HomeMy WebLinkAbout19519-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~2RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19597
Date DECEMBER 20~ 1990
THIS CERTIFIES that the building
Location of Property. 8200
House No.
County Tax Map No. 1000 Section
Subdivision
ADDITION
SOUNDVIEW AVE.
80UTHOLD
Street Hamlet
059 Block 09 Lot 01
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NO¥. 8, 1990 pursuant to which
Building Permit No. i9519Z dated NOV. 16~ 1990
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 AN EXISTING ONE FAMILY DWELLING & POOL.
The certificate is issued to MICHAEL PICUCCI
(owner)
of the aforesaid building.
SUFFOLK COUN55f DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
g Inspector
~0~ NO. 0
TOWN OF SOIJTHOLD
SUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
CONIPLETION OF THE WORK ^UTHORiZED)
N~- 19519 Z
Permission is hereby granted to:
~ ........ .:-...~ ............. ?.z~..' ................................ . _.
,o ...~.~.....~.......~....~.......,~...~...~.,..........~..o..~....~
~.,~...~Q ~ ........... ~ .................................................... ~. ..................................
.......... '~ ............. Z""~ o ~ , C% '~ .... -.-,n ,~
at premises located at ....~.....~.....L~..,...,~.?..~....~ .................................
County Tox Mop No. I000 Section ....... ..C~....~.~. ..... Block ...... .~..~. ........ Lot No......~..~ ..............
pursuant to application dated .... ..~..~~ ...... ~ ......... , 19.~..0..., and approved by the
Building Inspector.
,/
Fee $...~ .............
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N-~ 19519 Z
County Tax ~ap No. 1000 Section ...... L',,,C~,.,~.~..~. .... Block ...... ...q~...~ ....... Lot No ..... ..~....! .............
pursuon, to' oppllcotion doted ..... ~.....0~..~.~::...,..,~.. ........ , 19..?..~.~. omi opproved by the
Building Inspector.
BulJdlng Inspector
Re,,.. ~/3o/8~ .
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
ATION 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 ail 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.
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:
i. Accurate survey of property showing ali 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.
i. Certificate of Occupancy - New dwelling $25.00, Additiohs 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 DEC. 13 1990
xx Old ildi
~:ew Construction ........... Or Pre-exis~ing Bu ng .................
Location of Property ~p~ ~9p~VIEW AVE. SOHTHOLD
House No. Street Hamlet
0nwer or Owners of Property MICHAEL PICUCCI
County Tax Map No i000, ' 59 09 O1
Section ............. . Block ...... ..... Lot
Subdivision .................................... Filed Map ............ Lot ................. . .
Permit No,,,J9519Z . D Of 11/16/90
........... ate Permit. . Applicant .......
Health Dept, Approval .......................... Underwriters Approval .... . .....................
Planning Board Approval ..............
Request for: Temporary Certificate ........... Final Certicate..xx
Fee Submitted: $... 25.00 q~ ~
z/ A ' P cucc
., ................................................
FOUNDATION
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
OFVICE OF BUILDING INSPECTOR
P.O, BOX 728
TOWN IIALL
SOU I'IIOI.D, N.Y. 11971
December. 3, 1990
TEL. 765-1802
Mr. Michael Picucci
140 7th Ave.
New York, N.Y. 10011
To Whom This May Concern,
We are urlable to complete your Certificate
of Occupancy because .of the following reasons.
/_~/An application for Certificate of Occupancy
is not on fil~. (ENCLOSED)
/ / :1o Under:vrlters Certificate on file.
/~/__ The check is(~XR~l~l~/not gu file.)
/-_/ No Health Dept. Approval on file.
/_~/ No final inspection has been made.
$25.00
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit Jl 1 9 5 -1 9 Z (DECK)
Buildinsf Dept.
***/_--/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
_NOTE: B.UILDING PERMIT & CERTIFICATE OF OCCUIiANCY IS
REQUIRED FOR ACCESSORY SRED. APPLICATIONS ENCLOSED.
,~25.00 FOR BUILDING PERMIT }25.00 FOR CO
TO V i OF SOUTLIOLD
OFFICE OF BU1LDING INSPECTOR
P.O. BOX 728
TOWN IIALL
$OUI'IIOLD, N.Y. 11971
December 3, 1990
TEL. 765-I 802
Hr. Hichael Picucci
140 7th Ave.
New York~ N.Y. 10011
To Whom This May Concern,
~.?o are unable to complete your Certificate
of Occupancy becau3e .of the following reasons.
/_/~ An application
is not on fil~..
/-/ :;o Underwriters
/-/
for Certificate of Occupancy
(ENCLOSED)
Certificate on file.
The check is(~X~)~/not ou file.) $25.00
~;o !lealth Dept. Approval on file.
~':o final inspection has been made.
P]ea:;e contact our office
Thank you for your cooperation.
Buildinq Permit
Building Dept.
on this matter.
fl ! 9 5 -1 9 Z (DECK)
~Io Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1904 )
~OTE: BUILDING PERMIT & CERTIFICATE OF OCCUPANCY IS
REQUIRED FOR ACCESSORY SHED. APPLICATIONS ENCLOSED.
