HomeMy WebLinkAbout21621-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
~ERTIFICATE OF OCCUPANCY
No Z-22953 Date APRIL 18, 1994
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Propert~ 445 OSPREY NEST ROAD EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 35 Block 6 Lot 32
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 9, 1993 pursuant to which
Building Permit No. 21621-Z dated AUGUST 25, 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 SHED AS APPLIED FOR
The certificate is issued to i~%LPH GRANDINETTI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Rev. 1/81
FORM NO.$
TOWN OF SObq'HOLD
BUILDING DEPARTMEN?
IOWN 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 t '
.............................
~.~,.:,: .................. .~.,:~ ...........
at premises located at ...............................................
CounIyTax Map No, 1000 Section ....... .,~..,.,~,,, ........ Block ........... J~, .......... Lot No. ,.~,.~ .............
pursuant to application dated ....... .~../.~/. ...................................... 19.,~.,,,~....,., and approved bythe
Building Inspector~
Fee $,,,~,.
Rev. 6/30/80
Form No. 6
· ~' ' TOWN OF SOUTHOLD
TOWN HALL
765-1802
Th±s application must be filled in by typewriter OR ink and sub~~~ing
inspector with the following: for new building or new use:
[. Flnal survey of property ~tth accurate location of all bu±ldings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-d±sposal($-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber cert±fying that the solder used in system contains
less than 2/10 of lg lead.
5. Commercial building, indfistrial bu±lding, multiple residences and similar buildings
and installer±OhS, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
~pre-exist±ng" 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 wr£ting to the applicant.
C.' 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
Date ,~. ~[ ~.~. L??~ ....
New Construction..~ ...... Old Or Pre-existSng Bgil~kj,ng .............
Location o~ Property ............. P... ¥..~.*: ..... ~ ......... .r'~. r~.~.u...
House No. Street Hamlet
Onwer cr O-~ers of Property ....... ~.~..~.~~ .........................
County Tax Map No 1000, Section...~ ..... Block .... ~ ......... Lot...~
Subdivision ~~ ~~ Map ~ ~' 2
................ Filed Lot ...................
Permit Xo..~/~Date Of Permit~/~.~. ...... Applicant..~l~..~l~
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Pee Submitted: $ .... ........
· !NSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Morton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wteczorek
Ordi,mnce Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 22, 1993
SCOTT L. HARRIS, Supervism
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Mr. Ralph Orandinettl
445 Osprey Nest Road
Greenport, NY 11944
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xxx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XXX The check is (~utdata~/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 involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ BP# 21621Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
INSPECTORS
~ Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 22, 1993
SCOT]? L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Hr. Ralph grandinettl
445 Osprey Nest Road
greenport, NY 11944
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XXX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XXX The check is (~utdatc~/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 involving plumbing being
issued after April 1, 1984).
BUILDING PER/4IT ~ BP# 21621Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
FOUNDATION ( ls t)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION tST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ]~SULATION
FRAMING [~] FINAL
REMARKS:
DATE II//~/~-~ INSPECTOR
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~65-1802
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 i% 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-exzstzng land uses:
i. 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 Inspect'or shall state the
reasons therefor in writing to the applicant.
C. 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_S15.00, Commercial $15.00~
· . ' Date ....
................
N~ Con_~struction. Or Pre-existing Building..
t oper ty ... . .....
House No. ~ Street Hamlet ............
Onwor or Owners of Property..~atD~..~f~,dt~k%'. ..............
..... ....... ....... oti.i iZiiiiiiiiiiill
Subdiv~si°n.-]~./e~.~.-~-~..~.~-/'~'.~. ........... Filed Map.~.7~ .... Lot .... -Z ...............
Permit No ................ Date Of Permit ................ Applicant ........................
Health Dept. Approval ..................... Underwriters Approval ......................
Planning Board Appr val '
Request for: Temporary Certificate ........... Final/~rticate ...........
u mi ted: ................. t 7 /
~ 'APPLICANT · .
/ ,UG - 9 1993
Approved ..
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-~802
....... 1~. · Permit No. ~./.~.. ~. ~./~2
Disapproved a/c .....................................
NGTIFY ~A..~)~a~G DEPART~ AT . (Bui~ Inspec~ '
FO[~OW~MG ~NSP[CTiONS: ' THEAPPLICATION FOR BUILDING PERMIT
'sets pr' plaB~'zzus .... ~ppllC~rlO~acq~u ..... ~!ot~US~glaabetoC°mplete~Ysca]e~ FeefilledaccordzngZn' by to~pewfiterschedule or in ink and submitted to the Build'rog Inspector, wzth 3.
