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HomeMy WebLinkAbout14258-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building addition to existing dwelling Location of Property ....2.7.0.5. .................. B..c.i~qe...L?. ......... .C.u.L. ?.h.o.g..u. ? ...... House No. Street Hamlet County Tax Map No. 1000 Section ....0.8.5 ...... Block 002 .Lot 001 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fded in this office dated ·..~.u.~u..8.t..7. ~..1.9.8.5. ..... pursuant to which Building Permit No. 14258Z dat~d~p.~..e.m.b.e.~...1.1.,...1.9.8.5. .......... was issued, and conforms to all of the requirements of the applicable provisiorls of the law. The occupancy for which this certificate is issued is . to, .cons truct an addition to existing one family dwelling, as applied for. The certificate is issued to ...... R.a..lp.h. & Patricia Pugliese (owner, levee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. N/A N81590.9 UNDERWRrrERS CERTIFICATE NO ................................................. PLUMBERS CERTIFICATION DATED: July 10, 1987 Rev· 1/81 TOWN OF $O~THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 14258 Z Permission is hereby granted to: ~~.....~.~ ...................................... .~~.~...~.:~:......~,.~.~.~-. ........ ~ ~r "-~' ~ ... ~...~Ld~.~... ~q. ~~ ~ '~"'"'~'~'~"'":: ............. :": .......... ~ ................ z""~'~' ....................................... mt premises located at .,:~,~..°...~....]\~,4,....~-.c~C~L ........ ~~-~ .................. County Tax Map No. 1000 Section .... .~......~...~.~.. ...... Block O ~ ~ Lot No ..... ..~ ........ ~ ...... to application dated ...~-~..~..~.....'].. ....................... , 19.~,.,'~.,'],,,and approved by the pursuant Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. v~ (p~mber" ~ Sworn to before me this /~/ day of >Wu ,' Notary Public, County Notary Public FORM NO. 6 TOWN OF $OUTHOLi Building Department Town Hall Southold, N.Y. 11971 765- 1802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ~ 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~ Lions, 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: ~ 1. Accurate survey of property 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. S25.00, Accessoryi$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruc Lion. .-~.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . /. ~.~ ~/-. .... .,5/~7/. ~-; .............................. House No. /~ . Street ~'~ Hamlet Owner or Owners of Property ,.,,,.-~.).f~//f... Z.z'~.~.' CountyTax Map No. 1000 Section . .~. ,~.'.~..~. ...... Block . ?.'.~.~ ....... Lot. ~.~. ~. ........ Subdivision ................................. Filed Map No .......... .~c~t No .............. ·~"' ~' Permit ?.~.-'~?-7 IQ~'~/~''?' . ~ .~-. Perm,t No./.4/:,~9+Dr~.Z. Date of J. :-.~..~..ApplicantF. ~ .-'~ ./~./~.../~C/.~ct ..... Health Dept. Approval ........................ Labor Dept. Approval .................... ... Underwriters Approval ........................ Planning Board Approval .... . -,;,~ ............. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ~..~.. ~-~. Construction on above described building an~mit meets ~kap~pticabl.~e codes and regulations. . . ? / //, ~ . ~pplJcant ~_ ~..~&~.~ ......................... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 100056~ BUREAU OF ELECTRICITY ~ J~e :3. ~9~7 B~ JO.. ST.EET..EW ~O.~, THIS CERTIFIES THAT only the el~ tricol equipment ~ ~scrlbed below and int~duced by the ap~cant ~d on the ~ ~pp[~cat~on n~mber ~ the premises of ~. ~lph ~glieze, 2705Bridge L~e, Cutchogue, N.Y, in the follo~ing location; [] Basement u~sexaminedon 3une 8, ~gS? Fl. [] 2nd FI. Secthm Block Lot and found to be in compliance u, th the require.~ents qf this Board. FIXTURE FIXTURES OUTLETS SWITCHES 44 41 5 RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO, OF FEET OIMMERS SERVICE DISCONNECT S E R V I C OF NEUTRAL OTHRR APPARATUS: ~150 Waist ~73o 2~70 Watt &*G.F.CLI. 1-Smke Detector Vincent ~tnzo ~~--~'~ 112 .' Mo'ffman Street Valley Stream, NoYo 11580 Lie.2~76E f~ GENE~A[ MANAGER ~Js certificate must not in any manner; return to the office of the Board if incorrect. I~specfors may be ideht;f~d by their credentiaJs. COPY FO~ BUILDING DEPARTMENT. THIS COPY OF ~ERT F C~TE'MbsT ~0T. BE AL~EREO N ANY MANNER. 7GS-~802 BUILDING DEPT. INSPECTION FOUNDATION ~ST [ ] ROUGH' PLBG. FOuNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: ,,, FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ R~OUGH PLBG. [ ] F0~DATION 2ND [ ] INSULATION r~MING [ ] FINAL REMARKs, ..... DATE INSPECTOR / 765-18~2 BUILDING DEFT, tNSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING DATE,,~ INSPECTOR 7GS-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND[ ] INSULATION ~I~A FRAMING [ L 7GS-1802 ,BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: fIELD INSPECT] OUNDATION (1st) COMMEN1 )UNDATION (2nd) UGH FRAME & PLUMBING  ~ER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .q~.~ .~....~..I.t.,., 19 Approved . .~..~..'~...('~... 9.., 19~.f. Permit NoJ.~ .')'?: .~..