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Home My WebLink About14614-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15712 Date April 30, 1987 THIS CERTIFIES that the building ADDITION TO EXISTING ONE FAMILY DWELLING ~ t 550 West Road Cutchogue, New York Location oi rroper.y ...................... Ho,se No. ' ....... '~'~/e~i ....................... h~d~iei County Tax Map No. 1000 Section I I 0 .Block 05 .Lot 4 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated February 20, 1986 14614Z ...................... pursuant to which Building Permit No ...................... dated March 5, 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR Th~ certificate is issued to COMILLO & FRANCES MILITO ..................... ?o¥.'e;, ' aCg r$.5$PfPh) x .................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. N 745986 N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALt. SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14614 Z Permission is herebf granted to: .... ~...~......~...~.~ ...... .~...: ..... .../....a..~..o..........,N.......,~...~....~.~ ......................... ..~~.~ ......... :.¥.,...u..t~ ..... , ot premises Iocoted at ........ ........ ~ ............. ~~ ................... .~.......c...:.~..~,;~ .................................................................................................................. County Tax Map No. 1000 Section ...... )..~..,.0.. ......... Block ........ .(~...~...~..... Lot No.,......L~\ .... ............. pursuant to application doted ....~.~....~...~.. ........... , 19..~...~.., and approved by the Building Inspector. Fee $..~ ~..~,.. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD ~ h( .~ n~,~.-, Building Department ~ ~ ~ R~ & ~ I~/ Town Hall Southo a, N.Y. ........... 765 - 1802 b,,,C,,, APPLIOATIO~ FOR CERTIFICATE OF O00UPANOY .................. ' .... Instructions ~ ~ ~ A. This application must be filled in typewriter OR ink, and submi~ed mm to the Building In~ec- tel with the renewing; for new buildings or new use: 1. Final suwey of property with accurate location of all buildings, prope~y lines, ~reets, and unumal natural or topographic fea~res. 2.Fina~ approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Unde~Hters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and in~alla- 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 "pm-exi~ing" land uses: 1. Accurate ~ey of p~perty showing all property lines, streets, buildings and unumal na~ral 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 pe~inent informa- tion required to prepare a ce~ificate. C. Fees: Additions ~25.00 l. Ce~ificateofoccupancv ~e~ D~e[~ng ~25.00, Accesso~y,~10,00 ~us~aess ~50.00 2. Ce~ficate of occupancy on pre-existing dwelling ~ 50. ~ 0 3. Copy of certJficate of occupancy $ 5.00, ove: 5 yea:s ~10.00 5.U~G C.C. ~ 50.00 Date .......................... NewC°nstruction ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . . .'~,~.~, ,~ .... /.~.~.6. ~..~, .c~, .................... ~,~.'4,/~. ,~ ,d;-, .o. ~ ........ House No. - Street /Yam/et Owner or Owners of Property ~;~/¢~' o,-~ S, ~ (~ o~(( (0 ~t ~/-b County Tax Map No. 1000 Section .... /.! ~ Block ~ Lot .... ~./. · 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 permit meets all applicable codes and regulations. Applicant. J: .' ,~: ~'~ ..................................... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS .J.~5~UZ.~ BUREAU OF ELECTRICITY ~,~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 only the electrical equipment as described belo~ and intmduc~ by the applicant named on the above application number in the premises of in the following location; ~ Basement ~ :st FI. ~ 2nd FI. O~ C$~e Section Block rot was exan~ined on A~ ~ ~ ~ ~ and found to be in cotnpllunce with the requlretnents of this Board. OUTLETsFIXTURE ~ECEPTACLE SWITCHES FIXTURES RANGES :OOKINGDECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDER~ SPECIAL REC'PT TIMECLOCKS SELL ~NIT HEATERS MULTI-OUTLET DIMMERS ~T K, W. OIL H, P, GAS H.P. ~T, NO, A, W. G AMT ~P. ~T. AMPS, TRANS. AMT H, P. AMI, WATTS NO. OF FEET SERVICE DISCONNECT NO. OF S E R V I C E CC COND OF HI-LEG OF NEUTRAL Per_ Ihis cerfificote most nol be ~ltered in uny manner; relorn ~o the office of the Board i~ ~ncorrecl. /nspedors may be identified by ~hek credentials, " ' · ~ : -,BEALTERED IN ANY MANNER. ,' J. ELD INSi~ECTION vOUNDA__TION (1st) ~'OUNDATION (2nd) ~OUGH FRAME & PLUMBING !