HomeMy WebLinkAbout15409-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z-16754 Date March 30, 1988
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2170 Wunneweta Road gutchogue, New York
~t~d$'e '~o: ........................................................ Street Hamlet
County Tax Map No. 1000 Section I 11 . .Block 07 .Lot 19
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
October I0, 1986 15409 Z
..................... pursuant to which Building Permit No ......................
dated..,.....,,.,.,..Oct°bar 17, 1986 ..... ....... wasissued, 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 DECK & TERRACE AS APPLIED FOR
The certificate is issued to VINCENT & HELEN CIAPPETTA
..................... ?o¥,;o'r, ....................
of the aforesaid building.
Suffolk County Department of Health Approval 86-80- 175
UNDERWRITERS CERTIFICATE NO. 1,1839094 - October 2 I, 1987
March 10, 1988 - K & K Plumbing & Heating
PLUMBERS CERTIFICATION DATED:
Building Inspector
Rev. 1/81
I~OBM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PEPJ~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Z
Permission is hereby grante~J to: ·
..................
...~...~ ~.....~.:.'J.:...L.z..~.;~-. ....... . '-h
ot premises Iocoted o, .....~.../..?....~.........~...~~.q~..~.: ....... ~.~..-..~" ....
County Tax Mop No. 1000 Section ........ J..././.. ........ Block ....... .O.,.'~. ......Lot No ........ I...~ ............
pursuant to appJication doted ....... ..~......~....~ ........ L..(~.. ......... , 19.~...~., and approved by the
Building Inspector.
Fee *....q...~.¢:..~.
Building Inspector
Rev. 6/30/80
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
76,5- ].802
APPLICATION FOR CERTIFICATE OF QCCUPANCY
Instructions
A. '/'his application must be filled in typewriter OR ink, and submitted m IIi, mm to the Building Inspec-
tot with the following; for new buildings or new use:
I. Finat storey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topo,qraph[c features.
2.Final approval of Health Dept. of water supply and sewerage disposel-(S.9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, ~ndustria~ 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-existi~g"
rand uses:
1, Accurate survey of property 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: Addlt±ons $25.00 ?OOLS $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Eusiness $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date Marc. h, 30, 1988
NewCons bPuc b~ on...X.X.. Old or Pre-existing Building ............ Vacant Land .............
Location of Property 2170 Wunneweta Road Cutchogue, N,Y.
House No, Street ~lam/et
VINCENT a HELEN CIAPPETTA
Owner or Owners of Property ..........................................................
County Tax Map No. 1000 Section I I I Block 07 Lot. 19
Subdivision ................................. Filed Map No ........... Lot No ..............
PermitNo. 15409Z Date of Permit !0./.!7./.8,6, Applicant Vi. ncent & Helen Ciappetta
Health Dept. Approval 86-80-175 · .Labor Dept. Approval
Underwriters Approval N839094 .Planning Board Approval
Request for Temporary Certificate ..................... Final Gertifieate .....................
Fee Submitted $ 25.00
Construction on above described building an/~mit meets all applicable codes and regulations,
Rev. ';0.10-78
COZ. J(,, 75 q
]oolo7]~ THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
--~'~ Oc~ob.r 21, ~,9~7 B~ Jo.. STR.ET, .EW YD.., .EW~"~,~'
THIS CERTIFIES THAT
in the followl.g location; [] Basement [] Ist FI. [] 2nd FL Section Block Lot
tt~s exawnined on Oc~bbsr ~ ~ 19~ a~td fo~nd to be in cotnpliance with the requirements ~f this Board.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
,46
DRYERS FURNACE FAOTORS FUIURE AF~LIANCE FEEDERS TIME CLOCKS
MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS:
Motor~: 1--lhp, ]-3/4hp
3-,.C.F.C.L 2-,Smoke Detecor
Track Lighting 22' 0 "0 Litem
G & S Electric
Box 215
$outhold, N.Y. 11971
G,.,,A, M~.~ER
Per
This certificote must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY F(~ ~ ALTERED IH ANY-/'AANNER
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUTIIOLD, N.Y. 11971
March II, 1988
TEL. 765-I 802
Vincent & Helen Ciappetta
135 Lilac Lane
Cutchogua, N.Y. 11935
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. (ENCLOSED)
/'_-/ ?lo Underwriters Certificate on file.
rfo Ilealth De_q~_t. Approval on file. _~
No final inspection has been made.
