HomeMy WebLinkAbout24650-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31885
Date: 09/29/06
THIS CERTIFIES that the building
ADDITION
Location of Property: 900 FIRST
(HOUSE NO.)
County Tax Map No. 473889 Section 117
ST
(STREET)
Block 8
NEW SUFFOLK
(HAMLET)
Lot 17
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JANUARY 16, 1998 pursuant to which
Building Permit No. 24650-Z
dated
FEBRUARY 9, 1998
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 INSTALLATION OF A NEW GARAGE DOOR IN EXISTING BUILDING AS APPLIED FOR.
The certificate is issued to PHILIP LORIA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
-'
TOWN ~;mS~u;,HOLD ~,~r- ( ""';,-'
BUILDING DEPARTMENT I, n
TOWN HALL "SEP 2 7 ? '6
765-1802 L
APPLICATION FOR CERTIFICATE OF OCCUPANC _L. .-._..J
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building 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 from Health Dept. of water supply and sewerage-disposal (S-9 form).
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 2/10 of 1 % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. 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. lf a Certificate of Occupancy is
denied, the Building inspector shall state the reasons therefor in writing to the applicant.
C. 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
New Construction: ~ld or Pre-existing Building:
Location of Property: ---5 00 r: \ ~ s 1- '
House No. Street
Date.
1- 1'J.-IJ4
(check one)
5+
/Jew St-( '::'Po/J
Hamlet
Owner or Owners of Property:
~,^,'\i f
kor2.\~
Suffolk County T8f Map No 1000, Section
Subdivision
Permit No. {), Lj ~.s-{) -1- Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Block
Filed Map.
Applicant:
Underwriters Approval:
Lot:
.
Lot
() It'I,' n
-'= !1 . '-'f f.-n (, , f'j
Final Certificate:
~heCkOne)
Fee Submitted: $
a...L OU
~:o~
Applicant s~ature
&-~, 11 ()t 9-
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fORM NO.3
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)
24650
Date .....F..s~.i;!~~f:l.X........~........................... 19...?~....
z
Permission is hereby granted to:
PHILIP LORIA
............................................................................,1............
....... Itl.i;;R..i;;2.0... PR..~. ~.i;;..................................................
........~~I:U. II,j!;:.~. N~...,l,J.~.?:?.....................................
to .....,~ N:;i:r. fl.l,.,k.. .fl.. .N!;: W... ~f.\flF.\t?!;:.. P'Q.Qfl...:l N.. f.\N.. .!;:.l<. :l.$J.m~.. .aw. J.kP.:l N~.. .0.$.. f.\P.P.kl!;:,Q.. F OR
...................1..............................................................................................................................................
.......................................................................................................,..........................................................
....................,..................................................................................,.......................................................,.,
at premises located at.... ............ ...?!?9...... E.~. R..~I..2.T................ .............................. ~.~~...2.I,jE.f.9.\-'!'>....
..................,....................................................................................................................,........................
County Tax Map No. ....~.?~~~~....., Section ..XP............. Block .....9..9.9.!il......... Lot No. .9...!-.7.................
pursuant to appllcafton dated .....;J.~.'>!~.0.f'!.y.........f.!\>......................... 19......~iil...... and approved by the
Building inspector.
Fee $......~.;?9....9.~.....
Rey. 6/30/60
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INS . l'ION
[
REMARKS:
or tfn
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DATE If 9 f
INSPECTOR
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FORM NO. I
TOWN OF SOUTlIOI.D
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 1]971
TEl.: 765-1802
'BOARD OF HEALTH ~............
../3 SETS OF PLANS ...............
-SURVEY . J./. . . . . . . . . . . . . . . . . . . . .
..,IClIECK .-:Jl:. g.j,S..5.............
SEPTIC FORM ...................
rn
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NOTIFY :
CALL '] 3Y::G,.s. 3ft:: . . . . .
Pemut lb. *.tf~.??? ~
HAll. TO:....................
.....................................
. ............. ............. ........................... ~
....~..~
(Jk.ilding I~~;')
APPI.ICATION FOR BUILDING PERMIT
1- D 7 1$
Date................ ,19....
INSTRUCTIONS
a. '!his application DUSt be co~letely filled in hy typewriter or in ink and stbnitted to the Building Inspe<:tor witt
3 sets of plans, accurate plot plan to scale. Fee according to sched.Jle.
h. Plot plan llhooring location of lot .and of buildings on prenises, relationship to adjoining prenises or Jd>lic
'streets or areas, and giving a detailed description of layn.tt of property nust be dr,""", on the diagran ,.bich is part of
this application.
c. 'nle work covered by this application ....y not be CCJlI1Enced before issuance of Building Permit.
d. Upon approval of this application, the luilding Inspector "ill issue a Building Permit to the applicant. &Jell
permi t shall be kept on the prenises available for inspection throllghoot the work.
e. Ib building shall be occupied or used in Ytole or in part for any pnJlOSl! Watever until a Certificate of
Occupancy shall have been granted by tile Building Inspector.
APPI.ICATIlJI IS IEREIlY .wE to the Building IJepartJrent for tile issuance of a Building Pemn t pursuant to the
IkJilding Zone Ordinance of the 'Ibwn of Soothold, Suffolk Coonty, New York, and other applicable Lam, Ordinances or
Regulations, for the constnICtion of buildings, additions or alterations, or for nm:JYal or detml ition, 88 herein
described. The applicant agrees to ~ly with all applicable laws, ordinances, building code, boosing code, and
regulations, and to aanit wthorized inspectors on prenises and in buildi . r ~s.sa~ r:.:.................
