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HomeMy WebLinkAbout15097-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z. 7.1.6.9.5.4. ........ Date June 3, 1988 THIS CERTIFIES that the building ....... ~.PP.F%!9.~ ................................ Location of Property 710 Jockey Greek Drive Southold, New York h3&b )fo: ....................... 's't/e3i ....................... h~r~M County Tax Map No. 1000 Section 70 . . .Block 5 .Lot 12 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 11, I986 pursuant to which Building Permit No. 15097 Z dated.....JulY 18......., 1986 wasisstled, and conforms to all ofthe require~nents of the applicable provisions of the law. Tile occupancy for wltich this certificate is issued is ......... DECK' ADDITION TO EXISTING ONE FAMILY DWELLING Tile certificate is issued to ROBERT & JANET TROCCOLI ..................... ?o¥.b;, ~ ~k~xk .................... of the aforesaid building. Suffolk County Department of Health Approval ........... ~/..A ............................ UNDERWRITERS CERTIFICATE NO ................... ~/..A ............................ PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15097 Z 19..~.g Dote Permission is hereby granted to: ............. ....~.~....~....~..:...LL.~...~.~. .............. .................................................................................. at premises located at ....~..'..~. ...... ...~'~...~-~.-.~.,. ...... .~..~ ....................................... County Tox Map No. 1000 Section ...... ..O...--J,..,0.. ....... B~ock ....... ..~....~.. ...... Lot No .....)....~... ............ pursuant to application dated ........ ...~..~...t' ...................... ,19.~..~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 7~5- 1802 Instructions A. 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 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-existing" land uses: 1. Accurate survev 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: Additions $25.00 POOLS $25.OOALTERATION $25.00 1. Certificate ofoccupancv New Dwelling $25.(10, Accessory ,S I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 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 ............... NewCons truc tion Old or Pre-existing 8uilding Vacant Land Location of Property...~././,~. ......... ~.'...C/.~...~/.., .... ~...~...~........... House No, Street Hamlet Owner or Owners of Property .~...~..~., .,,Z/~., ~....~....~.'~, .... ~.~..all. ~ .~,../ ............ County Tax Map No. 1000 Section . .6. ") O . Block . .~'....~.'~.". . Subdivision .......................... 7' ' '/' .Filed Map No ........... Lot No .............. PermitNo. l .~....C{'.'TDateofPermit..~/.t~'/.~..~Applicant.~..~fr--T- 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 p, erl'ni%meets all applicable codes and regulations. Applicant ...... ~ '. .................. Rev. 10-10-78 rrowN 0I;' £OUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLD, N.Y. 11971 May 5, 1988 TEL. 765-1807. Mr. Robert J. Troccoli 710 Jockey Creek Dr. Southold, New York 11971 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /x_-/ An application for Certificate of is not on fil~. (ENCLOSED) /'~/ :]e Underwriters Certificate on file. /.~ The check .ls~t~LX~c~/not o;1 file.) /~/ N'o H(~.alth Dept. Approval on file. /.~/ No final inspection has been made. Occupancy $25.00 P]ea~]e contact our office on this matter. Thank you for yourc~ooperatzon.' Building Permit ~I 1 5 0 9 7 Z (DECK ADDITION) Building; Dept. ~ <~- ~' _~-~P2umber Solder Certificate on file. ~ all permits invo!vinq plumbing being i~..ue¢~s ' ,~fter April 1~1994 } FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS'. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING r~INAL REMARKS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined...~.l..~. .... 19 ~.~. Approved../--.~0-~ .1. ~ ..... 19~...~. Permit No. J.~..~P..~..-J..~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING 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 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 wilt 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 ija~ec~4ons. ~ ~ D ... ........ (Sign-ature of appl~(ant, or name, if a corporation) ... (mliling Aadrg~ss ;~' ~li~ant) · ~.. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pmmeer or ouuoer. Name of owner of premises . .[~..~'"~. · . .'~..~..~..'~. .... ~'~'.~ '6q.t ........................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Buildgr's License No ......................... Plumber's License No ........................ Electncmn s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. q ............ House Number Street Hamlet County Tax Map No. 1000 Section ........ ~...q ...... 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 .. ~...~..~.~'~ .(-~. ........ · , ~- ;;X¢~.'-"~, ............................. interior or corner lot. i . Addition '.~ 3. Nature of work (check which fipplicable): New Building ............... Alteration .......... Repair .............. Removal ...... : ....... Demolition .............. Other Work ............... ' ' · :~/-~.· (Description) 4. EstimatedCost...'~. ~t~- ~ ...................... 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 natur~ ~d extent of each type of use ..; ............ , ...... . . . . ~ ~ ~t 7. D~mens~ons of ex~sting stmctu[es, ff any: Front... ~ 3 ........ Rear .... ~ ...... Depth .... ~ ....... Height .. ~ ......... Nu,mber of Stones ........ ~ .~ ......... ~ ................................. D~ensions of same s~cture with alterations or additions: Front .... ~ ........... Rear .... ~ ........ Depth ....... ~ ........... He~t ..... ~ .............. Number of Stones ...~ ~ .............. 8. Dimensions ~fe~w construction: Front ..... ~. Rear ...~ ........ Depth . .~ .......... Height ~... ~ .... Nu2mber~f Stories ........ ~ ............................... , ........... 9. Sizeoflot: Front ...... .~..~.~ ......... Rear ........ ~ ~.~. '. ....... D~th .... g7~. ~ ........... 10. Date of Purchase . .. ~/~o,/~g .............. Name of Fo~er Owner . .~.~... ~. ~ ,~ ~ . .. 1.1. , Zone or use district in which ~emises are situated .... ~J.O~.VI ~ ............................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~.O ....................... 13. Will lot be regraded ..... .~t ~ ~ ............... Will excess fill be remove¢ from premises: Yes 14. Nme of Owner of premises/~ .~ ~l. Address 31~.~} .~ ~gPhone No. ~ Nme of Architect ........ ; .................. Address ................... Phone No ................ Nme of Contractor ....... ~ .................. Address ................... Phon~ No ................ 15, Is this property locate~ withinl.O0 feet of a tidal wetland~ ~ Yes .~. No ..... ~ If yes, Southold To~ Trustees Permit may be required, P~T DIAGRAM ' Locate cle~ly ~d distinctly ~1 bufld~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from property lines. Give street ~d block number or description according to deed, ~d show street names and indicate whether STATE OF NEW YORK, S.S COUN-ry OF ................. ..... ~9 ~'~&~.~....-,,~-.,r..~0 .~..~¢..~T. [ ..... being duly sworn, deposes and says that he is the applicant (Name of individual si~ning contract) above named. : He is the ~ -¢,r-t,/q~,.,--r'Z__ 2.. : (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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and th'hr the work wilt be performed in the manner set forth in the application filed therewith. Sworn to before me this .......... //~. .......... day bf .... .~..Cf.. (./~.. ...... , 19 $otaw Public,. ........,~--~-2~-- (Signature of applicant)