HomeMy WebLinkAbout15907-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18540 Date NOVEMBER 6, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 2045 WESTPHALIA RD. MATTITUCK~ N.Y.
House No. Street
Hamlet
County Tax Map No. 1000 Section 141 Block 01 Lot 02
Subdivision i Filed ~ap No. Lot No.
conforms substantially to the Application for Building Permit heretofore
f~led in this office dated APRIL 14, 1987
pursuant to which
Bulldlng Permit ~o. 15907-Z dated APRIL 15, 1987
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which th~s certificate is
issued ~s ADDITION TO EXISTING ONE FAMILY DWW/.LING AB APPLIED FOR.
The certificate is issued to JOHN SCARAMUCCI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-014225 - MAY 27~ 1988
OCTOBER 26¢ 1989 - STEVEN E. BURNS
Rev. 1/81
lroll~ NO. !
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~ 15907
Z
Permission is hereby granted to'
.~..L/.~ ........................................
i
ot premises Iocoted ot .,x~.,..c~...~...~.....~.~...~.....:......~.~ .....
County Tax Mop No. ~000 Section .... l..~./. ......... e,o~k ...... .~.]. ....... ~o, No......~..?. ........
Buildln~ Insp~tor.
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
APPLICATION FOR CERTIFICATE OF
NOV-
I I~LOG. DEPT.
J TOWN ,OF saumOLI)
OCCHPANC¥
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..L~....VACANT LAND ........
Location of Property ....... ~ ......... · .................
HOUSE NO. STREET HAMLET
Owner or Owners of Prdperty
ConntS Ta= Nap No. ~000 Section .~[.. S~oc~ ..~J... Lot ...P..-%-....
Subdivision ....................... Filed Map ........ Lot ..........
?~rm~t No. !?7277...Date o~ P~it .......... Applicant ,-~,~~-?..
Hmlth Dept. Approval .................. Underwriters Approval
Planning Board Approval ................
Request for Temporary Certificate ....... Fimal Certificate
Fee Submitted: $....~..~ .~f. ..........
rev. lO/ 14/88
TOWN OF SOUTttOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
C E RTI F I CAT I O M
Bu.!ding Pernllt No. i/f~O 7
(please prmnt )
(please print )
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me th!s
19~$. _
~ot.~7 P~bi~c, ~-~/~ Coun~
OUNDATIO.U
(1st)
OU~DATIO:; (2nd)
OUGH FRAME &
?LUMBING
NSULATION PER N. Y.
STATE ENERGY
CODE
FI::AL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING *[~]FINAL ~
765-1802
BUILDING DEPT.
INSPECTION
~~UNDATION IST [ ] ROUGH PLBG.
FOUNDATION :'ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
R~MARKS: ~
DATE ~'///~' 'NSPECTO~
765-1802
BUILDING DEPT.
INSPECTION
] F.~UNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE
INSPECTOR ~.~/ ~
765-1802
, BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION ZND
FRAMING
ROUGH PLBG.
INSULATION
[p~NAL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST R~~OUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
~]~RAMING [ ] FINAL
DATE /~//~ '~ INSPECTOR, ,~//~._~/~
?
Examined ....... ,i 19
Ap proved ....... 19
Disapproved a/c
TOWN OF SOUTHOLD CItECK ~-~---~-~-~ ~-
BUILDING DEPARTMENT SEFTIC FORM ..............
TOWN HALL
NOTIFY
$OUTHOLD, NY 11971
TEL.. 765-180:2 CALL ................
MAIL TO:
Permzt No .....
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
'~OW -- -N OF SOUTHGLD
Date ?~2:~. . , 19~'
INSTRUCTIONS
a Tins application must be completely filled m by typewriter or in mk and submitted to the Building Inspector, wxt
sets of plans, accurate plot plan to scale. Fee according to schedule·
b. Plot plan showing location of lot and of buddings on premises, relahonsinp to adjoining premises or pubhc str.
or areas, and giving a detatled description of layout of property must be drawn on the diagram whmh is part of this ap
cation
c. The work covered by tins application may not be commenced before issuance of Building Permit
d Upon approval of this apphcatmn, the Building Inspector will issued a Bufldmg Permit to the applicant Such pe~
shall be kept on the premises available for mspectmn throughout the work
e. No budding shall be ocoupled or used in whole or ~n part for any purpose whatever until a Certificate of Occupa
shall have been granted by the Building Inspector
APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Bmldlng Permit pursuant to
Building Zone Ordinance of th~ Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmance-
Regulatmns, for the constructmn of bufldmgs, addmons or alterations, or for removal or demolition, as herein descnb
The applicant agrees to comply w~th all apphcable laws, ordinances, bmldmg code, housing code, and regulatmns, and
admit authorized inspectors on premises and m budding for necessary~a}~n~taectlonc~-,~ .
~ [(Signature of applicant, or name, If a corporation)
r f/o . .....
