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HomeMy WebLinkAbout13529-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26543 Date: 07/01/99 THIS CERTIFIES that the building ADDITION Location of Property: 385 HOPE LANE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 59 Block 9 SOUTHOLD (HAMLET) Lot 26.10 Subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15, 1984 pursuant to which Building Permit No. 13529-Z dated NOVEMBER 1, 1984 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 SOLAR GREENHOUSE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANGELO & JOAN TRUGLIO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-059155 03/20/98 N/A Building I~pector 1~01~ NO. ~ YO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT CT'HIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 13529 Z Permission is hereby granted to:.~.~ ~ (~ ,e~ -- ' ............................ .....~.~....~.....~....~ ...... ~ ............ ,~....~.....~.:.~..../..~.~.~l... ~.,~.,....~. ot premises Iocoted ~t ............................................................................................................................ County Tax Mop No. 1000 Section ........ ~ ........ Block ......... .~. .......... Lot No....~...~..:....'~ ..... pursuant to application dated ....(~..~..,;t..~.. ................ , 19.~...t~.., and approved by the Building Inspector. Fee $.~! .............. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ICATION FOR CERTIFICATE OF OCCUPANCY A. This applicatJ illed 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. 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 't. 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 Buildinz - $100.00 3. Copy of Certificate of Occupancy - . .2frC~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 pate ..... .......................... . New Construction....~.. .... Old Or Pre-existing Building ................. Location of Property ............................................... House No. Street Hamlet Onwer or Owners of Property.. ~.~..~.~' ... [9.~?.?. .... ~.~.~'.Q ............................. County Tax Map No 1000, Section..~).O~%9 ...... Block..~Q.~.~?. ....... Lot..O.-~.~ ,. ~? ....... Subdivision ............................. ... .... Filed Map ............ Lot Permit No..~..~..g~. ~ .~...Date Of Pe~it... ~//.~./..~..~...Applicant....~..~O....~./~.../.~ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........ THE NEW YORK BOARD OF FIRE UNDERWRITERS 8070262 BUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY 10038 Date I':a%RCH 20,1998 Application No. on file 15659198/98 H 059155 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abovg application number is in the premises of ANG~LO & JOAN TRUGLIO, 385 HOPE LANE, SOUTHOLD, NY in the following location; [] Basement [] 1st Fl. [] 2nd FI. Section Block Lot was examined on ~ARCH 13 t 1998 and found to be in compliance with the National Electrical Code. OUTLETS FIXTURE RECEPTACLE SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS i 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDER~ SPECrALREC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT, K W, OIL H P GAS H P. AMT NO, A W.G. AMT. AMP. AMt. AMPS. TRANS. AMT. H,P. NO. OF FEET AML WATTS 1 600 SERVICE DISCONNECT NO. OI S E R V I C E METER I SUNRO014 ADDITION- 1 TRACK LIGHTING: -6 SOUTHOLD, NY, %1971 ENERAL MANAGER This certificate must not be altered In any manner; return to the office of the Board if In~:or/ect. Inspectors may be identified by their credentials. COPY FOR BULDNG ~ THIR ~(~PV ~= ~ ~,1~ .... FIELD INSPECTION 1. FOUNDATION (1st) COMMENTS ~ ,. FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER STATE ENERGY ODE FINAL ADDITIONAL MMENTS', TOWN OF SOUTHOLD OI~FICF. OF BUILDING INSPECTOR ILO, BOX 728 'rowN ItALL SOUTHOLD, N.Y, 11971 TEL, 765-! 802 This in to advise you that the iob ~nder building permit no, 13529Z issued to AngeAo Trugxo on __~/9/84 for Addition is completed and a final inspection has ( ) has not ( x )'been dose. [n order to complete this file, it is aecessary that a Certificate of Occupancy be issued. Please fill out the enclosed latin, retnrn same to the above office with a check for 1525.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or 'u'ae in nn].a~ful without n gertificate of Occupancy. Plenae. help ua to clear up this matter so that legal action does not have to be taken. .. Thank you for yottr prompt attention. Very truly y~, Victor Lessard Executive Administrator VL:gar oriel. LLJ~ Z 'THE' ,T UP ' Y 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] I.~LATION [ ] FRAMING [~ FINAL [ ] FIREPLACE/~CHIMNEY DATE /~//~/_~/~ I NSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ,]~/~JLATION [ ~]' FINAL [ ] FIREPLACE & CHIMNEY DATE ~¢~ INSPE~OR~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,, SOUTHOLD, N,Y, 11971 TEL.: 765-1802 Examined..~...$~....~...~.., 19~..~. Approved . ~....dyOm*~... [J~-q .{~., 19~. 4. Permit No./.~.~..&.~.. ~' Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF SOUTHOLD INSTRUCTIONS 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 throughout the work. e. No building shall be occupied or used in whole or in pa~t 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. Tlie 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 necessap4 inspections.~ ................ //.,(S?satur, e of applicant, b~ name, ifa corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~.~.. I~7. ~.~.. · .~.~. -~.'~. · ................................... (as on the f~x 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 ....................... ~;~ ................... Street ........ Hamlet " County Tax Map No. 1000 Section . 0. ~..~..'. ~ ....... Block . ~..~...~. 9 ......... Lot..~.,,~.~, .P.O..7. .... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ,.~. .~~ ...................................... _ b. Intended use and occupancy ..... -~~[/ ~e ~f .............................................................. 3. Nature of work (check which applicable): New Building ..... ' .....'Addition ...... Alteration . ~ ........ Repair ............... Removal .............. Demolition ....... Other Work ./~ ~t ~ ~ ~'~ ~'~'~ . ~ (Description) 4. Estimated Cost... ............................... Fee .. ,x (to be~:paid on filing this application) 5. If dwelling, number of dwelling units . ./.....~7~..- .... Number of dwelling units on each floor.. ~ ......... If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dxmenslons of existing structures, lfany: Front..~5.3 ........... Rear . . 73 ........ Denth : ......... Height ............... Number of Stories ..~. :s'.~ .................................. Dimensions of same structure with alterations or additions: Front ~.acoc,e .... ~ .... Rear .,~er~....~.~ ....... Depth... ~.~. ~ ~ ."'] ............ Height ...................... Number o~ S,~toriees~. g~. ................. 8. Dimensions of entire new construction: Front . MO. f. ~. ...... Rear .... e~.. ~5. .... /.. Depth ............. Height ............... N~mber of Stories '1~ ii .~.' .Y)i i .............. ~ ............... ! ............ 9. Size of lot: Front ...~..~/. ~. ............... a.~ .......... iDepth ,~..a'~. ................ 10. Date of Purchase /~ '~.~. .... Name of Former Owner I 1 Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ... i .......................... 13. Will lot be regraded . .~ ..................... Will excess fill b~ removed from vremises: Yes 14. Name of Owner of premises .~.~ ~.,x~. ......... Address ."~. ~'i~f./.~e,~....~.. '.. Pl~one No. 7~ .~.7,,,L//.' .~.. Name of Architect . a,~..--'~. ....o: '~ .............. Address . r~... ~. · ...... ,... Phone No ................ Name of Contractor ]q.b-tX~. ~ ....... Address ~ ~/-~~. 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 comer lot. , STATE OF NEW YORK, S.S COUNTY OF ................. ,~ ......... ' ...................... being duly sworn, deposes and says that he is the applicant ~ (Name of individual stgding contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application; that all statements contained in this application are true to the best ofhls knowledg and behef; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this. .............. day of ...................... 19 ._ f~0t~ a~aLtc, stat~ o~ ~w ~0r~ ~ ....... ,~ ~...~.a~tur_e, of applicant)