HomeMy WebLinkAbout20873-zFORM NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
~ERTIFICATE OF O~CUPAN~Y
No Z-24341
Date MAY 7, 1996
THIS CERTIFIES that the building
Location of Property 802 MAIN ROAD
House No.
County Tax Map No. 1000 Section 127
Subdivieion
ACCESSORY
LAUREL, NEW YORK
Street
Block 2 Lot
Filed Map No. Lot No.
H~let
6.1
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 6, 1992 pursuant to which
Building Permit NO. 20873-Z dated AUGUST 6, 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 ROOF STRUCTURE OVER A BBQAREA IN REA~ARDA~ APPLIED FOR.
The certificate is issued to ~%RMIME RUFl%%NO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/&
W/a
Rev. 1/81
/~i 1 d~ ng Inspector
FOBM NO. ,u
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°-N? 20873Z
Permission is hereby granted to:
.~.,.~....~,~.~,~..~. .......................
.... ~. ........... ~....~: ..........................
.... .~4~.~ .......... ...~...:~: ......................
,o....~.~.~.~. ........ ~ ............ f~.~.~ ........ ~.~ ......... .~.~ ....... ~ ....
~.~.. ..... ~.. ./.~ ..?..~ /f~,~,~ ~,~ //~ /~/,/z~
at premises located at ............... Z~.. ~![ ~...,,~../...,~_ ....~.....~...: ..............
............................................. ........... iiii ..........
County Tox Mop No I000 Secti~o/~../.~ ~ ' "~)~[ · ' /~, /
..... ,~,,w..~' ........... ~ OCK ........ ~f. .......... LOt NO ........ ~...~2'...../...
pursuont to opplication doted ................... .~./.-~. ........................ , 19~..~..., ond opproved by the
Building Inspector.
/ ~uilclfng Inspector
Rev. 6/30/80
Borm No. 6
TOK~ OF SOUTHOLD
BUILDING DEPARTMER~
TOWN RALL
765-1802
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
'Jpre-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.
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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25¢
4. Updated Certificate of Occupancy - ~50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
/ Date ...... .....................
~ew Construction ........... Old Or Pre-existing Building ................. j
oca ion of ............ ............. ........
Rouse No. Street Hamlet
)nwar or Owners of Property...~..~~..~....-- ~- -~'~
]ounty Tax Map No 1000, Section. ~ .~.-~ ....... Block....~. ........... Lot...~.'..~ ..............
3obdivision .................................... Filed Map ............ Lot ......................
:{ca!th Dept. Approval .......................... Underwriters Approval .........................
'fanning Board Approval ........................ /
~e~uest for: Temporary Certificate ........... Final Certicate ...........
S ....... : .........
FOUNDATION ( ls t)
FOU~4D^TIOI~ ( 2nd )
ROUGH
FRAME.
.FLUMBING
INSULATIOn! PER N. Y.'
STATE ENERGY
CODE
FINAL
ADDITIONfl'L COMMENTS:
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 27, 1996
Mr. Carmine Rufrano
51-29 65th Place
Woodside, NY 11377
Re: Building Permit #20873-Z - (accy)
Premises: 802 Main Road, Laurel
Suff. Co. Tax Map 91000-127-2-6.1
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
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.
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 30,
1996
Mr. Carmine Rufrano
51-29 65th Place
Woodside, NY 11377
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
becau~ of the following reasons:
/
~ xx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is (outdated/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 # 20873-Z
Please contact our"office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
· pi TOWN OF SOUTHOLD
N BUILDING DEPARTMENT
/~ il.~j TOWN HALL
$OUTHOLD, N.Y. 11971
~ ~ ~ ~O~d
Disapproved a/c .....................................
~i~'~ .~ 6 :~". APPLICATION FOR BUILDING PERMIT
................ - INSTRUCTIONS
BOARD OF HEALTH .........
] SETS OF PLANS ..........
SURVEY ...................
CIIECK ................. ...
SEPTIC PORH .... '''...
HAIL TO:
a. Tiffs application must be completely filled in by typewriter erin ink and submitted to the Building Inspector, with 3
,ets of plans, accurgte 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
~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
:ation.
c. The work covered by this application may not be cbmmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
.hall,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
hall have been granted by the Building Inspector.
~ ' ~PPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Elilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
;,Ogulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
7he applicant agrees to comply with Bi1 applicable,laws, ordinances building c, od, e, housing code, and regulations, and to
.dmit authorized inspectors on premises and in building for necessarydnspectiox(s. ) /'3 f"---'fi) '
..... · ,, ...... :.'W: C.: .... ......
(Si=natu/e'c~;;plicant, or nam~if a corporation)
....... /-zo. ,~. ~..O..~..~../.c-...~-..&k....&'..~. ..
(Mailing address of applicant) ! t ~ '4 3
grate whether applicant is owner, lessee~ architect, engineer, general contractor, electrician, plumber or builder.
F
(as on the tax
applicant is a corporation, signature of duly authorized officer.
/tr
(l~me and title o._~_por~te officer)
Builder's License No '
P u lber's L cense No ..... : . .CI./. ~. ".. .......
