HomeMy WebLinkAbout20443-zNo Z-20546
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date FEBRUARY 25, 1992
THIS CERTIFIES that the buildin~
Location of Property 1040 THE CRESCENT
House No.
County Tax Map No. 1000 Section 30
Subdivision PEBBLE BEACH FARMS Filed Map No.
ADDITION
EAST MARION, N.Y.
Street Hamlet
Block 2 Lot 26
6266 Lot No. 25
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 14, 1992 pursuant to which
Building Permit No. 20443-Z dated FEBRUARY 21~ 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 ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ANTHONY & DIANE RICCA & RALPH MANCINI
Rev. 1/81
1~0~ NO. 0
TOV~H OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No_ 20445 Z
' Permission is hereby granted to: -- I / - ~ ~ ~
~~...../...~i~~ _ ~.....,.~:..~ ....~......~../.~~~:.~.. ~ ~,
..,¢..~.~........-~...~_,;;~ .............................
,o .~...~..~....~...~/~/~_~.....~...%....~~......~
....... .....................................................................
~/- "~' 0 ~'
at premises located at ...~.~...~..~ ....... ...~......~. ..........................................................
County Tax Map No. 1000 Section ...... ..~...~.. .......... Block ......~......~;... ..... Lot No ............ ~ .....
pursuant to application dated ...~..~.../~.... ..................................... , 19.~..~ and approved by
the
Building Inspector.
Re~ 6/30/80
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
REMARKS:
[~FINAL
DATE
INSPECTOR
Fo~m ~o, b
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN
765-180
. APPLICATION FOR.CERTIFICATE OF OCCUPANCY
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 linea,
streets, and unusual natural or topographic featuraa.
2. Final Approval from Health Dept.' of water supply and sewerage-disposal(S-9 form}.
3. Approval of electrical installatio~ [rom Board of Fire Underwriters.
4. Sworn state'eat from plumber certifying that the aoldar used in system aontm{n~
less than 2/10 of 1% lead. r
5. Commercial building, indu~trial building, multiple residences and similar buildings
and installations, a certificate of Coda 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 usaa, 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 o~ Occupancy is dealed, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C, Fees
1, Certificate of Occupancy - New d~elling $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. Businessea $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, Commercia]. $15.00
Date .... ~A~ ..............................
xx
New Const~uction ........... Old Or Pre-existing Building .................
noc t on of Property.....%gSA .TBS. .....................
House No. Street Hamlet
Onwer or 0wears of Property ...... ~P~?~X .~%9FA% .P~ .~/P. qg. 9P~..~9~PA .~P.~iq~ ........
County Tax Map No lO00. Section...q]9 ........ Black .... q~ .......... Lot..P~,~ ................
Sebdi$ision.?PbA%~. D.e.g~. ~P.g~ .............. Filed Map... DX%~ .... Lot. ~. ~ ....... ~ ........
Permit No .... .. .......... Data Of Permit ................ Applicant .............................
Health Dept. Approval ..................... , .... Underwriters Approval .........................
Planning Board Approval ........................
Request for: .Temporary Certificate.; ......... Final Certicate..~ .......
Fee Submitt~d~
WILLIAM H. PRICE, JR.
ATTORNEY AT LAW
828 Front Street
PO Box 2065
Greenport, New York 11944
Telephono Number (516) 477-1016
Fax Number (516) 477-0130
February l4, 1992
Southold Town Building Department
Southold Town Hall
Main Road
Southold, New York 11971
RICCA AND MANCINI
1040 THE CRESCENT, EAST MARION, NEW YORK
SCTM #1000-030-02-026
Gentlemen:
Enclosed herewith please find application for building permit and application for certificate of
occupancy concerning the wood deck on the subject premises. Please forward the certificate
of occupancy to the undersigned at your earliest convenience. I have enclosed my check in the
sum of $75.00 representing $50.00 fee for building permit and $25.00 fee for certificate of
occupancy.
If you have any questions, please do not hesitate to contact me.
William H. Price, Jr.
WHP/lmt
enclosure
cc: Dianne Tyska
gd
.... .~ ...... ~ ' :5';- FORM NO. 1
[~.~ - , TOWN OF SOUTHOLD
tX/~ ~ i BUILDING DEPARTMeNt
FEB? 1992 TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved a/c .....................................
