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)