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Home My WebLink About19872-zNo Z19996 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date JUNE 19, 1991 THIS CERTIFIES that the buildin~ Location of Propert~ 45300 MAIN ROAD House No. County Tax Map No. 1000 Section 75 AGRICULTURAL BUILDING SOUTHOLD Street Hamlet Block 06 Lot 9.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15~ 1991 pursuant to which Building Permit No. 19872Z dated MAY 17, 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 ALTER & REPAIR AN EXISTING AGRICULTURAL BUILDING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED__ N/A JOSEPH & ANGELA FRISTACHI //uil~ing Inspector Rev. 1/81 FO~ NO. $ TOWN 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) N_* 19872 Z J ..-/ 193.1.. Date Permission is hereby granted to: ~ ............. :.~ .......... ~ ........................... J , ~ I~ ' I .. ~'~ .................... .~..~.. ......... ~..~., ........ ~..~ .......... ~ OJ~t~u. '~ ' ~-" ~'' '-~ ' '~' ~ ~' ~' ,o at premises located at .~.~..~.~...~. ...... ...~...~....~., ............~.~.~.. ................................... County Tax Map No. 1000 Section ..... ,,(~,?...~.."~.. ..... Block .....,,.~.,,,,~.. ....... Lot No.....~, .:....~.~.. ......... pursuant to application dated ......... ..~......~.....)...~.~.. ................ , 19..~..[., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD ,,; ¢¢.~.¢~..,__,.~ ........... ':~ , BUILDING DEPARTMENT 765-i802 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 prqperty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 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.Submi~ 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. '. 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 Qertificate of Occupancy - $5.00 over 5 years - $i0.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Con~ercial $15.00 ew Construction ........... Old Or Pre-existing Building.. ocation of Property ..~2~'~ ~~/(L'~ ~ r House NO. Street Hamle~ ...................... Filed Map .......... Lot .............. ,rm&t No. · te Of Permit. . · Applicant 'alth bepr Approval ' ' ........................ Hnderwr2rers Approval arming Board Approval .... quest f~r: Temporary Certificate. Final ................... FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY Ye CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [] INSULATION INSPECTOR TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 728 TOWN IIALL SOUTtlOLD, N.Y. 11971 June 14, i991 TEL: 765.1802 Mr. & Mrs. Joseph Fristachi 45300 Main Road Southold, N. Y. 11971 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the foll. o%~ing reasons. /~/ An application for Certificate of Occupancy is not on file. /--/ No Underwriters Certificate on file. /_~ The check is (f~Pk~i~/not on file.) $25.00 /_--/ No Health Dept. Approval on file. /_--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Dui]ding Permit It -.L -9- --8 . 7 _~2 Z Bu.[ lding Dept. ***/_--/ No Plumber Solder Certificate on file. all perlnits involving plumbing being issued after April 1,1984 ) FORM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ,pproved .~ 9~. ~..'~.., 19~. J. Pernut No J.~. qsapproved a/c ..................................... (Buildiug Inspector) APPLICATION FOR BUILDING PEi BOARD OF HEALTII ......... SETS OF PLANS .......... SURV£Y ................... CIICCK .................... SEPTIC FORH .............. Date ........... , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 J 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 3reas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- .ion. c. The work covered by this application may not be c'bmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~11 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 :i1 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 ilding ,Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicaole Laws, Ordinances or gulations, for the construction of buqdings, additions or alterations, or for removal or demolition, as herein described. · applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and reg}dations and to nit authorized inspectors on premises and in building for necessary inspections. ..... (Signature of app icant, or name, if a corporation te whether applicant is owner, lessee, agent, '~?