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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