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HomeMy WebLinkAbout20565-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21056 Date SEPTEMBER 29~ 1992 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 450 DEEP HOLE DIRVE MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block I2 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 24~ 1992 pursuant to which Building Permit No. 20565-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 ACCESSORY GARAGE IN FRONT YARD AS APPROVED BY ZBA #4089. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOSEPH & EVELYN TURCHIANO H-031186 - SEPT. 23, 1992 Rev. 1/81 B lldlng Inspector FORM NO,. fl 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 9IN'? 2055~Z Permission is hereby granted to: ....... ,o ..~.....~.....~:~.' ...C~..~, ,~ ...~,..~'....~ ~.~ ............... ~ at prem'se, loc ted at ....~.' ......... ~....~....~.. ..................... ~ ....................... County Tax Map No. 1000 Section ....... J.(.k~.~. ......... Block ...... .1....-~... ........ Lot No.....~,,.'~.. ................ pursuant to appllcotion dated ......~.'~..~......~....~ ................ , 19.~....~..., and Building Inspector. approved by the Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Form No. 6 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 ail 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 1% lead. 5. Conmtercial 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-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicJtion 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 d~ling ~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. Certlflcat of Occupancy on Pre-existing Building $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ,.~.,~.?.7'. Z! Z~'~ 7,, ... New Construction .... ~. ..... 01d Or Pre-existing Building ................. Location of Property .... ~.~'~ ~ ~-~' T//'7'~ .... House No. Street Hamlet ert .. .~..*'. '~'~ ~ ' '~ ...................... Onwer or Owners of Prop y .. ·' z..z. ,. ..... ot.. J':'. ................. County Tax Map No 1000, Section ..... ~:lock -~.- Subdivision .................................... Filed Map ............ Lot ...................... Permit No. Z ~-'~ Z .Date Of Permit..~.~.~. !.~. ~'~?V'~'Z'Applicant ~' ~'~' '/'+'f'~' '~ '~' "~' ?' .... Health Dept. Approval .......................... l, Dderwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... ~.lnal Certicate ......... Fee Submitted: APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~, ~ [~)~608 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date SE[~T~[I~I~i[ ~,-t,[~9~ Application No. onfile 7~/636~92/92 t~ 031J.~5 THIS CERTIFIES THAT o~y the e[ectdcal equipmen t ~ ~scrlbed below and introduced by t~ appl~ont ~med on the a~e apptieatlon number in the premises of Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS EWI~CHRS F£UC~qESCENT OTHER 6 3 ,% DRYERS DIMMERS OTHER APPARATUS: E R V I C NO OF HI-LEG AW, G, OF H~-LEG GERE~AL MANAGER This certificate must not be altered in any manner; refuro to the office of the ~oord if incorrect. Inspectors may be identified by fheJr credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE AL?ERE~N ANY MANNER. INSPECTORS Victor Lessard Principal Building Ir~pector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southo[d Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 8EPTEMBBR 23, 1992 EVELYN P. TURCItlANO 450 DEEP HOLE DRIVE FIATTI~ICK, fly 11952 To Whom This May Concern: We are unable to complete your certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (outdated/not on fileo)$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 PERMIT # 20565-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. =OUIIDA~ION (1st) '~OUMDATION (2nd) tOUGH FRAME .FLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FI~;AL ADDITION~'L COMME~;TS: APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. lames Dinizio, Jr. Robert A. Villa Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 INTER-DEPARTMENTAL MEMORANDUM TO: FROM: DATE: SUBJECT: Building Department Board of Appeals ~ April 15, 1992 ZBA Actions of April 2, 1992 In order to allow the applicants under the following ZBA applications to reactivate their building permit applications, please let this confirm the following actions and conditions taken by the Board at our April 2, 1992 meeting: I. Appl. No. 4089 - EVELYN P. TURCHIANO. Approval granted for 20 ft. x 20 ft. accessory garage structure in the front yard SUBJECT TO: (a) a setback at not less than 20 feet from the front property line; (b) a setback at not less than 5 ft. to the southerly side property line; (c) a height not greater than 16 ft., as applied; (d) only utility shall be electric {no plumbing facilities proposed in this application}; (e) garage door shall not face the street, as applied and as shown on the plan revised 3-21-85 submitted under this application. II. Appl. No. 4096 - PAT AND ROSEANNE IAVARONE. Approval granted for a proposed open deck addition to existing dwelling SUBJECT TO: (a) the deck remaining open and unroofed, as applied; (b) the setback shall be not less than 54 feet from the top of the bluff, as applied; (c) filling of potholes for ingress and egress over the private road known as Strohson to the town street as required by New York Town Law Section 280-A {prior to issuance of a FORM TOWN OF SOUTHOLD BUILDING DEPARTblENT TOWN CLERK'S OFFICE SOUTHOLB, N.Y. NOTICE OF DISAPPROVAL Date ......................... .