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HomeMy WebLinkAbout12044-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12247 Date February 7 84 ................................................. , 19... THIS CERTIFIES that the building . .d.e. gk .a..d.d.~.%~.q.n.A. $.ng.r.q .u.n.d..P99.1. ........... Location of Property ... 3.3.1. .1.0 New Suffolk Avenue Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section 116 .Block 06 ..... Lot 016 -~ Subdivision X ,Filed Map No....X....Lot No. .X conforms substantially to the Application for Building Permit heretofore filed in this office dated November 10 19 8.2. pursuant to which Building Permit No. 12044 Z dated ....N. qveraber.. · · · ·.. · ·............30 19 .8.2., 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 ......... a deck a.ddition to dwelling & ingro, u.n.d swimming pool. The certificate is issued to NICHOLAS & RACHEL MINUCCI ..................... bYn ;, ' 'ddrz k4 k ) ...................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ..... N590287 Rev. 1/81 Building Inspector TOWN OF SOUTHOLJ) .UILDING DEPARTMI~NT TOWN HALL SOUTHOLD, N. Y. BUILDINGPERMiTI (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL. I~ULL. COMPLETION OF THE WORK AUTHORIZED) No. ~o~ z Dote ~~:.......:~ ........ , Permission is hereby granted to: , .......................................... . ..... ~- ....... / at ~remi~S I~ated at ..Z.... ' County Tag Map No. 1000 Section ....................... ,Block, ,,..:.~ ............... !Lot No. ;;;:~ ~'the .... ---/.,~'?':.~',:+~ ~.;i.. ,~¥and~' .......... Building !nSpector Building Inspector. Fee $ ........................ Rev. :s/eo/~ao FORM NO. 6 TOWN OF 8OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted h~-~tup!!cctc to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-IS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing~C_ land uses: 1. Accurate survey of peoperty showing ali property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a re,title, ate. C.: Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building .. ,,/?,d;~.[~ ..... Old or Pre-existing Building ,~] ,E-~, ....... Vacant Land ............. KY.- .......... Location of Property ....................... ~ ..... I-Iou~e No. Street ~ Ham/et Owner or Owners of Property ,~,',CK~Zq~,,..'~,. ~, .~ ¢.~ .... ~/~[ ............... 1/~ ~G Lot 0(~ County Tax Map No. 1000 Section ............... Block ......................... Subdivision ................................ Permit No. /./.~.~../~ · Z.. Date of Permit CV.~'.~.. Health Dept. Approval ...... f,"l · ,~ ............ Underwriters Approval. J,I..~.l I ~ ~. I .......... Request for Temporary Certificate .............. · Filed Map No ........... Lot No .............. .App,icant. ....... · Labor Dept. Approval ....... 7,~%-.~,';~.~. ...... ? · Planning Board Approval ...... ~ ......... ....... Final Certificate .... ~.//. .... ,c{~.)-- ......... Fee Submitted $ ............................. Construction on above described bl ild~g and per/~_.~2 ~l~/~ble ~_.e,s a~d regulations' App~' a t .... /4¢-f..4,'-~¢<.. ¢O¢1../c/' · ~4--%..~..~'~..'T/ .................... Rev. 10-10-78 :LO00C, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY [~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equlpm~nt ~ described below and introd~ceE ~y t~ appl~a~t ~d o~ t~ a~ ~pp/icat~o~ ~m~r i~ t~e premises of i. the following location; ~ Basement ~ 1st FI. ~ 2nd Fl. ~ Section Block Lot was examined on ~ ~ ~ ~8 and found to be in compliance wlth the r~quirements of thls Board. FIXTURE OUTLETS SWITCHES 2 1 DRYERS FIXTURES RANGES ~ OVENS 2 DISH WASHERS EXHAUST FANS OTHER APPARATUS: S E R OE CC. COND, I C E A.W,G JNo OF NEUTRALS J A W G, OF HI-LEG OF NEUTRAL L.A. Electric Inc. 23 Valley Drive E~ Moriches, N.Y. MANAGER This certificate must not be altered in any manner; return to the office of the Board if incdrrect, Inspectors may be id rials. cOPY FoR BUILDING DEPARTMENT. THIS COPY OF !N ANY MANNER. FIELD ~NSgE.CTYON FOUNDATION ( 1 st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. Y. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: YORK STATE DEPARTMEN% OP ENVIRONMENTAL CONSERVATION PERMIT PERMIT NO, 10-82-0698 UNDER THE ENVIRONMENTAL CONSERVATION LAW  ARTICLE 15, (Protectioll of Water) [] ARTICLE 25, (Tidal Wetlands) ARTICLE 24, (Freshwate~ Wellands) [] ARTICLE 36, (Construction in Flood Hazard Areas) P£R~tIT ISSUED ]O Nichola$ and Rachel Minucci By: Diane Herold ADDRESS OF PERMITTEE ........................... New Suffolk Arena, Cutchogue, ,~ 11935 Westha~ton Beach$ ~ 11978 LOCATION OF PROJECT (Section of stream, tidal wetla~]d, dam, budding) DESCRIPTION OF PROJECF T. ~aee and R. Case Construct swi~q~pool ~d deckipg_~gco~ng t_~.pla~_~t~__A~_gu_~~ 23L~98- 2LS~owin~ ...... all.partR_pf~__ne~w_~s_t_r_gct~re~p_~_i_t~h_in~ _50_'_. o~f,~sp_u_the~_ side of existing dwellin .~_?h~ere is to be no disturbance to topography or vegetation within 75' of mean ~ water durin~__a_ll~_ph~ases COMMUNITY NAME (City, Town, Villa~ of construction. J TOWN Cut chorus J Southo] d GENERAL CONDITIONS SPECIAi~CONDITIONS SEE ATTACHED A~DI~ONAL CONDITIONS PERMT SSIJE DATE ~ ADM N STRATOR 4 ,),, ~ . ,/ lag 40, S~, stony Bxoook,' ~ ]]79 October 7, 1982 ~D~iel J. Larkin ¢c: ~SDEC Law Enforce~nt - Region ] USA~ N FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . .~..~.....~.©. ..... 19 ~..c~ Approved ~ q..//7....~.~.(.fl .... 19t~..~. Permit No. Disapproved a/c . . . ;~ ............ /-~ ............. (Bdilding Inspector) APPLICATION FOR BUILDING PERMIT Application No ~.<~a~? .~..~.~. ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 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 building for necessary i~Ispections. __ .......................... (Signature of applicant, or name, if a corporation) ·, ./0..e/. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... & fk¢14.t T.~..e'7~. ................................................................. Nmne of owner of pre~nises . M. t.¢./{0.t.. ~S...{ .~.6¢1.4~.L...~/.~o..c.6! ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ? Builder's License No..~ ........................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Num ber::qg~/~,fft///O Street Hamlet County Tax Map No. 1000 Section ...././.~. ........... Block ....67.~. .......... Lot...O/ff. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~.~ .~.~7~.~7~..c~. .................................................. b. Intended use and occupancy ..... ~..cq.t.t3). fglyd .g.. p.c.~.k-..., g..~¢g, ................................. 3. 'Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work..~..4.6 .~..~.. (T/~C'krf-- ( ~? . _~.~r-~-~.~ (Description) 4. Estimated Cost ...... .~..~. ~.D.CO..5 ...................... Fee.~..cZ?. / .... ........................... /5'-c-:~-- .7..o(.~'..oT~...~O' ~ (to be paid on f~ing this application) 5. If dwelling, number of dwelling ]:nits ......... ' ...... Number of dwelling units on each floor. ?.. ;. ......... If garag~e, number of cars ..... ~ ................................................................. 6. If business, commerciai or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure wi~h alterations or additions: Front ................. Rear .................. Depth .................... :. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ....... ~.. ........... Rear ..... /.tM> .............. Depth . .f.~.5 ................ 10. Date of Purchase .......... L c~ ~. {. .............. Name of Former Owner .~-J~3 ~0~.g ~.. B~. ~ ............ 11. Zone or use district in which premises are situated ....... t~,...~641.u>~/q-OAt. ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... /i/4 ...................... 13. Will lot be regraded ....... ~ .................. Will excess fill be removed from r)remises: Yes · PLOT DIAGRAM Locate clearly and distinctly all ibuildings, 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, COUNTY OF.. ~.o.~. ~.~(~. ...... $.s ......... ~/,qtd¢... ~t ~.1~o ~.~>. i'. ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ............................ ¢.~.~.~.. .~-q~....qc.o.~.~.W-- .. ~ (Contractor, agent, corporate officer, etc.) of said owner or ownem, ~d is duly autho~zed to perform or have perfomed the said work and to m~e and file this application;that ~1 statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set for~ in the application ~ed therewith· Sworn to before me this ......... ~ .W ........ day of~ ..... 19 ~1~ -. . NeW ~or sta~e o~, ~°mZ~ nn44963 5u~u ~0 3.~ .............................. ~9~ ~YS~ ~o~re~ Marc~ ~ ' (Signature of applic~t) AP)ROVED AS 765-1802 9 AM TO 4 PM FOR THE FOLLOWING rNSPECT]ONS: 'h FOUNDATION - TWO FOR POURED CON'CRETE , 2, ROOGH - FRAMING & PLUMBING ~. INSULAT/ON ," 4., FINAL - CONSTRUCTION BE COMPLETE FOR C.O. ~,LL CONSTRUCTION SHALL MEET.'J THE REQUIREMENTS OF '. M. ~'DATE CONSTRUCTION & 13ODES. NOT RESPONSIBLE FOR ]~SIGN OR CONSTRUCTION ERRORS