HomeMy WebLinkAbout20678-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24658 Date SEPTEMBER 26, 1996
THIS CERTIFIES that the buildin~ ADDITION
Location of Propert~ 3600 ROCKY POINT RD. EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 21 Block 4 Lot 6
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 28, 1992 ~ursuant to which
Building Permit No. 20678-Z dated JDNE 1, 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 DECK ADDITION TO EXISTING OWE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to PETER NICOLELIS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
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)
No_N°. 20678Z
Permission is hereby granted to:
.zz..~.....~.~/.~ .........
.~.~.~~~_/.... ..................... ,
· ........... ................ ..................................................
__t r re ~o~" ~'~' '~ .:~, ................... ~ ............... ~iii ......................................
County Tax Map No. I000 Section .....~...Z ........... Block .... ...~,, ,/~... ........ Lot No ....... ~....~.. ........
pursuant to application dated .... /~.....~........~.....~... ..................... , '9 .~./..~., and approved by the
/
Building Inspector.
Fee ~ ........................
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Ao
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. F~nal Approval from ~ealth Dept. of water supply and sewerage-disposal(S-~ 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 ~*ril 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
uausual 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.
Co
l. 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 Occepancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - · .25g
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .... ,~ ~.~-., ~ ~.~ .c~.~ ~ .................
New Constrnct_on ........... Old Or Pre-existing Building .................
Locatioa o~ Proper,, .... .~O.O. .... .~.~..~.~ .t?.~,..~r..~-o.~>.. ~.~...Wl,.~,.o~ ...............
Ilouse No. Street Hamlet
On, er or Owners of Proper .q.. ..................
County Tax Map No 1000,.Section .... ~,J ........ Block ....... .~ ....... Lot ...... ,~. ..............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No..~..~.~ .... Date Of Permit ........
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ......................... /
Request for: Telnporary Certificate ........... Final Certicate .... .~.....
Fee Submitted: $.2.~ ........................ .
i ·
(~.4x_.-~l q ?7 ..... ,,-, ..............
e0 ~ ~g~S~ APPLICANT ]
q'own Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
Peter Nicolelis
I? ~inthrope Road
Hanhasset, W/ 11030
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
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 (_e~_c_~/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 # 20678Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
~OUNDA'T~ON { 1st)
· ~OUNDAT!ON (2nd)
~OUGH FRAME &
.PLUMBING
e
INSULATION PER N.
STATE ENERGY
CODE
FI;;AL
ADDITIONAL COMMENTS:
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 14, 1996
Mr. & Mrs. Peter Nicolelis
17 Winthrope Road
Manhasset, NY 11030
Re: Building Permit %20678-Z (deck add.)
Premises: 3600 Rocky Point Road, East Marion
Suff. Co. Tax Map %1000-21-4-6
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
F
I
'4
Enterprises Inc.
1997.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
i 'r(;' ~:' : ' ' TEL'765-1802
~ .............. :'::' ;. ,,
Examined ......
Approved .... ~// ........ 19 .~.2~. Permit No..~..t~.~. ??..?.
Disapproved a/c .....................................
BOARD OF HEALTH .........
~ SETS OF PLANS ..........
~-~SU RV EY ...................
..~C I1 E C K ....................
SEPTIC FORH ..............
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This 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-
:atlon.
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
hail 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 alteratioj~ or for removal of~t. emolition, as herein described.
?he applicant agrees to comply with all applicable laws, ordinanceS, t ll'~g code, ho~sing~code, and regulations, and to
.dmit authorized inspectors on premises and in building for necessar~i~ 1~9.~,~[~ "1 F~ ,
· "~ ~! 'h~' · :~'~'i~ff ~ ~; · ~a'ti~n' ....
-- o~ appucanr?~or name, ' p ' )
..................
___ (Mailing address of applicant).
:tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electri4ian, plumber or builder.
