HomeMy WebLinkAbout19708-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20196
Date SEPTEMBER 9~ 1991
THIS CERTIFIES that the building.
Location of Property 150 SUNSET WAY
House No.
County Tax Map No. 1000 Section 91
subdivision
ADDITION
SOUTHOLD~ N.Y.
Street Hamlet
Block 1 Lot 5
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 22~ 1991 pursuant to which
Building Permit No. i9708-Z dated_ MARCH 13~ 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 ADDITIONS TO EXISTING ONE FAMILY DWELLING AS BUILT
ZONING BOARD OF APPF~LLS #3991
The certificate is issued to
JOHN & GRACE FIORE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A.
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
'- ' /~/~t~i~ding Inspector
T(:FWN 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)
Ne_ 19708 Z
Permission is hereby_arar~ed to: ; -- / -- -.. ~ /~ ~
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........................................ ~~~ .............................................................................. ~ ........
~ ......... ~ ~..~.::b ........... ~...~ ...................................................................
~ ~ox ~,~ ~. ,ooo ~.~,o. ......... ~l........' ~,~ .......... l ........ ~ ~o. ...~ .........
Building Insp~tor.
Rev. 6130/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ~ALL
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-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.
C. 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-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 ever 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ate ......~..-/~.'.~./. .................
New Construction....~.. ..... Old Or Pre-exis~.~ Building .... ' ......
Location of Pronertv ..... ./..~-.~ ..~.~J~
~ "~ouse ~o. ' ............ ~gg~! .................~A~i;~ .....
Onwer or Owners of Property ...... ~.~.~..~.~......~--f.~..~.~. ........................................
County Tax Map lqo 1000, Section .... .'%.~.! ..... Block....%'.$ ......... Lot ......................
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... F ate...~.......
, Co ~0I~G,, .,, : ,.,,:, ,,~ ................ :-7'7 ..............
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION XST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~F'~AL
REMARKS:
INSPECTOR
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
,>
D),USTEES
,Iohn M. Bredemeyer, 1[I, President
llenry P. Smith, Vice President
Albert J. Krupski, Jr.
John 1,. Bednoski, Jr.
Jolm B. TuOfill
Telephone (516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SCOTT L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
August 24, 1990
Paul A. Caminiti
Attorney at Law
54075 Main Rd cor.Beckwith Avenue
P.O. Box 992
Southold, NY 11971
RE: John J. and Grace Fiore Waiver / 1000-91-1-5
Dear Mr Caminiti:
The following action was taken by the Board of Town Trustees during
its regular meeting held on August 23, 1990:
RESOLVED that the Town Trustees approve the request for a waiver to
construct a deck to existing dwelling; 14.8' at the widest point and
3.8' at the narrowest point. Location of project: Cedar Beach2Road,
Southold, NY.
Please return to the Building Department for a determination on the
need for any other permits which may be required for this project.
Very truly yours,
John M. Bredemeyer, III
President, Board of Town Trustees
JMB: jb
cc: Bldg. Dept.
CAC
File
FORM NO. 3
TOWN OF SOUTHOLD
BUILDTNG DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
....~..v,. ~'~....q..~ .~.: ...........
.....(..~,,~(..~,...~..~...../(. ~/ ,
PLEASE TAKE NOTICE that your application dated ... ~ .................. 19 ~.
Location of Proper tyh3~? .... ~~~. ~,~. ~~ .... ~~~
Cou~t~ Z~x u~v ~o. ~000 s~tio. .... ~[ ...... ~o~ . .oZ ......... lot ... ~ .....
Subdivision ................. Filed Map No ................. Lot No ..................
is returned herewith and disapproved on t~.e following grounds j/~...~g~..~~
,~..~.~ ~ ~~..~..~.~. ~ ~~..' ~ ~
.~. ~ .... ~~..~ .... ~:..~.<.~.~. ~
~~~..~... ~. ~...~~..~..~.
~~ ..................................... : ........
.... > ........
· ~,...~~ ...... ~,:.~............~~ .......
RV 1/80
.~OARD OF HEALTtl ............
FORMNO 1 3 SETS OF PLANs ............
· SURVEY .....................
TOWN OF SOUTHOLD CIIECK ............
