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Home My WebLink About16291-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26504 Date: 06/.14/99 THIS CERTIFIES that the building ADDITION Location of Property: 205 CARRINGTON ROAD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 11~ Lot 27 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 28, 1987 pursuant to which Building Permit No. 16291-Z dated JULY 30, 1987 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 BEDROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LEONARD & SHIRLEY TRAPIDO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A 10/06/88 N/A dln, I~nsp~ct or Rev. 1/81 FO~ NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 16271 Z Permission is hereby granted to: ......... at premises Iocoted at ..~?....~.....~.~.)~Y:~....J~J.: .......... ~~.~ .......... / // County Tax Mop No. 1000 Section ...... ;./. .............. Block ...................... Lot No ...................... /-- Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: io 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. 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 Upre-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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling 2~00, 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-existin~ Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - = .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .................. construction...W. o: .................. ~o~=~ ~ ~ ~o ~ooo, ~o~.../2! ....... ~o~ .... // .......... ~o~.~.T .......... Permit No..~..~..] ....... Date Of Permit .............. Applicant-.~-~- -. Health Dept Approval Underwriters Approval .. . Planning Board Approval . Request for: Temporary Certificate ........... Final Certicate.../.. ..... ~-~...~£ ....... ::.*~"~'~-'w'~'"'x; .... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-~ 0C']'0;~':R 0~, ~0~ JOHN STREET, NEW YORK, ~8~/~O38 Da;~ Application ~o. on file THIS CE~IFIES THAT ~y t~ e~t~ ~uipment ~ ~ri~ ~ o~ int~ by t~ ~t ~ on the a~ ~t~ numar in t~ p~s of ~ exarnin~ on and found to be in core.lance with the requlreJnents of th~ B~rd. IqXTUBE OUTLETS RXTURRS RANGES OVENS EXHAUST FANS DIMMERS SERVICE DISCONNECT S E R V I ¢ E OTHER AFPARATUS: Rfl)GI'L NY, ]19f~1 This certificcite must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST l) IN ANY MANNER. i C: () 9. O' UNDATION ( 1st ) UNDATION (2nd) UGH FRAbIE & ?LUMBING SULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-~L80Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ~]~UNDATION 2ND [ ]INSULATION [ ~'~FRAMING [ ] FINAL .,=.,,~,,,~s-- /~,~ *~ ~~~ ]'65-1802 BUILDING DEPT. INSPECTION ¢~----'FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ,~, FINAL l/ / , INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~/~_~ ~ [ ] INSULATION [ ,-i'~JC INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. / FOUNDATION ZND [/]/~NSULATION [ ] FRAMING REMARKS: [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ]/FOUND.~T[ON 1ST ~,[~ ~ ROUGH PLBG. [ ] INSULATION FRAMING FINAL REMARKS: DATE INSPECTOR~~__~_ uSED SUPPLY ---- If for water¢ N wATER ~ LEAD. ON LEAD B.P ~I' 'FORM NO. 1 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SE[~TIc TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 CAt,[, MAIL Approved . .;~...., 19 .~.7. Permit No./. .~..~..cl./..~.. Disapproved a/c ..................................... Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... FORM · TO: 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 slr, all 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 taws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec~t~t(~ .g~-. · tX ,-, .~ ''' i~i~ a~t~ppli~a'n~ ~coCrr~orati~) .... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,,,,C-'- Name of owner of premises ~..~-.~ .0/¢1¢~ .~,..~...~.//2/'.~../..~...7,(~../~f ./..f~..O. .......................... (as on the tax roll o~ latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ]0,.-. ~..fr.~....hi. / ........... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done~ . ._. .................... ~, ....... ;4 ............... ..%o.C ........................ ........... /Street ~ t House Number Hamlet County Tax Map No. 1000 Secti~ .,..~) mock ......I. ! .......... Lot... ............ ~ ~ H ~ ~/~r CIV~ ~ . ~.O. ~. Lot. '~ ~ ~ .... ~ubdivision. ~ .~ .Il .-g. · · ~.1.~ ............. k ..... Filed Map No. · ............ ~ ~ (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 ... ~~..~Y.~.r~.4~. ' ' '" · ...... 3. Nature of work (check which applicable): New Building .......... Addition ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~01~ ,~'i .._~0~.~. . (Description) 4. Estimated Cost Fee ........... (to be paid on filing this application) 5. If dwelling, number of dwelling u~its ............... 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. Dimensions of existing structures, If any: Front.,. .. Rear ...~..~.. ..... Depth .: .~..'. ........ Height .~r..~ ......... Number of Stones . /(. ~ ...... ~ ....................... Dimensions'of same str~,~tur.~ ~t~terations or additions: Front . o~..~-. ........... Rear . 4~..-~.. ............ Depth .. :~.0.; ............... Height .. ;~r.. ~ ............... Number of Sto.ries /.'~ ......... ~. ........ $. Dimensions 9f entire new construction: Front .... .2<../.*..~: .....Rear ............... Depth . .~..~;~.' ........ Height ./~. ........... Numbqr of Stories .... ................................................ 9. Size of lot: Front . ..(, .)~. ....... ......... Rear .. '. :/..0.0%-. ............. Depth .~./.~.'7...~.?.O.~ ........ 10. '~---~ ' ' Date of Purchase ............. . ................ Nanl¢ of Former Owner ..... -~. ...................... 1 h Zone or use district in whick prem!ses are situated ...... ~. ~,-.t..,~. ?..."'4¥..7~...~5..&. ,~ ........................ 12. Does proposed construction vi, elate any zoning law, ordinance or regulation: ..../~..O..: ................... ~ 13. Will lot be regraded .... .~...O'.. 'i ................. Will excess fill be removed from premises: Yes (~ N~ 14. Name of Owner of premises~.*-Ot~.a~.4 ?.4t*P. ~.~v .... Address .~-~.~.~..~.?..~.~..a~..../~/~.-. Phone No.?~...~;. ~7.~?..~... Name of Architect ............................ Address ................... Phone No .............. Name of Contractor ~//~.~4'4f. ~..~$~7~ .... Address P. eT..~??..~..~..e.~. .... Phone No. 2', .$.~ 7 &-~'f. '.~. [5. Is this property located w~thin 300 feet of a tidal wetland? *Yes ..... No .~ *If yes, Southold Town Trus¢ees Permit maybe required. PLOT DIAGRAM Locate 'clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from )roperty lines. Give street and block nulmber or description according to deed, and show street names and indicate whether nterior or corner lot. 3TATE OF NEW YORK, S.S' 2OUNTY.Q,F..~ ....... ,~ .... ~ . . ~ ~ i being duly sworn, deposes and says that he is the applicant tbove named. te is the ................................................................................. (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this tpplication; that all statements containled in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner s~t forth in the application filed therewith. gworn to before me this ............... ~. ~. ..... day of... lilllt3 . rte._470787.8., Su,~ll( [erm ~p~res ~rc, ~u, ~