMING
[ ] FOUNDATION ZND [ ] INSULATION
[ ] FINAL
REMARKS:
Lq?Iz_
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION AND ~/]'~NSULATION
FRAMING [* ] FINAL
765-J.802
BUILDING DEPT.
INSPECTION
DATE
THE NEW YORK BOARD OF FIRE UNDERWRITERS
8~677~ BUREAU OF ELECTRICITY
~ SS JOHN STREET, NEW YORK, NEW YORK 10038
~, , ~Oate ~CH 29,1994 ~pplication No. o, fit, O5690794/94 H O4~80
THIS CE~iFIES ~HAT
~S DgN~IS~ 890 ~LI~ A~. ~ SOUTHOLD, N.Y.
n~s examined on ~CH 17,1994 and found to be i. compliance with the N~fio.al ElectOral Code.
SERVI~ DI~ONN~T ~. OF ~ S - E R V t C ~--
elMER APPARATUS:
*~0 VISUAL D~F~CTfi~ "An e[ectr±ca[
Eurve¥ has been made of tJ~e exposed
eleotrical equipmeRt in the
premises indicated." "No obvious
unsatisfactory coltdition was found.
890 WELSS
SOUTHOLD, NY, 11971
This ce~ificate must ~t be altered i~ any m~nne~i returo to the office of the Board if [~orrect. inspectors may be identified by t~ic credentials.
COPY FOR ~UILDI~G DEPARTMENT. TH~S COP~ OF CE~TIFJCATE MuS~ NOT BE ~LTE~D IN ANY MAN~ER.
Examined · .~/./..~. ........ , 19.7/
..........
Disapproved a/c .....................................
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y, 11971
TEL.: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK
SEPTIC F;RH ............ '..
CALL ............ 'd.~ ......
MAlL TO;
Date March 7. .
INSTRUCTIONS
a. Tiffs application must be completely filled in by typewriter erin ink and submitted to the Building Inspector, with ~
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 -iv' - detailed description of Ikyout of property 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.
Ron Morizzo Builder, Inc.
tgna o a cant, orname, ifaqo orati n)
P.0. Box 789, Sou6hold, NY 11971
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Agent
Name of owner of premises ....M.r.: .&. Mrs .j~James Dennzs
, ,, . '" . ~ (as on the tax roll of latest deed)
If applicant isa corporat:on, ~Ignature of duly authorized officer. ·
(Name and title of corporate officer)
Bu'Id ' L' N ~772- .~...~..
I ers lCense o. ... .................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of/and on which proposed work will be done.
890 Wells Avenue, Southold
tlOuse Number Street, Hamlet
Coun x Map No. 1000 Section .............. BlOck .. ot 1
Subdivision Har. ve.s.% Homes Estates 5337 9
....................... Ell
........... ed/'./ap No ....
(Name) ........... Lot ..............
2. S~ate existing use and occupancy of premises and intended use and occupancy of proposed constrt,ction:
Existing ?.i.n.g..1.e family dwelling
a. use and ............
occupancy ................
b Intended Single family dwelling with addition
Use and occupancy * '
· . i . · · '' n..X ..... ;.. Alteration .......... '.
Nature of work (check w ch apphcable). New Braiding .......... Add~tto
Ret~alr .... i.. .[Rbmoval ! .............. Demolition . .,. ........ Smmraing pool: .~*~ .....
Tennzs Court ..... .~... Accessory Buzldzng .......... Fence ....... Other Wor~ ............
..... f . '9 ..................... ..................................... '
I (to b~ paid on ~ling thi~ applicat~onj
If dwelling, number of dx~ elling unitS, ............... Number of dwelling units on each floor.
Il'garage number of cars
6. If'business, commercial c
7. Dimensions of existing st
Height"' .............
Dimensions of same strm
Depth ..............
8. Dimensions of entire ne~
Height .............
9. Size of lot: Front .....
10. Date of Purchase .....
1 I. Zone or use district in w
12. Does proposed construe
13. Will lot be regraded . ~
14. Name of Owner ofprem
Nm'ne of Architect ...
N~e of Contractor ..
15.la this propert~
*If yes, Southol,
Locate cle~ly ~d disth
prope~y ~nes. Give street ~
interior or comer lot
FOi. LOWif~
2.
3. INSUi_AT
BE COMP
ALL CONST
THE REQUIF
STATE CON~
CODES. NO
DESIGN OR
STATE OF HEW YORE
COUNTY OF .................
, (Name of in
above n~mcd.
~ is the ............
of said owner or owner
application; that nit smtc
work will be perforated ir
Sworn to bctbrc mc
Nota~ Public,
' specify natvrc and extent of each type of use
mixed oc,cupancy, · .................
uctures, it' any: Front ............ ~ Rear ............... Depth ............
Numberiof Stories · .........
:ure with ~lterations' or additions: Front ................. Rear ...............
........ Number o[ Stories . .
construction: Front .... I.~. ......... Rear ... J.~./. ....... Depth ....
,Numbe~ of Stories f '
, Rear ..... Depth ................
Name of Former Owner
ich premises are situated .
.... ordinance or regulation:
ton Vlolato any zoning law .............
..... ! ..... Will excess fill be removed from premises: Yes ... ~ No.
' Address Phone No ....
....... ,:.. ' Address ....... Phone No ..... b~. .... -~ · · d.
locatdd feet of a tidal wetland? ~YES .... NO ....
Town ~rustees Permit may be required.
PLOT DIAGRAM
ctly all bi'uildings, whether existing or proposed, and, indicate all set-back dimensions from
block timber or description according to deed, and show street nm-nes and indicate whether'
~NMPECT~oNs:
iON . '~OREQUiRED
fED CONCRETE
FRAMING j& PLUMBING
CONSTR~CTiON MUST
ETE FOR C~O,
U~ION SHALL ME~
~MEN~ 0F THE N.Z
rR~oN~ & ENERGY
RESPONSIBLE FOR
}NSTRUC ~ON
'S.S
t3A': E:
FOR POURED CONCRETE
2. ROUGH ,. FRAnkiNG & PLUMBING
3. INSULATION
4. FINAL .. CONSTRUCTION
BE COMPLET~ FOR C.O, MUST
ALL CON8TRUCTION SH~L[
THE REQUIREMEN~ OF THE
STATE CONSTRU~IoN & ~NERG~
CODEs. N~ RE~NSlB~ FOR
DESIGN OR CONsTRU~ON ERRORS
...... , ..................... being duly sworn, deposes and says that he is the applicant
wdual stgmng contract)
(Contractor, agent, corporate officer, etc.)
and is duly authorized to pe~rform or have performed the said work and to make and file this
tents conlained in this. application are true to the best of his knowledge and belief;and that the
the manner set forth m the application ~lcd therewith.