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HomeMy WebLinkAbout20950-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22235 Date MARCH 31, 1993 THIS CERTIFIES that the buildin~ Location of Property 670 GREENHILL LANE House No. County Tax Map No. 1000 Section 33 Subdivision Filed Map No. ADDITION GREENPORT, N.Y. Street Hamlet Block 3 Lot 9 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 1992 pursuant to which Building Permit No. 20950-Z dated SEPTEMBER 10, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SALVATORE & LORETTA LoPRINZI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 · O]~3a[ NO. ~ T(~VN 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) NgN.o 309§0Z Permission is hereby granted to: ~.~~...~:..f~ .~.~ ...... .................. ~ ~/~ ...~ ...... ...G..~.....~.~...~......~....~..~ ................. ...~.~~ .,...v..,~.,.,.~ ~.~ ~ ~ ............ ....... County Tox Mop No. 1000 Section ..... .~....~..~.... Block .....(~...~ ....... Lot No.......~....~. ........... pursuont to oppllcation doted ..~...~..~.~......~.~ ............ , 19.~..."-~.., and approved by the Building inspector. Building Inspector Rev. 5/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPDHtTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ae 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 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 ~pplicant. 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 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, Commercial $15.00 Date .... ~/..~..~/..~. ~. ....................... New Construction .......... Old Or P matin Buzld~ '~.----~. · re-ex' ' g ' ing ............... Location of Property....~Z~. .............~..~.~..~'~... ..~./~.. ......../-~..~. .............................. House No. Street Hamlet Onwer or Owners of Propgrty ............................... County Tax Map No 1000, Section. Block .... Lot .... Subdivision .................................... Filed Map ............ Lot ...................... Permit No...~.Q.f~. ~..~...Date Of Permit ................ Applicant..~,~q 9.~9~.~ .~.,~ ~ ~.7:.. ~... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ..................... .. . ~ Request for: Temporary~rtificate ....... ~ Final Certicate. Fee Submitted: $ .... .~...~.~.~...~..~.... ~,. t~%~ APPLICANT 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 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 DECEI4BER 16, 1992 SALVATO, R~ & LORETTA LoPRINZI 25-27 12lst STREET FLUSHING, NY 11354 RE: PP. EMISES @ 670 GREENIIlLL LANE, GREENPORT, ~ 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 ~ile. The check is ~a~not on' file.)$25.00 No Health Department Approval on file. Nd final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT % 20950-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL DATE 765-1802 UILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INSULATION FRAMING [~FINAL DATE INSPECTOR OUNDATION ( 1st ) 'OUNDATIOU (2nd) :OUGH FRAME & .PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FI:;AL ,y./· ' ., ~pDITION~'L COMMENTS: ,6,/ ~-~//--~ . /- -~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 766-1802 \ppro','ed ~.~.~.~.~.~../..0.-, 19 .~.~.. Permit No. ~.~..~l..~.~. )isapproved a/c ................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ROARD OF. HEALTH ......... 3 SETS OF' PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORN .............. h'OT I ~Y CALL HAIL TO: Date ......... : ......... 19... a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts 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 ' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~tion. ¢. The work covered by this application may no~t 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 all 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 all 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 filding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. m applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .mit authorized inspectors on premises and in building for necessary inst~ctions. wigna/ure of apg,cant, ~r~ame, if a corporation) (Mailing address o£ applicant) 'ate ~vhether applicant is owner, lessee, _agent. architect, engineer, general contractor, electrician, plumber or builder. ......... ............................................................................. 3me of 0wner of premises · .l_apr. x z. t .......... (as on the tax roll or latest deed) applicant 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 NJ} ....................... Ot ~er Trade s L'cense No ..................... Location of land on which proposed work will be' done..'~m ga~r e-f'.~..%.~b r.~. ~>.. llouse Number Street Q,-r~.e..~ ~{,~ ~-.o,~., Hamlet ......... ~' f .... County Tax IVlap No. 1000 Section .. ~) .~ .......... Block .. ~ .............. Lot. ~1 ....... Subdivision ................ Filed Map No. . . Lot ........... (Name) State existiug use and occupancy of premises and intended use and occupancy of proposed construction: b. intended use and occupancya' Existing use and occupancy..'~.r L~/(2~,.~..~r '~r~'~ O~ '~'~" ' '6'~J' ~[\ ~ PS' ' ' ''' ~ "q~'g"\ ~' 't lh3 .................................. · '' '-.-..-..- · · ... · · · ...........' i . ....... .. . 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration/ .......... Repair .............. Rem[ oval ............. Demolition ..... Other Worl~...w ........... 4. :stimated Cost.· .ODD,..0 .................... Fee , (to be paid on filing this application) 5. If dwelhng, number of dwelhn~ umts .............. i Number of dwc~lling units on each floor · Ifgarage, number of cars ..hi ........ ' ............... 6 If b ' ' I ' 'u cdo cup ncy pecffy d · mness, commercm orm~x c a , s nature an extent of each type of use ............. 7 Di nsi 'exiti gst ~*es ifany:Font .1~~ ~ ' R · me onsot s n ructu r ... ear Hight N ~ b of Stori I' ' - ..... Depth ..... Dim nsio f i'th . ' ........................................... additio F ...... e ns o same structure wi a teratlons or ns: ront ................. Rear ................. Depth ...................... Height .. ' ~ .... ~.', .............. Number of Stories [ . . . ... 8. Dimensions qf entire new cons ruction: Front .;3 .......... Rear . ~o~ .... De~th Height . .I.% .......... 'C Number of Stories ............... 10. Date of Purchase .......... ! .....: ..... ......... Name of Former Owner 11. Zone or usc district in which premises are situated .............................. ' ' ' ' 12. Does proposed construction vioilate ~ny zoning law, ordinance or regulation: ..h.~ ........... .~ .............. 13. Will lot be regraded ...hO.'.. i ........ ~ ....., .....Will excess fill be remov.~cl from premises. Yes Name of Contractor ~.a~lh.. ~o,r.~t.~.x/. ........ Address gi$,~a.~n~,.%~. 15. Is this property within 300 fedt of a ti~l wetland?' ~.~'3~Oe~ ,~ ' · · If yes, Southold Town Trustees Permit may be required· ... ; PLOT DIAGRAM Locate clearly mhd distinctly all? buildings, whether existing or proposed, and, indicate all set-back dimensions from property tines. Give street and block humber or description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTy OF .-.~'~ ...... (Name of individual signin~ contract) tbove named· ..... being duly sworn, deposes and says that he is the applicant · (Confractor agent corporate officer otc ) said owner. Or ;own~N, and is duly fiuthorized to perform or have performed the said work hnd to make and file this :pplicatmn; that all statements contained ' t 1' nnnlltmH ..... r m .1 is ~.~ ........... true to the best of his knowledge and belief; and that the york will be performed in the manner s~t forth in the application filed therewith. ;worn to before me this ...................... day of ....... ,19 rotary Public ........... ~pq.~/_~_. ' · ~c~_~ d~-~)O~ ~ : x County UNDA J. COO' ER ' ' ..... ~ N.o.ta~ ~_u_bli~, State ~ofPNew York Ter~°:.48.225-63. Suffoik County ~? ~, -, m "Xmrea December 31, 19:.:.. ' ;:' KLASFELD' m Iii5 I;~ .... Z i'~rl