Plea~e contact our office on this matter.
Thank you for your cooperation.
Building Permit ~I I 5 4 0 9 Z
Building Dept.
***/~/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,19B4 )
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
suilaing Permit NO.
Owner ",~'k ~C~
(please print)
Plumber ~
(please print)
I certify that the solder used
contains less than 2/10 of 1% lead.
in the water supply system
(plumber's signature)
Sworn~/to before me this
Notary Public, ~
/ ~otary Public
County
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ ~'NAL
~,.,~. ~,~
REMARKS: ~/./~.,~ .~-~ .~/./-/~-~
DATE /. ~~ INSPE~O" ~~ ~
76S-1802
BUILDING DEPT,
INSPECTION
FOUNDATION ~,ST [~ROUGH PLBG.
FOUNDATION 2ND [~/j/INSULATION
FRAMING [ ] FINAL
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION IST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[j/]'~RAMING [ ] FINAL
DATE '~ ..... INSPECTOR-Z'/.
7G~-ZSOZ
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION AND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
DATE
INSPECTOR .. ~,~¢ ~'b~)
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:-~^ r- ~
DA~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [/~ROUGH PLBG.
]//F/OUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE
INSPECTOR~'~
'~UNDATIqN (nd)
!.
~OUGH FRAME &
PLUMBING
[NSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
3. ,'Nature of work (check which applicable): New Building
0
1.
2
3.
'. Is this property located withinl.00 feet of a tidal, wetland?
* If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
.......... Addition .......... Alteration .... ,~,...
Repair .............. Removal ............. Demolition .............. Other Work ...............
(Description)
d C .x/.dg/
Estimate ost ................................ Fee ......................................
(to be paid on filing this application)
If dwelling, number of dwelling units .... ~.'~...*~. ..... Nmnber of dwelling units on each floor.
If garage, number of cars ........................................................................
If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front 2~.".~. ............ Rear ?..~; .d.. .............
Depth .. 5//. ................. Height .... ./~r.., .............. Number of Stories . .~.-<-C. ¢C ...............
Ditnensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
Size of lot: Front ./../.~..'..~.~ .............. Rear. './.'zf .................. Depth ~..~.,5~?.~..'E. :~.7,~, .~.~....
Date of Purchase ,f. -./~.-/d .... Name of Former Owner ~4~~'r ~o.~'~..~.
Zone or use district in which pre~nises are situated..~(g <~..%, .~'..~.o..~. .....................................
Does proposed construction violate any zoning law, ordinance or regnlation: . ..~.~ ............................
Will lot be regraded .................. . .......... Will excess fill be removed frpm premises: ~ No
Name of Owner of premises .~.~/.o~..~..~.. ~p~/.~./~. Address/J..~//.d:qc.. ('.~,(??.~. Phone No..~d.Z: ?.~.,.~J) .....
~v..~? co T~'TJJ/'~t , /~7/-5~J-~J~'~->"~J,e.d¢/2'~ '~ ,
Na ne of Arctntect ,<4~'d ...................... Address ............ ~ .... ~.'. Phone No.~r.~.2 ..... ~ ......
Name of Contractor . .~,,~. ..................... Address ................... Phone No ................
n Yes ..... No ..-~'~.
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
roperty hnes. Give street and block number or description according to deed, and show street names and indicate whether
~tcrior or corner lot.
