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HomeMy WebLinkAbout26075-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27017 Date: 04/04/00 THIS CERTIFIES that the building ALTERATIONS Location of Property: 550 WELLS AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 61 Block 3 Lot 8.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 30, 1999 pursuant to which Building Permit No. 26075-Z dated OCTOBER 26, 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 INSTALLATION OF TWO SKYLIGHTS & KITCHEN RENOVATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & ROSEMARIE CAGLIUSO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-066923 01/21/00 PLUMBERS CERTIFICATION DATED 03/16/00 JOSEPH CAGLIUSO t rized`/Signature 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. 26075 Z Date OCTOBER 26 , 1999 Permission is hereby granted to: JOSEPH & ROSEMARIE CAGLIUSO 550 WELLS AVE SOUTHOLD,NY 11971 for INSTALLATION OF 2 SKYLIGHTS AND KITCHEN RENOVATIONS AS APPLIED FOR at premises located at 550 WELLS AVE SOUTHOLD County Tax Map No. 473889 Section 061 Block 0003 Lot No. 008 . 001 pursuant to application dated AUGUST 30 1999 and approved by the Building Inspector. Fee $ 75 .00 Authorized Signature ORIGINAL Rev. 2/19/98 r� 7 %r . f. } r !K CP_ E Form No. 6 R' ilMin r� TOWN OF SOUTHOLD APR 3 M �� Y BUILDING DEPARTMENT TOWN PALL ^ 1 765-1802 SUOIHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 17 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 building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25'C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . )QfR,l L . . . . �DC O.0. . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . .':. . . . . . . . . . . Locationof Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Y!SC . ' OV . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . OS� .J1 � RaS�Mt4Rf� ,GJU$ O County Tax Map No 1000, Section. . . . . . . . . .Block. . 003 . . . . . . .Lot. . .U.Q•t�• ;OU / Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . .I. . . . . . . . . . . . . . . . . . aGU 7J� ?.Date Of Permit. .QGl: �4 l999 JO5£ �y C �iG�J uSU PermitNo. . . . . . . . . . . . . . . . . . . . . . .Applicant. . . . . . . / • • • • - Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . ✓. . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary C;ertificate. . . . . . . . . . . Final Certicate. . . .f. . . . . Fee Submitted: $, S UO 6),,k.• 5?6�3 (�>. '��� ,q�•r 'v•�•C . . . . . . . . . . . . . . . . co 770/7 PLICC"T �O�gF1FFOLKCo oy a � Town Hall, 53095 Main Road y Z Fax (516) 765-1823 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: 3 Building Permit No. �GoTsz� Owner: (please print) Plumber: jo-. OrIY C1964i'u so (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plyumbers S4gn ure) Sworn to before me this —IP day of 1 ' IauiE- Notary Public, County holmPUBIC State of New 1Mtk fedSCualiin Suffolk Term Expires March a,2OL2 .T.D INSPECTII N REPORT DATE COMMENTS II ii 'U II InI r-i INDATION ( IST) ii II __. ------_._-_.-__ II it TNDATION===---ND -----=11�====___,_,y,------ ------------ �_____---- -- _------- ------ �( a1 - ------ — ----- �� _11 JGR FRAME 6 --------'' - - -- � PLUMBING - - ITr--- i „ _ — — -- — ------ it It II jj H —11 t7G� SULATION PER N. Y. it it H STATE ENERGY jj II CODEit I u lu----11 It Lea u I� H II 1 n n FINAL i _________________________________ADDITIONAL—COMMENTS: ====____________-______ 3 &10 K C ryN�J a H H O z a 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [�R H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ �RAMING [ ] FINAL [ ] FIREPLACE/�& CHIMNEY REMARKS: A� -,t-- - r c_ DATE INSPECTOR 1 ,7660 T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPI.ACE & C,HIIMjNEY REMARKS,: L/L 7 DATE 0-0 INSPECTOR BP la- —r. -aa THE NEW YORK BOARD OF FIRE UNDERWRITERS 6a7 BUREAU OF ELECTRICITY D 40 FULTON STREET, NEW YORK, NY 10036 e TA-r]Tt.TRY `11 .2000 1391469S/TSI H 066923 p Dale Application No. on file P THIS CERTIFIES THAT v only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of C r, J. CAOLIUSO. 550 DELLS RVENUE, SOUTHOLD, NY FF*S.