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HomeMy WebLinkAbout19459-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19538 Date NOVEMBER 27~ 1990 THIS CERTIFIES that the building Location of Property 195 BUNNY LANE House No. County Tax Map No. 1000 Section 117 Subdivision ACCESSORY NEW SUFFOLK, NEW YORK Street Hamlet Block 6 Lot 21 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9~ 1990 pursuant to which Building Permit No. 19459-Z dated OCTOBER 9, 1959 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 ACCESSORY GARAGE IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to JOSEPH & MARION ARENA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARI~4ENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 /~uild[ing Inspector TO~N OF SOfT, OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COd~PLETION OF THE WOP. K AUTHORIZED) NO- 1945..! Z Permission is hereby granted to: . ~ .... I_~.~~.....g~ .................. .~.~.~:--..?J~L~:.~.,.....u..~.... , , ,o ..~...~.....g....~~....~.~...~,....~...~,~ ...... at ,.em'.e.~'ocot~ at ...L.~..~.."~"-~ .~.~ ........ ~.~ ................. .~ I County Tax Map No. 1000 Section .... ~./...~.. ........... Block ......~..~.. ......... Lot No .....~ .............. pursuant to application dated ....C:>..~..~.....~.. ...................... , 19..~..0., and approved by the Building Inspector. .... ; Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD Form No. 6 TOWN o: SOUTHOLD BUILD' .fG ! ZrARTMENT - 55-18C ? 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 9pre-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. 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 - $i00.00 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 ~ew Construction ........... Old Or Pre-existing Building ................. _~ d Location of Property ................................................................. ~. ..... House NO. Street Hamlet Onwer Owners of Property County Tax Map No 1000, Section ........... Block.......... ...... Lot. . . Subdivision .................................... Filed Map ............ Lot ...................... ? ?..~..? . .~Dat [.~.ll?f/.'.~.O.. ' Appli / Of rmit Permit No ...... e Pe ..... cant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... o APPLICANT TOWN OF SOUTHOLD OI:FICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 NOVEMBER 23, 1990 JOSEPH ARENA 195 BUNNY LANE NEW SHFFOLK, N.Y. 11956 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the fol~owin~ reasons. /_~ An application for Certificate of Occupancy is not on file. ENCLOSED /5/ No Underwriters Certificate on file. ~_--~ The check is~x~not on file.) $25.00 /Z/ No Health Dept. Approval on file. /5/ No final ins.pection has been made. Please contact our office on this matter. Thank you for your cooperation. Dui]ding Permit t~ I 9 4 5 9 Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing bein~ issued after April 1,1984 ) FOUNDATION (1st) FO,UNDATION (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ]/~4DATION ZND [ ] INSULATION FRAMING [ REMARKS: DATE INSPECTOR ~~~/~% 765.1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [, ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE / ~) INSPECTOR~ , ,* ~' dF 4LUMINUIV~ SHED ON TIMBER FOOTING, N/F CONSENTINO KOUROS_ . ~ 190 ' CM 190' N/F SLEDZIESKI NEW SUFFOLK AVE. TM 1000-117-E-21 MAP OF DESCRIBED PROPERTY SITUATE NEW SUFFOLK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY. SURVEYED Z OCTO~E,R, 1~90 SCALE I = 30 SURVEYED for JOSEPH ~ I~IA'RION G. ARENA GUARANTEED UOSEPH E~ TOWN OF TO: MAR/ON G. $ OUTH OL D Gm,rent.. bdicated Iw~ en dm# nm prepared, and m hb hehaff ~ ~ ~le company~ ~over~ent~[ ' $uRV£YED BY': ARENA STANLEY U. ISAKSEN, JR - PO. BOX NEW SUFFOLK, NY,, 11956 ~he Land Sur~eyo~ en~,:~d ~1 ~$ ~t~ ~d~r~ ~ eva~ ~Y. NY~c. 49273 ~ LU~INUM SHED ON TI~8£R FOOTING KOkROS CM I N 78~ W NJF CONSENT/NO 190' N/F SLEDZIESKI NEW SUFFOLK AVE. TM 1000-#7-~21 MAP OF DESCRIBED PROPERTY SI TUA TE NEW SUFFOLK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED ocro ,fR, 179o SCALE I = 30 SURVEYED fo~ JOSEPH 6~ i~A'RION G. ARENA GUARANTEED TO: dOSEPH a .MARIO/~ G. TOWN OF SOUTMOLD Guarantees J Iiem ~ dim only to the penon for whom lb is prepared, and on his behalf to lb t~tle compan¥~ ~overmental Agency, efld~flg Jnsfit~'fion~ if #sted hereon, a~d ,- ~ assignees of Ihe lending ~.uarentees are not transferable 1o edditional imtltulflms or ~.bsequent ewnert SURV£YE~ BY: ARENA STAN£EY ~. ISAKSE/~, JR P.O BOX 294 NEW .