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HomeMy WebLinkAbout14313-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14319 Date March 26 .................................................. 19 86 THIS CERTIFIES that the building ...... O,t~ ¢, ,f.~.~ ~.1~, .d.¥.e.l.l. 1..rig .................... ~,ocation of Vroperty ...... .~.~).~.. p?.~.~..~?..~.~..~? ................ .C.~.~.~..~.o?.? ........... House No. Street Hamlet County Tax Map No. 1000 Section1 9.2.1.0.2. ...... Block . 08 . .Lot. 022 Subdivision ..... H.~.g.h.i.a.n..d..E.s..~.a.~.e.s. ....... Filed Map No. 653 ? .Lot No. 25 conforms substantially to the Application for Building Permit heretofore filed in this office dated .ga I~ t.... l 0 ........... , 19 ~35. pursuant to which Building Permit No ..... .1.4.3.1. .3 .Z .......... dated ...~ e p.t.... ¢ .4 ................ 19 .8.5., 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..£ am~-.ly., d~.ell ~_~g ........................................................ The certificate is issued to .. RIC~AR~ .&. PA.TRICIA DITUSA ............... ................... of the aforesaid building. Suffolk County Department of Health Approval ......... 8. 7 .-.s.q r 1. .~.0 ....................... UNDERWRITERS CERTIFICATE NO ................. ~? 35.z[q J ......................... Plumbers Certificate Feb. 28, 1986 Building Inspector Rev. 1/81 FOB]M[ NO. 0 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) 14313 Z Permission is hereby granted to: /~ , -- q ,...,~...~.~.~....~.:.~.:...!..!~.~..~ ....... _, ~ ,o m ~r,~, ~mo~ed ~t .Z.¢...~ ................ ~ .......... County Tax Map No. 1000 Section ..... [.,..C~,....~--,. ..... Block ...... ..~...~. ....... Lot No .......C~.....2~..~. pursuant to application dated ..... ~..~.(~L'~......)....~.. ..........., 19.~.~'~., and approv~ by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY JnstrttctJons 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 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. Su bm it P lann lng Board app royal of comp leted site p lan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing!'_ land uses: 1. Accurate survey of peoperty 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: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling ~/r land use ,t;/5/$5.00 3. Copy of certificate of occupancy $1.00 Date'.~-. ,'~..'~....~..'~/. !.~ ?...~. ...... New Building ....~'.. ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...... .j~ ~ H)~.(E ...................................... House No. Street Hamlet Owner or Owners of Property j.4,.¥.~.,~..~..~.-.. ~.~.... .t. .~....~..t~..; .................... County Tax Map No. 1000 Section ...I..O. ~ ....... Block ...~. ~ ......... LOt. ~ ~..~.. ........ Subdlv~smn .~ ......................... , .... Filed Map ............. Permit N o./..z'~.3./..~. ·z.. Date of P e ~ m it $~..P..'~' .~.~, p p I ica n t ~/~cC~..........~-~d¥..¢.'~..((...~- - "/'¢ (~ t--/... ~ .~/~.P,. . Health Dept Approval .~.-~,,~, ~/.~.~o~ .Labor Dept Approval ~. ....... Underwriters Approval ,~. ~'~,~/,~../.~.~.~. ........ Planning Board Approval . .'~'~. .................. Request for Temporary Certificate ..................... Final Certificate . .~.. ................. Fee Submitted $...~', .(~..~. .................... R~v. ,0-,0,?a ~c~ ff~ ,~S'"~J~? USO CONSTRUCTION CORP. .Jamesporf, N. Y, 11~47 ~:~5~z~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~}'1~ BUREAU OF ELECTRICITY Oate ~.p.