HomeMy WebLinkAbout21199-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22299
Date MAY 6, 1993
THIS CERTIFIES that the building
Location of Property 420 GREENWAYEAST
House No.
County Tax Map No. 1000 Section 20
Subdivision
ACCESSORY
ORIENT~ NEW YORK
Street Hamlet
Block 2 Lot 1
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 25, 1993 ~ursuant to which
Building Permit No. 21199-Z dated JANUARY 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 ACCESSORY STORAGE SHED "AS BUILT"
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED N/A
FRANK & ROSE CATALANOTTO
Rev. 1/81
ui]~ding Inspector
FOuM* ~qOo fJ
?OWN OF SOUTHOLD
BUILDING D£PARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
/
N-eN? 2119~Z ~oto ...//...~...7.. .................................... , ~.~.
·
,,
to
County Tax Mop No. 1000 Section ..... ~ .......... Block ...~ ............ Lot No...~... .................
pursuant to application dated ............... .Z~./.~..,~.... ....................... , 19~., and approved by the
Building Inspector.
Rev. 6130/80
'' ~ TOWN OF SOU~HOLD
BUILDING DEPARTMENT
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be f~led 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 f~rm).
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-~onforming uses, or buildings and
'.'pre-existing" 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 Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
i. Certificate of Occupancy - New dwglling $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, Commercia~ $~5.00
' '' / Date /~' ~
New Co,struction....%~.. ..... Old Or Pre existin - '~:'' ...... 'f' .......................
Location of Prooertv. IZ~ ~JP~/<~ ~~ W> ~/,~
· - . ........ ................ .........
County Tax Map No 1000, Section ..~---~ ' =~ '
............ ~±ocK ...... ~ ...... Lot .....................
Subdivision..
............ : ..... Filed Map ............ Lot ..........
~ermit No.?~.!ili~'~':''' Of PermitJ. ':.~.~.~...Applicant.~~
{ealth Dept. Approval ........................ Underwriters Approval ....
ilanning Board Approval ................ ~ ....... .
equest for: Temporary Certificate ........... Final Certicate ...........
~ee Submitted. $...~.~:~]~: .............
FOUnDATIOn4 (2nd)
~0UGH FRAME &
.PLUMBING
iNSULATION PER N.
STATE ENERGY
CODE
FIt;AL
ADDITIO?;~L COMMENTS:
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
SCOTT 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
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
MAY 3, 1993
FRANK CATALAI~OTTO & ~
P. O. BOX 102
ORIEbff, I~/ 11957
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 ~not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PEI{MIT 9 21199-z
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
SCOTT 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
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 6, 1992
Mr. Frank Catalanotto
P.O. Box 102
Orient, N.Y. 11957
Re: Premises: 420 Greenway St., Orient, N.Y.
Suff. Co. Tax Map ~1000-20-2-1
Dear Mr. Catalanotto:
It has been brought to the attention of the Building
Department that a fence has been erected without first obtaining
a Building Permit.
According to the Code of the Town of Southold a Building
Permit is required before any construction can be undertaken.
Please contact this office as soon as possible so this
matter can be resolved.
I thank you for your anticipated cooperation.
Very truly yours,
SOU~HOLD TOWN BUILDING DEPT.
Gary/J~. Fish,
Building Inspector
GJF:gar
(Cert. Mail)
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
REMARKS:
[/]~AL
/
INSPECTOR +.~~/
765-'~802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
REMARKS:
DATE
INSPECTOR~~//~'/*.~
JAN251993
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
: SOUTHOLD, N.Y. 11971
:, ', ,~ ~' TEL.: 765-1802
Disapproved a/c .....................................
~(B~ inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEAL'Ell .........
3 S~TS OF PLANS ..........
SURVEY ...................
FOR,'! ..............
TO=
Date ........... 19
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 description o'f 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
:hall be kept on the premises available for inspection throughout the w6rk.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
:hall 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
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction ,o.f bu~gs,,,additions or alterations, or for removal or demolition as herein described.
the applicant agrees to com. I}l~,.~ith aJl~'~6h~,~ble laws, ordinances, building code, housing code, and regulations, and to
:dmit authorized inspectors on pr,cruises and in ~?.uildCng for necess~a, ry inspections.
(Signature of applicant, or name, if a corporation)
- (Mailing address of ap lica t) ('' .........
