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HomeMy WebLinkAbout31812-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31477 Date: 03/09/06 T~IS CERTIFIES that the building ADDITION Location of Property: 60 MAJORS PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 2 Lot 12 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARy 27, 2006 pursuant to which Building Permit No. 31812-Z dated FEBRUARY 27, 2006 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 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. 1~ne certificate is issued to JOSEPH CABIBBO (OWNER) of the aforesaid building. SUFFOLK COUNTTf DEPART~ENT OF ~%LT~ APPROVAL ELEC~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~ N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department 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 topograptfic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonnt. 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/l 0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Complim~ce from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 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. 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- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date..3 J~'/ New Construction: Location of Property: ()Id or Pre-existing Building: House No. OwnerorOwnersofPropetty: ~j-O'~k~,JC~ County Tax Map No 1000, Section 5 t~ Suffolk Block (check one) Hamlet Subdivision Pen~tNo, 3 I~-}c~/- ~'- Health Dept. Approval: Lot Filed Map. Lot: __DateofPermit.._~],~") }0~ Applicant: ~, Under;vriters Approval: Planning Board Appmwd: Request for: Temporary Certificate Fee Submitted: $ A~, C~ Final Certificate: (check one) A~ic~,~ Sigmature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31812 Z Date FEBRUARY 27, 2006 Permission is hereby granted to: JOSEPH CABIBBO PO BOX 1403 SOUTHOLD,NY 11971 for : CONSTRUCT A DECK ADDITION TO EXISTING ONE FAMILY DWELLING. PERMIT REPLACES BP 17402. THIS at premises located at 60 MAJORS PATH County Tax Map No. 473889 Section 054 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST Fee $ 150.00 SOUTHOLD Block 0002 Lot No. 012 27, 2006 and approved by the 27, 2007. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND I ] INSULATION FRAMING / STRAPPING ~ FINAL ] FIREPLACE & CHIMNEY I ] FIRE SAFETY INSPECTION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING/STRAPPING ~/'J~FINAL ~)~- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ '~'~ ~-- FOUNDATION (~st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF HEALTH ............ 3 SETS OF PLANS ..~i ........ so,wY ........ ~. ........... CHECK ...... ~. ............ SEPTIC FORM ................ TEL.: 765-1802 - ! Examined..~.~..0~... .......... 1 .~.. '31~t ~- MAIL TO: ApProved ...¢ .......... 19~Pe~it No.~ ~ ~ ~ Disapproved a/c ..................................... USE IS UN~WFU~;,;'L,C.;%~~'n~;;~t;;; ........ FOR BUILDING PER~IT WITHOUT CERTIFICATE Date ................... OF OCCUPANCY INSTRUCTIONS a. T~s application must be completely filled in by ~pew~ter or in ink and submitted to the Buildin[ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordin~ to schedule. ~ b. Plot pl~ show~g location of lot and of build~s on premises, relationship to adjoinin~ premises or pubEc streets or areas, and ~iv~g a det~led description of layout of proper~ must be drawn on the diagram which is pa~ of t~s apph- .. cation. c. The work covered by t~s application may not be commenced before issuance of Bu~d~ Pe~it. d. Upon approval of t~s application, the Buildin~ Inspector will issued a Build~ Pe~it to th~ app~c~t. Such pe~it shaE be kept on the premises available for ~spection throu~out the work. e. No build~[ shall be occupied or used in ~hole or in part for any purpose whatever until a Ce~ificate of Occup~cy shall have been [ranted by ~ Build~g Inspector. APPLICATION IS HEREBY MADE to the Build~ Depmment for the issuance of a B~ldin[ Pe~it pu~uant to the Buildin~ Zone Ordnance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, artifices or Re[ulations, for the construction of bufld~s, a~ditions or alterations, or for removal or demolition, as here~ described. The applicant a[rees to comply with all applicable laws, ordinances, bu~d~a code, housina code, and regulations, and to admit authored ~spectom on premises and ~ build~ for necessa~ inspections..~ .... ........ (Si~/~nl' ~ name, ifa corporation) (Mailin~ address of applic~t) ff/~/. State whether applicant is owner, lessee, agent, ~chitect, en~neer, ~eneral contractor, electrician, plumber or builder. ...~ ..... ~. .. e' . ........................................ ~~ ......... . .... Name of owner of premises ...... . ~.E~.q.. ( :~ [P./[~0~ ............ 7.~/~ ........ ~ .~. (as °n the tax r°'~2~ ~~~ If applicant is a corporation, signature ofduly authorized officer. - ~ ~ ~ 4 ~ FO~ ~E .............................................. 1. ~BA~ . ~ (Name and title of co~orate officer) g~ .......... ~/~.. ............. 3. INSO~ Builder's License No. 4. FINAL CO~8~U~ MUST Plumber's License No ......................... 8E COM~ FO8 C.O. Electrician's License No ....................... TN~ 8EOUISEMEN~ OF TNE N.Y. Other Trade's License No ...................... CODES. ~ ~SPONSIfLE FOR ~ESIGN OR CONST~OC~ON 1. Location of land on which proposed work will be done. ' .... Z~XC~ .................. .... ~ ............. Y ~4 r~.. ~.~.~. ~, q ~o ~ ~ ~ .... //.¢ 7Z ......... House Number Street Hamlet County Tax Map No. I000 Section ..... ~ ........ Block ...... ~ .......... Lot..Z~ .............. 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 .~,(~ b. Intended use and occupancy ............................................................. 3. Nature of work (check which applicable): New Building ' Addition . ,~ ....... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimatdd Cost ..... ~.....--__ ./..~(?_~J~ ............... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units . .'7 .......... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dhnensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... IIei~t ...................... Number of Stones ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front /~o. o /~O ~ t ~ ~ /~.O ~ IOZ 3 ...................... Rear ....... . ............... Dep ...................... 10. Date of Purchase ............................. Name of Foyer Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded O.~ ..................... Will excess fill be removed from premises: Yes No 14. N~e of Owner of premises ~.~..~./~qAddress ~m*'. ~. ~.~.~d~one No. ~'.,79/~'.... Nme of Architect ~ Address .. Phone No. Nme of Contractor . ..$~./~' ................... Address ................... Phone No ................ 15.Is this property located within 3OO feet of a tidal wet[and? ~YgS .... ~O .... *If yes, Southold Town Trustees Permit may be required. PLOT DIAG~ Locate cle~ly m~d dist~ctly ~1 bufld~gs, whetger existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block number or description accord~g to deed, ~d show street nines and indicate whether interior or comer lot. / . 4l,, z/ /l < STATE OF NEW YORK, COUNTY OF. J~(U~.~O.}~'. :.. S.S ....:~"k~ .~..~..~ i . -- -- i(.~.:~'!, .~, .~,. ,'.. ................... being duly sworn, deposes and says that he is the applicant (Name .0t ia~ividual si~ning contract) above named. lte is the ......................................................................................... (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 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 set forth in thc application filed therewith. Sworn to before me this 4otary Public, .~.~..~..K:-~..[Ax.~ ............. County Nota~ Public, State ~f ~ew York (Signature of applicant)