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Home My WebLink About16345-zFOt~ NOd 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23242 Date SEPTEMBER 20, 1994 THIS CERTIFIES that the building Location of Property 1030 9~EBT ROAD House NO. County Tax Map NO. 1000 Section llO Subdivision ADDITION Street Block 5 Filed Map No. Lot 46 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 1987 ~ursuant to which Building Permit No. 16345-Z dated AUGUST 19, 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 i~ AN ADDITION TO AN EXISTING OIT~ FAMILY D~WLLING AB ~PPLIED FOR. The certificate is issued to ANGELA~O~E~NALE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N328856 PLUMBERS CERTIFICATION DATED GEORGE BEHRY Rev. 1/81 ~ W/A SEPTEMBER 30, 1994 SEPTEMBER 19, 1994 Building I~r I~ORM NO. ~ 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) N~_ 16545 z Permission is hereby granted to: 1 ,~t~ I/o BI '~'g' LOcg Ca,n,~ Tax Map No. O00 S ~.~.-.:.,. ............. o,~ ...................... o, No ..... , .................. pursuant to application dat~.~:l ..~-~..~m.../.l~- ............. , !~.~..7.., an~ appro~ b~ ,h~ Build~ng Inspector. Fee ~ ............. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTblENT TO~N I~LL 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: 1. Final survey of property with accurate location of all buildings, property lihes, 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. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building, Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and !-'pre-existing" land uses: i. 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 $25.00, 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-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,/Comme. rcial! $15.00 Date ..... New Construction ......... .. Old Or Pre-existing B~ilding.., ............... Location of Property. '' .................................. / ~ ~ ~ ~'~-- ~ ........... ~ /.~.....~...~..f~.~..~%.... House Ho. Street .... or Owners of Property ..... ~~ .... -- ~.~..~..~.~~ .......................... Onwer County Tax Map No 1000, Section..././..~. ....... Block ...... ~. ........ Lot....~...~. .............. Subdivision ........................ . ...... . ..~..Filed Map ............ Lot .................... Permit No..~..~.~.~..~..Date Of Permit..~// ~ .~../.~..~.Z · Annlicant ~..~. '...~.. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $. .~. ................. ...... ..........pPL Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: Building Permit No. /~ '~ 4~~ ~ Owner: ~ ~ ~0~0L/ ~-~ 3~ ~/ ('~lease print)~ P 1~3[~ber: (please/prin~t~) / I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public, ~7 t~-~,(.1,/r. County UNDATION UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL - ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 11, 1994 Angela Governale 61 Robbins Drive East Williston, N.Y. 11596 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 16345-Z (ADDITION) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. q BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~FINAL REMARKS: / ~,~ DATE INSPECTOI~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH [ ] FOUNDATION ;~ND [~ION [ ] FINAL FRAMING PLBG. / , INSPECTOR ~*~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~JNDATION ZND FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL 765-1802 BUILDING DEFT, INSPECTION FOUNDATION 1ST [~ROUGN PLBG. FOUNDATION :)ND [ ] INSULATION [ '~RAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST ~ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE I NSPEC~I'OR ,~/~/ THE NEW YORK BOARD OF FIRE UNDERWRITERS I001~93 BUREAU OF: ELECTRICITY --- 85 JOHN STREET, NEW YORK, NEW YORK 10038 O.,~ SF~PTF, HB~R .3~,1994 Appti¢.t;o, Mo. onfil~ 55761388/88 ~ 328856 THIS CE~IFIES THAT DR. IDUIS GOV~NELLI, HOLDEN A~. , CUTCHOGU~, N.Y. t~s examined on S~]~T~R 26,1994 and found to be in compl~nce with the N~onal Electdcal Code. A,~T. K.W. OIL H. P, GAS H, P A/~T, NO. A. W SERVICE DISCONNECT NO. OF I S E AMT. AM. TYPE . ]~'2W I~'3W 3~'3W 3,~'4W NO'OFpE~C~COND OF Ce. COED OTHER APPARATUS: MOTORS, 5~F H.P. G.F.C.I:-3 SMOKE DETECTOR: -2 ir'OOKING DECKS OVENS DISH WASHERS ME CLO ?~ /~, 4 CKS BELL UNIT HEATERS MULTI-OUTLET EXHAUST FANS DIMMERS NO OF HI.LEG I A,W.G NO, OFNEUTRA[S A.W G. OF HI-LEG Of NEUTRAL DOROSKI EI.~C. INC. 425 MONSELL I,AJgE C ' UTCHOGUE, NY, 11935 LIC. #2941-E GENE~A/ MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ~UILDiNG DEPARTMENT. THiS COPY OF CERTIFICATE MUST'NOT BE ALTEn[:n ~a Andy anna lOOl09 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 'J~'~ $5 JOHN STREET, 'NEW YORK, NEW YORK 10038 T~IS ~RTIFI~5 T~AT o~ly t~ electrical e~uipment ~ ~scribed be~w and introduced by t~ applicant named on the a~ve application nu tuber in the prem~es of in the foHowlng location; ~ Basement ~ Ist ~. ~ 2nd ~7. Section Bilk Lol ~s exdmlned on [~e~O~}~ 5, ],987 and found to be in contpllat*ce with the require.tents qf this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE DRYERS SYSTEMS S E R NO OF CC, COND, A W, O, I- ¢ AWG OF NEUTRAL 425 Mon~ell I~lne Thi~ certificate must flat be altered in any manner; return to the office of the 8oa~d i~ incotred. Inspectors may be identified ~OPY FOR BUILDI~ DEPARTMENT. THIS COPY OF CERTI,FI~ M~T NO~:BE;A~TERED IN ANY ~NNER. THE NEW YORK BOARD OF FIRE 'UNDERWRITERS 1else52 BUREAU OF ELECTRICITY ~ B5 JOHN STREET. NEW YORK. NEW YORK 10038 Date ~Y 23,1995 ~ppliea~on~o.o.f~e 86~47594/94 N 352763 THIS CERTIFIES THAT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS A,V~T. K, W. O~ ~' P' GAS H, P A~T. NO, A W. C). S SERVICE DISCONNECT j NO. OF METER ~. 