HomeMy WebLinkAbout25920-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27259
Date: 08/21/00
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 525 ORCHARD ST
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 25 Block 2
ORIENT
( NAMLE T )
Lot 20.11
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 3, 1999 pursuant to which
Building Permit No. 25920-Z dated AUGUST 6, 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 INTERIOR ALTERATIONS & RENOVATIONS TO AN EXISTING ONE FAMILY DWELLING
AS App?.TR~ FOR.
The certificate is issued to LEONARDO & EMMA TRENTI PAROLI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N-529471 .07/11/00
08/03/00 ROBERT VANETTEN PLUMBING
Au~~re
FORM NO. 3
TOWN OF SOUTMOLD
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. 25920 Z Date AUGUST 6~ 1999
Permission is hereby granted to:
LEONARDO PAROLI
435 E 70TH ST
NEW YORK~NY 10021
for :
CONSTRUCTION OF INTERIOR ALTERATIONS AND RENOVATIONS FOR AN
EXISTING SINGL~ FAMILY DWELLING AS APPLIED FOR.
at premises located at 525 ORCHARD ST
County Tax Map No. 473889 Section 025 Block
pursuant to application dated JUNE 3 1999
ORIENT
0002 Lot No. 020.011
and approved by the
Building Inspector.
Fee $ 75.00
A~ ~hor~iz~ure
Rev. 2/19/98
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 ii
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-dispos~
3. Approval of electrical installation from Board of Fire U
4. Sworn statement from plumber certifying that the solder
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residen~
and installations, a certificate of Code Compliance from arc
responsible for the building.
6. Submit Planning Board Approval of completed site plan requir~
For existing buildings (prior to April 9, 1957) non-conforming ut gs and
Ppre-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 Buildin~ - $I00.00
3. Copy of Certificate of Occupancy - , .25V)
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~Date ..~w~. (?~ ·~OO ........
New Construction ........... Old Or Pre-existing Building .................
Location of Property'. ~ .~. ~C~ ~r-R [~ ~ .~. .........................
House No. Street Hamlet
Onwer or Owners of Property.~.. L~i .~.V.-~r..~.P.O...?' .~.-..O.YT. >. .'~. · .~..¥. -~? -~- · .~.~..~. · .~. · !. -.'~"~'''~--' J
County Tax Map No~ 1000, Section....~?..~.~-- ..... Block.. O00~- .Lot... OgO'O// .....
Subdivision · -- Filed Map Lot .........
Permit ~ ~.~..~.¥.~. ..... Date Of Permit..~ .~. ~. ~ .Applicant. ~.~)..~t/~..~P....~.. ~ .~ .......
Health Dept Approval Underwriters Approval · ·
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
.......
APPLICANT
Town HAil, 5309,5. M~'~ t~?.g{p'r. ~
Southold, New Yo~ 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
DATE:
Building Permit NO. ~5~O ~-
(please print)
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers Signature)
Sworn to before me this
~ day of ~'~;~r 1-~.~'"'~---~'°
Notary Public,~
JOYCE ~LKINS
Term ~Ju~ 1~ ~00 1
Town Hail, 53095 Main Road
P.O, Box 1179
Southold, New York 3.1971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
August 9, 2000
Leonardo Parolt &
Emma Trentt Paroli
504 E. 63rd St. #26-0
New York, NY 10021
RE: 525 Orchard Street, Orient.
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)
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.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
alteration
on this matter. Thank you for
BUILDING PERMIT #25920-Z
Please contact our office
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
THE NEW YORK BOARD OF FIRE.' UNDERWRITERS
11.95099 BUREAU OF ELECTRICITY.
-- 40 FULTON STREET, NEW YORK, NY 10038'
Date 3ULY 11,2000 Application No. on file 10~2~/~. N 529471
THIS CERTIFIES THAT
only the electrical equipment as described below artd introduced by the applicant named on the above ~pplication number is in the premises of
L~ONARDO PIROLLI, 525 ORCHARD STREET, ORIENT, NY
in the following location; [] Basement [] 1st FL [] ~4~d FL OU~ Section Block Lot
was examlncd on ~ 29 ~ 2~0 and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
2~ FFL~XTRZ~EE ~S~
RECEPTACLES SWITCHES INCANDESCENt
28 29 ~-.
DRYERS FURNACE MOTORS J FUTURE APPLIANCE FEEDERS
S
RANGES
SPECIAL AEC'PT.
