HomeMy WebLinkAbout25939-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Nos Z-26617
Date: 08/11/99
THIS CERTIFIES that the building ADDITION
Location of Property: 2855 NASSAU POINT RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 104 Block 13
CUTCHOGUE
(HAMLET)
Lot 9
Subdivision Filed Map No. -- Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 2, 1999 pursuant to which
Building Permit No. 28939-Z dated AUGUST 11, 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 NEW HEATING SYSTEM & DECK ADDITION TO EXISTING ONE
F~T?~y DWELLING AS APPLIED FOR "AS BUILT".
The certificate is issued to THOMAS A. & ROSA D. FUCILE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
ctor
Rev. 1/81
FORM NO. 3
TOWN OF ~OUTHOLD
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. 25939 Z Date AUGUST 11~ 1999
Permission is hereby granted to:
THOMAS A. & ROSA D. FUCILE
PO BOX 622
CUTCHOGUEtNY 11935
for :
INSTALL NEW HEATING SYSTEM AND DECK ADDITION TO EXISTING ONE
FAMILY DWELLING AS APPLIED FOR "AS BUILT"
at premises located at . 2855 NASSAU POINT RD CUTCHOGUE
County Tax Map No. 473889 Section 104 Block 0013 Lot No. 009
pursuant to application dated JULY 2 1999 and approved by the
Building Inspector.
Fee $ 75.00
Rev. 2/19/98
ORIGINAL
FORM NO, 6
TOWN OF SOUTHOLD
· , Building Department
Town Nail
Soutbold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
' Instructions
A. This application must be fill0d in typewriter OR ink, and sub nitted ,~ ~ to the Building Inspec-
tor with tho following; for new buildings or new usu:
1. Final survey o1' property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2.Final approval et Health Dept. of water supply and sewerage disposal-iS-9 form or equal).
:3.Approval of electrical installation h'om Board of Fire Underwriters.
4. Commercial buildings. Industrial buildings, Multiple Residences and similar buildings and Installa-
lions, a certificate of Code compliance from the Architect or Engineer responsible, for the be'Id'ag.
S.Submit Planning Board approval of completed site plan requirements where applicable.
B..For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1.Accurate survey of property showing all property lines, streets, building~
topographic features.
2.Sworn statement of owner or previous owner'as to use, occupancy an.d cond
3.Date of uny housing code or safety inspection of bu'ld'ngs or premises, or
lion required to prepare a certificate.
C. Fees:
.1, Certificate of occupancv $25;00-- BUSINgSS $50,00
2. Cortdmate of occupancy on pre-exist ng dwelhng $ 50. O0
3, Copy of certificate of occupancy $'5,'00, oYer 5 'years $10.00
4.Vacant Land C.O. $ '20.00
$"50.Q0 ads~t%~IfJune ....... 30, 1999
5. Updated
C'O'Plumbing in guess cottage and deck ,
NewCon" tPuc lion ./. .... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ~.8~D ~D~pDp .Pp.i~ .R~. Cutchogue, NY
Hou,te No, Srr~ut Hamlet
Thomas A. Fuctle and Rosa D. Fucile ,.,
Owner or Owners of Property .............................................................
County Tax Map No. 10O0Section . ...1.0.4 ...... Block 1,3. ........ Lot. 9
Subdivision ................................. Filed Mai) No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicanl ..................................
/
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Bo
Request for Temporary Certificate ......... ~ ........... Fi/~
.
25.00 .
Fee Submitted $ ......... ' ................... //~
///
Construction on above described building and permit
Applicant ...... . · .~Z~.~.
R.~. 10.10.?D GARY FLANNER OLSEN,
P.O, BOX 706
rtlflCate ... ..... . .... . ......
~ loc ' and regulations.
