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Home My WebLink About14222-z �o�oS�FF°L�`coGy Town of Southold 11/16/2021 a P.O.Box 1179 0 C" • 53095 Main Rd y o�� Southold,New York 11971 �Oj CERTIFICATE OF OCCUPANCY No: 15540 Date: 11/16/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 155 Pinewood Road, Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-3-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/15/1985 pursuant to which Building Permit No. 14222 dated 8/30/1985 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: addition to one family dwelling Corrected 11/16/2021 for Suffolk County Tax Map number only. The certificate is issued to Palermo,Kimberly&Palermo,Dina of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N738627 3/6/1986 PLUMBERS CERTIFICATION DATED t rize iV nature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ~ 15,~40 · Date THlS CERTIFIES that the building ,.,,,,,,,,,,Additi°n t,o, ,o.n.e, family dwe,l,l,i,n,i~ :.. · · ...... 155 'Pinewood Road' Cutchogue, N.Y. · LOC~TIOn Ol rropert3~ ........ County Tax Map No. 1000 Section .... 1.0.:~ ..... Block .... ~ .......... Lot ... 2.4 ........... '. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore ~ed in this office dated J ~l.X. i 5 ............... ,19.85 pursuant to which Building Permit No ..... L~, 222~- .......... datod ... ~,q g ~ ~.t,. ~ 0., ............. 19 .~ ~, was issued, and ~onforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ...... Th rtifi ateisiss ed to SANFORD H, FRIEMANN of the afor~said building, Suffolk County Department of Health Approvnl . UNDERWRITERS CERTIFICATE NO ............. }I,7,~ ~ ~,7, ............................ Plumbers Certification dated September 4, 1986 Rw. 1/81 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) N~ 14222 Z .z~ ..c........~.~_~4...~ZL ..... ·..:.~.,~~./..-.//.,....~...././~'~ -~/ - ~ ........................................................ : ......... :X~.~.~..7.....;:;.....j~._ .............................. ot p,~,,~,,_locoted ot ........ /.~..~-......./~~/..~.~../...f ................................... .............................. ~ .............. ,f, ZL.~..7..~..~ .............................................................. County Tax Map No. 1000 Section ....L .~..,,~ ...... Block ....~,,, .......... Lot No ..... ,<~...-~.~.., ..... pursuant to application dated .... ....~ ........... ./..~......, 19.~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TQWN OF SOUTHOLD ' i~uilding Department, Town Hall '~ Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted -,~ 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. 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 p~z)perty 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 5. Updated C.O. $15.00 $15.00 Date .......................... NewConstruction ..... Old or Pre-existing Building ...... Vacant Land .......... Location of Propertv ........ , .................. . ................ Hou~ No. Street ~ Ham/et Owner or Owners of Propert¥ ..........· ,.~ .,.. ........................ County Tax Map No. 1000 Section ...~.O..~,, ..... Block .. ~ Lot....~-~..~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.~..~..Z, · .--~= Date of Permit Hea~th Dept, Approva~ ........................ Labor Dept. Approval ........................ Underwriters Approval ................... Planning Board Approval ..... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ....... .-~.t .~~. ................. Construction on above described building and p~ all applicab.~odes and regulations. Applicant .~ -~-. -~..-~,'"'"~ '/' .~.~:::: ~.-~/ ~-"~ ....... Rev. 10-10-78 Co ~: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~[y the eieetrlce[ equipment ~ described belo~ and introduced by t~ applicant na~d on the able appl~ation number ~n the premises of ~dy ~ 155 ~n~ Drive~ C~tc~e~ was examined on F~)~ ~ ~ l~)~ and found to be in compl~aRce ~th tl~ req~ireme~ts of this Bourd. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 10 A 5 10 SERVICE DISCONNECT S E R OTHER APPARATUS: ~3tors: 1-314 hp JacUz~i t~b. OF CC. COND, C NO. OF HI-LEG NO OF NEUTRALS must not ~be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by COPY FO~ BUILDING DEPARTMENT. THIS COpY OF CE~II~!CAT~ .I~usT NOT BE ALTEREp IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~ ~ ~_~ //, (please print) Plumber ~ ~ (please print) Date 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 Notary Public, County Notary Public I'IELD INSPECTION ~ou__~ ~y? %o3 _ ( ~ s t ) COMMENTS ~OUNDATION (2nd) i~OUGH FRAME & I PLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~FORM NO. 1 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 4.pproved · .~,~ .~.~. · ·., 19g..~-'-~Permit No..].~t~..~. ~ Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ... a. 