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