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Home My WebLink About15305-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y Certificate Of Occupancy No. A 199% ..... Date June 3, 1988 THIS CERTIFIES that tile building ADp I.T. 1.07 ................. Location of Property 7.10 Joek. ey..C.r eek..Dr. .i.v.e ...... .S.o.u.t.h.o.1 d ,.. N...Y:... House No Street Hamlet County Tax Map No 1000 Section 070 .. Block 05. .... Lot 12 Subdivision ...... Filed Map No .. Lot No ......... conforms substantmlly to the Apphcahon for Bmldlng Permit heretofore filed in this office dated ..Sept.ember 1.1.,...1986 pursuant to wtuch Budding Pernut No 1530.5. Z ......... dated . Saptember..22,. 1986.. . . wasissued, and conforms to all of the requirements of tile apphcable provmlons of the law Tile occupancy for wluclt ttus certificate is issued is . DORMER ADblTION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ROBE RT & of the aforesaid braiding Suffolk County Department of Health Approval . .N / A .... JANET TROCCOLI · ' (owner, IRs~'~W~Y~'~X ........ UNDERWRITERS CERTIFICATE NO ......... .Ho 02669 PLUMBERS CERTIFICATION DATED: May 16, 1988 - Michael Dawson ffOR,M NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERi, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15305 Z Perm,ss,on ~s hereby gronted to' ~ ~..e.~. ............................... ...e_~~ .~...~.~....t!.~..~( .... . ,o .~~~....~.~.. ~/~....~...~..~~... ot premises ,~ote: ct ..~.L~....~.~..~..~- ~ ~f~~~ .......... ......................................................................... C~n~ T*x Map No 1000 Sect,on .~ .. Bilk ..... ~ ....... Lot No..~.~ ......... Budding Inspector Fee $ ,~....; / Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Braiding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLD~_DEPT. TOWN ,sotrmoLo Instructions Thru application must be filled m typewriter OR ~nk, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property w~th accurate Iocatmn of all buddings, property lines, streets, and unusual natural or topographm features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installatmn 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 responmble for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For ex,sting buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex~sting" land uses: 1. Accurate survey of property showing all property hnes, 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 houmng code or safety mspectmn of buddings or premises, or other pertinent mforma- t~on required to prepare a certificate. C. Fees: Addztzons $25.00 POOLS $25.00 ALTERATION $25.00 1. Certlfmate of occupancy New Dwellzng $25.00, Accessory ,$I0.00 Buszness $50.00 2. Cert~fmate of occupancy on pre-exmtmg dwelling $ 50. O0 3. Copy of certlflcate of occupancy $ 5.00, over 5 years $10.00 / / 4.v.c nt ..nd o.o. 20.00 5.Updated C.O. $ 50.00 Date .............. NewConst~'uct!on ...... Old or Pre-ex~stmg Budding ........... Vacant Land ............. Locat,onofPro erty Hou~e No. Street Ham/et Owner or Owners of Property . ~'.'~..~?, ."~-~,. ?~,. ,~,.. ~ ~ e ~ ~ ' CounW Tax Map No. 1000 Section .... ~.P.~ ..... Block . P.~ ........ Lot../.~ ......... Subdtwsion ....................... '/' 'i/ ' .Filed Map No .......... Lot No ............ Permit No. d'~. ~.¢).~. Date of Perm~t .. .Applicant. . . Health Dept. Approval ...................... Labor Dept. Approval ...................... Underwriters Approval ........................ Planning Board Approval ................... Request for Temporary Cer~ihcate ..................... Final Certificate ....................... Fee Submitted $...~-.~. ...................... Constructmn on above described budding and pj~rn~t m~ets all apDhcable codes and regulations. App cant.. Rev 10-10 78 tt73 1 TO'WN OF SOUT~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y 11971 TEL. 765-1802 CERTIFICATION Building Permit NO. /~-~O ~ Owner ~/ ?