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HomeMy WebLinkAbout16475-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... Z.!.6.5.4.4. ....... Date December 28, 1987 THIS CERTIFIES that the building ...g, q ¢ .e.s.s.o..r y..g .a .r.a.~i e. .......................... 300 BIRCH LANE CUTCHOGUE Location of Property ......................................... House No. Street ................. h~r~/e~ County Tax Map No. 1000 Section 083 ·Block 0 I .Lot 22 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... S e p,t.... 2.1 .... 1982 pursuant to wh/ch Building Permit No...1.6.4.7. 5. .Z .......... -... dated ..... S.c..p.t....2. .72.. 1.9..8.7 ........ 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 ......... Construct an accessory garage as applied for. The certificate is issued to GIUSEPPE AND ROSE RACANELLI ..................... ?o¥.'o;, k ................... of the aforesaid building. Suffolk County Department of Health Approval ......... .N/.A. ............................. UNDERWRITERS CERTIFICATE NO.. N/A PLUMBERS CERTIFICATION DATED: N/A Building Inspector ....... Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT fl'HIS PEI~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ld475 z Permission is hereby granted to: ~ .e.~.~.....~,~.~..~ .... ~...~.~.~.~..~.: ........................................... ~~....~,.....~....~..,......L!.~] ............ ,; "m ,o.~ ............ ~. ~..~.~ ..... ~..¥~...~..~ ................................................... .~.~. ............. ~ .............................................................................. County Tax Map No. 1000 Section ....... .(~..~...~ .... Block ....... .~..~ ........ Lot No ..... .:~..~ ......... pursuant to application dated .... ..~.~.....~...J ...... , 19.~J..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 C,'Oh*T'~SFO/VF~ iU? l l ~%'-7 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted iii ~ 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 o[ 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-exi~ing" land uses: 1. Accurate survey of pZ~perty 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 1. Certificate of occupancy New Dwelling $25,00, Accessory ,$10,00 Business $50.00 2. Certificate of ~ccupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.C. $ 20.00 5.U~)dated C.C. $ 50.00 Date X December 08, lg8Y New C o:~ ~ t r u c t ~ on ...... Old or Pre-ex isting Building ............ Vacant Land ............. 300 Birch Lane Cutcho~ue. Location of Property ............................................................ House No, Street Ham/et Owner or Owners of Property giuseppe and Rose Rac.anelli County Tax Map No. 1000 Section 083 Block O.i Lot. 022 Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo.l.6.4.?.~ Date of Permit .O.9./..2..7/.8.'7..Applicant Giuse~pe+Rose Racanelli Health Dept Approval ' Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... R uquest for Temporary Certificate ................ '. .... Final Certificate ....................... Fee Submitted $ .... 10, ~).Q-=~-r-.-. .............. Construction on above described building and permit meets all applicable codes and regulatioms,~ Rm~. 10.10-78 FOUNDATION {1st) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [/~FOUNDATION AST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL "//- DATE /~)/~/~/'~ INSPECTOR .~.~ ~ 76S-1802 ~/~ ~NBUILDING DEPT. SPECTION [ ] FOUNDATION 1ST [ ] ROUGH pLBG, [] FOUNDATION 2ND [] I~LATION []FRAMING [/~ FINAL DATE /,~//~/~7 ... INSPECTOR .~'~,/~..~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ i1 I/NSULATION / FRAMING ~r,/j' FINAL INSPECTO~ 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF ltEALTH 3 SETS OF PLANS SURVEY .......... CHECK .......... §EPTIC FORM ............. NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-180~ CALL . ..... ~ ~ fi MAIL TO: Exa, ii led ~,~..=~ 19 ~.q ~ ~ Appr°v~~:%~' 1 ~'' Pe~it N°' ~ ~' 7'~'~ (Building Inspector) . . APPLICATION FOB BUILDING PERMII Date .. INSTRUCTIONS , a. This application must be completely filled in by typewriter or in ink and submi't~ed to the Bnilding Inspector, with 3 set~ 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 throughofit the work. e.. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupm~cy 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 building,% additions or alterations, or for t~moval or demolition, as herein described. The applicant agrees to comply with all, applicable.laws, ordinancqs, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary, j,n~eetions.. ' :. ~, (Sight,fire ot appnctmt, or name, ~ a corporat~on~ ,~,~' ," ' ~ .,~'1~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~. ~ .'