Electrician's License No.
License No ...... . ./~. Z
Other
Trade's
7'
roil or latest
deed) ~PPR0¥ED AS NOTED
DAlli:~ B.R # ~
"0"~ BUILDING OE~RTMENT AT
765-1802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPE~IONS:
I, FOUNDATION ~0 REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3. INSU~TION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHA~ ME~
THE REQUIREMENTS OF THE N.Y.
Location of land on which proposed work ,,viii be done ...................... STATE..C. Ord~TI~UCTI.C~N .'&. ANE. R. qy
~-~ ~ ~ ' //]~ ¢~-/ ~ /~0/¢' i'~ CODES/ NOT /ClE~ONSIBLE FOR
...............................................................
I louse Nnmber Street Hamlqt
2. · /
County Tax bIap No. 1000 Section . . .~ Block . . . ~ Lot ~" '
7' ....................................
St bd v s on ........ dl4.an~(~) .... Filed Map No ..... '7'7"::'.. ....Lot
State existing use and occupancy of premises and intended use an~d occupan, cy of proposed constructio.n:
a. Existing use and occupancy /~'"4Z'/~ .~..,~. ~. {4'. ,~ ~5~ ~"-~ t,/ ~ C.t~../'~,
b. Intended use and occupancy f~ ~ ~-~5- ~, C" .~. ' ·
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteratio~ .........
Repair .............. Removal .... Demolition .............. Other Work... ~ ...........
4. Estimated Cost .. ~.,.~.,, escription)
..... :r,,.+ ......................... Fee .. oo
(to be paid on illin thisa ~ ' ' )
S. If dwelling, number of dwelline unlt~ /////2-~ g ppi[cat!on
If garage number of car~ ~' -'7~}/~' ' '/' ....... Number of dwelling units on each floor
6. · · · 71' .................. · ·.
If bus ness c°m nercml or mixed occupancy, specify nature and' ;~t'e ............ s'e ~ .... '
7. Dimensions of existing structu;es, if any: Front.. nt of each type ofu . . i i~ ....
Height ............... Nuinber ot'Stories ... ' ' ·; ........ Rear .............. Dqpth .... ...........
Dimensions of same structure with alterations or additions: Front
Depth r,
~,. . · · .,... llelght ........... .! .........
8. Um~ensmns of entire new c-ns;-.~,' ~ - ~; ~;~,' :-)';d,t, ' '~',~' · mumber of SIones . . : .........
Height ~'.~..~...~..~..e/,,, ~_ ' "'~ ..... Ttear //.~?.c)~.~.~..De,~th I[,rr~.,
,.. o.' .... .~.~,~: ·.. rmm 0er ot ~tories ~ ' ' · .... v ,.. ~ w~... ~...
9. 2,zemmt: Frontq~r,,6,,w2~: '.~ .......... ~,,.~ ~ .....
.................. ~ear .. O.. ~ y ............ ~ ' ' '.22 ..........
10. Date of Purchase .... .~,~.~. ., ' ....... ~.. Depth ...././~. , ~..c~. .
.................. marne of Former Owner .....
11. one or use district in which_ premises are situated .................. . ....... J.'
12. ' ............... '~ .......
Does proposed Construction violate any zoning law, ordinance or re~laiio'n'- ' ' ',,~.'.~',~ . ..
13. Will lot beregraded "' '~"~' .... Wil ............... . ' ' ' : ....
14. Name of Owner of premises .~. ~'//~,.2 ' ~/~,~.il~_ex~s,s fill be removed f,r~m premises Yes ,~/~o
................. · ..'-auaress ~Tg.Z: .,Tr~.,'~.r',' /~o.,~.~Phone No .~.~' ~%'" '~'
~A '~L;~ ;~ ;..L. ..... /~..-...'~. ~.~..
Name of Architect .......... i~ ~ ......... Address ................... Phone No ...... ......
Name of Contractor ....... '~" '-'/' "~' .........Address ....
15. Is this property within 300rfeet of a tidal '''~ ................ Phone No ...... ,.... .......
wetland. *Yes ........
· If yes, Southold Town Trustees Permit may be required. No..~( .....
.... PLOT DIAGRAM
Locate clearly and distinctly all' buildings, ~hether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or d6scriptioi~ according to deed, and show street~hames and indicate whethei'
interior or coruer lot.
/1~
O UNTY O,F, .,~.~[.-~Q-'~ .l..~.. S.~
' . ' ' ' ' ', .................. being duly sworn, deposes and says that
(Name ,of mdwidual s gning:contract) he ' ' ·
~s the apphcant
'ove named. '
' agen't, ...................... ' .............
" ." '' ' : " (Contractor, corporate officer, etc.) ....
said owne.r'~o~ owners, and is duly aBthorized to perform or have performed the said work [nd to m~e and file this
plication; that all statements Containe~ in this application are true to the best of bis knowledge and belief; and that the
~rk will be performed in the manner se/forth in the application filed therewith.
om to before me this
ta~Pubhc' '~'''~'"~... Couuty / ~ ~
, / / [~lgnature ola hcant