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HomeMy WebLinkAbout12104-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z. 1.2.7..5.7 ......... Date ....S.e.p.~.....7 ...................... 19 THIS CERTIFIES that the buildLng .B.e.d.~.g 9.m..&...d.e.c.k...a.d.d.~.~. $ 9.n' .................... Location nfPrnn~rtv 475 Leeton Drive Southold House No. $~reet Hamlet County Tax Map No. 1000 Section0.5.9. ......... Block . .1 ............. Lot ...8. ............. Subdivision ............................... Fried Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · N o v. 18 19 .~ 2. pursuant to which Building Permit No. 12106 Z dated ....J.a.n..1. ¢ .................. 19 .8.3., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whicl{ this certificate is issued is ......... .... ,5.ummer..hom.e..h'i.t.[1 .bedr. oom..i .qlecX .~qlrt. SJ; %92 ............................. The certificate is issued to .... J. 9 ~.e.2Lt. p.i..B. ~?.t.q ~9..a.n.d...V.i.q .gg?..~.a..1.e.s. .............. fowner , ~e~X ~.~,X~ X X of the aforesaid building. Suffolk County Department of Health Approval ............... Iq./. .A ........................ UNDERWRITERS CERTIFICATE NO ....................... ~.N 60B.4. g $ .................. Rev. 1/81 Building Inspector Pen BUILDINg' BUILDIN6~ (THIS PERMIT/~I. UST :BE KEI~T ON~ :'~H COMPLETION OF THE WOR~ il210.t Z nission is hereby at p~emlse8 : :' ,ty Ta~ Mop, No. 1000 ~ection rant fo application dated ..... ~,..~ ......... .,.,.~....~.:,....?..,~, ~.. lng Ir~spector. and approved by the FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in Wpewriter OR ink, and submitted--i~dul~l~et~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 featt~res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S.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~ lions, a certificate of Code compliance fromm, h.e Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all 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 certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling/ landuse--[~',e--~×:i, st.J.~l~; C.0. ,~15.00 3. Copy of cert~ificate of occupancy $1.00 W~ c ~ t. l~d,. C .0. New Building ............. Old or Pre-existing Building ............. Vacant Land ............. Location of Property ........ ('~ ~ ~)/~) '~::' ' Owner or Owners of Property ~ ~ ~t~.P). 'i'.~./..~..~.F.. ~2~... ~. 2.~..Z..~././.~. ~...~ .'(. County Tax Map No, 1000 Section~') ''~'t~'~ Block . /. .... . Lot.. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No~0_JD~./.~.-. .. Date of Perm.t j{~..~ .... Apphcant ........ ,;. ........ ~/Df~e Health Dept. A~ proval ...................... Labor Dept. Approval ........................ Unde~riter~ prova] .................. ~l~nnin~ Board Approval Request for Tempora~ Oertifi~ate ................... Final ~ertificate .., Fee Submitted $ ............................. Construction on above described building~ermit m~s all applicable codes and regulations. Applicant]~/~ .... .~.~,~ ..................... THE NEW YORK BOARD OF FiRE UNDERWRITERS BUREAU OF ELECTRI~IT~ 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 · .,~ c~.~,..