HomeMy WebLinkAbout20496-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20648 Date APRIL 15, 1992
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property 36585 COUNTY ROAD #48
House No. Street
County Tax Map No. 1000 Section 68 Block 4
Subdivision Filed Map No.
SOUTHOLD, N.Y.
Hamlet
Lot 23
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 16~ 1992 pursuant to which
Building Permit No. 20496-Z dated MARCH 23~ 1992
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certifieate is
issued is ACCESSORY SATELLITE DISH (ANTENNA) IN REARYARDAS~PLIED FOR
The certificate is issued to MARIO ZULLI
(owner)
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
' // ~uilding Inspector
TOWN OF SO~THOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERA41T
CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NgN? 20496Z
Permission is hereby granted to: ! .~/
.... ~:....~...~.~.~. ...............................
· . ........~....~~..~.,.....,./..../...~....~
....... .....
at premises ocoted at .. ,,~,..~, .................... '~?'~' "~"?'"'":t ..................................................
Count,/ Tax Mop No. 1000 Section ....... ,~..,,,~,, ....... Block ........ ~ ....... Lot No. ~--"~
19...,~..,~and approved by the
pursuant to application dated ..C~././.~.. ................... ' .................... ,
Building Inspector.
Fee $....~..~//~
Rev. 6/30/80
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-I802
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 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 applicant.
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 - $I00.00
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 Pre-existing Building...~4~'~./~'r.~./. ~.j
Location of Property..3.~.~ ......................................................., . .... . .
House No~ Street Hamlet
Onwer or Owners of Property ...... .~. ................................................... ~.~.~O ~ ~ ~j_~. ~ . . .
County Tax Map No 1000, Section .... ~".~.': ..... Block ..... ~. ......... Lot .... ~.~. .............
Subdivision ......... % ............................................
Permit No.~.O.~.9~.~-]]~...Date Of Permit .............................
, .. . Applicant .............
Health Dept. Approval .......................... Underwriters Approval ....................... ..
Planning Board Approval ..................... ...
Request for: Temporary Certificate ...... Final Certicate ......
FOUNDATION (1st)
FOUNDATIO~U (2nd)
ROUGH FRAME &
-PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FI;IAL
IIDA?E il
ADDITIO~A'L
COMMENTS
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
SCOTI' 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
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
APRIL 9, 1992
MARIO ZULLI
P. O. BOX 234
PECONIC, NY 11958
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 ~R~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 9 20496-z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
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
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
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
APRIL 9, 1992
MARIO ZULLI
P. O. BOX 234
PECONIC, NY 11958
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.
xxx The check is ~~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 ~ 20496-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 13, 1992
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
Mr. Mario Zulli
P.O. Box 234
Peconic, N.Y. 11958
Re: Satellite TV Dish @ 36585 County Road 948,
(Middle Road), Southold, N.Y.
Suff. Co. Tax Map #1000-68-04-23
Dear Mr. Zulli:
You were recently asked by Mr. Victor Lessard to obtain a
Building Permit for the Satellite Dish on your property and to
date you have not responded.
According to Article XXVIII Chap. 100-281 of the Code of
the Town of Southold the dish is considered a structure which
requires a Building Permit and a Certificate of Occupancy.
In order to avoid possible legal action by the Town of
Southold you must apply for a permit IMMEDIA~ELY
Thank you for your cooperation in resolving this matter.
Very truly yours,
S~~THOLD TOWN BUILDING DE~T.
Vincent R. Wieczorek
Ordinance Inspector
VRW:gar
(CERT. MAIL)
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTNOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ..........
EVEY .............
SEPTIC FORH ................
Exanlined .~.~./~ ............ 19 ~.'~'
Approved.. . . ?. .......
D[sapprove~ ~ ~0~ ....................
. · .
NOTIFY BUl~O OEPART~N~ AT ~~~ ~/~. _
76~-1802 9 AM ~ 4 PM FOR THE 'B '~/~"~' ~ ..... ~
~ , t Uu~n~ t~ector]
FOLLOWING tNSPECTIONS:
1, FOUNDATION ~O REQUIREDAPPLICATION FOR BUILDING PERMIT
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. ~NSUL~tJON
,~ ~iNAL CON?~TF~UCT~ON MUST INSTRUCTIONS
Date ' · .............. 19...
N b St ..~?. c,~. odL,0 .................
ouse um er ~ reet, Hamlet
Counly Tax Map No. 1000 S~ction ........ ' BlOck .. Lot...
Subdivision...~ J~h(...~ t~ .... ~ $.~.' .......... Eiled Map No.
(Name) .............. Lot ...............
