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HomeMy WebLinkAbout16328-zFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22491 Date AUGUST 2~ 1993 THIS CERTIFIES that the buildin~ Location of Property 1900 GLENN ROi~D House No. County Tax Map No. 1000 Section 78 Subdivision ADDITION , .. SOUTHOLD~ NEW YORK. Street Hamlet Block 2 Lot 36 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 7~ 1987 pursuant to which Building Permit No. 16328 Z dated AUGUST 12, 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 2ND STORY~DDITIONTOEXISTTNG ONE F~}4/~LY D~R~.INGAS APPLIED FOR. The certificate is issued to FERUCIO & RI~% FR~NKOIA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVkL UNDERWRITERS CERTIFICATE NO. H-035929 - JULY 16~ 1993 PLUMBERS CERTIFICATION DATED JULY 24~ 1993 - F. FRANKOLA B~ding I~sp~ctor Rev. 1/81 FORM[ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 1~2~ Z Permission is hereby granted to: .... .~..-..~.~ .......... ~..~.~!~..~~ ............... .... .~..~....~..:~.,....L.L.~.~..~ ........... ,o ..... at premises' located at ...J...~. ........... ~ ..~.~....~ ........ .~ ~~ ........... County Tax Map No. 1000 Sect~,,,,,,.,O,...'),..~...., Block ....... ..~....?~... .... Lot No......~..J~. pursuant to applicat,on dated .~~.~.....~. ....................... , 19..~..:1.., and approved by the Building Inspector. Fee $..J..~...~.-.%..~.. Building Inspector Re~ 6/30/80 TO~N OF SOUTDOLD BUILDING DEPARTMENT TOUN UALL SOUTDOLD~ NE~ YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE NE~ CONSTRUCTION .~. ....... OLD OR PRg-EIISTING BUILDING .... VACANT LAND ~OUSE NOo ~TREET ~AHLET County Tax Hap No. lO00 Section ...... Block ..... Lot* Subdivision ....................... Filed Map ........ LoC .......... Permi= No ......... Date of Permi~ Applicant ~ealth Dept. Approval .................. Underwriters Approval Plauniug Board Approval ................ Request for Temporary Cur%ificate ....... Final Certificate ..... Fee Submitted: $ .................... APPLICANT .................................... ~eV. 10/14/88 q i POR~ ~0. 6 TOW~ OF $oir~IOLD BUILDING DEPAKTHEST TOwN IIAL~ APPLICATIOH FOR ~ERTIF~CATE OF ~is appllca~ion must be giled ' xn;type~i~er OR ink and submitted ~o the BuildlnE ~nspcc~or wi~h ~he io11~wxnE; forjne~ buildlnEs or ne~ use: Final survey of property with accurate location of all buildlngs, property lines, s~reets, and unusual inatural o~ topographic features. 2. Final approval of Health Dept.lof water supply and sewerage-disposal(S-9 form). 3. Approval of eleatrxcol znstall~txon from Board of Fire Underwriters. 4. Sworn statement from!plumber c~rtifying that solder used in system contains less' than 2/10 of IZ leadJ 5. Commeralal buildings; industrial buildings, m~ltiple residences and similar~' buildings and installations, alcertificate of code compliance from the Architect er Engineer responsible for the building. 6. Submit Planning Boar~ Approval! of completed site plan requirements. B. For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" laud iuses: 1. Accurate survey of p~operty i . sh~w~ng all property lines, s~reets, buildings and unusual natural or topograph~c features. 2. A properly completcd!appllcatl/oo, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separateowne~shzp' ' of the entire lot prior to April 9, 1957. ~f a Certificate of pccupancy ;' Izs denied, the Building Inspector shall state the reasons therefor in writing tq the applicant. 3. Date of any housing Code or safety inspection of b~ildlags or premises, or other pertinent informntio~ requzre~ to prepare a certificate. C. For Vacant Land Certificate of Occupancy: ~ land~ Certificate of Occupancy shall-be submitted, 1. M application for vacant and a certified abstract of title issued by a title company showing single and separate ownership elf ,the entire lbt prior to April 9, 1957 shall also accompany the application. IfI a Certificate of Occupancy is denied, the Building Inspector shall state the reasbns therefor in writing to the applicant. D. FEES: I. CERTIFICATE OF OCCtrPA~CY ~- New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to D~elliog $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of ~ccupancy ~U pre-existing dwelling - $100.00. 3. Copy of Cartlfi~ate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certifidate of OcCupancy - $50.00 ~. Temporary Certificate of Occupancy ~$ !5.0,0 Residential Commercial er. 10/14/$8 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~)@~1. BUREAU OF ELECTRICITY ~ EB JOHN STREET. NEW YORK, NEW YORK 10038 Date THiS CERTIFIES THAT o~y t~e electrical equipment ~ ~scrib~ be~w a~ tnt~uc~ by t~ applicant ~d on the a~ application nBmber in the p~mhes of in the fotlowing locatlon; ~ Basement ~ Ist Fl. ~ ~d FL 0~'~ S~tion Rl~k Lot ~sexamlnedon ,! [~ [~ ~ ~.