HomeMy WebLinkAbout19526-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20400 Date DECEMBER 10, 1991
THIS CERTIFIES that the building NEW DWELLING
Location of Property 510 THE CRESCENT EAST MARION N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 30 Block 2 Lot 31
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 16, 1990 pursuant to which ~
Building Permit No. 19526-Z dated NOVEMBER 19, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & DECK AS APPLIED FOR
The certificate is issued to MICHAEL & SANDRA J. BERNARDO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL_ 87-SO-244-NOV. 1, 1991
UNDERWRITERS CERTIFICATE N0. N-205877 - SEPT. 30, 1991
PLUMBERS CERTIFICATION DATED OCT. 1, 1991 - PECONIC PLUMBING & HEAT.
i~
Building Inspector
Rev. 1/81
:ir + R.
I
FD1iiM NO. 8
TOWN OP SAUTNOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
I`
No 19 52 b Z Date ~..a::.~:......!..4........, 19.9.a
i
Permission is hereby granted to:
.i.. ~.:4.Q-~I.~.....~a-~:-
to .~~:!:`.':'3~nx:Fr~.f&:.....~ ...f~Y+?:LX:(.~....J..~..,?p .~.l.a.YF~St~....C+'.Yd.N:C~`4?d.S..._.....
R.°~...I~~...~.,..~... ....r...7.)-~s-°...c~~r~~...tea.-~!:~p::,~l..(c.89.S. ~
.
r
f of premises located at ..................~*1.r'..........~........~~9......~~E~~'1
i
t
County Tox Map No. 1000 Section ......w3:~......... Block Lot No.....~...~............
pursuant to applicotion doted ..~'Gll~l:!~i:....~..~P••••••••••, 19.94?.., and approved by the
I
Building Inspector.
Fee $..~..~.~..!.~:0
~a-:~-
Bui Inspector
F
Rev. 6130/80
a . ~
aosai xo. s
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)
Na ~ 6 ~ 9.a Z ~~.~..3
Date 19.
Permission is hereby granted,~o:
..~~~'.~:~:-...,....art...,/,/..~..~.rf~,~.~.. 'yf s~
to ~i~%?p!~~,kfF~...rf7TM.:. ~"".4~z " " - ~..Grl.!!!n~.••.~~.~..~..~~T
at premises located at ....~..''../..t;?'........... .~4.'!~!?~
............................................,~~..~7~.~'......................................................................
Caunty Tox Map No. 1000 Section Block Lot No.........~/.........
pursuant to application dated ................/r.~~..............................., 19.~~ and approved by the
Building Inspector.
~7
' Fee .~:y
y J~~~
/ ~ 8~~~ mg Inspector
Rev. 6/30/80
Form No, 6 ~°'~~l
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 19, lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible fox the building.
` ~ 6. Submit Plannin Board A
g pproval of completed site plan requirements.
B,, 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 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date r`d;-;~~~9.L.
\ew Construction..... Old Or Pre- xisting Building
Location of Property.... ~........~.4. ~2~s~,z;`~!T ~iA~T...l~.~;~./z1 ~?K1......
House No. Street Hamlet
,Onwer or Owners of Property...~?!~+:C~:~:.~..Y?~tc~lq.~'~:'..,~'.~nQNR4t-IJU
County Tax Map No 1000, Section.....~~.......B1ock......~........Lot... 3.I
Subdivision......... .................Filed Map............Lot......................
Permit No..l.~.......Date Of Permit.....~~ ~t.(°[.~~.Applicant. ~~:C.~'.~la~'6"'~~.......
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate.
Fee Submitted: $
C' 6 ~ c7~~~Q • . • • APPLICANT
TEL. 765-1802
O
c~~~POLYCOI~ TOWN OF SO~JTTBIOb,~
..c OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
u' F'~' .2 TOWN HALL
O ~ ~ `r SOL)THULD, N.Y. 11971
i~~l ~,~p
C E R T I F I C A '1• I O N
V
Date_~~/6!~~~ /99
~ ~
Building Permit ~Njo.
