HomeMy WebLinkAbout18720-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218695 Date JAN. 5, 1980
THIS CERTIFIES that the building ADDITION
Location of Property 440 SOUND AVE. PECONIC
House No. Street Hamlet
County Tax Map No. 1000 Section 67 Block OI Lot 04
P/O OF
Subdivision PECONIC SHORES Filed Map No. 117 Lot No. 8 & 9
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 29, 1988 pursuant to which
Building Permit No. 187202 dated JAN. 4, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to ANGELOS GEORGIO
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
`-N~_
uil ing 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 fl 18 ~ 2 ~ Z Date ..l/~ .............a..,....,.................., 19..
Permission is hereby anted to~ Q
dec.~~u...A.~ .~1~....~,~6~
..~~~-..o...~:......~~..~............7.~,f,.......
ct premises lnca" tad of GGy(/..L~,r/.ft,G,~,,
....................................................~fir./..~...
Caunty Tax Map No. 1000 Section ..../..:ra..~....... Block .......1............ Lot No.......T
pursuant to application dates ......k!y!.?~! 19~.., and approved by the
uGt~re~~ /2~~
building Inspector. U
pD
Fee
.............T ......I..^~~... .f...............~Z,,,.........
wilding I actor
Rev. fi/30/80
D ~ ~ FORM NO. 6
TOWN OF SOUTHOLD
( J~t Building Department
i(i Jx~ ~ ,w- n~~a Town Hall
~t aye, T Southold, N.Y. 11971
- ~ Fl~1n~N F S~UTHOLD 765 - 1802 '
""~'4 °T=b.. •..~„~.q„„o~ APPLICATION FOR CERTIFICATE OF OCCUPA
Instructions
A. This application must be filled in typewriter OR ink, and submitted •~r~r to the Building Inspec-
torwith the following; for new buildings 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 of Health Dept, of water supply and sewerage disposal-(S-9 form or equall.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pxbperty showing alt property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate et occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.0. $ 20.00
S.Undated C.O. $ 50.00 Date
NewConstruction,,,,,,OldorPre•existingBuilding Vacant Land
I
Location of Property 1.~~...."•guli! Ly. ..L° CQ!!1.1.x
House No. Streett Hamlet i
Owner or Owners of Property e.~~.~ ....(,9: ~~.t Y•
County Tax Map No. 1000 Section Block Lot .
Subdivision .................................Filed Map No. ..........Lot No.
Permit Nd ~7°~.~ . Date of Permit ..........Applicant .
Health Dept.Approval ........................Labor Dept. Approval
Underwriters Approval ........................Planning Board Approval .
Request for Temporary Certificate .....................Final Certificate .
Fee Submitted $
Construction on above described building and permi pe%,e/{~~s~all appl' a le codes and regulations.
Applicant......... D"-""i...
aa~.,e.,e.~a ~ 3 s Y a ~
Sli ~ ~ ~ /'J~_
6P ~g~,aoz as
co z.Ifr~95
.
~~c~~~~~~c~l~
VICTOR LESSARD Q~ ~ ~ ~ Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR ~ a ~ P.O. Box 1 179
~ ~=`a: 4= C Southold, Naw York 119.71
(536) 765-1802 WW~~"i, • ' ~
FAX (516) 765-1823 ~~//f~ Ra~°~j~
6J,t b~ 6
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 2, 1989
Mr. Angelo Georgio
228-OS Hoxie Dr.
Bayside, N.Y. 11364
Re: Premises - 440 Sound Ave., Peconic, N.Y.
Suff. Co. Tax Map IE1000-67-1-4 `
Dear Mr. Georgio:
On June 29, 1988, you were sent an Order to Remedy Violation
for construction of a wooden deck at the rear of your house without
a building permit. You were also notified that a survey of the
property was required. We received your application, along with
two checks totaling $75.00 for the building permit and certificate
of occupancy, but we did not receive the survey. We are returning the
checks because they are now outdated. Please send us a survey and
new check so that we may resolve this matter.