/f~CC~ / (please print) Plumber ,~7/~-~,,~- ~-~,,~---~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's szgnature) Sworn to before me this /~7 ~day of ~'~3 ' Notary Public, ~~]{ County Notary Publlc UNDA K DAWSON Notary Pubhc, State of New Yo~k No 4694688 Qualified ,n Suffolk County.3:: Term Exp~res March 30, 19 ~ TOWN OF SOUTIIOLD ICI:, OF BUILDING INSPECTOR P.O. BOX TOWN HALL SOUl I[OLD, N,Y, 11971 May 5, 1988 TEL. 765-1807 Mr. Robert J. Troccoli 710 Jockey Creek Dr. Southold, N.Y. 11971 To Whom This May Con~-ern, We are unable to complcte your Cartificate of Occupancy becau3e of the following reasons. /k~/ An ,~ppl/cation for Certificate of is not on file. (ENCLOSED) /X~/ :Io Underwriters Certifzcate on file. /X~--_/ The check ~s~Ma~/not on file.) /~/ 2;0 IIealth Dept. Approval on file. /~/ [:o f~nal ~nspect.~on has been ma~o. Occupancy $25.00 P]case contacL our office on this matter. Thank you for your cooperation. Bulld~nq Permit ~ I 5 3 0 5 Z Bu~ldi~'! D~t. ~**/~/ No Plumber Solder Certificate on f~!e. ( all permits ~nvo!ving plumbing being issued aftel April 1,198~ ) FIELD INSPECTION ~DATE COM4ENTS,' 1. FOUNDATION { lst) FOUNDATION (2nd) ROUGH FRAME & FLUMB!NG - INSULATIO~ FER N. Y. "~ ' STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING REMARKS: [ ] ROUGH PLBG. 2ND [ ~ULATION [,~ FINAL INSPECTOR BUILDING D[PT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~]'~ULATION [ ] FRAMING [ ] FINAL REMARKS: / 76S-1802 BUILDING DEPT. Ir ] FOUNDATION IST [ ] FOUNDATION ZND [~]-'F'~MING INSPECTION [~ROUGH PLBG. REMARKS: [ ] INSULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION FRAMING [ ~'~INAL / THE NEW YORK BOARD OF FIRE UNDERWRITERS BU~AU OF ELECTRICrTY ~ ~ ~ ~ ,, ~o.. s~,~,~. ~w ~o,~. ~ppl~ation No. on fil~ ~IS CE~IFIES THAT T~OCCOLI, 710 JOCKEY C~F.~;K ~R., POLE 6, SO{~OI~)), ~'~'"'~'0~-"' ~'"~" ~'~"' ~ ex~mi~ ~ andf~nd to be in ~mpli~n~ wi~h the ~ui~me~l~ of th~ ~. RXTUU RXTUI~S ~ OVENS EXHAUST FANS DIIYIIS RJIINACI MOTORS RJTUIE AffUAHCl ~ TIMICLOCKS UNiTHIA~S MULTI-M/TWT DIMMERS SYSTItS C ROBE~t'I' TROC(.OL., 710 J&KtKEY S,:)L~THO!,D. BY, 119'71 manner; return to th~ office of the if incorrect. Inspectors may be idemified by their ~dentials. E x am In ed %'~' ~'"'.-~-~ .'~'%. Approved~'~ .~ Disapproved a/c FORM NO I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1803 ,19~k~ , 19~ Permit No).~ ~.°-h~''~ (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date ............ 19. INSTRUCTIONS a. Tins apphcatlon must be completely filled m by typewriter or in ink and submitted to the Buddmg Inspector, wltl sets of plans, accurate plot plan to scale Fee according to schedule. b Plot plan showing locatmn of lot and of braidings on premises, relationsh, p to adjomlng premises or pubhe stre. or areas, and giving a detaded description of layout of property must be drawn on the diagram winch is part of this apl cation c. The work covered by tins application may not be commenced before issuance of Building Permit. d. Upon approval of thls apphcat,on, the Bmld~ng Inspector will issued a Budding Permit to the apphcant Such peru shall be kept on the premises available for inspection throughout the work e. No bmldmg shall be occupied or used m whole or m part for any purpose whatever until a Cert, ficate of Occupan shall have been granted by the Braiding Inspector. APPLICATION IS HEREBY MA~E to the Bufldmg Department for the ,ssuance of a Bmlding Permit pursuant to t Bmlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appl, cable Laws, Ordinances Regulations, for the construction of buddings, add,ttons or alterations, or for removal or demol,tmn, as herein describe The applicant agrees to comply .w~th all apphcable laws, ordmances, bufldmg code, housing code, and regulations, and admit anthonzed inspectors on premises and m budding for necessary inspections. (Signature of applicant, or name, if a corporation) - . ./O..V,...t. [ 5Z.. (ma~tlzng address of a{~pllcant) State whether appI,cant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmldc N)llxeko f owner o~ p remlses /~r~4~ ~) ~'-.