~ ,~ ,~. ~ I' I APPROVED AS ~OTED
..... FEE. ~ --
r appucant ~s a corporation, slgnatnre of duly authomzed officer. ' NOT~ ~UtL10~NG DEPARTMENT AT
' 765-180~ 9 AM ~ 4 PM FOR THE
.............................................. FOLLOWING INSPECTIONS:
(Nam. and or OCCUPANCY mU OAT O. -
....... CERTffaCATE z Rou u - FRAMING & PLUMBING
Plumber's License No ......................... 0F OCCUPANCY 4. FINAL CONSTR[JCTION MUST
5E COMPLETE FOR C.O.
Electrician's License No ....................... ALL CONSTRUCTJON SHALL MEET
THE REQUIREMENTS OF THE
Other Trade's License No ...................... STATE CONSTRUCTION & ENERGY
Location of land on which proposed work will be done ............. ; ........ q~l~l~.9~.q~T~FgT[q~
House Number Street Hamlet
County Tax Map No. 1000 Section .~ .'~. ......... Block ...... .~ ........ Lot ..... ~ ...........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Na~e)
'.. State existing use and occupancy ofpremisep and intended use and occupancy of proposed construction:
b Intended use and occupancy .... ,~, ~*, , ,..,, ~,.
3. Nature of work (check which applicable): New Building .......... Addition..D..~:q,...~... Alteration ..........
Repair .............. RemoVal ............. Demolition Other Work ........
4 r2~t F~O ''~ ~ (Description)
4. Estimated Cost. O, ...o
..................................... Fee .... ~ ...........................
i (to be paid on filing this application)
5. If dwelling, number of dwelling nnits ............... Number of dwelling units on each floor ................
· If garage, number of cars ........................................
6. If business, co.mmerclal or mlxedloccupancy, specify n.a,ture and extent of each type of use ........ ;. ;, ......
7. Dimensions pt existing structures; if any: Front....2.O. 7.o.". Rear . '~.~'--o'. Depth ~'~ '~
Height I.O'-O" ~ Number of Stories ~,
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth i Height Number of Stories
8. Dimensions of entire new construlctinn: Front Rear Depth
Height ............... N tuber of Stones ...................
9. Size of lot: Front !tO'-o"! ~o~, ttr~,.~, ....... ~."'." ' '.:J.'&~' L-:,~I ........
; ........... ~ueptn ..... ~..u ...........
I I. Zone or use district in which premises are situated ................. ................. g*V'~,b~'~..'P.~.,a:~.~...
12. Does proposed construction violaie any zoning law, ordinance or regulation: ....... .~.~ .......................
13. Will lot be regraded .......... .~. ........... '. ....Will excess fill be removed from premises: Yes ~
14. Name ofOwnerofpremises~?l~.X'Sr~.~..~[R..~.~9.~,.e.p.c.e4a..qAddress l~.q'r~q{t~.~.~,~>.....PhoneNo.~.16/~6.~..S76]~-~.
Name of Architect ...... b4, ~ :! ................ Address .~lq~)Pt ~1~1~-]1', ~.~.) [O.$.q Phone No ................
Name of Contractor ..... .}q,./~,. i ............... Address .......... Phone No ........
t5. Is th±s property w±th±n 3Q0 feet of a t±dal wetland.* *Yes ........ Q~ ........
~If yes, Southold Town Trustees Perra±t may be requ±red.
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 descriptioh according to deed, and show street names and indicate whether
interior or corner lot.
iTATE OF NE~V.'"Sq3RI~ [ I/' ~;
:OUNTY o'e ,
.........- ~.-~'7... J~.'l ~0. ~ .(.I,.~ ...... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
bove named. ~
, (Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly ahthorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
.'ork will be performed in the manner s~t forth in the application filed therewith.
worn to before me this ~
......... ~~day~.~..~.~..~..//~-, -~ \ ~, .... 19 ..
'otaryPubli ~< ~;( ~ ,~.. .
Ouallfied in Suffolk C.Ou~ 9o~---~' ' ...... ~f i~plicanti
Conln~l,~,qon Explre~ December ~, 19-~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ~NSULATION
[ ~J FINAL
[]
REMARKS:
FIREPLACE & CHIMNEY
DATE
fOUNDATIoN (1st)
?OUNDATIO~U (2nd)
~OUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FI;~AL
ADDITIONAL
COMMENTS: