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Home My WebLink About14188-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Of Occupancy No. Z-16555 Date January 4, 1988 THIS CERTIFIES that the building CONSTRUCT ONE FAMILY DWELLING WITH ATTACHED GARAGE Lo ..... 745 Topsail Lane Southold, New York cation oI t'roperry ....................... . ................ House No. Stree~ ' ' ' County Tax Map No. 1000 Section 079 .Block 7 .Lot 4 8 Subdivision M/o Leeward Acres 45 ............................... Filed Map No. 5599 .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 6, 1985 pursuant to which Building Permit No. 14188 Z dated ...A.u.g..u .s.r.. 6. .,..I.9. 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 FAMILY DWELLING WITH ATTACHED GARAGE The certificate is issued to STEFANO & GIOVANNI PICCINICH ..................... ?oYn'o'r, ...................... of the aforesaid building. Suf~lk County Department of Health Approval 85- SO- 134 - Dec. 17, 1987 UNDERWRITERS CERTIFICATE NO. N822957 - July 28, 1987 PLUMBERS CERTIFICATION DATED: Sept. 9, 1987 - PECONIC PLUMBING & HEATING Building Inspector Rev. 1/81 i~oumr NO. 1~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE i4188 Z Permission is hereby granted to.~ ...... ,D....W~act,~'..Q.~..C?./.~..v~...~ ....... z~ ~c,t / cfi / .......... ~...~..~.~.~.~....,a2.~.~ ........... ......... .~..~z~.~....~....~........~..7..~ ,o ........ ,ff~.~.zf..c-,~......~.~.~...~.zfYz~.C<...../,2,~..~.-~f,.,.f~..~" ................................. /.... et premises located ct ...... .7.,.~.,.,~,.,.~. ...... ~. ,,~,.,~. ,,~.,/, .......... ~..'. .............. County Tax Map No. 1000 Section ...... ~..~....~...... Block ' '~'"'7 ............ Lot No....~...~.~.... ...... pursuant to application dated ........................................................ , 19 ........ , and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD 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 ~m mmmmmma to the Building Inspec- tor with the following; for new buildings or new use: ~?inal 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). ~'~?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: I. Accurate survey of p~Operty 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: Additions $25.00 1. Certificate of occupancy New Dwelling. $25.00, Accessory,S10.00 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 C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New C OhS truct i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property :7!~".'? --r-- \'-f~ c,: ~'" .JO; tel /'~ A/ ~' ......... ~.~..,-~&d~...J,~N'~; .... ..~.~.~,. .~._.~.~,~... House No. Street, · Hamlet Owner or Owners of Property ~ -, ,~ ~v ~ ........... eount~ T~ ~p No. 1000 8eotion ... ~,. ....... Blo~k ............. Lot.. ~.ff.,~ .......... S.bdivi~i~..j~g-.q .... ..... 5 ff.L ....... Permit No. ,5 ~:~ Date of Permit " .... ppiicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval ......... x .Plannin9 Board Approval ...................... Request for Temporary Certificat, ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all,ab~b~SJable cod,es a.~regulations. Applicant.. ,........ ........... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ,tJL~y ~'~ ~Sr/ B5 JOHN STREET, NEW YORK, NE~, YORK ~t~fano & G~ov~nnl ~icci~ich, Tops~ll L~ne~ ~outhold, 45 bO 47 45 DRYERS ~JTURE AF~'UANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SRRVIC~ DISCONNECT OTHER APPARATUS= '£rac~ Lighting l~'-O", fi lites 2 G.~%C.i.