HomeMy WebLinkAbout17474-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18399
Date SEPTEMBER 21~ 1989
ADDITION
THIS CERTIFIES that the building
Location of Propert~ 47420 MAIN ROAD
House No. Stree%
County Tax Map No. 1000 Section 69 Block 6
subdivision Filed Map No.
SOUTHOLD~ N. Y.
Lot
Lot No.
H~let
9.3
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 20, 1988 pursuant to which
Building Permit No. i7474-Z dated OCTOBER 3~ 1988
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 GREENHOUSE ADDITION TO EXISTING FARM BUILDING
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
SALVATORE & JEANE CATAPANO
Rev. 1/81
/ tB~ildi~g Inspector
FORB~ NO. ~
TOWH OF SOUTHOLD
BUILDIHG DEPARTMEHT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 017474 Z
Permission is hereby granted to: /,~ / _
..... ~/..~....~,~...,.~...'...~c:~'~.,.. ................
.......... .............
at premises located at ........ ~ ....... ..~.~//.~ ....... ~.~...: ...................................... i ...........
County Tax Map No. 1000 Section .... ~....~.. .......... Block ........ ~ .........Lot No ........ ~.~.~.. ......
pursuant to application dated ...... .~./...~.. .................................. , 19.~..~, and approved by
the
Building Inspector.
Fee $..~.~
Rev. 6/30/80
TO N SO THOL
BUILDING DEPART~IENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
Owner or Owners of
County Tax Map No.
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE.~./. .......
NEW CONSTRUCTION ---~--..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Location of Property ........... ~..
HOUSE NO. STREET HAMLET
....
I000 Section .... ~ Block ...... Lot' . ........
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval ..... ~ ............ Underwriters Approval..' ~ ~ ........
Planning Board Appro al
Request for Temporary Certificate .......
Fee Submitted: $ .~..~?~.
Final Certificate
APPLICANT
rev. 10/14/88
,. FOP~INO. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWMUALL
765 - 1802
APPLICATION FOR ClERTIFICATE OF OCCUPANCY INSTRUCTIONS
'This applleation must bei filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use:
]- Final survey of property with accurate location of all buildings, property lines,
streets, and unusual hatural or topographic features.
2. Final approval of lteaith Dept. of water supply and sewerage-dlsposal(S-9 for~).
3. Approval of electrical installation from Board of Fire Under~rlters.
4.
Sworn statement from ~ltnnber certifying that solder used in system contains less
them ~/[0 of ]Z lead.~
5. CO~erc~al buildings, ~industrlal buildings, ~lt~ple residences and similar.
b~ildings and ~nstallat~ons, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submi~ Planning Board~Approval of co~leted site plan requirements.
For existing buildings (Prior to April 9, ]957] non-confoming uses, or buildings
a~d "pre-existing" laud ~ses:
~. Accurate su~ey of prgpertF sho~ing all property l~nes, streets, buildings and
unusual natural or topographic features.
2. A properly completed ~pplicatlo~, a consent to imspect signed by the applicant
and a certified abstract of title issued by a title company ~hlch shall
show single aud separate O~ershlp of the entire lot prior to April 9, ]957.
If a Certificate of O~
ccupancy is denied, the Build~n Inspector shall state the
reasons therefor in ~t~ng [o the applicant.
3. Bate of any housing cqde or safety inspection of b~ildinEs or premises, or other
pertinent info~tion ~required to prepare a certificate.
For Vacant Land Certificate of Occupancy:
]- ~ appllca~io~ for vacant land Certificate of Occupancy shall be submitted,
and a certified abstr~ ct of title ~ssued by a title compedF showing single and
separate o~ershlp of the entire lot prior to April 9, ]957 shall also accompany
the application. If a' Cer~flca~e of Occupancy is denled, the Building Inspector
shall s~ate the reasons therefor in ~iting to the applicant.
~ES:
~. CERTIFICATE OF OCC'~CY - New ~elling $25.00, Additions [o ~elling $25.00,
Alteration to ~el~llng $25.00, Swiping Pool, $25.00. Accessory building $25.00
Addlklon to Access~ory buildings, $25.00 - Businesses $50.00.
2. Certificate of OccUpantF on pre-existing dwelling - $]00.00.
3. Copy of Cer~iflcat~ of Occupancy - $5.00 - over 5 years - $]0.00
4. Vacant Laud Certlf~cate of O~cupancy - $20.00
5. Updated Certlficat~ of Occupaucy- $50.00
6. Temporar~ Certificate of Occupancy - $25.00 Residential
$50.0~ Co~erc~a[
'eve 10/14/88
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 1179
TOWN HALL
SOUTIIOLD, N,Y. 11971
May 17, 1989
TEL. 765-1802
Salvatore Catapano
48130 Main Road
Southold, New York
TO Whom This
11971
May Concern,
We are unable to complete your Certificate
of Occupancy because,of the following reasons.
/-//An_ application for Certificate of Occupancy
is not on file. (ENCLOSED)
/--/ No Underwriters Certificnte on file.
/.--_fi/ $25.00
/?
'1'lie check is(g/~{Lxl~XR~/not on file.)
No 11ealth Dept. Approval on file.
No final inspection has been made.
on this matter.
Z
Plea:;e contact our office
Thank you for your c'6operation.
lluilding Permit t~ I 7 4 7 4
Building Dept.
**~/--_/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
FOUNDATION (1st)
FOUNDATION
2.