According to the Code of the Town of Southold, Article XXVIII
Chap. 100-28] and 100-284, a building permit is needed for Che
construction of an addition to an existing dwelling. It is unlawful
to use or occupy a dwelling without a Certificate of Occupancy.
In order to avoid any legal action, you must correct. the
above violation immediately.
Thank you for your cooperation in this matter.
Very t3•uly yours, i
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
GJF:gar
encl.
oS~FFOI/(Co
VICTOR LESSARD ~ 1 Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR ~ ~ P.O. Box 1179
(516) 765-1802 ~ • ~ Southold, New York 1 1971
I~AX (516) 765-1823 ~01 ~ ~~0
OFFICE OF BUILDING INSPECTOR
TOWN OF 50UTHOLD
November 15, 1989
Mr. Angelo Georgio
228-05 Hoxie Dr.
Bayside, New York 11364
Re: Premises - 440 Sound Ave.,
Peconic, N.Y.
Suff. Co. Tax Map #1000-67-1-4
Dear Mr. Georgio:
In reference to the telephone conversation with our office
this morning, please be advised that an updated survey showing
the exact location and set-backs of the wood deck is required.
Kindly send updated survey to this office as soon as
possible so that we may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
GJF:gar
FORM NO. 5 y
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
MOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION yy
Date ...al 19..~I
ANGELO GEORGIO
TO
(owner or authorized agent of owner)
440 Sound Ave., Peconic, N.Y. 11958
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance m NO BUILDING PERMIT
Other Applicable Lows, Ordinances•or Regulations
at premises hereinafter described in that Construction of a wooden deck at the
(state character of violation)
'rear of the house without a permit.
in violation of Chapt. 45 Section 8 Paragraph A
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned forthwith on or before the IMMEDIATELY
day of ......June 29, 1988
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
440 Sound Ave., Peconic,
..................................................................County of Suffolk, New York.
1000-67-]-4
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
~i
f! ~ .
Building Inspector
t ~ ~
Memorandum from .
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWN IIALL, $OUTHOLD, N. Y. II97S
765-1802
June 29, 1988
Dear Mr. Georgio:
The Building Inspector, Mr. Gary Fish,
asked me to let you know that before a
Building Permit or Certificate of Oc-
cupancy can be issued a survey will be
required.
Please send a survey to our office.
Thank you.
~ ~e
_ Secretary
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BY C/N6` OF ,5/,~,y WA~'.C.( M.qg~ l:
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A P VEO AS NOYEO
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NOTIFY BI11L NG DEPARTMENT A7 n
765-1802 S AM TO Q PM FOR HE -
FOLLOWING lNSPEC71pNS: ~
t, FOUNDATION - TWO REQUI ED O
FORPOUREaCONCRETE z
Z. ROUGH -FRAMING 8~ PLUMB G r'"~~~~ ~ ~ a o
3. INSULATION ~ ~.d
Q, FINAL - CCNSTRUCTION M ST '
BE CAMPLETE fOR C.O. ~r~~ ~
ALL CONSTRUCTION SHALL M ET
`I
THE REQUIREMENTS OF THE .Y. ~ ~ L ~ ~ ~
STATE CONSTRUCTION ENE GY 8 ~ ~ ~ ~ ~
CODES. NOT RESPONS ;,E OR
DESIGN OR CONSTRUCTION ERR RS ~ ~ 8 Q
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Zy 11 ~Q wx< ~ ~a ~
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vOU~/O ,f//EI~V •4t~ENUE" t~
~ ~ ~ V ~iSOUNO AV~/1J~/E> A
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.•,~~U o;,,~_ ~ BOARD OF HEALTH
3 SETS OF PLANS .
z y~pp FORM NO.1 SURVEY .
