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HomeMy WebLinkAbout14745-z 1 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 41604,1, , , , , , , , , , , Date . Aupust ]3, 1987 . . . . . . . . . . . . . . . . . . . . THIS CERTIFIES that the building One •family dwelling . . . . . . • • Location of Property . . , , 845 Silver Colt Road Cutchogue House No. • • . . • . • . . . . . • . . . . . • . . . She et . . . . . . • • . . • • . • . . • • . . . • •HamJoe County Tax Map No. 1000 Section . .095 , , , , , , ,Block . . . 4 . . . . . . . . . .Lot . . . . . . . . . . . . . Subdivision Oregon View Estates pied Map No. 624 . . . .Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated April 4, 1986 pursuant to which Building Permit No. .14745Z . . . . . . . . . . . . . . dated April 7, 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 . . . . . . . . . One family dwelling with attached two .car .garage . * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to ALLAN M. DINIZIO . . . . . . . . . . . . . . .iowner,M§4 }t of the aforesaid building. Suffolk County Department of Health Approval . . .$6-50-48 July 14 , 1987 . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .2ending PLUMBERS CERTIFICATION DATED: Allan Dinizio Aug. 7, 1987 --�/ fn!'% ClYfr!h,. . . . . . . . . . BuiliHng Inspector *Without fireplace and sliding doors upstairs in SW bedroom barricaded not to open. Rev. 1/81 i FORK NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 14745 Z Date ..... .. ......7......................... 19.2 Permission is hereby granted to: ................ '!........! ............ �?....... 4.D..... .�-ter...... 114. ..................... .... . . . 9��-y. A ...�... .......i.... . .� ....�. to ... ...... �o... ... - ................................................................................................................................................................ at premises located ......... ................................................................................ ................................................................................ .........................................................................................................................................................I.....I County Tax Map No. 1000 Sectionn..Q. .. n....... Block .........4.......... Lot No. ....... Pursuant to application dated ........` trC... .......................• 192.4., and approved by the Building I nsspecctor. VVV Fee $. ..l..Q.t..J..v.... But ding Inspector Rev. 6/30/80 FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted a 6� 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 survey of property 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. C. Fees: Additions $25 . 00 1. Certificate of occupancy New Dwelling, $25.00, Accessory ,,$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00 4 .Vacant Land CY 0 $ 20 . 00 5.Undated C.O. $' 50 . 00 Date . . �. .-2-P. . . . . . . . . . . . NewConstruetion OldorPre-existingBuilding . . . . . . . . . . . Vacant Land . . Location of Property .✓. . . . . . . . . . . . . . . . . . . . . . , House No. I�/J Street Hamlet Owner or Owners of Property . .�-.�.�� //��. /Y.l .�.�.�1 1 p . . ./. .. . . . . . . . . . . . . ./.�.y. . . . . . . . . . . . County Tax Map No. 1000 Section . . C).7.5 . . . . . Block . . . . . .`T. . . . . . . Lot . .l0.1. 5. . . . . . . . Subdivision . . . . r. . . . . . . . . . . . . . . . . . .`. . . . . . .Filed Map No. .r.+._. . . . . /. ../Lot Permit No.�G{� 1[5. ZDate of Permit��J I q /�PpApplicant k.14.2,4 P . . . . . . Health Dept. Approval . . C16 .-J0".f .Y. . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . ,. .... . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . V/ . . . . . . . . . . . . . . . fie. Fee Submitted $ . (,fMVQN)D.. . G;P• p z Construction on above described building an mit meets"! I a icable codes and regulations. Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rev. 10-10-78 �/j 3/�7 //y /D ,pay C�11.�Q.�F•/ zI60 S�/ fo7._-S oo(o 'rEL. 765-1802 FU Cp TOWN OF SOUTHOLD O � OFFICE OF BUILDING INSPECTOR P.O. BOX 728 cn J TOWN HALL Q o� SOUTHOLD, N.Y. 11971 August 13, 1987 TO: Town Board FROM: Victor Lessard Exec. Admin. SUBJECT: Refund Please issue a check to Allan M. Dinizio in the amount of $ 36.60. This refund is due to figuring the garage area twice when calculating the cost of Building Permit I114745Z. Thank you. TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR ,_„ P.O. BOX 728 v' g TOWN HALL SOUTHOLD, N.Y. 11971 1 1� C E R T I F I C A T I O N Date Building ermit No. /"1( 7�� Z- Owner (please print Plumber. �� (rZ1r0 (please print) - I certify that the solder used in the water supply system contains less than 2/10 of 1% " lead. ja, 0z (plumber ' s sign re) Sworn to before me this day of 19 — Notary Public Notary Public , v County HELEN K DE VOE Nallo.4707878,Seuffolk County Term Exp res Merch 30,19 ' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING INAL REMARKS: k { t DATE �INSPECT 0 4 5 �11 Q 7GS-1802 BUILDING DEPT. ---; INSPECTIONS [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ INAL V i REMARKS: Y. t I I k { l i DATE INSPECTOR i f , 7W-lM BUILDING DEPT. INSPECTION [ ] FO;i4DATION 1ST �IROUQH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION r FRAMING [ ] FINAL REMARKS: ads' ,L le /777 DATES INSPECTOR r r 765-1802 BUILDING DE". INSPECTION [ ] FOUNDATION 1ST [ROUGH PLBG. [ ] FOUNDATION ZND [I,,,]'INSULATION [ ] FRAMING [ ] FINAL REMARKS: Ad i i i { E t i DATE INSPECTORx , i i I M-lW2 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL r REMARKS: DATE / INSPECTOR 765-1602 BUILDING DEPT. INSPECTION [� FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: A v/' �5/�.�3"Ny F1L9 r h rS.Ey't9.gcf 4 �,f✓A� � F /A/GT CG/c2.1dv7' DATE 51 INSPECTOR I �� �L:��IIli �..: .y " ii✓ii . _ter Fair Ln Town Hall, 53095 Main Road ®� P.O. Box 1179 Southold, New York 11971 JUDITH T. TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD j ,owi ._ August 27, 1987 I k AuG 281987 I Mr. Allan M. Dinizio' 845 Silver Colt Road Cutchogue, New York 11935 Dear Mr. Dinizio: Enclosed is a refund check in the amount of $36. 60, which amount represents the amount due you as a result of a miscalculation of a Build- Permit 'fee. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure cc: Building Dept i CtfsT�3"C�)+'JBCJ! �FORM NO. 1 • 10� Ok�2.�C TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 (� TEL.: 765-1802 Examined Received . . . . . . . . . . . , 19 . . . Approved .G . 7. . . . ., 19�l°. Permit No. .1 !�.7 S 'L [77AIPR — . . . . _ �f . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EP �TOWN OF SOUTHOLDc .L�� (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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 inspectors on premises and in building for necessary ins ections. . . . . . . . . . . . . . . . . . (Signature of applican or name if a corporation) (Mailing address of ap licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . .fi�IG{�l . . .M �] }�,►Zl.D. . . . I . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location o�d on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` �{ . . . . . . . . . Sdw' . . 41.'f . .t .Rwj : . . . . . . . . . . . . . .C�-tio. .� �. . . . . . . . . . . . . . . . . . . House Number ��Street [� HalnleV County Tax yyM��ap No. 10001Seection . . . .0..(q.�. . . . . . . Block . . . . . . ./. . . . . . . . . . . Lot . . . . . . . . . . . . . . . Subdivision �l�eaon. . 1JL�W. . �1 l• ?S. . . . . . . Filed Map No. .`f. �. . . . . . Lot . .� . . . . . . . . . . v (Name) 2. State existing use and occupancy \\o//f promises 'and l intended use and occupancy of proposed construction: a. Existing use and occupancy . .V�hC�.