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Home My WebLink About16364-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~ARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17241 Date AUGU-ST 29~ 1988 County Tax Map No. Subdivision THIS CERTIFIES that the building Location of Propert~ 945 House No. 1000 Section 78 Filed Map No. ONE FAMILY DWELLING VICTORIA DRIVE SOUTHOLD Street Hamlet Block 9 Lot 57 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1987 pursuant to which Building Permit No. 16364Z dated AUGUST 22, 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 ONE FAMILY DWELLING W/ATTACHED TWO CAR GARAGE & DECK. The certificate is issued to MICHAEL & LAUREN PISACANO (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 87-S0-126 8/19/88 N021050 s/1 /88 Rev. 1/81 l~OR3~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6 3 6 4 Z ~ote ..~.~,~...~.~ .......... , ~..~.~ Permission is hereby granted to: .t~'~.~ .............. ~.~.....J:~ ............... .~....~.~,.~ .................................................. -.... ~t premises Iocoted ot ........... ~ ............. County Tax Mop No. 1000 Secti~..,.~.~...~.. ....... Block ....... ..~....~ ...... Lot No .....,~...'] ............ pursuant to application dated ..~~..~......:.~..~ ............. , IO.~..'].., and approved by the Building Inspector, Fee $ ..~. 3..~0..I...C~ .-~. · .. Building Inspector Rev, 6/30/80 Building Department Town Hall Southold. N.Y. 11971 765 - 1802 FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. FirLal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5, Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz'operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of Occupancy New Dwelling $25.00, Accessory ,$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancv $ 5.00, over 5 years $10.00 4.v cant Land O.D. o.00 .u. dated c.o. $ 5O.OO Oate New C ohs t,z'uc t, i on X · · · Old or Pre-existing Building ............ Vacant hand ............. Location of Property ....... ) gt ~-it) House No. Street Ha/n/et County Tax Map No. 1000 Section , 0~?~:- Block 2 Lot.. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No../~.'.~.~. ~. Date of Permit ~.-,zS~.;../.Applicant [~.~ iC,~?~.(.-.".~.~-.~..~;?j.q.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certific~,te ..................... Final Certificate ....................... Fee Submitted $ ............. Construction on above described building and permit _meets all applicable codes and regulat ons 0 ' 0 ~[:'~l~ ~"~ I A ,,cant ' PP' .. ................. Rev, I0-I0-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1 CERTIFICATION Building Permit No. /&~&q Owner N'~(~LL/~/mJ 7~)~'~C~'~} · (preas~ p~inf) (please print) I certify that the solder used in the wat'er supply system contains less than 2/10 of 1% lead. (plu~r ' ~ ure) -- Sworn to before me this Notary Public, ~ounty Notary Public DOLORES L. USO Notary Pub;it, State of New York Suffolk County - NO. 484102.,~D Comm;~io~ Expirea ~L 31, ~7 . FIE?,D INSPECTION FOUNDATION (- S/t) COMMEN'fS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. //INSPECTION [/] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL / // / DATE INSPECTOR ~~,/~ 765-~1802 BUILDING DEPT. INSPECTION / FOUNDATION 1ST []/ROUGH PLBG. / FOUNDATION 2ND [4 INSULATION FRAMING FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~//ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [/_~OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [/~RAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL DATE FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [z~NAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [//~FINAL REMARKS:~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF E~.ECTRiCrT'Y ~-- g 021050 THIS C;;IFIE$ THAT N~CHAE~ P~SACANO, VIC'~IA DRIVE, SO~HObD, ,.,~ ~~ ~-, ~,- ~,. ~ ,~ ,. .