~ ~[99~ a~ found to be in eompliance ~ith the Na~onal ElectHcal Code. FIXTURES RANGES OVENS DISH WASHERS FANS DRYERS MOTORS TIMR C).OCKS UNiT HRATRRS MULTI.OUILRT SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R ~O. OF CC. COND. C A. W G. NO, OF HI,LEG A W. G NO OF NEUTRALS A W~ G. OF CC. COND OF HI-LEG OF OTHER APPARATUS: This ce~ificate must not be altered in any manner; return to th~ office of ~e ~ard if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST~NOT,. ~ BE ALTERED~ N ANY MANNER 0 LOT 19 'S 5UA2ANTEED TO THE FIRS'TAMER~.G&N TITL6 IN~4~E CO.OF N~W YORK ~oPE~...L '"A -r ... ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ R~OUGH PLBG. FOUNDATION ZND [ ] INSULATION ~]~RAMING [ ] FINAL 765-18~2 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ .] R~PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE INSPECTO~ ~ UNDATION ( 1 s t) UNDATION (2nd) UGH FRAME & FLUMBING SULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ....~. 3 SETS OF PLANS '~-:.- SURVEY .......... C~EC~ .~ ..... SEPTIC FORM ............. : NOTIFY . CALL MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with $ 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 bt 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 autttorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or 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 .... ~ ............ Plumber's License No.. . t2Wkco-m,~-4% ......... Electrician's License No ..... ~ ........ Other Trade's License No ...................... I. Location of land on which proposed work will be done'. ~.,<~O House Number Street Hamlet County Tax Map No. 1000 Section 7~ Block ~ Lot. ?. Subdivision .... ./~..~'.'.~..~.....~.J.~'. ?/..~..'~.'. ......... Filed Map No..~..°O.Y..? ...... Lot../?. ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ 5l ~9 ~A/~/ /~ ~- b. Intended use and occupancy (¢2)~/~//¢ ~-~ 3. Natui'e of work (check which a ~plicable): New Building ..... ' ..... Addition . ~ Alteration Repair .............. Reft oval .............. Demolition .............. Other Work ............... (Descrigtion) 4 Estimated Cost ~'O. ooo Fee 'i " (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 m~xd:d occupancy, specify nature and extent of each ~type of use .' ............. .. ...... 7. Dimensions of existing structures, if any: Front ..... ~.g.~ .~. .... Rear . .~',g..t_..~. ? ....Del~th .~./.t.-7.O.." ...... Dimensions'of same structure v¢ith alterations or additions: Front ...~ (~.~..g'.! .... Rear *i...~.C?. ~ .~ t ... ~Depth . . . .% ~ ............. i" Height .... ~.. .....? .......... Number of Stories .... fi- ................. vimensions et entire new construction: Front ..... .~.g. 7.6/... Rear ... ~...~:-r¢/ ..... Depth ~ t. I-;o..ti ...... ~, .4 Nun~ber of Stories Height ............... Size of lot: Front . /oo t ! ...... · Rear..; .... /..o:,.t. .... ] ....... Depth . .?.z.°.../ .............. Zone or use district in which pr~mises are situated ....... .~...~'..~.~ .o. ~/d.-f/?. L. ............................. Does proposed construction violate any zoning law,. ordinance or regulation: ................................ Will lot be regraded ........ ~ ...... k~t ........... Will excess fill be removed from premises: Yes / No Name of Architect .......... , ..... : ........... Address ................... Phone No ................ Name of Contractor ~£c~...~/2 ~55o~ A~la~ ~7~o/ ./5o°t'c m,at-~,n PhoneNo.-?/g:Ty.~.~.~./.?~. 15. Is th±s property located w±th±n 300 feet of a tidal wetland? es .~.. No ..... · If yes, Southold Town Truistees Permit maybe required. PLOT D1AGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate wheth~er interior or corner lot. I0. 11. 12. 13. , 14. STATE OF NEW YORK, COUNTY OF ................. .S (Name of individual signi~tg contract) above named. being duly sworn, deposes and says that he is the applicant He is the ...................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly!authorized to perform or have performed the said work and to make and file this application; that all statements contaiged in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this Notary Public ........ 7~r. ~..~.~.d'~ ....... County I. EFI & I)E VOE .......... g0~.~ t~StlC, S~ ol ~w ¥~ (Signature of applicant) . o, 4707878, .S~_lk C0untyj~ o ~a~/= SO '=/" 72//¢ A/~m~¢~ /o/- $- 0.17' o.o¢ 3 ~ 70 /? 0.~,5 O. zlO 0.05 0.0~ ~EATING EQUIPMENT TO MEET 7812.23 - 75% .~): H~A~ING 'CONTROLS TO:MEET 781~.13 : RANGE 45 TO 75 DB6RF~ FAHRENHEIT., HEATING PER,:~813.31 THRU .38. , ri I( L3";~,:"'' ',,L .... ' :, raINZX:788 - ~YJBLE .GEASS..,.:,.., , =.., ' BELI~/ AND PROFESSIONAL: IN COMPLIANCE WITH THE CODE; ) , OCCUPANCY OR USE IS UNLAWFUL WITHOUT CEETIFICATE OF OCCUPANCY APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1~')2 9 A~4 TO 4 PM FOR THE FOLLDWtNG INSPECTIONS: FOUNDATION YWO FOR ~UREO CONCRETE 4, FINAL CO~TRUCT~ON MUST PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WAT£R SUPPLY SYSTEM CANNOT EXCEED ,2/10 of If copper tubing ia uNd for water distributln~l system; piping shall be of types K or L only i/// [ 0 2; I o C "'1-'