� ! • +� h(h• . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . b. Intended use and occupancy . . I l�sI(1tr1L . .'. . . . . !. �� . . ®�?(c7 , , , , , , , , , , , , , , , , , , , , , , , , , , 3. Nature of work (check which applicable): New Building . . .Y. . . . . . Addition . . .;. . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . , . . . . . Demolition . . . . . . . . . . . .'. . Other Work . . . . . . . . . . . . . . ., (Description) iption) Descri 4. Estimated Cosh 00© . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . (to be id on 5 IIf f dwelling,number r of cars up�its . . . . . I. . . . . . . . . Number of dwelling nitsaon each floor ..application) garage, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type 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 . . . . . . . . . . . . . : . . . Rear . . . . . . . . . . ; , . . . . . . p construction: ront $ . . .Rear. . . . . . . . . Stories . . . . . . . . . . . . . . . . . . . . . . 2.De h . : . . ` . . .(, . . . . Hei t . . . . . . . . ` .% . . . . . . . . Number of . . . . . . Depth . . �. . . . . . . . . 8. Hemhtsions ofsentire new Nu berf Stories `�rr� p 9. Size of lot. Front . . . . . r5. . . . -rCcj. . . . . . . Rear . . . .t6 -. �. . . . . . . I . . . Depth . . .4L?:7,? . . . . . . . . . . . . 10. Date of Purchase . .Aa i2.G 0 8 3 . . . . . . . . . y� N e of Former Owner $ki.((e�a. .A%QC eeA . . . . . . . . . 11. Zone or use district in which premises are situated . ./LeStKrti49 , . , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: . , ,N o. . . . . . . . . . . . . . . . . 13. Will lot be regraded ES . . . . . . . . . . . Will excess fill be rg@m�g$v�eQ fr m premises: es No 14. Name of Owner ofpremiesl�4�A,�. .•. .D/YLi21� AddressuO, Loupol .r!lBWphoneNo. ��� �... . . Name of Architect l,c;� , , , , , , , , , , , , , , Address . .Suw 1.. . . . . : . . . Phone No. Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . , . . . . . Phone No. . . . . . . . . . . . . . . . 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 corner lot. I STATE OF NEW YORK, S S COU T/ OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. I + He is the . . . .4.1JaV\. .(Yl : . lJaV1 �J. . .Ajreq ( 10 . ..t.,. (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,that,the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this g . . . . . . . . . . I . :.. .. . . . . . . .day of.Qy�/ . . . . . . . . . . .. 19l/.`�' Notary Pu lic. . . . . . . . . . . . . . .!/'O ' . .i. . . . County . . . �pp�ryPubljo, ppfy gnature of applicant) m A8?2688.SuMolk Coutlty (� 7brm Explree Doo�ry al.li: dl w SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. 8 6 — S4^ 4$ MAP A x"`Jk - A e 1h, OF0 r` 1 Vs ''- g.;✓ - " -' STATEMENT OF INTENT Al THE WATER SUPPLY AND SEWAGE DISPOSAL 117 r_ SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. •p APPLICANT v;k POOL �� �� ?-�ck�J s.r� /;) - " SUFFOLK COUNTY DEPT. OF HEALTH 15Z!}6 (n COT 0L�1 pCLGs SERVICES — FOR APPROVAL OF AT OrDSAC?P � � CONSTRUCTION ONLY {SATE. H. S. REF. NO.. S b - S O - 4 S t Y �a APPROVED: , y =: {^� S'VFF , K COUNTY HEALTH DEPARTMENT SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. "S014GL;E FA!vi1LY D:'.'ELLING ONLY tt7� c � Q t6.� - uo --F.Alko �� _' w NERS . H D R S O �� O ADDRESS ` wELL c t 1 4 . 8 i �. StI~v IZ COLT f2 G P O DATE, ;y s :'THE SEN'AGE'DI POSAI_ AND FER SUPPLY FACILITIES FOR THIS ( 2E�I CIE 1'4C-E " .. , ;- ;y< c J' .LOCATION `Ht BEEN WA INSPECT, BY THIS DEPARTMENT AND I -'FOUNDT©:B , SF TORY. 1 i ,, h£, ,�• � DEED: L. P. 41.0 - ti'< ChiefDf> BWBte 4Mari'sge ent Section TEST HOLE STAMP �•.. r� r'.t f'� ._t—+ _ G ,. •a tr.^ w^y na?rv:bnarlr!� K`{ . ' �(.%"'dv!`.r'�j��' ;`.J F y._,.:.Y chsv�n;s.•s i::Yai a:soi or 1:_i - C3- _ a.. 4^1i nat ks dvncddatta; r ' - euNdy :6(f„3jt ... 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