HomeMy WebLinkAbout19907-z FORM N0. 4
. TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20257 Date OCTOBER 3, 1991
THIS CERTIFIES that the building ACCESSORY
Location of Property 455 SOUND BRACH DRIVE MATTITUCK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 99 Block 1 Lot 21
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 24, 1991 pursuant to which
Building Permit No. 19907-2 dated MAY 31 1991
was issued, and conforms to all of the requirements of the applicable
provisions of the, law. The occupancy £or which this certificate is
issued is ACCESSORY GARAGE IN REAR YARD AS APPLIED FOR.
The certificate is issued to FLORENCE ALFANO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-204600 - SEPT. 23 1991
PLUMBERS CERTIFICATION DATED N/A
Bui.ding Inspector
Rev. 1/81
roses xa ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
50UTHOLD, N. Y.
BUILDING PERMIT
CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°- 1990? Z o~te 19..~..l.
Permission is hereby grout^e-d~to: n n ~ Q
. . . . . [ . . «f. . ~
2 . .1 b `:~Y :
. l
4~
r
~ . . . . . . .
.
County Tox Map No. 1000 Seetion ......~?.~.g...... Block Lot No...-Z
i pursuant to applieatlon doted .......a.~.............., 19.9...., and approved by the
` Building Inspector.
Fee s..11B:9.o.......
Buil ing Inspector
Rev. 6/30/80
~ ~i'r~~~,''r Form No. G
6~V y TOlJN OF SOUTIIOLD ,
{ ~ A~~ $ tigg~ ~ BUILDING DEPARTPiENT ~ ~
r~ TOIJN HALL
765-1802
BI G. UEI'i'. .
TOWN OF SOUTHOLO J
APPLICATION POR CERTIFICATE OF `OCCUP,\NCY
This application must be filled in by typewriter OF inlc and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property toith accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
Z• 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 ly, lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code C~;mpliance from archi_ect or engineer
responsible for the building.
6• Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) tton-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.
Fees '
1. Certificate of Occupancy - New dwelling $25.00, <\dditions 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
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00 Co
/ f mmercial $15.00
.Y.,,.. Date .~~1.~•l..
ew Construction. Old Or Pre-ex _
' / iscing Building.,
ocation of Property. , , , , ~fe9t+/-~
House No. '4+~~.. ~i~/~~f~i.~
S/freer Hamlet
twer or Owners of Propcrty.....~~~
q~~ ,~Z~~-~rj .
;un[y Tax Pfap No 1000, Section....
......B1uck....C,~.'l .......Lot......°."~~
bdivision... " "
p .Filed Pfn~~.• .Lot..
trait No../~/t~ ~ .
••.DaCC Of Permit.. ~'~%r''„ ,l ,,,npplicant c~/%~~9.~ti1/~/!6' ~A
filth Dc t. ~ ~
p Approval ..........................Underwriters A~ ~(ifJ (.(,rSICKS
~,prova J
Inning Board Approval
;uest for: Temporary Certificate........... Final Corticate......
Submitted:
~,u.., ua~a® _
Co-~ao~5'~ nPPLICAN'r
THE I~ R~ UNfl~E~~"5 NAC,> 1
~ 7.004294
r fll~A1? t'!R tl./CTfMi61TY
,~pMN fTl!!*T. IOW Yt~ItlC, Yil~ 1QOff
SEPTF;MBAR ~3,~97 Td 3d 7491 /41 N li)4ritiil
Oate Ap'Itcatisa No. en flk.
'PHIS tEftTIR/Ef TXAT
attty Has oloenecal sgatlpmsnt r i~aw/1Mt1 kriete otud tsMeodwtstl 6y Nay ofgtNeawt wowed aw tM okora o1t~MklYrw wttnwMr iw tM'nsnalsw
~ h'LOR>',N['h; ALfANO, 455 SOtlND BEACH UHfV};, MA1fT1'iJCK, N.Y.
SH);A -
in thejoNoacinfleeat,e.~t.R'1!'f'?49~ fs[fl. ? !wd FI. Serrttwa hack Lot
roes examined uta ant fo4lad to ke in rompliance rtehtha etgnitromawG ~ this Board.t{
dlt?IEPf ACIK f111TGlff wudifafirr oirwn ,wr. s. w. ~wi. s. w. Mfr. Kw. swr. x. w. xar. x. r.
