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HomeMy WebLinkAbout19218-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19270 Date AUGUST 6~ 1990 THIS CERTIFIES that the building DECK ADDITION Location of Property 710 PARADISE SHORE RD. House No. Street County Tax Map No. 1000 Section 79 Block 05 Subdivision Filed Map No. SOUTHOLD Hamlet Lot 02 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29~ 1990 pursuant to which Building Permit No. 19218Z dated JULY 25~ 1990 was issued, and conforms to all of the requirements of the ~pplicable provisions of the law. The occupancy for which this certificate is issued is CONSTRUCT A DECK AS BUILT. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A WILLIAM & ROEEANN SCISCENTE Building' Ins~~~ Rev. 1/81 l~OR~ NO. 0 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) 921 t', Z Permission is hereby granted to: , ,o ......... ~~.;,-~.....~..Z.'~.~ ........ ~. ..... ~.n~ To~ Map No. i00o ~c,,o~ ..... Z..~ ....... B~k ~ Lot No. ~--~ pursuant to application doted ..... ~ ........... ..~......~......., 19...~....~., and approved by the Building Inspector. Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS '~f'H,}O~(~'} BUREAU OF ELECTRICITY j~-- B5 JOHN STREET. NEW YORK, NEW YORK 10038 Date ~'J:-~';~hl~;i~, '~f~'~)~ Application No. onfile ?~(~),~7~/~ ~ ~?~0 o~y the ~lectrlcal equipment ~ ~seribed below a~ int~duced by the applicant ~med on the a~ve application number in the prem~es of in thefollowing location~ [] Basement [] Ist FI, [] 2nd Fl, ©JYI' Sectlon Block Lot and found to be in comphance wtth the requtretnents of tts Board. DRYERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO, OF CC COHD A. W G, PER ~ OF CC COND NO OF HI-LEG AWG OF HI-LEO [O' OF NEUTRALS AWG OF NEUTRAL OENERAL,M~NAOER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlals. COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i . APPLICATION FOR CERTIFICATE OF OCCUPANCY '!' · · i. This application'must be filled in by t'ypewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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 Underwrite~s. 4. Sworn state~ent from plumber certifying that the solder used in system ~ 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. B. For existing buildings (prior to April 9, 1957) non-conforming use~, or buildings and "pre-existing" land uses: l. 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 I. 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 Aew Construction .... ~.~.\... Old Or Pre-existin~ Buildir~....~ .......... · Street Hamlet Onwer or Owners of Property.... . ' ' ~ealth Dept. Approval .......... ................ Underwriters Approvai....'~.. ...... App ' "'. Planning Board royal ................... .: · Request for: . TemporaFy Certificate ........... Final ~,~ .... VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD July 6, 1990 Mr. william Sciscente 89 Kingsbury Road Garden City, NY 11530 Dear Mr. Sciscente: The application for the deck building permit is incomplete. It does not show construction details, location or survey. You also neglected to submit application for accessory shed. The location must be indicated on a survey. Please submit these papers immediately with appropriate checks. Very truly yours, Southold Town Building Dept. Vincent R. Wieczorek Ordinance Inspector Encls. (3) BLDG, DEPT. TOWN OF SOUTHOLD FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ................. 19... ~. ~ ~ "~pp ^ roved · .. Disapprovert a/c .............................. BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY .... C~EGK . .~74~... .. SEPTIC FORH ................ INSTRUCTIONS tBuddmg Inspector) APPLICATION FOR BUILDING PERMIT 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 t~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 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 call he kept on the 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 Sbuthold, 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 inspections. (Sionature ot applicant, or name, ff a corporanon) ......... iMail;ng address o} ap~ii~ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .ameorownerofprem~ses lg. .~..¢X. O.%.¢.'.~.~y~ ~ I o~ ' CY . . (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. Builder's License No. ~exJ~Jz4./ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done; ................ .-l. 4 ~..C..,3..~. ¢.t~ ~..~ s.L~..~. House Number Street, County Tax Map No. I000 Section ...... f.~..' ...... ........... Hamlet ..................... Block '~ Lot ~ " Subdivision ..................................... Eiled Map No. (Name) ........ Lot . State existing use and occupancy of premises and intended nsc and occtlPancy of proposed construction: A. ~x~t~,g u~e and occupa,oy ........ 0.~..¢ ~..~,.~,~. Intended use and occupancy ........... .... 3. N~ture'of work R~pair ....... ' ' ' ' ' ' ' · ~' ....... R!emoval] .............. Demoht,on .............. Sw~mm-nllll~-t~.llql~. .. ,~ ,.... T~ennis Court ......... Accessory Building . F~ce ....... Other~k ~ :77 .... 7... *. timatedCost .... I ........... Fee : . . ~ ; (to be paid on filing this appllcatioh]} ..~ ' of dxvelling uni!s Number of d veiling units on each floor 5. It]dwelling, nmnber ............... ~ .............. If~garage, numbcrofcars ...... ............................................................. ,.. ~i. Il' business, commercial or mixed oqcupancy, specify natt, rc and extent of each type of usc ......... 7. D,imensionsofcxistingstructurcs, ifany: Front.., ............ Rear ............... Depth ............ Number of Stories Height, ................................................................... . 'imensions of same structure with alterations or additions: Front Rear , } Depth ...................... {eight . . . ..' ' ...... ~.,~. ......... Number of Stories .......... ; ~ ..... 8. D'imensions of entire new constmctinn: Front ..... [~,. ' .... Rear ............... Depth ...ur ........ H:~eight Numbe~; of Stories · 9 Size of lot: Front ' Rear Depth 0 Date of Purchase ; ' Name of Former Owner I. ZOne or use district in which premiies are situated ...................... 2. D~oes proposed construction violate}any zoning law, ordinance or regulation:. .............................. . 3. ~ill lot be regraded ........... ! ................. ~Viil excess fiT[be removed from premises: Xes ..... No.. 4. Name of Owner of premises 1~¥[~ .~ .~.o~.q~..~. ~ess .'J.l.O..~.~.t~S.~. ~.~'~O~hone No..'.'l.~.' .[..~ .~ .~.~... N~ame 15f Architect ............ ! .............. Address ................... Phone No ................. Name of Contractor ' ' Address Phone No ' I5.I15 this property loc4tteld within 300 feet of a tidal wetland? *¥E.q .... }10 .... *if yes, Southold Town ~ruatee~ Permit may be required. PLOT DIAGRAM Lo'cate cleazly and distinctly.all b~iIdings, whether existing or proposed, and. indicate MI set-back dimensions from ,rope~y Hnes. Give street and block number or description according to deed, and show street names and indicat~ whether ateriolr or corner lot. (check which appli able): New ding ........... Addition ... ~(....,. · Alteratmn ..... ..~[ ...... ;TAT}~ OF NEXV YORK, 2OU~TY OF ................. .................................................. being duly sworn, deposes and says that he is the applicant · !. (Name of individualmgnm~ contract) tb°veinamed. is [he i . i (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly :iuthorized to pe,rform or have performed the said work and to make and file this ~Pplic~tion; that all statements contained in this application are 'true to the best of his knowledge and belief; and that the york {viii be performed in the manner sot forth in the application filed therewith. ;Womi~to before mc this ' ' ,/7 %tary Public ............. County (...\