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HomeMy WebLinkAbout14577-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z..~ 9.7. o. 2. .......... Date . .5 .P .r.i.P...2.8.,.. ! .9 .8.7 .............. THIS CERTIFIES that the building ....O.n.e...f.a.m. ~..17, .d.w..e.l.l.J:. n. g.. ..................... Location of Property 545 COLUMBIA ROAD SOUTHOLD House No. Street Ham/et County Ta× Map No. 1000 Section ...0. 7. .8 ...... Block ..... 0. ? ........ Lot ...7.2. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...J..ap.... 2..I .,.. 1..9 .8.6 .... pursuant to wtfich Building Permit No... 1.4..577.z. ............ dated . ?.e.b. :..2.7.:..1.9.8. 6. ............ 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 f a m i 1 y...d.w.e. 1. 1..i.n.g: The certificate is issued to RON AND BARBARA MORIZZO ..................... ~o¥'&g ~,,~tlC~xx' ................... of the aforesaid building. Suffolk County Department of Health Approval ..... 8. 5. -: .8 p.-. 2..5.1. ?. p..r ,i.1,, 2. 4. ¢., I. 9. .8.7 ......... UNDERWRITERS CERTIFICATE NO. I'I800713 March .30, 1987 April I5, 1987 CERTIFICATION DATED: in basement** PLUMBERS **No heat Rev. 1/81 FO~ NO. ~ TOWN OF $OUTHOLD BUILDIHG DEPARTMEI~IT TOWN HALL SOUTHOLD, H. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? lq$?? Z Permission is hereb/granted to: .... ~..~.~......J. ~..~.....~......~ ......... ......... ot pre~i~es ~'.o~ed ot ..&.~.~.....~..~.~...%J..~,.~....~.~...OL..'~*...~.....~...-.. County Tax Map No. 1000 Section ...... .(~....--/....~. ....... Block ..... ..~...C) .......... Lot No.....'~.....~.. ............ EJuiJding Inspector. Building 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 7¢ s Instructions A. This application must be filled in typewriter OR ink, and submitted -, I~====~ 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 featu res. 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 p~operty 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: 1. Certificate of occupancy. $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .~. / ,~./~ '7' New Building ...g. ........ Old or Pre-existing Building ............ Vacant Land ............. House No. Street Hamlet Owner or Owners of Property ..... V .......................... County Tax Map No. 1000 Section ...0..'?.~. ....... Block . .~.9. ......... Lot..?..c~. .......... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. Jq. '7?Z Date of Permit .Applicant .~.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . ..~, ................... OO Fee Submitted $ Construction on above described building an~it meets all applicable codes and regulations. - Rev, 10-10-78 C.6. 'Z 1~76 M TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No.//-/~77 (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /~ day of ~ 19~ · / ~-" (plumber~ s -s~gnature) ' ' ~otar~ PublicY- Notary Public,~.~C°unty '" - , Ron Mo~izzo Health Dep~. Reft.# 85-S0-~5~ P.O. Box 789 ~~ Sou'bHold N.Y. 11971 ...... ~ . . ¥. ~ SUFFOLKCOUN~HEA&HDE~I~ENT.~ ' N; j~' ~ , __' DATE ~PR Z~ I~01 ~i ~ ~ ~ THE 8~A~E DIS~SAL AND W~~ ~ S~PPI:Y FA~ TIES FOR THiS L~ATION HAVE 2EEN IN~PEGTEO ~ THIS D~ARTMENT AND / ~ND TO BE ~ATISF~C~O~Y. ,.~ ~'"' _ / ....... Chef o}~88te'water Management 8~4~'~ ? ~.ooo121 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ BE JOHN STREET, NEW YORK, NEW YORK 10038 ..E~ ~C~ ~0E19e7 A.p,i~a,lo. No.o.S.~ 4319'~/e~ N 800713 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on The above application number in the premises of Run Mo~izzo~ 545 Columbia Rdo, $outhold, in the following locaZion; [] BasernenZ ~ Ist FL [] 2nd FI. Section Block Lot tt~s examined on March 19 ~ 19e ? a.dfound to be in compliance with the requlremenL~ of th s Board, FIXTURE ~ FIXTURES RANGES OUTLETS iE~..ea,~ACLE$ SWITCHES OVENS DISH WASHERS 32 43 38 32 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: Smo]~e Detector ~.