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Home My WebLink About11005-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22731 Date NOVEMBER 16, 1993 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2125 STILLWATER AVE. CUTCHOGUE~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 8 Lot 5.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 29, 1980 pursuant to which Building Permit Ne. l1005-Z dated DECEMBER 29, 1980 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 ALTERATION TO KITCHEN & PORCH ADDITION TO F~XISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE & STELLA PONTINO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - NOVF~4BER 11r 1993 PLUMBERS CERTIFICATION DATED NOVEMBER 9, 1993-PECONIC PL[rMB. & HEATING //uilding Inspec or Rev. 1/81 FORH NO. ~ BUILDING DEP~RTMI TOWN HALL $ouTHoLD, N. Y. (THIS PERMIT MUST BE KEpT ON THE PP, E/~ COMPLETION OF THE WORK AUTHORIZED) 11OO5 Z BUILDING PERMIT ~ JS~S UNTIL ~ULL Permission is hereby granted to: ..................... ~.~..~.~. ....... ~...~ ............. .......................................................................................... ~...., .............. ~.. . BUilfling l~spector. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 . 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. 3. 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. :. Fees i. 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 - $5.00 over 5 years - $10.O0 4.Updated Certificate of Occupancy~_ $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ew Construction ...... .~.... Old Or Pre-existin~ Building. House No. Street ~ Hamlet .......... ~unty Tax Map No 1000, Section.../.~.y. ..... Block...~. ........... Lot. ~ ~ J .......................... Filed Map../~.~. .... Lot ...................... - ...Applicant. .~. · .... !alth Dept. Approval .... ~.%~..~.' ................ Underwriters Approval.~g.~.~/ ~ .~.~. · arming Board Approval ........ .* '1;' .............. 'quest for: Temporary Certificate ........... Final Certicate.. ~. . TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P:O. BOX 1179 TOWN HALL SOUTHoLD, N.Y. 11971 TEL. 765-/lt02 C Date Building Permit No.~/~63~j2~' Owner' prznt) ,7 / I certify that the solder Used in the water SUpply system COntains less than 2/10 of 1%' lead. .? , INSPECTORS Victor Lessard Principa! Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 26, 1993 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Hr. George Pontlno 2125 Stillwater Ave. Cutchogue, N.Y. 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (cut~atcd/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 l, 1984). BUILDING PERMIT ~ BP# I IO05Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FT~,D I~SPECTION COMMENTS FOUNDATION ( 1 s t ) FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: .:( o 7GS-1802 BUILDING DEFT, INSPECTION [ ] FOUNDATION 'IST [ *1 ROUGH FOUNDATION ZND [ ] INSULATION FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1803 Examined ,dJ~-..~. . ~ .'~ .... , 19... Approved ?..'~, · .'q~.. C;~. ~.. ..... 19 ?.~). Permit No././.(7).(~..~..~.~ Disapproved a/c ....... .................. APPLICATION FOR BUILDING PERMIT Date .~.ffZ .e....7. ~. .... Application No.. d.q/(.f.' .o.. ~~. .-. ..... INSTRUCTIONS 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. 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 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 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. "'' i~i~~]tu~ apphffant: &}~~a}'o'n', .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~dneer, general contractor, electrician, plumber or builder. ......... .~...O9. k e~..~.. ~.~,. k .d ~. ......................................................... Name of owner of premises ... '~...~.~..~..~.~....~..cp.~.' .'fi.. ~ .~ 25 ........................................... (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. /~ -7--~'~/-d~ Electrician's License No ........ ~ ~ ~ffq/ ~X .......... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ....................... ....... . 77 · · .............. House Number Street Hamlet County Tax Map No. 1000 Section / o .~ Block o o~ Lot ~ .~. Subdivision ..................................... Filed Map No. f..~..~.O ... Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed con?truction: a. Existing use and occupancy ........ ~.C.~ .i.d..~-~n .'[. c~.~. .....~. 4-(~'.~G?~...~'./,d~ .g~.< .~. ~' ................. b. Intended use and occupancy ......... f~..~< .~.t .d.'C~..~. ~ ~ .~../qf.ZyT..C-.~.. /.~.~.:~-5~..~... ........... 3. Nature of ~vork (check which applicable): New Buildinffi // Addition Alteration Repot .............. Rembval .............. Demolition .............. Otker 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 n~tur_e~and extent of each type, of use ........... ~ .,, ....... 7. Dimensions of_existing structures, if any: Front .... .~. ~ ...... Rear .. ,g~. ~f. ..... Depth . ~,~. ~.' ......... Height .... .~-.~,~ ..... Number of Stones.../. '~'7<. ................................... J .......... Dimensions f amc structure with alterations or ad&tlOnS: Front ... ds/..~ ......... Rear .,.~. ~.. ............ Depth .... '~'~ ......... i"' Height ..... .Q~. _'~.. ........... Number. of_Stones.../. ~ ............... 8. Dimensions ot' enBre new const,ruchon: Front . .. 1. ~. ........ Rear ..... {..~. ...... Depth . ./..O. .......... Height_ ... . . ~..... .... Number of Stones ...................................... [ ,,~:~ ............. 9. Sizeoflot: Front ...... .[.~.. ............ Rear ..... /.~.~ ............ D,~e]~th O~,D~.~.: '2~ .......... 10. Date of Purchase ...... 1.c~.~..c] ............... Nan~e of FoiTner.,Qwqer . .fY~ !..qt.. l. t..~ n.~ ........... 11..Zone or use district in which piemises are situated ...... [.~..~..S l .O..e.~3.' .~. ~ .............................. 12. Does proposed construction vi01ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ..... (5~..~. .................. Will excess fill be removed from premises: _ Yes 14. Name'of Owner of premises . ~. ¢.~.r. ? .~-.. ~.o. ~T.,.R~Address .. ~. t,~'-['.~..~..~.%.'~-... Phone No..7. ~./~ '-.~ Name of Architect ............ ,~ ......, ........ Address ................... Phone No. ~i Name. of Contractor¢.~ p.v. ~ .~...~..~.a.~'t v~ o ..... Address .................. Phone No. PLOT DIAGRAM Locate: clearly and distinctly ali 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. TYO/R.K, COUNTY OFx~. .... , ...... ~..~.~..y?e ~...~. .... FO. ~'T.I .~: P. ............. being duly sworn, deposes and says that he is the applicant (Name bf individual signing contract) above named. He is the.: .... ~. cO ........ ~.e.'~- /~' '~'.~,:..I-:.c~.~.¥ .............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is drily 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 manr er set forth in the application filed therewith. Sworn to before me. t~is ........ ~.,. ,.. .......... dayof .... Notary Public, .~4'., '..~-<....~-~A.2c'. ~... JUDITH T. TERRY Notary Public, State o~ New ~o, 52-0344963 Suffglk CountYr~,/ ~§l~lffi §§iOn Expires Ma[ch 30, (Signature of applicant)