Loading...
HomeMy WebLinkAbout9840-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33869 Rte: 07/31/09 THIS CERTIFIES that the building DECK ADDITION Location of Pr~erty: 135 EAST LEGION AVENUE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 122 Block 3 subdivision Filed Map No. __ Lot No. __ MATTITUCK Lot 13 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 1978 pursuant to wh/ch Building Permit No. 9840-Z dated JLrLy 17, 1978 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH J & GRACE A FINORA REV TRT ( OWNER ) of the aforesaid building. COUNTY DEPARTMENT OF HEALTH A~PROVAL EL~t-rKICAL c~KTIFICATE NO. PLDI~B~RS C~RTIFICATION DA'rKo N/A N/~. N/A ~Au Jz e-dJ~n~a t ~re Rev. 1/81 FO~M NO. e, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9840 Z Date .............. J~LIi~. ....... .'J.~. ..................... 19.....~.8 Permission is hereby granted to: .......... J..a s.el~h....~.A ..~.~mo~.~. ............................. to ...... ,add.. a.. deck...'~o.. ,a.. F~:Lv. at e...One.. Fam/l¥...D~ell :Log .............................................. at premises located at ..........1.]iS....~.I~I.t~..~.~.~...A..~..~. ..................................................................... ............................................ M~tt£tUCk,...N.Y., ................................................................................ pursuant to application dated ....... J.g~......7. ................................ , 19..~..8..., and approved by the Building Inspector. Fee $.....~..0..*.0. 0. ....... Building Inspector 1000-122-~,1~ Form No. 6 TOWN OF ~OUTHOLD 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: 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: t. 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. Ifa 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: Old or Pre-existing Building: LocationofProperty: I~D~-~ ~ r/-~t~ House No. Street Owner or Owners of Property: T~ '~- Suffolk County Tax Map No 1000, Section ] Subdivision Permit No. c.~"~ O Health Dept. Approval: Date of Permit. Planning Board Approval: Request for: Temporary Certificate (check one) Hamlet Block 3 Lot 13 Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: ~.~ j (check one) Fee Submitted: Signature ~0uM NO. 1 TOWN OF ,~OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ...........~.~ ....... , 19...7.~. Permit No ...... 9.8~.QZ ................... Disapproved a/c ............................ ~ ~ ........ '5 ........::::::'::': ........................................................................... ......... .................... ......................... / (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. ~, ........ .f. ................ , .......... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 layout ofproperty must be drawn on the diagram which is part of this application. 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 issue a Building 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 remoyol or 'demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ~PSignat~ of/~'pplicant, or name, if a corporation) ..................................................................... ................................................................................................... Name of owner of prem sa, ............. .................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~vo Rl4 Builder's License No ........ ~..~.....Q.~Z.~'.~:/'.~....,~.y..~'.(-/~,~,'T" Plumber's License No ................................................. Electrician's License No ............................................. Other ' ' Trade s L~cense No ............................................... 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number .................................................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ~'~--~...S.o,..,f/~..,~..~., ~..~...~.~.._/.~.-/,Z~ ~ b. Intended use and occupancy t'r / ( V 3. Nature of work (check which applicable): New Building'. ................. Addition ....~. ......... Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... /~'"'/'--~'0. O o ........ /~) (Description) 4. ~timated Cost ................... ; ........................................ Fee .................................................................................. (to be paid on filing this application) 5. If dwelHng, number of dwelling units ..... .~ .................... Number of dwelling units ~n each floor ............................ If garage, number of ~ ............................................................................................................................................. r 6. If business, commercial or mixed occupancy, specify nature and extent of each ~pe of use ....~ ...................... 7. Dimensions of existing structures, if any: Front .~.~ ...................Rear ...~ ...................... Depth .~.~..~.~.~ Height ........................ Number of Stories ............~ ........................................................................................ Dimensions of same structure with alterations or additions: kront ....................................Kear ..;~ ................ f ~ ~ . Depth ./~...~..~...~... ~e,ght .......................... uHu~ber of Stones ....... ;..~..? ................ 8. Dimensions of entire new co~t[~c~ Front ......... ~ ..................... Rear..~ ................. Depth ....~ ................ Height .................... Numbe~ ....~...~~.~.~ ............... 9. Size o{ lot: Front ......... ~..~ ................................... Rear ...... [~S..~ .......... ~.....~th ....~.~..~..~ ........... 10. ~olo o{ ~urchoso .......... Z.~.~.~ ............................ ~omo of Formor ~nor ~....~..~.*~.~... 1 1. Zone or uso district in which premises ore situoted ..................................................................................................... 