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HomeMy WebLinkAbout25872-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26629 Date: 08/13/99 THIS CERTIFIES that the building ADDITION Location of Property: 1400 PRAITY LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 24, 1999 pursuant to which Building Permit No. 25872-Z dated JULY 15, 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 PERGOLA ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANGELO & JOAN C FILOSA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A (Itv/, O Building InsBuilding Ins ctorr 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. 25872 Z Date JULY 15, 1999 Permission is hereby granted to: ANGELO & JOAN C FILOSA PO BOX 736 CUTCHOGUE,NY 11935 for CONSTRUCTION OF A PERGOLA ROOF SYSTEM WITH TWO COLUMNS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1400 PRAITY LA CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0005 Lot No. 025 pursuant to application dated MAY 24 1999 and approved by the Building Inspector. Fee $ 75 . 00 Z7Z Authorized Signature ORIGINAL Rev. 2/19/98 .�,�p.,�,,,�,�,njIG, Form No. 6TOWN OF SOUTHOLDIg�9BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG.DEPT. TOWN OFSOUTHOLD 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - .251�, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . .!V.3111. . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . .14.00. . . . .. . .. .. .. . PC4:tX. La "c . . . . . . . . . . o�w"c. . . . . . . . . . . . . . . . . . . House No. nn Street Hamlet Onwer or Owners of Property.. . . . ! 1n�S.�` . . . 3am.� C:h ilesa County Tax Map No 1000, Section. . . .L451 . . . . . .Block. . . c1; . . . . . . . . .Lot. . .?s. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .yl�. . . . . Fee Submitted: $. . . .1 51°0. . . . . . . . . . . . . . . . . . . te 2- 1--Q_G 6tabCho . . . . . . . . .�'L:+�.4 A9. (osa. . . . . . . . . . . . . . . . . . . . . . . 0> APPLICANT O�QgUFFO(Kc0 o� Gyp Town Hall,53095 Main Road yj. /? Fax(516)765-1823 P.O. Box 1179 ip O��' Telephone(516)765-1802 Southold,New York 11971 �Qq -fX BUILDING DEPARTMENT TOWN OF SOUTHOLD July 23, 1999 Mr. & Mrs . Angelo Filosa P.O. Box 736 Cutchogue, NY 11935-0736 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : /2LX— An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. �XX The check is (not on file. )$25.00 111111 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25872-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r LD INSPECTION RRPORT —DATE--=M TMENTS ---vO----------—-----CO2 ----------------------- CIO NOATION ( IST) N "Gp N N RiDATIO— --ND------- ------ ����VV N JGN FRAME b u ii PLUMBING N -- t r:-Alloll SULATION PER N. Y. 0 GH STATE ENERGY CODE p p p p . H u n u FINAL__ ng ADDITIONAL COMMENTS: A poH O x Q zxe' .na^+4iwu i3c.�� B�cWe�a �rea�ans wt�MPgCDQ l'• Y5Y4GN. LLfYWt G.Qi4Q " "�_ � ?ri _Fto•C^®"$ Bp (LCA-�...-_...._ Trp.�uS s«w4 Srce✓tit -to LK•�T�•s5 _� _ ST/WGTJi� AT i r 7 - I I rQ• a e:Twaa_ I !V��•� iilJl.v2 �Gcyh�d[.1 � � Pcy Wao9 � I � 17c—cw" A- — Nit uwc Drta+jg _ if! t — , {- � 7i y�\caSCa.� �t4-J GSJR� GI ��tt / N Q sats x�r4oa cyuT�'Rs . SEY�+46 Tr ttiiey?L 89 cF : may.\"yt•+yS S �„ „ Lo+-rut -roe # 4F+.a4w R ,baa ONO* C` Y�SFOAI ,p�lyJtj 3JrQ►/tT S O L "F r a hex I 'rNo Yad�� Lon'D Qi'C�+• wods t kN iq It .. g '_- 1 v ~ v 1 � '� 0 6yrsTWf F i- � A •E'er+ O � •31,�D pao eustn P"2 ci8t� ��}..��+.NS S.�PPo2r Co,Jcnsrr �¢ ry,rq M Pees.`r*wa*GeCB. Q�,oe.+cc \4ew Pat�r^(�,E►+t�cJte#a4wa: r ". � r Sfsc'rtma R - � 19 M-1802 BUILDING DEPT. INSPECTION ( ] FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ �] �IULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE S CHIMN REMARKS: D Z, DATE INSPECTOR 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: CALL -7 A .Ztl13. . . . . . . . Examined.................. 19...... MAIL TO: a�S . . . . .. . . . . . . . Approved.......J:-. W ... 19.1.J Permit No. -1�.?.7a-,?—n14av Y' . +`l. `::".s............ DisapprovedC lzka.aue lJN. i l 3.S ilding Inspector) LICATION FOR BUILDING PERMIT / q9 Date. ll/ . . . . . . . . . . ., 191 . BLDG pEpT.SINSTRUCTIONS Tp`yN OF OUTHOl0 a. ; rcation mast be completely filled in by typewriter or in ink and submitted to the Building Inspector v 3 sets of plans, accxsate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on prises, 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. ec. Time 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,pmnpose wbatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APFLICATUN IS 1EMW MW to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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 building for necessary inspections. ....................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant 's amen, lessee, agent, architect, engineer, general contractor, electrician, plumber or build ..............................nn......................................................................................... Name of owner of premises ...F11^. r L P. `r"re°` C ko .