2~ CB 1 ' TIMER 20 AMP-1 MOTORS: 2-1 H.P. G.F,C,I:-6 SMOK~ DETECTOR:-1 RANGES SPECIAL REC'PI R JCOOKING DECKS I OVENS J DISH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS A~?. AMps, TR~NS, NO. OF FEET ,.. w. o. OF CC. COND. 2/O NO. OF HI-LEG EXHAUST FANS DIMMERS NO. OF NEUTRALS I A. W G. OF NEUTRAL 2/0/' ALL STAR 1570 ROCKY POINT RD. HIDDL~ ISLAND, NY, 11953 LIC.#3681-E GENERAL MANAGER r This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTME~dT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 19 .~.? .~., 19~. ?. Permit No.J. '~..~..~..~...~'- Received ........... ,19... Disapproved a/c ..................................... (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 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 givilng 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 be occupied or used in whole or in part for any purpose whatever until ~ 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 authorized inspectors on premises and in building for necessary inspections. ....... : ~..~... ~:~ z*.: . ~-~ ............... (Signature of aUpplicant, or name, if a corporation) ....... .............. (Mailing a~ldress ot' applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ I3 .4.4 . ............................................................. Nameofownerofpremises .~.~.~.} lclt,~...~../~....~/.~.~:.~...~./. ...................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... [~.J..~..~.~ · · H PS, .... Plumber's License No....~..~.~.lf .~ .~...~.~. y.t..~.. Electrician's License No. ~.~.oc'(5. ~o~r~r.~ ./~t.,~ .... Other Trade's License ~/o ...................... 1. Location of land on which proposed work will be done .................................................. /O3O~ ..... t-. .+. ...... ......................... House Number Street Hamlet · Count~(.Tax Map No. 1000 Section ...... [/..~.. ....... Block ....... .~.. .... ~... Lot.../~/..~. ............. Subdivision .................................... '. Filed Map No ............... Lot ............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy ofprbposed construction: a. Existing use and qccupancy ..... ;R~.$i'.~! ~T.q..~. ................................................ ? Intended use and occupancy ...... [ .,.~,...g).._.;~ . . . . . b. ~3. Nature of work (check which applicable): New Building Addition · . ....... Alteration Repair .............. Removal ......... ..... Demolition ............ ~.. Other Work ............... i (Description) 4. Estimated Cost... - Fee ~ ~ (to be Paid on filing this application) 5. If dwelling, number o f dwelling units ................ Number of dwelling unit~ on each floor ................ If garage number of cars 6. If business commercial or mixed occupancy, specify nature and extent of each typ~ of use . .. 7. Dimensions of existin~ structures, ifany Front . . ~0.'. Rear gqf J l~;;t't~'~'~.'/i''. Height .... ~(~ Number of Stories ~./~. : ...... '.i .... i ............... Dnmensions of same Structure with alterations or additions:. Front ~1,~. ...... i .... Rear . .~ .~. ......... Depth ......... ~ ~. i ........ Height ........ '~' '~' '~t .... Number 9f ~tories...~, ...... 8. Dimensions of entire new construction' Front ~ 6 Rear . ~. j r~.,+h ~ ' ' ' Height ........ ( .X,.%... Number of Stories ...... .~ ..................... 2 ....................... 9. Size of lot: Front ...................... Rear ......... ............. Depth ............... ,~ ...... 10. Date of Purchase ............................. blame of Former Owner . i ........................... 11. Zone or use district in which premises are situated ~'~$ t.q~ e~ .~.a,]- . ! 12. 13. 14. Does proposed construction viola, t~ any zoning law, ordinance or regulation: .~?] Pi: ...................... Will lot be regraded ~O t Will excess fill % rem^w~ ~ .......... v~ ' ~,~-' Name of Owner of premises Dx{ La ~*. {J'~zP'e.n*/-,(.'Address ~,~.~:~q f.l~. ~. .... Phone No ................ Name of Architect .. ~.~.~. ¥ 8."/~,~ ~! [ ¼ ........ Address .~..x.*.e~ ~e'r7- .i Phone No Name of Contractor ~e,t~'<g'g ~p v} ]'o v~ ~ -- Address fi~'.~.' ~'~,~- .... ~ ~ IXl~ ................ · t ''--' ' ........... T ....... Ph.n ................... PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description accordii~g~to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. being duly sworn depoS, es (Name of individual signing contract) above named. and says that he is the applicant lie is the .............................................................. ........................... (Contractor, agent, corporate officer, etc.)I 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 contained in this application are true to the best of his iknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............. /./ ......... day of .... ~ ........... 19 .~. (Signature of applicant) 0.12' 0.0~ /? 7Z&o 1) ,' ~EATING EQUIPMENT TO MEET 7813.2a - 75% EFF. HEATING ODNTROLS TO MEET 7813.13 , RANGE 45 TO 75 DEGR~m~ FABREt~EIT. P~R 7813.:31 THEU ·38. - , , , ,- ,INSULATION 7813.19 ",, -" TO THE B~ST OF MY EADWL~DGE, BELIEF, AND PROFESSIONAL. JUDGEMENT THESE PLANS ARE IN COMPLIANCE WIT~ THE,,, CODE. N !E ~,1 ',rd ^ kl~S L