HomeMy WebLinkAbout21531-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24115
Date JANUARY 12, 1996
THIS CERTIFIES that the building
Location of Propert~ 580 KOURES ROAD
House No.
County Tax Map No. 1000 Section 117 Block 6
Subdivision Filed Map No.
ACCESSORY
NEW SUFFOLK, N.Y.
Street
Lot 19.1
Lot No.
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 25, 1993 pursuant to which
Building Permit NO. 21531-Z dated JDLY 13, 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 ACCESSORY STORAGE S~ED AS APPLIED FOR.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
SALVATORE & ANGELINA CARIDI
N/A
N/A
N/A
Rev. 1/81
Juid~i~ Inspector
FORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TO~I HALL
$OUTHOLD, N.Y.
NO
21531 Z
BUILDING PERMIT
THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZEDI
Date....~. ...............................................
Permission is hereby granted to:
~~....~.~~.....~...
..~.. ~......~.~..."..~ ..............................
.....
CounlyTax Map No. 1000 Section .,..././,..~.. .......... Block ....... .~.. ............ Lot No ..... ./.....~../ ........
pursuant to application dated ......~'~..... ................................... 19..~'~. .....
Building Inspector.
and approved by the
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING D E P Bi~,TI'~-N-f
TOWi~ ~dLL
765-[302
.~BPLiCATION FOR CERTIFICATE OF OCCUP:~NCY
This application must be filled in by zypewrizer OR ink and submizced uc the building
inspeczor with nhe following: for new building or new use:
1. Final su~ey of property with accurate location of all buildings, property lines,
2. Final Approval from Health Depz. of water supply and sewerage-disposai(S-9 form).
3. Approval of eleccrica! insta!iacion from Board of Fire Under,-ricers.
4. Sworn statement from plumber certifying that =he solder used zn system concaias
!ess than !/i0 of 1% lead.
5. Commeroial building, ~nduscrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit
P_annmno Board Approval of comp!ezad si:a plan reouiremen:s.
For existing buildings (prior =o April 9, 1957) non-conforming uses, or buildinEs and
"pre-~xisuing" !and uses:
l. Accurate su~¢ey of propermy showing al! property lines, snree:s, bu-"iing and
unusual natural or nopographic features.
2. A properly completed appllca:ion and a consent to inspec5 sit'ned by the app!ican~.
if a Cartifica:e of Occupancy is denied, che Building inspector shall state
reasons :herafor in u~i=ing to :he applicant.
C. Fees
i. Cartmfica~a of Occuoancv. ~ - New ~we!!ing 525.00, Additions ~o a~e_-~-_'~ ~'~ :~.00,
.~l:eraEions :o dwelling 525.00, Swmmming oool. 525.00, Accessor~' '~
Add!zincs ~o acaesso~f building $25.00. Businesses S50.00.
~ _ .-~ ~x_st_n~ Buildin~ $100.00
~. Carci£ica~a of Occuoancy on ~o- ~ ~ ~ -
3. Copy of Car=iflcaze of Occupancy - $20.00
~. Updated Certificate of Occupancy - $50.00
5. Tamnorary. ~a '~ .... ~-~='~cac_= of Occuoancv. . - Residential $i~.00, Commercial $!5.00
..............................
/
New Cans~ruc:ion .... ~.. ....Old Or ?re.ex,sc!rig Building .................
~ooa~ion o~ ~rope=y..fr. 4..~,re~. :,.m.-..'"-~ ~..~z4....~./.~/~ ..............................
~ousa No. S~rae~
.................... ~;.~.,~, .................
count~ T~ ,'~p No ~ooo, Sa~:ion..//.2 ........ Bioc~ .... ~. .......... ~o~.../.f.~Z ............
Subdivision .................................... Filed Map ............ Lo c ......................
· . ' ,
. ate of 3..A pli:an - ....
.Eeal'_~ Dep¢. Approval .......................... Unde~ari:ers Approval .........................
?!ermine Board Approval ........................
Request for: Temporary Certificate ........... Final Ceruicaze ..... .~....,
F~e Suomi::ed: S . ~..~..~. ...................
co ~_~'q 113
/.
~Ou__~; D ATTON ( 1 S t )
~OU~DATIOU
,~OUOH FRAME
-FLUMBINo
~SULATION PER N.
STATE E}IERGY
CODE
FI;;AL
ADDITIONA'L COMMENTS:
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
December 14,
1995
Mr. Salvatore Caridi
580 Kouros Road
New Suffolk, NY 11956
Re: Building Permit ~21531-Z
Premises: 580 Kouros Road, New Suffolk
Suff. Co. Tax Map #1000-117-6-19.1
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
$OUTHOLD TOWN BUILDING DEPT.
