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HomeMy WebLinkAbout15398-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. ' Certificate Of Occupancy No. Z-16114 Date September 2, 1987 THIS CERTIFIES that the building ONE FAMILY DWELL ING Location of Property 300 Birch Lane Cutchogue, New York County Tax Map No. 1000 Section 083 . .Block 0 ! .Lot 22 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated O c t o b e r 7, 1 9 8 6 pnrsuant to which Building Permit No. 1 5 3 9 8 z dated 0 c t ob e r 9, 1 9 8 6 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 ATTACHED WOOD PORCHES The certificate is issued to G I U S E P P ERA C AN E L L I ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval 8 6 - S 0- 1 4 6 UNDERWRITERS CERTIFICATE NO ................ N 8 0 1 0 4 8 PLUMBERS CERTIFICATION DATED: August 31, 1987 Building Inspector B~. 1/81 · OR~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 15398 Z Permission is hereby granted to: ..... ........ at premises located at ....~....~.~.'~.~.......~.~ ....... ~~! ............................ County Tax Mop No. 1000 Section ...... .(~...'~.....~ ...... Block ....... .~..I ........ Lot No....,.~m..~ .......... pursuant to application doted ...... ~.~....R~,e~...?. ................. , 19..~...~.~ and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building. Department Town Hall Southotd, N.Y. 11971 765- 1802 Instructions 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 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 instatla- 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. Additions $2~.0J~ C. Fees: 1. Certificate of occupancy New Dwellin~ Accessory ',$i0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 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 ..... .~t~.,9'.7. ......... gB Newc°nstructi°n ..... Old or Pre-existin uilding ............ Vacant Land ............. Location of Property ......... ~. I.~,, .(~-I- ~ .rqf. k~ '~ .O~v.~%,QJ~6,.Q.t~- ........ House No. Street Nam/et Owner or Owners of Property ~..&./ ............................ County Tax Map No. 1000 Section ....~.'$ ......... Block ........ ~. ...... Lot..-~,.~ ......... Subdivision., .~:).I.P-,-~L. .,~.I~L..%....: .......... Filed Map No.. '.~..~.~).~..Lot No....~, ......... Permit No. ). ~.~,~.~, ,, Date of Permit .ZO/.~l'8~.Applicant ../-~.~AOC4~.. ~;t'E~f,~ . ./A0.O, .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all ?.p~cable codes and regulations. App icant . . ;~.,..~. :. , .... ./~,. ¥ ./~. ~-.~ Rev. 10-10-78 T & F Plumbing and Heating Corp. 6 BEA STREET LAKE GROVE, NY 11755 516-467-6409 August 31,1987 TO: Town of Southold. RE: Lead content of solder used. To Whom it may concern; This letter is to certify that the solder used at the Racanelli residence on Birch Lane in Cutchouge, Building Permit 9158242, was less than 2/10 of 1% lead content. Timothy Tau~ Master Plumber License #2731P LYNCH HOMES INC. Investments for Living 321 County Road 39A Southampton, N.Y. 11968 (516) 283-0009 September I, 1987 Southold Building Department Main Road Southold, New York 11971 Re: Giuseppe & Rosa Racanelli Permit # - 15398 Dear Sir: We would appreciate it if you would be so kind as to release the Certificate of Occupancy to our customers attorney the office of Cron & Cron, located at Main Road, Cutchgue. Thanking you in advance for your cooperation in this matter. Sincerely, Barbara Mc Gann Lynch Homes TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ttALL SOUTtlOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern~ of ". I-I /-/ We are unable to complete your Certificate 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 on file.) No llealth Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit t~ _~ ~ ~ f~_.