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HomeMy WebLinkAbout25489-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27242 Date: 08/10/00 THIS CERTIFIES that the building ADDITION Location of Property: 775 SHORE DRIVE GREENPORT (HOUSE NO.) (STREET) (HAMLET} County Tax Map No. 473889 Section 47 Block 2 Lot 20 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 9, 1998 pursuant to which Building Permit No. 25489-Z dated JANUARY 22, 1999 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 WOOD STOVE INSTALLATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AB BUILT." The certificate is issued to CIRINO RICCARDO ZAPPALA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A 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. 25489 Z Date JANUARY 22~ 1999 Permission is hereby granted to: CIRINO RICCARDO ZAPPALA 168 MULBERRY ST NEW YORK~NY 10013 for : INSTALLATION OF A WOOD STOVE AS APPLIED FOR "AS BUILT." at premises located at 775 County Tax Map No. 473889 Section 047 pursuant to application dated DECEMBER Building Inspector. SHORE DRIVE GREENPORT Block 0002 Lot No. 020 9 1998 and approved by the Fee $ 35.00 Authori z e~/Signatu~g ORIGINAL Rev. 2/19/98 BUILDING DEPARTM~N'[ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This appllcatiou must be filled in by t~ewriter OR ink and submi~';ed~:~"~ ~spector with the following: for mew building or new use: ~~MOLD 1. Final sudsy of .property with accurate location of all buildings, property lines', ~Creet~ and unusual natural or topographic features. 2. Final Approval from Health Dept. of wager mupply and sewerage-disposal(S-9 fe~). 3. Approval of elec~rical ~nstallation from Board of Fire Unde~iters. 4. Sworn statement from pl~ber certify~g that the solder used in sy~t~ contains leem than 2/10 of 1% lead. 5. C~erc~ build,g, ~du~trial build,g, ~ltiple residences and ~ilar buildings amd ~mt~lations, a certificate of Code Comp'liance from architect or e~ineer rempou~ble for the 6. ~u~t Pla~g Board ~pr~ of co~leged eite plan requir~eutm. Fo~ ~eg~g bu~d~gm (prior to ~t~ 9, 1957)' nou-confo~ng uses, o= build~g~ amd 1. Accurate 8u~ey of p~oper~ eh~ ~11 property lines, streets, budding ~umu~ ~tural or topographic features. 2. A properl~ c~leted applicat~on ~d a consent to ~spect mi~ed by the applicant. If a Cert~tcate of Occup~cy is denied, the Building Inspector ehall state the reasons therefor in ~igtng to the applicant. · I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw4mm~.g 9ool $25.00, Accessory building $25.00 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on pre-~xis=ing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .2.5~. 4. Updated Certificate of Occupancy - $50.00 5. Tempo~-ary Certificate of Occupancy'- Resfdenti~ ~5.00, Commercial $15.00 0 ... Date .7 7.C.. .................... ~t~.(l,u ,of 13ropertY .............. ' .......................lt_m'ml et House No. Street ~er or Owaers of Proper~y .................. .'~" .............. ~n~ Tax Map No 1000, Section .... ~ ........ Block ............. Lot .................. ~ted ~-~ ............ Lot .... · , ' ~ t ...... of Fe it. ../:.{. Applican - - ~ ...... Unde~iters Approval ............ ml~h Dept. Approval .......................... .auning Board Approval ........................ .~.. Submitted: $' ' ' ........ ~ 1~ -~;.qo. . .. · .............. r'l, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. ].~SULATION FINAL [ ] FIREPLACE & CHIMNEY REMARK~ DATE ~//1~///~ /'I"N SPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~JSULATION [ ] FRAMING [~./] FINAL [ ] FIREPLACE~H~NEY -- REMARKS: ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [, ] I~ATION [ ] FRAMING [~] FINAL [ ] FIREPLACE & CHIMNEY REMARKS. DATE ~~//~/ INSPECTOR FIELD INSPECTION REPORT DATE COI~4ENTS FOUNDATION (IST) ii INSULATION PER N. Y. STATE ENERGY ,~- 0NDA~ION (IST) 'UGH FRAI4E & PLUMBING DATE COJf'IEIJ'r S II ISULATION PER N. Y. STATE ENERGY U CODE ~ FIliAL ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ~NAL [ ] FIREP~ACE~.C _IMNEY BOARD OF 3 SETS OF PLA}IS ............... SURVEY ........................ CHECK ......................... SEPTIC FORIt ................... NOTIFY: CALL ................. HAlL TO: ........ APPLICATION FOR BUILDING PEElglT I~STRUCTIO~S ca~letely filled in by typaeriter or in ink ar~ stthaltted to the lluildi~g Inspector 3 ~ate plot pl~ to ~ale. F~ ~o~i~ to ~le. b. Plot pla ~ lmti~ of lot ~ of hildi~s m p~s, mlatio~ip to ~joiui~ pr~8 or ~lic struts or ~e~, ~ givi~ a &ail~ &~riptim of last of p~t ~ ~ ~ ~ di~i~ is ~rt of ~is a~li~tim. c. ~ ~ mrM ~ ~is a~li~tim my mt ~ mm~ ~fore isle of hildi~ Pe~t. d. ~ a~al of ~is ~limtim, ~ ~ildi~ ~tor ~11 im a ~ildi~ ~t to the ~limt. .~t ~1 ~ ~pt m ~ ~s ~ail~le for i~tim ~t ~e ~rk. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~ ~r ~ ~ ~t~r ~til a ~rtificate ~m~ ~11 ~e ~n ~ by ~ ~ldi~ ~tor. ~I~ I~ ~ ~ ~o ~ ~ildi~ ~t for ~ ism of a ~ildi~ Pe~t ~t to the ~ldi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~le ~s, ~i~s'or ~lati~ for ~ m~ti~ of ~ildi~, ~iti~ or alteraci~, or for ~al or ~liri~, ~ ~min &~ri~. ~ a~li~t ~s to ~ly ~ ~1 ~li~le 1~, o~i~es, ~ildi~ c~, ~i~ c~, r~lati~, ~ to ~t ~ri~ i~tors ~ ~s ~ in ~ldi~ for ~s~ i~i~. ........ ....................... (Si~e of ~li~t, or ~, if a co. ration) ~ih~ ~ess of ~lic~t) ~ State ~dle~her applicant is c~er, lessee, agent, architect, engineer, general ~tr~tor, el~trici~, pl~r or ~ildi ....... O~.~e~ ......................................................................................... ... . . .. .. . .. If a~limt is a ~ratim, siam of ~ly ~ri~ offi~r. ~ ~-~ ._ ~ ~ t t,e o orate offi r) OCCUPANCY OR USE IS UNLAWFUL B~ilders License ~ ................ W~OUT CERTIFICATE El~rrici~ Li~ ~ ...................... ~r ~'s Li~ ~ ..................... 1 FOUNOATN)N. ~ I~UI~ED 4. FINAL - CONS?RUCTION MUST ALL CONStrUCTION SHALL MEET THE #EOWREMENT$ OF THE N.Y. 3. gature of ~ork (check ~hich applicable): ~L~ l~ilding .......... ~klition ......... , Alteration Repair ............ l~,~val ............. l)emal i~ioo ............ Offer ~ork 4. Estimeted Cost ff.~.O. .................. (to be paid on filing this applicatioo) 5. I~ d~elllng, r~ber of d~elling ~mlts ...[. ....... humber of d~elling traits on eadt floor ................ If garage, r~ber of e~ra .................... 6. If business, ocmmreial or mlged occupancy, spaeify nature and extent of eadt type of use ...................... 7. Dimensions of existing structures, if any: Front ................ Rear ......... . . .. .. Depth ..... }lelght ............... lq~ber of Stories .......... Dimensions of ~ strocture with ' ' ' . ..... alteretloo~ or additions: Froot ......... Rear Depth.... ...... ... .. .. ... lleight ........ l~ber of Stories ........... 8. Dimensions of entire new construction: Front ...... ... .. .. . .. Rear ............... Depth .............. lleight .......... Nm~er of Stories .......... u....~ 9. $1~e of lot: Front ................ .. .. Rear . ......... . .... . ... . Bepth ...... 10. Date of hrrdmne ........ · .... ........ N~e of Former O~er ..................................... . . . ! I. Zone or use district in ~hich premises are situated ................... ~2. Does proposed coo~truetion violate any zoning la~, ordinance or regulation: ........................ 13. I/i11 lot be regrnded .................... Will excess fill be forayed from premises: ~ NO 14. l~aes of 0~er of prmises .................. .. . . .... . Mdress .............................. Phone No ............... Nam of Arddtoct ......................... · · · . . · . . . .. Mdrese .............................. Phone Na~ of Contractor ....................... hddress ............................... ~ No. 15. Is this proper~ ,~i~in 300 feet of a tidal ~etland? ~ 3~S .......... NO .......... PLOT DIAORAH Locate clearly and distinctly all buildings, ~hecher existing or proposed, and indicate all set-beck dimensions W'o~er~ lines. Give street and block r~nber or descrlptloo according to deed, and ~ street frames and indicate ~daether interior or comer lot. e ~s me ..... (9~~ ................... (~trect~, a~nt, co.rate offilcer, etc.) ~ ~d ~r or ~r8, a~ is ~ly ~Lhori~ Eo ~rfom or h~ ~rfo~ ~m ~id ~ m~l ~o m~ ~ file this ~].icati~; that all stat~nts c~tai~ in ~[s a~l. lcatloo are t~ to ~e ~st of bis ~1~ a,~ ~[ief~ aM hat ae ~ will be ~r[o~ i, the miner ~t forth in ~e a~li~ti~ fil~ t~. worn to be£o~e me this ..... No. 495 ] Commission Expires May 22, ($1gnal~re of Apptlci~/y