FATE OF NEW YORK, S.S
OUNTY OF .................
being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
~OV~ nauled.
e is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
' said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
qflication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the
ork will be perfo~ed in the m~ner set forth in the application filed therewith.
,vorn to before me this
. [~ da f ........
.............. .... yo ........
H~EN
W''~.~ 0l ~*~ ~0,~ ~ (Signature of applicant)
~%/: FORM NO. 1
v..~ :;' TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765.180:3
dsapproved a/c'. ....................................
(Building Inspector)
APPLIcATIoN FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submi(ted to the Building Inspector, with 3
ts of plans, accurate plot plan to scale. Fee ~ccording to schedale. I .....
b. Plot plan showing location of lot and of buildings on premises, relations/tip to adjoining premzses or pubhc streets
areas, aud giv~g a dot,led description of layout of property must be drawn on t~e diagram which is paK of this appli-
c. The work coverad by t~s application may not be commenced before issuance o;'f Building Permit.
d. Upon approval of this application, the Building Inspecto~ will issued a Building ~ermit to the applicant. Such permit
.all be kept on the premises ava~b/e for inspection ~roughoUt the work.
e. No butld~g shall be occupied or used in whole or in pm't for any purpose whatever until a Certiticate of Occupancy
~all have been granted by the Building lnspectorJ
APPLICATION IS HEREBY MADE to the Building Dep~tment for the issuance~of a Building Permit pursuant to tbe
~ildJng Zone Ordinance of the Town of Southold, Suffolk County, New York, and~othe~ applicable Laws, Ordnances or
egulations, for the construction of bufld~gs, additions or alterations, or for removal or demolition, as herein described.
he applicant agrees to comply with all applicable laws, ordinances, bnilding code, liou~ing code, and regulations, and to
m~Jt authorized inspectom on premises and ~ building for necessary inspections.
(Signature of app~iffafit, or name, ff a corporatiou)
' ~w~ (naill. ng,fiddress pi applicant)
rate whether applicant i lessee, agent, architect, engineer, general contractor, electrician, p mnber or builder.
(as on the tax roll or latest[deed)
'applicant is a corporation, signature of duly authorized officer.
(Name and title.0f corporate officer)
B,ilder s License No ..........................
l)lumber's License No .........................
I:;lectrici'm's License No ' '
Other Trade's License No.. .......................
· Location of land on which proposed work will be done .................... : ..............................
~ l ? O (.4d. ~. ( .C.~. ./! 4 ~ .w.. qT ~.~.
louse Nvmber Street
'0 io00 s cii
('ount¥ Tax g~ip N , e on .............
!l la m let
'
Bk)ck .. ~ ...... I .... Lot · ...
Subdivision ' ' ' Ivik',d Map No i Iot
(Name) I
State existing use and occupancy of premises and i~ter~ded usc ,md occupancy of[proposed construction:
'' .....
a Ex/sting useand occupancy . .. :
b, l~tended use and occupancy g~d~ ~
, ......... ~..~r.~. d~ . . ry.': ..... [ .................. , ......~. , , · ,v.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
xamined .~ .~....o-~.... ! .'[ .., 19~ .~.
,pproved .Q..~...ofi~.....[~.., 19~.9. Permit No. ]..~.~..O.~. ~
)isapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
.ts 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
' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
~tion.
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
mil 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 ~ Certificate of Occupancy
tall 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
uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinances or
~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
:trait authorized inspectors on premises and in building for necessary inspections..~ ~
.. ~/~.-~.-...f~Cr~.././~ ..................
(Signature of applidafit, or nmne, if a corporation)
.../?..~...~/.¥.~..q..~..*.: .......................
~mailing ' ~33res$' ;f' ~lica~[ ~ .......
tate whether applicant i lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
(as on the tax roll or latest deed)
applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. '
Plnmber's License No .........................
Electrician's License No .......................
Other Trade's License No .......................
