HomeMy WebLinkAbout20865-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCG~UPANCY
No Z-24970 Date APRIL 10, 1997
THIS CERTIFIES that the buildin~ ALTERATION
Location of Property 550 MT. BEULAH AVE.
House NO. Street
County Tax Map No. 1000 Section 51 Block 3
Subdivision Filed Map No.
SOUTHOLD, N.Y.
Hamlet
Lot 2.6
Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 27, 1992 pursuant to which
Building Permit No. 20B65-Z dated JIFLY 29, 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 ENCLOSE AN EXISTING DECK OF OWE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OFHEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
VINCENT & LOUISE TIRELLI
N-411774 - FEBRUARY 21, 1997
FORM NO. S
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°. 20865Z
19...~..~---~
Date
Permission is hereby granted to: ~ ,
..~...-.~.~..........,~..~~..~
at prem'ses I~ated at ............. ~...~.Z..~~...~ ....................
........................................................... ..............................
co..~ ~ ~ ~o. ,oo0 Se~,o....~.4 .......... ,,~ ..~ .............. ~o~ ,o...~.¢.~ .......
Building Inspector.
Rev. 6/30/80
TO~ OF SOUTHOLD
BUILDING DEP&RTIfE~NT
TOWN FALL
765-i802
~%P?LICATION FOR CERTIFICATE OF OCCUP~YCY
This applicatiq~must be filled in by typewriter OR ink and submitted to the building
Luspecuor with the following: for aew building or new use:
1. Final survey of.property with accurate location of ail 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/I0 of i% 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 sio~ned by the applicant.
If a Certificate of 0ccnpancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
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 S50.00.
2. Certificate of Occupancy on Pre-~xistinR Buildinm - $t00.00
3. Copy of Certificate of Occupancy - = .25¢.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00
New Construction ........... 01d Or Pre-existing Building .................
Location of Property., ) J o ~ &
House No. Stree~ Hamlet
Onwer or O%raers of Property ..................................... ............. . ... · ...... ----
County T&x Map No ~000, fiec~ion. ~ - ~ ....... Block ..... '~ ..... Lo~.. Z, -- ~'
Subdivision .................................... Filed M~p ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Hea_,h Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1
~-- 85 JOHN STREET, NEW YORK, NY 10038
~.~ F~R[.IA~IY 21~ 1997 ~ppl~.~io. ~o. o.~l~ 1329A797/9'7 N 41177~
THIS C~IFI~ THAT
o~y the el~trical ~uipment ~ ~serib~ be~w a~ i.t~uced by t~ applicant ~m~ on the a~e applicatloa number in the premi~e~ of
VINCEN~ '.('IRELI,I, HOUNT BE~A~ A%~]NUE, SOU'I'HOI,D, N.Y,
a~s examined on JAN[J~IY 31,1997 and found to be in compl~nce with th~ National Elect~cal Code.
FIXTURE f ~E ~N FIXTURES
OUTLETS E PTACLES EWITCHEE INC DESCENT FLU~E$CEN? OTHER
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
RANGES
~FECIAL REC'PT
TIMET CLOCKS~Kp~ TRANsBELL ~UN T HEATERS MULTI-OUTLETsYsTE~S '
A~ . A ' ' ' NO. OF FEET
NO. OF I S
S~EVICE
DISCONNECT
R V I C
EXHAUST FANS
DIMMERS
~L~C, ROOH tlEATERS: 1-2.5 [(.li'~.
BOX 215
,_~OUIi{OLD, NY, 1].971
This ce~ificete mu$l .or ~e e~lere~ in ~n~ m~nner; re~urn ~o f~e o~ice o~ ~he Board i~ in~orrecL l.spec~ors m~y be identifies by ~helr crede.tie~s.
COPY FOR BUILDING DEPARTMEN%~ THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 10,
1996
Mr. Vincent Tirelli
550 Mt. Beulah Avenue
$outhold, NY 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
xx
xx
No Underwriters Certificate on file.
