HomeMy WebLinkAbout20783-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22780 Date DECEMBER 10, 1993
THIS CERTIFIES that the building ADDITIONS
Location of Property 35900 NORTH ROAD SOUTHOLD NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 69 Block 4 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 2, 1992 pursuant to which
Building Permit No. 20783-Z dated JULY 2 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 ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to THERESA MANNINO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - DECEMBER 1993
PLUMBERS CERTIFICATION DATED JANUARY 10, 1993 - JACK GISMONDI
Bui ding I spector
Rev. 1/81
FORM NO.
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)
°N.a
N_ 2076SZ Date
Permission is hereby granted to: +
:.e...........
9/............
to ...9.9Rr-.!2 .V......fIN......161111...1.Q.b)...... U...t. Clt q. c /......../6.........
~MrSr..~~........4.5!4f4:5./.e?..'............/..::Ik....../.J..~S./..~......C.°~~..::...
at premises located at ...................s......... ~ ....N.../7 ff...............................................
...............K.F.GI I ~r
/ /~r/~delf9
County Tax Map No. 1000 Section 0.6? Block 4~K...... Lot No......~
pursuant to application dated 2./:~cr............................, 19..1.4, and approved by the
y Building Inspector.
Fee
.
Building Inspector
Rev. 6/30/80
i
A -A G Form No. 6 L"& l
rA Q TOWN OF
SOUTHOLD
BUILDING DEPARTMENT
co TOWN HALL 7 y
765-1802 ? 6
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
B. 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 - $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 Pre-e isting Building..
Location of Property....'....Y.N........ ~ . . L
House No. Street Hamlet
Onwer or Owners of Property .....1 , ,
Oounty Tax Map No 1000, Section ...1-11A Block...0A .........Lot.. 0 .`1,,,,,,,,,,,,,,,,
subdivision.........D .Fii+led Map............ Lot
?ermit No.. ...Date Of Permit. .+).L~.l „Applicant.(3%..
iealth Dept. Approval ..........................Underwriters Approval........................,
Manning Board Approval
request for: Temporary Certificate........... Final Certicate..... '
'ee Submitted: $......:7i
A PLICANT
LAWRENCE M. TUTHILL
PROFESSIONAL ENGINEER
P.O. BOX 162
GREENPORT, N.Y. 11944
(516) 477-1652
(~Lj / SL
~]r ~ h?e ~OG~GSL'JC
UI ~,/m
~oN
fr N E G ? GEC ~ _ Al CCO I~ 7 D&RICH CRITERIA 6,000 Degree Diyx
(TOR NOH«ELECTRIC HEAT) O.A. 10°r I.A. 70nlP
PE 12
C 0141 k.. Tc-
JO13S/J rl AREA D$J,.' 7R£tRNGL RE MAnte S
Wprfer Malln (opaque) -LIeL0 03
DWFt
C~11fna/xoof (Onagne) - -
SY.vlfvhtn 96'
Flamer
T?vndatien fiallm • - -
slab 'thavlation
TUTAL -
N~tea~ ;
gadding Envelope. Syntemr'to Meet requirements of 741¢:3
HVAC lquirmoxt to 14eet`Teg1ite%entk of 7915.11
HVAC Synte%A.to neeti'rbgl3reMentn of 7A15.1t ,
Dtet Xyatemx tf mlet regtiifeNdntx of 7415.13
Ventilation% SynteRm'te meet regnirementss of 7A15.14
Inmalatlen of Pirina SynteNn to Feet requirements of 7813.15
Service hater. ueatina Symtemn and Equipmont to meet RequireMentn of 7415.11
Electrical an4 Lighting gymtemm and Equipment to Neet requirements of 7815.31
T8 t-e Utnt of my Knowledge, ~OF NEy b
Witt, an9 rrofennional art roy
fa4ve0kent•, theme nlann arP in
compliance pith the code. n ti~
m iu..
t 'O 0222841 4?~ - .
1{i9LuT~
1. y ~ m
FOUNDATION (1st) -
FOUNDATION u'cy
(2nd) ~'1 d
2. L
y it
o
ROUGH FRAME
~p
-PLUMBING O
p
3.' ~r y
m
n
IIlSULATIO;! PER N. Y. I
STATE ENERGY
1?i~
'CODE
4.
~s
FINAL IL O y
ADDITIONAL COMMENTS: x
_ - CR
x
H
77 A.
H
.
H
m ,
-o
H
t
INSPECTORS
Victor Lessard .',j FO(!~
Principal Building Inspector _
Curtis Horton d~:1 f^v `?a SCOTT L. HARRIS, Supervisor
-1
, t
Senior Building Inspector
r e Southold Town Hall
Thomas Fisher P.O. Box 1179, 53095 Main Road
Building Inspectors w
r . Southold, New York 11971
Gary Fish Fax (516) 765-1823
Building Inspector
Vincent R. Wieczorek Telephone (516) 765-1800
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
MARCH 22, 1993
GREG HUNT HOME IMPROVEMENTS
P. 0. BOX 158
SOUTHOLD, NY 11971
RE: THERESA MANINNO
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
_XXX No Underwriters Certificate on file.