-2 S E R V I C E AWG~ AW~G AW~G' 275 Town Harbor Lane lic.~282E SOuthold~ N.Y., 11971 G$N$~A[ MANAO$R this certificate must not be altered in any manner; return to the office of the Board if ~ncorrect. Inspectors may be identified ~y their credentials~ 765-~[802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~FINAL DATE ~/~7 2'65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ,~'FI NAL DATE ?/ 78S-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND £ ] INSULATION FRAMING INSPECTOR._~ '~ 765-1802' ~ BUILDING DEPT. INSPECTIrON [ ] FOUNDATION ~,ST I' ] ROUGH PLBG. I' ] FOUNDATION 2ND ~NSULATION [ ] FRAMING [ ] FINAL DATE 76S-1802 ~ BUILDING DEPT. INSPECTION FOUNDATION ~ST ~ ~ ROUGH P~. F~MING [ ] FINAL OK rE I ~>~/, ,INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [/~FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INsuLATioN [ ] FRAMING REMARKS: ..... [ ] FINAL 7G5-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT, INSPECTION [~]~FOUNDATION XST [ ] ROUGH PLBG. ['~] FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL INSPECTOR FIELD I~SFECTION FOUNDATION ( 1 st) COMMENTS FOUNDATION 2. ROUGH FRAME & PLUMBING 2nd) INS,ULATION PER N. STATE ENERGY '~ CODE ~DDITIONAL C o~ 6' BUILDER, INC. P O. Box 789 · Main Road, Southold, NY 11971 · (516) 765-5772 October 20, 1986 Building Department Town off Southold In refference to building permit # 14577 issued for Morizzo residence located at 545 Columbia Drive in Southold, the ¢ollowing changes have been made: Three windows added (Anderson casements C-14) one in each bedroom Two skyiights added in living room Removed the bay window in dining room end replaced it with a sliding patio door Thank You, FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 featu res. 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZoperty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 New Building ............. Old or Pr~-existing Building ............ Vacant Land ... ~. Location of Property .~~O..~ ~.~"A'~ ~ , . · '.~.~ . ./~... ~'o. House No. ~.~u/. ~ ~ ¢-~ Street Ham/et Owner or Owners of Property . ,f.../.~ ...... ~--~. "~'~....~.~.~'.\.'~. ~.0 ............ c ntyTax apNo.,000Sect,on B,oc, ..... ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. 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 per¢it meets a, II applicable ~ and re~lulations. · Rev. 10-10-78 BLDG. DEPT. TOWN OF SOU'i'HOLD "The Water supply ana ~ewa~e disposal' ly ~:: ff~this reside'nee will conf%v~ to the stand:ards )f the Suf~o ~k County ~partm~n~ of Health". , - ..... ~ . .. ~ ~ Southold, N.Y, 11971 -~_ ¢~ / ~.' '¥/: '~ ~ r'; ,~) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ~.~%~......~ .~3.~4., 199 .~. Permit No. ~.9.~..7. 7..~-r. Approved Disapproved a/c ..................................... · (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BLDG DEFT TOWN OF S©U'I'!':]LD Received ........... ,19... Date ..... ¢~.:.~ ..... , 19 .J".~.' 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, buil0fi4q~ code, housing code, and regulations, and to admit authorized inspectors on premises and hi building for necessaT~ns. ~.~ '' '/'~ik~a~u~r'e'~ applicant e, }~ 'a 'c;;~fi;a~;~n') .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ... .r-.. ................................................................................ Name of owner of premises ........................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.....~..~..?.\ ............... Pinmber's License No..~../..~..~.. ~ ............ Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done.--'-~2.~. .... C:.tQ/~A.../~..O/.t~' .