AMT. AMP.
I 20
E ~
· 1.
TIME CLOCKS BELL IUNITflEATERS MULTI-OUTLET
SYSTEMS
ATt,, ' ,AMPS:,TRANS. I ?!*i,I ~.. NO. OF FEET
. V I C
SERVICE DISCONNECT
AMT. AMP. I~PE
OTHER APPARATUS:
NO. OF CC COND
EXHAUST FANS
AMT. H,P.
1 'F
DIMMERS
W~ P~4P-I
~%~C. WATER H~ATERS~I-4.5 K.Wi~
G.F.C.Is-4
SMOKE DETECTOR~ -7
TRACK LIGRTING, - 12
J//,l SAGE ELEC. INC. LZC.i~3655~
~ GREENPORT, ~, 11944-~38
~ Thl~ ceffiflcate mu.t not be altered In any manner; return to the office of the Board Ifrln~prrect. Inspectors moy be identified by their credentials.
OOPY FOR BUILDING DEPARTMENT· THiS COPY OF GERTIFICAT~ MUSL ~ ~E ALT~R~ IN ANY MANNER.
7r,5-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ~ INS~TION
[ ] FRAMING [,,~]~=INAL
[ ] FIREPLACE & CHIMNEY
REMARKS:; ~, ~///~ ~-~~ ~/~/'~
DATE~
765-1802
BUILDING DEPT.
INSPECTION
DATE
FOUNDATION 1ST [ ] ROUGH PLBG.
[ i :ORAUMNiDNA~ION 2ND [[ ~ATION
[ ] FIREPlACE&CHIMNEY
765.t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] I~I~ATIoN
[ ] FRAMING ~,~FINAL
---~
DATE
INSPE~
765-1802
BUILDING DEPT.
INSPECTION
.INSPECTOI
/
765-t802
BUILDING DEPT.
[ ] FOU/t~DATION 1ST ~ ROUGH PLBG,
[ ] ~UNDATION2ND [ ] INSULATION
[~/=RAMING [ ] FINAL
[ ] FIREPL/~ & CHIMNEY ,/~
DATE
FOP, H NO. I
TO~IN OF SOUT~OLD
BUILDING DEPARTHENT
TOI~ HALL
SOUTflOLD, N.Y. 11971
TEL: 765- 1802
BOARD.,~F~,~HEALL~[I ,,, ..... ............
3 SETS OF PLANS ~.
SURWX ....'....~ .~. .............
CaECK . ~.-~'1 ................
SEPTIC FO~ ..........
CALL ~
Disapproved ale ...........................
' ~d ~'~o~) ........
APPLICATION FOR BUILDING PEI~IT
INSTRUCTIONS
HAIL TO: ....................
Date ................ ,19 ....
a. Ibis application must be c~pletely filled in by typetvciter or in ink and sttnitted to the Building Inspector
3 sets of plans, accurate plot plan to scale. Fee according to sc-bedele.
b. Plot plan sh~aing location of lot and of buildings on prmtises, relationship to adjoining premises or public
streets or arean, and giving a detailed description of layout of property trust be dra~ on the diagram ~ich is part of
this application.
c. The ~ork co~ered by this application my not be tormented before issuance of Building Permit.
d. Upen al~aroval of this application, the Building Inspector ~dll issue a Building Permit to the applicant. Such
pemit shall be kept on the premises available for inspection throughout the ~ark.
e. bio building shall be eceupied or treed in ~hole or in part for any purpose ~hatever ontil a Certificate of
0ecupeney shall have been granted by the Building Inspector.
APt~ICATI¢~I IS ~l ~ to the Mildlng Dear for tim issuance of a Building Pexmlt Ix~cmmaat to the
Building Zone Ordinance of the To~n of Southold, ~ffolk County, ~ York, and other applicable La~a, Ordinascea or
R~gulationa, for the conatruetion of boildings, additiaua or alterations, or for removal or demolition, as herein
deserlbed. ~ha .a~.lieaut agrees to eon01y ~tith all -apPlicable 1~, orang cede, hoaslng code, and
regulations, and to adafit authorized inspectors on premises and in ~il~[97nJ~for 9ee~o~ary inspections.
~Siganture of app~ or name, if a corporation)
State ~/aetber applicant is o,~er, lessee, agent, architect, engineer, general contractor, electrician, plmber or builder
........................ P....~..~.~.5,'. .
