The URL can be used to link to this page

Home My WebLink About28028-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28598 Date: 07/16/02 THIS CERTIFIES tk~at the building Location of Property: 57635 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 63 Subdivision Filed Map No. __ ALTERATION SOUTHOLD (STREET) (HAMLET) Block 3 Lot 23 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JD/qUD~RY 18, 2002 pursuant to which Building Perm/t No. 28028-Z dated JANUARY 22, 2002 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 HEATING SYSTEM AS APPLIED FOR. The certificate is issued to WILLIAM A & PUP~A CAPONE (OWNER) of the aforesaid building. SUFFOLK CODNTY DEPARTMENT OF HEALTH ~PROVAL ELEt-rKICAL c~KTIFICATENO. PLUMBERS c~KTIFICATION DA'£~ N/A N/A N/A Rev. 1/81 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) PERMIT NO. 28028 Z Date JANUARY 22, 2002 Permission is hereby granted to: WILLIAM A & PURA CAPONE PO BOX 1223 SOUTHOLD,NY 11971 for : INSTALLATION OF A NEW HEATING SYSTEM AS APPLIED FOR at premises located at 57635 County Tax Map No. 473889 Section 063 pursuant to application dated JANUARY Building Inspector. MAIN RD SOUTHOLD Block 0003 Lot No. 023 18, 2002 and approved by the Fee $ 150.00 ~// Authorized Signature Rev. 2/19/98 ORIGINAL 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 tbllowing: 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. Bo 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. 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 - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Old or Pre-existing Building: New Construction: Location of Property: House No. Owner or Owners of Property: ~ ~ t iii O, Jq~ Suffolk County Tax Map No 1000, Section Subdivision Date. '~lA.I ~ (check one) Street b D,) Block 0 % Lot i Z, 2_cr v Filed Map. Permit No. '~'O ~ 4~ Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,:~'-~'. ~ Applicant: Hamlet Lot: Underwriters Approval: Final Certificate: ~ (check one) Applicant Si ._ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [, ~LATION FRAMING y[~/] FINAL FIREPLACE & CHIMNE REUARKSi-~~/~' ~~_/_ - /~~~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ,,] I~__LATION [ ] FRAMING [/-,:']' FINAL [ ] FIREPLACE & ~HIMNEY DATE ~INSPECT~ FIF, I,D INSPECTION REPORT ] DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PL~B~G ~S~ATION PEg N. Y. STATE ENERGY CODE ~DITION~ COMMENTS TOWN OF.$OI~I~OI~I~ { ., i! BU]I.DIN(} PERMIT APPLICATION CI-IECI~ BUILDINGDEPAR~~ ! ~ ~1~. i~ ' Doyouhawor~dth~fono~;bof~o-v~ TOWN I,l, SO~O~, ~ 1~1 ~ BLDG;DEPT. [ ' i s~ of B-flai~ s~ ~ , Co~ ,20 APPLICATION POR BUII2)~G INSTRUCTIONS a. This application MUST bo complexly flll~i in by typ:~tiitcr or ~ !~ and submittal to tho B, aMh,~ Iuspector with 3 sets ofp~--., ac~m~.~l~ p~ to soalo. Foo accora~-_~.to ~ohodulo. b. P16t p~., showing location of lot md ofbuila~ oa pr~iscs, relatio~.~l~!? to adjol,-~g pr,.~i~ or publi~ stre~ or c. Tho wo~k covered by t~, applioafloa m.¥ ~ot b~ ~,,..,..,~'~d before issua~.o ct Upon approval of this applioaiio~ tho Bx~a~ i~p~or ~gl tssuo a B~. ai%~ F~ ~.at to ~ho applicant Such a p~mit .~,1! be kept on th~ pr~.~ avai~ble for il~pe~don t~o~.ghout tho work ~ issued by th~ B~ah~g hu~pev~.e' No bu~a~,~ .~,,n b~ oooupiod or ua~d i~ whol~ or ~ pa~t fo.r auy purpos~ ~ha~o-ev= unt~ a Ccr~Qcat~.. of 0ccupa~ APPLICATION IS ~ay MADE ~ tho ~ D~,m~=.for ~ho h~-~ ~f a B,,ild~-_~'p~rmlt pursua~ to tho B~_~$~ Zoao 0r~,m~ of the Town of Southol% Suffo~c County, N~w Yor~ and other appllcablo Law~ 0r~,~,,,~s or R~,l~om, for the coz~auc~on ofb~ai,~, addito~ or .d~aQom or for r~m~val or d~molig~ as hc~n de~ The applkam agrees to c~ly wlLh all al~lic~lo ~s, ora~,m~ buikt~g code, hou~g cz~de, ,B~ ro~. 1,.6o~ and to adm~ amhodzod ~sp~ctor~ on p~e~aos and ~,, bmm, Z for z~sary'~*po~dom. (S~=~ of~,',io~ or~--,-_,if~ oorporatio~) ' State whether applicant i~ own=, l~ss~, agc'nt, architect, =n.~necr, general contractor, el~ai~m, plumbc~ or b~i!dcr N~mo of owa=r ofpr~.~s (~s ontho mx roll or la~est &~d) If applicant' a~rpoz~on, si~'o of d.ul7 authoriz~l ~fic~r ~f oorpomWo~r) House Numb= Strut County Tax Map No. 1000 Section Subdix4sion ,APPROVED AS NOTED ' NOTIFY BUILDING DEPARTMENT AT 765-1.802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS:' 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Z ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. O~::~STRUCTION & ENERGY C~eI:NOT RESPONS. IBLE FOR DESIGN OR CONSTRUCTION ERRORS 3 Lot ?~3 Block Filed Map No. N*_;,,~e of work (check w1~ich a~Hcable): New BuflOi~ ' " Ackt~on ~+m~fc~:-~ 'v'~ Z I o ..~ ~ If dwelling, mmaber of dwelli,~ traits Fee (to be paid on 6ling mis a~licafion) ' lq~wnber of dwelling 1,~nit~ oi1 ~h If garage, number of cars lflx~iness, cdmmc~al or rn~ed occupancy, specify nature and extent of each type of use. D~sions of exi~:~g ~zuct=es, if.~ F~ont' Rear Height Number of Stories Dimensions of Same structure With alterations or add,ons: Front ..Number of Stories. Rear ' , Depth Depth , ,,Height_ Dkn~,~ions of eat~re new conskuctto= ;Front , Number of Stories ' Height . Size of lot: FronI Rear Name ofFonne~ Ownc~ O. Da~e of P~-chase' 1. Zone or use ~G.,~c~ .in which premi.~es ~re situated ' ' , ' .2. Does proposed comstmciion violate any zo,~!ng law, ordlna~ce or regulation: .3. Will lot be re~de~ Will excess fill be removal from premises: ',, Rear NO' · {TATE OF ~ YORK) SS: .~OU'NTY OF .) being duly swo~; deposes and says ~h~t (s)he is th~ applicant )f said owu= o~ own=s, and is drily aut3nfized to perform or h~ve peffonn~ the said wozk and to mak~ and 6lc t~is application; hat all statcmc~ co~ned ~n*~.~ a~lica~on are tree 1:o the best ofhi~ lmowledge ~d belle~ and that the wozk will be ~crfowned Jn thc m~ncr set foz~ ~n the a~llcat[on'filed