~s v.a~ N 666517 only the electrical equipment as described below and introduced by t~ applicant named on the able application number D~ the prem~es of ~s-Di ~a~o~., 475 ~ton Drive, ~, N.Y. in the followlng location; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lot was examined on OC~O~r ~ ~9~ and found to be in compliahce with the requirements of this Boar~. FIXTURE FIXTURES OUTLETS SWITCHES FLUORESCENT VAPOR 2 17 9 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE r~nu~RS RANGES OVENS DISH WASHERS EXHAUST FANS [JNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 1-~aol~e Detector. ~-4.5k~. Not '#ater S E R I C E i~ RCC,~ A'W'G' NO OF HI.LEO J A, WG NO OF NEUTRALS NO O E CONO OF CC COND. OF HI-LEG Electric IL~n Heaters: 2-2.0~F 2-1.5k~, 2-1.01~. 1-~751v~. 1-.5~. OF NEUTRAL This certificate must COPY be altered in any manner; return to the office /ILDING DEP Board if i GENERAL MANAGER Per. Inspector~ may be by *heir THE NEW YORK BOARD OF FliRE UNDERWRITERS BUREAU OF ELECTRICITY~ ~.,~ ~..,,~..,o. ~o. o.~.. N 608493 THIS CERTIFIES THAt only the electrical equipment as ~scribed below and introduced by tlw appllca~t ~an~d on the above application nu tuber in the premises of ~le~-Di ~-'cola~ .i75 I~eton I~iv~, ~ut~ld~ N.Y, in the followlng location; ~ Basement ~ 1st FI. ~ 2~*d FL Section Block Lot wasexamlnedon 0~(~.0 ~), 1~8~ andfoundtobeincom~llar~cewiththerequiretnentsofthisBoard. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE DRYERS MOTORS APPLIANCE FEEDERS T!ME ~LOCKS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT I C OTHER APPARATUS: NO, OF HI-LEG OF HI-LEG E NO OF~_EUTRALS1 AWG OF NEUTRAL i/o U~,] Prato, Elecg~-Joi~ ~'~ggin~ Lane Grc~nport ~ N,Y. 11~ This certificate must not'be altered in any manqer; return to the Board :if ~c#1049 may 11 ~by their credentials. MANNER, F~ELD.- ~4~$BECTION 1, COMMENTS FOUNDATION (Ist) FOUNDATION (2nd) 2 o ROUGH FRAME & PI,UMBING iNSULATION PER N. Y. STATE ENERGY C,ODE ADDITIONAL COMmeNTS:____ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated .... ~ .~..~.~.~.... ~..~.. ...... 19 .~. forpermittoconstruct..t~.~/.~.d~./.~2~'f.../'~'.~.~.~f~_~ ............... ~ at Ham/at County Tax Map No. 1000 Section ....~..~...~. .... Block ...(~. ,'(. ....... Lot . .~.~.c~. ...... Subdivision ~ Filed Map No ~ Lot No ~ is returned herewith and disapproved on the following grounds ~ ....... '~: '~ '"NN I E'~ ~. ~.'-'__ - ~ RO HOME IMPROVEM EN~_'~,, CARPENTRY OLD&NEWCONSTRUCTION i~ ' R J MORIZZO SOUTHOLD, N Y 2x8 CCA 76 ft. (plate) roll t0" aluminum foil 2xlO fir 3'/14' (beam) steel post 7ft. 5. 2x8~2/12' , 20/14' (floor joists) ~ ~==--~__ 6. 1/2" CDX plywoo(t, li sheets (sub floor) ?. spruce 9/12' 6/1 ' (pZatss) 8. 2×h spruce 60/pre-outs , 10/8' , 2/12' (walls) 9. 2x6 spruce ~/8' (he~er) 10. 2x8 spruce 1/i4' (he~er) li. 2x8 s~uce 20/14' (ceili~) t3. 1/2" ~X pl~o~, t2 sheets 14. 2 rolls felt ~r (roof) 15. ~ sqs. white roof shi~les 16. One vent (gable end) 17. lx6 '~ '4/14' (f~scta) 18. 1/4" AC pl~o~ 4x8, 2 sheets (soffit) t9. Ti-ii 5/8" fir 4x9 , 15 sheets 20. Nails, 50 lbs. 8, 10, 16 galvaniz~ co, on 21. One 6'0" x 6'8" Anderson slldt~ doer (white) 22. 3'0" x 3'2" Anderson double hu~ windows ( 3 windows ) / Moles .... 