(05 c.. �y >?....................... ...................................................... as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. �CLyo-qrk Cu ..... i... .. Lw ...6. .... ................. ..... ......... . .......................... House Number Street Hamlet County Tax Map No. 1000 Section ....1 d.9....... Block .....'Rf ....... Lot ...:2�5..... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises`ad intended use aid occupancy o€,.proppsed construction: a. Existing use and occupancy .......�e>:A c^G K............ .................. b. Intended use and occupancy ......... ?^.Y.............. . ............... .......................... hsuuhe UL Mann. %Uheut autyh applicable): New lArilding .......... Addition ....:..... Alteration .'1�....: Repair ............ Removal ..... ....... Demolition ............ Other Work .................................. . (Description) Estimated cost ... r?90 ° ..., fee .............................................. �. (to be paid on filing this application) If dwelling, number of dwelling units .....i...... Nwber of dwelling units on each floor Ifgarage, number of cars ....... .............................. If business, cormiercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures'# if any: Front.`.`." S wry"I. Rear ............... Depth P .... ............... Heigh Dimensions of same structure with'alteer of Stories .tion..... alterations or additions: Front .���.`. '" Rear ........... Depth .................... Neight, .................... Nwber of Stories ....... Dimensions of entire new construe"on: Front ................ Rear ............... Depth .............. Height ......................... dumber of Stories ..................... Size of lot: Front ............ ..... blear .................... Depth .....h•. ........... 0. Date of Purchase . ......... Name of Former Owner .L: " h'c` ?h..[...... 1. Zone or use district in which premises are situated ...L !l;.'` `�u-e- . . .. .... ..............................:..: ...... 2. Does proposed construction violate any zoning law, ordinance or regulation: ,,;N o ...... 3. Will lot be regraded .....k�'...j........ Will excess fill be removed from preaisea: YES bio' 4. Names of Owner of premises Address 4`I °.P �;1y ; ` u:a Phone Name of Architect ...............I',..................... Address .............................. Phone No:"............... Nam of Contractor ..............'i..................... Address ...............................Phone No. .............. * property of a tidal wetland? * YES .......... NO ..!/.... 5. Is this within 300 feet ' IF YES SAT1110k]) =a T[d1SilrLrS PELaffT MAY BE mQUIm. h PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-badk dinensilons rem property lines. Give street and block masher or description according to deed, and show street names and indicate hether interior or corner lot. Ise Grnzr: DF rI YDIIlC, SS "lY of ....................... ...........................being duly sworn, deposes and says that he is the applicant Now of indiiidual signing contract) have named, e is the ................................................................................................... (Contractor, agent, corporate officer, etc.) f aaid caner or owners, and is duly aulthorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are tribe to the beat of his knowledge and belief; and hat the Mork will be perfonned in the fanner set forth in the application filed therewith. 'worn to before me this .......( . ..day of .... J... 19.:x.`/... Notary Public .... ! .'..✓. .�Jh`�` p (ale` (Signature of Applicant) i' N%grey Pub';,sm at � 1ElgIaMMd1�1ydbv� . RLAS S• t o CASE 5 OAC) � 764.98 ASN 73. 1.Zo�. M ,14 , 2305500. N RVEY F PR PERT g, Y ,) �9 5►4.43.►o'w SU O D ,72 FOR W ANGEL O P. & JOAN C. FIL OSA ' r . AT CUTCHOGUE a X84' TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y moo. 1000 - 109 . 05 —25 Scale: 1 - 40' April 30, -1997 May 30,1997 (revision) 01- CER TIFIED 1-CERTIFIED TO+ V ANGEL 0 P. FIL OSA •ms`s' JOAN C. FILOSA BETWAGE FEDERAL CREDIT UNION , CMCAGO TITLE WS11RANCE co"pANY R.5o.0O L.56.84 h I � m I o z � p 205 Qo. l 5"Over OO 9 k• A � y 1.�. �� '`�•,4�` '?'' b O 0 Q i FEu br'C a• 'f G/.o, 27 144 cv, 4 (��• a ' (01 2 V i MqP zOT s of ..F O C�F�� c q�Rwq QTY� Y �'4Rtijs ,, A s • �P�E Of NEy,� AREA - 1.1517 Acres (50,166 sq.ft. ) s 'ek T.MFTro o�� ANY AL TERA TION OR ADDITION TO TMS SURVEY /S A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBMISIGN 2. ALL CERTIFICATIONS „ HEREON ARE VALID FOR THIS MAP AND COPES THEREOF ONLY /F I S. LIC. N0. 496/8 SAD MAP OR COPIES BEAR THE ANPRESSED 3EAL OF THE SLW VEYOR WHOSE SI6NA TORE APPEARS HEREON. ADDITIONALLY TO COWL Y W/TH SAID LAW THE TERM 'AL TERED BY' (Sl pp�� MUST BE USED BY ANY AND ALL SURVEYORS UTILIING A COPY P. O. 9 ` OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS dYSPECTED' AND P. 0. TR STJ�EET BROUGHT-ro-DA TE•ARE NOT N COAPLIA/VrCE WITH THE LAw. SOUTHOLD, N.Y. 1TRE