Loading...
HomeMy WebLinkAbout14059-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22320 Date MAY 12~ 1993 THIS CERTIFIES that the building_ Location of Property 970 WEST ROAD House No. County Tax Map No. 1000 Section 110 Subdivision ADDITION CUTCHOGUE~ N.Y. Street Hamlet Block 5 Lot 45 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 1985 pursuant to which Building Permit No. 14059-Z dated JUNE 19~ 1985 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 FOUNDATION~ DORMER ADDITIONS & 1st & 2nd STORY DECK ADDITIONS TO EXISTING ONE F~MILY DWELLING AS APPLIED FOR. LENNY& LEE INFRANCA The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-746043 - APRIL 23~ 1986 PLUMBERS CERTIFICATION DATED JULY 29~ 1992-PECONIC PLUMBING & HEAT. ~ ' //uil~ing Inspector Rev. 1/81 I~OB~ NO. I~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 14059 Z Permission is hereby granted to: .... ~.~_...~..:~.......u~.?.... ~....~.~%.~.~...~...~i..~..... ................................ at premises ,Loted at [....C]J...~L..~..:.......~.....~..-.~..-....~.'.., ........ ~~~ ......................... · iiii~2.~i"i. ...~..ii'ii"~i~iZ~ZZiii. . . .. ...................... ......................i'"ii... .........iYZZZ.... . ......Z'Z""iZii... .... County Tax Mop No. 1000 Section ........ ~.]...~.. ....... Block ....... .C~..~.~... ..... Lot No ........~....~..~.Z ....... pursuant to applicotlon dated ....... ~...~..~. ..................... , 19.~.~..'~, and approved by the Building Inspector. ee :a..,m~ .................. Building Inspector Rev. 6/30/80 ROSENTHAL & BURCHERI 290 OLD COUNTRY ROAD MINEOLA, NEW YORK 11501 (51 6) 739-3220 FAX 739-0938 June 30, VIA FEDERAL EXPRESS Mr. Gary Fish, Building Inspector Town of Southold Building Department Main Road Box 1179 Southold, New York 11791 Re: 970 West Road, 1993 Cutohogue, New York Dear Mr. Fish: Per our telephone conversation, enclosed please find the original certificate of occupancy. You have indicated that you would add that the decks are also covered by this certificate. In light of the fact that a closing is imminent, kindly return the new certificate of occupancy to me in the pre-paid federal express envelope provided. Thank you for your courteous assistance. RCB/cmp encl. Very truly yours, Russell C. Burcheri TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O.. BOX 728 TOWN HALL. SOUTHOLD, N.Y. 1197I TEL. 765-1802 C ERTI F ICAT I O~ Permit No. (please prznt) (please print) I certify thag the solder used contains less than 2/10 of 1% lead. in the water supply system Sworn to before m~ this FIELD INSFECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ~ROUGH FRAME & FLUMBING INSULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [,,-']~FINAL DATE 765-1802 LDING DEPT. NSPECTION [ ]FOUNDATION 1ST []ROUGH PLBG. [ ]FOUNDATION 2ND []INSULATION [ ]FRAMING []FINAL REMARKS: { yos~7~- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~INAL REMARKS: 'DATE INSPECTOR 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined....~..~.~..., 19 ~.~. Approved .'.. ~ ~.u~,. ¥ .ck.., 19~.~. Permit No..~..~.~ .~.o) ..~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received .7.., ~9~..x-' Date ......... ,19 INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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, housin~g..~ode, and regulations, and to admit authorized inspectors on premises and in building for necessary~nspections. /( · .... (Signature~of applicant, or name, if a o porat' ) · .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... ........................................................................ Name of owner of premises ... 0. · · ~ .... ~.~.~...~ .................................................. (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 ....... .~...~/./.~ ............. Plumber's License No.. ~..c~ .~.].t..~91 } . . Electrician's License No. Other Trade's License No ...................... Location of land on which proposed work will be done:,..~..~..~.[ ..... ~ .4.,~ ............................... .... ' .... ........... County Tax Map No. 1000 Section ...-'''l.[..(~). .......... Block ................... ~J'O Lot .(.).~.'~. ........... Subdivision ..................................... Filed Map No ............... Lot ................ (Name) Slate existing use and occupancy of 17hemises and intended use and occupancy of proposedconstruction: b. Intended use and occupancy .... v. r.. ~' .\~ ............. ... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ......... Alteration ....... Repair ....... Removal .... ................ Demolition ......... ,~.,-... Oflaerqg/ork ...... ' ......... 4. Estimated Cost .................................... ~2..~.) 60 ~ Fee .................................... -~-~' ,x (to be]paid on filing this application) 5. It' dwelling, number of dwelling units ............... Number of dwelling uni'ts on each floor ....... ~ ...... If garage number of cars 6. If business, commercial or mixed occupancy, specff ture and extent of each type of use ......... _ . /, ... ~,. '/f .. 7. Dimensions of ~r~ti~ng structures, if any: Front .... t~' ...... Rear . ~ ~. ~ ....... Depth .~.... ~... Height ..... l'. V. '.. .... Number of Stories.../ ' ' ' Dimensions ~f same st~cture with alterations or ad( Ins: Front ...' .& .~..' .... i ..... Rear,., ~ ~. [.. ........ Depth .r-~ 0/.. ~ ./ ........ Height ... '.'~..~ ., · Numberer Stories ../. ~f..-~ ..... 8. Dimensions of ?.n~r~ new construction: Front...~. ........ Rear ... ~ 'fYi ....... Depth .~a. ?/...~.... Height ..... ]~. ~ ..... Number of Stories ........................ ! ............................ 9. Size of lot: Front ...................... Rear ...................... ]Depth .......... .... . ...... 10. DateofPurchase ............................ ~NameoLFormerOwner ~.~.~.~.~.:~.~0o~.~...... 11. Zone or use district in which premises are situated,.. ] .~..~. £~.q ~"~c~.. ~.... ~ ........ 12. D.oes proposed construction wolate any zomng law, ordinance or regulation: ............................. 13. Will lot be regraded ...... t · '.:~c.' ~-- ............. Will ex~ess fi, Il be r_gmov~d from premises: Yes 14. NameofOwnerofpremisesgr.~.~.,.t.'~..ff~-~e_% Address~q.)~e;~.~ .~ Ph~,~ Name of Architect .......................... Address ........ ~. .....~ .... Phone No ......... ~: ..... Name of Contractor ~.~--.~..T.~ .%.. ~./o t<'-[.l.k ~,. Address. ~ .~-.~.~.q <~tt.~. · Phone No,7.~.(/,, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ i~ dicate 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 ............ ..... S.S ................................................. being duly sworn, dep )scs and says that he is the applicant (Name of individual signing contract) above named. He is the .................... ~ ........................................ ~ ............................ (Contractor, agent, corporate officer, etc.! of said owner or owners, and is duly authorized to perform or have performed the iaid work and to make arid file this application; that all statements contained in this application are true to the best of hi~ 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 , Notary Public, .... . · · · . County NOTARY eugllC, State o~ New Yoi'~ ............. NO, 4707878, ,%Jl01k C0ulI[¥ .a (Signature of applicant) TeFra Exp,res March 30, 19~if ~