76~-5772 HOME IMPROVEM EN~'S~ OLD & NEW CONSTRUCTION ~ CUSTOM HOMES RJ MORIZZO SOUTHOLD, N Y PAGE TWO : October 26, i982 i. Ti-ii 5/8 Fir 24 sheets 2. tx2 WP 8/i2' 3. ix6 WP 6/12' 2/14' 4. S - ~' Anderson double hung whit~e 2432 Anderson double hung white 3032 Mullion double hung white ~.') i - 18 - 2442-18 Picture window unit Anderson white 1 -'PS6 Perma Shield Patio Door Includes screens for all windows and doors PHONE: (516) 765-3847 -:- 640 MECHANIC STREET -:- P.O. BOx 572 -:- SOUTHOLD. bi., N,Y. 11971 TO RONNIE'S HO~,E IMP~OVE~ISNT Dec. 31, 1982 Appraisal of house on Leeton Drive Southold, N. Y. owned by J. D. Bartolo and V. Moles. After making a complete inspection of this house and finding it in Eood con- dition, my appraised market value of this house as of 12/29/82 is $38,800.00. Daniel T. Smith 766-6772 RONNIE'S ~IE IMPROVEMEI~ CARPENTRY OLD & NEW CONSTRUCTION CUSTOM HOMES RJ MORIZZO SOUTROLD, N Y Town of Southold Building Department January 5, 1983 Customer to finish inside of house. Estimate on cost is $3,000.00 Contractor work and material is priced at $i2,000.00 Customer cost 3,000.00 Total cost of work to be done $15,o0o. 0o Total cost of work to be done is less than half of the appraisal of the house AP~DQ~¥~D AS ~OTED NO'~IFY BUI~'~"NG DEPART~T AT ' RONNtE~ x.~ 7~5-1802 9 AM TO 4 PM FOR THE IMPROVEMEN~~ FOLLOWING ~NSPECTIONS: --- l. FOUNOATION - TWO REQUIRED oc~ & ~w co~sr~uc~O~ FOR POUR[D CUSTOM HOMES 2. ROUGH - FRAMING & PLUMBING  3. INSULATION RJ MORIZZO SOUTHOLO. NY 4. FINAl_ CONST~,UC.ION MUST -.~ ...... :-~ FOR C.O. ALL CONSTRIJCTIQN SHALl_ MEET ZL~~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY ~m ' ~DES. NOT / If COpper tubi~ ~or water distributing system; piping shall be oF types ~ or L only R J MORIZZO SOUTHOLD, N Y. R J MORIZZO SOUTHOL[~, N Y ~'- RONNIE~ ~~ HOME IMPROVEMEN~~ CUSTOM HOMES R J MORIZZO SOUTHO LD, N.Y 1. CeA 76 ft. (plats) 2. 1 roll 10" aluminum foil 2x10 fir 3/14' (beam) 4. I steel post 7ft. 5. 2xS-~p~2/12' , 20/14' (floor joists) 6. 1/2" CDX plywood, 11 sheets (sub floor) 7. 2x4 spruce 9/12' 6/14' (plates) 8. 2x4 spruce 60/pre-cuts , 10/8' , 2/12' (walls) 9. 2x6 spruce 3/8' (header) 10. 2x8 spruce 1/14' (header) 11. 2×8 slrz'~ce 20/14' (oetling) 12. -2x~ce- 20/16' (rafters) 13. 1/2" CDX plywood, 12 sheets (roof) 14. 2 rolls felt paper (roof) 15. ~ sqs. white roof shingles 16. One vent (gable end) 17. lx6 WP '4/14' (fascia) 18. 1/4" AC plywood 4x8, 2 sheets (soffit) 19. T1-11 5/8" fir 4x9 , 15 sheets 20. Nails, 50 lbs. 8, 10, 16 galvanized commOn 21. One 6'0" x 6'8" Anderson sliding door (white) 22. 3'0" x 3'2" Anderson double hung windows ( 3 windows ) Moles HOME IMPROVEMEN~~ OLD & NEW CONSTRUCTION i CUSTOM HOMES R.J MOR IZZO SOOTHOLO, N,Y, PACE TWO October 26. 19~2 6. 7. 8. 1. Ti-il 5/8 Fir 24 sheets 4x9 2. lx2 WP 8/12' 3. tx6 ~ 6/12' 4. 3 --~Anderson double hung white ,_. i - 2432 Anderson double hung white 1 - 3032 Mullion double hung white ~,~ i - 18 - ~42-18 Picture window unit Anderson white 1 -'PS6 Perma Shield Patio Door Includes screens for all windows and doors Application Received Disapproval Issued Pe~it # APPLICATION FOR D~ELOP~NT PERMIT In the Town of Southold 1. Additzon and/or Alteration~ Type ~f Development Proposed:/ New S~ruc~ure (in61u~ing st'0rag~ tanks~. Flood. ProGf Below Base Flood Elevation~ Other (specify) .............. : ................. 2. ~Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement, feet inches (b) In a V Zone, bottom of lowest structural me'er f~-~' inches Location of Property: Block ~/ - Lot( County Tax Map No., District, 1000, Sectton~ '"~'~' Subdivision ...... Filed Map ~ _ Lot(s).~ 6. ~vmission to be ~nted: ~0wse~ as above ~New Owner ~Under Cont~act~ ~ Lessee ( ~ContraotoP __ ~. O~~ ~o ~ ~' ~ ~,~ A~ ~ '~o~-5s ........... ... 