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HomeMy WebLinkAbout21623-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24386 Date MAY 29, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Property 5705 GREAT PECONIC BAY BOULEVARD LAUREL NY House No. Street Hamlet County Tax Map No. 1000 Section 128 Block 1 Lot 4 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 1993 pursuant to which Building Permit No. 21623-Z dated AUGUST 27, 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 A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING ~S APPLIED FOR. The certificate is issued to ROBERT & KIM COSTANTINI (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 1623 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) CountyTax Map No. 1000 Section ...... ,~/~.., ..~,. ...... Block ........ Z ............. Lot No ...... ~ ................. pursuant to application dated ........... ~ .............................. 1 9...~.. ...... Building and approved by the Rev, 6/80J80 ~LDG. DEPT. TOWN QF SOUTHOLO TO~ OF SOUTHOLD BUILDING TOW~ 765-i802 .....~=" T~r~=___O.K' FOR CERTZTiCJ~E OF OCCUP~~NCY This application must be fi!lad in by t>~ewrluer OB ink and submmz:ad co the building :_:spec:or wluh the fo!!o~ng: for new bum!ding or new use: i. Final survey of property ~inh accurate location of ali buildings, proper:y lines, streets, and unusual nam:fei or topographic features. 2. Final Approval from Health Dept. of water supply and sewera~e-disposa!($-9 form). 3. Approval of a!ecuriaa! ~nsuai!aumon from Board of Fire Underwriters. 4. Sworn statement from pi~mber carulfy~ug uhau the soidar used ~ system co:talus less chart l/!0 of 1% lead. 5. Commerzla! building, indus:tlc! building, multiple reside:cas and similar buildings and installations, a cerulflcate of Code Compliance from archi:act or engineer responsibia ~or the building. 6. Submlc Planning Board Approval of comp!amad site plan requmremen:s. For exmsu!ng buiid~--n~s (prior co Aprm! o, !957) non-conforming uses, o_ :u ...... =s and · . ..... __~.~s, scree~s, build~ng ....... ' or copographm~ features. ....~ ~ orooer£v' completed. RDD~ZCatiOD·. and a consent co _nope. ~ ~-. sizned~ by :he applicant. Fees I. Car:ifican~ of Occupancy - New dwelling $23.00, Addi:!ons :o dwelling £25.00, J~narauions :o dwelling $2~.00~ Swimming pool S25.00, Accessory building £25.00, Addinions no accessory building $25.00. Businesses $50.00. 2. Carnificane of Occupancy on Pre-~xi$uin~ Buiidins - $I00.00 3. Copy of Car:ificate of Occupancy - . .25c A. Updanad Certificate of Occupancy - 5. Temporary Cerclflcata of Occupancy - Res!den:la! $!5.00, Commercial $!~.00 Da e .. ...................... Conscru~zlon ........... 01d Or Pre-ex!s~ing Building ............... .ocatio ...... ............. ............. Bouse No. S~ree: )nwer or Owners of~ .... ~t...~..~.. no=ny T= ~ap ~o ~000, Sect!on.../~- ...... B~ock .... Z .......... :or .... .F. ................ lannine Board Approval ........................ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING [ J..**.}~INAL []FIREPLACE&CHIMNEY DATE ~.~ / <:~ ~*~[ ~')~NSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~FINAL REMARKS: DATE /~///,~//?~ INSPECTOR,?//~~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.~.'7~c~z'~ "U.~AU OF ~-~c'r.,c,'r~' 85 JOHN STREET, NEW YORK, NY 10038 THIS CERTIFIES THAT only th~ electrical equipment as d~scrib~i below and introduced by the applicant named on the above application nu tuber in the premises of H~ ~ ~,~ ~,ff~, CO~/[AI~T I,~:r, 5700 [-'ECON~ '~' BAY BLVD, LA I~I~L, ...... in the following location; [] B~,ement [] Ist FI. [~ 2nd FL ©~ l.~ Section Block Lot "- ~ ..... and found to be ih compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS IEC~PI KCtR~ ND. OFI S E R V I C E SERVIC~ DISCONNECT METER PADDLE HOTO S~I F H G,F.L.I: -1 Q.C. },L~CTI:,IC IN~.~ LI,.#3823 THis certificate must not be clJtered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT,BE ALTERED IN ANY MANNER. 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 December 27, 1995 Mr. & Mrs. Robert Costantini 5700 Peconic Bay Boulevard Laurel, NY 11952 Re: Building Permit#21623-Z Premises: 5705 Peconic Bay Boulevard Suff. Co. Tax Map #1000-128-1-4 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. 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 September 13, 1993 SCOTT L. HARRIS, Superviso~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mr. & Mrs. Robert Constantini 5705 Peconic Bay Blvd. Mattituck, N.Y. 11952 Re: Building Permit Application for deck addition at 5705 Peconic Bay Blvd. Laurel, N.Y. Suff. Co. Tax Map %1000-128-1-4 Dear Mr. & Mrs. Constantini: The above building permit that you applied for has been written, but the application needs to be notarized. Please stop by the building department to sign the application and have it notarized and we will give you the permit. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher, Building Inspector TJF:gar ,/ x, 0 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTFIOLD, N.Y. 1197~l TEL.: 765,1802 Disapproved. . a/c ................................ ~ .... · t~ml~nspectorJ i' , APPLICATIOI(] FOR BUILDING'PFRB/IIT sets B'OARD OF HEALTH ] SETS OF PLA?t..q SURVEY CIICCK ............. ~' .r' .. INSTRUCTIONS be completely filled in by typewriter erin ink and submitted to the Building Inspector, with ccurate plot plan to scale. Fee according to schedule. Plot plan showing location of lot and of btiildings on premises, relationship to adjoining premises or public sti'cel tar areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl · 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 Building Permit to the applicant. Such permj 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 Occupanc, shall have been granted l?y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tht Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o. Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr/bed The applicant agrees to comply with all appl/cable laws, ordinances, buil~,(ng code, housing code, and regulations, and tc admit authorized inspectors on premises and i~ building for necessary inst~ff.c~io~s. / ;.~ /~ ~ ~. · )/ · (Signature of applicant, or name, if a corporation) . (Mailino address of applicant) ~L/,-~r, State whether gpplicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, pmmver or builder. (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 .... . ......... Plumber's License No ............... Electrician's License No ....................... Other Trade's License No ...................... Locahon~9of land on which proposed Work..wil be'done . ..... Itouse Number Street Hamlet Co,, tyTa× ,ap o.,000 ect,o,, .... ,ock O/.'00 ' S,bdivision ....................... . ....... : ..... '. Filed Map No. //-/ ~ ~t..~. Lot (Name) .................... State existing use. and. occupancy of premises and,~intended use and occupancy of proposed construction: a. Existing use and occupancy·..~.t.~ ~ ~..~...~ .~. h I · .. ' iff; .... i':i'.i",;:,v:,: ............. ; .............. tu.re of work (check wh,_.ch a'Pplicable): New Buildin'g .; ...... '.. Addition · A]t~rati0n . 4. Estimated Cost . ~ ~ · (Description) , ~ ' ( o be paid on fil ng tins a h ' 5. l£dwc/hng, number ofdwellin.J units . . .~ - .; .. . . PP cation) t,..-,,~'. .......... rqumoerolowellin u 'ts n a · Ifgarage, numberofcars ..g<~... . g m o e ch floor ............ 6. It' business, commercml or mixed occupancy, specify natm:e and extent of,e "" 'typ' 'o '.. . 7. Dimensions.ofexx~ting struct[lr~es, if any: Front .... ie~' ~ ~;i ....... Depth..~.';~... e,ght ..(..~. ......... N'mber of Stet es r' · .... I~ear ... . ...... ~imensions of shine ~t,-,,,-* .... ' ..... ' ' ' 'F ....................................... ...... .--,- Wm~ aiterahons or additions. Front-. ' .......... Depth . ~ ,. , , ' · ................ lqear ................ D' .' ............... , · · aeignt .......... , ........ ;.. Number of Stories .......... ~ . . 8. lmenslons of entire new const~ction: Front ............. ; Rear ............... Depth ... . , eloh .. .......... ~... Numar of Stories ....... . Date of Pur '~ m '~ ', ~ .............. Rear..¢. ~. ' .... ~ ..... .- · 10. chase ..~ ~/[ 19 ~. .. -... Depth O ~ '' '"" .... ~ ....... - ......... ~ame of Fomer Owner 1 1. Zone or Use district in which prgmises are situated . · .......... 'i ~"~{~ ~-~.~'. ..... 12. Does proposed construction viol ............ ' ~ '~ ;ti' ' ~ J ' ' · ate any zoning law, ordinan'ce or regu at on' . .' .. ;:~ . 13. Will lot be regraded .. .~.o ... ' .......... ~a ........ ~ ~? ~ ~ .... ~' ......... · ....;.t...wdlexcessfillberemovedfrom remises: , 14. anco w e o premises ~ (~ar. Address~ ~P~lk~a~ ~t~2neN~ ~ .................. ;'. .... ~aaress ....... '. · .' ........Phone No ......... '" ' ~.. N~e of Contractor .... ~ · · .' l' .. ~' . ...... 15.' Is this property within }~0 t;et' of a .... Address i .......... : ...... PhoneNO; ...... . ' *ZZ yes,' Southold To~n Trustees Permit may be required. ' ........... .... , PLOT DIAG~ Locate clearly ~d distinctly ~l[build~gs, Whether existing or proposed, ~d, indicate ~I set-back d~ensions frpm propeay ~nes. Give street ~d block number or description accord~g to deed, and show street nines and indicate whether ~tefior or corner lot. STATE OF NEW Y. OP,,Kt'- -- . j COUNT/Y) OF .... ..~.,-J.V.,~..~.~.~.... S.S .... .x,4...z:..'. ..... (Name of individual signing contract) above named. FC}~ pf)U~ED CONCR~I'~ ~ ,'j ,~ a~ x' PLtJMBJN~ 4. FINAL C(~STR(ICTIO~ MUST ~3E COi~PL,ETE FOR ALL COnSTrUCTiON SHALL THE .~[OUI~MENT8 OF THE N.Y. STATE CONSTRUCTION · ENERGY COD~S. NOT RESPONSIBL FOR DESK=N OR CONSTRUCTION ERRORS .... being duly sworn, deposes and says that he is the applicant fie is the (Contractor agent Corporate officer ) '' ' ~ ' , , etc. )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication: that all statements contailied in this applicafion are true to the best of his knowledge and belief; and that the york will be performed in the manner ~ct forth in tile application filed therewith. ' ;worn to before me this / ................... :? , ........... _N. 4~50~!~, 8ilfI1/I8 ~1111~.. ' ' (Signature of appl cant)