~~OU ,I TOWN OF SOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
FlLDU. pF.~'f; TOWN HALL
TOVUrt~ ftF soinlaoi_o~~ SOUTHOLD, N.Y. 11971 NOTIFY
TEL.: 765.1802 CALL
MAIL T0: o{~.~ '-0'S~
Examined 1~g~~ ¢ ~ ..~Q~
Approved 19~!/..Permit No. ~~/..rf.`~~' /~3 6
Disapproved a/c /
.
~I 1 w ~
& JUN 2 91988 ~ . /
( uildi nspector) w~/ti
st.cr. t7t;~r. APPLICATION FOR BUILDING PERMIT
y 70\M!V f7F Sftll7F#01_17 ~ _ ,
Date ..1..~ 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
'~~r 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
shall be kept on the premises available for inspection( throughout the work.
e. No building shall be occupied or used in thole 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 removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing c de, and regulations, and to
admit authorized inspectors on premises and in building for necessary ins io s. •
( ature applicant, or nam~rporauon) .
(Mailing address of applicant) •
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ....-J!!~el~s. ~+~••~~••r~1~ts?.•••••••••••••••.••••••••••••••••••••••
~~~V...JII (as on th~'tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. . P.!~. • . • • • • .
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . .
I. Location of land o which proposed work will be done. ~....~?.C.~IJ(.>4~.....I:`"a!
e-~Jr.~~~.~....,r~
House Number `'Sti~r et Hatnlet
County Tax Map No. 1000 Section ....~7..7.: • Block 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 ~ • • • • •~~~,~n! .
b. Intended use and occupancy ~:4^•'n-Q!• • • • • .
Natpure of work (check whiRemgplicable): New Building Addition Al~~tio~ .
3 Re air val . Demolition Other W ? .
' (Description)
4. Estimated Cost `~3.(~c~- Fee , , .
n ' g be aid on Ellin this a hcation)
5. If dwellinb, number of dwelling units Number of dwellin uni P on each floor ...PP , ; , , , .
If garage, number of cars . i , .
7. Dimensions of existin structure occupancy, specify~nature and extent of each type of use . . . .
6. If business, commercial or mixe s, if any: Front . Rear . . Depth .
Height ...............NumberofStorics....,.....................,......,.....................,
Dimensions of same structure wjth alterations or additions: Front Rear .
Depth . .Height , , ....Number of Stories . , .
" 8. Dimensions of entire new construction: Front Rear . , , . ,Depth , .
Height Number of Stories , .
9. Size of lot: Front Retir D pt
~ . ~
101. Zone or use district in ,Nhich pre ~ • • • • • • • • • • ' • • Name of Former Owner U R.?.' ~ ~Ct'1. ??.i.~, ~ . .
misesaresituated
12. Does proposed construction violate any zoning law, ordinance or regulation : .
13. Will lot be regraded r. ..Will excess ill be em,9ved frf~m premises: Yes No
14. Name of Owner of premises y~,¢.~OS ST~O sr.~l S~Address ~r~"~'.Q ~ .CfQI~~ .~f~'Phone No.~l/6.'~ :z2q-607
Name of Architect . ......................Address ...................Phone No, , .
Name of Contractor .......Address . .Phone No....... .
IS.Is this property located within 100 feet of a tidal wetland? *YES....NO.... '
*If yes, Southold Towq Trustees Permit may be required. _ •
PLOT DIAGRAM `
Locate cleazly and distinctly all ~ buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot. I ~s~ ~y~
~P ,f ° ~ ~ 1
16
1
i I
~VI
STATE OF NEW Y RK, S.S
COUNTY OF .
• • • • • • • • • • • • • • . • • . • • • • • • • • . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
Iieisthe
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
t~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
:iworn to before me this
...:.........G~~..~/..,,....day~/of,../~.... 19~.
iVotary Public, 1~?1.,71 .•.',~ilL U~, , County
NEIEN K DE ~ ~w Yak .
NOTARY PUDIIC, State
Term•fzares
Mer~ch 80k iountyp~ (Signature of applicant)
oti~R s~KAti~s