12. Does proposed construction violote ony zonin~ I~w~ ordinonce or mOul~tion: ...... ~ ...................................... ~ome of Architect ....... ~.~&.~..~9.~....~ ....... Addr~ ................................ ~hon* ~o ....................... Mome of Controctor~....~[.~..~ ........ ~ress ................................ ~hon~ ~o ....................... PLOT DIAG~M Locate clearly and distinctly all buildings, whet~r existing or proposed, and indicate all ~t~ck dimensions from prope~ lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, . - [ ¢ c ~ ~ COUNTY OF .~----4~......~.a~/~.....~'~''~ ~ (Name of individual signing contract) above named. He is the ............... ...~?....1~/.../~....~....~ ..................................................................................................................................... (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 the application filed therewith. Sworn to before me this /~~~ ...... day of ....................... , Notary Public, . ................................................... County ............. ~..~'-..~~ .................. ~ ~/~ure-~f applicant) Town Hall, 53095 Main Road P.O. Box 1179 Southold. Negv York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD J,o.t F,nor / Mattituck, N.Y. 11952 Re: I?~; E.Legion TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: '~ An application for Certificate of Occupancy is not one file. (Enclosed) No Electrical Underwriters Certificate on file. The check is (not on file) $25.00 Returned outdated No Health Department approval on file. No final inspection has been completed. No Plumber Solder Certificate on file. (All permits involving plumbing issued after 4/1/84) Final Town Trustee Approval BUILDING PERMIT: # 9840-Z Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Please note if permit is expired, a renewal fee may be required. Please contact our office on this matter. Thank you for your cooperation. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF ~IOUTHOLD Fax (631) 765-9502 Telephone (631 ) 765-1802 April 18, 2003 2ND NOTIFICATION Joseph & Grace Finora PO Box 1105 Mattituck NY 11952 RE: Building Permit # 9840-Z TO WHOM THIS MAY CONCERN: THE ABOVE BUILDING PERMIT HAS EXPIRED. IT IS UNLAWFULTO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. TO AVOID A VIOLATION BEING ISSUED, PLEASE APPLY FOR THE C.O. SO THAT WE MAY CLEAR UP THIS MATTER. We are unable to complete your Certificate of Occupancy because of the following reasons: X An Application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. X The check is (not in file)S25.00 __ No Health Department Approval on file __ No final inspection has been completed. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). Please contact our office on this matter. Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD JUNE 3, 1999 JOSEPH & GRACE A. FINORA 185 BAY AVE. P.O. BOX 1105 MATTITUCK, N.Y. 11952 TO Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 9840-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. TOWN OF SOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No....3..4.7. ............. has been granted by the Town Trustees according to information furnished in Application No ....... .4..4..3. ........ filed by ApPlicant ....q[.a..c..e....A.....jF.~,~O.l~. ........... Jul 30~ 19,8-6. ..... A map of the proposed work will be kept on file in the Trustee Office under the application number given. To construct a ' ' 11~n~ ~nH de.~ Permit granted to do the following work ............................... ~.p.~.~g].~...~.~.~y.,.~e__ ~ .......... associated septic system, Propert~ is lo,c, ated p.~ [~ ~g[[~ .~/~.C. ~Tzez. ~£ ........ East Legion Avenue and Bay Ave. Mattituc[. . ......................................... ~ Location of property on which work *~ h, ~,~ Corner of E~,t; ~.~g~,~ .A,~,~. and .Ba~ ~,=~... Mattituck. Creek, Bay or Harbor fronting property ...... .,T..a..m..e..s....C..~.~.~]-, ...................... ~..~ ........................................... Size of work: Length ..'...a..s...~.e..r...=.[.~.q...qn..maP..am~n~-.~.n.~-.-~.,--.~.~-~. ........................................... Width ................................................... Height Above High Water ............................................................................................ Depth Below L~w Water ........................................ yards to be Excavated ..................................................................................................... Yards to be Filled .................. Manner in which material is to be removed or deposited %7.7.27.7.7.7.7.7.7.7.~.T.T.T. ..................... ; .................... Intended use of property ......... ..%e.~.$.d..e.~.t;,i,.~.], .......................................................................................... Conditlonslfany see reverse side for conditions. Expiration Date October 30, 1987 N ..... · ~ 2-Trustees are to b.e n~tified .u.~.o.n th.~ .~.q~%~.~%R~ ~... L~mDer o~' ~nspect~ons mequ~reu ......................................................................... the worm. Inspection Fees $5.00 · Liability Policies in the Amount of ...'2~7.~-:rrr.r.-:rrr;;.r=r.=== ......................................... The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon receipt by the Trustees. of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assu~ne all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for t~e prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by ~is permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and its officers and employees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and vege- tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town. Board of'Southold Town Trustees ........... CONDITIONS OF PERMIT: 1. Roof run off shall,be discharged into dry wells. 