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Home My WebLink About13655-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ..... ,Z. 1.4 5 8.1 ...... Date ............. .5.~ 1 y..1 ............. 1986. THIS CERTIFIES that the building one-family dwelling. 2740 01d North Road Southold Location of Property ............................................................... House No. Street Ham/et 55 2 1 .2 County Tax Map No. ] 000 Section ............ Block ............... Lot ................. Subdivision. X .Filed Map No. .X ..... Lot No. × conforms substantially to the Application for Building Permit heretofore filed in this office dated . J).fic ~m.b. ac. 6 ......... 1984. pursuant to which Building Permit No.. 3.3.6.55 ~ ............. dated . J a n u a v y 2 198 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 ......... Private one-family dwelling. RANDAZZO BUILDING CO., INC. The certificate is issued to ..................... ?dd, n.o.r,~,~ry~d~ ..................... of the aforesaid building. ~ 4-S0-255 Suffolk County Department of Health Approvai .......................................... UNDERWRITERS CERTIFICATE NO ............ N 702081 Building Inspector Rev. 1/81 l~'Olt,~ NO. ~6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, 1'4. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13655 Z County Tax Mop No. 1000 Section .~...~....~... .... Block ....~...~. ........ Lot No. ~.....O....O.,./. pursuant to application dated Building Inspector. Fee Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD 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 ! ~ 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 natura~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3, Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 /~ ~ // '~-~/ 5.Updated ~O. $15.00 Date..~.~.~..~.., J.~ .~../. ~. · . New Building .... ,~...~ ... Old or Pre-existing Building ............ Vacant Land ............. House No, /~ ~ Street~ Hamlet Owner or Owners of Property . ~~ ..... ~'.. ~. ~.. :~ .................... County Tax Map No. 1000 Section ~ ........... Block ......... Subdivision ................................. Filed Map No ........... Lot No .............. Hea~th ~e~t. A~roual ........................ kabor ~opt. A~¢roval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...~. .................. Fee Submitted $ ......................... Construction~,,O,_7~.7~ I q~c~ I°n above described building and p~r~r~? m ee~"-a)ll/]~-/~ ,,~applic'able codes and regulations. ..-. ................... Rev, 10-10-78 ioooi i THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy 85 JOHN STREET, NEW YORK, NEW YORK 1OO3~ aate July 26,i98S ,,,,llcatlon o. onfile3i75i=/SS N702081 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Randazzo Building Co., Old North Road, Lighthouse Road, Southold, New Yoz in the following locatlon; ~ Basement ~ ~st FI. ~ ~nd Fl. Section Block Lot was e~amined °~r~u l y 22t1985 and found to be it~ compliance witb the r~quirements of this Board. FIXTURE OUTLETS 44 RECEPTACLE.~ SWITCHES 60 39 DRYERS FURNACE MOTORS FIXTURES RANGES OVENS EXHAUST 44 FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E OTHER APPARATUS: Special Rec'pt.- 1-30amp., l~50ampo G.FoC.I.- 4 Smoke Detector- 1 R V I C E A W G. NO OF HI-LEG OF CC. COND 4/0 A. WG AW.G OF HI [EG OF NEUTRAL i 4/0 Paul Burns liC.#282E 275 Town Harbor Lane Southold, N.Y., 11971 11 This certificate must not be aJtered in any manner; return fo the office of the Board if incorrect. Inspectors may be identified by COPY FO UILDING ~ER, FIEL~ INf~FECTION 'FOUNDATION FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY C DE COMMENTS TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. \~55& Owner~7~7~O %~(~ ~please print) (please prin~) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before~e?his J~, day o~ ~ l~ . . / ,~ ~ Notary Public ~~_ J -- ~ ~mber's-~ignature) · County / ~ Notary Public 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS:,,, /~ DATE_ INSPECTOR %.HE WATER SYSTEMS CO¢ ?ORM T ,_,FFOLK APPL SUFFOLK C SERVICES CONSTRUCTi: DATE' i~,, S. REF..NO APPROVED _ SINGLE j SUFFOLK( DlST, OWNERS ADD TEST HOLE ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ........... INSTRUCTIONS a. This application must be completely filled in by typewriter 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 showingdocation 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, housing4:ode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections· ~, '~'~' [] / ............. .u..