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HomeMy WebLinkAbout21502-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22715 Date NOVEMBER 10r 1993 THIS CERTIFIES that the building. ADDITION Location of Property 2005 WESTVIEW DRIVE House No. Street County Tax Map No. 1000 Section 107 Block 7 Subdivision Filed Map No. MATTiTOCKr N.Y. Hamlet Lot 4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 25~ 1993 pursuant to which Building Permit No. 21502-Z dated JUNE 28~ 1993 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 SC~F~_~ IN PORCH OVER EXISTING ATTACHED DECK OAEXISTING ONE FAMILY DWF. rJ.ING AS APPLIED FOR. The certificate is issued to FRED & ANNE RENGANESCHII (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 /~ildi~g Inspector FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N£ 21502 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULl. COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ~..~.~...~~.~.'. ............ ...~...~..~.~~....'~ i~ .............. ..... ~~,~...,..~.,.~ .................................... ..~~.~ ........ ~......~._~.~.., ............... ~ ..................... , ........... ~ ...... ~~~.~..~ ~.....~~.. ~. ~ ...... ............. ~.~..,...~.~.~.....~~.~~...~.....,. ......... at premises located at..... "~ '~..,.~-~........~..~~....;~.~ ............................... ~' ................ CountyTax Map No. 1000 Se6flon ...... ,~,~.,.~.. ........ Block .......~.. ................. Lot No, ....~.... .................. ·/Building Inspector. ~-~,~.../.z..~.,..~.... ~,~ /~' Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL 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-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. B. , For existing buildings (prior to April 9, 1957) non-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. ~ 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 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 'ew Construction ........... Old Or Pre-existing Building ...... %~.. ........ Honse No. Street Hamlet nwer or Owners of Property ..................... . .................................... ou~ty Tax Map No 1000, Section ...... Z~.Z..Block ....... ~ ....... Lot ..... .~ .............. ~bdivision ................................... Filed Map ............ Lot ...................... ~rmit No..~Z~.~.Date Of Permit..~/~ .... Applicant ..................... ~alth Dept. Approval ...... ~ .............. Underwriters Approval ..................... App ~' arming Board royal ......... ~ .............. :quest for: Temporary Certificate ........... Final Certicate.. ~ FOUIJDATION (1st) FOUI~DATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 1 1. Zone or use district in which premises are situated .................. ~ ..... ' ............. .12. Does proposed construction violate any zoning law, ordinance or regulation: . ~ ' ' .............. 13. ~¢;~regraded .......~~ '~ ........ .:.Will excess fill be removed from premises: Yes .......... ~ ........... z ........... Add ...... ' ........ Nme of Contractor ........ ~. - · ~ ................... rnone No ................. . *If yes, Souchold Town Trustees Permzt may be required, ~'~ ~ocate clearly ~d distinctly ~] bulldogs, ~et~ existing or ~ro~osed, ~,i~dicate ~] set-b~c~ 8~¢~sio~s Cro~ prope~y ~es. Oi~e stree~ ~d b]oc~ ~u~ber or descd~tio~ accord~g to deed, and show street ~es a~d ~dicate TATE OF NEW YORK, 'OOkrrv r~ --~'u~c~t ~ .S.S .......... ~- · ~ ..................... ' .... ' ..... being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) named. x is the .....~...O-/./~..'~.t.~. (Contractor agent cor'porate officer etc ) .............. said owner or owners, and is duly authorized to perform or have performed the. said work and to make and file this plicatinn; that all statements contained in this'application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner set forth in the application filed therewith. · tom to before me this % t gna/ute ozappuc~t) Term ~ir~ ~ne 12, 19~- , ' TRUSTEES John M. Bredemeyer, III, President Albert J. Kmpski, lt., Vice President Henry P. Smith John B. Tuthill William O. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 June 25, 1993 Fred Renganeschi 2005 Westview Dr. Mattit~ck, NY 11952 RE: SCTM ~1000-107-7-4 Dear Mr. Renganeschi: The following action was taken by the/~Southold Town Board of Trustees on June 24, 1993: RESOLVED that the Southold Town Board of Trustees grants a waiver to construct a 5~ X 14' stockade fence. The fence will be approx. 35' from existing bulkhead running 10' inland to an existing fence. Also to screen in area of deck with an awning roof. If you have any questions, please do not hesitate to contact this office. ~ohn MrY truly yours, · Bredemeyer, III President, Board of Trustees JMB: jmd cc: Bldg. Dept. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~/~NAL REMARKS: (/~//~ ~ ~ DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLO , ~-, - 2 ~' BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 · TEL.: 765-1802 Approved ., 19'~. Permit No..~./-.~..~..~ Disapprove~ ~ ......... ~ ............. 76~1~2 9 AM ~ 4 PM ~R ~E (B~ding In ~NG INSPE~IONS: 1. FOUNDATION - ~O REQUIRE~PPLICATION FOR BUILDING PERMIT FOR POURED CONCRETE 2. ROUGH - FRAMING ~' PLUMBING 3.' I~SULATION 4 FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ................. ........ ....... SEPTIC FORH ............ a. AL'[hi~oNgiliRil~greOl~l~Rlonlt~g~ly filled in by typewriter or in ink and submitted to the Building Inspector, with 3 · sets o~'~[anl~E~glR~MB~Spi~fl t~'~Eal~YFee according to schedule. b.S.~...ktt. Ig~gl'~iit~JOel:aSioENffq6ttand of buildings on premises, relationship to adjoining premises or public sti'eets or are~O[ai'~l Ikl~ll~l~l~ of layout of property must be drawn on the diagram which is part of this appli- , catioa;)ES~GN ~"R'~I~gTR'0-CTIONERRORS c. D~fi-~w,;.k ,.c,.c.~ t~ld~ ,pt:llcaltun may not be commenced before issuance of Building Permit. d. F~.on approval qflt~js anr~licaticm, the Building Inspector will issued a Building Permit to the applicant. Such permit shall b~l/tYo~gld:l~lnii~a~Ilti~'~'o~]nspection throughout the work. e. 7'l~tfffillt~lge/~allOo$.diS~l~[t cTl4~sed in whole or in part for any purpose whatever until a Certificate of Occupancy shall hf-'~Lla~llfl~rl~ilding Inspector. 1. FOUNDATION - TWO REQI.flRED- APPL4tC~Etfi Ct:{~YEMADE to the Building Department for the issuance of a Building Permit pursuant to the Buildin~ ~/Lq3glrdi~a~A~lNgit~ePl20~16~aSouthold, Suffolk County, New York, and other applicable Laws, Ordinances or Regula~i.o~i~;~p~'f~t~construction of buildings, additions or alterations, or for removal or demolition, as herein described. The at~.liF~l~Lagree~2~/~/rs~o0~'~N1MUlSl'pplicable laws, ordinances, building code, housing code, and regulations, and to admit aut~l~r~l~ltl~'~ltO~all~l~emises and in building for necessaryjnspecti~ .' THE_ REQUIREMENTS OF THE N.Y. '"""""""""~~ ................. STATE CONSTRUCTION & ENERGY (Si=na, fure of~pplicant, or name, if a corporation) DESIGN OR CONSTRUCTION ERRORS (Mailing address of ~pi~licant) State whether applicant is owner, lessee,'agent, architect, engineer, generai contractor, electrician, plumber or builder. Name of owner of premises /=-,,~W-d~ ,~/4/,4//t-./~~'' . .~...~-..,~.~...,~.,,-~r~'~:cZ,-q! ....... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .~. '~' ',~.~...~., ........... PI mber s Llcense No ......................... Electrician's License No ....................... Other Trade s I.mense No .................... I. Location of land on which proposed work will be done .................................................. Itousc Number Street Hamlet Cotzrlty Tax Map No. 1000 Section ... :../.O..? ........ Block ..... .~. ....... :... Lot.....~. ............. Subdivision t~ ~a'O be~'>'~.5 //t,/oo~9~ Filed Map No. Lot (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupaqcy .... . .~.,~.././,f.,~...2~......~.g'.~.,. '.~.~..d~..C.,~. ~' ................................... b. Intended usc and occup racy · 3. Nature of work (check which applicable): New Building ........... Addition .......... Alteration .......... . Repair .............. Removal ....... ' Demolition .... : ......... Other Work./~..G-.~u?..~../..u'..~. 4~ ~,d ' -- (Description) 4. Estimated Cost ZOO (to be paid on filing this application) 5. If dwelling, number of dwelling units ' Number of dwelting units on each floor ................ If garage, number of cars ~ ' 6. If business, commercial or roi.xed occupancy, specify nature and extent of.each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ............................ : *'~(tfl ~,~'~l'~O~}~l ............ Dimensions of shme structure with alterations or additions: Front ............. :... Kear .................. D pth ' Hight N b f--~rlt~ ~J~ 8. Dimensions of entire new construction: Front ............... Rear ............... ',Depth .......... ; ...... Height ............... Number of StoNes ................. ; ......... f. ........ ; ......... · ......... 10. Date of Purchase '.~..~......~.~'. ................ Name of Former Owner .~Z~'~-'~ .~( ..r_~. ......... 1 1. Zone or use district in which premises are situated ' 12. Does proposed construction violate any zoning law, ordinance or regulation: ..Aft?. ............................ 13. Will lot be regraded ...... .,~..O...,~ ..... .,o ......... Will excess fill be removed from premises: Yes Name of Architect .......... ~9-. ·: ........ Address ................... Phone No ............ . .... Name of Contractor .......................... Address ................... Phone No ................ I5. I$ this property within 300 feet of a tida~ wetland? *Yes..~..~... No ......... · If yes, Southold Town Trustees Permit may be required. ~'~- ~ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all sct-back.~emions from' property lines. Give street and block number or description according to deed, and ~how street names and indicate whether ~nterior or corner lot. H"AaTt~£1't~ OF ~{Ir~kTH ~ ' · ~TATE OF NEW YORK, 2OUNTY OF .-~. -?.~..,.,f?.t/.z- ....... S.S .. ~...~.~.P....~.~. ~../~..M..~',~..~..~../ .......... . ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) :bcv~. named. Ie is the .... ~...~3../J..~". ~.,. ............................................................. . .............. (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 in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. worn to before me this /% ' ............ '...day of... ',..-"~.. ..... ' ...... 19 o'tary Public,. '';~~; L~-~.?/_,, ... . . . ...... Count:~_.,....~. ~ ' No. 4,952244, Suffolk Cot"~/~--- - Term Expir~ June 12, 1g1.,7.~ - · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ' , ~(B uiJ~lt'ng Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH . .,.y. ...... ........... CHECK SEPTIC FORH ............. c A ~ [2~'..-.~q.v.,~y ......... HAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter orin 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 sti'eets or areas, and giving a detailed description of layout 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 i~sued 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, hou~4ng code,.a~d regulations, and to admit authorized inspectors on premises and in building for necessary igfi/pectio_ns.//~ ~F_~~/~/ - - (Si=natur6 of al(,151icant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ..... .~..~4,..~.¢.~. ................................................................................. Name of owner of premises ....~..~..~-~5....~..~...~..d~.~-... ~/~.~...4./.~.~..~..~..~'?~..~. ............................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber s License No ......................... Electrician's License No. Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ·..2~. ~ s:'. ....... .t~'..~.~.:r'?./.e..~,.?...Z--~.. ~ ........... ' .............. ./54'Z....-f74~....77.<-,.c..4c. .............. ltouse Num bet Street Hamlet County Tax Map No. I000 Section . .. :..~'.~.7. ....... Block ...... .7. ....... '... Lot ...... .~. ........... St bd v s on ~:/2_ ..¢ bc/av~,~.~ Filed Map No. Lot (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~...~.~'./?. ff',t/7-/,,q-r-- ' b. Intended use and occupancy -3. Nature of work (check which applicable): New Building .......... Addition .......... Airs .... Repair .............. Removal .............. Demolition .... : ......... Other Work · '" 4. Estimated Cost O ' ~; ' (r~escnpti°n) Fee .................. '. · ................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ · If garage, number of"cars ........................................................................ 6. If business, commercial or mi.xed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .... ' ................... Height ........... ' ......... ·.. Number of Stories ........... ; .~ ......... 8. D~mens~ons of enhre new construchon Front .... ./~. ~. ..... Rear ... (.~..q~. ...... Depth ... ?. .......... ~' .... Number of Stories Height ... 0~.. ~/' 9. 3ize ,,ilot: vront ..................... Rear ...................... Depth ...................... 10. Date of Purchase ....... /.)~.' .d'~ .,~ ...... · ......... Name o f Former Owner . ./~..~f....7-~..~....~. ~:4./..(~$ t.~., ....... 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ./'Yf.~ ........................... 13. Will lot be regraded ....... '..,d<f.~. ................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ ' Name of Arcifitect ........................... Address ................... Phone No ............ . .... Name of Contractor .......................... Address .......... ;)...,.....~e. No ................ t5. Is this property within 300 feet of a tidal wetland? *Yes.../..W~.~7.~...3 ..... · If yes, Southold Town Trustees Permit may be required. .. PLOT DIAGRAM ..,~.~,~'~r_r~,..4p~:'~,,~,~',O o~ Loc; [ iadicate wkcl2 block number or desedp.~on according to deed. n, a/ad_show ~ STAVE OF NEW YORK, county OF ..... ........ _/2 , (~..~~ .~..zTf.. being duly sworn, deposes ~d says that he is the applicant (Na~ of individua~signing c~ract) above named. 41te is the ..... . .................. ' .... (Contractor, agent, corporate officer, etc.) of said owner or ownem, ~d is duly authored to perfom or have perfo~ed the said work and to m~e ~d file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application filed therewith. Sworn to before me this Coun~ Nota~ Public, . ............... ~ ...... .~.~3, S a q'/ '