2. Driveways and parking areas within 75' of the wetlands shall be of porous construction. Blacktop shall not be used on the site. 3. Care'-shall be taken so as to preclude the entry of any construction material into adjacent waters. 4. Immediately following construction, all areas of exposed soil shall be properly protected with suitable erosion control devices/ and or vegetated to prevent entry of eroded soil into nearby waters. Please note that a buffer zone should be kept if planting on property please return for approval. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...........~A~ ....... .'~. ....... , 19...~L~8 Approved ...........eT~l:l.~ ........ ~,~r. ...... , 19...~1'8 Permit No ...... ~ ................... Disapproved o/c ............:~ ...... ~....~...~ ............................................................. / ......................... ~ .... ,.~..~i..~;..;. ff.,...~.~ ...................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No....gl~ ................... a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building,_ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ~j b. Plot plan showing location of lot and of buildings on premises relationship to adjoining premises or public streets okh areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application.- ~ 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 issue a Building 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 ssuance of a Bud ng Permit pursuant to the ~Build!n.g. Zon,e Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ord nonces or~ t~egmanons, ?or 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 code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ,- . ......... .':../....: ......................... (,~'~ -- .'~ ~ .-- ~gnat~ of~pticont, or name, if a corporation) ~is owner, ~~ee, o '"; ;"-":' '! ..... --:":~':"i"~l~;~;';i"~;ii;;~l~i'": ........ ~'"'"~' ........... State whether gent, architect, engineer, general contractor, electrician, plumber or builder. applicant Name of owner of premises ......~. ............................................ ~-.,: ............................. ~ ............................................ ~ .......... If applicant isa corporate, signature of duly authorized officer. 4~,/J ~J c:~ ~~/ .................. ......... /3 u'- Builder's License No ............ ., ....................................... Plumber's License No ................................................. ~c~ ?/'~'(/'7 Electrician's License No ............................................. / 0~0~' t~'~' ~ - ~ --//~ Other Trade's License No ............................................... Location of land on which proposed wore will be done. Map No.: ........................................ Lot No ......................... Street and Number ................................................................................................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: e. Exisiting use and occupancy ................... ;; ......... ;.:.. .......... ....;.~. ........... ,:;,...: ....................................................... b. Intended use and occupancy ........................................................ .'..;i ................................................................... 3. Nature of work (check which applicablei", New Building.. ................. Addition .....~. ........... Alteration .................. Repair .......... i ....... Removal "Demolition .................... Other Work ................................................ . .... // , (Description) 4. Estimated Cost ~'~- .~..?.~....)...~. ............................. ....Fee ........... ~.~ .......................................................................... (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 ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............. :~ ....... ) .... 7. Dimensions of existing structures, if any: Front ~i'....~. ..................... Rear ...';...~.. ....................... Depth !i.~,.....'~.....7..;.; . Height ........................ Number of Stories ~ ~'~ Dimensions of same structure with alterations or additions: Front ,...,~,,,~', .......................... Rear ..~.~,,~, ................. Depth .~..~,......~....~.~,...~..~..-~J'eight ............................ Number of Stories ................................ 10. Dote of Purchase ......... ../...~...,'..~...?.. ............................. Nome of Former Owner* -* ~, . .::.,. ? -_h ~ ~ 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 ..... ~...~ ............ Will excess fill be removed from premises: (. ,) Xes ,~,) No 14. Nome of Owner of premises .......................................................................................... Phone No......................." .... '~ Name of Architect ...... /......; .......... :.~...:..'.:;~.~ ....... '.:./. ........ Address ................................ Phone No ....................... Name of ContractoP ....... ;, ....... :.(., ....................................... Address ................................ Phone No ....................... 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 number or description according to deed, and show street names and indicate whether interior or corner lot. . ~ STATE OF NEW YORK, ~ c c COUNTY OF ,~,~.~<'..../.~.X~-.....~ .......... ,.'~...,~..;.~,</-J........--~'...,.....~..,{~'.?....).~'..~./;; .............................. being duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above named. He is the ................ .~.-....~../'..~..~.~..(.~.. ...................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application ore true to the'best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....... ........................ Notary Public, . ................................................... County .............. - re ~rapplicant) ....................