~ 1 Soke D~tec'~or S E R V I C E NO OF CC COND, A.W G PER ~ OF CC CONO ~t 4/0 410 4/3 Aladdin Ave. This cert;ficate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors ma;'~en~fi~Vby the,r credentia{s. COPY FOR ~UILDING DEPARTMENT. THIS COPY OF CERTIFICATE~ MU~T NOT~ BE ALTERED IN ANY ~NNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 CERTIFICATION TEL. 765-1 g02 Date (please print) Plumber (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 192(0 · Notary county m D~A~ 8A~A sd~gp~oa&~lre) Notary Public, State of Nev~ York No. 4844752 Quslified in Suffolk County ¢> Commission Expi~'ea Marah 30, ;9.d~ Notary pUD/~lC TOWN OF SOUTHOLD OFFIC~ OF' BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 November 23, 1987 This is to advise you that the job under building permit no.14188Z issued to STEFANO & GIOVANN PICCINICH on AUG. 6,~or One family dwelling, is completed a final inspection has (xx ) has not ( ) been done. and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to ~he above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be ma{led, and arrange with this office for an inspection date Occupancy or nsc is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very t'[uly youy, Victor Lessard Executive Administrator VL:gar encl. Your Building Permit expired 2/6/87 it is illegal to occupy this dwelling without a Certificate of Occupancy. We sent you a letter 7/29/87 telling you what you needed for your C.O. We have not received this information. I am enclosing an application. Please return it along with a check for $25.00, also your Board of Health approval, and a plumbers certificate. If we do not hear from you to clear this up you will be in violation of the law and we will have to take the necessary steps. TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May'Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /_--/~/ An application for Certificate of Occupancy is not on file. 0,~" No Underwriters Certificate on file. /~/_ The check is(outdated/~.)~,oo~ /~ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our officeon this matter. Thank you for your cooperation. Building Permit #, I ~__ I ~_~ .~_~ Z Building Dept. ***/~ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Occupancy or use is unlawful without a Certificate of Occupancy. Clear up this matter as soon as possible so ~hat legal action does not have to be taken. Thank you for your prompt attention. FIELD INS?ECTI~! ~ COMMENTS FOUNDATION flst) FOUNDATION (2nd) ROUGIt FRAME & PLUMBING iNSULATION PER N. STATE ENERGY C,ODE FINAL 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUI-ATION FRAMING [ ] FINAL 7~-Z80Z BUILDING DEPT. INSPECTION [ ] FOUNDATION SST -~ROUGH PLBG. FOUNDATION ZND [ ] INSULATION MING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION,., FOUNDATION ZST ~,~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ F~INAL REMARKS: DATE ~/~/~ INSPECTOR 7GS.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND [ ] FRAMING [ ] ROUGH PLBG. INSULATION [ ] FINAL 76S'1802 BUILDING DEPT. iNSPECTION FOUNDATION 1ST [ ] ROUGH/ PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [] FINAL RE:MARK__S: · ' DATIr ~~ ~,~ ~ ,NSPEC'rOR~ '~ L- 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 .... Approved .... Permit Disapproved a/c ................ . ..... .... (B~fldin~ APPLICATION FOR BUILDING PER~IT Received ........... ,19... INSTRUCTIONS ia. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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. i 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 ~all 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 ~hall 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 c~ode, and regulations, and to ~dmit authorized inspectors on premises and in' building for necessary~~ ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. D..~..~.~F. ................................................................. ame of owner of pr?~.~ises .. ~'t4~.~'~/~.~-: . .4-: ... .~..(<). O. !.~ ................................ ~ ~1~]1]0 4- ~lOV/tiffNt (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... ~ .......... Electrician's License No ....................... Other Trade's License No ...................... 9 ~,~r~ , ~ ~ ' · Location of land on which proposed work will be done ...... /. O./O. $ ~.t .4 .....~.../q../~..~. ...... .~.~. House Number Street Hamlet County Tax Map No. 1000 Section .... O..~..~ ......... Block ...... 0'.~ ......... Lot .... 0.~.8 .... