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HomeMy WebLinkAbout26957-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27750 Date: 06/14/01 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1160 TOWN HARBOR LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 64 Block 5 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 2000 pursuant to which Building Permit No. 26957-Z dated DECEMBER 6, 2000 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 AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PERRY T & JILL B CRISCITELLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 559918 06/05/01 PLUMBERS CERTIFICATION DATED 06/12/01 ROBERT VAN EFTEN Authorized Signa re Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26957 Z Date DECEMBER 6, 2000 Permission is hereby granted to : PERRY T CRISCITELLI 129 IRIS AVENUE FLORAL PARK,NY 11001 for CONSTRUCT ADDITION AND ALTERATION TO AN EXISTING THREE BEDROOM SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1160 TOWN HARBOR LA SOUTHOLD County Tax Map No. 473889 Section 064 Block 0005 Lot No. 009 pursuant to application dated SEPTEMBER 29, 2000 and approved by the Building Inspector. Fee $ 75 . 00 -13zle-t� Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802_ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the. building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00 Alterations to dwelling $25.00, Swimming pool $25.00, Accessory ui ing $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .2 . 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .�f./;�• /V.r. . . .. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . Il.�.�1. . . . . . . . .Town. �4tt.�O►:�.�^�—. . . . . ."O M..-llb d. . . . . . . . . . House No. Street . . Hamlet Onwer or Owners of Property. . .Par. Al Y . . . .Cr 1 s.G S � !!.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No . 1000, Section. . . .:`: 1. . . . . . .Block. . . 5. . . . . . . . . .Lot. . . . !. . . . . . . . . . . . . . . . . Subdivision. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .;`q7 .7.7-: .Date Of Permit. . . . . . . . . . . . . . . .Applicant.F�rr`1 �: C r. . . . . . Health Dept. Approval. . . . &. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . A. . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cert-*7te. . � . . . . . Fee Submitted: $. . .�i'J.Of. . . . . . . . . . . . . . . . L � � . . . . . . %�• 'APPLICANT. . . . . . . . . . . . . . . . . . . . . . . . PERRY T. CRISCITELLI 1160 TOWN HARBOR LANE SOUTHOLD, NEW YORK 11971 (516)765-6148 June 10, 2001 Town of Southold Department of Buildings P.O. Box 1179 Southold, New York 11971 Re: Building Permit Num. 26957-Z Dear Sir/Madam, I am in receipt of your letter of June 4th relative to issuance of my Certificate of Occupancy. Find enclosed a check for twenty five dollars, and a completed application. By copy of this letter to the general contractor, I will ask that he follow for the Underwriters Certificate and Plumber Solder Certificate as soon as possible and forward same directly to you. If you need anything further, feel free to contact me during business hours at 516 742 7650. Very tr y yours, *ery *Criscitelli Enclosures. Cc: Daniel Fischer a Os�FFO(��o Town Hall,53095 Main Road y Z Fa53 P. O. Box 1179 • -'Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: / Z� Building Permit No. Owner: Crl'.5cl-' felli, (please print) Plumber: b ba'ye Va-rl (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. qUiP�tQ� (Plumbers Signature) Sworn to before me this day of lln4 y 1-9 Z oo i Notary Public, County ELIZABETH A STATHIS NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk County Term Expires June 8,200.,-- THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 ' �L ;.: JUNE 05,2001 N 55991$ THIS CERTIFIES THAT rr�iM11 Date AAplic i" NU on 57 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of BERRY CRISCITF.LLI, 1160 TOWN HARBOR LANE, SOUTHOW, z in the following locaVY 1Q,2gsgi ent 11 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on MAA W and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCE FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 7 5 2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS I N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO AMP. CC COND. A.W.O. A.W.O. A.W.O. AMT. AMP. TYPE EQUIP. 1 2W1 SW SW IW PER• OF CC.COND. NO.OF HI-LEO OF NI-LEO NO. NEUTRALS OF NEUTRAL -F OTHER APPARATUS: PADDLE FAN F-1 G.F.C.I:-2 SMOKE L E,7B=R;-1 PAUL R. BURNS LIC.