HomeMy WebLinkAbout16097-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of' the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z-17028 Date June 24, 1988
THIS CERTIFIES that the building ONE FAMILY DWELL ING
Location of Property 300 Olivia Street Cutchogue, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 83 . .Block 4 .Lot 6
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Pennit heretofore filed in this office dated
May 27, 1987 16097 Z
..................... pnrsuant to which Building Permit No ......................
dated...................June 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 is .........
ONE FAMILY DWELLING WITH GARAGE & ATTACHED WOOD DECKS
The certificate is issued to NICOLA PERAGINE
..................... .....................
of the aforesaid building.
Suffolk County Department of Health Approva[ .. 8..7.-.S. 0. T ,6.8./7..J.u.n.e...2.0.,.. J .9.8.8. ...........
UNDERWRITERS CERTIFICATE NO. N017098 - June 16, 1988
PLUMBERS CERTIFICATION' DATED: June 24, 1988 - Nicola Peragine
Building Inspector
Rev. 1/81
IPOB~ NO. ft
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~- i 607Z Z
Permission is hereby granted to:
..... ....
..... ~..~.......,...~..~...i~iiiii.iii..i.
..... ~.~...;~..:.%..~.L..~...~..~; ..... ~., q. ~
,o
at premises located at ...~v'Et~, .......D .................
County Tax Mop No. 1000 Section ..... ...~..~..~ ..... Block ....... ...~....~. ...... Lot No......~....~.. ............
pursuont to application doted ....... ......~..g~...~..~. ............... , ,9.~...:1.', and approved by the
Building Inspector.
Rev. 6/30/80
BLDG. DEPT.
'TOWN O~ gOUTHOLD
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N,Y, 11971
765 - 1802
PLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted ,. lamm,..~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res.
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 property showing all property lines, streets, buildings and unusual natural or
topographic features.
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 $25.00
1. Certificate of occupancy New Dwelling. S25.00, Accessory ~$IO.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, oYer 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewCons %ruc tion ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property .~O0 ~)if ?.,/. ~. ./:=. ,~./V~
House No. Street Ham/et
Owner or Owners of ProperW .~. / ~a,0,/~ .~. ~'~'/~
County Tax Map No. 1000 Section ...~, .~. ......... Block
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. /..~.o. ~. ?... Date of Permit ~. ;~.E...~.7..Applicant . ..~. f..~.0.~, fl....~.~..~..~'../../~.~ ......
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ~l L/ /t/¢ ~ 0~ ~ .... Planning Board Approval
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .............................
Rev. 10-10-78
Co-ZI'?O~ 5
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
DLDG. DE[ T.
TOWN OF SOUTHOLO
CERTIFICATION
Building Permit No.
Owner ~//~0 ~ ~L--~
(please print)
Plumber /~/~0~
(please print)
I certify 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
~ day of /~. ,
Notary Public, ~- County
Notary Public
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[ ~INSULATION
~r ] FINAL
76S 1802
BUILDING DEpT;'~
INSPECTION
FOUNDATION 1ST ~R. OUGH PI~BG.
[ ] FOUNDATION 2ND[ ] INSULATION
[ ] FRAMING [ ]iFINAL
DATE ~A/,,~,/~/~ Eq INSPECTOR
7GS-ZSQ2
BUILDING DEPT.
~,~ ~ ~- INSPECTION
[ ] FOUNDATION 1ST [ R~~OUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING
FINAL
765-1802
BUILDING DEPT.
INSPECTION
[~FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
FINAL
DATE
!INSPECTIO
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
FRAMING [~FINAL r
REMARKS:
DATE
OUNDATIO~i (
OUNDATION ( 2nd )
OUGH FRAME &
PLUMBING
PE~ N.
STATE ENERGY
CODE
FINAL
ADDITIO~L
BURTON
HAND
SMITH
244 EAST MAIN STREET
PATCHOGUE, NEW YORK 11772
I5161475-0349, 567-6300
ENGINEERS
ARCHITECTS
SURVEYORS
3une 8, 1988
DONALD M. HAND, P.E.
CHARLES G. BURTON, L.S.
JAMES B. BEHRENOT, L.S.
ROGER P. SMITH, R.A.
Town of $outhold
Building Department
Hain Road
Bouthold~ NY 11971
Re: Nicola Peragine
Our File No. 87-201
gentlemen:
In regard to the residence For Nieola Peragine, our design
for the roof deck (Sheet No. 3) calls for 2- by 8-inch floor
joists at 12 inches on center (minimum Mem. Fir No. 1, 1,150
pounds per square inch) for a 12-foot 4-inch span.
Our calculations are a 65 pound total load. This loading is
based on Table IV-803 of the New York State Building Code for
a 30 pound snow load combined with a 5 pound downward and a
14 pound upward wind Icad and 15 pounds per square foot dead
load for lumber and materials (total 64 pounds).
Utilizing these calculations, we feel this design is adequate
for the intended purpose of the structure.
