The URL can be used to link to this page

Home My WebLink About20103-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21070 Date OCTOBER 8, 1992 THIS CERTIFIES that the building. ACCESSORY' Location of Property 2260 PECONIC BAY BLVD. L~UREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 145 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23~ 1991 pursuant to which Building Permit No. 20103-Z dated AUGUST 23~ 1991 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 REPI~CE EXISTING ACCESSORY SHED AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ANTHONY J. MERCOREL_LA H-233111 - APRIL 23{ 1992 Rev. 1/81 IPO'u-M NO. 9 TOWN OF SOUTHOLD BUILDING D£PARTM£NT TOWN HALL $OUTHOLD, N. Y. No_ 20103 Z BUILDING PERMIT (TI-ItS PERMIT MUST BE KEPT ON TIlE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) D~te. ~ ....... , 19 ....... Permission is hereby granted ~ . ~ , _ . .... ...... .... ~-~- ........... /)" ................... ~ ....... , '"; .... '~"'~'"'"i ........ ~ ........... "~ ..... at premises located at ....~...-~,.~...O.. .......... ~.)..~,.......~..~.....~.;.......~..~.~... ~uont to application dot~ .~.~ ....... ~.~ ............ , 19,~J..., and approv~ by me Building Insp~tor. ~~ ~ Re~ 6/30/80 Form No. 6 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 i% lead. $. 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 ~.¥re-existtng" land uses: i. Accurate survey of property showing all property lines, streets, building and ' uausual natural or topographic features. 2. A properly completed application and a conseut to inspect signed by ~he 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 dwelliug $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory b~ilding $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 Updated Certificate of Occupancy - $50,00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... · ifew Construction ........... Old Or P~e-existin~ Building · oeation of Property ........ House No. Street Hamlet i'nwer or 0waers of P~oper y ............... oanty Tax Map No 1OO0, Section..~ ........... Block .............. Lot .................... ~bdivision ...................... Filed Map . Lo~ ................ ........... Date Of Permit .............. Applicant ............................. arming Board Approval..~..~. ................. qoest ~or: Temporary Certificate ........... Final Certicate ........... -' ' ~NSPECTORS 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 I~IARCH 13, 1992 ANTHONY J. MERCORELLA 2260 PECONIC BAY BLVD. LAUREL, NY 11968 To Whom This May Concern: We are unable to complete your Certificate of OccupancF because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. (ON SHED) 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 ~ 2010~Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Sen/or Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek 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 (5'16) 765-1800 OFFICE OF BUILDING INSPECTOR TOVffN OF SOUTHOLD .JULY 13, 1992 AI~YI~OI~ J. MERCORELLA 2260 PECON~C BAY BLVD. LAUREL, NY 11948 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),-~$1a~ No Underwriters Certificate on file. (ON SEED) The check is ~/not on file.)$25.00o(~'?12t99~ 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 ~ 20103-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT, FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDIT!ONA'L COMMENTS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ g-]..-PIN~ 'g//~,~ REMARKS: DATE ~//~IF/~"~ INSPECTOR +~_~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971, TEL.: 765-1802 Permit No..~-..~. J..~..~..~ Disapproved. a/c ................................... /) (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF REALTlt ........ -, 3 SETS OF PLANS .......... SURV£Y ................... CIIECK .................... SEPTIC FORH .............. CALL. .................. NAIL TO: D/~te ..... ' ............. , 19... INSTRUCTIONS a. This application must be completely filled in bY typewriter or in ink and submitted to the Building Inspector, with 3 ~ts 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 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 lall 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 aall 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 .uilding Zone Ordinance of the Town of Sot~thold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he apphcant agrees to comply with all applicable laws, ordinances, building code, housing'code, and regulations, and to dm/t author/zed inspectors on premises and in building for necessary inspections, a ..... ..... -" ' (Si,,nature of appl~,gnt, or na~e, if a corporation) .... (Mailing address of applicant~ ;tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,4 ~ tameofownerofpremises .~. .A/.~. .[! .o. .~. ~. . . ~ ;. ./.~ ~-I'~CO/~ ~ ...................../;-,.l-fi}. : ............................. (as on .the t,ax roll or latest deed) t' applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Budder s hcense No ...................... Plumber's License~No. 4// Electrician's License No. f'k//,~ Other Trade's License No....A//.~ ............... Location of land on which proposed work will be done. ~ .~...~.o. [louse Nmnber Street County Tax Map No, 1000 Section .. l.ff-:~.JT-.. ......... Block . .~..'~. S u b di vlsi on ~t~..0~..~..~..(~). ~.'~...'~. ........ Filed Map No. Ham/et ............ Lot...O.~r ............. · "7~..'YT. ........ Lot...././~ ......... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....................~/~O '- v S . ,/-'~...~...~-..... ....~...~....¢.~..o..~.~.....~.'./.'~..~, .~. .... b. lntended use and occupancy .~..~. 3. Nature of work (check which applicable): New Building ......... [ ' · . Addgmn .......... Altera{'imx ........... Repair .............. Removal .............. Demolition .~..i ......... Other Work. · ' (Description) 4 · Estimated Cost... Fee l(to be paid on filing this application) Ifd b $. welling, num er of dwelling units ............... Number of dwelling units on each floor ................ · If garage, number of cars ...................................... i ................................. 6. If business, commercial or mixed occupancy, specify nature and extent of ~ e~ch type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear . .i ............ Depth .............. Height Number of Stories . Dimensions of same structure with alterations or additions: Front " Rear Depth ...................... Height ...................... Nuniber of Stories ..................... 8. Dimensions of antire new construction: Front .............. Rear ...i ............ Depth ............ Height Num bet of Stories ' 9 Size of lot: Front Rear : Depth 1t3. Date of Purchase ............... ' · N f Former O~n 11 Zo dist i ' i' ''hich pr mi ......... amc o er ............................ · ne or use r ct n w e scs are situated ............... 12. Does proposed construction violate any zoning law, ordinance or regulation::i ................................. 13. Will lot be regraded ............................ Will excess fill be r~moved from premises: Yes No 14. Name of Owner of premises .................... Address .......... I ........ Phone No ................ Name of Architect ........................... Address ........... 'i Phone No Name of Contractor .......................... Address ........... i ........ Phone No ................ [5, Is this property within 300 feet of a tidal wetland? *Yes.i ...... 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 from property tines. Give street and block number or descriptioh according to deed, and show street names and indicate whether inter/or or corner lot. 765-1802 9 AM,~T0 4 PM FOR THE FOLLOWING 1, FOUNDATION · '~ ~WO REOIJI:.ED FOR POURED CONCRETE · ROUGH . FRAM NG & PLUMBING 3. INSULATION 4. FINAL CONSYRUCTION MUST 8E COMPLETE FO~ C.O. ALL CqNSTRUCTION StqALL MEET THE REQUIREMENT8 OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESI~ONSIRLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USEIS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ;TATE OF NE:bkYOgI~," ., e e . .... ( ' i ' ual signing contract) bove named. eing duly sworn, deposes and says that he is the applicant le is the ............................................................................ (Contractor, agent, corporate officer, otc[.) f said owner or owners, and is duly authorized to perform or have performed the isaid work and to make and file this pplication; that all statements contained in this application are true to the best of bls knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith· worn to before me this ~ da of/~r~ ......... , ..... y . .t/. t;'. .............. , 19.~· .! Diary Public, ~C ~-~,-,x), ,~ erin Expires March ~0,1~.,.~