~ ~ Z Building Dept. ***~/ NO Plumber solder Certificate on file0 ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION (1~~st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL AD! COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS '~'[~501~4 BUREAU OF ELECTRICITY ~ B5 JOHN STREET, NEW YORK, NEW YORK 10038 ..t,, ~ar~ m, ~7 ~.~,~.,,o.~o.~.~.~ ~/~ N 801048 THIS CERTIFIES THAT only the electrical equipment ~ ~seribed be~w and i~troduced by ~ opplicant ~med on ~he a~e application number in the premises of Gi~e~e Racanellt, Birch I~ne, Glen~ ~u~ ~ ~ck ~ ~ad~ ~t~o~e, N.Y. in the following locatlon; ~ Basement ~ Ist ~7. ~ 2nd FL Section Block Lot ~,as examined on )~C~ ~ ~ ~7 and found to be i. compliance u'it h the reqt:iren~ents t~f this Board. l~FIXTURES 18 35 21 DRYERS MOTORS FUTURE APPLIANCE FEEDERS SERVICE DISCONNECT S OTHER APPARATUS: RANGES ,'aT K W 1 ;PECIAL REC'PT R icT ,.o ?cz,, ,0VE.S I o's2 WAS/yS V I C E EXHAUST FANS DIMMERS NO, OF CC, COND, PER ~ OF CC. COND. NO. OF HI-LEG A. W.G. NO. OF NEUTRALS A.W.G. OF HI-LEG OF NEUTRAL ~ 1-G.F.C.I. Detector Eleotric Water Heater: 1-4, Skw Box 1 Cutchog~e, N.Y. 11~35 IRc. 3540 GENERAL , / This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their COPY FOR B~ILDING DEPARTMENT. THIS COPY OF CERTIEI~TE ~JS~ NOTBE ALTERED IN ANY ~NNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~iSULATION [ ] FRAMING [/] FINAL REMARKS: BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL 7654.802 BUILDIN~ DEPT. INSPECTION [/~OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL 7654802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE //' ~'/~ 'NSPEL'q'OR ,~~~ 76S-1802 BUILDING DEPT. INSPECTION .,u.o,~T,O. ,s~ [] ,,o (, FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 7L5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION FRAMING , REMARKS: [ ] FINAL ~t~ o/~' 8 ~4 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL. SOUTHOLD, N.Y. 11971 TEL,: 765-180:3 ., Pc=it Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUll. DING PERMIT Received ........... ,19... Date ................... 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 street~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this applk 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 6r in part for any purpose whatever until ~ 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 Pen-nit 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) ........ r. ........ ........... . ...... , ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .................................. (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 .............. ; ......... '. · Plmnber s License No ...................... Electrician's License No.. ;:~..3.,~.~.0..T..~ ....... Other Trade s License No ...................... 1. Location of land on which proposed work will be done~ .; :.. U .~..'~..Cp{ .0.0.~.'.~' .................... ' ....... House Number Street Hamlet / County Tax Map No. 1000 Section ~.~. 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 .................................................................... b. Intended use and occupancy ..................... ..~. ........................................... 3. Nature of work (check which applicable):. New Building ...... '. · Ad,. ~ .'. · Alteration Repair Removal ' Demolition Other Work 4. Estimated Cost .................... Fee ., ..... ' (to be. paid on filing this application) 5, If dwelling, number of dwelling units ... ] Number of dwelling u~its on each floor... If garage number of cars ."7. ' 6. If business, commercial or mixed occupancy.;.specTy nature and extent 61' each tFpe of use .................. 7 Dimensions of existing structures if any: Front : Rear ~ ' Depth Height ............... Number 6f Stories .......................... i .......................... Dhnensions'of same structure with alterations or additions: Front ' Rear .... Number Of Stones. Depth ...................... .Height ........ ~'t ....... ' ' · .............. .... 8. Dimensions of entire new constmchon. Front . .i~i.:/~ · Rear...~.~ ......... Depth .. e~ght .. ~. ~' .......... Number of Stories ......................... 197 77 ' Re .............. )4 .......... 9. Size of lot: Front .....: . ar... ~ Depth ].~/, St~p ~,~ :~o t~.r Name of Former Owner I0 Date of Purchase ~ ~ 11. Zone or use district in wh. ich p. remises are situated .................................................. 12. Does proposed constructlon wolate any zoning law, ordinance or regulation: .....Z~.O../ .................. / 13. Will lot be regraded ......biFf,5. .............. ; ..... Will excess fill be removed from premises: . Yes 14. Name of Owner of premises .~.t:~s... ~.~.¢t4?.~t,.b.;~ .. Address ./4/./41.n't~.'r.~.~ ,.n[.)t . Pho,,~ Name of Architect l~ ~..gO~A~ .l~. l~, .~. Address .$.. m ( T ~I To~/t~ . /I/. ~. m,~.. *,~., (~t'~ ~-~ O tl g'5 15. Is this property located within 300 feet of a tida~5~a~n~ *Yes ..... No .~. · If yes, Southold Town Trustees Permit maybe required. I PLOT DIAGRAM Locate clearly and distinctly all buildings whether existing or re osed and~ln ' P P ' I d~cate all set-back dimensions fro~ property lines. Give street and block number or description according to deed, and show street names and indicate wheth, interior or corner lot. STATE OF NEW YORK, COUNTY OF ............ ..... S.S ........ ..... ...................... ·.. being duly sworn, de ,oses and says that he is the applican (Name of individual signing contract) above named. He is the ~ (Contractor, agent, corporate officer, et~.) of said owner or owners, and is duly authorized to perform or have performed thel said work and to make and file thi application; that all statements contained in this., application are true to the best of his knowledge and belief; and that th( work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....................... day of ........... , SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STaTEmENT O~ INTENT THE WATER SU~LY AND SEWAGE DIS~SAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT. oF HEALTH ~ SERVICES -- FOR APPROVAL DATE: H. S. REP. ~.: APPROVED: ,,, ....... ' DEED: k. ...'~, ::..: .,..: ... - 200,0 ;4¸ ,/ SINGLE EXPIRES TWO JUL ~I 1BS6 LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL h.S. NO. STATEMENT Of INTENT THE WATER SUPPLY AND S. EWAGE-OISPO'SAL SYSTEMS FOR THIS RESlQENCE. t~ILL CONFORM TO THE STANDARDS' O~:·T~HE SUFFOLKs. Cp. DEPT.. O~].t~IEXL~TH~qJ.--~VICES. APPLI~/~.NT ' - - suFFOLK' ?OUNtY, DEPT· OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION,O~LY SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. 'O~£R$ ADDRESS: RS FROM DkT= ~7~> ~-~ OF APPROVAL DEED: L: p. TEST HOLE STAMP ¥ © ~L I SUFFOLK COUNTY HEALTH DEPART 'THE S~AGE DISPOSAL A~ W4TER SUPPL~t~ACtLITIES FOR/~HIS L~ATION HAVE BEEN INSPeCteD BY THiS-~EPARTMEN~ AND FOUND TO BE SATISFACTORY,/ ', . / / Chief ewater Ma~gemen~S~tion/ TITLE NO. 5~:)~ GREENPORT NEW YORK SUFFOLK' co. HEALTH DEPT. APPROVAL H.S. NO. ,~,-~-~4~, STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISI:q3SAI SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE; H. S. REF. NO.. ~ - SO - ~-~o APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL owNERs ADDRESS: STA~P I I' SEAL r/. A~P~OVED AS NOTED ~: ~ ~ .--~.~..~ .~..,,¢.L NOT~ ~J~LD,,G g~PA~T AT 7~5, I~02 9 A~ TO ~ ~ ~R THE FOlLOWiNG THE ~E~UI~NTS ~ THE N.Y /' ~ COD=~ NOT ~$~S~E ~R / ~ . - ; for water distributing s,/s~em4 piping ehail be PLUMBER CERTIFICATION ON LEAD cONTENT BEFORE cERTIFICATE OF OCCUPANCY SOLDER USED IIV WATER SUPPLY SYSTEM CANNOT EXCEED 2/YO of 1~ lEAD. OCCUPANCY ~ ~ USE IS UNLAWFUL ~W!THOUT CERTIFICATE ~o,~.- ~"~-_ ~ ' o" ,,..,r OCCUPANCY ,}1 Y , o% ,4O