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Home My WebLink About21203-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTPLENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~C~JPANCY No Z-23956 Date OCTOBER 17, 1995 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property 645 SOUT~RN CROSS RD. UuTCHO~UE, N.Y. House No. Street Hamlet County Tax Map Ho. 1000 Section 110 Block 5 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 1993 pursuant to which Building Permit No. 21203-Z dated JANUARY 29, 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 ALTERATION, ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to APPLIED FOR. GIULIO & SUSAN DiNOZZI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H--182079 - APRIL 5, 1991 PLUMBERS CERTIFICATION DATED OCTOBER 4, 1995-~IULIO DiNOEEI Rev. 1/81 ~ilding Inspector FORM HO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23957 Date OCTOBER 17, 1995 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 645 SOUTHERN CROSS ROAD House No. Street County Tax Map No. 1000 Section 110 Block 5 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 27 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 1993 .pursuant to which Building Permit No. 21203-Z dated JANUARY 29, 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 STORAOE SHED AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF REALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED GIULIO & SUSAN DiNOZZI Rev. 1/81 FOR~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~ .~..~..~...~..,~.~.,~..~/' . ~..~. ~~.~.~ ~.~-.~.~~?~ o, premises ,~ted ot .............~....~~~~...Z~..~ ....... .................................................. ...... co~ To~ ~ .o. ~000 ~,~o~ .... fLe. ......... ~k ..... ~ ........ ~o~.o ...... .~...~. ..... Building Inspector. Rev, 6/30/80 'for,IN OF SOUTIIOLD BU I LD [NC- I.)EP ^RTHEHT TOgN iIALL 765-{802 APPLICATION [:Ol'~ CEI{lllFICA'EE OF OCCUPANCY 'l'l~is appJ. ication must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2 Final Approval from Ilea]ltD Dept. of water supply nod sewerage-disposal(S-9 form). Approval of electrical install, arian [rom Board of Fire Underwriters. 9~orn statement [to~ plumber aartifying tb~t the solder used in ~yst~m ~ontains less than 2/IO of 1% le~d. 5 Co~ercial building, industrial building, multiple ~esidences and similar b~ildings and installa'tions, a certificate-of Code Compliance from architect or engineer responsible for the building. 6 Submit Piannimg Board Approval of completed site ~lan requirements. For existing buildings (prio~ to April 9, 1757) no.-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and m~usual .~tur~l or topogrmphic features. 2. A properly completed application and s consent to inspect signed by the applicant. I[ s Certificate of Occupancy is denied, the Building inspector shall state the reasons therefor in writing to the applicant. C · Fees 1. Certificate of Occupancy - Ne~ d:~e.LlJlng $25.00, Additions to dwelling S25.OO, Alterations to dwelling $25.OO, Swimming pool $25.O0, Accessory building $25.00. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ BuiidJn~ - $100.OO 3. Copy of Certificate of Occupancy - $20.Og l,. Updated Certificate of Occupancy - $50.OO 5. Tempormry Certificate of Occupaocy - Residential $15.O0-, Commercial $[5 ua ...... ...................... ......................... P ................. ,lealth Dept. Approval........................ U,.lerwriters Approv~lf.................. 'lam,lng 8onrd ApProv~li ....................... 2equest for: Iempor ry Certi{~cate ......... Fi*mi CerticoLe ........... BLDG. D EF'T. TOWN OF SOUTHOLD TOWN OF SOUZUOLD BUILDING DEP^RTHEHT TOWN HALL 765-L802 APPLiCAT;ON FOR CERTIFICATE OF OCCUPANCY %bls application must be filled in by typewriter OR ink and submitted to ~he building inspector with the following' for new building or new use: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Fine± Approval from Reelth Dept. of wster supply and sewerage-disposal(S-9 form). 3 Approval of electrical installation from Board of Fire Underwriters. 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 installa'tions, a certificate.of Code Compliance from architect or engineer. responsible for the building. 6- Submit Flanning Board Approval of completed site ~lan requirements. For existing buildings (prior to April 9, i957) 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 ~. Certif£cat~ o~ Occupancy - New d~ell±ng $25.00, Additions to duelling $~5.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building ~25.00, Additions to accessory buildisg $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - 3. Copy of Certificate of Occupancy - $20.00 &. Updated Certificate of Occupancy - $50.00 5. Iemporary Certificate of Occupancy - Residential $15.00-~ Commercial ~[5.00 ...... ...................... Construction ........... O~d Or 'Pre-_x&st~ng Building .................. ....................... ~ouse No, Street Hamlet Subdivision .................................... Fi lcd Fi~H~ ............ Lot ...................... .... ate of ........................... HenlLh Dept. Approval ........................ UnderwriLers Appcovul ...................... 'lannlng Board Apsrovut ....................... Lequest for: Tempornry CertJ. ficnte ........... Filml CerticaLe ........... -ee StJbmit~ed , $ ............................ co ~ ~3 q5 7 Town Hall, 53095 Main Road P.O Box '~t79 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-t802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: Building Owner: Permit NO. ~;~ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. .//(Plumbers Signature) day of ~ 19 CLAIRE L. GLEW Notary Public, State of New Yo~ No, 4879505 Qualified in Suffolk Count~' Commission ~ires D~m~ THE NEW YORK BOARD OF FIRE UNDERWRITERS r~':~ ~ 1 ¢)0107 I BUREAU OF ELECTRICITY ' B~5 JOHN STREET. NEW YORK. NEW YORK 10038 D.