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Home My WebLink About20562-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22140 Date FEBRUARY 11~ 1993 THIS CERTIFIES that the buildin~ Location of Property 905 PARKVIEW LANE House No. County Tax Map No. 1000 Section 15 Subdivision ADDITION ORIENT, N.Y. Block 5 Filed Map No. Street Hamlet Lot 24.27 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16~ 1992 pursuant to which Buildin~ Permit No. 20562-Z dated APRIL 20~ 1992 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 LFi~N-TO ADDITION TO AN EXISTING ACCESSORY STRUCTURE AS APPLIED FOR. The certificate is issued to ANDREW & MARY LOU CALDERONE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ ~ Z Bu~din~ Inspector Rev. 1/81 I~OK~ NO. II TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ('THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_N? 2055~Z Permission is hereby grantg, d to: · ..~....~..&..: ....... zLa..r.g ........... . ,o ..... ........ 'd'" ...... ~ _. ~,.; ......... : ....... ~ ........................... : ........... ~ ..... ~ .... at pr m'ses I~ d at ......... ~.~ ~.....~g ...~ ..................................... c...w *.~ M.p No. ~0oo s.¢.o~....~.4.~ ....... .~k .... ~.~ ........ L,, N...~.:~] ....... pu~uant to application dat~ .... ( ] --~ ........... ~..~. ............... , 19~.~., and approv~ by Building Inspector. 2£' f Fee $ ....................... Rev. 6/30/80 Form No. 6 TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN N/ILL 765-1802 · ~PLICATION FOR CERTIFICATE OF OCCUPANCY~ FEB I 0 ?.3 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 plumbe~ 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 Certifidate 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 Building - $i00.00 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 .......................... New Construction..~.~.~... Old Or Pre-existing Building .... House No. Street Hamlet ' Onwer or Owners of Property. ' '/~. .~AO ...... .~.~'¥/~.~..~.~ .......... County Tax Map No 1000, Sectioa...~.f..~';' ..... Block...~..5~. ........ Lot...~..Y. hg. 2 .......... .................................. Filed Map ............ Lot ................. Subdivision .. Permit NO .~e .~.~-~'-.......Date Of Permit..y/.g~/. ~.~..Applicant... ~.~l~..~,..~. .......... Health. Dept. Approval .......................· -- Underwriters Approval ......................... Planning Board Approval ....................... . Request for: Temporary Certificate ........... Finai~Certicate .... ...~.... Fee Submitted: $ ..... . ....... INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R0 Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 24, 1992 SCOri' 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 ARDRR~ &Y-.KRY LOU CALDEROL~R 905PARKVIE~/I,AI~' ORIEI~, NY 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. The check is ~m~/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 ~ 20562-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~OUNDA'TION fOUNDATION ~,OUGH FRAME & [ItSULATION PER N. STATE ENERGY CODE Fi~IAL (1st) (2nd) ADDITIONA'L COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL /SURVEY ................... /ClI~CK :::::::::::::::::::::::::: ?" "' . SOUTHOLD, N.Y. 11971 · ~': ',~"'x ., , 'TtZL.: 765-1802 ,,O, ,F't, . ~,~' -- ~' ~in~ .~. ~.., ,~t~ ~ ;; ~,..~,.. ~z~.~.. Approved .... ~ , 19~ Pe~it NO.~ ~ ~ ~ ................... ,'' ...... ...... .......... isappro cd a/c .................................. .~ , .. . ~ . ~ ~// ..... .......... ............ . .... ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~ 19 : INSTRUCTIONS :.'4. 'Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 )r 'areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- etlon. c. The work covered by this application may not be cbmmenced 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 work. 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 ;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to _4mit authorized inspectors on premises and in building for necessa~/~7.~o.n~?/..~f (Signature of applicant, or name, if a corporation) (Mailino address Of applicant) ;rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber Ar builder] (as on the tax roll or Jatest deed) ........... ' apphcant 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 ...................... Location of land or/which proposed work will be d'~no.. ..................... .................... ..~.~. llouse Number Street ' Hamlet " p~o. ,ooOSec,on /.SS B~ock 6~ County Tax Ma ............... . ·. Lot ° . ..... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of prom!scs and intended use and occupancy of proposed construction: a. Existing use and occupancy / ' ' b Intended use and occupancy ........ ... . · · 3.Nature of work ( beck which a plicable): New Building .......... Addition .......... Alteration .... ~,.:.. Repair .............. Removal .............. Demolition ............. Other Wo -'- 'q ee2~r~ a~tr%;M t ' e---' ' .... 4. Estimated Cost 0 0 Description) · '-- ..... ~i ......................... Fee ........................ (to be paid on filing this application) $ If dwelling numberofdwellinghnits · ' Number of dxvelling units on each floor If garage number of cars [ ' ' .............. fi ' Il' busine'ss ........................................................................ · , commercial or mixed occnpancy specify nature and extent of each 7 Di nens'ons ot exssfing stmcture~ if any: FrOnt type of use ....... Rear Depth · ,-. H.eight ............... Number of Stories ............................................. ' Dtrnensions oi' same structure with alterations or additions: Front :~ Depth I Rear Height ......................... 8 .................. I ........................ Number of Stories ....... · Dimensions of entire new constrhction: Front ....... ' ....... Rear Depth Height Number of Stories ............... ' 9 Size of lot: Front .............................................. Rear ' 10' Date of Purchase ........... ' ................................. Depth : Name of Former Owner ............. t ....... I ' 11. Zone or use district in which r ~ ............................ p e!mses are situated ' 12 Does proposed construction violate zoning law .................................................... · any ordinance or regulation: 13 Willlot be regraded ' ' 14 Nme ......... ~ ................. Will excess fill be removed from premises: Yes No · of Owner of premises Address Phone No Name of Architect . .. I Name of Contractor i..~. ~'Z~'/~..' ............... Address ............... 2'" Phone No .............. ...... , ................ Address ~P.~,.~.~..~.~.-~. ~..4rph,... xu. [5. TS this property within 300 feet of a tidal wetland? *Yes ...... '.'. ~; ..... ~-~-o.. ~..,,....~--~.. · If yes, Southold Tpwn Trustees Permit may be required· mo...~ ..... · ' ' PLOT DIAGRAM ' Locate clearly and distinctly all buildings whether existin or ro osed ' · roe t . . g P P , and.~ndmate all set-back dimensions from ..P_. p. r y lines. G~.vefitreet and block number or descnptmn according to deed, and show street names and indicate whether '-rATE OF NEW YORK, ' ' ~ UI'~y OF ................. S.~ (Name of individual signinglcontract) ' ' ' being duly ssvorn, deposes and says that he is thc applicant ove named· , , (Contractor agent ...... ~ ............................ i , , corporate officer, etc, said owner or owners, and is duly anti Onzed to perfo~ or have performed the said work and to tn~e ~d file this ~lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the rk will be perfomcd in the manner set forth iu the application filed therewith. om to before me this . ................... oav 0I.~ l~ 7~ ' , ....... ~ .~~OU~ [y j~