HomeMy WebLinkAbout21325-zFORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
southold, N.Y.
CERTIFICATE OF OCuumANCY
No Z-24586 Date August 21, 1996
THIS CERTIFIES that the buildin~ addition
Location of Property 250 Anglers Road, Green~ort
House No. Street Hamlet
County Tax Map No. 1000 Section 36 Block 2 Lot 20.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated March 25, 1993 pursuant to which
Building Permit No. 21325-Z dated April 8, 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 deck addition to an existing one family dwelling as applied for
The certificate is issued to Christopher & Andrea Manfredi
(owner, lessee or tenant)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
L~O~M' NO. fJ
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PER, rUT taUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~.° g132~ Z Date ...~.~.~... ..........................................
Permission is hereby grartted, to'. -- ,
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co~ ,o~ u~p uo. ~00o s,~,o~ ..... ~ ......... ~k ~ ~o~ uo....~./
Building I~spector, ~ ~
Rev. 6/30/80
Form Ne, 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLIOATION FOR CI~RrlFICATL OF OCCUPANCY
Thls application must be filled in by typewriter OR ink and submitted to the building
inspector wlth the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and uonsual 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 so]der used in system contains
less than 2/10 of 1% 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.
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 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
I. 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 Buildint - $100.00
3. Copy of Certificate of Occupancy - , .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $~5.00, Commercial $15.00
Dat~Id' ' ' f/~'~'~' ~ ............................
New Construction ........... Old Or Pre-existing Bu' . lng .................
Location of Proper ty...~.0.~. ...... ~.~ !.~..~.... ~.~: ...... ~.~p~ ~ ......................
House No. ~ Street Ham]et
Onwer or Owners of Property ............. ~ .............. ~ ........... ...........
County Tax Map No J000, Section...~.k ........ Block ..... ~. .......... Lot..
Subdivision .................................... Filed Map ............ Lot ......................
Permit No..~.( ........... Date Of Permit ................ Applicant .............................
Health Dept. Approval ........................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ . .¥~' ~)
-~OUI~DA~ION (1st)
'OUNDATIO:; {2nd)
~UGH FRAME &
.FLUMBING
~;SULATION FER N. Y.
STATE ENERGY
CODE
FI~IAL
ADDI7
OMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING [/~"~AL
DATE
I NSPECT~~..
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO~GHPLBG,
[ ] FOUNDATION 2ND [/~ ]//~NSULATION
[ ] FRAMING ~/ ] FINAL
[ ] FIREPLACE & CHIMNEY
INSPEC~~
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYo~k 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 27, 1995
Mr. Christopher Manfredi
250 Anglers Road
Greenport, NY 11944
Re: Building Permit #21325-Z
Premises: 250 Anglers Road, Greenport
Suff. Co. Tax Map #1000-36-2-20.1
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. 6
TOWN OF SOUTHOLD
BUILD%NG DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 Healt~h 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 1% 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.
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 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.
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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00,, Commercial $15.00
Date .!l~l~f .....................
New Construction ........... Old Or Pre-existing Building ............
Location of Property.
House No. Street Hamlet
O Ow f Property...~..f ....
wer or hers o ...................
County Tax Map No 1000, Section. ? .Block ............ Lot .
Subdivision ................................. Filed Map ........... Lot ................
Permit No...-..........\ .Date Of Permit ....... .. Applicant.. .?. . ~
Health Dept. Approval ........................ .. Underwriters Approval .........................
Planning Board Approval ...................... ..
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ...... ~ .~%.~ .~?. ................
t, '; FORM NO, 1
il :~ i; ~nn 9 .,... IOC3'~ Town OF SOUTHOLD
iLj ~.~ .............. , TOWN HALL
/ J TOW~O~;;~;~U' ,,~?UTHQLD, N.Y. 11971
/ / / , ............................. TEL.: 765-1802
~xamined
Disapproved a/c '
. (~Idmg~pector) .
APPLICATION FOR BUILDING PERMIT '
'RD OF HEALTH
BOA
.~3 SETS OF
/.-SURVEY .....
SEPTIC. FORH ..............
NOTI FY;
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets 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
Or areas, and giving a detailed descrip[ion 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 Building Permit to the applicant. Such permit
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 Occupancy
shall 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
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.