(Signature of appl' ant, or OlIIIe, if a corporation)
.. .~~.~;;~~.~f11~~?~"it:
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electriciAi IOr~D OT bui1(~r:
..... ... .... ....... ...... ... ... ....~...L;;..:. ........ ... ..... ... ..... ...... "~iLP.' bGO:c
Nane of owner of prenises ..J.?~I.l.l.f...........~~~........................~~.ft...
(as on tile tax roll or latest deed) _,fo... 1lU111 AT
If ap"li~' a colpola~on, .signature of duly althorized officer. __t_ 11tII1O. PM fOR THE
.......... ... - ...~........~.:..... ~....~~.~~..IIIGUIRED
(Nane and title of rporate officer) .._ _ Ill.c-..
.. ._. . _-Tie. PWM8lNG
I. III11AJa11
4. FINAL . CON'''''UCTlON MUST
IE COMPLm FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N,Y,
STATE CONSTRUCTION . ENERGY
Other Trade's License lb. .................... CODES. NOT RESPONSIBL~- fOR
I. I.ocation of land on ylich proposed work will be done......... ..1{:1~f.C..~ ~~~!!.~~~~~ .~~~~~...
..... P. f..... fl !.~*.. .?:... ~.I.~~... .?f.................. /fl., ~.... ?{(ffi.ik................................
Hoose lUIber Street I1anlet
Ctulty Tax Map lb. 1000 Section ..1./.1......... Block ......~........ lot ...../.7........
Builders License lb.
PIU1bers License lb.
Electricians License lb. .....................
Subdivision ...................................... Filed Map lb. ............... l.ot ...............
(Nane )
2. State existing use and occupancy of prenises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..............~.......~.9.~.(~.......~.~~~.............................
b. Intended use and occupancy ............ 'JAM.c......... ..~.~ 1.y......1f. ..1A!.11.~ Oli
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.""" ,,' .... (d.d,,'''d, ..."....,,,,, .. .,''''~ ...... u u ..., "00 .. u...;.. ..,,,,,..;,,L.XW., Gi .
llepair ..... ....... Raroval ............. llennlition ............ Other Work . qAA~~~... OV.l?o.t....... JDll
~,..."" ,oo,!;;...~uuuu "u.uuuuuuuJ.;:~)uu'" j
(to be paid on filing thi app'icat.tlUn .1)OJ8
~?2 ~O VI1
If dl..,Uing, ""II",r of dwelling units ............ Ibd",r of Ik..,lIing units on ea. oor ................
If garage, n61iler of cars................................................
6. If husiness, cxmnercial or mixed occupancy, specify nature and extent of each type of use.........................
J.
I..
5.
7. Uimensioos of existing structures. if any: Front................ Rear............... Depth.........o... ....
lleight ......................... It.Dber of Stories ...........1..........
Dimensions of same structure witl, alterations or additions: Front ............... Rear ...............
Depth .................... !leight .................... ~Ill"'r of Stories ...............
8. Oilnensions of entire new construction: Front ................ Rear ............... Depth ..............
lleilll.t ......................... ~d"'r of Stories .....................
9.
Size of lot: Front .................... Resr .................... Depth
.....................
Ill. Ilate of Purchase ..................... NmJe of I'orner (Mner .................... ....................
II. Zone or use district in \Alidl premises are situated ..................................................... _.. ....... ..
12. Ikles proposed constnaction violate any zoning law~ ordinance or regulation: _. H... U H H H U U H U.
13. Will lot be regnllled .................... Will excess fill be renuved fTan prElllises:
YES
Hl
14.
NmJes of Owner of premises ........................... Address .............................. Phone No.
NmJe of Ardlitect .................................... Address .............................. Phone No.
NmJe of C.ontractor ....................... ........ .... Address ............................ ...Phone No.
15. Is this property within 300 feet of a tidal ""'tland1 * W..5 .......... Hl..........
*IV YES, !UJ'l1nn lOti 1ll1lS'IllllS ffiIt1IT MAY BE IlIlQJIRIlIl.
P1.0T 1l1AGRAH
locate clearly and distinctly all buildings, loAlether existing or proposed, and indicate all set-back dl..,nsions
frOll pcopecty lines. Give street and block "JJI",r or descript ion according to deed, and show street oanes and indicate
",hetlter interior or corner lot.
alTH 2A GMI...
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....;..1:1Nt9.l\l.!..~NAS!I.IJP.\8..~..~~.............I"'i"g duly """m, delx,ses and says th.,t lle is U", appliCllnt
(N.-fu, ofilxtfvt.M. !lHtJ.j /?l1lblnt11/H'
above 1....*"1',,,,1"1,;'" fOl4Uoo3
I~ is UJe" .:... ..'.: .~:::).~ .~~~..............................................................
(r..ontractor t agent t" corporate officer t etc.)
of said OWl",r oc owners, arxl is duly authorized to pedom or have I",donned tile said work and to ""ke and file this
awlication; that all state",nts contained in this application are tme to tile '",st of his knowledge and Illilief; alxl
that the \lUrk will ,'" perfon"," in tIle 'mlllJec set focth in lhe application filed t1lerewith.
~m to I"'f'f~ '}" this r/
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OWNER
TOWN OF SOUTHOLD IOPERTY R~CORD' CARD
STREET qOD
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VILLAGE
DISTRICT
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NEW
RES.
LAND
Farm
IiIlGble 1
lillable 2
'illable 3
Woodland
5wampland
Brushland ._
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Hause p~
fotal
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No.
VL.
FARM
I MISC.
SEAS.
IMP.
TOTAL
DATE
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