~otion ~o. on~.e N 735441 THIS CERTIFIES THAT only the electrical equipment as described belo~ and introduced by the applicant named on the able application number in the premises of in the following location; ~ Basement [] 1st FI. was examined on ~ t~JC~ 0~ ~ 1~80 FIXTURE FIXTURES OUTLETS RECEPTACLES SWITCHES ~NCANDESCE~T FLUORESCENT 3~ 57 ,~ 15 DRYERS FURNACE [] 2nd FI. Section Block Lot ~ and found to be in compliance with the requirements of this Board. RANGES OVENS EXHAUST SYSTEMS NO. OF FEET OTH~S. AE~A~AIUSA 3 E R V I C NO. O COND OF ~C COND NO. OF HbLEG A W.a. OF HI-LEG 4/0 NO O~ hlEUTRALS A, W O. OF N~UTRAL ~/o This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY ~T. THI~ )F CERTIFICATE f ' BE ALTEF gANNER/ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~.3 (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. s ignature.)3 Sworn to before me this 19 ~ Notary~P~bl ic Notary Public,L /~//~ County FIELD INSPECTION 1. FOU__NDA__TI_O_N .-- (? s t ), FOUNDATION (2nd) 2. HOUGH FRAME & FLUMBING fNSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~ FINAL DATE ':~-"/,~'~/~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND ~ INsuLATIoN [ ] FRAMING [ ] FINAL REMARKS DATE 765-].802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST FOUNDATION 2ND REMARKS: ROUGH PLBG. INSULATION FINAL TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are u~able to complete your Certificate of Occupancy because ,of the following reasons. /_~ An ~pplication for Certificate of Occupancy is n~ on file. ~ ~ /--/ No U~de~writers Certificate on file. / Th~, check is (outdated/not on fi~_~. ) /_~/~ No ~e~lth Dept. Approval on file. /--/ No f~al inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # _~/ ~ 3 / 3 Z ~ [~/ Building Dept. ***/_~ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .~~.~. g., 19.~.~- Permit No. ! .~.~. ! . .~ .~. Disapproved a{c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted :k~t,Cp!_i.__~.t_~ 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 issue 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 Southotd, 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 buildings for necessary inspections. .... 1,. ......... (Signature of applicant, or name, if a corporation) p.o. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. .Co. ~..~.~-~,...~. ~..~.-T..a.e.~.-T..~..~:: ................................................... Name of owner of premises ~ .t..~..~k..~..~..~..~. ?..~.7 .flT~.~.~. F~.....~..~..'7~?..~. ~. .......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . ~. ~ .-w.g,.~..w.~.~...~t .~. o...4. ~,..:..~. g ~ 7.,. (Name and title of corporate officer) Builder's License No..' .dk.q. .~. 7.~.~.I2. :. fi. ?.~.-~.q~..~.c. t~ ~ Vlumber'sLicenseNo...~..~.~..~...~ ............. Electrician's License No...~'..~].~. :. ~ ........... Other Trade's License No ...................... 1. Location of land on which proposed work wilt be done. ~ .......................... B.~ i.~..c.~..L..~.-.~..~. ........ .c,.'.~.-~. ~.~.,'.e.~., .... .N..~.w'.... ..... House Number Street Hamlet County Tax Map No. 1000 Section ... [..~. ~. ......... Block . .'O.. ~. ............ Lot .O..~....~...: ........... Subdivision..~ .~.~ .~ .~,~.~..~-~. f,.~o,'37..~.S ........ Filed Map No. ~' .~..~ .~ ...... Lot . ,2.,.57. ......... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and o. ccupancy b. lntendeduseando~cupancy .j~.~,,,4.,~ 6'6,/~' J~"r~/tg,~'~ Nature of work.(chec~k~whidh~pplicable): New Building .. · .~7.. . Adati ion .......... Alteration ... Repair . 7v.~[[]. I. J:l~.. Ren)oval .............. Demolition ............ -- Other Work ............... · . [ (Description) 4. Es~t, ip~ted.Cost ........ ,,,, ............................ ~ Fee .................................... ...... i (to be paid on filing thi~ ~pplication) $. !f dwelling, number of dwell!ng,~its ....~. .......... Number of dwelling units on each floor .'~. ............. If garage, number of cars .... ! .................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................. ~ ..... 7. Dimensions of existing structu!es, if any: Front. ,*.~',... Rear ~ . Depth ~" Height ............... Nu~nber of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... I. · · Height ........ ': ..... ,.~ ........ Number of Stories ............... ; ....... 8. Dimensions fent'renewcons ruction' Front ~.~.t.(/ Rear .~.~ I! ~ Depth .~.'~'/D ' s.q. . ....................... ................ Height .. ~;~..~' ......... Number of Stories...~ .................. · l! , ' '~' .............. ;~ '~ ......... 9. Slzeoflot: Front .. ~O.~., ............ Rear· .~.~.~. .............. Depth ..~..~.' ................. 10. Date of Purchase /. ~ ~o.~..., ................... Name of Former Owner ~ ........................... 11. Zone or use district in which p!emises are situated ..................................................... 12. Does proposed constructio~_~ ~ate any zoning law, ordinance o? regulation: .. t¥..O .......................... 13. Will lot be regraded .. ~J~g.~,~.(~..~. ................ Will excess fill'be removed from premises: Yes., 14. Name of Owner ofpremiseslS.Lc,.L~.-..~A .~.~..~. f%.. Address ~,,~t0,~,~ ~ .N(... Phone No Name ~)f Architect ... ~g¢.~L. .¥.'~. ~ ~.~.~ .--r. Address ... 77... ............. Phone No..-wt. ............ Name of Contractor ~,.( ~,. O..~;'~. ~ .~.-[ ,..¢ ~...t3,tP,.. Address P.q..~. ~ .~ ~.~ 0.0,. O~.~, Pt~hone No.'7~. r.~. ~../ 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, S S cou Y .......... ... r~ .c~ .~ .~-~z.. .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, i He is 'the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy 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. Sworu to before me this ......... ' ...... ./.~. ...... day Oi ...... ........ County .... ....g~. ,~_~. ~... . t..~~~.~.~ ~ ......... human ru~l~ ~State of New Yedt ~ -- ..,, .n. .... / / A -r~ SU~Y FOR ~u~o~ couNtY DePARTmeNT ~; H;AtTH S~VtCE~ LOTR)CHARDNo. 25,DiTUSA"HIGHLAND ~ PATRICIAESTATES "DJ TUSA AT CUTCHOGUE DATE: JULY Z9,1985 ONLY FOE AP~RO~L OF ~ONSTRUCTION ~N ~ SOUTHOLD SCALE: 1"=50' . NO. * SUFFOLK COUNTY, NEW ~RK No. 85-83~ ' SU~VE~'S INKED ~AL OR EMBOSSED $EA~ HEAL~ DE'PARTMENT-OATA ~ APPRO~ TO C~STRUCT aND ~ HIS DEHALF m THE TIT~E C~P~Y, GOV~N- i ~[ss Jamespo~ fi. y._11947 ' ~'~~ YOUNG ~ YOUNG ~ RIVER~AD~ NE~ YORK i NOTE: ALDEN W.Y~NG~ PROFE~IONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ~ AND LAND SURVEYOR N.Y.S. UCENSE NO, 12845 ~FFOLK CO. ON APR,~6, 1977 AS FILE NO. 6537 HOWARD ~ YOUNG~ LAND SURVEYOR The'llewa~j~ dispoe~. 9~d ~,~ter supply ~aoilitiea for th~ ~ ~o~tlo~ ~ve been ln~ected b7 thl~ dopa~ t,~ont ~d found Ohief sf General Engineerin~ HEALTH lENT-DATA FOR APPROV~ TO CONSTRUCT R ~AX,~ CO. TW~ATZ~P mT moo ~Ec'noN m, .4.oc~( ..UL. (.o'r #TN[RE ARE NO OWELUNOI WITHIN I00 IrsET OF THIS PROPERTY OTHI:H THAI4 THOSE SHOWN HEN[ON. N THE VAeTEN SUIq~Y AND SZVMG WILL ¢0KFORM TO T~/,JT~ OF THE $UFI~OLK COUIAT~ DEPARTMENT o~ Hbo. TH Kav~c~I$O~CONSTRUCTION 'CORP. :Jomesport, N. ¥, 11'-')7_ NOTE ~ SUBDIVISION MAPFILED IN THE OFFICE OF THE CLERK OF SUFFOLK CO. ON APR. Z6, 1977 AS FILE NO. 6§:57 SURVEY FOR RICHARD DiTUSA ~ PATRICIA LOT NO. 25, "HIGHLAND ESTATES" AT CUTCHOGUE ~OWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK Di TUSA JAN. 21, 1986 DATE: dULY 29,1985 SCALE: I "= 50' NO. 85-831 'k YOUNG a YOUNG RIVERHEAD, NEW YORK ALDEN W. YOUNG, PROFESSIONAL ENGINEER ANO LANO SURVEYOR ~LY.S. UCENSE NO, IZ845 HOWARD*W, YOUNG,, LARD SURVEYOR N.Y.S. LICENSE N0.45093 J AP~BC~YBD AS NOTED N©TIF¥ BUll ~[NG DEPARTMENT AT If copper tubing is used for water distributing sys em; piping shall be of lypes K or L only SOLDER US~D IN YVATER SUPPLY SYSTEM CANNOT EXCEED 2/lO of 1% LEAD. PLUMBER CERTIFI'CATION' ON LEAD CONTENT BEFOR~ C, ERTIFICATE OF OCCUPANCY Phone 4774)400 ' '~,,~,,~ Main d Y, LIVI N ~ J -i~.O0 d , FIRST Plione 477-04{10 Main Road CR,o S S'