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HomeMy WebLinkAbout15620-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offlce of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17293 THIS CERTIFIES that the building. Location of Propert~ 32245 MAIN ROAD House No. County Tax Map NO. 1000 Section 097 Date SEPT. 27f 1988 ONE FAMILY DWELLING CUTCHOGUE Street Hamlet Block 05 Lot 06 Subdivision lEX Filed Map No. XX Lot No. XX conforms substantially to the Application for Building Permit heretofore flled in this offlce dated DEC. 29~ 1986 pursuant to whzch Building Permit No. 15620Z dated JAN. 12~ 1987 was issued, and conforms to all of the requirements of the applicable provisions of th~ law. The occupancy for which this certificate is ~ssued ~s ANTHONY & GAETANA II~BRI_ANO UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED The certificate is issued to ONE FAMILY DWELLING WITH ATTACHED GARAGE (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-S0-217 SEPT. 23r 1988 N835151 SEPT. 30~ 1987 MATTITUCK PLUMBING 7/20/88 / ~Ull lng Inspector Rev. 1/81 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) i5620 Z County Tax Map No 1000 Section ...... .~..~...']. ..... Block ......~.~ ....... Lot No......~...~. ........ Budding Inspector. Building Inspector Rev 6/30/80 / ('~--)TOWN OF SOUTHOLD t Southold, N.Y. 11971 765 - 1802 j APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A Thru application must be fdled m typewmter OR ink, and submitted I am.mm~ to the Building Inspec- tor with the following; for new buddings or new use' 1. Final survey of property with accurate location of all buildings, property hnes, streets, and unusual natural or topographic features. 2. F~nal approval of Health Dept of water supply and sewerage disposel-(S-9 form or equal). 3. Approval of electmc~l installation from Board of Fire Underwriters. 4. Commercial buildings, Industrml buddings, Multiple Remdences and similar buddings and installa- tions, a certificate o~ Code comphance from the Architect or Engineer responmble for the building 5. Submit Planning Board approval of completed rote plan requirements where apphcable. B. For existing buddings' (prior to April 1957), Non-conforming uses, or buddings and "pre-exmting" land uses' 1. Accurate survey of Ip~operty showing all property hnes, streets, buildings and unusual natural or topographic featu res. 2Sworn statement of owner or previous owner as to use, occapancy and condmon of buddings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent informa- t on required to prepare a certificate. C. Fees: Additzons $25.00 POOLS $25.00 ALTERATION $25.00 1. Cert~flcateofoccup~ncy New Dwellzng $25.00, Accessory ,$I0.00 Business $50 O0 2. Certificate of occupancy on pre-existing dwelhng $ 50.00 3 Copy of cert~hcate of occupancy $ 5.00, over 5 years $]0 00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ........................ NewCons%~uct~on ..... Old or Pre-ex~stmg Budding ......... Vacant Land ... Location of Property .~,, ,~. ,~. ~.'~...,. ~(~(~\ .~,.. ,~..~ ...... · ,~..~., ,(~.~..(~.. House No Street ~ ~ ~tam~er Owner or Owners of Property ~'(~t~..(~-~'~.. ~--~3~_~ ,-~ .., ,~-~.'. CountyTax Map No. lO00$ect,on ~.~.?f.O. ? .... Block ...C~...?~.(~ .~.... Lot...~.~ '-~ Subdwm~on .......................... Fded Map No ......... Lot No ............ :/ .)- ~.7.App~,cant ~ag,~,~t. ,.~ .~.~k.CL~ ....... , C~-5 - '3 ~ Health Dept. Approval .~ ,~.Q,; ~.~ ....... Labor Dept Approval ....................... Unde~rlters Approval~--~..~.~ ~ k~., .Planning Board Approval ...................... ~equest for Temoorarg Certificate ............... Final Certificate ...................... FeeSubm~tted $ .. i ........... Construction on above described budding and permit meets allff~p~able codes and regulations. App cant ~'...~.'k~/~ .... ~_-~,~,.~ .......... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 D.r.S.,,Ht:em~ar 30,' X9~7 ~p/,t,ea,,o. ~o onf, t. 47698Z/87 N a~5151 THIS CERTIFIES THAT OVENS DISHWASHERS EXHAUS~ FANS S E R I C E ~c#2941E MANAGER Th~$ cerhf~cc~te must not be o~terec~ in uny monner, return To the of{ice of the Boord I{ incorrect Inspectors moy be identl~ec~ by thmr credenhclls COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MAh~hJ~:~ TOWN OF SOUTI~OLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL $OUTHOLD, N Y. 11971 CERTIFICATION TEL. 765-1802 Building Permit Nb. }:~(~;f~O :~ Owner AN~o~¥ (please print) Plumber ]~,~'TT tTUgk IPLV~,~,,~,.7-, (please print) I certlfy that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's'signature) Sworn to before me this ~o" day o f %~ , I · 19~ . Notary Public, ~, County Notary Public OUNDATION ( I OUNDATION (2nd iUGH FRAME / PLUMBING NSULATION PER N. STATE ENERGY CODE FIliAL DDITION; COMMENTS .! 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FORM NO 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL County Tax Map No 1,000 Section PLEASE TAKE NOTICE that your apphcahon dated . for permit to Location of PropertyHouse' ~ ~_-~_X3kNo ~ . .~ . .~x~. . .~.4" C~stre~t ~ ........... ~'1''~' '~ Hamlet © ~.%.. . meek . Sub&wsmn .. . Filed Map No ..... Lot No ........ lS returned herewith and disapproved on the following grounds ~-~...~...~.~,~ .~x ?~: ~ / ~..~~.. ~ ~~. ~_~ ~. ~..~.... . .... : ............................ Building Inspector RV 1180 765-1802 BUILDING DEPT. INSPEIXTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [/~'SULATION [ ] FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [~OUNDATION 1ST [ [~"~OUNDATION 2ND [ ] ROUGH PLBG. INSULATION FRAMING [ ] FINAL DATE ~//~//~7 INSPECTOR ~-~ ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [L~OUGH PLBG. FOUNDATION ;ZND [ ] INSULATION FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] ~OUNDATION ;ZND [ ] INSULATION ,/ FRAMING £ ] FINAL / / / DATE INSPECTOR~_~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [,~OUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL DATE , NSPECTOR'~///~/ 177.0 Examined , 19 Approved , 19 Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-11102- Permit No Rece].ved ......... ,19.. (Bmlding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a Tlus application must be completely filled in by typewriter or in ~nk and submitted to the Building Inspector, with sets of plans, accurate plot plan to~ scale Fee according to schedule b Plot plan showing locatloh of lot and of buddings on premises, relationship to adjoining premises or pubhc stree or areas, and glvmg a detaded description of layout of property must be drawn on the diagram which is part of th~s appl cation. c. The work covered by tlus pphcatlon may not be commenced before issuance of Budding Permit d Upon approval of this app!~catlon, the Building Inspectol will issued a Budding Permit to the applicant Such perm shall be kept on the premises available for inspection throughout the work e No budding shall be occupied or used In whole or in part for any purpose whatever until a Certificate of Occupanc 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 tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construchon of bufldmgs, additions or alterations, or for removal or demohtlon, as herein describer The applicant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulatlons, and admit authorized inspectors on pr~mlses and m buddmg 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 bmlde, Name of owner of premises ~'~'~ ~~ .... (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No '~. ~ E ~.ECo t DE' D Plumber's License No Electrician's License No Other Trade's License No Location of land on which proposed work will be done Ifouse Number Street County Tax Ivlap No 1000 Section ~ 7 Block Hamlet Lot ~ Subdivismn Filed Map No Lot .... (Name) State exmtmg use and occupancy of premises and ~ntended use and occupancy of proposed construction a Existing use and occupancy ].~a-,,~r- . o~' . ./~ff..~o.~,_ ...... b Intendeduseandoccupancy /o~. ~-- ~ ... 3. Nature of work (check wtuch 4pphcable) New Bmld~ng .. Repair .. . Removal ....... Demohtion ' 4 Estimated Cost /O Oti.O.o ~ Addition ..... Alteration ........ Other Work ........ (Description) · . . .. . Fee.. . . ...... . . ..... .. .... '~ (to be paid on fihng this apphcation) ·. Number of dwelling umts on each floor ......... 5 If dwelhng, number of dwelling units If garage, number of cars , ............................... 6 If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use .. ' 7 Dmaensmns of existing structures, if any Front Rear ........ Depth .......... He~,~4 ~-~.~t> ...... Number of Stones .......................... Dunensmns of same structure w~th alteratmns or add~tmns Front ...... Rear ....... Depth I .. Height .. Number of Stones 8. Dnnenslons of entire new construction Front .. Rear .... Depth ......... Height .. Number of Stones ....................... 9 Size of lot Front'']',~,.~ ~7' Rear .3~.~/~.~ ~L, .... Depth ........... 10 Date of Purchase . . Name of Former Owner ................. 1 1 Zone or use district m which premises are situated ........................... 12 Does proposed construction wolate any zoning law, ordinance or regulation .................... 13. Will lot be regraded .................. Wall excess fill be removed from premises Yes No 14 ......... Phone No .......... .... Phone No ......... ......... Phone No .......... Name of Owner of premises ......... Address .. Name of Architect ....... Address . Nmne of Contractor .................. Address .. PLOT DIAGRAM Locate clearly and distinctly all bufldmgs, whether existing or proposed, and indicate all set-back dzmensmns from property hnes G~ve street and bloc]: number or descnptmn according to deed, and show street names and indicate whether mtenor or comer lot. STATE OF NEW YORK, COUNTY OF. SS (Name of individual s~grung contract) above named . . being duly sworn, deposes and says that he is the apphcant He is the ................... (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and fide ttus apphcatmn, that all statements con~mned m this apphcation am true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... ~..E~....day o1'.. 74'/.a4~ ..... 19 ~'~ Notary Pubhc .... ~ S~'f .~-t Ut:¢~--. County (Signature of applicant) I 4.,4.o If copper tubing is uaed for water distributing svStem; piping shall be of t~es K~or L only SOLDER USED IN WATER SUPPLy SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ,%¸ EP-to~ Co~,.~l :F-i L~NTE:L ~ ONTP-L. N 1. FOOTINGS ARE TO BEAR ON VIRGIN OR UNDISTURBED SOIL OF TWO TONS PER SO. FT. BEARING CAPACITY. 2. CONCRETE TO BE MINIMUM 2500 P.S.L AT 28 DAYS. ]. STRUCTURAL LUMBER TO BE 1200 P.S.I. MINIMUM. DOUGLAS FIR OR EQUAL. 4. ELECTRIC WORK TO BE DONE ACCORDING TO CODE. 5. NOTED DIMENSIONS TO TAKE PRECEDENCE OVER SCALE. 6. ALL HEADERS TO BE SUPPORTED BY 4" X 4" POSTS (TYP.), UNLESS OTHERWISE STATED. 7. 4" X 8" HEADERS OVER ALL OPENINGS UNLESS OTHERWISE STATED. 8. DOUBLE 3OISTS UNDER ALL BEARING PARTITIONS & POSTS. 9. CONSTRUCTION AS NOTED COMPLIES WITH THE N. Y. STATE ENERGY CODE. ]0. CONTRACTOR TO VERIFY CONDITIONS AT THE SITE. ]l. ALL WINDOW DESIGNATIONS ARE BY ANDERSEN OR EQUAL. 12. ALL UNNOTED OR NON VISIBLE EASEMENTS ARE THE RESPONSIBILITY OF THE OWNER OR BUILDER. I). OWNER/BUILDER ARE RESPONSIBLE FOR ALL INSPECTIONS. TOTAL DOOR AREA ='1~.~, coo) TOTAL ALLO~/ED ~DEGREE DAY ZONE ~_____./~ K~ ~f'~/--' ' "~'~O/'~ COUNTY. REMCllVED;:: 1~-] REVISInN: AS NOTED MEETS N.Y. STATE ENERGY CODE. ,/'t~ ANDERSEN WINDOWS OR EQUAL: U= .52 (R-L08) FLOOR INS~ATION: ~" FOIL-FACED -! /17 O/ ~ ,0 I T wi ,o, ~ j / KEY ST1_ REVISION: ~- ~- O0 BROADWAY, MASSAPEGUA, N.Y. 516 641.1~'1B 000 -Z I BRICK ~ IEXISTING 7 .,,,, _1 '71 REI~ovEn ~ REVISION: I¢ KEY I oo! - NNERS - DRAFTSMEN S93 BROAoWA¥. MASSAI~EQUA. NoY. 5'1~54't-111 DRAWN BY; DATE= ¢599 x/ d3 '3~'oo /?0. oo 7~zx/a/ OF ~O(_..ITHOL.D2 ~O'A'-'A'-OL,IC Co., ,,CZ. W /75~_ dc, aT/o,., sewage disposal and water supply f~ilitl~ ~r ~ ~/.~.7: /,:::15o ~'~¢.:07~o~ ,:g~o~,~. o~5. oo ZoT ~wG.ooo OFFSETS FROM STRUCTURES TO R~LATIVE BOUNDRY LINES, ON SURVEY, ARE FOR A SPECIFI~ USE ONLY, AND SHOULD NOT BE USED FOR CONSTRUCTION OF FENCES OR OTHER STRUCTURES.