~ii~¢ii(J(~4O general contractor, electriciandplumber ot l~uilder. ..................................... ~,. &.,, ./T'.~ ............ . ............ .-. ....................... ne of owner of premises (as on tile t~.at roll or latest deed) ' pplicant is a corporation, signature of duly authorized officer. ,' (Name and title of corporate officer) Builder's License No .......................... lumber s License No ......................... Electrician's License No. Other Trade's License No ........... Location of land on whkh proposed work will,he done .................................................. Hamlet ....... ' ;ounty Tax Map No. 1000 Section ............ Block Lot .ubdivision ..................................... Filed Map No Lot (Name) .............................. rate existing use and occupancy ofprer~ises and intended,,~e~and occupancy of.proposed construction: . Re ' ~ ~ ~ i~ole): ~,~ew DUlmlng .......... Addition .......... Alteration ,epa.u- .............. Removal .............. Demolition ..... Other Work ............... 4. Estimated Cost .... ' escr n F ' · , (to be paid on filing this application) 5. If dwelling, number of dwelhng uhits ............... Nnmber o f dwelling umts on each floor. · If garage, number of cars ...... [ ............... 6. If business, commercial or mixed ~ccupancy, specify nature and extent of each type of us'e ..... .-.. g . .' ........... ~4Ulnb r of Stories ......... · · pth .............. Dimensions of existing structures bif any' Front .............. I ear ........ . fftmenmons of same structure witfi alterations or addi'tions' ~"r~,; ......................................... zaepth ....... . .... · ............. Rear. 8. Dimensions of entire new constru4 ............... ~,mlnocr al atones . tion: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ....... 10. Date of Purchase ..... ~ ~, '~ ...................... oeptn ..... · ",' '~ .......... ' ......... Name of Former Owner ........ ' ' l 1. Zone or use district in which premises I re situated Does proposed Construct on Vlolat; ...... :_,, .. · · · '. .......... ............. . ........... [ 2. .,y ,'.um~g Pa , oral or regulation:, . .... : ........ ~ ..... 13. Will lot be regraded ........ 7~ ......... .w. .... n~l~l~;xcess fill be removed from premises: Yes ~ 4. Name of Owner of premi No scs ....i ....... Address Name of Architect ' [ ................... Phone No ................ ....................... Address ................... Phone No ................ Name of Contractor ....... 1' · Address ................... Phone No .............. ;. 5. Is this property within 300 feet of a tidal wetland* *Yes ..... No... · If yes, Southoid To n Trustees Permit may be required. ' ..... "'. i PLOT DIAGRAM Locate clearly and distinctly all bdildings, whether existing or proposed, and. indicate all set-back dimensions from ~roperty lines· Give street and block number or descriptioh according to deed, and show street names and indicate whether :lterior or coruer lot. A?PRqVED AS NOTEI FEE: ~'~'~)' ' BY:~ N~I~ BUILDING DEPARTMENT AT 765-1802 9 AM ~ 4 PM ~OR THE FOLLOWING INSPECTIONS; i 1, FOUNDATION ~O FOR POUREO CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTIO~ MUST 8E COMPLETE FOR C.O ALL CgNSTRUCTION SHAL~ MEET THE REOUIREMENTS OF STATE CONSTRUCTION & ERGY CODES. N~ RESPONSIB FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR , USEIS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY '\TE OF NEW [~O~RK_~.~.~-.4' S S UNTy OF ..'~..~.,~ f-~/l/ · · ~ ~O/~... ......... .... ~ · · .~ .... ..g..t. be' . . . . ..q~I~ mgdtly (No,ne of nd v dual ~/~g contract) . ye named· ~s tim ~.~ ~ (Contractor agent corporate officer etc) ............... aid OWner or owners ~d s du y authorized to perform or have perforumd the said work and to make and file this 'ication; that all statements contained i,n this application are true to the best of his knowledge and belief; and that the k will be perfo~ed in the m~ner set forth in the application filed therewith. m to before me this ........... ?.--¢,.,e,%day ~.ry PubJie ............. '....~ . k ELIZABETH ANN ~ Notary Public, State ~ No. 62-8125850, Suf Ilk Coq~ty~ Term Expires October: t.1 sworn, deposes and says that he is the applicant