~y:.. ~:_.~?~.¢:.,f.~. ~,. ....... (Signature of applicant, or name~,~f ~(~orporation) · toO.. ~'.~.~.~..,~r~:... r~.e~..?.~.'~ ~.~:...g..,I, (Mailing address of applicant) State whether applicant i~essee, agent, architect, engineer, general contractor, electrician, plumber or builder· Naane of owner of premises ...... : .... : ....................................... (as on the tax roll or latest deed) If applicant is,,a corpojmlion signature of duly authorized officer. ...... l .............. (Name and title of corl~6rate officer) Builder's License No .......................... Plumber's License No.~.', P~} .~,t~.~.J~ ......... ~..~.~. ,~ ~ . Electrician's License No, . .~./r-IZ C ....... 1. Location of land on which proposed work will be done .......................... House Number Street Hamlet County Tax Map No. 1000 Section ... ~7~ ....... Block ...... ~ ........ Lot ...... ~.[ ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy...~}~. .................................................... b. Intended use and occupancy Nature of work (check which avplieable): New Building ........ Addition .......... Alteration .......... Repair .............. Removal~ .............. Demolition .............. Other Work ............... 4. Estimated Cos ........................... Fee ..................... ~, ~-' (to be paid on filing this application) 5. If dwelling, number of dwellingi units .............. Number of dwelling units on each floor ............... If garage, number of cars ~ ..................................................... 6. If business, commercial or mix6d occupancy, specify nature and extent of each ~ype of use .................... Dimensio_ns9fexistingstractures, ifany: Front. .... r~.(~.~ ....... Rear ..~.~ .......... Depth.~.~.. ......... 7. Height .~ ........... Number of Sto~es ........ ~ ........................................'--~' D~ensions of sine structure With alterations or additions: Front .,.... ..... Rear ...... Depth : HeiSt Number of Stories - $. Dimensions of entire new const~ction: Front ............... Rear ............... Depth ............... Height ... Number of Sto~es ............... Size of lot: l~ront ......... , ............ Rear ................. Depth ............... 10. Date of Purohase .......... : ................... Name of Foyer Owner ............................. 1 1. Zone or use district in whioh p~emises are situated ..................................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: . .~Q .................... 13. W~I lot be regraded ...~. .................... Will excess fill be removed from premises: ~/N0) 14. Nme of Owner of premises .. ~ .................. Address ................... Phone No ................ Nme of Architect ' Address Phone No Nme~of Contractor ........ ~ .................. Address ................... Phone No ................ PLOT DIAG~M Locate cle~ly ~d dist~ctly ~i bu~d~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d bloc~ number or desc~ption accord~g to deed, ~d show street nines ~d ~dicate whether ~tefibr or Comer lot. STATE OF NEW YORK, COU~Y OF.. ~ .~ ..... ~'.. S.S ...................... , · .,...'.- .................... being duly sworn, deposes ~d says that he is the applicant (Name of individual sig~ing contract) above named. He is the .............................