Owner ~i„fi~,4e~ ~~~tJN~J
tplease print)
' PlumberlLL"t~?//G ~~Grr~h/~vi~~1%%vy
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1; lead. ,
C °
- 1 ber's signature)
Sworn} to before~m this
day of L/t_`~ r" /1
191L_• Notary P blic
Hotar~ Public, ~ County s~~aA~easrs:PNCS~asta
f Natary ~ukli„ Stata of New York
No. s7s,2
Qusliti~d in SuffolEC County
Commission EnSSiras~ARareFi-~U, if~.F
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TM~E tEW 1fE3ltK ~ OF (~tR£ t~N~#MTERS vA~r. ~ v
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f16 JOHN fFM!'rT'. N/,W Y0111C. NiW YOfIK tOQ8f1
ak SF~P'!'F:MHY,N 30,199) Ap17KrttonNo.owJUr 573$;r.ORd/AR » i(;K~7'7
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INSPECTORS OFFOL
(516) 765-1802 ~0$ I{~C
VICTORLESSARD,Principal ~0 ®G SCOTT L.HARRIS,Supervisor
CURTIS MORTON, Senior ~ y~ Southold Town Hall
VINCENT R. WIECZOREK, Ordinance o P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire W ~ Southold, New York 11971
Building Inspectors ~ • ~ Fax (516) 765.1823
THOMAS FISHER y~f~.~ ~ ~ao~ Telephone (516) 765-1800
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 2, 1990
Michael & Sandra Bennardo
1 Gilbert Lane
Plainview, N.Y. 11803
RE: BP16895Z ONE FAMILY DWELLING WITH ATTACHED GARAGE
AND DECK
Dear Mr. & Mrs. Bennardo:
I am writing to you regarding the above permit. This permit has
expired and you have never called for a final inspection. You
do not have a Certificate of Occupancy for this dwelling.
If all the work is finished please call our office for an
inspection. If you still have work to do a new permit will be
>;equired.
If you have any questions please contact our offic ,Thank you.
Yours truly,
~I~' v~"~
Secretary
` S ~
OUIJDATION (1~ ~ ,
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OUNDATIOW (2nd) - m ~
. ~m~j---~~ Nor' ,
z
HUGH FRAME
Pry
PLUMBIN
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7SULATIOA! PER N. Y. ~ ~ ~
STATE ENF.AGY ~ r y
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DATE ~ ~ INSPECTOR r~~
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BUILDINti DEPT.
INSPECTION
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T65-1802
BUILDING DEPT.
INSPECTION
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D
ff! FORM NO. 1 SURVEY A.~(~
APR • I I~~~~ ~~i` ~ TOWN OF SOUTHOLD C~~fiCK - RZ~- - -
L~/~ BUILDING DEPARTMENT SEPTIC FORM
s~.nu.ocs=r. TOWN HALL NoTTFY
TOWN UP souTwol_D ;OUTHOLD, N.Y. 11971 9~7~ ~3G
~ TEL.: 765.1802 MAIL To:
Examined 19 a~ / 9 .SoZ (v / q/
Approved ~~!i/........, 19`!! .Permit Nol ~~~~~b'-7~
Disapproved a/c .
) r.~,....
`r~ (Bull e Inspector)
APPLICATION FOR BUILDING PERMfT
Date 19.. .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of p[ans,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 appli-
cation.
c. The work covered by this application inay 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
shall be kept on the premises available for inspection throughout the work.
j e. No building shall be occupied or used in whole or in part for any purpose whatever until a Ceztificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the $uilding Depaztment 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 buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary insp t s.
r~...
(C~- gna e of applicant, or name, if a corporation)
a
(Mailing address of applicant) / i
State whether applicant i owne~essee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ......'.°.'.~C.H!t~G.. t~~..~!?,~!S~>2~1 , t?`z rt^.t?}-2{? C~, .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No . .
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . ~ /d
1. Location of land on which proposed work will be done. _ C/i_ P SG;~j
~p
..l.f; i3~'iC.@...`~(?lkzil........ ~.JI`i'C. ~AlLi.7nJ
House Number Street Hamlet
County Tax Map No. 1000 Section .........-SU...... BIock Lot
Subdivision Filed Map No. Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...~~~t L fl1^! ~ .
~ ~ tvY \~-1u-
b. Intended use and occupancy ......l...~.~M )~~1 , . , , , , , , , ,~,r.r..
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