~.~.~'~. 19 ..... ~j~L. PLEASE TAKE NOTICE that your application dated .. , ~ 6~ ~. ......................... 19 ..2.:-. house NO. ~ Street ..... r* ~' '~ ..... ~J~/~i County Tax Map No. 1000 Section .... /~... mock .... ~ ~ ..... Lot .. ~ ........ Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds ...... · ../.~.~..-. ~,..~.......~..~. ~.~..~.~.) .... ~...~..~.;_;_;.~. · .... · ..~.~....~~...~....~....~....~.~~. · ..~ ............. ~ .... ~~...~..~..~x.. Rv 1/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION '~~MING []FINAL DATE Examined / .~.~..~.. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .~.'~..e., 19~.~. Permit No..~v.?...~...~..~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS SET~ OF PLANS . , RVCY ....... '- - · CIIECK .............. , . . ·. · SEPTIC FORH .............. Date . .~/.~."?..?,.~: ........ 19 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 of layout of property must be drawn on the diagram which is part of this appli- ca¢~on. 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 BufldLug 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~~.~ //~ ~ -- ' '~(~i-g'n-ai~'r'e "~ f~x~t~~~applicant, or name, if a ~;~;;~ ~id;) .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....................................................................... (as on the t~ax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Budder's Lmense/N~6J~//~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. P.?, lion,, ). :/. House Number Street Hamlet County Tax Map No. 1000 Section ................. Block ...... [.'.& ......... Lot ................ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupaucy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occu, nc- / /'~°2/.~.:Z'. *.~..~.%~./i/(/..~6 - · b. Intended use and occupancy . / fT~.~O.~M.. ~ff.<.. ,~,~ .~ . ' .... 3. Nature of work (cheek which ap~lkcable): New Building ....~..... Addition .......... Alterati? . . .- ....... 4 Estimated Cost ~/ooo. ............... [ ........................ Fee ...................................... ,! (to be paid on filing this application) 5. !fo dwelling, nu.mber~of dwelling u~its.. ...... ~. ........ Number of dwelling units on each floor.. ~. ........... · llgarage, numoer oI cars ...... i...% .............. 6. If business, commercial or mixed ~occupancy, spec'dy n~ur~'a'n'd' ~xten~'o'f'e'a~'t~'~f'~s'e' ' i ' ' ' i .............. 7. Dimensions of existing structurefi if anv Front ~-~' ~ ~o. 2~.~r;~ /'~r~*'~ '~'~' '; ........ lae~gnt .... ~.o. ........ Number of Stories . .~, ............ Dunenmons of same structure w~t~ alterations or additions: Front ....... Rear ............. n, ~J~menmons of entire new constru'ction: Front.. .~o Rear ,2 ~ .... De-th Height ..... /.o. ........ Number of Storles g. ............. 9. Size of lot: Front .~.q .i. Rear ~.o. .......... Depth 10 Date of Purchase /. ~',a ?. I Name of Former Owner 11. Zone or use district in which p~emises are situated ..................................................... 12, Does proposed construction violate any zoning law ordinance or regulation' . ...... 13. et regra ...... :~..f. · ~.~ · · · .; .... Will excess fill be removed from premises: Yes Name of Architect I Address Phone No Name of Contractor I .......... , ................ Address ....... ~ ........ Phone No ................ 15. Is this property within 300 feet of a t'~dal wetland'/ ~t~e~~) ...... Re ......... · If yes, Southold T~wn Trustees Permit may be req'Irl~ed,' ' PLOT DIAGRAM Locate clearly and dtstmctly ail euildmgs, whether qxtsting or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. TAVE OF NEW,V. OR , COUNTYOF..,~:er~.t,O...... S~S ............................ ! ................... being duly sworn, deposes and says that he is the applicant (Name of individual signir~g contract) above named. He is the .., '?~' I- (Contractor agent corporate officer etc ) ' of said owner or. owners, and is duly l authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this ..... .... YF).O ..... of., ..................... 197A I . · // ROBERT }. SCOTT, JR. ' '~'~l~ ~}',1-~-..~,'{~I15~ y ~l, ~" (Signature of applicant) LL~ L~ , Lr~i