--'~),,,~:~ ,~ ( 'gnature of applicant, or namebaI a corporation)
.' (Mailing address of fipplicant)
State whether applicant is owner, 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 ~orporation, signature of duly autt?rized officer.
(Name and title of corporate officer)
Builder's License No .................. ;.. : ~ : .
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No .....................
Location of land on which proposed work will be done
f .d. .N:/.: .... LI. qN.q.. ........... ....
I-'I ;&;e' ~q~;,} t}ir ...... 'D ............... ~ir;&t "' Hamlet "
County Tax Map No. 1000 Section ...~.(-¢.%Q .Q ........ Block c>Qe OQ) Lot ,:~Oe OOj
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
b. Intended use and oFcupancy .... '[-~=.L~.~. .Qk. }.¥.) .~ .......................... ~,~0 ~,~* ~ ~m~*G~it~ ..........
3. Nature of ork (check whwh ~apphcable): New Building ........... Addition .... Alteration ........ '.
Repair .............. Removal .............. Demolition .... '.'...; ..... Other Work .....
~..~..6~.. i (Description)
4. Estimated Cost .... ·" ..................... Fee
I ' (to be paid on fil ng this application)
5. If dwelling, number of dwelling, units .... ./ ......... Nu
........ ~ber of dwelling units on each floor .. If garage, number of cars ... ~ [ ' ...............
' d extent of each'tv ..................
.ess, co..mm, ercml or mi,.x d occupancy sp y na ur .; .[... 'l~;t~t "~ ............
t. u,mensmns oF ex,sting structures, if any: Front.·..~1.. ....... Rear ...~6:~ h .~--! ...........
Height Nninber of Stories J
Dimensions of s:ime structure with alterations or addiiio'ns: Front Rear
Depth ' ~ Height ..................... ' ...........
' Number of Stories '
8 Dimensions of entire new construction: Front ...... ' ............
............... Rear ............... Depth ...............
Height ............... Nurnber of Stories ........................
· lZe O Ut' run .........................
· · ....... i ............ Kear ................
· fP . . . . · ............
10 Dateo urchase .... t' ', ....... ' .... Name ofFormer Owner .~¢.C, Otqq~.¢4(..
1 I. Zone or use district in which p~emises are situated .............. ' ....
12. D°es pr°posed construction vidlate any zoning law, ordinance or regulati
13. Will lot be regraded .. .¥ff"~' · .,: :. · · .,. ·: ........ ;. ..... Wall excess fill be removed from premises: ~ No
14. Name of Owner of premises .qh. vJ?.'rqJ?.~.et/lq...b~cCq/-~d/Address '$gq~.~.~/~.~ '~. '.~.g. tl]p~.. Phone No.
Name of Architect : '
......... ~ ................. Address ................... Phone No ............ ;..
Name of Contractor :
. · ....... ~ ................. Address .................. Phone~No... ............ ..
15. Is this property within i300 feet of a tidal wetland? '*Yes ...... ~. No...h{. .....
· If yes, Southold ~own Trustees Permit may be required.
I ' PLOT DIAGRAM
}. ~ · ~ uam moc~c~numoer or aescnpnon accoraing to deed, and show street names and indicate rather
interior or corner lot. ! .-'~J ~
' .' '
: . A AS mr _
· ' ' FOLLOWING INSPECTIONS:
~ 1. FOUNDatION ~O REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
4, FINAL CON~TRUCTION MUST
~3E COMPLETE FOR C.O,
ALI. CONSTRUCTION SHALL MEET
THF REQHIREM~NTS OF THE N.Y.
CONSTRUCTION ~ ENERGY
]TATE OF NEW YORK .
2OUNTYOF..~.u.F.-~-C~)~ ...... SiS ,rO[FS NOT RESPONSIBLE FOR
................................. being duly sworn, deposes ~d says that he is the applicant
(Name of individual signin~ contract)
hove named.
ontractor, agent, corporate officer, etc.)
f said owner or owners, ~d is duly ~uthorized to perfom or have perfumed the said work and to m~e and file this
ppi,cation; that all statements contaiged ~ this application are true to the best of his knowledge and belief; and that the
'ork will be perfumed in the manner set forth in the application filed therewith.
worn to before me this
eta, Public, ....~~ ...... County