............................... '
APPLICATION FOR BUILDING PERMIT
Received .......... ,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.
b. 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 phrt 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
admit authorized inspectors ori premises and in building for necessary in~------~ ~ .....
~*' Willlam H. Przce, Jr., Esq.
,~ ~2.~. Fro~. ~.~...,. p.o..~9~..2.q ~ ...............
(Mailing address of applicant)
.... ;f', Greenport, NY 11944
State whether applicant is owner, lessee, agent, architect, engineer, genei'al contractor, electrician, plumber or builder.
a~orney
Name of owner of premises .A.n..t.h.o.n.3f..R.iqca, Dian? Ricca and Ralph Mancini (as on the tax roll or latest deed)
applicant is a corpo/~.t, i0n, signature of duly authorized
If
officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done. 104.0. The Crescent, East Ma.ri. on; NY
House Number Street Hamlet
County Tax Map No. 1000 Section . ..0~.0 ......... Block .. 0.2 Lot ...... 026
Subd v s on P~bble. Beach Farms Filed Map No 6266 Lot 2.5.
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy WoP.d. c,teG,k.
b. Intended use and occupancy .... ,w, qQ~, ,~,e,<;]¢. .......... ~ ........ ~l~.~ ............
· ~'~quoO ,~t,,~,~ ,l~£t~ .o14 .........
3. Nature of work (check which app,icable): New Building .......... Addition . ~ ...... Alteration ..........
Repair .............. RemoLal ............... Demolition .............. Other Work ...............
(Description)
4. Estimated Cost...$.?.'P.°.°.:PP. ...................... Fee ......................................
~ (to be paid on filing this application)
5 If dwelling number of dwelling uflits Number of dwelling units on each floor
If garage, hum ber of cars I .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .......... ........
7. D'mens'lons of exist ng structuresdi :f any: Front . .46~. , $: ..... ... Rear ..{~, ~ ' Depth 12 .0'
Height ............... Numb'er of Stories .....................................................
Dimensions of same structure wit~ alterations or additions: Front ....s.a.m.e. ......... Rear .s.a.m.e. ..........
Depth ...... ~.In.e ........... i' Height .... .s.a.m.e. ............. Number of Stories ...................
8. Dimensions of entire new construbtion: Front ......... .: ..... Rear ............... Depth ............
Height ............... Numbler of Stories
9. Size of lot: Front .7..5..0.2 '. i ........w=' '^Z' ......................................
I0. Date of Purchase. .],1-[.7.8.. · .l ............. .... Name of Former Owner . .P. ebbJ, e .]~e~.ch. ¥&r;r0~ ....
11. Zone or use district in which premises are situated .... l:~.s~qt¢p.t..i.~ ..................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ....n.q ........................
13. Will lot be regraded .......... I. 'qq .............. Will excess fill be removed from premmes: Yes No
14. Name of Owner of premises ..%n..'gb.o.n.y .R.i. qc..a .... Address ,2~01 N/, C~e.s.t~,u,t. {l~g~/l~a,q
Name of Architect Flancir~£. &l I)~-~y ........ Address 3~.~l~..i~.~ 'c±¥clq~h,~-e%,- i
Name of Contractor . · ~ .......... Address , H i]~s t N Phnn, Mn
Locate clearly and distinctly all
property lines, Give street and block n
interior or corner lot.
See attached
OCCUPANCY OR
USE IS UNLAWFUL
? THOUT CERTIFICATE
OF OCCUPANCY
STATEOF NEWYDRK, ..
COUNTY OF .... ~¢F.~q+~ .....
William H. Price
PLOT DIAGRAM
miklings, whether existing or proposed, and, indicate all set-back dimensions from
amber or description according to deed, and show street names and indicate whether
APP~OV~;D AS NOTED ',.': '"
FEE: ,~~BY: ~"'=-'~,./v~r
NOTIFY SIJII~DfNG DEPA~'AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
~. INSULATION
4, FINAL CONSTRUCTION MUST
RE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
OESIGN OR CONSTRUCTION ERROR.S
¸.S
Jr. , Esq.
............................. ~ ................... being duly sworn, deposes and says that he is the applicant
(Name of individua,l signi ~g contract)
above nan]ed.
He is the ...~"c'~p.<r,..ey ..........
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manne~ set forth in the application filed therewith.
Sworn to before me this
14th February
........................ day ofI ..................... , 19 ..9.2
°uT.
x,~ ~ .l~l~l_~'_ _ -~ll~.