BUILDING DEPARTMENT ' ' .........
SEPTIC FORH ................
TOWN HALL
NOTIFY ~
CALL
INSTRUCTIONS
a. This application must be completely filled in by type~vriter or in ink and submitted to the Building Ifispeetor, with
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan shelving location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of l.;,yout 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
shalIIbe 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
.q/all have helen granted by tile Building Inspector. '
APPLICATION IS HEREBY/vIADE 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 butidings, additions or alterations, or for iemo~,nl or demolition, as hexein described.
Idhe .appli.can~ agr. ees to comply wit~ all applicable laws, ordinances, building e housin,, ,, ·
mzt aumonzed respecters on premzses and in buildin- for necess--, a ...... ,_g e~ad~ ---:~.., cO/~nd reoulatmns, and to
· ....
, . ..../ ...... ¢¢xt
. · -- :: ....... ~ ......................
[ (Mailing address of applic:~ ........
State wtmther applicant is owner, lessee, agent, architect, engineer, g!~efal, contractor, electrician, plumber or builder.
.....
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of c~rporatc officer)
Builder's License No ............................
Plumber's License No .........................
Electriciarl's License No ................ : ......
elbe/Trade's License No ......................
Location of land on which proposed work will be done;
House Number : Street ' .............................
H I
am ct
,yv ,,,, pN.O.q/. i · O/
Coun ax a o. I000 Section .............. Block 0,~" ,"
· · · Lot ............
Subdivision ..................................... F, iled Map No.
(Name) .............. Lot ............ j..
St~te existing use and occupancy of prcmises and intend/cd nsc and Occnpancy of proposed col~:~ruction; -
b. Intended use and occupancy ..
3. Nature of ~vork (check which applicable): New Buildin.g .......... Addition .......... Alteration ....... ; · .. · ·
5 ]fdwel}~ng number of hvclling units Number of dwelling units on each floor
Ifgaraee numberofcars '
6. Ir business, commercial or mixed o~cupaney, ~pecify nature and extent of each type of use ....................
7 Dm ens'ons of existing stmctmes if any: Front Rear Depth
tlei~ht Nuulbe* o f Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions ofentire new construction: Front ............. Rear .............. Depth
tteieht Numbe) of Stories
9 Size of lot: Front Reai Depth
I0 Date of Purchase Name of Former Owner '
:] ~. Zone or Use district in which premises are situated
Does [,~o[,osea construction violate: any zoning law. ............................................ ordinance or regulation: ...... ~ ~... ~. ~ ....
13. Wnllotberegraded .: ...... g~ ....... : ........ Will exeess fill be removed from premises: Yea~.
I ~ Name of Owner of premises ' Address Phone No
Name of Architect Address Phone Ho
N~e of Contractor ........... ~ ...... i ........ Addres~ ................... Phon~. · ,.'. ·; .. · i ....
15.1~ this property loeate, d w~.thin 100 feee of a eldai ~eeland?~a~a~--~O ....
~If yes, Southold Town Irustees Per,it may be requlred~
PLOT DIAG~M
Locate clearly and dist~ctly all buildings, wheflmr existing or ~roposed, ~d, indicate MI set-back d~ension~
property Hnes. Give street and block number or description according to deed, ~d show street nines and ~dieat~ whet}}er
APPrOVeD AS NOTED
[., NOTIFY BU L~NG OEPA~N~AT
STATE OF ~';EW...~O.,,_~L~ .~.~ _ ~ S.i.S
COUNTY OF .....
..............' ' ' ........ IT
(Name of individual signing contract)
76B-'~802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
~f. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4, FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
being dnly sxvorn, deposes and says hat be ts thc applicant
, .
H~ is Ihe ' ' . .
(Contractor, age it , corporate officer, etc. )
of ~aid owner or owners, and is duly ~authorized to pefform or have pcrfmmed the said work and to m~e and file this
application: that all statements contaified in this application are true to tim best of his knowledge and belief; and that thc
Work will be 0erlbrmed in the manner ~ct forth in thc aFFlica~ion ~led thcre~vith.
Sworn to before mc this ~ ~ · . :'.
......... ?. ........ ~ voC ........ , ~.~.
........ ........... ............ .......