#3897E L PO BOX 1061 SOUTHOLD, NY, 11.971-0932 GENERAL MANAGER Per- This er This certificate must not be altered In any manner;return to the office of the Board If Incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Ira yam► Town Hall,53095 Main Road p Fax(516)765-1823 P.O.Box 1179 COD Telephone(516)765-1802 Southold,New York 11971-0959 �j01 � Sao BUILDING DEPARTMENT TOWN OF SOUTHOLD June 4, 2001 Perry Criscitelli 1160 Town Harbor Lane Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. XX The check is (not on file• )$25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT 26957-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. -7* BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING INAL [ ] FIREPLAC C MN REMARKS: � ,DATE �� D INSPECTOR 10007 BUILDING DEPT. INSPECTION [ p�' NDATION 1ST [ ] ROUGH PLBG. [(/ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIItEPLAC IMNEY REMARKS: 1 ,DATE INSPECT ` 7 suiwiNa DE". S PECTION F NDATION iST [ ] ROUGH PLBG. FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �'���4�e )�GGG,�� ,DATE D/ INSPECT suu.niNe near. INSPECTION [ ] FOUNDATION IST [ ] ROU LBG. [ ] FOUN ON 2ND SULATION RAMING [ ] FINAL [ ] FIREPLACE & C IMNEY / REMARKS: ,DAT � IN8P 76s-ieo2 BUILDING DEPT. INSPECTIO [ ] FOUND ON IST [ ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY RE~KS: z a�l ,DATE /)!�P/ INSPECTO l 4 FIFA INSPECTION REPORT DATE CONMENTS -----essassn=s==sce----xc�xoxs essx-e---= =sxss--= acx=xee 4 IF- 1 FOUNDATION ( 1-T) PV leii .� rr--- _ FOUNDATION (2 ------------------------ ----- -- ------------------------------- II ROUGH FRAME � 1 --��� Q PLUMB G ir- ii IIjC-------�� 4 IV INSULATION PER N. Y. 11Ole STATE ENERGY CODE h A N of t� r u -41 ii FINAL I1 if II jj ADDITIONAL CONTENTS: c�ecxcccaaecccsassecccccx=xcccaccaaesaeccars=es==e�aas==aaaa====a====ss==x===e=�sssa=ea � ��' z�4 hilly �. i� H ' H Q O z Q,' Of b H BOARD OF HEALTH . . . . . .. . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . ... . . . . . . . BUILDING DEPARTMENT CHECK . .. . . . . . . . . . . . . . .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . ... . . . . . . SOUTHOLD, N.Y. 11971 DEC ... . . ......... ....... . .. . TEL: 765-1802 TRUSTEES . . . ........ ........ . .. NOTIFY x� 7yZ_76 S-0 �g CALL Fawdned....GI`���...... zi0_Qo MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.......lk -7.. Permit No. ............. .................................. ., Disapproveda/c .................................. .................................. ............................................. . ..... .. . ..... .. ......... (' rn (Building Inspec r) APPLICATION FOR BUILDING PERMIT SEP 2 9 22000 Date. . . . .. . . . . . . . . ... 2G. . . . INSTRUCTIONS ration' Z completely filled in by typewriter or in ink and submitted to the Building Inspector for w 3 sets of plans, accLwate 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 application. 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 issue 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 MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Carty, 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 code, and regulations, and to admit authorized inspectors on premises and in buil for s i7,spec1.7. . ........... ... • Sigmt of applicant, or name, if a corporation). L .Saf/.t, G�vu mll. .............. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ........© '.. ................................................................................................... r .. C' TSC/ CLL/ Name of owner of premises .......................................... - �`� ... ............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... , Electricians License No. ..................... Other Trade's License No. .................... l. Location of land on which proposedwork will be done ..................................... 7.... ..................... . .................................................................................................. House Number Street Hamlet Camty Tax Map No. 1000 Section ......e.`/..... Block ....O.f....... Lot ....Q.1 ....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use antioccupancy of proposed construction: a. Existing use and occupancy ....../�. /�//9 TG /���� ................ .......................... ...,..................... b. Intended use and occupancy ......! L .' 6E 13CrD�Jdm - ............................................................ Repair ............ Ranoval '. .K,r uuiiumug .......... tkumition Alteration .......... Altera / ..... Demolition ............ Other Work Estimated Cost Yf.0 �Q,d (Description). ..... . fee ...... . _ _ (to be paid on filing this application) . IE ("Jelling, number of dwelling units ............ Number of dwelling units on each floor If garage, number of cars ...................................... ................ If business, commercial or mixed occupancy, sped nature and extent of each �' a type of use.. Dimensions of existing structures if any: Front...... .'.... 7 S ... ........ ' Rear Depth Z s �. Height .....1..`�0��....... Number of Stories ... .. ........ Dimensions of same structure with alterations or additions: Front •...7(� 3 Depth ..... s?.... Rear ...e......... p .111?1 .......... Height ... !9!7�.......... Number of Stories ...l........... Dimensions of entire new construction: Front .....�f.e..... Rear ..l.r ... Depth ..P. Height ......S dwv. .......... Number of Stories .. /.. _ ........ Size of lot: Front ... 307. ......... Rear .......:f�...:. ./... Depth ................... �. Date of Purchase .....7,1./,y......... Name of Former Owner ..L�OII S.................... ....... Zone or use district in which premises are situated ...SV!/�/s`OG Does proposed construction violate any zoning law, ordinance or regulation:• .................•••.•..Will lot be regraded ........X" ........ Will excess fill be removed from premises; Names of Owner of premises ... RpeW T:V-//-c A MfSC/TC-CL/ � // •Iir•• .. Address ..!/.(pd /aGdn /fa✓bd/C,¢Phone No. Ne of Architect r�dc.J�_y//,/!$�G!............. Add Name ress;r . :v;�`�� l(J ....... Fhone No. �1- ./3�' Name of Contractor ..... ..�Pfw... .....��c L1 e✓' C�I^/t'�7 j��.�{J. l�:....... ...... ... .. Address ....Phone No. .............. Is this property within 300 feet of a tidal wetland? * YES .......... �,•, *IF YES, SQTI1lrxD 1UM =JSIM-3 PMWT MAY BE IgJIRCD. ....... PI.OT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions om property lines. Give street and block number or description according to deed, and show street names and indicate ether interior or corner lot. t ►lT Of N;'W YO W LL / SS WIT or ..sV .7tl1�.......... ..of. individual Y i ersigning contract)2r�ccTE Ct . me .....................being duly sworn, deposes and says that he is the applicant ve named, is time ........... (Contractor, agent, corporate'officer, etc.) -. -•� said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ,lication; that all statements contained in this application are true to the best of his knowledge and.belief; and t the work will be performed in the manner set forth in the application filed therewith. -rn to before me this rr ......241 !...day of .SQf......... .20 0 6... btary Public .. ..iC.X..►. ... .. 7.eq, /Applicant) _ HELENS D.HORNS (Si�� ••Notary Public,State of New Yorlt No.4961364 Qualified in Suffolk County Commission Expires May 22, d d F. PEMNIC SURVEYORS. P. C. CS16)765-1797 P02 • Y 7► 4�� 0 Wz. Sod' 00 CEMMEn ra �fflY 7�t &VARANTY M �` 8 dilSCYa�ui'ELLI SiNVE'Y FOR AREA A367 sgff. PERRY T. CRISCITELLI& JILL B, CRISCITELLI A T SOUTHOLD TOWN OF SOU MOLD SUFFOLK COtWTY,N.Y. WO-64-05 09 Scale; 1"=, '_.80' June 1t 1992 I mVA LACNa 116W& 16W Prsparrd bo accordaoe� wuk 1Ae e�o4+,rs„ fhadorda for wrwys ac Klelied r�YOR�PC 0y ae LIAJ-S. ad q�rord anf�p�0 P.a 99"No tTltar'Anockitaa MANROAD uTritetY. 92-1B$ Applicanu Date Owners Name: &-"— � - l C.{Z l t Reviewed Architect) Date (:ngi9 ,,. 9 -00neer: e ,� �� lti%l( ,t _ Submitted: SCTM - Distrim 1,000 Section '" Block Lot Project 1I _ _ I ( `� Subdivision Location: �1�p© TO�n [T���J n CA SOLA S Name Single & separate Requir 1 certification I Yes fN6 wuc w ` Rcq. --o/- /onine I)utnct 11,01 size ��/� Actual�7�1 ILot co�cragc YwR! I'iupowd�I Rcq Rcq L Req. (Front Yard �Proposed:_J (Side Yard �j Proposed 21 //� J (Rear Yard Proposed Project Description: -- zO AGENCIVERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: ✓ Town Planning Board approval: ✓ Flood Plane Elevation ??? Flood Zone: Notes.. �r �k- /� i -7 7 '72 cc N �twly� ,E 4'T- AAIWA ""s, -xv # 'j f� S CERTIFk*[Opj :� PLUMBER pRWDE AIM-SCALD AND/Olt Aa-- AD CONTEN'r BEFORtf7, AL SHOCK PREVENTING THERN ONLE TIFICATE OF OCCUMAV� DEVICES AS TO PART.902.6(K) CER I WA 7#F:� N.Y.STATE BUILDING CODE. SOLDER USED M. CA Nf;' SYSTEM SUPPLY NOTIFY RTME, ISO EX iJ� F I 9/v I- CEED,2110 0 P1 "; - - - G L 00 ALL PLUvAl tl�,F "I IWI�i--- E E 0 & f% �j PLU FRA ";!. 'OVE' AAf,?1�4- Mv 1,q4:3 RING AV044011-AL- ZA-T. FLU TEST *03AWN N339 SY14 `414V,'�`, "P,, 9 VT 1'n 1*4/1 ov WA - t � "'Ol- -00 k''� VfAWV, 9 e V4ATF., C<alv 1I*AL,1,' 1. M%X-, u- M, -f-�m L , earrev- 10j AIO FL411- JOWr L)MV941, A�I, fA -A�L51, fA - m 1. *MLAV4 /1+A 't WVV. / T4 r f � - r, � AA t;t7 VORP NST Aaiv 4 L'j, =1 �f4t&-T 4 N% ?LL)Moj� 7-V -1NAt`-I'C A3AHnS 11INn D%IWVHJ SE, 4ti NOlIV301 N011 A! rm rn� I t4 �jAnl varr flrg A,+� 6rmrAT1ejX vqrro r-;)v T r4r S)qA M rftn Ik AZWP9A14/,e. 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