Exa ]tined /3 1 o~
amined ././../.~ .........., .
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y, 11971
TEL,: 765-180:3
Disapproved a/c '
BOARD OF HEALTH
3 $'ETS OF PLANS .........
SURVEY
ClICCK .....
APPLICATION FOR BUILDING PERMIT
Date ................... 19...
INSTRUCTIONS
a. Tkis 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 sfi'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 tiffs application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will igsued 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 author/zed inspectors on premises and in building for necessary inspectioj0s.~ a· .
· .~., .:ff..~.~ ~ · · ...... ~ ·~-.......~, .. ......... .. ......
-- (S~gnature of apphcant, or name, ~f a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder.
....... .................. ....................- .............. . .............. .. ............
Name of owner of premises· ~:'~ .,..(f'AL,~.,~ .F'.~....~.,. ,..~., ...... , ,.: ~.~..~,./..~..~ .... , .............
(as on the tax roll df 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 ......................
1. Location of land on which proposed work will be done ..........
' X/e. '
House Number Street Hamlet
Couhty Tax Map No. 1000 Section ... [ f..~. .......... Block .... ~.. ' Lot... ~ .~..t..l ..........
Subdivision ' Filed Map No. Lot
(Name)
Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction:
a, Existing use and occupancy [~.ce...~ ...........
b. Intended use and occupancy ............ 5./d.~. ..............................................
'3. Nature of work (check which ~pplicable): New Building .......... Addition . .'~ .~. .....
AlterationU; .~ ~.
Repair Removal Demolition Other Work
4. Estimated Cost ..... ~. [.~.r. .,: ~ O "~'~
~ · (to be paid on filing this applicaffd~)i '
5. If dwelling, number of dwetlin~ units ............. ..- Number of dwelling units on each ~noor. ;~': ~O~...,: ...........
If garage number of cars '
6. If business, commercial or mix~d, occupancy, specify nature and extent of.each type of use ............... , .....
7. Dimensions of existing structures, if any: Front ............... Rear ............... Depth ...............
Height Nu~ her o f Stories '
Dimensions of shine structure With alterations or additions: Front ................. Rear ..............
Depth ' ~ HeiSt '
' ' Number of Stories
8. Dimensions of entire new construction: Front ' Rear
.............................. Depth ...........
Height Number of Stories
9 Size of lot: ~ront ' Rear
' · ........ ,I .............................. Depth ..................
10. Date of Purchase i~ ' Name of Fomer Owner
11 ti hi ' ' d ' '
. Zone or use distric n w ch premises are situate ........................
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ... .... ..~ .................... Will excess fill be removed from premises: Yes No
14 N~e of Owner of premises ~ Address Phone No
Name of Architect ......... : .................. Address ................... Phone No .................
N~e of Contractor Address Phone No
[5. Is th~s property wSth~n~300 feet of a t~dal wetland? *Yes ........ . No .........
·If yes, Southold ~Town Trustees Permit may be requSred.
PLOT DIAG~
Locate clearly ~d distinctly ~i bulldogs, Wheth'er existing or proposed, ~d. indicate ~I set-back d~ensions from
property ~nes. Give street ~d blockl number or description accord~g to deed, and show street nines and indicate whether
inte~or or corner lot.
For,LOWiNG. ~NSCEC~ ONO:
t, FouNDAtiON ~ '~WO
FOR pouRED coNCRET~
2, ROUG~ . FRA~A~NG ~ PLUM~NG
4. ~E coMPLEi'~ FOR C.O.
ALL CONe'?RuCTiON SHALL MEET
TF~E R~Qu~REMENTS OF TH~ N.Y-
RESPONSIBLE FOR
DESIGN OR Cumo, *'~ .
STATE OF NE~YO~ · S S
.... g i~g contract) says
above named. ,
~e is the ' ~N~r '
(Contractor, agent, cor'porate officer, etc.)
of said owner or owners, ~d is dul authorized to perfom or have perfo~ed the said work and to m~e and file this
application; that all statements conta ned ~ this'application 'are true to the best of his ~owledge and belief; and that the
work will be perfomed in the m~ner~set for~ in tke application filed therewi~.. '
Sworn to before me this
~g~[~?g"'* ~ "0~ Vo," ' . ' (Signature of applic~t)
. .5 -8 25850 Suffolk Cb~
, ~rm E~ires O~to~r 31.19
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