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