~-',/EY OF LOT ~11
~UPPOLK ~UNTT', NY
JOHN C
EHLERS LAND SURVEYOR
" A * ~o-~m ED
GARY FLANNER OLSEN
ATTORNEY AT LA~/
ASSOCIATE:
DAVID ~(/ORTHINGTON OLSEN
ATTORNEY AT LA~/
RO. BOX 706 MAIN ROAD
CUTCHOGUE, LONG ISLAND, NEW YORK 11935 · PHONE
FAX 516-734-7712
June 30, 1999
Re: Fucile to Hochstrasser
Our File ~ 6739
To whom it may concern:
Enclosed herewith please find the following:
1. Building Permit.
2. Application for CO for Plumbing in guest cottage and
deck as built.
3. Plans.
4. My attorney's check in the sum of $25.00 for the CO
and $75.00 for the Building Permit.
Ki~atty 734-
Please contact Henrietta Chituk (Marion
5657) to arrange for any inspections. _// / /
Very ~s,
GFO:lmk
Enclosures
Southold Town Building Dept.
Main Rd. Town Hall
Southold, NY 11971
~_i355 NKSSAL) PoINt' l~oAb
SCALE (FEET'
I
2o~J
Flous~ .......................
CuTcHOGUF-, ~ NY ~
5ouTH E.A.~T
Ov~.R~^~ ~EW oF UNbE~.ST~,.uCTURD..
A~ouN ~ ~Ck'
CONCRETE.,
FooTING.~
CP. oss BF--AMS
AR. oUN b ,bEC F.~
j~'8~5 NASSA~J POINT P.,oAIb
O.~I'TC. Ho~tJ ~. NY
OR.TN
[!L ~V AT I 0 14
'~3..' R.P, I, L
"~'~-~= = .... = =_-= .~== == == == =_--= =.-.'
2~', RsiL >JLII
Su~'~PO~,T~ CoN cRf':TP- FooTING ~
NoRT~ ~IE IT P-.LEVATI OI4
WALL
~J U ¢ PolLS'$
· FORM NO. !
TOWN OF SOUTtl0LD
~ILDING DEPARTMENT
TOWN HALL
~OUTHOLD, NoY. 11971
TEL: 765-1802
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ......... ' ......
gURVEY ........................
CHECK .........................
SEPTIC FORM ...................
NOTIFY:
CALL
MAlL TO: ....................
'Date June 30, ,1999
a. Ibis application mast be completely filled in by typewriter or in ink and submitted to the Building Inspector witl
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan ~eing location of lot and of buildings on premises, relationship to adjoining pr~ses or public
streets or areas, and giving a detailed description of layout of property mast be drawn on the diagram uiaich is part of
this application.
c. ~[he ~ork covered by this application may not be cmm-~nced before issuance of Building Pemit.
d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such
permit t4~all be kept on the premises available for inspection threnghont the work.
e. No building shall be occupied or used in ~aole or in part for any purpose whatever ontil a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATI(I~ IS H[~EBY ~ to the Building Departn~nt for the issuance
Building Zone Ordinance of the T~n of Sonthold, Suffolk County,
l~gulations, for the cermtruction of buildings, additiona or
described. The applicant agrees to e~ply with all applicable laws,
regulations, and to admit authorized inspectors on pr~ises and in
; Permit pursuant to the
applicable Laws, Ordinances or
demolition, as herein
: code, housing code, and
corporation)
..,;.,, . ' Gary , far
P. 0.
State whether applicmat is ~r, les~, ~nt, ~it~t, engi~r, ~ral c~trtcg~~g?pl~r or ~ilder.
Attorne for
~ of ~r of pr~s Thomas A. Fucile and Rosa D. Fucile .,- , (~. m ~ t~ mi1 or latest d~)
{~ ~ title o[ ~rate offlmr)
Builders License No ..................... , .. ..
Plt~bers License lgo ......................., ..
Electricians License No ................. .. · · ·
Other Trade's License No ................... . ·
2855 Nassau Point Rd., Cutchogue, NY
I. Location of laed on which proposed work will be done ..............................................................
~ ~,, Point Rd. Cutcho~ue ,
2855 .,as ..................................................................
