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Home My WebLink About16497-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17383 Date OCTOBER 7~ 1988 THIS CERTIFIES that the building. Location of Property 2845 PECONIC LANE House No. County Tax Map No. 1000 Section 74 Subdivision ALTERATION Street Block 4 Filed Map No. PECONIC, N.Y~ Hamlet Lot 18 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18, 1987 pursuant to which Building Permit No. 16497-Z dated OCTOBER 2, 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 STRUCTURAL ALTERATION WORK TO OFFICE BUILDING The certificate is issued to EDWIN FISHEL TUCCIO (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 PENDING - OCTOBER 3~ 1988 APRIL 6, 1988 - INOVATIONS PLUMBING INC. ~O~ NO. Il TOWN OF $OUTHOM) BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 1689/7 Z Permission is hereby granted to: at premises lo~ated at ...........~...[. .......... .~ ........................................................... ...................... ~....,/.~.....-....~~.....~.~ ....................................... ~ou,,~, Tax Mop No. ,000 Sec,,on "7'";,'('" ........... B,,,~', ..... ~. ............ Lot No...,(...~ ......... pursuant ,o application dated ....... ~..~....~.. ............ , I9.~* .~,, and approved by the Building Inspector, Rev. 6/30/80 FORM NO. 6 BI ~ ~-'~a~'~"'m~H H~ TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OC 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. 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 p~operty 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 $25.Q0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .... q.c.t.o.b.e.r.. 5,. ~.9S.8 NewC°nstpuction Old or Pre-existing Building Vacant Land Location of Property ..2..8.45 Peconic Lahe Peconic, New York /-/ou~e No, Street Ham/et Owner or Owners of Property ..... ~.DWIN FISHEL TUCCI.0 County Tax Map No. 1000 Section .... 74 Block .. 4 i 8. ........................ Lot ............... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. 16497Z 10/2/87 Edwin Fishel Tuc¢io · . ., ...... Date of Permit · ......... App icant ............................... . . . Health Dept. Approval ............ N.A. .......... Labor Dept. Approval . .. NA.. ................... Underwriters Approval. PENDING PI nni g Bo d Appr I NA .... a n ar ova ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ 50.00. Construction on above described building a~rmit mee~J~licable codes and regulations. Rev. 10-10-78 ~oo~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ! 0L '1")~:~ 07, ~ 9~__ ,JOHN STREET. NEW YORK, ~0~/~O38 B ~te A~l~ati~ No. on file ~ examln~ on a~nd to be in compliance with the r~ui~menfs oyth~ ~rd. RX~ RXT~ O~NS ~HAUST F~ DRyBIS FURNACE MOTORS FUTUIm AF~ANC~ ~ TIMICIOCKS DIMMERS SERVICE OISCONNE~T S E R C PI~:CON£C~ NY, ]lq~g This certificate must not be altered in any manner; return to the office of th identified ~ ~ ~L~II~ D~PAR?MB~I'. ~ COPY OF CERTIP~TE/4JST i~r~.l!~~ ALTERED I#" R.' TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No.~..1~3~ Owner ~31 ~'--~CI 0 (please print) Plumber/~JMOV/~TIO~ {please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~plumber's signature) Notary Public, %~~~ounty Notary Public VERORICA F. CIDONE NOTARY ~UBUC, ~tGte ~ %'~ew York No. 52. 4661406 Queflfied in Suffolk County,-F~ Comm;ss~on Expires Dec. 31, 19 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL $OUTIIOLD, N.Y. 11971 TEL. 765d 802 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. ~ /_~ No Underwriters Certificate on file. /~/~ The check is(outdated/not o1% file.)Asd /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on Thank you for your cooperation. ~il~.in~ ~orm~t t~ / ~ ,'/.,, __9 .7.,, Z this ma'tter. Building Dept. ***/_~No Plumber solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) UNDATION (1st) UNDATION ( 2nd ) UGH FRAME & ?LUMBI~ SULATION FERN. Y. STATE ENERGY CODE FINAL * ADDITIONAL COMMENTS: I~II"IMSEtl C~_ERTIFICATiOi~ ~ ,~>, CERTIFICATE OF O~ OCCUPANCY OR USE IS UNCWFUL ~FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 , TEL.: 765-1802 Examined~?..~.., 19 .