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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 '