HomeMy WebLinkAbout20585-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21104
Date OCTOBER 22,. 19.9~
THIS CERTIFIES that the building
Location of Property 1325 MARLENE LANE
House No.
County Tax Map No. 1000 Section i44
~]bdivision
ALTERATION
MATTITUCK, N.Y.
Street
Block 3 · Lot
Filed Map No. Lot No.
Hamlet
4
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 17, 1992 pursuant to which
Building Permit No. 20585-Z dated APRIL 27, 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 SCREENED IN PORCH OVER PART OF EXISTING DECK ADDITION
AS APPLIED FOR.
The certificate is issued to
JOSEPH P. & KATHLEEN CIANCIOTTO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
H-031514 - OCTOBER 14, 1992
N/A
Rev. 1/81
/ Building Inspector
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHOP, IZED)
N_~No. 205~BZ
Permission is hereby granted to:
'~.~.~...;....~ ....
......
at premises located at .... ,~..4~., ....... C~...~.....~~'~f~...~'~.~'.".".".".'~-~ .............................................
co,.~ vo~ Mop No. ,000 Section ....... /....~. B,ock ...... ~ ......... 'et No...,CC... .................
pursuant to application doted ...... . .~.....~..././7 ..................................... , 19..~...%,~and approved by the
I~uildlng Inspector.
Rev. 6/30/80
Form No. 6
TOWN CF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 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 plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences amd 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 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 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 - $100.00
3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4.Updated Certificate of Occupancy ~ $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Hate . 5¢ t~. ~z .
New Construction ........... Old Or Pre-existing Building ...... ~. ..........
Location of Property. I ~ z~: ~ ~¢~ ca~ ~.~(.~. ~.!c..~.:y.
., House No. Street Hamlet
0nwer or Owners of Pro ert ... ~L(~ ~&.Ju;O_..tO
County 1000 ectlon. .. !!+.? ...... Bloc .... .......... Lot ....
Subdivision ' Filed Map Lot ·
.............. pate Of Permit .......... Applicant
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...... < ....
Fee Submitted; $ ~ '
<~.~c V_Colf, ........... [~ ..................
' APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS
E5 JOHN STREET, NEW YORK, NEW YORK 10031~
T~tS CERTI~IE~ THAT
Lot ~
FIXTURE FIXTURES RANGES EXHAUST FANS
OUTLETS SWITCHES FLUOR~SCEI~T OTHER
DRYERS
SYSTEMS
NO. OF FEET
E R V I C
NO. OF CC, COND A,W G. NO OF H{,LEG A.W.G NO OF NEUYRALS A,W G,
OTHER APPARATUS:
This cert:flcate must not be altered in any manner; return to the africa of the Board if ineo~e:t. I.spectors may ~ ide.tified by tbeir~ ~
COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED ~ ~NNER. 7 d
I
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
t3ailding Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordi~ance Inspector
Robert Fisher
Aasistan~ Fire Inspector
Telephone (516) 765-1802.
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box t 179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
SEP~RttlBER 18, 1992
JOSEPH & KATBLEEN CIANCIO~TO
79 PRINCETON STREET
C~IIDEN CI~Ye NY 11530
RE: PREMISES @ 1325 Ia-ARLENE LANE,
14aITTITUCK
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 ~/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 PERMIT ~ 20585-Z
(Screened-in porch)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOW~N BUILDING DEPT.
FOUNDATION (1st)
FOUNDATION
2.
ROUGH
(2nd)
FRAME &
.PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FIUAL
ADDITIO~A'L COMMENTS:
' '~' INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 21, 1992
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
Mr. Joseph P. Cianciotto
79 Princeton Street
Garden City, N.Yo 11530
Re: Building Permit Application
Premises: 1325 Marlene Lane, Mattituck, N.Y.
Suff. Co. Tax Map 91000-144-3-4
Dear Mr. Cianciotto:
In order to issue your building permit for proposed
screened in porch (deck), we will need details of the existinq
decklconstruetion. It appears to have been built without a
building permit.
We ~ill need plans (3 copies) of the deck construction,
size or,spacing of footings, post, girders and floor beams.
If you have any questions, please feel free to call.
Very truly yours,
SOUTHOLD TOWN BUILDI-N~ DEPT.
Building Inspector
TJF:gar
?
7G5.1.802
BUILDING DEPT.
NSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ /~ATION 2ND [ ] INSULATION
[/~FRAMING [ ]FINAL
REMARKS:
DATE , ~ INSPECTOR
/?/7~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION AST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: ~
INSPECTOR,/~/~
765-18l)2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ~JLATION
FRAMING [~"] FINAL
.,.,,J.,(s.. /~ //~
Examined ......
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEALTH ._.~/,
3 SETS OF~.~NS .Az.. .
SEPTIC FORH ..............
Disapproved a/c .....................................
(l~uildino 11fispector)
APPLICATION FOR BUILDING PERMIT
Date '/c- / 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.
't~. 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-
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
necessary inspections. . ~.,
admit authorized inspectors on premises and in building for
- -- ' ' ' a'tidd) ....
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owher ofpremises ? ....................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly auth,,orized 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. {.'~ ?X" ~ P/Jc/?~L ~,~,~ C~/v ~}
House Number Street Hamlet
County Tax Map No. 1000 Section /~V Block -~ Lot../
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy ...................................... .,,, ...... :...; .. ,.... ..................
· i
3. Nature of work (check which applicab.le): New Building ......... Addition .......... Alteration:: .........
Repair .............. Removal '
· i ............ Demolition ........ Other Work
'~,'~ 0 ~ ~ '" (Description)
4 Estimated Cost , Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units i · O ~/. ~. Number of dwelling units on each floor .....
If garage number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, ifagy: Front ............... Rear .............. Depth ...............
Height Number o~' Stories .0
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
D '
epth ...................... H~ight ............... ~ ....... Num~e}' ?ftfitories ............ ~ .......
8. Dimensions of entire new construction: Front./~,.t¥57..~.).,,'.ct!~Rear ...f.¢.. ~.~F.. ...... Depth 1,~ .~.~%..'7~. ....
Height Number of Stories
9 Size of lot: Front ' Rear Depth
10. D urchase ............... i[ · · · ' ......... Narr~ of Former Owner ...
ate of P [ ..........................
11. Zone or use district in which premises' are satuated f.~." ~1~
12. Does proposed construction violate adv zonin,, law ordinance o ...... ~o · ·
13. wm lot oe regraaea ...... >>., · .~...¥ ............ Will excess ill!be removed from premises: Yes No
14. Name of Owner of premises .c-7-.'d,(4 ./~..~-~.~.~ .... Address/'5:~.~4F--~ .F~tY'. ~ Ph~,-~ ~,~,-
Name of Architect ....... ~,rl,~r~ ~'~¢F-.
Name of Contractor ......................... Address .................. Pho,ne,~ ............... ;
15. TS th±s property w±th±n 300 ~eet of a t±dal wetland? '~Yes ........ No..l~. .....
· If yes, Southold Town iTrustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing 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 oi' corner lot.
NOTIFy ~n~p~
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING iNSPECTIONs:
'L ~NDATIoN . ~O REQUIRED
~OH POURED CONCRETE
2. ROUGH ~ FRAMING & PLUMBING
3, ~NSULATION
4. FIb~AL .. CONSTRUCTION MUST
BE CO~PI.ETE FOR C.O.
ALL COnSTRUcTION SHALL
THE REOUJREMENT~ OF THE N.~
STATE CONSTRUcTiON & ENERGy
CODffS.D ~ " NOT RESPONSIBLE FOR
E ESIG~ OR CONSTrUCTiON ERRORs
STATE OF NEW YOILK,
COUNTy OF ....... S.S ,
(Name of ~n&wdual slgmng contract)
above named.
He is the ........................ ~. .............................................
(Contractor, agent , corporate officer, etc.)
of said owner or owners, and is duly aut~horized to perform or have performed the said work and to make and file this
application; that all statements containedI in this application are true to the best of his knowledge and belief; and that the
work will be performed in the m/eager set ,forth in the application filed therewith.
Swora to before me this .¢,%~/,// JA t'
......... "'~'' '-~'''' '//-Z'/" .dar'oS-../'.... !q;~5.~. · · ·; .... 19
Notary Public, . . T.~_,_.x~..~u~.:.- .t-.~.:.:..., ~c.' ' ' County
·, / ............. -¢~-~,~-~h2'~ -.~
/ ..
' ' .... .... -- ................
It~. 412~ _ ~, (Signature of applicant)