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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