~UFFOL~ NY., 11,9.56 · e ~ew Y~ ~ E~ taw. BLDG. DEPT, % FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765.1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ....... ::..: ...... SEPTIC FORM ......... . Approved ...l~Y~...~. ~..~.., 191~.0 Permit No J ~ ~'~"~ ~ Disapproved a/c ............. ~~~~ (Building Inspector) APPLICATION FOR BUILDING PERMIT NOTIF%~ ,--~ ~! ~ ..... ~.~( MA~L TO: Date ' 19 INSTRUCTIONS 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 appli- cation. ¢. 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 Permit to the applicant. Such permit shall be kept on tile 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 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, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for l:emoval or demolition, as herein described. Tile 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 n?cessary _inspe._ctions~. ......... '' '(§"''ti'' 'f' 3t~l[''t;''~a''' if''' ~'i~ .... ')''' igna re o a can or me, a co ora[ion ..........' (milingaid;essof State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name o wner of pr raises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate offige, r-)--- · Builder's License No..~ Plumber's L ce, ns(No .............. El cflN¢i'~ 's L' N C an 1ceBsc O ........ Other Tradc's License No ...................... I. Location of land on which proposed work will be done; ', }louse Number Street, Halnlet " cou.,y Ta. ,\,ap No. ,000 S c,o. ..... /./..7.' ....... Blo k ........ ........ ....... Subdivision Eilcd Map No ..................................... · Lot (Name) ........................... · · 2. St~te existing nsc and occupancy of premises and intended use and occnpancy of proposed construction: A. Existing use g~d occupancy .................... B. Intended use and occupancy ................................... .......................... 13i h bi ): Additi Alto ation ~ '. · 3. Nature ofwork(checkw c applica e New Building ...... ... . on . ......... r .......... Repair .............. Rl~movai .............. Demolition .............. SwJ-mmzng pqpl: Tennis Court ......... ~ccessory Building .......... Fence ' ~t' E ' {~,4~tO{3 t ~ · ...... u ncr Work; ..... ; .... .. 4. st~mated Co ...... 1 ........................ Fee .................................... ' i (to be paid on filing this application} s 'rdwe,ing number oCdwe.ingun ts ' Number of dwelling units on each floor Ir garaee, number of cars .... 2"~...~..~... ................................................... 6 If b di 'f h typ · usiness, commercial or mixe occupancy, spem y nature and extent of eac e of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ............... Depth ............. Height ..... .......... Number of Stories ...................................................... Dimensions of same structure wRh alterations or additions: Front ................. Rear ............... Depth .................... ~. Hmght ..................... Numhe[ of Stones .......... ,' '. ~ v ..... 8. Dnnensmns of entire new construction: Front ............ Rear .......... Depth ........ Hight Nub rofStories ' 6 '"'" · lZ ct. ront.............. . ... ................ . . e ............... 10 Date of Purchase ' Name of Former Owner I Zone or use district ..... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................. 13. Will lot be regraded ......... i ................... Will excess fill be removed from premises: . Yes .... No,.,. ' " Address Phone No 14. Name of Owner of premises "'''"i ............................................... " Name of Architect i Address , Phone No Name of Contractor .;. ' Address Phone No 15.Is this property located within 300 feet of a tidal wetland.* ~¥gS .... NO .... mil yes Southold Tow~ Trustees Permit may be required. · , PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or comer lot. ~ofo3e 1~ ~c/q~h-8~-- ! ..... 7 ........... f STATE OF NEW YORK, COUNTY OF ................ . (Name of individual signing contract) above named. t ~t' " being duly sworn, deposes and says that he is the applicant Fee is the i ' i (Contractor, agent, corporate officerl etc.) of said owner or owners, and is difly authorized to pegform or have performed the said work and to make and file thi~ application; that all statements coOtained in this application are true to the best of his knowledge and belief; and that th~ work will be performed in the manoer set forth in the application filed therewith. Sworn to before me this ..... .. ...Z"~ ..............day 91. ..... <)?...r.~. ............ 19q. q. Notaw vubhc,/ .......... ~'''i .................. County RIOHAR~ NONICARROW NOTARY PUBLIC, STAT~ OF NEW YOR~ No. a~2a~,&. Qualified m~'toc~O'~unty (Signature of applicant