~... Disapproved a/c ..................................... (Buil2ing Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19.. 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 throup~hout 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. k APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or [egulations, 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 necess~g*~ec~tio~.~r~ ~ ~'~,{, _k,, ~~"74,,~ .2. -- (Mailing address of applicant)O' ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,.. ................................................................................ ~ame of owner of premises ~.~9. &,~....~..J'. ~.T~ ,'~,t'~. .... . .~.td..&. ,~-,.fi.,~. $..,~ ......................... ! (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done.. ~.~ ~'~.~.~. .... .~7...~...'~. ·~. ................... ,.. 7.o.r. .......... .,..,,..a ................. G. ............ House Number Street Hamlet County Tax Map No. 1000 Section . .~>~..fi'. ......... Block .. ~...~?.o~ ........ Lot..t?..~.?. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.. ~. ,1~..~::..1]. Jl ./~..&. ........ .~..,~M. i~..... ~..~.~//.'..d--.~. ...... ,- ........ .~.... b. Intended use and occupancy 3. Nature of work (check which ~pplicable): New Building ..... ' ..... Addition ....... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... J · (Description) 4. Estimated Cost ......... /.,~ ~ i~ 6 ...... Fee ,, ~'~ (to be paid on filing this application) 5. If dwelhng, number of dwelling umts ............ Number of. dwelling units on each floor...l ............ If garage number of cars ' 6. If business, commercial or mixed occupancy, specify natu, re and extent of each type of use ~$~'..~/~.~...~'~.l;.~' 7. Dimensions of existing structures, if any' Front. I.~'.. ° . . Rear , · .. .~. ................. Depth .,~3../~ ......... Height ].t// ............ Number of Stories ] ....................................................... 'Dimensions of same structure with alterations or additions: Front . 7.~. ~. 10 ' Rear . ~..~ .~A.... Depth · · ~. ~.' ............ i · · · Height . ./.I~ .................. Number of Stories. J. ................... 8. Dimensions of entire new construction: Front . 6.~:G. ........ Rear l~O.~ ........... Depth ~.O.~. .......... Height . ./~ ........... N-U?- ber of Stories... I .................................... ;...~. ........... 9. Sizeoflot' Front ...~l,~: ~{,$~ Rear /.~ 0~... ~ . .,I)~ .7.th , ~)$ . 10. Dateof,Purchase~,,.~...tlt..10. g.l ............ Name of Former Owner /'~0~../(..~-.~.~.~.~.~./. ....... 11. Zone or use district in which premises are situated ................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ~r.~. ......................... 13. Will lot be regraded .... ~lf.*i .................... Will excess_fill be removed from premises: Yes No~ 14. Name of Owner of premises ~.~. ~ i0~{. · .~.f/.~. ~..].~'~'~. Address ~/1 .t ~. 6.fi'. ~, bl.~'. .~.. Phone No. ~.~'~.'..~. ~O~.~... Nam¢ of Architect ......... I .................. Address ................... Phone No ................ Nmne of Contractor ~ Address Phone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, anti, indicate all set-back dimensions from property lines. Give street and blocl: number or description according to deed, and show street names and indicate whether interior or corner lot. IZbfl. C3 t , STATE 0F NEW~OBK,, I S ~ COUNTY OF ~ ..... ~ · ...~~~...~: ..................... being duly sworn, deposes and says that he is the applicant (Name o~ndividual sig~ing contract) above named. Heis the ..................... ~...~ ........................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have performed the said work and to m~e and file this application;that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the mmffer set forth in the application flied therewith. Sworn to before me this ' Nora, Public, . ~.~. ~ .~ ........... County . . '. .' .~ ~gnature of applicant) I& ~.XIO RIOG£ Z.,YG c OLL,~R 3L" O.G. FIN, SNEETROCK 2X2 CLG, RIOHT SIDE ELEVATION ' I pOURED COIVC. ¥'Y/~L~ + POOTING$ U fl" ~L EL- OtC" "OR~V£h BE~ Z'O"XZ'O"~I'D / COWC FIBERGLASS )NSUZRTIOH 5TO~E VZ'EN£k I ~" RIDQIP C}~055 5ECTI ON ,?UGLI ESE- BRID6E L ii tVP C u'r'c, HOI. IOV[ o,,~ 3 -13-8S' .I ,LATE HEg)RTH X, __1 APPItO¥~D AS NOT~"D-- 765 1802 ~ ,q>l ~ 4 P~ FOR THE CODES. NOT ES~NSIBLE FOR ,'*~ESIGN OR CONSTRUCTION ERRORS, OCCUP~ OR USE IS UNLAWRJL WITHOUT CERilRCATE OF OCCUPANCY -R- 15' 'CL m CL % ~.,, UF 7' PN ENTF~Y FLOOR PI AN ~EDRO0~ ~3FDRO0 ~1 13' ~,~ /2' OF ROOF' LINE CANNOT JXCF~D 2~IO M lS I. EA~ ~P up PLAN B,4S. ~ ~AR/~Gr ASPHALT ,.SHINGLES .STONFVE~It'-£A .... ~ FRONT ,ELEVATI Oh/ SKYLIGHT ~, FIN Gi~RAG[~i?L'~ ~LE'VATtON A~PHALT TErfRhc£ PUGLIES£-~RIDC-E LANE, CUTCHOUOF ?.'0' 0 g',t-R ,wA/vo G~,q DF -- LHFT SIDE ELEV,k T/OiV -I RIGHT ~IDE ELTVAT/O)¥ pOUP,~'D COIVC. '~,//tLL ~- FOOTINGS II P-.X'IO R I DG'~ 3L" O, C. O'I/£ R HA.~6 .5' HI big L ~.~ FIN. SN££TROCH FIB£RGLAS$ INSUL. ~l~] I/MCEIL)/'/G FLOOR YOIST 16'~ O, O. FIIY, EL. F_'O"XZ.'O" X I'0 STE[L COLOU~ C ONC. FOUI'J~ FI BERGL~qS$ )NSULFtTIO~ HELF FOR .~TONE ~/I'~£AIE R CR05~ ,SECTI ON