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- trion. 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 ,hall 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 aall have been granted by the Building Inspector. ~. APPLICATION IS HEREBY MADE t6 the Building Bepartment for the issuance of a Building Pe~rmit pursuant to the }uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or gegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ['he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary insp~on, s. ,-~ ~ · '(Signature of applicant, or name, if a co p ration) . ?. (Mailing address of applicant) Iratewhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. q'ame of owner of premises . .~'.~.4v~..'~..'q-~... · ~.-..~..~'../~...~.'~.~/. · .~. ·. ~...S~1.,~7. ....i ................. (as on the tax roll or ~D ~$ [tio'rFo f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... ~...~.~r~. ~.. ........... Plumber's License No ......................... tt Electrician's License No ....................... Other Trade's License No ...................... 78~1802 ~ FOLLOW~G FOR PO~D 2, ROUGH 3. INSULATION 4. FINAL CO~-JSTRUCT~- BE COMP~T~ FO~ C,O, ALL CONSTRUCT~O~ ~HALL ~ET THE ~EQUI~F~zr~ OF TH~ ~.Y t. Location of land on which proposed work will be done ............ STATE COi~S.TIqt~C'r[ON & ~N~RGY .......... ,./...F..F .............. ............ · .c~..~.aye...~,i ~,.., ::...: ......... House Number Street . f Hamlet -- ~' County Tax Map No. 1000 Section . .l..~..~. ......... Block .... ..... ... Lot .... C~..~.. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) ~. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~4~ b. [ntanded use a~d occupancy .................................................................... 3. Nature of work (check which applicable): New Building ..... ' .....'Addition ......... Alteration ......... Repair .............. Removal .............. Demolition ... ! ........... Other Work .............. .' I~ (Descripti o n) 4 Estimated Cost ...... '.~.~'~....-..oAD..' [ '.,~..,..O/~... :' ~' (to be paid on filing this application) If dwelling, number of dwelling umts ............... Number of dwelling units on each' floor ................ If garage number Of cars' f each type of usei ..................... 6. If business, commercial or mixed occupancy specify nature an, d extent 7. Dimefisions of existing structures, if any: Front .... ; ...... .',... Rear .............. Depth. ~. ........... Height Number of Stories Dimensions of same structure with alterations or additions: Front .... : ............. Rear .................. Depth ....................... Height ....................... Number of Stories ...................... Dimensions of entire new constructmn: Front ............... Rear i"' .~.o..r ........ Depth ..../~..r' ........ ~.t Nurnb? of Stories ! Height ,. Size of lot: Front Rear .' Depth Date of Purchase .......... i ................... Name of Formes Owner :.. ..... : ..................... Zone or .... c ' ' ' use district ~n wM h premises are situated ..................................................... Does proposed 9onstruction vi61ate any zoning law, ordinance or regulation: ..... ~. O ....................... Will lot be regraded ...... ~./L/l~. ............... Will excess fi,ll be removed from premises: Yes No~" Name of Owner of premises ~})~t~. ~..,g..~? .... Address /t/q~,.o....~.,~? .... Phone No..'7~,~,?.~.~.(.I~. .... Name of Architect ' Address ' Phone No Name of Contractor ........ : .................. Address ....... i ............ Phone No ................ 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. !t~ '8. 10. 11. 12. 13. 14. STATE OF NE'ffYORK, -- i COUNTY Or~ .... i ~'a · .. ~..~ .~F..~... ~.,.../'~..~,~'..,qt.'~.,~..t"~. ..... i. ............. being duly sTorn, (Name of individual sig~ing contract) above named, j , deposes and says that he is the applicant ......................: ' ~ (Contractor, ~t', '[o .............. ~ ~; ~ ............................ . age rporate o!ficer, e . of said owner or owners, ~d is dgly authorized to perform or have perfomed the said work and to m~e ~d file this application;that all statements contaned ~ this application am true to the~ best of his knowledge and belief; ~d that the work will be perfo~ed in the m~ ~r set forth ~ the application filed therewith. Sworn to before me this ............../~.~ ....... dafqf~ .... ./~:r~ ........ ,19... Nota~ Public,~/'. ..... ~: · .,~ .......... County PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY OCCUP/~Cy OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SOLDER USED iN WATER SUPPLY S¥S~'EM CANNOT EXCEED 2/10 of 1% LEAD. PENNY LUMBER GJ~ENiK)~, N.Y. If ~ ~ubing is used f~r ~ distributing Of~ ~Or L only. MAIN ROAD -BOX 57 ~ GREENPORT, N,¥. 11944 '~ ! LU ...( , NEw '-i~A"r ~ MAIN ROAD -BOX 67 GREENPORT, N.Y. '11944 t