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HomeMy WebLinkAbout21748-zFORM NO. 4 TOM OF EOUTHOLD BUILDING DEP~T~NT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~umAN~'/' No Z--24378 Date MAY 21, 1996 THIS CERTIFIES that the buildin~ ACCESSORY Location of Fropert~ 2920 ALBERTBON LANE GRMENPORT NY House No. Street Hamlet County Tax Map NO. 1000 Section 52 Block 4 Lot 1.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~HER 15, 1993 pursuant to which Building Permit No. 21748-Z dated OCTOHER 30, 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 AN AGRICUL'i'uK~L BUILDING (G~EENHOUSE) AS APPLIED FOR. The certificate is issued to GEORGE D. COETELLO SR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N340424 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A JANUARY 24, 1995 N/A Builder' FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMEN~ TOWN HALL SOUTllOLD, N.Y. N_0 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Date,..../. ?..~..~....0,. ........................................... 21'748 Z Permission Is hereby granted to; .... .................... ~~,..~-,~ ............ ~./...~.~ .... Counly Tax Mop No. 1000 Section ...... .~.....~.. .......... Block ........ .~... ............. Lot No ...... .~..~ ........... pursuant to application dated .......................................................... 19 ................ and approved bythe Building Inspector. Fee $.¥~,..~,.,,..~ ...... / ~' Building Inspe for Rev, 6/30/80 Form No., 6 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. Final Approval from Health Dept. of wareS'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, moltiple 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 donsent 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. Fees 1. Certificate of Occupancy - New dwelling'S25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swishing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 I ,~ew Construction ........... Old Or Pre-existing ~uilding .......... 'Location of Property .... '' '''' House No. ' Street Hamlet Onwer or Owners of Property, ... " .Block Lot County Tax Map No 1000, Section .............. - ..................................... Filed Map Lot ..... Subdivision ................................................................. iHealth Dept. Approval ................... Underwrxte s Approval~ ~ .. Planning Board Approval.~ .................. 'Request for: Temporary Certificate> .......... E~nal Certi~e~te...~ ...... ................ Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 30, 1994 Mr. George Costello Sr. 2920 Albertson Lane Greenport, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits ~nvolving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21748-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ JFOUNDATION ZND [ ] I~ULATION [ ]FRAMING [~/FINAL DATE ~INSPECT~' 765.18~2 BUILDING DEPT, INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION [ ] FRAMING [ ] FINAL ~_.~ ~REII4ARKS :.~ - ~ DATE FOUNDATION ( ls t) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: UNI)EIWIRI'fERS CER].IFICATE REQUIRED 0 , ~' 04, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-11303 Examined ................. ,19. Approved ./.~..~. ~,-~..~. ........19 Permit No'~2/7~. ..... .. Disapproved a/c ..................... ' ................ ................................ ...... (B~Idin~ ~spector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTII ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORtl .............. CALL ....... HAIL TO: : OCT I 5 993 Date ................... 19... INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~et[ 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 )r~areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :at[on. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perch;it :hall 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 ;hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New ,York, and other applicable Laws, Ordinances or ~,egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ['he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to tdmit authorized inspectors on premises and in building for necessary~ t/~ F~/gr~. 0. -- (Signature"-cff applicant, or name, if a corpmation) · 'c' to q ..... l. .......... (Mailing addres.q of applicant) whether applicant i("~, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· grate ameofownerofpre,nises .... ..... .... ................................. (as on the t.ax roll or latest deed) If applicant is a co[potation, signatnre of duly authorized officer· Builder's License No... Plumber's License No ..... .~.J~ ............... Electrician's License No...~.. q~tr~....~. · .'~. Other Trade's License No ..... .k)/./..[ ............ Location of land on which proposed work will be done...'~..9.-..O....p_~..~...~...?~......~_..~....~...~... ?..~.. [louse Number Street Hamlet ' County Tax Map No. 1000 Section ...O..~..~.:.. ......... Block ................ Lot .~.. .L . Snbdivision ..................................... Filed Map No ............... Lot ............... (Name) · State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy (.O.. ~..-~ .~..~q.,.,.,.,.,.,.,.~9...~ b. Intended use and occupancy ~. ....... . ,~ :.~.~. ................ -~ ~o; ;a~ ....... 3. Nature of work (check which Pphcable): New Building ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ............. Other Work ............... ?. ~"Ze:)O i ' (Description) 4. Estimated Cost ............. ~ ................. Fee 6.' ..., ......... lA ................................... .."' If business, commercial or mixed ~ccnpancy, specify nature and extent of each type of use ..................... 7. Dimensionsofexistingstmctures,}ifany: Front .... ~ ..... Rear ..... igl b~ ' ~O~ ....... pti ............... He ~t ............... Num rofStones ..... ltll lte "' F .......................................... D~ensions of Same structure w a rations or additions: font ................. Rear .................. Depth H .............. r mrna ............. ~ ......... Number of Stories ........... 8. Dimensions o[en~ire new constnetion' Front ] ~ ~ t ~ ~ . ' 't~ ........ Height ..... I.~ ........ Number of Stories .O a~ P ........ 9. Sizeoflot Front ~OO~ I '~ .... ~&~'i ...................... :.~.,., ............. .................... ~, .~v~ ............ Depth ~ . I0. Date of Purcmse MO~~ ~g~ ........ . ................ Zo .... ' ..... ~ .............. s. ~ame oI e9~r ~wner .. ~ ........................ 1 1. ne or use restrict m which premises are situated ~ ~St ~.~ ~. . ' 12. Does proposed coustruction violate any zoning law ordinance ~ re~&~-,i~-- ' ..... ~'~ ..................... 13. Wi otberegraded DQ~ . · . Willexce ~7~ ..................................... .......... , ............... ss mi oe removed from premises: ~ No 14. Name of Owner of premises .~.~. ~ .C~dress ~g~o~ PhoneNo ~- O9~. NameofArchitect ........... ~].~.~.~..~'~..Address .... ~ .''"~"PhoneNo'. ~'b .... Name of Contractor C~ ~ ~ g~ ...... d ............ ] ......... .... ~,o .... ~fl S~.Address $~ ~ ..... w ...... a u~aA wetiandY *Yes ........ No ~ .... · If yes, Southold To~n Trustees Permit may be required. PLOT D~AG~ Loca~e clearly and d~sfincfly ~ bR~d~ngs, whether ex~sfing or proposed, and,~nd~ca~ ~l sca-back d~m~ns~ons from property Hnes. G~w s~r~[ ~d block number or descdpfioR accord~g ~o deed, a,d show street names 8nd ~nd~ca~ whether interior or corner lot. ~o%~ ~[~ ~. FouNDatiON ~ '~WO BE (,o~PLETE FOCi gHALL At.h, CONSTRUCTION N.Y. FATE OF NEW YORK, 3UNTY OF..$D.F, F&~. K, ..... .......... .~.¢_:..O .. b.....C_.O..~.~. ~.~.~.9....~.g.,.. being duly sworn, deposes and says that he is the applicant (Name of individual signing c6ntract) ore named. ontractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed tile said work and to make and file this )lication; that all statements contained !n this application are tree to the best of his knowledge and belief; and that tile rk will be performed in the manner set forth in tile application filed therewith. om to before me this , day of .OiG,~.© ~..~,.~. 19.~.~ tary Public~ ............. .'-~.M ~.~.O'[,~ . ,, > ~h ~A~ ~ ~~" 'x ..... County No, O! L~ , ~II]lg in Suffolk ~ _ o ~ (Signature of applicant)