' . 1'10~ plan Sllow~g tgcat~ ~[ lpt and of build~gs on premises, relationship to adjoining premises or pubUc st?eets
~or areas, .and[gig~g :a det~ed d~ri~tion of layout of property must be drawn on the diagram which is pa~ of this appli-
cation. '
c. The w~¢~m~g~4~;~i~':ation may not be commenced before issuance of Bugding Pemit.
d. -~n approval oQ~i~pplication, the Bu ldino Ins ector will ' '
_ , ,.,z~, ............................... p zssued a Bu~d~g Pemit to the app~cant. Such pemit
sn~l be~ept on the premises available for ~spection throughout the work.
e. ~ ~ml~i-~g~h~-~i~m~ed in whole or in p~t for any purpose whatever until a Ce~ificate of Occup~cy
AP~[~I~'gi~¢g'~: MADE to the Build~g Dep~ment for the issuance of a B~lding Pe~it pursuant to the
Buildin~'J~H~vO(~ce o~f~ ~PSouthold, Suffolk County, New York, ~d other app~cable Laws, Ord~ces or
egulahohs, ~8~ ~¢~s~ of bufld~gs, additions or alterations, or for removal or demolition, as here~ deschbed.
dUiII1L amno~zea'mspecm~ 9npremlses and m building for necessa~ zn hons
tare whether applicant i~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . .. '
(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 tuber s Lmense No ............... . .......... .
lectnczan s Lmense No .......................
Other Trade s L~cense No ......................
Location of land on which proposed work will be done .............................. .
Itouse Number -- Street Hamlet
(Name) · .
State existing use and occupancy of premises and iutended use and occupancy of proposed construction:
a. Existing Use and occupancy . '
b.
Intended
use and oc~y ......... '~.~,
( whi hl ppli ) ii Additi '
· 3. Nature of work check c a cable: New Buildin on .......... Alteration .........
Repair .............. Rdmoval .............. Demolition .... ; ......... Other Work ..............
4. ]Estimated Cos ~ ' ; ........... Fee ....... ' (Description)
' (t id fill thi ppli )
~ o be pa on ng sa cation
· IfdweIling, numberofdwe i units ............... u er of dwelIing units on eac oor. ....
Ifg . h fl . ..
· arage, number of cars ...] ........... .'T ................ ' ......
~. If business, commercial or talked occupancy, specify nature and extent of.each type of use .................
Dhnensions o ex sting struc res, if an r nt ............... Rear .............. De .............
Hexoht ............... Num her of Stories .............. ' . .
D~menmons of same structure with a terations or additions' Front i
8. D~mensions of entire new congtruction Front /t~'~' .,~·. Numbe~r~oftStones .......... y2 ~ ........
,H,,eight .~.~. ......... d ' Nt mber of Stories . . . .-'~., . . . . ......
9. Size of lot: brunt .~! i ' - ,- ' ' ')'~{ o ....... · ......... ~'~' · ' -,'; ,,~- ........
', ........... 5, ;'". ............... '. Name of ,Former Owner X0dz'.ZOa...~,~/
1 I. z~une or use msmct ~n wmcn premmes are situated../',,~ t,~d-z_o_/ "*" ' ~: .......
Does proposed construehon wolate any zonino law ordin-':c ....... 3A~' ..........
13. Will lot be tegr. aSed /]/O. '! ~, ., ~,a~.~, = m regmanon: .t.~q~, ...........................
......... u-~':.~ ...... ; · · · :z,' .... win excess fill be removed from premises: Yes ' .N.
"14 Name of Owner of premises/k's(,~t't"O/,,W/tFl,.~z/- ^,~,a .......... o
Name of Architect ........ i ................. Address ........ ' .......... Phon~ No ........ '~ .......
15.' Is this property withini 300 fe~'t' ~'f' 'a' 't'i~al wetland? *Yes ........ No.
· *If yes, Southold!Town Trustees Permit may be required. '''
I ' PLOT DIAGRAM
Locate clearly and distinctly all buildings, Whether existing or proposed, and, indicate all set-back dimensions from
~y lines. Give street and block number or description according to
~ .q'-~,~mterior~r corner lot. . deed, and show street names and indicate whether
.c o/7
OF OCCUPANCy
(Name of individual sigm,ng contract)
above named.
'' ' (Contractor .................................
' agent 'porate officer ete )
of said owner or owners. ~d is dui authorized to perform or have perfumed tile said work and to m~e and file this
application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the
work will be perfumed in the m~er[set forth in the application filed therewith. '
5worn to before me this
~o. 4~989,.~ff~t , ' ' ' ' (Signature of applic~t) ,