��1 G in the following local B n C7 1st Fl. ❑ 2nd F'1. _AF Section Block Lot p � v =AT fief, E was examined on and found to be in compliance with the National Electrical Code. p C FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUr. OUTLETS INCANDESCENT FLUORESCENT OTHER AMT, K.W. AMT. I K.W. AMT. K.W. AMT, K.W. AMT. L r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTI. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS E BELL SYSTEMS D AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 Ex! 1:'/ ' 1 2 0 E SERVICE DISCONNECT NO.OF S E R V I C E E METER C AMT. AMP. TYPE EQUIP. 1 0 RW 1 0 3W 3 0 3W D 0 4W NO.O FCRCOCOND. OF CC COND. NO.OF HI-LEG OF HI LEG NO.Of NEUTRALS OF NEUTRAL L L r. e r. OTHER APPARATUS: L f tADDLE FAVI F--_" F F'ANELBOARDS: 1--6 CIR. 50 c TItACIi LIGHTING; -I4 c c c c t rI �i JOSEFii .'i"-.OLIUSO 14?15 ^AST 16TH 2TPXET B,rOOxn'N; NY, 11230 GENERAL MANAGER 1 1 t EPer l 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. f COPY FOR BUILDING DEPARTMENT. THI UST NOT BE ALTERED IN ANY MANNER. ' 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 TEL: 765-1802 NOTIFY: t �m CALL Exaadnred.................. 19.... ....... MAIL TO: . . . . . . . . . . . . . . . . . . . Approved..IP-4.(P ........ 19`j Permit No. c4 �S ............I.................... Disapproved a/c .................................. .......................................... .... ...... Building Inspector) ICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . .INSTRUCTIONS 7n- -, •; i?lD is application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector 3 sets 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 or areas, and giving a detailed description of layout of property mist 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 tEIM MALE 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, ordinancesor 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 reguP1tbV,g6q•admiiY,�rtlrpyized inspectors on premises and i building for n._essary inspections. ON L E 4D CONTENT BEFORE rRJE K ooppw tubing is USW �5 ........... . CERTIFICATE OF OCCUPANCY {Orwsterdistributing ior1ture 5 8 fIsTY 6n s>Ro if a corporation) SOLDER USED IN WATER sgsteN PIPIns*M11 be �q o 1,y r� f r�c SUPPLY SYS TEM CANNOT OftweS K or L only (Mailing addFess .. applicant) EXCEED 2/70 OF I%LEA0. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, phcnber or build_ ..................................................................................•..... Name of owner of premises ....� H OSEMA 1 C,9rLpuSQ•... .............. �..........R...._...�1. .... ...APPROVED-AS NOTED..;�...... (as on the tax roll or latest deed) DATE: lU. B.P- 7 S 2F If applicant is a corporation, signature of duly authorized officer. FEE N J UNDO WRITERS MMICATE NOTIFY BUILDING DEPARTMENT AT fl.......................................REQWRED .. (Name and title ocorporate officer f >, 785-1802 9 AM TO 4 PM FOR THE OCCUPANCY OR FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED USE IS UNLAWFUL FOR POURED CONCRETE Builders License No. ............. ..... 2. ROUGH - FRAMING & PLUMBING Plumbers License No. ...........Y'.VI.THQ.UT CERTIFICATE 3. INSULATION (�(O. �p 4 FINAL . CONSTRUCTION MUST Electricians License No. .......OF.O-CGUFANCY BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Other Trade's License No. .................... THE REQUIREMENTS OF THE N.Y. I. Location of land on which proposed work will be done....................... STATE•C.RN&TBLICTION.&.ENERGY•-- 35'p XA.XLLS QVCNJ , Sav-(HOLD ) &1E' W YOkIK J)§9 ES. NOT RESPONSIBLE FOR (....GN OR•CONSTRUrTIQN•ERR0RS••- House Number Street � 2 gqHamlet Canty Tax Map No. 1000 Section .....4.�........ Block ....3......... Lot ...17.T l........ 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 ...........L. ... ylb! -'?rk J. ........................... b. Intended use and occupancy ........`..I....................'..7..�.=a..... v................... 3. Nature of work (eeck which applicable): New Ikmilding .......... Addition .......... Alteration .. ... Repair ............ Removal ............. Demolition ............ Other Work .............................. (Description) 4. Estimated Cost ......................... fee .............................................. (to be paid on filing this application) 5. If ckaelling, mummer of dwelling units ............ lhnber of dwelling units on each floor ................ Ifgarage, rxnler of cars ...................................... 