~,,.. w examin~ ~ andf~nd ~o be in com~tan~ wi~h (he ~uirem~t~ o~ th~ ~rd. f~XTUll FIXTUIRS RANGRS FANS DIYIRS FUBNAC! MOTORS TIM! C~CKS MU~TI.Q~ni? MMMIRS ~VICi MM:ONN~'T S S R V I C E T~ACK LIGHTING THREE 'C' ELECTRIC RT. ii, BOX 45M RIVE~B~AD, IP/, b[CEN~E NO, 3327-1g their cFedentials. i E N ERGY' C ODE CALCOLATION5 c;~,~ ,~o,o_~,_,~-~,.,~_ .***,-) ,~ O ,~.5 ¥$'T',~ A\ 1 ) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. 2) HEATING CONTROLS TO MEET 7813.13 RANGE 45 TO 75 DEG~ER~q FAHRENHEIT. 3) WATER HEATING PER 7813.31 THRU .38. 4) PIPE INSULATION 7813.19 5 ) WINDOWS - DOUBLE GLASS. 6) CONSTRUCTION TO MEET N.YoS. ENERGY/ CODE. 0.1'?' ~5 7'04-1 o.o~ Z ~ ~ o o.s¢ 7, 03° o.~0 0.05 o. o$ 3,$r-° ~7oo ~ '7- 0 /'/ TO THE BEST OF MY KNOWLEDGE, BELIFEF, AND PROFESSIONAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examine~.L~-~.~7...1~..~., 19 .~.7 Approved...x-~CS~...b~..r..."~..., 19~..7. Permit No.). .(o..~..b.~.~-.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ../ . SURVEY ..~_~ .... CHECK --~--'~ - SEPTIC FORM Z ........... : NOTIFY HAIL TO: a, This application must be completely filled in by Wpewriter 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 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 be 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 authorized 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. Name of owner of premises. ~.t.~. ~./Pff .~..../~. · ./D.. · .4- .~d. 9..~..~. · . . · .~.~.'~..~r~.-~. · .~. · .~. .................. (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... t~tx2~,~.~.. Electrician's License No .... Other Trade's License No ...................... Location of land on which proposed work will be done~ ................................................. House Number Street Hamlet County Tax Map No. 1000 Section ...... t~. ~,.~. ...... Block .... ,.~. ........... Lot.. '~ Subdivision ..................................... Filed ~Map No ............... Lot .............. (Name) 2. State existing use and occupancy of premises and intended use and Occupancy of proposed construction: a. Existing use and occupancy ~) Re, dc. . &( /. ' b Intended use and occupancy .... 3. Nature of work (check which applicable): New Building .... Addition .......... Alteration .......... Repair 'Rea 'oval Demolition Other Work · ,.~ , (Descrigtion) 4. :Estimated Cost .,~.~. }/ OttO' .~..t~...O. ' .. · (to be paid on filing this application) 5. If dwelling, number of dwellin units ............... Number of dwelling units on each floor ............. If garage, number of cars ..., ................................ ................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type~offfse ~.. V ..... '; ......... 7. Dimensions of existing structur,es,, if any: Front..., ............ Rear ....~ ........,.:.. ·D,e~3th ................ Number of Stories ..... ' Height ................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... i... Height ...................... Number of Stories ...................... ---8. Dimensions of entire new construction:, Front ... ~ .ff...~. ..... Rear ............... Depth ............... Height ............... Number of Stories ..... . .~"..~. O. ................ ~ ......... 9. Size of lot: Front ..... ./.t'q.~. ........... '.' Rear .~ ........... :.;... Denth .. 4t~/g ~..0°. ............ 10. Date of Purchase ...~..qr~'?-.. ~. ~ '/"/.~. 1~.7... i Name of Former Ow~'e~'. ~... 11. ' Zone or se district m which premmes are situated../P'P.0 ............................................. 12. Does proposed construction viqlate any zoning law, ordinance or regulation: ..3~r~. .......................... 13. Wall lot b regraded ........ ; ......... .~.- ......... Will excess fill be removed from premises: Yes No 14. Name of Owner of pr%ni~2,,} /F~{.?.~.~. f~./~,s-.~..~.~?~.. Address ,~..,.TPtOT~.~.~.... Phone No...~.~.. ~.'7 Name of Architect . Z.(h~ .;qd¢~C~..' .T5'Ug~,A./~.Cr-. .. Address ................ ; . . Phone No .............. ~.. Name of Contractor ....... ..........,........