1 K 6 5 8
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a.r. x, w, as w. r. oa x. r. xwi. no. x. w. o. urr. ,tw. sai. •ato.. fY/M. att. n?. wnr: w~rtt
a f>Rilly ~MMCT f i R V 1 C E _
~ /AMT. NN. TYIE 1/t1Y 1RaW xlaw al /w n0. t1f tMdtO n0•ptW/Mif
dlliff AlMiA1Uk
PANh;LHOARDS:7.'7 CIR. 1.00
G.F.C.I:-3
D.M.P. CONTRACTING (.tt'.~'7,247
DON PAI,AHNU1i ~
1438 RICHI,AN71 B[,VD ;R.
BAYSNORI4, NV, J J 706 J 7 Mfi11L Ei Y
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K'~ TEL.7G5-1802
0~0 OGy 'I'ON OI' SOUTIIOLD ,
(;~;~~,,K! '~c OPI'ICG OP ISU[LDING INSPECTOR
~ s~'' -
,~~,~5` rn P.O. BOX 728 ,
y ~ 'I'O\VN fiALL
~~OI ~ ~a~~' n SOUTIIOLp, N.Y. 11971
f J, r'
AUG - 81991
K m...,. : , rIf 9 f
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I UVa.
..,.....,,.dd
To P7hom This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
An application f-or Certificate of Occupancy
is not on file. •-b~.t-a~
No tJnderwritcrs Certificate on file.
Tlie check is '-1/not on file.) a~r0'6
No Ilcalth Dept. T:pproval on file.
No final ins,pcction has been made.
Pleaae contact our office on this matter.
Thank you for your cooperation.
Bui]di.ncl Permit / ~ ~ ~ ~ Z ~ C~~J - -
BuildS.ncl Dept.
No Plumber Solder Certificate on file. ,
( all permits involving plumbing being
i ;sued after ~~pril 1,19fl4 )
lJ~~ ~ .spa i,~~
c1~LD "1+:S:'r^.C?lUN (~Un: ~ i;OMMENT3
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FOUNDATIOIJ (2nd) _ _
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PLUMBING
Vl
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cn
ItJSULATION PER N. Y. ^3
STATE ENERGY
CODE
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
]FOUNDATION 2ND [ ]INS TION
[ ]FRAMING FINAL
REMARKS:
DATE d'.~ INSPECTOR
i
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST [ ] ROUGH PLBG.
[ ] FO NDATION 2ND [ ]INSULATION
[ FRAMING [ ] FI~NA/L
REMARKS:
DATE ~ INSPECTOR
' BOARD OF HEALTH
re:---,--•-- ~ . `""""'i FORM NO. 1 3 SETS OF PLANS .
i-{..~.:-' l ~ TOWN OF SOUTHOLD SURVEY . .
~ BUILDING DEPARTMENT CHECF
A`f 2 41991 TOWN HALL SEPTIC FOar1 . . . .
M
SOUTHOLD, N.Y. 11971
HL®G.47~L:YI. TEL.: 765-1802 r:acnLL, ~~~d\
Examin TOW" (7F SOJYNOLb _ .
O TO:
Approved 4~. ~ ~ 199 ~ .Permit No. I .1. / d~ ~ / • • _ • - • • .
Disapprovedaic
. . .b
(Building Inspector)
APPLICATION FOR BUILDING PERMIT ~//l~~
Date 19 .
INSTRUCTIONS '
a. This application must be completely filled in by typewriter 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-
cation.
' 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.
The applicant agrees to comply with all applicable laws, ordinances, building cod ou ' g code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspect'
S/C/
(ignatu p icant, or name, i~~f a~~corporation)
(Mailing address of applicant) //r~-'G/
State whether applicant ys, owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .1.~:h./2~,/~~f...~.~~/d .
(as on the tarx roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. . #.~i~ . .
Plumber's License No. .
Electrician's License No~.°~~~.d~~
Other Trade's License No. .
~~-<s ~~-ti~
1. Location of land on which proposed work will be done . ~~i......... .
.
House Number Street rHamlet
County Tax Map No. 1000 Section Block Lot .
Subdivision Filed Map No. Lot...............
(Name)
2. State existing use and occupancy of p emises and inten77d~~ed use and occupancy of proposed construction:
a. Existing use and occupancy j.~'~~~~../.`.~./di ~G~~ ~~zJ
b.lntended use and occupancy g ,
r ,~f} E~7ii~~
4 }t. 541:,, 11•: sC17FIFMT~i
3. A'ature of work (check which applicable): New Building . Addition Alteration , .
Repair Removal Demolition , Other Work .
(Description)
4. Estimated Cost....,! ' Fea...............?`......................
I (to be paid on filing this application)
5. If dwelling, number of dwelling {nits Number of dwelling units on each floor .
If garage, number of cazs . . .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
g
7 Hemh~sions of existin structures, if any: Front Rear , . Depth .
E 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 De th
p
Height ...............Number of Stories .
Rear.......'.....';......... Depth
10. Date of Purchase . . .....................Name of Former Owner .
11. .Zone or use distract m which pre • • • . • • • • . • .
P P {raises are situated .
ute any zoning law, ordinance or regulation : .
13. Will lot be re radedp . . . . ...........Will excess fill be removed from premises: Yes No
14. Name of Ow er of s remises viol•r • • • • • • • • • • • • • .Address . ..............Phone No................ .
Name of Architect ~ ................Address ..........'.........Phone No............... .
ame o ontractor .
P yP Y ................Address ...................Phone No.
15. Is this ro ert within 3i
* 00 feet of a tidal wetland? *Yes........ No.........
If es, 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 lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot. '
I,
I
n
STATE OF NE~~'ORI(~/ S
COU Y OFD. `~~OO ~ /S'
• • • • I a •'•`•`i•(~ , being duly'sworn, deposes and says that he is the applicant
(Name of mdrndual sigmn~ contract)
above named.
He is the
i (Contractor, age t, corporate officer, etc.)
of said owner or owners, and is duly 'authonz rm or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me thi~s/~
° ~ ..dayfof 19 :G
Votary Public, , ounty
Cl,A1RS?..Ot.EVV ~ .
No4ry Pubtlo, 8tete of NsvirYork (Signature of applicant)
No.48796p6
CommiQiaubn led In Suffolk Couhty
F3xplres Deoembet± S,1
SOUND BEACH DRIVE
N 52°00'00" E 50.00'
CONC.
PIPE APRON
STC
Z I I ~ ORNEWAY 20 ~ .22'
I _ 0.1 "N. ^ wry
~In I~ ~ I~ ~ N l7Oi\\~ LJ
o is I~ I w I~ 00 b
O 0'E m n'• 12 ~E SN. O.N. w is O
O I I I ~ ti
~ , I _ I O LzJ
BRICK 9.2~ 10.0' B.2' ~ 10.1'
PATO _ - -
5 ~ 28.4'
8.5' m
m
m ! B.b' 2 570RY
f 5.0 FR. HOUSE
BRICK
P^T° ~ SURVEY OF
28.4' LOT 19
BLOCK 1
D.BE MAP OF
DRNEWAY
LOT 19 D.1~v.
~ CAPTAIN KIDD ESTATES
FILE No. 1672 FILED JAN. 19, 1949
~ SITUATED AT
g ~ MATTITUCK INLET
TOWN OF SOUTHOLD
~ SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-99-01 -21
22.2' 8.5'
SCALE 1" =20'
j A c~oE JUL. 2, 1991
J
to
O 12.3'
O SHED B'S O LOT 20
LOT 18 O
c CONC. o O
WOOD TE 14 RE7. WALL °I
CM. 2.0'N. 2,q.W, PIPE
2.4'E 2.2'N.
S 52°00'00" W 50.00'
LOT 29 LOT 28 LOT 27
AREA = 7,500.00 sq. ft.
0.1722 acres
Fnpared in wxordenoe wbh the ndnimum
etancta?ds t0r tUle surveys su estebitehed by
Joseph A. I n g e g n o for swd, we by 1't?e New
Yeotlc ~t~
ndd
yEO v~rvo s Title Associatioi.
Land Surveyor ,~~a°y~PH~-H~
e o 0
1186 East Main Street k ry`"~~' ~
Riverhead, New York 11901
9jF N.Y.S. Lic No. 49668
(516)727-2090 _,f
TGWN~OF SOUTFiOIi~
Fax ~ (516)369-2009
91-147A