State existing use and occupancy of premises and intended use and occupancy of proposed construct/on:
A. Existing use and occupancy ....................... ~ ............................
B. Intended use and occupancy ..........................
Builder's License No ...........................
Plumber's License No .........................
Electrician's License No .......................
Oflmr Trade's License No .........
Location of land on which proposed work will be done:
WITHOUT CERTIFICATE
OF OCCUPANCY
~ COiVff~LET~ FOR C,O.
· . ~.,,~.l~)~.~j~l~,.~,,e~ff.o~t~te_ly filled in by ~pewfiter or in ink and submitted to the Building Ihspec~or. with 3
se[s 9~,qfi~l~t ~n '~c~. ~ee according to schedule. '
b?~:~i~ot}~l~i~g~c~ti~ and of buildhgs on premises, relationship to adjoining premises or public streets
or areas-~L~d ~}y~qg ~*~}{~l~cri~}~n of layout of property must be drawn on the diagram which is pa~ of t~s appH-
e. ~e work covere~ ~s application ma not be corem
~, , c' . ........... ~ ........ Y enced before ~ssuance of BuHdin- Pe '
· pon approvaF6 s app[~n, the Bmldmg Inspector wQ1 ~ssued a Building Pemit to the appHc~t. Such pemit
shall h~e~m~h~[~s-a.~.b~nspection throu- out
......... ...... ,py purpose whatever until a Certificate of Occupmcy
VOLLOW Vt1 ~NSPEC' ~OMS: ~ '
AgYk[~A~Nrt8 BE~~ the Build~g Depmment for the issuance of a B~Ming Pemit pursuant to the
Building ~9~O~$~g~Town of S~uthold, Suffolk County, New York, ~d other applicable ~ws, Ord~ces or
Regul~ t~~t~g~gs, a~ditions or alterations or for removal or demolition, as here~ described.
Thc a~l[~t.~$g~ to comply with all applicable laws, ordinances, bufld~g code, housingco~, and re-ulations and
admit [~ed .~s~~$ld ~ bulldog for necessa~ ~ctions. ~ /]// , , to
THE n~OUIREMENTS OF TN~ N.~ - . ' (g:gnature othp~ant, or nade~ if'dc~;~dr~rldnS' ' '
DESIGN OR CONg~RUCTION ERRORg (Mailing address ot applic~t)
State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder.
It applicant is a corporation, signature ot duly authorized officer. ~ ~ . ~ ~ ~ ~ ~ ~ ~ ~
3. Nature of work (check which appli :able): New Building ........ Addition .......... Alteration ...........
Repair .............. Rbmova .............. Demolition .............. Swimming pool..
Tennis Court: ......... Ac:essory Building .......... Fence .... Ot:h~r
~.o.e ~ .~5.,- ~ '~r22~/~3'.' · ·
4. Estimated Cost } Fee e. ,~. ............. .
(to be paid on filing this application)
5, If dweliing, number of dwelling uni ts ............... Number of dwelling units on each floor ................
If garage, number of cars ....... , ..........................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use... ;..iii ...... ; ....
7 Dimensions of existing structures it' any: Front Rear Depth
............. Number of Stories .......................................................
Heieht ..
Dimensions of same structure with ialterations or additions: Front Rear
Depth iI-leight Num bet of Stories
8. Dimensions of entire new construcl~ion: Front .............. Rear ............... Depth .............
Height Number of Stories ·
9. Size of lot: Front ............ ~ ....... Rear ............... · · . .. . Depth ................... .
0 Date of Purchase . Name of Former Owner
1. Zone or use district in which premiies are situated ................................. ' ..........
2 .... ordinance or regulation:
· Does proposed construction wolat~ any zoning law, ..............................
3 Will lot be regraded. ' Will excess fill be removed from premises: Yea No
4 Name of Owner of premises i ' Address Phone No
Name of Architect . Address Phone No
Name of Contractor i ' Address Phone No '
IS.Is this property loqteld within 300 feet of a tidal wetland? *XES .... NO ....
· If yes, Southold Town Trustees Permit may be required.
~ PLOT DIAGRAM
Locate clearly and distinctly.all b~ildin§s, whether existing or proposed, and, indicate all set-back dimensions fror~
~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
ntefior or comer lot.
(Nam~ ofindMdual signing' contract) . ,
~bove na~cd.
is the
(Contractor, ageot, corporate officer, etc.)
sam owner or owners, ~d ~s duly :~uthonzed to perform or have performed the said work and to m~e and file this
~PplJcation; that all statements contained in this application are true to the best of his knowledge and belief; and that the
.york will be performed in the m~ner s~t forth in the application qlcd therewith.
~Wom to before me this ,
appliC~t)