~o /H;'RH, 05,~q91 Jpplicne~onNo. onfNe '72210~ql/9] U Ig',~W1° THIS CERTIFIES THAT only the electrical eqnlpme~l ~e ~scrlbed below end Introduced by the applicant named on ~he almt, e appllrat~on number tn the pr~mi~es in th~.fol~dtei:~g Iocdtion: ~ B~ement ~] Ist ~'1. L~ 2nd FI. ' ' ~ ,~crtitm ~l~k llXTURt [S~ ~ l~XlUllS ~ANGE~ ]c~~ IDISH WASHES EXHAUST t'~UF'I.,t~I~ ~-'1 CIR. 215 hT C. ~r~7R- r, $ ~ ~. I)O q.qr, AMOUNT PLEASE REMIT BY CHECt( OR MONEY OROER TO THE ORDER OF THE NEW iELD ~ .......... ~ OUNDA%ION (1st) OUNDATIO:~ (2nd % OUGH FRAME & -PLUMBING NSULATIO}! PER N. STATE E}IERGY CODE 765-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUGHP~I~BG. [ ] FOUNDATION2ND [ ] IN/SULATION [ ] FRAMING ~ [ ~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION IND [ LATION [ ] FRAMING [ ] FINAL REMARKS: ~ ~~7~ ~ INSPECTOR 7GS-~.802 BUILDING DEPT. INSPECTION ] F/0UNDATION 1ST ~ ] ROUGH PLBG. / FOUNDATION 2ND [ ] INSULATION DATE, '~" / ,~ /'~ INSPECTOR 7GS.,i 80~) BUILDING DEPT. INSPECTION [ ~/~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE 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 27, 1995 Mr. & Mrs. Dinozzi P.O. Box 223 Cutchogue, NY 11935 Re: Building Permit #21203-Z Premises: 645 Southern Cross Road Suff. Co. Tax Map #1000-110-5-27 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, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Senior Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ................ ,19... Approve~....~..~..., 19e~. Permit No. ~'L..~..~. ,~-~ Disapproved a/c ..................................... BOARD OF HEALTH ......... 3 BETS OF ?LANS .......... SURVEY ................... CIIECK CALL __ (Building Inspector) APPLICATION FOR BUILDING'PERMIT INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to ibc Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedhle. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets 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 issued a Build~ng Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the wdrk. 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 Buiiding 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. (Signature of applicant, or name, if a corporation) ,dj. (Mailing addres; ;~:~ii;i~;) ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax mll or Jatest~deed) If applicant is a corporation, signature oF duly authorized officen (N~me and title oF co.orate office0 ~ Builder's License No... A4ff2ff~ .......... ~ Plumber's License No .... ~ ............ ; Electri?ian's License No.. ~ ..... '. 7.... Ot er Trade s L~cense No ...................... Location of land on which proposed work will be'done. ' House Number Street Hamlet .................... County Tax Map No. 1000 Section .... /./:~-). .......... Block...~ ...... Lot...~. 'Z Subdivision ..................................... Filed Mhp No ............... Lot .... (Name) ~ ........... State existing use and occupancy of premises and intended Use and occupancy of proposed construction: ao Existing use and occupancy ~. , .~..~./~l]~t b. Intended use and occupancy <~.O?3.~..t~i~,t /°r])~, 3. Nature of work (check which applicable): New Building ..... Addition . · Alteration ..... Repair ' . ...... .............. Removal ....... Demolition ... Other ?,ork .... . ......... ; .......... .. i . ' /1 ~ 'Z~J~qc~ , ~/ escription) 4. Estimated Cos q ... ~ ..... ~.. F9e ........... ,- .......................... (to be paid on filing this application) 5 If dwelling number of dwelling Cnits Number of dwelling units on each floor If garage number of cars ................. 6 ' If busine'ss ........................................................................ commercial or mixed occupancy specify nature and extent of each typ~ of use 7' Dimension's o f existing structures ' ' .................... · if any: Front Rear Depth Height Num 'bet of Stories ......................... .......... Dimensions of same structure wilth alterations or additions: Front Rear Depth .................... · Height ..... ' .............................. 8 Dimensions of entire ....................... Number of Stories ...................... · new constrgction: Front ... Rear Depth Height Number of Stories'. .......................................... 9 Size of 1;i: ............. ' ...................................................... Front Rear ' 10' Date of Purchase ............................ ' ................. Depth ...................... ........ ' Name of Former Owner 11 Zone or district in which pre~nises situated ............................. · use are .... - - 12 Does proposed ' · ' ' ................................................. · Construction v~olate any zoning law ordinance or regulation: 13 Will lot be regraded ' ' · ' ............................... 14' Name ............................ Will excess fill be removed from premises: Yes No · Name of Owner of premises ................... Address ................... Phone No ................ of Architect Addregs Name of Contractor ............................................. Phone No .............. 15 Is this ........ '3D~3 ...... ~'f ......,. Address ................... Phone No property within feet tidal wetland? .............. · a *Yes ........ No ......... · If yes, Southold Tpwn TrUstees Permit may be required· .... PLOT DIAGRAM Locate clearly and distinctly all braidings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n amber or description according to deed, and show street names and indicate whether interior or comer lot. ~TATE OF NE~----YO RI~.~__. :OUNT¥ .... (Name of individual signing contract) being duly sworn, deposes and says that he is the applicant bove named· Ie is the ' ~ '" ......................... , .... ..................................... I officer, etc.) f said owner or owners, ~d'is duly authorized to perfom or haveperfo~ed the said work and to m~e and file this pplicafion; that all statements contained ~ this application am true to the best of his knowledge and belief; and that the rk w~l be perfo~ed m the manner s~t forth in th~application filed therewith. worn to before me this~ _ ........... ~ .[ ..... day of...~~ m ~{.~ , ,o / ~ ~u~ll~ ~t~ o* N~ _ No, 48~980~ ~ r /~ ~ {~gnature et'applicant) uualifled In Suffolk COU~ ~ml~lon E~es Oeoember ~, 19~ ', -I /VVVV _