HomeMy WebLinkAbout24673-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25701 Date: 05/01/98
THIS CERTIFIES that the building ADDITION
Location of Property: 1735 CLEARVIEW AVE. SOUTHOLD
(HOUSE NO. ) (STREET) . (HAMLET)
County Tax Map No. 473889 Section 70 Block 9 Lot 52
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 20, 1998 pursuant to which
Building Permit No. 24673-Z dated FEBRUARY 13, 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 SUNROOM ADDITION "AS BUILT" AS APPLIED FOR.
The certificate is issued to CARLO & ELVIRA CANALETICH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE' NO. N/A
PLUMBERS CERTIFICATION DATED N/A
r
Building spector
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)
Date .....FEBRUARY.....1.3........................... 19..98....
24673 Z
Permission is hereby granted to:
CARLO & WF CANALETICH
................................................................................
PO BOX 33
.... .... ............... ................................................................
SOUTHOLD,NY 11971
..........................................................................................
to.....�gNSTRUCT A SUN ROOM ADDITION "AS BUILT" AS APPLIED FOR_
....................................................................................................
..................................................................................................................................................................
.......................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
100 MAILLER CT SOUTHOLD
at premises located at.......I.............................. ........................
................................................................................................................................................................
County Tax Map No. ....473889,.... Section ,,,070............. Block ....0009........ Lot No. .0.52................
pursuant to application dated ...gANUARY 20 , 19......98...., and approved by the
Building Inspector.
Fee $...............��.....
... . .. .. ........ ... ........ .. ..
B ilding Inspector
Rev. 6/30/80
�OS�FFO�,�coG
o�0 21
Town Hall, 53095 Main Road W Fax(516)765-1823
P. O. Box 1179 Telephone (516)765-1802
Southold, New York 11971 �,t, • ��
viol � Sao
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 6, 1998
Re Premises owned by Carlo & Elvira Canaletich
Suff . Co. Tax Map #1000-70-9-52
To Whom it May Concern:
Please be advised that the above premises is located on the
corner of Clearview Ave. & Mailler Court and has two address
numbers .
The address is known as #1735 Clearview Ave. and
#100 Mailer Court Southold, N.Y.
If you have any questions, please ,do not hesitate to contact
this office.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
GJF:gar
Form No. 6
4i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT { i�APR 2 8
TOWN HALL
765-1802
TO D
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. ' This application must be filled in by typewriter OR ink and submitted to the building
inspector 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- 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 a 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 Buildine - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
a ,I
Date . . . .? . . . . . . . . . . . . . ... . . . . . . . . . . . . . .
New Construction./ .. . . . Old Or Pre-existing Building. . . . . . .. . . . . .
Locationof Property. . .. .." *" . . . ."* "" " * . .. . . ... . . . . . . .. . . . . . . S. J. . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property e. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . ./.: . . . . . ...Block. ./ .. . . . . . . . . . . .Lot. . .: . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit NoALJ.3:r. . . .Date Of Permits-P1 . /`S . . . . . . .Applicant. . . . ��?.��.��: �::� • • • • -
HealthDept. Approval. . ... . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . .. . . . . . . . . . . .. . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . p, p�
C.
e '7/� APPLICANT
AFFO(,�cO
Town Hall,53095 Main Road y Fax(516)765-1823
P. O. Box 1179 Telephone (516)765-1802
Southold, New York 11971 •
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 24, 1998
Carlo Canaletich
P.O. Box 33
Southold, New York 11971
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 # 24673-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [vj FINAL
[ ] FIREPLACE 8 CHIMNEY
REMAR"
DATE 2`L T�'� -INSPECTOR __����1
90
Z:.LD I;;S.'ECTIUN JJDATE COMMENTS
m
H
FOUNDATION ( 1st)
c
m
FOUNDATIOId . ( 2nd) ,
2 .
" z
Of
• � O
ROUGH FRAME &
.PLUMBING "
y Q
]7
3 . r�
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y
IIISULATION PER N . Y. '
STATE ENERGY
CODE �1
4 .
FINAL
z
ADDITIONAL COMMENTS : x
• � 00
ro
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y
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_ O
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in
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BOARD OF RELATES�
FORM NO. I 3 SETS OF PLANS� TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . .
`
I C y BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
JAN 2 O IL. 'TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
_ SOUTHOLD, N.Y. 11971
Ib; Dri. DEFT. _TES.: 765-1802 NOTIFY:
// CALL . . . . . . . . . . . . . . . . . .
rNamined.......
l.�... 19. MAIL TO: . . . . . . . . . . . . . . . . . .
Approved..... /1�...., 19, � Permit No. ¢., 7 O3.... ....................................
Disapproved a/c .................................. ....................................
......................................................
IZ4
(Skiilding ns beet r)
APPLICATION FOR BUILDING PERMIT
Date.?C!_ittkl?. 19(�?.
