HomeMy WebLinkAbout19683-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No ' Z-19983
Date JUNE 14~, 1991
THIS CERTIFIES that the building
Location of Property 3275 SKUNK LANE
House No.
County Tax Map No. 1000 Section 97
Subdivision
ALTERATION & REPAIR
CUTCHOGUE~ N.Y,
Street Hamlet,
Block 9 Lot 10.3
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 27~ 1991 pursuant to which
Building Permit No.__~19683-Z dated FEBRUARY 28, ~991
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 REPAIR & ALTERATION TO FRONT PORCH OF EXISTING ONE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to
VERONICA TRAMALONI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
PENDING - JUNE 6~ 1991
Rev. 1/81
Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to~ . .
...........
,o ...... ~ ....... .z- ........ ~.i...~ .........................
........................................ /..1....~3~ .................................................................................
"-,,,,n,,,, To,, Mo,, ~o. '000 s,¢tion ...... ~..~. ..... BloC', ......... 'II... ......... Lo, No ..... /.~..~...
,,u,,,,on, ,o o~',~,,,,o,, dot,,,, ...... .~...~.~....~...~ .......... . '~.r/., o,,d ,,pp,o,,e,, ,,,, ,',e
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-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 Buildlng - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..~..~.f../.~.~ ....................
~ew Construction .... ~ ..... O~d Or Pre-existing Building .........
Location of Property.. ~.~.. -~ .-~..~.~-~.- ...~.-..~.%....~..~.~.~..~..~. · .4 ~ .~.' i i i iJ~ ~-~
House No. Street Hamlet /
)nwer or Owners of Property. '~'-~' . ........ ~ ...... j.~7..f..~.. ~~.A~..
my 1000 .~.2 ~ /~'~
~oun Tax Map No , Section .......... Block. ...... . .... .. .Lot .................... . .
;ubdivision .................................... Filed Map ............ Lot ......................
'ermit No. /~ Z ~ - ~-~ ~. ~ .~..~.~...L~..
............... oa~e Of Permit.. ........ .. Applicant..
[ealth Dept. Approval .......................... Underwriters Approval ........ · .................
'lanning Board Approval ........................
lequest for: Temporary Certificate ........... Final Certicate ...........
'ce Submitted. $
t f ...... ......... ...........
eO~.~/,~ APPLICANT
TOWN OF SOUTHOLD
OFFICE OF BUILDING IN~'PECq'OR
P.O. BOX 728
TOWN HALL
$OUTItOLQ, N.Y. 11971
May 2, 1991
Greg LaPiere
30 Spectacle Lake Drive
Lake Ronkomkoma, NEW YORK
11779
TEL,I,,765-1802
lie: TRAMALONI
TO Whom This May Co~cern,
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)
/~/~o Underwriters Certificate on file.
/5/ The check is(~t on file.) $25.00
/_-/ No lIealth Dept. Approval on file.
/_--/ No final ins.pection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit tt [ 9 6 8 3 Z
Buildinq Dept.
***/5/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
cc to: Veronica Tramaloni
3275 Skunk Lane
Cutchogue, N.Y. . 11935
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~NAL
REMARKS: ~
INSPECTOR
7G5-'~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ J FOUNDATION ZND [~]~ATION
[]FRAMING [L~/'FINAL
REMARKS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[~MING [ ] FINAL
REMARKS:
6S-1802
DING DEPT.
ECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE
765-~.~02
BUILDING DEPT,
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[//]/'FRAMING [ ] FINAL
DATE
~i~LD ~.S~a~lON o~ ' ~ DATE COM~gNTg ~ ~ ~
FOUNDATION ( ls t)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
.PLUMBING
Z
INSULATION PER N.
STATE ENERGY
CODE
Ye
FINAL
ADDIT!ON~L COMMENTS:
BLDG. DEPT,
, TOWN OF SOUTHOLD
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
· ~0 UTHQLD.. EL'~_ ll[17 t
TEL.: 765. 1802
BO,NED OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
c,,Ec ' ;;2,'t ...............
SEPTIC
C^LL ......
HAiL TO:
(B 'ldl ~ I )
APPLICATION FOR BUILDING PEFiMIT
INSTRUCTIONS
a. 'rlds application must bc Completely filled in by rypewriter or irt ink Snd submitted to th~ Building. l. acpcct~r, wi. ti
set~ of pla.% ~'~',,rate plot plan to scale, t=e~ =ccorrting to schedule.
b. Plot pkm showing location of lot and of buildings on premises, relationship to adjoining premise: or public :trot
or arcas~ and giving a detailed description of layout of property must be drawn on thc diagram which ix par~ of thSs
cation. '
¢~ The work covered by this application may not be commenced before issuance of Bu[Idlng Permit.