~d..lT. ( .(J..~.' Iffd ' ' r ............... .... ltouse Number Street Hamlet County Tax Map No. 1000 Section .... .~. 7.?:. ....... Block ...fi?. 5/ ............ Lot...7~ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed congtruction: a. Existing use and occupancy ~/~c~7 - ................. . ..... . .... ' b. Intended use and occupancy .... ~.. : .... .t.~ ...... .. 3, Nature of work (check which applicable): New Building.....)~ '. .... Addition .......... Alteration ...... .~... _ Repair .............. Remc~val ...... : ....... Demolition ............. Other Work ............... (Description) 4. Estimated Cost ................................. Fee ......................... : ............ ~ ~ (to be gaid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unitg on each floor ................ If garage number of cars ' , 6. If business, commercial or mixed occupancy , specffy nature and extent of each typo of use ..................... 7.' Dimensions of existing structures, if any: Front ............... Rear ........ ~. ...... Depth ............... Height · Number of Stories i Dimensions of same structure with alterations or additions: Front ............. i .... Rear .............. Depth ..... ~ ................ Height ....... >~. · ;, ......... Numbe~fg~;ories~. ........... 8. Dimensions of entire new construction: Front... ,~.a~. ...... Rear .... ,~'s:~.... . Depth . ~..t~ ........ ~ ...... Height ...'. Number of Stories ' Size of lot: Front ...................... Rear ...................... Depth ..................... Date of Purchase ............................. Name of Former Owner . .......................... Zone or use district in which premises are situated .......................... i ........................... Does proposed construction violate any zoning law, ordinance or regulation: ~ Will lot be regraded ...... :~ ............ , ....... Will excess fill be removed! from premises: Yes No Name of Owner of premises/Cf~9/')..f~..O, tT. (Z?..o .... Address ¢q~-..~..rT~t~./~-./4~ O~Phone No..~..(0~-7.~.?.~. ~. Name of Architect .................... ,~. ~ .... Address ................... Phone No ................ Name of Contractort¢>OO..r~Fd~./.Z 2.0....~//~.c~ddress otc. .to ~Y~-Phone No. 7¢.~..-'~7.'?.Z~... 10. 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ind property lines. Give street and block number or description according to deed, and show interior or corner lot. [cate all set-back dimensions from street names and indicate whether STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, depos:es and says that he is the applicant (Name of individual signing contract) above named. , ~Ie is the (Contractor, agent, corporate officer, etc.). ~f said owner or owners, and is duly authorized to perform or have performed the sald 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 ~vork will be performed in the manner set forth in the application filed therewith. 5worn to before me this ........................~] day of ......... c~ ........ 19 qotaryP lic, . .~.~..~.'...~.t.,...~..~h~ .... County 8[t[~ K. 11~ VOl ' ' l/' Yd~'L ......... I'~ · ..................... Of'.,applicant) No. 4707878 ~uffolkl~alR'/~. ' Term Expires Match 30.19 -!. APPROVED AS NOTED f ~,ERTIFICATION ON ~ ~ITENT BEFORE ~E~T~'OF O~IPANC,Y FEE:,=q~-]. ~0 BY: ~ ~./'--' NOTIFY BUILDING DEPAR~rMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ~ 1 FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH FRAM NG & PLUMBING 3. INSULATION 4. FINAL CO~STRUCTION MUST BE COMP[E'rE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y STATE CONSTRUCT ON & ENERGY CODES. NOT RESPONSIBLE FOR r~ESIGN OR CONSTRUCTION ERRORS, ", :.OCCUPANCYOR '"~. . ,"' USEIS UNL~UL WITHOUT CERTIRCATE OF OCCUPANCY J: