HomeMy WebLinkAbout19956-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23265 Date
OCTOBER 6, 1994
THIS CERTIFIES that the building ADDITION
Location of Propert~ 6105 GT. PECONIC BAY BLVD.
House No. Street
County Tax Map No. 1000 Section 126 Block 10
Subdivision Filed Map No.
LAUREL, N.Y.
Hamlet
Lot 25
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 17, 1991 pursuant to which
Building Permit No. 19956-Z dated JUNE 19, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
(owners}
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
GERARD & KATHLEEN AGOGLIA
N/A
N/A
N/A
/uil~ing ~nspector
It~'~r NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y*
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Ne_ 19956 Z
Permission is hereby granted toL ,
......................
..~.~Z~..,..~.,.....~.. ............ 1../~ ~'
-/----- ~ ~" _/ / j /" .._ _.../.,.'J, .,/ .....
..... ~'~'"'"'"'"'"'"'"'"'"'~'~ '~"~'"~'-; ~' ":":'""~";~':'"'~'"~ ....... Z i ........
at premises located at .......~..~.......~ ...... /....--~---~<,~;~.~,....~:.~':~....'.~'..~...~..-~., ...................
......................................... ~'"'~'"/- ....... ~" ....... ~'"'Z .......
.......................................................... i ...... l..l...~.. ..~ .................................................
County Tax Map NO. 1000 Section .1..~. ........ Block ..... i.~... ......... Lot No ....... .~....~......~....
pursuant to application dated ...~ .......... L....~.. ....... , 19..~.../., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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
'~pre-existingn land uses:
i. 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, 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-existin~ Buildinz - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..................
ew Construction ........... Old Or Pre-exi~ting B~ilding....~.....
House No. Street ~Hamlet
nwer or Owners of Property.
ounty Tax Map No 1000, Section .............. Block ................ Lot ....................
ubdivision Filed Map Lot
ermit No./...~.f.?.,~.~...Date Of Pe ........................................
rmit Applicant .....
aalth Dept Approval ' Underwriters Approval
lanning Board Approval .......
eque~t for: Temporary Certificate ..... Final Certicate.. f
e Submitted. $....~.; ....................... ,/.? . ,,
:.. .
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYo[k 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 28, 1994
Mr. & Mrs. Gerard Agoglia
2270 East 74th Street
Brooklyn, N.Y. 11234
Ret Building Permit 919956Z- (DECK ADDITION)
Premises: 6105 Gr. Peconic Bay Blvd., Laurel,
Suff. Co. Tax Map ~1000-126-10-25
Dear Mr. & Mrs. Agoglia:
On February 18, 1994 we advised you that the above building
permit had expired and a Certificate of Occupancy had never been
issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please fill out the enclosed application and return to this
office along with your check in the amount of $25.00 so that the
CO may be issued.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
TJF:gar
Thomas J. Fisher,
Sr. Building Inspector
(Cert. Mail)
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1623
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 18, 1994
Mr. & Mrs. Gerard Agoglia
2270 East 74th Street
Brooklyn, New York 11234
Re: Building Permit ~19956-Z (Deck Addition)
Premises: 6105 Great Peconic Bay Blvd., Laurel, N.Y.
surf. Co. Tax Map %1000-
Dear Mr. & Mrs. Agoglia:
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.
A final inspection of the deck was made on June 27, 1991,
and was okayed for CO. Please fill out the enclosed Application
and return to this office along with your check in the amount of
$25.00 so that the co maybe issued.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
TJF:gar
Thomas J. Fisher,
Building Inspector
FOU_~;DATI 0~; ( 1 s t )
?OU;~DATIO~$ { 2nd )
ROUGH FRAME &
.PLUMBING
iNSULATIOH PER.N. Y.
STATE E}~ERGY
CODE
FI;;AL
ADDITIO~[L COMME~;TS:
FOR POURED CONCRET~ ~,/ * , .
2. ROUGH - FRAMING & II~UMBING
3. INSULATION
4. FINAL ~' CONSTRUCTION MUST
BE COMPLETE FOR
ALL.CONSTRUCTION SHALL MEET
THE REQUIREMENT~ OF THE N.Y.
STATE CONSTRUC130N & ENERGY
CO~.$,, NOT RFSP.ONSIBt~ FOR
~)E5/~'~R CONSTR~ICTION ERRORS
NOTE:
t= MONUMENT
SURVEY FOR
FLORENCE FITZPATRICK
TOWN OF SOUTHOLD
SUFF. CO., N.Y.. GUARANTEED TO:
~OUtHOLD SAVINGS DANK
SCALE~ 1"=40' SE~RITY ~TLE ~ GUARAHTY CO,
MAY 26, 196~
PROFESSI~~R
LAND SU~R, N.Y.S. LIC. NO. 12845
RIV~HEAD ~ N.Y.