Location of land on which proposed work will be done ..................................................
... .... ..... .............
I louse Number Street Hamlet
('ounty Tax Map No. 1000 Section . A~4 ............. Block .. ~ .............. Lot..~ ............
Subdivision .................. ; .................. Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and i~tended use and occupancy of proposed construction:
a. Existing use and occupancy .... ~.~.~. ~ .................................. ............
b. Intended use and occupancy ~C~L~
3. Nature of work (check which applicable): New Building .......... Addition .
Alteration
Repa/r .............. Removal .............
4. Estimated Cost .~.~fx..a~..o.... ................. ..
5. If dwelling, number of dwelling units .... .~.~...~....
Demolition ...... ,... Other Work . i .
(1¢ ' 'pt' )
escrl Ion
....... Fee ...... , ............................
(to bel paid on filing this application)
Number of dwelling units on each floor .
If garage, number of cars ...........................................
6. If business, commercial or mixed occupancy, specify nature and extent of each t~pe of use ', .................. ...
7. Dimensions of existing structures, if any: Front ............... Rear ...... : ........ Depth ...............
Height ............... Number of Stories ................ · ........... ~. ............................
Dimensions of same structure with alterations or additions: Front 2~.?. ...... ! ...... Rear .~?: .~. .............
Depth.. 5//. ................. Height .... ./~.f .............. Number of Stories. ~.~. ~. ...............
8. Dimensions of entire new construction: Front ............... Rear ....... ! ........ Depth ...............
Height ............... Number of Stories ........................... i ......... ' ....................
9. Size of lot: Front ./../.~.'?..~ .............. Rear..2.~. .................. ~ Depth .... .~. ~.7.~..,.~.~....
10. Date of Purchase ~. :'./~.-.~'.g. .................... Name of Former Owner se~'~,~..'.~..~'~.°'n'~v~. ...............
I 1. Zone or use district in which premises are situated. ~'~/2>o-~, 77~ t :
i2. Does proposed construction violate any zoning law, ordinance or regulation: ..~,~ ........
3. Will lot be regraded ............................ Will excess fill be removbd frpm premises: (~) No
4. Name of Owner of. premises /~.~.~.~.%~,..~; .~.~,~.e~. Address/~...~'~/#.~..c. .x~. e~,?.~... Phone No. ~2~.g.: ?.~.~'.o¢. .....
Nmne of Architect ~d~ ........ ~..~ ......... Address ............ ;; ..... ~.'. Phone No.~.22 ..... ~ ......
Nmne of Contractor Jff~'~t ~r,.-~7'- . Address .............. !. Phone No.
I~. ks this property located within1,00 feet of a t±dal wetland? *i Yes ..... No .,~..
* If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
~roperty lines. Give street and block number or description according to deed, and sh6w street names and indicate whether
aterior or comer lot.
rATE OF NEW YORK,
OUNTYOF ........... ....·. S.S
(Name of individual signing contract)
>eve named.
e is the .................................
....... being duly sworn, deposes and says that he is the applicant
(Contractor, agent, corporate officer, etq'.)
said owner or owners, and is duly authorized to perform or have performed the
~plication; that all statements contained in this application are true to the best oft
ork will be performed in the manner set forth in the application filed therewith.
~vom to before me this
otary Public,
said work and to make and file this
is knowledge and belief; and that the
day of.. './~)~
........... ~.~ ................ County
~ ~, ~ of Ne~ Vo~k
~ 4~7~ S~lk Count~
~ ~rch 30,19~
IS'
t~
Z 3:
Oo
< r~ ~ ~ ~
Ill
i
/
It ooopmr tubing I. used
for wrater distributing
system; piping th. II be
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
S. OLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/I0 of 1% LEAD,
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
C[:'RTIFICATE OF OCCUPANCY
L
A
~J~oh~L
jurisdicbions, v~riations or adjustments ~ay be required.
14.
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