'cl. Upon approval of this application, the Building Inspector will issucd a Building Permit to the appiic:mt. Such
shall be kept on the premises available for inspcction throu-_hout the WOrk·
e. No building shall be occupied or used in whole or i-n part for any purpose whate%'er until a Ccrt/licate of Occupmn:
shall have been granted by the Building Inspector.
APPI. ICATION IS HEP,~B¥ MADE to the Building Depm-tment for the issuxnce of a Btfilding Pc~it ?."xrt~ t
~uild!n[ Zone Ordinance of thc Town of Southold. Suffolk County- New York and othe- .~,.~:~-X, '[" ' ~ .. nt ~ t.
- , __ufldm=s, add~tmns or alter , or fo ' ' ' , ·
~dm:t authorized insnecmrs c~ '~r,,~ ..... S'V'-Z-.'7,:---; ...... .m~, (/ouuamg co~:/n~sjj~.,;o~; ann regulations, cad
[Mailing address of apFllcrmt)
Stalte Wh. etber applicant is own.er, lessee', agent, architect, engineer, general contractor, electrician, plumber or builder
(as on the tax roll or latest deed)
fappllc~nt is a corporation, signature of duly authorized officer.
Builder's License No .... ~. ...............
Electric'an s License Nol . . .
Olhcr Tradc's License No .....................
Location of land on which proposed work ~vill be done//
. ,
. ' ....;./..~. · .'.~... b. .............
ilouse Number ' Strcct. // ' ' ' '"" ~'I .........................
~ubdlvJsion ..................................... F. il,zd Map No,
(Ns,ne) .............. Lot ...............
$~c exi~Hng usc "nd occupancy or premises 3nd in~cndcd usc und occnp.:,nc¥ or proposed construction:
A. }'xiSrin~ uso and occupancy ...... . ........ ..
B. 'lot:ended use arid ~ .............. ~ ........
Repair ... ~. ......... R/~moval .............. Demolition ............
Tenn£s Court .....
4. Esnmatcd Cost .: .................... · .... Fe .....
(La be ~azd on filing th~s a0~hcatmn}
5. If dwelllng, number o f dwelllng unita ...... ~. ....... Nnmber of dwelling units on each flo°r-
lfgara:e numberofcara ''
6. If buxineax, commercial or mixed occupancy, spccif~ nature and extent of each type of use .........
7. Dimenxion~o~existngxtmcturcs, ifany Front.. Z2~ ...... a~=~ ............. Dcpth..~..
Hcmbt ..~ .......... NumberofStories ..................................................
Rcar
Dimen~iong of same structure with altcration~ or additlon~: Front ................ · ................
Depth ...................... }Ici~t ......... / ......... ~. Number of Stones ........
10 Date of Purchase ........... Name of Fo~cr Owner ............................
I I. Zone or use district in ~vhich premises are ~ituated ................................................ . . . .
[2. Does proposed construction violate any zoning law, ordinance or regulation: ..... - .........................
13. W~l lot b: reg~ded ............. '..~ ..... , ...... Will excc~s fill be removed from pr~:
14. N~e of Owner of vrem~&C¢~t~ r,:.~<~.'. Addre= ................. VhoneNo .........
N~e of Architect Address Phone No .
N~eof~ontraCtor ' Addrex~ - .. . ...phoneNo ...............
· If yes, Southold Town Trustees Fermit may be required.
PLOT DIAG ~M
Locate cle~ly ~d dNt~ctly ~1 bu~d~g~, whether'existing or proposed, ~d. indicate ~1 set-back
~ropeny ~nes. Give street ~d block number or desehption accord~g to deed, ~d show street~es and
TATE OF NEW YORK, S.S
OUNTY OF .................
................................................ being duly sworn, deposes ;md says that he is the appli=::'
(Name ofindlvidual signing contract)
JOVe nam'cd.
e ix the ........................................... : ....................... ; ....................
(Contractor, agent, corporate officer, etc.)
· said owner or owners. ;md is duly authorized to perform or have performed the said work and to make and file ti:
plic2tmn: that all statements contained in Ibis application are trnc lo thc best o£his knowledge and belief; and that t::
Tek will be peri'om]ed in the re;tuner set forth in the application filed thcrc~vith.
~orn to bcl'orc me this
...........'""' ' /" '/""" =' ;;::..'.5'..;: .....
Tern fxpices twcn ~',
' '