, Very truly yours,
~urbj~n~ aH nd, Behrendt & Smith
RPS:mp
BURTON
HAND
SMITH
244 EAST MAIN STREET
PATCHOGUE, NEW YORK 11772
(516] 475-0349, 567-6300
ENGINEERS
ARCHITECTS
SURVEYORS
3une 8, 1988
DONALD M. HAND, P.E,
CHARLES G, BURTON, L.S.
JAMES B. BEHRENOT, L.S.
ROGER P, SMITH, R.A,
Town of Southold
Building Department
Hain Road
Southold, NY 11971
Re: Nicola Peragine
Our File No. 87-201
Gentlemen:
In regard to the residence for Nicola Peragine, our design
for the roof deck (Sheet No. 3) calls for 2- by 8-inch floor
joists st 12 inches on center (minimum Hem. Fir No. 1,
pounds per square inch) for a 12-foot 4-inch span.
Our calculations are a 65 pound total load. This loading is
based on Table IV-803 of the New York State Building Code for
a 30 pound snow load combined with a 9 pound downward and a
14 pound upward wind load and 15 pounds per square foot dead
load for lumber and materials (total 64 pounds).
Utilizing these calculations, we feel this design is adequate
for the intended purpose of the structure.
Very truly you~s~
~urf~n, Hand, Behrendt & Smith
RPS:mp
( VACANT )
OLIVIA LANE
245 OO '
fo(./)
PRIVATE ROAD ) J
5~ °00' O0"E.
60.07 '
zo ~ N'51°OO'OO"E
~ . ~ Io2 4~'
t~ENT
3 SETS OF ?LANS
'FORM NO. 1 SURVEY . .~- ~;1~ ~, · - ,
TOWN Or SOOTHOLO CHEER .....
BUILDING DEPARTMENT S~ZC PO~H ~.~ .....
TOWN HALL
SOUTHOLD, N.Y. 11971 ~Ot~7 ~]~v' -
TEL.: 765-1802 CALL ~-~' · ~ ~ .....
MAIL TO:
Examined...~.,M~M~.I..~..., 19~.?.
Approved . .~.,4~'~..].e}.., 19g 7. Permit No. J .(*.0..~ ."./..~.
Disapproved a/c .....................................
(Building Inspector)
APPLIGATION FOB BUILDING PERMIT
Date . .~.'7 .ff--'..7 ........... 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 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 permil
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 uf~til a Certificate of Occupan%
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 thc
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
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 tc
admit authorized inspectors on premises and in build/rog for necessary ins?ection~
(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 ~..~..~../..~..~. ......................................
(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.
Electrician s L~cense No ........................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
House Number Street Hamlet
County Tax Map No. 1000 Section . .~..~ .............. Block ..q ................ 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 ................................................
b. Intended use and occupancy
L Nature of work (check which applicible): New Building . ~ .... Addition .......... Alteration ..........
Repair .............. Removal ~ .............. Demolition ............ Other Work ...............
:o (D~s
e cription)
L Estimated Cost . . ~. .............. Fee ......
" (to be paid on filing this application)
;. If dwelling, number of dwelling unit? .............. Number of dwelling units on each floor ................
If garage, number of cars ........ i ...............................................................
L If business, commercial or m,xed occupancy, specify nature and extent of each type of use ...................
7. Dimgnsions of existing structures, iflany: Front ............... Rear .............. Depth ...............
Hqight ............... Number icl Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Iteight ...................... Number of Stories ......................
L Dimensions of entire new constructibn: Front .~.~...t~ql7 ..... Rear ~'~. ff:.~-...~.. .... Depth ,g.O..ty~.~ .....
Height ~a¢.~..~.~.~. ...... Number :of Stories . ~' .....................................................
). Date of Purchase ~ ~,~ ~.."t 'l .................
Zone or use district in which premisbs are situated .....................................................
Does prop6sed construction violate ~ny zoning law, ordinance or regulation: . ~7..O ..................... ' ......
Will lot be regraded ............~ot~! .... z. ........... W, II' excess fill be removed from premises: -Yes . .... ~
Name of Architect ~.O.~.rO..~. ~.~. ~..~C~..~. ...... Address~.q.~':./~.~(~.~.~.,~e No.~?~: .O.~.~.~ .....
Name of Contractor . .5.(~?. ..... i .............. Address .... : .............. Phone No ................
. Is this property located within 300 feet of a tidal wetland? *Yes ..... No /~7.0..
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
operty lines. Give street and block number or description according to deed, and show street names and indicate whether
terior or corner lot.
'ATE OF NEW YORK,
)UNTY OF. ..... S.S
................................................ being duly sworn, deposes and says that he is the applicant
(Name of individual signing ~ontract)
eve named.
is the '
i (Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly au:thorized to perform or have pe'rfonned the said work and to make and file this
plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
)rk will be performed in the manner set: forth in the application filed therewith.'
~orn to before me this
,tary Public, .~. · . .~.. '~'~' .~..~. ...County
HELEN K. DE VOE
.....
Ne. 4707878, Suffolk Cuunt~ '
Terln EXpires March 30,19~
(Signature of applicant)
S.£;, m-lEFT. OF
HEALTH SERVICES ~,~,