~ Address .... : .... .... Phone No .............. :. 15. Is this property locatedlwithin 300 feet of a tidal wetland? *Yes ..... No .~-.. , *If yes, Southold Town Trustees Permit maybe required. . i PLO*r DIAGPokM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ' S.S COUNTY OF ................. ...... ,O0/.E.A,..,itjlL~..'· · ·... · ·.. ·, · ................../~'r ta~,x./'~ being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!ly authorized to perform or have performed the said work and to make and file this application; that all statements coniained in this application are true to the best of his knowledge and belief; and that the work will be performed ~n the manner set forth in the applicahon filed therewith. Sworn to before me this ............... q~..; ...... day of. ..... ~ .......... 19 .~.ff. . / - ~ ~. _ , :__ . ..-- -~ , -- TO OF' THE . :~ ~ ~ ~ ~ . / ~'~-..: ~ ~ } . .' -~ ~ . ' . :~q... ~ "SU~L:K CO~Y~ ~. ~ ~ . ~ '~ ~ ~ ' :>~ ~'' ..~ ,. ~,. :~ '-~' ~ , . · . S.C. DEPT. OF HEALTH SERVICES SU~FOi~ eoRl~.~ ~ ~RoVA~ H.S. NO. , It ts the applicant's res. ponsi.b, llity to msl~t~hl a~tequate sanitary dlstance between all writer ~dp~ly and sewage dlelX~ facilities. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE .DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALT,H SERVICES. SUFFOLK COUNTY DEPT, OF HEALTH SERV,CES -- FOR ^~.ROVAL Or CONSTRUCTION ONLY JUL 14 198~ DATE:. H. S. REF. NO:: APPROVED: __ SUFFOLK CO, 1~1~lr. SECT, ~LOCK' eCL. . '. uc£~'° ~ND su~V~c~s - GREENPORT N~W. M'~K SEAL ,,. ; ? \ SUFFOU~ coumi ~PAR~mT O~ ~ ~ The ~wage d~sposal and wa~(~.[.,~ ~:ili~ ~ ~ othe~ a~nd ie~d to~e ~sf~. Chief ~ Bureau of Wastewater Mmnageme t LICL~ti~.D LAND ~,URYEY, ORS GIR~I~T N~W Y~K .~..~FO~..K CO. H~ALTH D~P"T. API"~'OVAL STATEMENT OF' ,INT~T THE WATER SUPPLY AND SEWAGE DI,~=O~AL SYSTEMS FOR THIS RESIDENCE WILL CO. NFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT· OF HF~ALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES - FOR APPROVAL OF' CONSTRUCTION ONLY DATE: .... _ ~ ,.*'~ . H. S. REF. NO. ~' ~ '~ ('~ ,-- (~ APPROVED' __ - ~UFFOLK CO TAX MAP DESIGNATION: DI~, ~CT ~A~O~K EL1 tOO0 C,"I ~ ,.:, : ', ': OWNERS ~m~,Rt~: - P. ,. ~.,, ' i~£1D: L. 14~ ' '~"~ '~'' ..... ' ' SEAL SUFFOlk. COUIfTY DI~)AR~i&ENT OF ~ ~,,n~- i oA~,UG 1'9 I~ H.S. ~[,.N0. ~~ 'X / The ~wage disposal and wa~r supply ~ili~ ~ ~ '.,~ ~f a~nd fo~ to~e ~ief'~. Bureau of Wastewa~r Msnag~e SUFFOLK CO. HEALTH ~_FPT APPROVAL H S NO. &q" ~" THE WATER SURELY AND SEWA~ DI~L ~TE~ FOR TH~ RESt~E WILL C~M TO THE STANDAR~ ~ T~ ~FFOL~ CO DE~. ~ HEALTH ~RVICES. ~ICANT SUFI~K COUNTY E~PT. OF F~EALTH SERVICES - FOR APPROVAL OF CON~F RUC"[r ION ONLY DATE: ,.s..~. ~.: ~- ~'-~g~ , A~V~D . " ~FOLK CO TAX MAP DESIGNATION: 13tST, ~CT. BLOCK PCL,. ICX~O 0-~ 9 y, 7 T~P~;OJ L. ion Law. ~[AL l ', , :--~--~ , STATEMENT '0F, NT~T ~ i CONFORM TO THE STANDAEDS OF THE ~ , ,. SUFFOLK CO, DEFT. OF HEALTH SERVICES. ~ APPLICANT ~ ~ ~ CJ ~(~I>'~ ?~;E SERVICES -- FOR APPROVAL OF ' SINB~ FAMILY DWE~IN~ ~ ~ ~ SUFFOLK CO, TAX MA~ DESIGNATIONf -.toc~tlo~eve ~een inspecL~d by [I,i~ D~a~ment a~d/gr ~ OWNE~S,ADDRE~: ' other a~e~nd fo~d to~[~a~f~o~Y .... , ~,- .C~ief ~ Bureau of'Wastewate~ Management ,. [ ,~A~ff'~-E:Of~ [',,~. t t'~t~ ,' OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ERTIFICA TION nrd LEAP ~r. ncCU If ¢O~381'rttJblfig II IlSl~ for ,amter distributing L__L_ LJ ' '1 Phone 477-0400 Main Road t ' --.ENEP, CODE CALCOLATION5 0. 0-~ 0.4/0 0.'03 7 5'~ 0. o,~ ~) 5 ~ ~A.)~.iZ_7.~ATi~,zL~ ,q ~' ~ 0.0/~5 ~ 2 , ~ 1) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. 2) HEATING CONTROLS TO MEET 7813.13 RANGE 45 TO 75 DEGREES FAHRENHEIT. 3) W%TER HEATING PER 7813.31 THRU .38. 4) PIPE ±,]SULATION 7813.19 5 ) WINDOWS - DOUBLE GLASS. 6) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE. TO THE BEST OF MY K~OWLEDGE, BELIEF, AND PROFESSIONAL JUDGEMENT THESE PLUS ~ IN COMPLIANCE WITH THE CODE. IL