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly autho~zed to perform or have perfomed the said work and to m~e and file this application; that all statements conff~ed ~ this application are true ta the best of his ~owledge and belief; and that the work w~l'be perfomed in the m~n~r set forth in the application filed therewith. Sworn to before me this ....................... day o~ ............... ,19 . Notm~ Public. ........................ County HEtEN K DE VOE ' ~ ~ ' NOTARY PUBLIC, State, oi New Yor~ ..................... , N0.4707878, Se,ilCk Cou.ty ; ~ , (Si~ature of applic~t), RODERICK VAN TUYL. P,.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPRovAL H.S. NO. , ,,, STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM tO THE STANDARDS Or THE (st k_) ; ~ I',L.~eu,~.~ ~Z ,, ) APPLICANT ) I SUFFOLK COUNTY DEPT, Of HEALTH SERVICES -- For APPROVAL OF CONSTRUCTION ONLY I DATE: H. S. REF. NO. APPROVED: SINGLE FAMILY SUFFOLK CO, TAX MAP DESIGNATION: DIST. ~CT. BL~K ~L. OWNERS ADDRESS: '~ SEAL J RODERICK VAN TUYL, P,.C. ~. ~: .... ~-.-~, LICENSED LAND SURVEYORS GREENt:~rT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVALII h.S. NO. STATEMENT OF INTENT 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.: )4' - ~O-%~ APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DtST, ~CT. BLOCK PCL oWNERS ADDRESS: .75- 6~, TEST HOLE STAMP SEAL OR No'FY BUiL~TNG DEPARTMENT A~ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING IN?ECTIONS: 1. FOUNr~ATION - TWO REQUIRED FOR pOURED CONCRETE 2. ROUGH - FRAMING & pLUMBING 3. H iSULATIOh4 4. FINAL - CON'STRUCTION MUST BE COMPLFTE FOR C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS If copper tubing is used [or water distributing system; piping shall be :!L of types K or L onJy Unauthorized a[terahon or addition to this document is a vlolat~on of section 7209 of the New York State Education Copies of th:s document not be~rin~t the eng~nee/s inked seal or embossed seal shall not be considered vaJld copies, OF OCCU RN,CY · ITEVE G. TSONTAK"iSASSCCIATES addition to this document is a violafbn of ~ection 7209 of the New York State Education Copies o! this document not bearing Ihe engineer's inked seal or embossed seal shal~ not be considered valid cop~es. iI ,I '1 4--" Unauthorized ~lferatlon or addition to this document is a wolation of section 7209 of 1TIRE I1. TSONTAKll AtlO¢IATll eli's ~OA#OKE AVE., ~VERNEAD, N,Y. ,r, '¢ ¢'" 9\ T Unauthorized alteration or addition fo fhls document is a violation of secHon 7209 of the New York Sfate Educ~tion Copies of this document not bearing the engineer's inked seal or embossed seal shall not be considered valid copies STEVE G~ TSONTAKIS ASSOCIATES 632 ROANOKE AVE., RIVERHEAD, (516)7~,'/..74~ .~ 't 1. ~%LL WORK SHALL COMPLY ~¢ITH THE NEW YORK STATE UNIFORM FIRE ~NTION AND BUILDING CODES. ALL LINTELS S}{OWb! ARE MINIMUM. DOUBLE JACKS EOR ALL OPEEINCS G~ATE~ T[iAN 6 FEET, 4. DOUBLE FLOOP JOISTS U~DER PARTITIO{!S. 5. DOUBLE RAFTERS AT SKYLIGFTS AS APPIICABLE. THE NEW YORE STATE ENERGY CODE SHALL BE COMPLIEE WITS ON TRE BASIS OP PART 5 (ACCEPTED PRACTICE AHD IN PARTICULAR AS FOLLOWS:) PROVIDE SEPARATE HEATING Z~NES FOR FLOOR. FIREPLACE DAMPER SHALL HAVE A LEAE RATE O~ LESS T}{AN 20 C~M OR BE FITTED WITH A GLASS DOOR & I~I,: FITTED WITH AM EXTERNAL COMBUSTION AIR SOEECE. T~ KITCHEN EXHAUST FAN SHALL ~E FITTqD WrTI{ A DAMPER OR B~ NON-VENTING. ALL HEATINC, HOT WATER WITR THE NEW YORE STATE INSUlaTION SCHEDULE AND ELECTRICAL EQUIPMENT CONSERVATION CODE. SHALL CEILING - ~=%~ WINDOWS Il ~ 0.69 WALLS ~--=%~ DOORS Il L 0.40 FLOOR ~.-=1{ EOT WATER PIPES - E = Unauthorized dter~tion or addition to this document is violation of section 7209 of the New York State £ducafion Copies of this document not bo~rm9 the engineers inked se.I or embossed seal shall not be considered wl~d STEVE G. TSOliTAKIS ASSOCIATES ROANOKE AVE., RIYERHEAD, N.Y. (51 i)7 7-741111 ............. G2'--O " ~f / addition to this document is a violation of section 7209 of the New york Stare Education