7. Approva1 from other(s) before Pe~it is issued: HEALTH SERVICE. /(j - % ,,-- BUILDING PERMIT, WETLANDS (Town Board), /-~/U,/(~,~,,, PLANNING BOARD,, I, , the applicant, &m the Owner~, Co' 0wn'e'r~_~/, Ne'~ '0wne~-~-~ntractl--~, Lesseel~-~l, Agentl--I, Con- tractor"~, and agr~'-to comply with all applicable s~ction~--0f the Code of the Town of Southold; County, and State and to admit authorized in- spectors to premises authorized to perform or have performed the said work and to make and file this application, that all statements contain- ed in this application are true to the best of my knowledge and belief and that the work will be perfoEned in the mannerset forth in the application filed therewith. STATE OF NEW YORK COUNTY OF SS ~- signat-u~e SWORN TO TIIIS DAY OF 19 Notary Public Applicant,s mailing address and phone # if not given above: 4/80 P.O. BOX ?28 SOUTHOLD, NY 11971 FORM NO. ~0 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 ~ Ai~PLICATION~ FOR DEVELOPMENT. .PER,MIT TOWN HALL MAIN ROAD SOUTHOLD, NY ]Instructions: The application to '~he Building Inspector includes (each Yn dupIz6ate) 1. Form No. l0 filled out in ink or typewritten, 2. Sur- vey of premises with, elevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete infor~aation to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any.other agency requires. General Standards asirequired in Section 46-17 of the law to minimize flood ~amage: A. Anchoring of!structures, including tanks and mobile homes B. Use of constrUction material and methods C. Design and l$cation of utilities D. Subdivision proposal with drainage, public utilities design and base flood elevations ~pecific Standards as required'in Section 46-18r A. Residential ~onstruction . B. Non-residential constructzon C. Mobile homesl The applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure h~s or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below the base flood level the structure is water tight with walls substantially and impermeable to the passage of water, 2. that structural component~ are capable to resisting hydrostatic and hydrodynamic loads and effects oflbuoyancy, 3. applicant must sub~it certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazzard:are_~a (V Zone) 46-19. Applicant shall submit plans, ~specifications including the required certifications and such other in- formation as the Building Inspector may require in that ~he provisions of 46-19 are complied with. Mobile homes are prohibited. The lowest portion of the structural me~bers of the lowest floor cannot be lower than the base flood elevation!with all space below open except breakaway walls. ,Sand. dunes. If sandldunes exist on the premises and the applicant pro- poses to Alter same, lplans and specification must be shown in detailed nature of any alteration submitted. Buildin~ Permit. A Building Permit is also required for any structure. ~th a Development and a Building Permit must be issued before any work can start in a special flood hazzard zone. A written disapproval or a permit must be issue~ within ten (10) working days. During const~uction,.Ithe inspector shall be notified in time so he may makethe required inspections. ~on completion, thelrequired certification fo the final elevations and work must be submitted before the approval to use or occupy can be ~proved. 4./8o~ (Fill Out the form on the back of this sheet) FORM NO. 1 '~' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Examined/? .... .... ,19 Approved Application No. {'ct7/(~ ."/ ....... Disapproved a/c ... .................. "77 .