~$25.00 FOR BUILDING PERMIT ~25.00 FOR CO
BLDG. DEPT.
TOWN OF SO~UTHOL~
Exan, ined 199.
Approved .~L)...02~3-:~...~....J'.G.., 19 9.~ Permit No. J.~ .~../..~.~
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved a/c .....................................
..............
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK .........
NOTIFY~
CALL. 2~-..1~90.
MAIL TO:
........
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, 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
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apph-
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 Pcrmit to the appt/cant. Such permit
shall be kept on the premises available for inspection throughout the work.
c. 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 Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, mid other applicable Laws. Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for iemoval or demolition, as herein described·
The applicant agrees to comply with all applicab"~e laws, ordinances, building code, housing code, and regulations, and to
admit authorized insp_ectors On premises and in building for necessary inspections.
(Signature, of hppl}cant, or name, fffi co~t~o'rr;t'u~)n')' ' '
(Mailing address of applicant)
State
wh~ther
owner, lessee,~'~ge~ architect, engineer, general contractor, electrician, plumber or builder.
applicant
is
Name of owner of premises .. ~.. ..... . ..............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plum her's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
I. Location of land on which proposed work will be done;
}louse Number Street, Halnlet ' ' .................
C tyT M pN 1000S ti "~q ' BIo ~ /
oun ax a o. ec on · ck ......... ' L '
Subdivision ..................................... Kited Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use aud occupancy of proposed construction:
B. Intended use and occupancy ........ *-.~ ............................................
~' .;. teration ..... .';~,',-- "..
3. Nature of work (check which applicable): New Building .... Addition ·
. ~ ' . . .Soimrain
Reomr .............. Romov~l .............. Demobtlgn ...........
~ T~nls Court ......... A~cessory Buildlu§ .... ~ .... Fence ....... .Other ....... ~...
~4~. '~stlmated Cost..~.~.t.~O.O, · · [ ........................ Fee ............ . ....
~ i (to be paid on iH,ng trna apphcation)
' of dwelling units on each floor
$ If dwelling nmnber of dwelling uhits Number .....
If garage number of cars ' ' ........
~. If business, commercial or mixed Occupancy, specify.nature and extent of each type of use .............. . ........
' Rear Depth
7 Dimensions of existing structures !if any: Front · ·
Num bler o f Stories ' ' ·
Height .....................................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ...................
' Height ' Number of Stories
Depth ................. ... . i .............................................
8. Dimensions of entire newconstrulction:. Front...,.....' ...... Rear .,............. Depth ...............
Height Num?r of Stories '
Sizeoflot' Front /°°'2<Z~'° Rear Depth ..................
~ Name of Former Owner
l0 Date of Purchase ! ..................
1 1 Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .................................
13. Will lot be regraded ......... i ......~ ......... :. Wiil excess fill be removed from premises: . Yes .... No..
14. Name of Owner of premises ./r//~ .d~..,5<... t~./.~,.'%C-g:.,-Address ~..~-c:%~.... Phone No .................
Name of Architect..........l.............-..Address ................... Phone No .................
; ' Address Phone No :
Name of Contractor ........................................................ . · -.
IS.Is this property located within 300 feet of a tidal wetland? *YES .... NO ....
mil yes Southold TownI Trustees Permit may be required,
' PLOT DIAGRAM
Locate clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all ~et-back dimensions from
property lines. Give street and block number or description according to deed, and show street nLgrnes and indicate whether
interior or comer lot.
Pool deck is wood frame. Top is Douglas fir and has
~e~al fence· ~eck is 18'6". X 23'4'.
NOTIFY 8[.I~LDt~G DEPARTMEN~ Ar
785-1802 9 AM TO 4 f~M' ~OH THE
FOLLOWING INSPECTiO~V$]
1. FOONDATION TVVO ~EOUIDED
FO~ POURED CONCHET~
2. ROHGH ~ FRAM}NG
3. INSULATION
FINAL CONSTRLJC~ON
8~ COMPLETE FOR C.O
ALL CONSTRHCI'ION SHALL M/ET
THE REQUIREMENTS OFJ THE N Y,
STATE CONSTRUCTION & ENERGY
CO~ES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTIO~N ERRORS
OCCUPANCY OR
USE IS IJNLAWFUL
OF 0CCUPANC¥
STATE OF NEW YORK, I S.S
COUNTY OF
·,..,,~/. ~'~,-~%.,..~M~r~L~..7 .~....L.~............... being duly sworn, deposes and says that he is thc applicant
. (Name of individual sig~ing cohtract)
above named. , :,
(Contractor agent corporate officer crc )
of said owner or owners, ~d is d~ly authorized to pegform or lmve perfo~ed the said work and to m~e and file this
application: that all statements co~tained in this application are true to the best of bis knowledge and belief; and that the
work w~l be perforated in the m~ner set forth in the application filed therewith.
Sworn to before m~fis
..... , ........ .,.
,No, 52-46258~Z ~ (Signature of applic~t-
Qua?ified jn Suffolk Coun~