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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) ,