,~ o~ o~ o~ pr,,~se~ . . . L ~. O. ~ A: .a. .D.O. . ?. .a:. .e. . .o. . .~. L ,.~. . .~. . ~. .~. . ~.T. . .~. .T. t. 7. ?. .,4:. .<. ¢. .&. ! ............
(as on the tax roll or latest deed)
If applicant is a corporation, signature of chly authorized officar.
..~C.L .............
(Nme and title o[ corporate offleer)
Builders License I~b .........
Plumbers Lieeese Ilo ....
Electricians License No ...... ~ ............
Other Trade's License Ro ...... .~... ..........
,. on ..... ................
/
/
.......................................... [-~ ..... ~ ............................... ¢. ...... ~- ......................
~ ~r
~~. ~ ~ti~ ..D.~.~9~.... m~................O~O0 mt ..2fl.'.~(( ....
~ivlai~.... ................... . ........ . . . ... FilM~ .... .... .. .... .. I~t ...............
(~)
2. State ~sti~ ~ ~ <~ of ~s ~ inte~ ~ ~ ~ o~ ~~tion:
. · ~
......... ~1.. .... ~ ........~liti~ ............ Other ~' '. [. [ ] [ [ t ;:tV;~: ~ ~
~i,~ .~9 ~o~ ....~ ...................................
If ~llf~, ~r of ~llf~ ~ its .
If ~i~ss, ~reial or ~ ~, ~ei~ ~tum ~ ~tent of e~ ~ of ~ ......................
~,.~fr~,t,~ ,t~, if ~: ~t .... .~ ....... ~ ...~ ....... ~nu, ..~.~ ..........
D~nsi~ of ~ st~e ~t~ alteraCi~s or ~itions~ ~t ............... ~ar
~pth ..................... ~i~ .................... ~r of Stories ..
on. _ ....... .... .....
l~i~t ...................... l~r of Stories
. I "~ ......
~ o~ ~,~,~..Z-.[ ~. ~ ~..~ 9 .... ~ o~ ~,o~ ~ ...~ ~ ~g.~] ~ m .~ .( ~ ........
~ o~ ~ ~,~,~ ,~.~,,~ ~T,~, ~ ,,~ ~ ...... 6.. ~.~.~ ~..A ..............................
~lll lo~~ ..... ~ ............ ~ll~ss f~ll~~m~s:
&e. ................. ~,, ~. ~;.~~ ..... ~ m.(~.~)a~, t?~J
Is fids proper~y within 3~0 feet
*~F ~, ~ ~ ~J
l~cate clearly and distinctly ali
property lines. Give street and
~ether interior or comer loC.
of a tidal ~etland? * YB8 .......... NO . ...1~.[ ....
PLOT DIAGRAM
buildings, ~aether existing or proposed, taxi indicate all set-back dimensions
lock nm~er or description a~cording to deed, and ~ street u~es and iudicate
~om, deposes and says that be is tlm sppl. icm~t
Ils is the ......................................
(Contractor, ogent~ e(rporate officer, ere,)
olY said o, mer or ~rs, ~ is ~ly a thori~ to ~rfom or h~ ~rfo~ tim ~id ~ mffi to m~ ~ file this
a~llcati~; ~at all star--nfs c~tai~ in ~is a~l. icatlon are t~ to ~e ~st o~ b{s ~1~ at~ ~lief~ a~
OmC ~e ~rk will I~ ~r[o~ in tim ~mneer ~t [orth in ~e a~licatlm fil~ ~.
,9~om to begore me this
.........
(Signature of ^ppticant)
~-I~E NO_ ~DGT DA T~.- ~//~/~ SCAL~': F =
PA T T. SECCAFICO
PROFESSIONAl LAND SURVEyo~q
lq SOUTH MAIN ~ T~T
SA~L~ N~W YO~K ~7B2 ~
(51G)5GY-~,~y3 ~KSLIC N~ 0~9287
L J~
T
DA~ ~* ~'~ B.R
N~ BUI~ING D~A~ME~
765-1~2 9 AM TO 4 PM ~ ~E
roll OWING INS~ONS: I ~N.Y.S BUILDING
~,.~co.~
k~ CON~U~ON
STATE CONSTRUCTION ~ENE"GY
OCCUPANCY OR
Vdi'HOUT CERTIFICATE
0F OCCUPANCY
~J
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