The URL can be used to link to this page

Home My WebLink About16610-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17471 Date OCTOBER 28~ 1988 THIS CERTIFIES that the building Location of Property 1200 BEEBE DRII~E House No. County Tax Map No. 1000 Section 103 Subdivision MOOSE COVE ADDITION Block 03 Filed Map No. 3230 CUTCHOGUE Street Lot 01 Lot No. 23 Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1987 pursuant to which Building Permit No. 16610Z dated NOVEMBER 9~ 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 ADDITION TO AN EXISTING O~ FAMILY DWELLING. The certificate is issued to PHILLIP & NANCY RODILOSSO (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N023245 JULY 26, 1988 PLUMBERS CERTIFICATION DATED MATTITUCK PLUMBING & HEATING 9/19/88 '~B~uiJding Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6]0 7 Date ....~.. ~...~. ............... , 19~.7 Permission is hereby granted to: ............... ~~.....o.:..ff..: ...... u.~..*..~ ............... o, , ot~rem'~es'o~'tedo,...~.:~..°....'....' .~..~,. ........... ....o~~~ .................. .... .................................................................. County To× Mop No. 1000 Section ....... ~,..~....~ ...... Block ...... .~.~i~tv, ...... Lot No ....... .} ................ pursuant to application dated .... m..~...~*~...~...~ ................. , 19.~....~.., and ,pproved by the Building Inspector, Fee $....~...~...~...: .~. · ..~..~'. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWNOF $ouTHoLD II Fr'l"'"' -" BuildingDepartment Illltl ~1~~ 111 I · TownHall .' III111 -'~ Jill Southold, N.Y. ~97~ !' ~ ilL), ?65- [802 ! APPLICATION FOR CERTIFICATE OF OCCUPANC~ Instructions This application must be filled in typewriter OR ink, and submitted ~ ammmmmm 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 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. CommerciaLbuildings, 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. 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 featu res. 2. Sworn statement of owne~r 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, Fees: 1. Certificate of occupanc¥ $25.00-- ~US[NgSS $50.00 2. Certificate of"occupancy on pre-existing dwelling $ 50.00, 3. Copy. of certificate of occupancy $ 5.00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..~ep. tambe~..21.,..19~... New C on s t ~ u c t, i on Old or Pre-existing Building Vacant Land Bee be Drive Cu tc hogue Location of Property .... ~'2(~(~ ..................... .-... ........... · House No, Street Hamlet Owner or Owners of Property .P.h.il. 1..fLp ..... ~ ' ~.a.Q.c .y Rod..floss.o County Tax Map No. 1000 Section ........10~...... Block ...0,3 ......... , Lot.,,O.,~ ........... S6bdivision~q0¢~..Q~Y~ ............ ' ' 32 2 Permit No.i,~,~.%,O,~.,.. Date of Permit A~.~/,~, Health Dept, Approval . .~; ................... Labor Dept. Approval . . ~/.~.A .................. Underwriters Approval ........................ Planning Board Approval , .~,/A ................. Request for Temporary Certificate ..................... Final Certificate ...... ,~ ............... Fee Sub ,,ted I.S. 1 9.? ..... Construction on above described buildi nd regulations. Rev, THE NEW YORK BOARD OF-FIRE UNDERWRITERS ~.SKW STE AI4 JACU/7J HFAIEN. ~ OA~F'E~fF $--4 ION A.C. PANEIBOAROS:I-2~ CIR, 200 S~JKf: BFIFCFOR:-2 ~l m..mm . GARY DOROSK [ PATCHOGUE, NY, 11.9J5 Ilo L'CENSE NO. 294t,-E [ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. / ~_~ Owner?~4 ~{~(~11(Q~_ (pleas. e print) Plumber ,~. ~?~,?t; c_~o~_~W__~ {please print) % I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signat~r~e9~ Sworn to before me this _ /~ day of ~ ,' ' Notary Public,_~o(/~ County Notary Public ~L~G ¥OWN OF ]'HOLD Environment East, Inc. R. R. No. 3 - 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 October 26, 1987 ~utho!d 'foeq S,,~i]d!a;~, Dnpto Hain Road Sou~[~old, ']~ 11971 Re~ A~olication eot ;~uffld[~[t t~rmit fop P. ,?~ ~. i{odilosso nnclosod is a s~rvey of ~he proper~y owncd by P~itlip auc~ da. ney N:)dllos%o on Bc~ebo Drive ia Cutcho~ue. fhree sets of sta~?ed p].ans nLll be eowarded as soon as wa rece[ve ~hem for the em(inenr~ If any ?thor iqf~!on is needed, Peter N. 9'bo~'urgh Pye sident ~ nvir, unme at inc. Encl. ~ .eRS: jm 31 ~= co~tact , FIELD FOUHDA'TION (1st) FOUNDATION ROUGH FRAME & ~"'~' INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST .[ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~U. ATION FRAMING [ ~']~INAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND i- ] INSULATION [ ] FRAMING [ ] £1N~AL REMARKS. ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING · [--~'~AL REMARKS DATE INSPECTOR ?6S-xl~02 BUILDING DEPT. INSPECTION FOUNDATION SST [ ]/I~UGH PLBG. FOUNDATION 2ND Ii/'] INSULATION FRAMING REMARKS: FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~/ROUGH FOUNDATION 2ND [ ] INSULATION FRAMING [ ]FINAL /- PLBG. DATE INSPECTOR _~/~ ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~-~ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL DATE/*~//~/~~ INSPECT~ 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION IST ~ UG~~H PLBG, FOUNDATION 2ND [ ] INSULATION FRAMING FINAL DATE .:':::: - . :. ':::-' - -., : . :' L *OWN 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Received ........... ,19... Disapproved a/c ................................ i)/~ ..... · .......................... ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...qq .~9ke.~...19.s..., 19.8.? INSTRUCTIONS a. This-application must be completely filled in by Wpewrit%r or in ink and ~ubmitted 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. e. 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) ~075 ~adia~ ~N~o~e~Lano · .~.e..c.o.qx.c. ,. j~.x...~.A~.>, o. ........................ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .. ? [~J..1. ~ ~tp..a BO..~a B.e Y..~Q .d i.-~Q $ ~ P ........................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .... ~ ........................... ?.r.e..si.d.c.O.~... (Name and title of corporate officer) Builder's License No...5'55.6.HI ................ Plumber's License No ........................ Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .1200..Bee be..Dri.v.e .................... CuJ;.a bog~e ............................................ House Number Street Hamlet County Tax Map No. 1000 Section ...... 2.C}3 ........ Block ..... 3 ............ Lot. ~ ................. St~bdivisionMo~ae. C~to ......................... Filed Map No .... 32.~0 ....... L~t~'....2-~ ......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. .0no..Family. D.w. alling .......... .'.;. ~ ..,............................-. b. Intended use and occupancy One Family L~aellit~ with dddition which ap:plica 3. Nature of work (check ble): New Building .......... Addition .. X. ...... Alteratlorl ........... Repair RemOval Demolition Ot~e~ ap./ cription) 4. Estimated Cost. I ~.~Q~. · · .. · Fee ......................... '" (to be paid on filing this',~ppli~ation) i , 5. If dwelling, number of dwelling ' ' . ................ umts .... [ .... Number of dwelling units on each floor .... If garage number of cars i ' 6. If busifless, commercial or mixed occupancy, specify nature and extent of each tyl2e of use ............. ~ ....... 7. Dimensions of existing structures, if any: Front ..... ~.O. ....... Rear .... 6.~ ....... Depth ..././.~. ....... Height .... /~ ........ Number of Stories ........ I. .............................................. Dunensmns of sam~structure with alteratmns or add_~tiol~s: Front .... Depth /. / ~. Height ............... ........ ; ~.. .......... Number of Stones ..... .~ .............. 8. Dimensions of entire new construction Front Height ~..~. Number of Stories ~ ' 9. Size of lot: Front .... t'6~ pth (/.~..~ ....... ........... Rear .... ./~ ~ De 10. I?ate of Purchase ........... N fFpr, mej O , · ................. ameo wner ............................. 11. Zone or use district in which premises are situated Re s idmn~ ~_ nj- 12. Does proposed construction violate any zoning law, ordinance or regulation: .IXl. q 13. Will 10t be regradod ...... ~ .: ................... Wilt excess fill be removed from premises: Yes No 14. Name of Owner of premises~ho~[Lo~..~a~gY... Address 12.Q0. ~.op.b.e...D.~.:~y.OPhone No..'~3.h...-~..1..2.6 ..... Name of Architect .... ~ ....., ..... ; ........... Address Gl.~tiqhOgU, q ,. ~I.~ ¢.Zl~-o~ne No .... Name of ContractorE. tl¥, r.o. tltoe' .rt~..~ ~t.s.~. ~..~.qq .. Address 30 75 I ad i a n Nd clr, ff/49,~ ~o ' 7314]'(?~ 7[[" ' l~'d 3 hl.'e',': ~ '~'~95~ ................ PLOT DIAGRAM Locate clearly and distinctly alll buildings, 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 whether interior or comer lot. STATE OF NEW YORK, COUNTY OF ................. !S.S ............................ ~ .................... being duly sworn, deposes and says that he ~s the applicant (Name of individual sig~ing contract) above named. He is the .. ....... "''""''''"'"~'~C, ontractor~¢nt,~" '"""'"'""'"'"'""'"''''""'"""''"'"corporateofficer, etc.) of said owner or owners, and is duiy 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 the work will be performed in the mann!r set forth in the application filed therewith. Sworn to before me this , ........................ day of .............. 19... Notary Public ...... ~ 4 ................ Coun NOTARY PI~8[IC, State ef NeW SUFFOLK CO. HEALTH DEPT. APPROVAL STATEMENT OF INTENT THE WATER SU~LY AND SEWAGE DIS~AL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT, OF HEALTH SERVICES. SUFFOLK COUNTY DEPT. SUFFOLK CO. TAX MAP.~S~A~:I~. I ENERGY CODE CALZ. pLA I'ION5 RANGE 45 TO 75 DEGREES FARRENF~EIT. 3) WAT~~R H?-T!b~G pER 7813,31 TERU .38. 4) PIPE INSULATION 7813.19 5) WINDOWS - DOUBLE GLASS. 5) CONSTRUCTION TO MEET N.Y.5. ENERGY CODE. I Il ilepl~er ~blng Il uled ' ~ ~ di~tributlq a'y~ten~ piping -h~ll be d lype~ K or L only, SOLDER usED IN WATER SUPPLY SYSTEM CANNOT .,EXCEED 2~fo Of I% ~EAD. BER CERTIFICATION pLUM_. - ~A~TENT BEFORE oN, LEAMr~__~,~= ~.CUPANCy cERTIFICA I =~r ~"-7 ' ' -:. ' :}' :{:'{::: :C': - - OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY L ] [ I / // / , / ,/ ~ \ / I 12 .... _,.,I 'N l EX-IST/N ~b ® ® N, l.'5 -/ lO %,., ",% ~oo/aosso TO t~lTI C. \~C. NLOOR " . L')P5 6P~ / / i~/., -' J / <3 ( ' [[ , ,,/