~SULATION PER N. Y. STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. iNSPECTION FOUNDATION 1ST [ ] R~U~GH PLBG. FOUNDATION 2ND ~/]~SULATION [ ] FRAMING REMARKS: FINAL DATE 765-1~0Z BUILDING DEPT, INSPECTION FOUNDATION 1ST[]ROUGH PLBG.' FOUNDATION 2ND[]INSULATION FRAMING []FINAL 'REMARKS= ' ' .... i. · DATE INSPECTOR 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-11303 Disapproved a]c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,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 code7housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ ~} // '~ (Signature of applicant, or nam~,.if a co por t'on), ............ i~l'a'~I']ng ad' ' '~'~;e'ss of applic~ ' ''' ' ' ~' ~n~) ....... ~'''' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· . ................................................................................... Name of owner of premises . .~'.,.. ,,~1. ~.~...wp ....................................................... (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 .... ~ .~.... ~2~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ............ .. House Number Street Hamlet ou ty , OOSeotion ..... .tO ......... Block ....... ....... Lot...5. ............ 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 .....x~. . , ..... ~ ..................................... b. Intended use and occupancy ....... J.'~_ ¢~.'i .!...~..~.~.~.~ ;~ .......................... 3. Nature of work (check which applicable): New Building ..... '... ,.. Add~tion,~.. ...... Alteration .......... R ir ,d', R ' epa ............ emoval ..... ., .. ....... Demolition . . Other Work ............... (Description) 4. Estimated Cost ...... t ~.~. 07r-?. ........................ Fee .................................... ~ (to be paid on filing this application) $. If dwelling, number of dwelling units .,.........., ../ Number of dwelling unit{ on each floor ................ If garage, number of cars ............................................ i ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7. Dimensions of. existing structures, if any: Front .... ~ ........ Rear , ,~/~,,; ...... Depth . .~.. ?~.. ......... Height . .l.~.~ .......... Number of Stories .//. i ..................... ~ ........................... Dimensions of same structure with alterations or additions: Front ....*).~ .... .. i .... Rear . :~..G. .......... Depth .... 3.? .............. Height ..... t/. ./7{.. ............ Number of Sto~ies . 8. Dimensions of entire new construction: Front ............... Rear ........ . ....... Depth ............... Height ............... Number of Stories ............... ~ ......................... , .............. 9. Size of lot: Front ...... ~ .-D.~ ............ Rear ....... &~. ....... Del>th . 10. Date of Purchase ....... ]..~.7../~. ...... , ........ Name of Former Owner . ,i~. 11. Zone or use district in which premises are situated ............... ~ ............. 12. Does proposed construction violate any zonin~ law. ordinance or re~ulati~,n' A/S9 ............... 13. Will lot be regraded ................... .~...: .... Will exces;fill b; r;~o~;~ ~;o~ ;'r;iniie'sl'' '~"° 14. Name of Owner of premises-.. ~.r..../~ ~ ~.T~ ..... Address ~..yrS...kL2.~.~. ( .~.~... Phone $o.7~..~.~.. ........ Name of Architect ..................... ;.. .... Address ............... . .... Phone No ................. Name of Contractor .. ,~.ff-~"~.. ~ t..f'/~r.~..~.. Address [.2~..~. ~ .t~.~--q~ ./7' .~. Phone No.~.~.~..~Z~P~?.. 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. ~.,,~ STATE OF NEW YORK - ' COUNTY OF ................ ,~ [/~h~,- · P,e>tt L, ,. ............ t. '. r .'-. '-' ............................... ee:ng duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.:) of said owner or owners, and is duly authorized to perform or have performed the ~aid 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 ..... ¢. . ......... ............. Notaw Public , t_,- County °,d ',O ......... (Signature o[ applic, an~t~