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HomeMy WebLinkAbout19895-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19967 Date June $1~ 1991 THIS CERTIFIES that the building Location of Property 995 HAYWATERS ROAD House No. County Tax Map No. 1000 Section 111 Subdivision ADDITION CUTCHOGUE~ N.Y. . Street Hamlet Block 4 Lot 3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20~ 1991 pursuant to which Building Permit No. 19895-Z dated MAY 28~ 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 EXISTING DECK ADDITION TO ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH BATTAGLIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 FOw:ae NO. II TOWN OP $ou'rHOLD 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_o 19895 Z Permission is hereby granted to: ............................. .... .0.,~~...~...,..':1 ....... l.../..~...~..~. ...... ,o...~ .......... ~....~..~.......~.~...~. ............. ~ .......................... ~..~......~..~~......~......~.....d~..~.;~,.k.O ........ ~ ......................... at premises located at .~..~..~......~.~=~..~ ........................ ~~~ .................... Co..w Tox Mop No. lO00 Sec.on ........ I..U. ......... mo~k ...... ~...~. ....... Lot No....C~..3. ............. Building Inspector. Fee $..~ ................... Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD 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 archiuect 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 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 . ~.c~. ~ ~_... ~ J~. ~ .~. ~. [ ................ ~ew Construction...~ ..... Old Or Pre-existing Building ........ i i .ocation of Property .......... g .............. House No. ~ Street Hamlet O of Property ~ ~ ~-~. ~ ~ ~.~ ~ ounty Tax Map No 1000, Section .............. Block ................ Lot ...................... ubdivision .......................... Filed Map Lot ......... ermit No. . ..... Date Of Permit ........ .. ... ...Applicant. ...... .. aalth Bept Approval · Underwriters Approval [anning Board Approval ........................ ~quest for: Temporary Certificate ........... Final Certicate ........... ~e Submitted: $ .~..~., 0 ~ Co9_ ) q q fo'-) aPPLICANT TOWN OF SOUTHOLD OFFICE OF BUILDING IN~PECTOK P.O. BOX 728 TOWN HALL SOUTI{OL~), N.Y. 11971 May 31, 1991 TEL.,,765-1802 GEORGE PONTINO STILL~ATER AVE. CU?CHOGUE, N.Y. 11935 To Whom This May Co,ncern, RE: JOSEPH BATTA~LIA We are unable to complete your Certificate of Occupancy because ,of the following reasons. / /_~ An application for Certificate of Occupancy )s not on file~ (ENCLOSED) /----7~I©Underwritoro Certificate on file. /_~// The check is(~_~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. Building Permit t~ ] 9 8 9 5 Z BuildJ. nq Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbin9 being issued after April 1,1984 ) T INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM /%/0. 1 TO'A,~ OF SOUTHOLD BUILDING DEPAaTMENT TOWN HALL · 6L.: 765.180~ APPLICATION FO~ BUILDIN~ PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS ......... SURVEY CHECK ................... CALL INSTRUCTIONS Date .~j~. ~. w..~ a. Tiffs application must be Completely filled in by typewriter or in ink and submitted to the Building I~ne.c'tn~ sets of plans, -',cc,_,rat~ plot plan to scale, lace aCCording to schedule .... , b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pan of tkis apl: cation. ' c. The work covered by this application may not be commenced before issuance of Budding Permit. -d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perrr shall be kept on the premises available for inspection throu?~hout the work. ¢. No building shall be occupied or used in whole or ~n part for soy purpose whatever until a Certificate of O¢cupnn~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department fur the issuance of a Building Permit pursuant: to ti Building Zone Ordinance of the Tcwn of Southold, Suffolk County,.New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, m' for removal or demolition, as herein describer Tile applicant agrees to comply with all applicable laws, ordinances, bui/ding code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections... · . ( P if a co~por:ltlon') ' ...... .C.~. ~;.¢ ~,.· ~. ~,.~... N.,.% ........ (Mai~ng address of at~plicant) ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, 'electrician, plumber or builder ~.. ..... '/....~ ............. ' (ason the ta.~ roll or ~'t;~'jje'~'~' - - If applicant i~ a corporation, signature of duly authorized officer. n t t o co r) ....... Builder's License No .... [~..~'.~'.Yz:-./~' ~ Plumber's License No .......... Electrician's License No ...................... Other Trade's License No .................. Location of land on which proposed work will be done: IIousc Number S/reel T: ............. q~.c~/4, Ha~nlet A'g- -. Coun,y ra.~,~l~, No. lO00 S~c,on ....¢r~.. (.~l...: Block .~. Subdivision.. ' ............... Lot...~'~.. .... ........... ~.il ~ ~I ~ /.~.6'. ........................ c ap o. St~t (Name) ' · ...... Lot ........ d fp nd i ....... e ex Sting use an occupancy o rcmiscs a ntcndcd rise and occupancy of proposed construe on: I. Existing use and occupancy ..... . ....... . B. Intended use and occupancy.~...~.~, gc~M'_~o ; 3. Nature o£work (check which appl cable): New Building .......... Addition .......... /~lteration Repot .............. ?o ai .............. D.molit on ......... Sw:.=:n= Tennis CourtS ....... ~Ccessory Building .......... '~e ....... Other Work; ...... 4 Estimated Cost ~ "· · Fee(ts ha oaid on filing this al~plicntion~ $ - I£ dwelling, number o f dwelling un ts ............ Nu .... , .......... ngaraee, numner of cars .... ~ ............................... c'a ................. [ ...... 6. If bumncas. Commercm[ or m~xe occupancy, specify nature and extent of ch type of use ................. 7. Dimensions of existing structurei if any: Front ..... . .......... Rear ............... Depth ...... Dimensions o£ same structure wiih alterations or additions' Front ..... '.. ' ....... Rear ......... ' Depth .................... !.. Height ........... i ....... ~au'.,.~.~ ,.r ~t,~rics .......... 8. D~mcnsmns of entire new constnlction. Front ..... ,~ .............. '~. -- ' ' ,e,=.~ ............... Numb. er of Stories .............. ; ..................... · . . 9. Sizeoflot'F?ont ... (O~, ,O./ .. . · .... > ' ' 10. Date ofPurchase i {.O.,::3. ........... Depth ,~/~.&, ........ .. . ' .......................... Name of Fo,'~,-r c~,,,..r ......... 11. r ...... '"' .................... z. one o use restrict ~n wluch prermses are situated. ~'.~*,]o~T"~, ................................. 12. Does proposed Construction viollte any zonin,, l~,v ~ ~' · · w..,, ,_~ ~. - . m, ~ _ = .__, urulnamce or regulation: . .~a..-, ........................ ,,. ...... .... ','. ....... W,i e c= f, li remo ;d ,om 14. ncr of premise~ O .%~,~.~ .1 u~a~°~'/~ ~"--... Address ~,~a~.. .,............/4't~¥-q ~T-' Phone No.,~w°~ .-O~'g]7'0'.` ..... Name of Architect .......... . ......... . ....... Address ................... Phone No ....... ~ ..... Name of Contractor .~. ~.qsc~; .~/¢Jqq~.fu-~ ...... Address ~,'['e~o.%&e~. ....... Phon¢.~No. ~. T:~i..~ .g'...' l.~.I.~ t-h. ia property loc~ed within'lo0 feet of a t~dal wetland? '-YES .... · If yes, Southold Tow~ Trustees Permit may be required. PLOT DIAG ILAM Locate cleazly and distinctlynll~buitdmgs,i ' ' whether existing or proposed, amd. indicate ~11 set-back dimen:ior.: .. property lines. Give street and block ' umber or description accqrding to deed, and show stree~ noanes and indicate we:e::. interior or comer lot. ' STATE OF NEW YORK iS , COUNTY O~:~ ..... .......... ..ST .... ~ ~: ............. r~ ........... . (Name ofindividual sign ngcontract} above named. NOTIFY ~, ~oUNDAI'R3N applica:- .~~ 'FOR 1-~ is tile ........ ' . . 2. ~t~u~,L~ ., . _ ' .................... ~ · ~l( ~N ............ ~ (Contractor, agent, corporate o~' "~-~ ~' aDplic=tion: that nil sta,e,nent~ conti ined in tl~i~ npplicntion are true to ~l,e~tt 8~:~= ~ ~M~e~d thai work wili be perfommd in tim m~ne~r set forth in the application qlcd therewith. ~E~mt: ' Sworn Io before me rids S'rAT~ CONSTrUCTiON ~ NO~WPublic, Slate of Now York