The check is (outdated/not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
_XXX, No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 200783-7
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
c:~ fULA-r TEL. 765-1802
TOWN Or SOUTHO,LD
a f c OFFICE Of BUILDING INSPECTOR
cn `Si :guwlf P.O. BOX 1179
TOWN HALT
col SOUTHOLD, N.Y. 11971
C E R TI F I C A T I O N
Date
Building Permit No. A0
ownerT{1ere5A mn ni 1 (Iy~ 79 c- 3sclA
(plelase print)
Plumber
(please print)
I certify that the solder used in the water supply system
contains less than 2110 of 1% lead.
yg
(plumber's signature)
Swornto bef re tY:is
aY of
19~,
y
llotar•s • Public Notai F>it tic
County
GERALYN GERLE
Notary Public, State of New Y rk
No. 4750831 Suffolk Cou
Term Expires May 31 1 6
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
B. 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 - $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 $1 09, Commercial $15.00
Date
New Construction..... OldQr Pre-existing Building...... /
Location of Property.~'~k.:Y ......................./co/~G
House No./~/~~f yStreet Hamlet
Onwer or Owners of Property... l/: ~ kr 0
County Tax Map No 1000, Section. a ........Block../)1/...........Lot/). !
Subdivision...`` iled Map............Lot/......0/
Permit Nowgg.. ..Date Of Permit.. /....Applicant.. ~ . J'. (!/U~
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: f 5
~G n/j/CO
. PLICANT
a -
765-1802
BUILDING DEPT.
INSPECTION
UNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
i
DATE 1 INSPECTOR t '~'i ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
~,.F}-F6UND TION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE /gi- INSPECTOR '
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: D
DATE -71~w /c~ v INSPECTOR
i _ .
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ) FOUNDATION 2ND [ I INSULATION
[ ] FRAMING INAL
REMARKS: _41:~,, 4~
44
G
DATE 2NSPECTOR / ~"o
ppppw-
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND k MULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE ( [V7/ INSPECTOR
f _
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ NAL
REMARKS:
DATE ~Z INSPECTOR
BOARD OF HEALTH
FORM NO.I 3 SETS OF PLANS
TOWN OFSOUTHOLD SURVEY
JUL - 21 BUILDING DEPARTMENT CHECK
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 tt0 I FY ;
CALL
Examined 19. MAIL TO:
Approved , 199.~!Permit No. ;7+P~-4?t
Disapproved a/c
`
i~llding Inspector)
APPLICATION FOR BUILDING PERMIT
Date 19
INSTRUCTIONS t
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
set,s 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-
:asion.
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 part 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.
Fhe applicant agrees to comply with all applicable laws, ordinances, buil code, housi g de, nd regulations, and to
admit authorized inspectors on premises and in building for necessa ns.
(Signature f applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises l.Art.-4 V. .....~r .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No.~41
Plumber's License No. G-
Electrician's License No. .M . 2 r...
Other Trade's License No .
1. Location of land on which proposed work will be done. .
,7.0. D Iltcs-~ c •s. ~
House Number / Street Hamlet _
County Tax Map No. 1000 Section G Block 4........... Lot ...-S
Subdivision Filed Map No. Lot...............
(Name)
' State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
y.", .I.
b. Intended use and occupancy ...~~'!411~. .........................,-a,,.. ~,y.............
3. Nature of work (check which
Remoplicable): New Building Addition SAlteration
S val . • Demolition Other Work
33 r (Description)
4. Estimated Cost..4..~...... Fee......................................
o (to be paid on filing this application)
5. If dwelling, number of dwelling u nits 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 .
7, Dimensions of extstin structures' • ~ . ' ' ' • • •
g if any: Front Rear Depth
Height Z.~ . , . . . Number of Stories ( .
Dimensions of same structure wit alterations or additions: Front . Rear . .
i
8. Dimensions pth . of entire new e . Height . Number of Stories
construction: Front Rear Depth . . . . . . . . . .
Height Number of Stories
.
9. Size of lot: Front 1.4ZQ.. l S.... 6~ .
Rear . Depth .
10. Date of Purchase , , , , , , , , , , , , Name of Former Owner ,
1112, . Does Zone p or use proposed district in construction which violaremis are situated lotion .
p to any zoning law, , ordinance or regulation; , , , , , , , , , , , , , , , , , ,
13, Will lot be regraded ..........I.................. Will excess fill be removed from premises: Yes
14. NaName of Owner of me of Architect remises ....j Address , Phone No............... .
Address Phone No. .
Name of Contractor . . Address . . Phone, No: .
15. Is this
property within 300 feet of a tidal wetland? *Yes........ No•
*l yes, Southold own Trustees Permit may be required.
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 description according to deed, and show street names and indicate whether
interior or corner lot.
Tt A>C~ 1A, Nl( ~j .$r^
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ilf
I
STATE OF NEW YQ~AK
COUNTY OF Y k S'S
(Name of individual signing • • • • • being duly sworn, deposes and says that he is the applicant
contract)
ibove named. / - '
le is the ....1.`.t4 ..rttT'tr- .
(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
pplication; that all statements contain d in this application are true to the best of his knowledge and belief; and that the
vork will be performed in the manner set forth in the application filed therewith.
worn to before me this
.day o .Y 19gZ
lotary Public, ' Co 4". 1
~j u~ (Signature of applicant)
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1. FOUND, I. FOUNDATION - TWO REQUIRED WITHOUT CERTIFICATE ALLIY~INI~NMR
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