~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
(as on the tax roll or latest deed)
£ appIicant Js a corporation, signature of duly auth~orizcd officer.
title of corporate officer)
Builder's License No ..................
Plu b ' '
m er s Lmense No ........................
Electric. ian's License No ..... ' -
Other Trade's License No ...................... "
Location of land on which proposed work will be'done. .Z.. ,~ ~ I~:_/,LgI.L~
ttouse Number Street ' ' ....
: Hamlet
County Tax Map No. I000 Section 0 Z_~ Block ' Lot.
Subdivision Mhp No '
..................................... Filed ............... Lot ...............
(Name)
St i ti d fp i d i d d '
ate ex s ng use an occupancy o rem sesan nten e use and occupancy ofp.~roposed construction: .
Eiti ~d '
3. Nature of work (check which ~Pplicable): New Buildin · .' ...... Addition .......... Alteration
Repair .............. RemovaI .......... Demolition Other Work
4. Estimated Cost ] t '~ o ~ ". : (Description)
· ! ~ ~-.. (to be paid on filing this application)
5. If dwelhng, number of dwelling units 2- Number of dwelling units on each floor.
Ifg i .............
· arage, number of cars ......... ...............
6. If business, commercial or m -!~ ' ' · · · .................
..,,:a occupancy, spec nature and extent of each type of use .........
7. Dimensions of existing structur.es, ifany: Front ............... Rear .............. De ...
ight mb ' pth
He ............... Nu er of Stones ............ · .........
vith ............................................
Dimensions of same structure. ~. alterations or additions: Front
Depth ..... I ", .... · ................ Rear . .
8. D~mansions nfentire .......... ~. ....~ o.,;.,.' ' '. .... .'.'~ ......Number of Stories.. ,.~ .
,,. o ............. .~. emmoer of Stones .... ~ ' ~}' ...... :. ...........
1 I. ~Zone or use dmtnct m whlch prCmmes are situated. ~.. ~.(.~. ~J CFormer Owner .............................
12. ~oes proposed construction vi,,int~ ...... : , '..' ................. ' ....................
13. ',rill lot be regraded .....
14. Name of Owner oforemises~.r~.~wk- /~4T, oL~/c~dT(M.' W. dl ex. tc.,e~ss.s~l,[Ze,_~el~cff..ed frglll, premmes: Yes
Name of Architect .. : , , · · '~' ' ............ .0.Iehone No. ~..~..'.'~..
.................. · ~adress .
Name of Contractor . ' ' ' · ................ Phone No ...............
........ . ................. Address ......... ... ......... Phone ~o .... ' ....... '
15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ~ '' '''
· If yes, SouthoId ~own Trustees Permit may be required. ' ........
i PLOT DIAGRAM
Locate clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all sebback dimensions from
property lines. Give street and block fiumber or description according to deed, and show street names and indicate whether
interior or coruer lot.
AP ' O D AS NOTED '
DA E: B.R #
NOTJ~ BUILDING D~'pAR~T
765-1802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION ~O RFQUIRE~
FOR POURED
2. ROUGH ~.FRA~A~NG ~ PI.UMR~NG
3. INSULATION
4. FINAL. ~ CONSTRUCTION MUST
BE COMPLETE FOR
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES, N~ RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
;TATE OF NEW YORK, i
:OUNTy QF .......... ' . S.S,
(Name of individual signing 9o~/ac'ti .......... being duly sworn, deposes and says that he is the applicant
bore named. ! ..
e is the ~'
' (Contractor agent corporaL; ~)};i;;; 'e't; ~ ............................
· said owner or owners, and is duly auiborized to perform or have performed the said work and to make and file this
'plication; that all statements contained' in this application true to the best of his knowledge and belief; and that the
vrk will be performed in the manner set iforth are
in the application filed therewith.
Yom to before me this
......... : ,19 .?.>
ot W Public, State of N~eWYol~ ...~..~...'-~.._. '
No. 4952245, Suffolk Counw .......................; · ·.
Term Expires June 12. 19..,~.~ (Signature of applicant)
~ Gt~'ElVWAY [50' k~DE-)
~ . ~ ~.~o ' (NO PUBLIC ~T~) .
135 O0
~ [ . IRVING C LA THAM
~ ~ ~,. (F~M ~ELD)
~[ . ' ~ ~ I~' ',~?~',~:~,~
o~ ....... ~"' ' ~
- ~ ~ ~ -.
o~ ~