~ '~q~P ~x:2 ¢> / I ................. I~ llc~n t~//~'o'o~ ,~/¢ (as on the tax roll or latest deed) pp tIo ture of duly authorized officer · k24~' (~q-ame aid tit~fcorpgrate officer) Builder's License No ~,,e~Z,~ .... Plumber's License No Electrician's License No. .. Other Trade's License No Location of land on which proposed work will be done House Number Street County Tax Map No 1000 Section . ~) .. Block · Hamlet ~.. ....... Lot... Subdivision (Name)' .. Fried Map No Lot . · · State existing use and occupancy of premises and intended use and occupancy of proposed construcbon a Existing use and occupancy ~5 1 (~,~.~ck [ ~.~l ([5l~ '~tl~t)y . .~_oO~l/[.~ ........ b. Intended use and occupancy 3. Nature of work (check which applicable)' New Building......... Addition ...... ... Alteration ..p~... Repmr . ., · ~ x Removal ........ Demolition ...... Other Work. i. ~.~...~,~ .~.. ~._ (Description) 4 Est~nated Cost. ~ ..C~ ........... Fee .................................. (to be prod on filing this application) 5. If dwelling, number of dwelling units . . k. ..... Number of dwelling units on each floor . .~ ........ If garage, number of cars . . .l ...................................................... 6 If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use .... 7. D~nensions of existing structures, if any. Front . -5~... Rear ~.'. ...... D;pth ' i' ~.~'~! i Height ~ . . Number of Stones f~'- ........... Dnnensions of same structure with alterations or additions Front . ~. ....... Rear ... ~ ....... Depth . . .~'5~ . .... Helght ...... ~.o. ........... Number of Stones . ~. ~ ............ 8. Dtmensions of entire new construction' Front ........ Rear ... ~2,~.~."~. ...... Depth .../.~ ...... I Height ~. . . .4qumber of Stones .......... , ......................... 9. Sizeoflot Front .~'~. ?J...j ../... . Rear .... ,/OB ...... Depth . . .............. 10 Date of Purchase .... .,t.[([~../.~'~. ....... Name of Former Owner ~_~o~x. ....... 1 I. Zone or use dmtnct in which premises are situated -~ ................................ 12. Does proposed construction vlolate any zoning law, ordinance or regulation ..... d~ ................ 13. Will lot be regraded ... /1/.0 ...... Will excess fill be removed from premmes Yes 14. NameofOwnerofprem~ses ...~ ._ . ,. . .Address ............ PhoneNo ..... Name of Archltect ..~w~.ht~o.~O~-~.~y~..~'e. Address. ~.*t4~.~ ~-r/~' PhoneNo ~d~. ~5'~.~ Name of Contractor .~'~?~..~q'~'.~. ~.]/4-Pg:~5. Address ~t. ~o~ i('~-~. Phone No'. 2. ~ ~' 15. Is this property located wzth~nl00 feet of a tidal wetland? * t~es ~. No ..... · If yes, Southold Town Trustees Permit may be required. PlOT DIAGRAM Locate clearly and distinctly all buddings, whether exlshng or proposed, and. indicate all set-back dtrnenslons fro property hnes. Give street and block number or descnphon accordmg to deed, and show street names and indicate wheth interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ~1~,1~..~ c.~ ~I~DI.'D. 1~, .I1/~C~[~. being duly sworn, deposes and says that he is the apphc. (Name of individual signing contract) above named He is the ~.0 ~ t.:. D ~ ~ 7.. . ,~ . . . 't> ~ ~ ~. . . . T t .'l~'R'~"-~ .ff~q~TW~ ~ i t'~. .~i~Z. 5 .t ~ q (' : ....... (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file t apphcatlon, that all statements contmned m this application are true to the best of his knowledge and belief, and that. work will be performed in the manner set forth m the application filed therewith. Sworn to before me this Notary Pubhc, (Signature of applica APPROVED AS NOTED ~T~ BUILDING DEPARTM~T STA~ CONSTRUCTION & EN~ CODER, NOT *~NS*E ~ II II