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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 8~ ................................... i .............. ~'~'~,~ ~;)~ .... ~,u~o p~ ~,, ~,,:xa -~ :uo!l~nJlsuo3 posodoJd jo A~u~dn3~o puu osn popuolu[ puu sas]tuaJd jo Xouudn33o pu~ asn ~tUlslxo alu S (ameN) ........ : ...... 3ol ............... oN d~pl poi!~ ..... ' ........................ ' ........ uo!s!^!pqns lOltU~H loazlS JoqmnN osnoH ............... . ............... ~i~j'~'/"~/ .... i ....... 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