DESCRIPTION OF LOCATION OF SITE
The project site is located off of Whistlers Avenue on Fishers Island, New
York. The site is about 2,000 feet away frc~ Elizabeth Airport. The site is
located in a non-developed area which was previously used for bank run 9ravel
re~noval. An earthen embankment su_r~ounds the site. The embankment is about
20 foot high to the north, 10 foot high to the east and about 6 foot high to
the south. Photos of the Existing Site Conditions are shown on Figure 1, 2
and 3.
APPROVrD AS NOTED
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLO~NG INSPECTIONS:
~. FOUNDATION - TWO
FOR ~URED C~CRETE
ROUGH - FRAMING & PLUMBING
U INSU~TION
;INAL - CONSTRUCTION MUST
BE COMPLETE FOR
'~LL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N,Y.
STATE CONSTRUCTION &
C~DES, NOT RESPONS;BLE FOR
L~SIGN OR CONSTRUCTION ~RRORS
m~- ~ ---_ Z~----'r--.~ ....... I
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL.: 765-1803
Examined ................ , 19...
Approved~../..~ ...... 19 ¢/Permit No.. /..f ..~...~~ ~
Disapproved a/c .....................................
BOARD OF HEALTH .........
3 SETS OF PLANS
SURVEY ...................
ClIECK ....................
SEPTIC FORH ..............
CALL ................
(Building Inspector)
APPLICATIOhl FOR BUILDING PERMIT
Date ................... 1 .
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
ir 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 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
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 Departm/n{ 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 code, h,,ousing code, and regulations, and to
admit authorized inspectors on premises and in buildh~g for necessa~/?~,tions. ~..r ~,~ X-~' ~
·. .........
-- , (Signature of applicaItt) 9f n~ame, ir a corporation)
·
(Mailing address of applicant) ~ '//$z~
' i~e
State whether applicant ssee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises. ~.O..~..F.~..C-; .~....~... '...~. i .~. .... i~.~ ......~.~...~.-..q. · .~..* .............
· (as on the t,a% roll or l~fes~/deed) ~
If applicant is a corporation, signature of duty authorized officer.
(Name and title'of corporate officer)
Builder's License No....~...~..Ad..~.~..c((...~..~.)~..~..O
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No. /
Location of land on which proposed work will be done ..................................................
..... , .........
...... /o
House Number tStreet Hamlet
County Tax Map No. 1000 Section .... /.?. ~. ........ Block / ~ Lot
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........~. /... ~//-'_.~/ d~..~-.~.~ ) 2) .P?./?C ~Z( .......................
b I ded nd '
. nten use a occupancy... ....... ~, .. .............. . ., . ............... .
3. Nature of work (check which applicable): New Building .......... Addition . . Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
t ; o¢o ' (Descriptio7
4 E ti dC · F '
· s mate os .............. ! ....................... ee .......... ._ ..........................
I (to be paid on filing this application)
5. If dwelling, number of dwelling udits ............... Number of dwelling units on each floor ................
.If garage, number of cars ...... i .................................................................
6. If business, commercial or mixed 6ccupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, :If any' Front Rear Depth
Height ............... Numb6r. of Stories ........................................................
Dimensions of same structure witt~ alterations or additions: Front ................. Rear ..................
Depth Height Number of Stories
8. Dimensions of entire new construdtion. Front R pth
................ ear ............... De ...............
Height Numb6r of Stories
9 Size of lot: Front Rear Depth
10 Date of Purchase ' ' Name of Former Owner
1 I. Zone or use district in which pre~nlises are situated .....................................................
12. Does proposedconstructlon violate any zoning law' ' ' ' ordinance or regulation: ....
13. Will lot be regraded ........... : ................. Will excess fill be removed from premises: Yes No
14 N fO fp ' N
· amc o wner o remises ..... : ............... Address ................... Phone o .................
Name of Architect ...... ~ Add Ph N
...... ~ ............... ress ............ : ...... one o ................
Name of Contractor ........... ~ ............... Address ................... Phone No ................
15. Is this property within 300 feet of a tidal wetland? *Yes ........ No .........
· If yes, Southold To~n Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all bidldings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block nuimber or descriptioh according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW Y~P,~ ,, _ S.~
COUNTY OF ..... ?.~.'.~.k..l(m. ....
....... ~ ~' a' ~.. . x ............. being duly sworn, deposes and says that he is the applicant
M~e of iddividual signing] contract)
above named·
Heis the .... ~m~¢
. ~*. o ~;ntr ctor ent, corpora officer, etc.
of said owner or. owners, ~d is duly a~thorized to perfom or have perfo~ed the said work and to m~e ~d file this
apphcation; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the
work will be perfomed in the m~ner set forth in the application filed t~erewith.
Sworn to before me this
No. 472508~ufl018 ~u~