6. If Imsiness, co nercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dhwnsions of existing structures, if any: Front................ Rear .. Depth ............. ................. Height ......................... Neer of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... height .................... Nmnber of Stories ............... 8. Dimrensions of entire new construction: Front ................ Rear ............... Depth .............. Ilei0nt ......................... Nuuber ofIStories ..1....7............... 9. Size of lot: Front .... ............ iLeaz ..... Sc1..l........ Depth .................... f pb 2 c 10. Date of Purchase ..9.�gI.I.g........ Nare of Fomer Owner ........................................ 11. Zone or use district in width premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .................. 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO 14. Names of Owner of premises ,ln ►.(...C�.�rllyst'7.,.. Address 4Y1 ...... Pham No. 7b. .y�- Name of Architect .................................... Address .............................. Pham No. Nine of Contractor ................................... Address ...............................Phone No. ........... 15. Is this property within 300 feet of a tidal wetland? * YES .......... NJ ....1i�... *IF YES, SCIMUD TOM 1iQ7$IFSS M09T MAY BE MWIZZ. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all setback dimensions from property lines. Give street and block nuber or description according to deed, and show street names and indicate whether interior or corner lot. -IMTERioRREgbVar10N ()NLtr ,h - ,t? L �°8U cf f,2ifi11h12 1E 1••i75 i �„ r�1 �m1La1',1 i1�1'.1!IFm=Glal lLlt i.JY51� v '`..' 1, ��•± •�: /gsnovE ^I'TW$7A t-tlq New 36' �k-(o�lort Dopia �km� ZwSIALL6'A KMW flWoX i C 14gNE,Y*z a15r � all+* 7ZSF:rJ Ail NOcw .s N E'X/S`i<(PIIF'!.t.P tJ'lwJ{'im�'14o NUJ"',l).4LL:'�h . . Z k0`1oVE EX+3tr. j ftl, Aao� ,3'jP flu0 Qin!-+1Ct W 171-1 vVc' (n1 .� a y y 3 0'e rl N off. R ''e't�LS Q 1 D a v L--,q 0ohQ inn n25Q,J WINDOW . J- NST,q�L.i"Yl iJE.W ak/o 4eA022 '9"DSS S'vPPa�TS, S;DesaF S y "(I In "r -es 30`A 15" -Fr'y Gt_.ass , Dov6tc-D vP h41=?.avqS 0,� 30714 CuahI-td W1 i �} i„r 5vLa-([ oo W g)Ew R / 3 jNS , 4Y/'D n7 , ' ootD C2 o vTl Dm SwrfclrS , S`r/Vlr (a- NWYom, 131v71r,goov� s 8F-jP4qce-ID ot.DS, PpLy44U CODNIY OF ...... .......... .. . ...*t 1'f K (Hare of tm tviJua�i in� � ��Ls� pW V CD��k,e wt7+-( PLC -1- 3”Qs l� C A 6-'.4 c u' „ „ .... ,... f .�2,..,.,. . ..:beirng July sworn, deposes and says that he is the applicant gn g above cloned, He is themwo-gn ......... ... ....................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed die said work and to nuke and file this application; that all statements contained in this application are true to the lest of his knowledge and belief, and that the work will be perforued in the earner set forth in the application filed therewith. Swum to before me this Q .......�'� �.....day o s� . .19.Q./... Notary Public ... ....... ...::c.... .. .( /,{,{� . ROBERT L S JR ( ignat of Applicant} Notary Public,St a of NeW York Qualified in ffotk County No.O1S 7250 Term Expires May 31, F4 fir-( - { J,''o o 5 REVISIONS BY OCCUPANCY OR USE IS UNLA . MPROYED AS NJ�TED WITHOUT CiEF�iIFICATE en.3-I '.R• I1215 OF OCCUPANCY INDEPARTMENT AT — — .!_`T.._�._.I NGBINpIBGOwma FOLIAWINOINSPECTIONS: FOR THE 7 I EEdIG� L FOUNDATION - TWO REQUIRM - ----- FORFOIRiEDOONCRETE ROUGH FRAMING A PLUMBING - pUTAABINO s R - I,r ELLnu MGWAIX - - a I ' LAT CN _ - -- • FINAL • CONSTRUCTION NWT WjiTERlN1ER NEEO -ALL CONSTRUCTION SHALL MEET /ECOMRLETE.FARG.O._...T._:._.. _ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION t ENERGY -- -- - \ \ - ----- --- — ryPw CODER. NOT RESPONSIBLERbPMrWOMrMM rwaudUYE " -_1DESIGN OR CONSTRUCTION ERRORS ONEW optPMONIMYB ro aJTI / 1 PLUMBER CERTIFICATION --�-- — E 3° ." �� ON LEADCONTENTB CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER tppLy SYSTEM CANNOTNEW i ' 1�----- I I r I � , , � : w •exp ,.�y. �1-4 ^+ 5 all ri O -r. I x _ Qaclo � IrTI���I.I" i} Ta ttl�c�� I .l Rof�M c�z j-. �co: z tea'' \ _ Al - �- , i Vka Ix� Ii 1 R�(lFtl L — <-� J� fr — 444 I I I i I I ' � I — �. 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