(Mmhng address of apphcant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build
Name of owner of premises .~t'/~ ,4 ~a~"-15 .........
(as on the tax roi1 or latest deed)
If apphcant is a corporatmn, mg~ature of duly authorized officer
(Name and title of cqrporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's L~cense No
Plumber's License No ..
Electrician's License No..
Other Trade's License No
Location of land on wluch proposed work will be done .. .
ltouse Number Street Hamlet
County Tax MapNo 1000Sectmn /~/ Block ~ ..
Lot. ~
Subdivm~on Filed Map No Lot
(Name)
State ex~stmg use and occupancy of premmes and intended use and occupancy of proposed construction
a Exlst,ng use and occupancy ~. / ~-~t g-.'/ ff_~/&~-~..,~/e~
b. Intended use and occupancy ( t{/ ~( ' '. '
3. Nature of work (check which applicable) New Building
'8.
9
10.
.. Addition /~-~.... Alteration
Repaar ..... Removal ...... Demohtmn ........ Other Work ...
I (Description)
4. Estimated Cost .... f~ ............... Fee ......................
I ' (to be paid on filing this apphcat~on)
5. If dwelling, number of dwelhng umts . . ( .... Number of dwelling umts on each floor ........
If garage, number of cars .................................
6 If business, commercial or m)xed occupancy, specify nature and extent of each type of use .............
7. D~menmons of exmt~ng structures, ~f any Front Z.. ,~ .. Rear ....~- .~ .... Depth .
Height ....... Number of Stones ............................
Dtmenmons of same ~ru%t~re with alterations or additions Front .. 2-.~. ....... Rear .,~i7 .........
Depth . . .2~ . ~ Height . .2'g~ ...... Number of Stones ... ~ .........
Dlmenmons ofentlre new construction Front .2-0.[ . .. Rear ... 2~ o. f . . Depth .
Height . .~. eT/ .. Number of Stones 2--
.... ,. ' ' "42 .............. .......
Size of lot Front 9- ~ . . Rear ...... ~'. .......... Depth ............
Date of Purchase ! 9 7.3... Name of Former Owner ... au,.'/~l .]~. r*4 ..........
11. Zone or use district ~n which, premmes are situated .............
12. Does proposed construction wolate any zomng law, ordinance or regulation' . ~.'.o ..................
13. Will lot be regraded . . ~.~-7~.. ......... Will excess fill be removed from premmes. Y?
14 NameofOwnerofprem~ses ~/'/'°5.e.'~'~.~.'~.a('t2Address.../~eq~.~'~.e/<-~.. PhoneNo.
Name of Architect . ~o,o .~ e/e.rT. ........ Address . . .~ * ....... Phone No.. g.~.~~. )-z ?~...
Name of Contractor ..,7-o~'~..~.e~...,~r~./, e.e::.. Address , )~. ....... Phone No....2,.5...~7 7~3.q...
15. Is this property located w~thin 300 feet of a tzdal wetland? *Yes ..... No .~..
· If yes, Southold Town Trusteem Permit maybe required.
' PLOT DIAGRAM
Locate clearly and distinctlyI all buddings, whether ex~stmg or proposed, and intimate all set-back dtmensmns fron
property hnes. Give street and block number or description according to deed, and show street names and mdmate whethe
interior or corner lot I
STATE OF NEW YORK, S S
COUNTY OF ......
(Name of md~viduaI mgmng contract)
above named.
· being duly sworn, deposes and says that he ~s the apphcan
He is the ..............
(Contractor, agent, co;~orat; of~me;, et~.) ......................
of smd owner or owners, and is duly authorized to perform or have performed the smd work and to make and file tin
application, that all statements contained m thru apphcat~on are true to the best of hm knowledge and belief, and that th~
work wdl be performed in the manner set forth m the apphcatmn filed therewith.
Sworn to before me tlus
...... ~i0... . day, of· ~ .....
Notary Pubhc, . .~-~-~., i ~.' ~J~.g ~-J{~. County
~*I~ tr~.~-.~! ( ~ (Signature of appbcant
NOTE,
· = MONUMENT
O · PIPE
SUFF COUNTY TAX MAP
YOUNG & YOUNG
400 QSTRANDEI~ AV£NLtE, F~IYERHEAD, NEW YORK
ALDEN W. YOUNG ~WARD W, YOUNG
St.RVEY FOR
JOHN S CARAMUCCI
MATTITUCK
TOWN OF ~::RITHOLD
JUNE ~, 1987
JULY 16,1987
' .......... ~
:' .4- ¢__.¢.4,¢ ~
~. -'
SUPPLY SYSTEM CANNOT
tubing {* Ul~ EXCEED 2110 of 1% ~AD.
piping ~hall b~
Wpea K or L on~ PLUMBER CERTIFICA T/ON
ON LEAD CONTENT BEFORE
.-~/ OCCUPANCY
UN~FUL