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ... /.~/~. . .~F~. ........... 3. Nature of work (check wll, i~:h ~pphcable): New Building .....~.... Repair .... ,.~,~ .... ; RemcO, al .............. Demolition . Estimated C~ , , ~. ~- ~ 4. , ,~ ;.t · · -'.' :r~ ........................ 5. If dwelling, number of dweRin~ gnits~ .... ~ ........ Number of If g~age, number of cars .... ~. ;.. ~ ......................... 6. If business, commerci~ or mixed occupancy, specify nature and extent, 7. D~ensions of existing stmctuTes, if any: Front ...... '~ ...... Rem Height .... '~ ....... Number of Stories ..... D~ens~ons of same structure wath alterataons or addmons: Front '... Depth -- . ~ HeiSt .... ; ..... . .8. D~mensmns o(qotire new cons~metmn: Front .... ]~ ........ Rea~ 10.of . ......... 1 1. Zone or use district in which premises are situated. 12. Does proposed construction viblate any zoning law, ordinance or regul 13. Will lot be regraded ..... ~ .... ~ ....... ~.. 14.Nme of Owner of premises $~gg.~.~. ~J]0. K~iql~dress .~ Nme of cnit ct .. 4qC e. L i .itec ....... Nme of Contractor . · .~ ~.~.~ ......... Address ..... ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propos property lines. Give street and block gumber or description according to dee interior or corner lot.-~ i' i~A ~ /~/~'~ ldition .......... Alteration .......... .......... Other Work ............... (Descriptio,,) (to be paid on filing this application) 'elling unit~ on each floor ............... ~f each type of use ' ' ' . .-."TT:.... Depth ...................... ~.~;.~ ..... .'..'.'.: ....... Rear .......... ....... umber of Stories ...... ~ .4 ..... ... 7.~.( ...... Depth .... ~..~.: ...... :ion: .... i~t.O ........................ ,b,e ren~oved,[rom premises:~ ,Yes /.,'~ .~.~.~ .~..,.~,Z~. Phone No. { .~.O../) Phone . ."~. .........Phone No ................ · ,d, and, indicate all set-back dimensions from and show street names and indicate whether STA rE OF NEW Y,.QRI~r, ~ · .... (~ .... 9.~. . f~ ............. being duly s ~om, deposes ~d says that he is the applicant (N f' d' 'd al ''~g t) ~ amc o In lVl U S1 contrac , a~ov~ named. He i~ the ................................................................................. (Contractor, agent, corporate o 'ricer, etc.) ~f said owner or owners, ~d is duly authorized to perform or have perfo reed the said work and to m~e and file this acpl[cation;.that all statements contaned ~ this application are true to th best of his knowledge and belief; and that'the ~or~ will be perfomed in the m~er set forth ~ the application riled: ther vith. ~m to before me this * ' · · ~ ....~ .......... day of.. ............. ,19... Public, ........... County N0. 4707878, Suffolk C0~nty (Si~ature of applicant) l~rm Expires Ma~ch 30, SUFFOLK CO~ HEALTH DEPT. Ai~PROYAL .......... ~ ~,~ '~.ov~r -- SINGLE . - .,~..'- ', ;~ ' ' :"" ':~': ~'**-~?-":- :~:': - d LAN~OR5 YORK . -'~"' ". · ....... , ,.. . ,,, edis ~al~w other agena~ a~d fou~ RODE. RiCK VAN TU.~~, P.C. UCENS% LA.O GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPt. APPROVAL STATEMEN~ i~ THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (s) APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H.S. REF. NO.:~- ~ f~L. .... APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: DEED: L -~ ~/A P. ' STAMP ..... SEAL rr OCCUPANCY OR USE IS I.IHLA~FUL OF OCCUPANCY - I ; J~ & L E XtA .... 7't If copper lubing is used for waler distributing system; piping shall be of types K or L only PLUMBER CE'R2YFICATI'ON' ON LEAD CONTENT BEFORE ~'ERTIFZCAT~~ 01;' OCCUPANCY SOLDER USED IN 1,VATEI~ S UPPL Y SYSTEM CANNOT JEXCEED 2/10 of 1% LEAD. L.E F '~ FEE' BY: D 765-1802 9 AM TO 4 PM FOe T FoLLOWING ,~. FOUNDATION - TWO . FOR 2. ROUGH- F~MING ~ pLUMBINg" ~. INSU~TION ~. FINAL - coNSTRUCTION BE COMPLETE FOR C O. coNSTRUCTION sHALL ~LL ...... cMENTS OF THE J 'DESIGN OR CUM~' ~v ., Phone 477-0400 GREENPORT, N,Y. 11944 C Main Road GI'<t't_-NPC,t~T N y. 11944 3'% i Phone 477-0400 il