INSTRUCTIONS
a, 'this application must be completely filled in by typewriter or in ink and submitted to the Skiil.ding Inspector with
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
1). 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 of property 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 SSEREff MADE to the Building Department for the issuance of a Building Permit- pursuant to the
-SkiAding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the constriction of buildings, addiLions or alterations, or for removal or demolition, as her
d kribed. 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 building for necessary inspections.
.....................................................
(Signature of applicant, or name, if a corporation)
73--5' .... AvP,�... .o✓l i..................
(Mailing address of applicant)
State wbhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plunber or builder.
.........014))),L,0 ........................................................... ........ ... .........
son
U. l�:r.' h. �.R f
Name of owner of premises .. a /,d..!¢N .. 1 1 / ....`:fit i he h C� ...
(as on the tax roll or latest deed) Now � S.
If applicant is/a corporation, signature of duly authorized officer. 765.18= 16 AM TO 4 IM IN
............Nl. .......................................
(Name and title of corporate officer) _��
2. NOUN MUM&RANSM
3. INSULAVION
Builders License No. ......................... 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FON C.O.
Plumbers License No. ......................... ALL CONSTRtICTiON >"LL MEET
THE REQUIREMENTS OF THE N.Y.
Electricians License No. STATE CONSTRUCTION & ENERGY
Odher Trade's License No. CODES. NOT RESP NSIBLE FOR
1. Location of land on which proposed work will be done....�735..C�2�� IT�ElISN �NSTRRS.....................
Po
.......................................................................................................................
House Number Street C� alanlet
5
County Tax Map No. 1000 Section ..__ Block ......... ...... Lot .
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of preJmises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... /.l:e d .................................... .......................
b. Intended use and occupancy ......S/.4. .7 .w ...............
3. Nature of work (dieck vhicli applicable): t.Lmy IkAlding ........... Addition ... Alteration ..........
Repair ............ Removal ............. Demol i H on ............ Other Work ........... ....................
(Descrit"t'-'i on)
4. Estimated Cost ........................... fee ...............................................
(to be paid on filing this application)
5. If di-mlling, number of dwelling units ............ Umber of d%'A--IIing units on each floor ................
Ifgarage, minbeer of cars ......................................
G. If business, conuercial or mixed occupancy, specify nature and extent: of each type of use..... ...........
_ova
7. Dimensions of existing structures, if any: Front....W.......... Rear ......r...... Depth ......r.........
Heig1it. ........................... Umber of Stories ....I..............
Dinx-nsioas of --P-- structure with alterations or adMitions: Front j ....... Rear .... OCI
...........
Depth .......e........... Height .........I......... Umber of Stories ...............
8. Dimensions of entire new construction:, Front ..... ........ I?.--a r .......F ..... Deptli ....0.........
height .......................... Umber of Stories .....................
9. Size of lot: Front ..................... Rear .................... Depth .....................
10. Date of Purcliase .....L!.7(P
........ Name of former Owner ........................................
11. Zone or use district in thich premises are situated .......................................................a......
......
12. Does proposed construction violate any zoning law, ordinance or regulation: ..../A.-Jo................
13. Will lot be regraded ..../V�........... Will excess fill be removed from premises: YES QW
14. Names of Owner of premises Address .4112....... PIKme- No.
Nameof Ardiitect ..................................... Address .............................. Phone No. ..............
Name of Contractor .................................... Atkiress ................................."lone.No. ..............
15. Is this property within 300 feet of a tidal wetlarKI? * YES ........... NO ..........
*1r, YES, SOLMUD MM 1MSnM-S PEIMIT MAY BE WqRREM.
Pl;'o,r DIAGRAM-
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate.,all set-ba& diniensions
Fran property lines. Give street and'block number.I or description according to deed, and show street names and indiLle
%Aiether interior or corner lot.
cu
C.
L
F3.
A Re- q 3.
Q�
MOM
MM* DA
VIT
duly sworn, deposes and says that be is Lhe applicant
44A,C,315 .....................being
i
Ile is Lhe .....OLIL)
..... . .....................................................................................
(CAmiLracLor, agent, corporate officer, etc.)
of said (mx--r or (YAY--rs, and is duty authorized to perf-onn or have performed Lhe 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 b6lief and
LhaL Lhe work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
........ I L.,...dda I ........0......
� y
Notary Pul) is
..............
Y4(k (S iature of Applicant)
•W '"'''MTO.:THIS SURVEY IS A VIOLATION OF
! ' {� �• SECTION 7209 OF THE NEW YORK STATE
EDUCATION L
l`�� oVEY MAP NOT BEARING
*. "� DPlly(pF�TF •, t�•;C�D Si AL OR
, THE LAi\D SU.. Y•�r.•s
f N:if uE COti51DERED
EMBOSSED SEA!SlIALL
TO BE A VALID i:UE C_'Fif
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OCCUPANCY OR v A5 B�'LT J AL �..
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USE IS UNLAWFUL Paszew ROOM W GiZAJ
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WITHOUT CERTIFICATE 4 5�
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UNDERWRITERS CERTIFICATE --— — --—
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