~. · ............ giusepf, e. Raaane.],li. &..Wf [ ! f;- (as on the tax roll or latest deed) If applicant is a corporation, .~gnatnre of duly auther~zed offi¢~r. (Name and title of corporate officer) - : · ALL CONTRACTOR'S I'IIIST BE SUFFOLK COIINTY,;LI]-I~ENSED Builder's License No .......................... Plumber's License No ......................... ElectriciarFs License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will b~ done. ,- ..... Lot. #.7..Birck .Lano..,. C~xtchoq. ue,..N..Y,. · .............. er ....... C_..or. ............................... ltouse Number Street Hamlet County Tax Map No. 1000 Section . . . 8'3 ............. Block .... .~. · (.OHO.) ......Lot...22..(.~.wez~t.~w.o.) Subdi¥ision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~e g;L.d, e19¢~. .... ............. b, intended use and oeo, - Ga.~.a .cSa ............. ~. '; ,~ ~'~ ~*'~t~.>~,ls~,~'a.,~y~; ......................... 3. Nature of work (check which applicable): New Building .......... Addition ......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work. C, ara!te ........ i (Descrip/ion) 4. Estimated Cost ...@, 0.0.6,00.i ......................... Fee ...................................... i " (to be paid on filing this application) 5. If dwelling, number o f dwelling units ................ Number of dwelhng umts on each floor ................ · If garage, nu nber of cars .......... ~.. ~.. ~.~ ........ ~.~o. Ca~.Garage ..... . .......... 6. Ifbus~nes~k[t~l~F. edo,cupancy spec~ nature and extent of each typ of se ................. 7. Dunensmns~d~is~ m ur s, ffa : Front ............... Rear .............. Depth .............. Height . < ,: ..... Nu er oFStones ...................................... . .... ........... D~mensmns.o,f sam t alteratmns or addmons: Front ............. Rear ................ pth ...;'.: ............... ;.. H '~t N h~,of Sto ' De el ............ , .......... um nes ...... ............... Dimensioljs ~[~tire. new construction: Front.._;~. ~Q.....'.. Rear...~. ........ Depth .............. Number of Stories Height ~ ~ Size of lot: Front ........... ........ '... Rear . 2.0.,Q. 0b.nXTr:..:.. . .. . Depth . ~3J,,[6rr. xrrvr. ..... Date of Purchase ' Name of Fomer Owner Zone 0r use district in .... 11. which pre:roses are sttuated ..................................................... 12. Does proposed constructmn wotate any zomng law, ordtnance o[ regulatmn: . .None ......................... 13. Will lot be regraded . N~ .... ~ ................... Will exbess fill be removed from premises: Yes Nc 14. Name of Owner of premises . OL.usep~ .R~nez&~dressL$3,40..22. ~uo .... Phone No. 7~.-46~524. N~te of Contractor¢'?l,v~xt'[,¥~3~L3~,.~ ..... Address~ft:'10. g.Z. ..... Phone 15. Es thSs property locag~d w~th~n 300 feee of a t~dal wetland? Yes ..... ~o .... · 1f yes~ Southold Town Trqsteoa PermSt maybe required. PLOT DIAG~M Locate clearly ~d distinctly ail buildMgs, whether existing or~ proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whethe~ interior or corner lot. 9. 10. STATE OF NEW COUNTY OF , , .,, Z;) .; ......... .,, , ' ~ ' ,'ff,~,,~, heingd~ly (~me ~ indMdma(si[ninffcon~ract) above named. ~{vor, n, 4eposes and says that he is the applicanl He is the ......................................................... · ................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m..ake and file thi~ application; that all statements<.a.0ntained in this application are true to the best of his knowledge and belxef; and that tin work will be performed in the mamler set forth in the application filed therewith. Sworn to before me this NOTE RAFTER TIES ARE NON-LOAD BEARING MEMBERS TO PREViENT SIDEWALLS FROM BOWING 0U% THE RAFTER TIE IS NOT DESIGNED FOR ANY LOADS PLACED ON OR HUNG FROl~ THE MEMBER BY STORA&E OF MATERIAL OR HUMAN WEIGHT RAFTER HANERS ARE TO PREVENT RAFTER TIES FROM SAGGING COLLAR TIES 4RE NON-LOAD BEARING ME"MBER TO KEEP RAFTERS FROM 80WING 8, SEPERATING FROM RIDGE BOARD. SEE NAILING SCHEDULE FOR FASTING MEMBERS. BOARD 2;0" LAP !NG ~A TOP PLATES/ · RAFTER TIEj J~-r'--TIE & TOP PLATES SECTION · ROOF SECTION AT RAFTER TIE NO SCALE F, ooF RO01 SHEATHING LAYOUT I/~"= I%" SECTION "4 C" SECTION "/.,A" SECTION.~.~. "4B" (formed foun.d.,otion),,&,. ,:o,, [ 2 1 8 4 SHEET TOTAL 4 5 CORNER DETAIL "SA" d SECTIONAL 6ARA6E , OR JAMB DETAIl [ SHEET 2,184 TOTAL $ 5