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 # 20865-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 27, 1996
Mr. Vincent Tirelli
550 Mt. Beulah Avenue
Southold, NY 11971
Re: Building Permit #20865-Z - (close in deck)
Premises: 550 Mt. Beulah Avenue, Southold
Suff. Co. Tax Map #1000-51-3-2.6
During a review of our
building permit has expired,
never been issued.
files it was noted that the above
and a Certificate of Occupancy has
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.
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ .] .~.ATION
[ /-,3~ FINAL
INSPECTO~~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
~]//~INAL
DATE
INSPECT~ ~/~~~*
2'65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ~ ] ROUGH PLBG.
FOUNDATION :)ND [ ] I~ULATION
FRAMING [ ,,']' FINAL
'~OUUDATIO:I ( 2nd )
:OUGH FRAHE &
.PLUMBING
];SULATION PER N. Y.
STATE ENERGY
CODE
FI;;AL
IONA'L COMMENTS:
, ~ FORM NO. 1
!: :':, JUl 2 ? 1992 ' ,,TOWN OF SOUTHOLD
;:i~ ' BUILDING DEPARTMENT
!U t3,%. ...................... L:::" ~ TOWN HALL
~xamined ................ , ]9...
DisapprOved ~/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH' .........
, ~z/ SETS OF PLANS .,
p/~llE C K ..... . .
SEPTIC FORH ..............
NOTIPY:
CALL ...................
HAIL TO:
Date .................. , 19...
' I INSTRUCTIONS
a. This application must be completely filled in by Wpewriter 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-
catiia.
c. The work covered by this application may not be commenced before issuance of BuLlding Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shal{ 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 Dep~rtment 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 gpp~licant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
adm~ai~thorized inspectors on premises and in building for necessary inspegtions.
_ . ..... ...........
(Signature of 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 ofpremises ¢l~CeoY' t-.T'tv-a-il/ q
(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 ..........................
Plumber's License No .........................
Electrician's, License No .......................
Other Trade's License No ......................
' ' -r ~ f ~ ' -
I. Location of land on which proposed work will be'done. ~r.~_._;~ . -.~ . ...... .
House Number Street Hamlet
County Tax Map No. 1000 Section .... ~/ ........... Bl~ck ...~ ............. Lot..~.' &
Subdivision .
.................................... Filed Map No ............... Lot
(Name) ...............
State existing use and occupancy of premises and intended use an~ occupancy of proposed construction:
a. Existing use and occupancy ~ e ~ ~
b. Intended use and occupancy ..... ~ ~ ,, ,-
3. Nature of work (check which applicable): New Building .... i ...... Addition .......... Alteration .......
Repair .............. Removal .............. Demolition .......... Other Work~...o ~ / ~ ~i '~-
(Description)
4 Estimated Cost .~.~ .~. ~..~, Fee ~. ~.., ~..
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor. :
· If garage, number of cars ..................... ' ...............
6. If business, commercial or mixed occupancy; specify n~ature and extent of each type of use ............ : .........
7. Dimensions of existing structures,, if any: Front ; Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front ................. Rear ....
Depth Height Number of Stories
8. Dimensions of entire new construction: Front ............... Rear .............. Depth ...... : ..
Height Number of Stories
9. Size of lot: Front ...................... Rear ...................... Depth .......................
10. Date of Purchase ................... . ........ Name of Former Owner .................... ! ......
I I. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... .....
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .... : .......... Address PhoneNo
Name of Architect Address Phone No
Name of Contractor .......................... Address ................... Phone No ...............
15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... '
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM :
Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions frolla
property lines. Give street and block number or description according to deed, and show street names and indicdte whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF ................. S.S
., ~.[rO~_i.'~'T L.. ~7-I .~--e. [[ ! being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract
~bove named.
Ie is the ........................ : .......
)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 cont.ained in this application are true to the best of his knowledge and belief; and that the
york will be performed in the manner set forth in the application filed therewith· '
;worn to before me this
¢Otary Public, .~(~ County
Notary Publl~, State of New Yo~k
No. 4952246, Suffolk Court_ (Signature of :applicant)
Term Expires June 12,
,.".'MOUNT BEULAH ...AVENUE
, , p,4V, EMENT ~ ,., ,
' OF .pAV£1~_En~ "
700d
_ o~
221.00
221.041 '