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT /,,D~//~ I~RUCTIONS a. Tkis 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 throu~llout the work. e. No bnildhig 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, build!r~g code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectiQm% - . ........ ......... - (Signature of applicant, or name, if a corporation) ~ .~. :.-4 .e.,:. ~ :.c.,.. (~..q .n. ¢ .,..~.d..c.,.~..,,.~ !?.(? !.~. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engCneer, general contractor, electrician, plumber or builder. ........... ..~O.,.c.~.r..~.LL.. r'?c! ~.,? ~.r<z.. c:'.t:.~,~. ................................................ Name of owner of premises ;~}~5 ¢/.D./:2 . .A('....~.~.~./*. ¢?. /fi?. .(2.~. ,F,,.~... '.V../.C.~.(,).~..../?/?¢)../~.O.. ................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly attthorized officer. (Name and title of corporate officer) Builder's License No... ~ .(re; .? ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .o...P.. ............ tO.q !d.' .................. House Num bet Street Hamlet County Tax Map No. I000 Section . .~...'~? ............ Block .... ?. ............ Lot....0~."~ .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which a ,plicable): New Building .......... Addition ~-~. ;,~.~... Altql~tion ~--. ...... Repair .............. Rem )vai .............. Demolition ............ /. Qther Work .~ ......... , .... 4. Est~ated Cost ~ ~ ~/>/ ~* ~ ~ / (to be p~d on filing this application) 5. If dwell~g, number of dwellin ~units ..... ] ......... Number of dwelling ~its on each floor ................ If garage, number of c~s .... 6. If business, commercial or mixeg occupancy, specify nature and extent of each type of use. .......... e ....... 7. I)~ensions of existing structures, if any: Front...~5. ~ ...... Rear .............. Depth. ~ ......... Height ............... Number of Stories ..... ] ............. :z~ .............................. Dimensions of sam~tmcture w~th alterations or additions: Front ...~.~ .......... Rear .................. Depth .... ~.~ .......... ~.. Height ......... ~., ........... Number of Sto~es... A ........ ~ ....... 8. Dimensions of entire new construction: Front .... /~~ ....... Rear ............... Depth .~ .......... 10 Date of Purchase .... . Name of Fomer Owner 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: Yes No 14, Nme of Owner ofpremises~.~(~JOY, g.~ddress ................... Phone No ................ Name of Architect .......... ' ................. Address .......... : ........ Phone No. Nme of Contractor ~00~[~..~r/.*~.. Address ~(~/E~.~. 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 ~?R,K-~,/''~ A/ COUNTY OF..~..~t .z O..'~ ' '- /.A~. · · !S.S ........ ~-~ ~.. t/..qt~.~ C ...... .~..).~..Cf. ~-,. ~.. ....... being duly sworn, deposes and says that he is the applicant (Name of individual sign lng contract) above named. of saic! owner or owners, and is dui(authorized to~,,pe~form or have performed the said work and to make and file this application; that all statements con~ d~pplication are true to the best of his knowledge and belief; and that the work will be performed in the manne? set forth in the application filed therewith. Sworn to before me this ........ ....... d' ........ , No_tM Publi~, .... : · ~ ........ ~. Cou ~OTgR¥ PUBLIO, Sta~ of fqew Yo~ NO. 52-$~2§850i Suffolk Term Expires M~rch