House NLmJ~r Street Hanlet
104 13 9
C~mty Tax Map No. 1000 Section .... .. .... ...... Block ........... . ... . Lot ................
Subdivision........ ...................... .. ... . .. Filed Map No ................ l~t ...............
(~)
2. State existing use and occupancy of pramlses and intended use and occupancy of proposed construction:
Single Family Residence ,
a. Existing uan and occupancy........ ............................ ... .... .... .. ' ....................... · · · · -
b. Intended use and occupancy ..'~%~~...~..[ ........ :~, d.e.c,~k as b.u.i..1.t..o.n
t~'f~ ~b'ds a .......................................
f~ property lines. Give street and block nm~er
~ether interior or corner lot.
plumbing in guest cottage and deck
' .,, / as built on Main house
3. Nab]re of work (dmck dfich applicable): New I~]ilding .......... ~aitian .......... Altsration ..........
I~epair l~oval ~ l~molition Other Work ~
~ .(De~cri ption)
4 Estimted Cost L fe~ ·
5.
If
If garage, number of cars ..... t ................................
6. If b, miness, caurmrcial or mi~ occupancy, specify nature and extent of ead~ type of use ........ ', .............
7, Dimensions of existing structures, if any: Front ................ Kear
Depth
Dalght ........................ i Number of Stories .....................
~menszons of sane structure m~h alterations or addltmns: Front ...... P~ar ...............
Depth. ..... ....... .--.... [leiglit ................. ... Nm~er of Stories ......... ......
8. Di~mnsions of entire sew constn~t~(m: Front ................ P~ar ............... Depth ..............
DeiEht .... ' l~r of Stories
9. Size of lot: Front ............ [ ........ R~ar .................... Depth ....................
]0. Date of l~]rchase ............... ! ...... Nam of Former Owner ........................................
I I. Zone or use district in ddch premises are situated ..............................................................
]2. Does proposed construction violate any zoning la% ordinance or regulation: ........................
13. Will lot be regraded ........... [ ......... Will exc~se fill be removed fr~n premises: YES NO
14. Names of Owser of premises ........................... Address .............................. Phose No ...............
Name of Arddtect .............. [ ..............., ...... Address .,........ ................ ... . H~e No ...............
'Nmne of Contractor ............. I .................. , ....Address ............................... Mg)se No ...............
15. Is this property within 300 fsetl of a tidal ~tland? * YES .......... NO ..........
I PLOT DIAGRAM
[~cste clearly end distinctly al~ I~ildings, ~ether existing or proposed, end indicate all set-beck dimensions
or d~seription according to deed, and ~o~ street names end indicate
See annelxed diagram of deck
OCCUPANCY OR i
USE IS UNBI uL
CCI~[Y OF S.[IFFDLK ..............
WITHOUT CERTIFICJ
OF OCCUPANCY
DATE.: ~8.R
FEE: ......
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING ~NSPECTIONS:
1. FOUNDATION - '~O REQUIRED
FOR POURED CONCR~E
2. ROUGH ~ FRAMING & PLUMBING
3. iNSULATION
4. FINAl. CON.RUCTION MUST
8E COMPLETE FOR C.O.
ALL CONSTRU~ON SHA~ ME~
THE REQUIREMENTS OF THE N.~
STATE CONS~U~ON & ENERGY
CODES. N~ RES~NSIBLE FOR
DESIGN OR C~S~U~ON ERRORS
.... · GBXL~F-~OPAL-O.~ .............................. beh~ duly s~om, deposes arxl ~ys that he is tbe a~l.i~nt
(~ of i~ivi~l signing c~tr~t)
I~ i~ the Attorngy
(~tractor, 8~nt, con.rate officer, etc.)
of ~zd ~r or ~rs, ~ is duly ~hori~ to ~rfo~ or h~ [~rfo~ the ~Jd ~ ~ to ~ ~ file th~s
a~llCatl~l; that all skat~nts
~m te ~fore ~ ~is 30th [ / /
Oual~l~ in Suffolk