HomeMy WebLinkAbout18899-z FORM NO. 4
TOWN OF 50UTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20711 ?ate MAY 7, 1992
THIS CERTIFIES that the building ACCESSORY
Location of Property 225 MAPLE STREET GREENPORT N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 42 Block 1 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 19, 1990 pursuant to which
Building Permit No. 18899-Z dated MARCH 21 1991
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 AS APPLIED FOR.
The certificate is issued to MILDRED CORAZZINI.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-195309 - NLY 9 1991
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
rosai 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)
N o 8 S 9 9 Z Date 19.nl..
Permission is hereby grouted to:
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t0 abi~~.~Gl~~......~......al.RC2i7CTL~6k......
at premises located at ..d~...~.~'..1....... s~.
............................................5~ /..'F.GQr~',l~,i
County Tox Map No. 1000 Section ........T...~....... Block ........d~.......JLot No..........1~........
pursuant to application doted 19...:.x, and approved by the
Building Inspector.
~ o~
Fee
Buil g Inspector
Rev. 6/30/80
Form No. 6
;~ii TOWN OF SODTHOLD
~ BUILDING DEPARTMENT
~ t?~ MAY $1:3:~~ TowN HALL
~ tit,, ~ 765-1802
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i
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` 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 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.
2;. 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 ....MAY 5. 1992
New Construction........... Old Or Pre-existing Building
Location of Property.... 225 Maple Street Greenport, N.Y.
. . . .
House No. Street Hamlet
Onwer or Owners of Property............ MILDRSD CORAZZINI
County Tax Map No 1000, Section...... 42.....B1ock......1..........Lot.... 16
.
Subdivision ....................................Filed Nap............Lot......................
?ermit No...18899:?......Date Of Permit.. 3~?~~92......Applicant., MILDRED CORAZZINI
lealth Dept. Approval ..........................Underwriters Approval.........................
Manning Board Approval
:e quest for: Temporary Certificate........... Final Certicate.....,.....
'ee Submitted: $.....?S:QQ
CD ~o?O~~'~P APPLICANT
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JOIt/1 iTR[t1'. MRW Yt7NIK.l~Mf
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MR.HENRY COTAZZIMI, 5'19 MAPLE ST., GkEF,NPOR'P, N.Y.
in tkefoNerehtRtecNisM/ ? deee4nent ? Irt fl. ? !nJ FI. GAR _ Se'tlen y~
tsp erelniwed en MAY 1. $ ,1.991 end fetntJ to 6e in comptiOnCe ait14 the eeµokaNeMt4l+~RI~-1ed/.
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765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING FINAL
REMARKS:
C
DATE ~ ~ ~ INSPECTOR
~y~'= BOARD OF HEALTH r.....
D ~ ` ~.o 3 SETS OF PLANS ~c~L
~ ~ ~ ~ FORM NO. 1 SURVEY ~ ~a
TOWN OF SOUTHOLD CHECK . • •
~f BUILDING DEPARTMENT SEPTIC FORM ~ _
TOWN HALL
TOWNiGF SOOTtHOLl3 ~ SOUTHOLD, N.Y. 11971 NOCALL I~~:. J,^`~ y3.. .
J TEL.: 765.1802
D MAIL T0:
ExaminedJ~/~ 19 .
Approved 19 F~ Permit No.. 8~:/~..
Disapproved a/c .
.............................~_.~~~~TV•~• .~'L.......
/ (Bui g Inspector)
APPLi8ATi0 FOFi BUiLGiNG PERMIT
' Date : ~(,1G!.... 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 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 azeas, 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
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building 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 necessa~ry~ in~yspections. _ _ +
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ~ ! ~ d./'.2Q'.... lr. ~4~~.. ~ .
(as on ~~/tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR'S MU$,s BE ~SSUFFOLK COUNTY LICENSED
Builder's License No. /,~~.7, pl~1.~....... .
Plumber's License No . .
Electrician's License No.
Other Trade's License No . .
1. LocRtiQn~f land on which proposed work will be done
. .
House Number Street Hamlet
County Tax Map No. 1000 Section v~....... Block Lot f ice........... .
Subdivision Filed Map No. Lot .
(Name)
2. State existing use and occupancy of premis//e//s and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....//.~~''.TJO~~ .
b. Intended use and occupancy ....(~~,e~6Gs
. .
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