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HomeMy WebLinkAbout16969-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17129 Date JULY 28, 1988 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 8495 PECONIC BAY BLVD. House No. Street County Tax Map No. 1000 Section 126 Block 04 Subdivision Filed Map No. LAUREL Hamlet Lot 13 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 1988 pursuant to which Building Permit No. 16969Z dated MAY 12, 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 screened in porch addition to existing one family dwelling. The certificate is issued to MICHAEL & MARY FLL~N CIRRITO (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF NF2%LTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~f~Bui~ld~nspector Rev. 1/81 FOBI~ NO. 0 TOWH 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) No_ 16969 z Permission is hereby granted to: ~ , ~ ......................... 7 ...... /7)'": .......... ::~""~' ...... ~ ' ''//'' ' ' '/ ....~....-. ........ ~.....~/'~......,~:~.~ ....................................................................... at premises located at ...~:.7...~..~......~.-~,mc~.~.......,z.~.~ ....... .............................. County Tax Map No. 1000 Section ........ ./....~...~., ..... Block ......... ..~....~...... Lot No ...........-,/...,.'~,. ..... pursuant to application dated ...... ~./...~.. ..................................... , 19.~..~.., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUP [Nc, OW. Instructions A. This application must be filled in typewriter OR ink, and submitted I~=====a~ to the Building Inspec- tor with 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 equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate 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 p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. ~ 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 I. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°ns~'ruc ti°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... .c~.~.?..~. ..... ~.O¢~,~,~. ~ /'~/..c~.~.~;;. ~....~..?.~./ Ho,, Vo. r , ......... ! ......... Owner or Owners of Property . .~.r.~?.~.. ~.......~... ~..~.~!~..~....~.~.F?~.~-.t...~. ......... County Tax Mep No. tO00 Sectioo ............... Block ... ~ ........ lot ............... Subdivision Filed Map NO Lot NO Permit NO. J/-~. ate of Permit ,~;'. /?,. Applicant/"~,. . ~_~.. .r~,, 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 permit meets all applicable codes and regulations. Applicant . .,.~/~.. OU~JDATION ( Is DUNDATION (2nd) DUGH FRAME & .PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~]~NAL 765-~.802 BUILDING DEPT. INSPECTION ' ]~FOUNDATION IST [ ] ROUGH PLBG. J FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: O1 b WHITE & GIRRITO ATTORNEYS AT LAW May 12, 1988 Town of Southold Building Department Town Hall Route 25 Southold, New York 11971 Attention: Thomas Fischer Re: 8495 Peconic Bay Blvd. Laurel, New York Permit # 16969 Dear Mr. Fischer: As per our telephone conversation of this date forwarding a check for $50.00 to cover the cost of the application fee for our enclosed deck. I am As we now intend to do our own work, please submit the application fn our names as the homeowners. No charges wfll be made in the previous plans submitted. Thank you so very much for your kind and considerate attention to this matter. MARY ELLEN CIRRITO MEC/jc Enc. J ' faetlltl~ for this loe~f, toa have ~ tnspeet~ by this departmen~ ~ 1 ~. ~'IO'~"W -- /00.0 0 / ~ ~A~ ,~'~[.~--~ ,~ ~/ -~'~ ~,",~ t, ~/.~' - .... / For Individual usine ertifi ate ., I ~HEREBY CERT..~FY th~at I am conducting or transacting business under the name or designation County Ot State Ot New York. I F~RT~ER CERTIF~ that I am the saee~ssor sn interest ~o IN WITNESS WHEREOF, I have this and signed this certi~cate. dar of MAR 1 9 1982 z9 , made STATE OF NEW yORK { ss.: couNvy Onthls ; f~,aayof ~ to mo Rno~n and known to mo to be tho indivldnal certi~cate, and he thereupon JUDITH KERN NOTARY PUI~LIC, ~ate c4 New ¥o~k No. 30-4679885 Qualified in Nassau County Certificate Filed in Suffolk County CommJss~o~ Expires March 30, 19_~'"~ 19~, be£ore me personally appeared described in and who executed the £oregolng duly acknowledged to me that he executed the same. VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF $OUTHOLD Town Hall, 53095 Main Road P.O. BOX 1179 Southold, New York 11971 March 21, 1988 Mr. Milton Connor 165 Lincoln Ave. Deer Park, N.Y. 11729 Re: CIRRITO BUILDING PERMIT Dear Mr. Connor: In order to process more structural details. to be more than a deck. this application, we will need Proposed construction appears Construction shall meet requirements of New York State Uniform Fire Prevention and Building Code. Truly yours, SOUTHOLD TOWN BUILDING DEPT. TF:gar Thomas Fisher Building Inspector ~!~ROVED AS NOTED , NOTIFY BUILDING OEPART~IENT A1 765-1~2 9 AM ~ 4 ~ FOR ~E FOLLOWING ~SPE~IONS: FOR ~UREO CONCR~ 2. ROUGH - FeA~NG a ~BING 3. INSULATION 4. FINAL . CONS~U~ON MUST CO P ET FO'C.O. THE REQUIREMENTS OF THE~,Y. STATE CONSTRUCTION & ENERG"r~ CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS SKYLIGHT.S. I ~ ,_" r'.. "', 12-0 ,/ EX/STING HOUSE, - ~ BATH ~ AREA SHOWER DRES AREA J- 4'-6" - 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c /(Build/~/g Inspector)' APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... §EPTIC FORM ............. NOTIFY CALL ................ MAIL T~ · row. OF ou ot, Date ................... 19... INSTI(UCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 se{s 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. 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 Buildh~g 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 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=ode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectionsLL (Si~nafure of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S HUST BJg~SUFFOLK COUNTY Builder's License No..,~".P'-~-:~ ............ Plumber's License No ......................... LICENSED Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done~ ................................................. · .s ..... 7 House Number Street County Tax Map No. I000 Section .... .7.~ ./~.gBloek .... .~..~. ......... Lot....~....~..~.. ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. }. -- ~ , .' ' };d ~,~,; ~;{~:i:':~;q~h ~ ............... b. Intended use and occupancy ./. .... y. q.-- .......... 3. Nature of work (check which applicable): New Building .......... Addition ....... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~, I (Descrip.tion) ~. Estimated Cost .... ' ................ Fee ....................... i (to be paid on filing this application) 5. If dwelling, number of dwelling Units ............... Number of dwelling units on each floor ................ If garage, number of cars ..... i .................................................................. 6. If business, commercial or mixedi occupancy, specify nature and eXt6nt of each type of use 7. Dimensions of existing structure~, if any: Front ............... ~Rear .............. Depth ............... Height ............... Number of Stories .................. ~ ..................................... ' ' ' "' .... '~' ~ Rea Dtmenmons of same structure w~tl4 tllteratmns or addlt~ons: Front . .... ........... r ................ Depth .................... i · H~eight .. · ~ Number of Stories "8. D~menslons ofenbre neW k'pnst ctlq~: Front .......... . ......P&ar ............... Depth ............... Height ...'~. i ........ :NumberOf Stories .................... 9. S~zeoflot: Front ..... :. ~ 4 :' Rear 10. Date of Purchase .., ' ....... '; 1" ................. Name of Former Owner ............................. 11 Zon edi i i h'chp ' ' it ted · e or us str ct n w i remlses are s ua ........................................... 12. Does proposed construction viol~ .te any zoning law~ ordinance or regulation: ................................ 13. Will lot be regraded ......... , ....... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ................ Address ................... Phone No.O~./~. .-..:~..~.'Z../~:/~.. Nmne of Architect .......................... Address ................... Phone No ................ Nmne of Contractor ~.9'~1~..,.~r'69 .'45.. ~ ............ Address .... : .............. Phone No&~.'2..n-,S.O.7[;~ .... 15. Is this property located ,,ithin 300 feet of a tidal wetland? *Yes ..... No ..... · It! yes, Southold Town Trm~tees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines· Give street and block umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF.. .......... ... Z't.~..~./.~-O.,'~.... ~----~ Z'.'?.~...O~.. ....... being duly sworn, deposes and says that lie is the applicant (Name of individual signifig contract) above named. He is the ....................... , .................................................................. : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyl authorized to perform or have performed the said work and to make and file this application; 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 ket forth in the application filed therewith· H£LEN lC DE VOE Sworn 1o before me th~s , ' _, &/ ' "~ ~t~- ,J~ TARY PUltLIC, State of New York _ ~----..,a.C~ i ~ / ..... ~ .day of ..... ~ , 19 Notary Public/:T ........... ~ ....... County , ~ . , k-...---C.--"~'(Signature of applicant)