~.:~ Approved~. ~~.., 19~. 7PermitNo. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ..~ · 3 SETS OF PL'ANS ~'' SURVEY SEPTIC FORM ' NOTIFY MAIL TO: INSTRUCTIONS 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 rerl~vai or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building, co~te,} housing, code/f3nd regulations, and to admit authorized inspectors on premises and in building for ~a~7~ 'ecjT~___/~' . ...... ~( (~./ ..... \"'"--~l,t ._~F_~.~' ........ k,~' '~l'~nait~re~JJ~licant, 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....-~.[~.cJ,~L~'~..-~.~'~>~ ~1~'....~.~3.~[.(~... ' (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..~..(~o.~. J ............... Plumber's License No..~..~..'~..~....~. ........... LICENSED Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done~ ................................................. q5 ................... ............. : ............. House Number Street Hamlet County Tax Map No. 1000 Section . .[-1..~. ........... Block .... .~. ............ Lot .... ~.g ............. Subdivision ' Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: IXE22>w- a. Existing use and occupancy . .q~..~,~.~-~ ..... rx.~..~,. ........ Ce/~,~g.¢4 e~y,d~ }g. *~?~'yh*~ ............... b. Intended use and occupancy .~.~.~ ....... ~. Repair .~' ............ RemOval .............. Demolition ............ Other Work .............. /~ (Description) 4. Estimated Cost .... 1,000 ...: ......................... Fee ... ! .... ~. ............................. " (to be paid on filing this application) 5. If dwelling, number of dwelling'units .... / .......... Number of dwelling units on each floor ................ If garage, number of cars .... ~ ................................................................... 6. If business, cor~erc~ai o,: r' ~c I q :, :~l .al tc2, spe, :fly nature and extent of dach type~of use ~'DL,,~...Q~'. k~"- · ~ ......... Rear ... ~ ....... Depth . .~o.O. .......... 7. Dime, h'si,o, ns'~'p~is~i~lg s~] '~ ~; ff any: Front. ' Height, i...'~..: ..... ' ..... ~ ............................. Dim~ or additions: Front ~ ..... Rear .................. DepthS., ' ;~ Height ...................... Number of Stories ...................... I)im ~i~O~s &,f~,~ ~ t~r e .c,tion: Front .......... ' ..... Rear ............... Depth ............... r of Stories ........................................................ C., 9. ;,,,::,.~,~,j ......... Rear .~.T>I~'; ............... Depth .~.?-~ .......... ~. .... 10. Date of Purchase .tL .c~[... ~ .................. Name of Former Owner .~-4.~--~..f.~ .......... 1 I. Zone or use district in which pr~mises are situated..~. ............................................... ~. · 12. Does proposed construction vio!ate any zoning law, ordinance or regulation: ..~/%) ................. 13. Will lot be,regraded ..... t~_O* ................... Will excess fill be re,.~oved from premises: es 14. Name of Owner of premises'~q~,h[}-b .~. ~.~Cl... Address [;dPrk~ .'-~7..~ .~2~9{~(~hone No..~.Z..'7.-. Name of Architect ......... i ................. Address ................... Phone No ................ Name of Contractor ........ ; ................. Address .... : .............. Phone No.. ~ ............ 15. Is this property located iwithin 300 feet of a tidal wetland? *Yes ..... No .v.... · If yes, Southold Town Trustees Permit maybe required. ' PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF..'Cf..-f.K-.~. ~..'~..cC..~. i ~'~ .~..~'v~o{x~...~5¢,~,~..~..k~..~ .................. being duly sworn, deposes and says that he is the applicant (Name of individual sigOing contract) above named. ~eisthe ,,. ~ ....... i .................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly 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 knowledge and belief; and that work will be performed in the manngr set forth in the application filed therewith. Sworn to before me/~C_j~ ~this i ' ' '-- 19..~,7 ............. ,..~,, . ......day of. ~:~.. ~ ..... Notary Public, . .(<. . Coun , ' / , 1~1F~4S'~ '---'/ ~/ (Signature of applicant) Qualified in Suffolk!COunty ~ Commission E,~ree Oeeember 8, 1~