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
(2nd)
FINAL
ADDITIONAL COMMENTS:
"- /
'%
TOWN OF 'SOUT~IOLD
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
CHECK ....
SEPTIC FORM ................
Approved .../..O//f. ,..e% .... ~.... 19~. Permit No../.7/ .......
Disapproved a/c .....................................
USE IS UNLAWFUL .... ~ding
APPLICATION FOB BUILDING PERMIT
WITHOUT CERTIFICATE
0F OCCUPANCY ,NS'I'RUCTIONS
NOTIFY
CALL .....................
MAIL TO:
a. This application must be completely filled in by Wpewriter or in ink and ~ubmitted 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 areas, and giving a detailed description of l~yout of property must be drawn on the diagram which is part of tbJs appli-
e. 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
~hall be kept on the premises available for inspection throu~hout the work·
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certiticate 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, a,d. ditions or alterations, or for ~'emoval or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit author/zed inspectors on premises and in building for necessa.ry~.~~ ~
- . ' iMailin,, address of apptic~u~;) ..... ..- ·
State wl~ether applicant is owner, lessee, agent, architect, engineer, general contract~e~i~ l~ber or builder.
..O~...~-~... ........... ~..., ..... ~ ........ .~..., ...........
Nameofownerofpremises P/..~.~'**-'~' ~L ..~.(fl..O.-..~...O~. O~,~L~ ~EE:~8~.._.~" ''
..................... ';; ;;.; ;;ii ;; ......
If applicant is a corporation, signature of duly authorized officer. FOLLOWING IN$~ECTS~IS:
.............................................. FOR ~JRED
(Name and title of corporate officer) 2. ROUGH - ~AMIN~ &
~. 'INSUI.~ON .
Builder's License No .......... ; ................ 4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
Plumber's License No ......................... ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N,Y,
Electrician's LJcanse No ....................... STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
Other Tradc's License No ......................
1. Location of land on which proposed work will be done. . · ~ tt
........ .... /.,. ........................................
House Num herr~i Hamlet
County Tax ,ap No. 1000 Section ....... O.~.~. ...... Block .... ....~..: ....... Lo,.~...~(.~....
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy ofproposed construction:
occupancy .............................. .... .................... .
b. Intended use and occupancy .................................
Nature of Work chec .v i h app,,cab,e): New,u,,di. ..... ' ..... .........
Rep~r .............. Re,oval .............. Demolition '".. ~DZ~r~k J':;.~ t
..... ,~t '"~'~ t'I~1 ..........
~ :
4. Estimat6dCost ~,.O.~ ~I ~'''~ l/fi~esc,ption)
,, (to be paid on ~ling this application)
dwelling, number of dwellin~
5. It g units ............... Number of dwelling units on each floor...
It garage, number of cars . · ............
6. I~ business, commercial or mi~ed occuvancv soec f ~ -' ....; ~.~ ~
7. Dmlens~ons of exmtmgst~ctures f any Front . ~ Rear . ~&/ '"
Height .... /~.( ....... Number of Sto~es .... ~ ..............
~imensions ofsa~,stmcture With alterations or add ~[dns: Fro~ .... ~' ~ ...... ~ ' '~ .........
v~,~d~; ;}'d~.' ........ ~... ,,=,=t ..... ,~.'....; ...... su ,~or or. Sro,=,... Z --. ...
8. ~lre new construction. Fro-* ~ - ,~ r - ' ' ' ' ~'1 .....
..e~g ......... , ......... NunberofStofies . ~ , ~ ' t ............
9. Size of lot: Front ......... ' .......... RTar ...................... Depth '. :.,..
10. Date of Purchase :f3 ~ ~ ''. ................
" · ............ Name otFo~er Owner ..,~.~ .... , ...........
11. Zone or use district in which premises are situated .
12. . .i ........................... ,.....
Does proposed construction violate an,, z~-;-- ~---. -,. . . n ' ...........
13. wnl lot oe re~raded ~ .... . ', ' ..........
14. N .... e n,.,Z .... ' '. .... ~' ~' ~ ............. wm excess flu be remov~ from premises Yes
.......... ~~ · ..
N~e of Contractor .~. · ............... Address ....... Phone No ............
........ i .................. Address ................... Phone No ............
15.Is this property locoted ~ithin 300 feet of a tidal vetland? *YES .... NO.~
· If yes, 8outhold To~ln Trustees Permit may be required.
... ] PLOT DIAG~
Locate cle~ly ~d distinctly ~'1 buildNgs, whether existing or proposed, ~d. indicate ~I set-back d~ensions fr~
property ~nes. Give street ~d block number or description accord~g to deed, md show street n~es and ~dicate whetE
interior or comer lot.
~0a (~]~du~*~ni~ c6ntract~ ·. being duly sworn, deposes ~d says that he is the applicant
[{e is the '
' (Contractor agent corporate officer etc )
of said owner or owners, and is dul~ authorized to perform or have performed the said work and to m~e and file this
application; that all statements contai'ned in this application are true to the best othis knowledge and belief; and that the
work w~l be performed in the rammer]set forth in the application filed therewith.
Sworn to before me this
............. ~A ....... a~v oC. ~ .................
~9~
Nota~ Public ........... ~ ..... County
HELEN IL DE VOE
NOTARY PUBL C, State o! New York
. No..4707878 Suffolk County~o
leto txp res March 30.1~._
(Signature of applicant)