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Home My WebLink About14859-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z-23555 Date MARCH 17, 1995 THIS CERTIFIES that the building Location of Propert~ 795 GLEN COURT House No. County Tax Map No. 1000 Section 83 Subdivision ADDITION CUTCHOGUE, N.Y. Street Hamlet Block 1 Lot 8 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 2, 1986 pursuant to which Building Permit No. 14859-Z dated MAY E, 1986 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOHN LORETTO of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED N/A %7117 - FEB. 9, 1995 N/A Rev. 1/81 FO~M NO. ~ TOWN OF SOU?HOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 148~9 Z County Tax Map No. 1000 Section ..... ~..~.:.~. .... Block ..~.../(. ............ Lot No...~..~..~. ........ pursuant tO application dated ....... ....~..~.'..-.~:~... ........ ~.. ................ , 1~, and approved by the Building Inspector, Building Inspector Rev. 6/30/80 BLDG. DEPT. TOWN OF SOUTHOID Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all b~ilding~, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3'. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains ~ less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed s~te pian requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to fnspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees t. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 (~URC~) Date February 2, 177.5. X New Construction ........... Old Or Pre-existing Building ......... Location of Property 795 GLEN COURT CWfCHOGUE, N.Y. House No. Street Hamlet JOHI~ LORETO Onwer or Owners of Property ............................................................ . . . . . . County Tax Map No 1000, Section ...... 8.3. .... Block . .I 8 Vista Bluff 5060 2 Subdivision .................................... Filed Map ..... Lot - 14859Z 5/8/1986 Permlt ao ................ Da~e Of Permi~ ................ Applicant ............................. Health Dept. Approval ...................... Underwriters Approval ...... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... CO 02 3S_q_ .. ' ..........................................., ~I~LD~ IBSPECTION DATE I COMMENTS FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING 3. INSULATION PER N. Y. STATE ENERGY C~ODE ADDITIONAL COMMENTS: l (516) 286-6642 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 (~o 7117 APPLICATION NO. ON FILE ADDRESS: 795 Glen Court VILLAGE: Cutcho~.'ue TOWN: Southold (~o ISSUED TO: John Loretto ~<~o INTRODUCED BY: Circuit Electric LIC. NO. 1218-E AREAS LISTED WERE INSPECTED ON: 2-9-95 AND WERE FOUND TO BE IN COMPLIANCE WITH THE t~o NATIONAL ELECTRICAL CODE. ~,,. LOCATION: __.BASE __IST xx 2ND 3RD __ATTIC ___.POOL Bo __.SMOKE DETECTOR __.DETACHED GARAGE SERVICE DISCONNECT METERS I AMPS I PHASE THIS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS. HUGO S. SURDI o~, PRESIDENT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..~..~..g..,19~.. Approved .~..~Sr...~....,1 .9~..P~/.¢~.~;;x~. g~''~ o~ tv~,~ Disapproved a/c .............. ,_. ............./~~'~ ....... ~ ~ ' t I~. (Building Inspector) Received ........... ,19... APPLICATION FOR BUILDING PERMIT Date .~. 7 ~... O .......... 19(.~ ~:~ INSTRUCTIONS a. Tins 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 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 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 in spec to rs on premises and in building for nece ssary~/~ fe~inspecti°ns' l .~J.'.~. -~---'~.~_~.. ....,.. ~, ./__.-%~ ..................... (Signature of applicant, or n~me, if.a corporation) i:.. ......... . . !.! ;. ........ (mailing addre'ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ................................................................. -/ ....... ':~ ~ I~ .r..k_.l~.q .......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate offider) Builder's License No .... ~)'~..~..~. ............... Plumber s License No ......................... Electiician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ............. ....... ............. ' ..... .I. c &. ............ House Number Street Hamlet County Tax Map No. 1000 Section ............ Block ....... i. ....... Lot ....... ~.~ ........ Subdivision ..................................... Filed Map No. ~[~.. (ev~Y. ..... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ (2.$. ' b. Intended use and occupancy ....... [).~..~., ...................................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..... Repair .............. Removal .............. Demolition ..... i... !.... Other Work .......... ... .. 4. Estimated Cost .......... 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, commercial or mixed occupancy, specify aatut/e and extent of e§ch tY~e of use ........ ,~ ..... , ........ 7. , · .. 2-~ .......... [. ~::~ ...... De~th. [~,. ,.~ ........ Dimensionspf existing structures if any' Front ~ ~>. Rear ~ ~'~ Height ...c/ ...... Number of Stories . ( ...... ! ~ Dimensions of. qam.e, stmcture with alterations or ad~titions: Front ' ~?~ } "; ....... l{eJr'''' ~'(ii ..... Depth .... /.~...C/. ............ Height .... /.q ............. ii. Nu~ ~; ~i;r~;s .... i .~2~. 8. Dimensions of entire new construction: Front ............... Rear .... .. i. ....... Depth ..... ........ .. Height ............ ] ) .qN,umber of Stories ............. ............ i ......... ' ', .......... 9. Size of lot: Front ................... ,.,.,.~. Rear .... [.00 .............. ~ Depth .. ~('~ .............. 10. Date of Purchase ............................. N[a~ne o.f Former Owneri ............................. 11. Zone or use district in which premises are situated ...... ~..~,5., . i . . 12. Does proposed construction violate any zoning law, ordinance orr;~iaiion':' i i~.'~i i ii i i i'ii i i i i i i i i i i i i. 13. Will lot be regraded ..... ~. ~-; .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ............. I ..... Phone No ................ Name of Architect ...t..t. ·., ..... ,~. · ~.~ ....... Address ............. '. .....Phone No .............. Name of Contractor . ./,fl,/~0ppr'.~..].~oe~ .~.P~ .... Address ........... ! ..... Ph~one No..~'~7. 15. Is this property located withinl;~0 feet of a tidal wetland? ~ Yes ~.... No · If yes, Southold Town Trustees Permit may be required. /x PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number 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 (Name of individual signing contract) ~ above named. .. and says that he is the applicant He is the ............................................................ ! ............................. (Contractor, agent, corporate officer, of said owner or owners, and is duly 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 manner set forth in the application filed therewith. Sworn to before me this .......... ~. ..... ~ .....day of ..... ,~(~..o-~t. ....... 19 ~..~ Notary Public, ~...~.'..~..~..d~.~,, .... County~~ b b