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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: