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)