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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.