HomeMy WebLinkAbout24953-zFORM NO. 4
TOWN OF ~OUTNOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26704
Date: 09/23/99
THIS CERTIFIES that the building
NEW DWELLING
Location of Property: 305 BROOK LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 79 Block 5
8OUTHOLD
(HAMLET)
Lot 16.3
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 11, 1998 pursuant to which
Building Permit No. 24953-Z dated JUNE 11, 1998
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 ONE FAMILY DWELLING WITH COVERED PORCH AND ATTACHED TWO CAR GARAGE AS
APPLIED FOR.
The certificate is issued to VINCENT M. & TRACEYSUE ORLANDO
(OWNER)
of the aforesaid building. ·
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0029
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
02/05/99
23309 03/10/99
09/20/99 R.T.D. PLUMBING & HEATING
Building Ins/ector
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. 24953 Z Date JUNE 11~ 1998
Permission is hereby granted to:
ANTHONY PAGOTO
50 ROOSEVELT AVE
GARDEN CITY,NY 11530
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO
CAR GARAGE AND PORCH AS APPLIED FOR.
at premises located at 305
County Tax Map No. 473889 Section 079
pursuant to application dated MAY
Building Inspector.
Fee $ 964.40
BROOK LA $OUTHOLD
Block 0005 Lot No. 016.003
11 1998 and approved by the
ng Ins!~
ORIGINAL
Rev. 2/19/98
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:
t~. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2f Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
37 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 1% 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.
For ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and
qpre-existing" land use~:
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.
} 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~ - $100.00
3. Copy of Certificate of Occupancy - ~ .~5~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ....~/.f~./. ~.~. .............................
z/
New Construction....~. ~..... 01d Or Pre-existing Building .................
Location of Property .......................... .--~ .... -~J~-.-/.~...~ .......... '~'~'~' '~' '~' ..........
House No. Street Hamlet
Onwer or Owners of Property....~/.l~.( .~.~....~i .~.g~..~. ~ ........................................
County Tax Map No 1000, Section..O~..~ ........ Block...~).~. ......... Lot.../~-~- .............
~.. ~./I~?. Filed Map Lot /.~-' ~
Subdivision... ... ..--.-- .................................. · '' ' ''
Permit No, ~..~/.75~. ~ ..Date Of Permit...~7~/../~. ~. .... Applicant..~..f~-..~..~f_~.O .......
Health Dept. Approval ....... ~.~..-- .............. Underwriters Approval .... ~...~. ................
Request for: Temporary Certificate ........... Final t' ate..
Fee ubmitted: .................
~ ~ '' APPLICANT ..............
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOV~N' OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
September 7, 1999
Mr. & Mrs. Vincent Orlando
305 Brook Lane
Southold, NY 11971
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)
XX No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
XX No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 24953-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
DATE:
PILL4GE:
ADDRESS:
ISSUED TO:
375 DGWToNAVENuE
EAST PATCHOGUE, NEW YORK 11772
(516) 286-6642
3/10/99
SouthoM
23309
A PPIJC~4 TION No. ON FILE
305 Brook Lane
~nny Orlando
3/10/99 and found to be in compliance with the National Eleqtr~¢al Code
LOCATION: Base.. XX 1st XX . 2nd Xx 3rd' A~e XX
Det, Garage Hot ~tb pool
SWITCHES RECEPTACIdZ8 FIXTU~ HFATERS , FANS G.F.I. ~SZ COND.
54 71 61 - 5
DISHW. dSHER DJ~YER CLOTlfES WA,g~-I. G,4t~ DIS, P. RANGE OFl~g SMOKE DI~TECTOR
1.2KW 30A 20A xx 9
FURNACE 01L Cu4~ C1~ MOToRS BELL TRA~ SERVICE DISCONNECT
4-f /
I 200 UG
OTHER ' ·
EQUIPiVI~IT
1 - 20A whirlpool, 1 - 20A microwavt 2 - air handlers,~1: 20,4 water PUmp,
BUILDING PERMIT No.
BLUE ORIGINAL YELLOW COPY
PINK COPy OFFICE
PRE$1DI;NT
BLDG. DEPT.
TOWI"~ OF SOUTHOL~..D.~__.~
R. T. D. PLUMBING AND HEATING
504 Wellwood Drive
Shirley, New York 11967
516-924-6923
TO: Vincent Orlando
FROM: Robert T. Danowski
DATE: September 12, 1999
RE: Lead-Free Solder
JOB LOCATION:
Orlando Property
305 Brook Lane
Southold, New York 11971
JOB DATE:
December 1998
I, Robert T. Danowski, owner of R.T.D. Plumbing and Heating,
(License #2665-P) used lead-free solder on all domestic water pipes at
the above address.
;Po d sw of-
JOANNE D. KLAU$
Notary Public, State of New ¥offi
No. 01KL50407~8
Qualified in Suffolk CounN_ - I
(;ommissIon Expires IVlaroh 20, ~
Robert T. Danowski
/9%
?'iELD x,,S, _~.ON
FOUNDATION (1st)
COMM£~TS
FOUNDATION (2nd)
ROUGH
FRAME &
.PLUMBING'
INSULATION PER N.
STATE ENERGY
CODE
ADDITIONAL COMMENTS:
AE
AoRoCoHoIoT,EoCoToUoRoE
EoA.S.T
· ROCKY POINT, NEW YORK 11778 · TEL. (516) 744-2852
July 17, 1998
Town of Southold
Building Department
P.O. Box 1179
Southold, New York 11971
Re: New Residence for:
Mr. & Mrs. Vincent Orlando
Lot # 3 Map of Radon Court
Southold, New York 11971
To Whom it may concern:
With regard to the above captioned residence, Mr. Orlando would like to move the door
to the laundry room on the second floor to an alternate location on the same wall that it is
now placed. This is not a bearing wall, and the re-location of the door does not pose any
structural problems. I have enclosed a sketch of the proposed location for your files.
If you have any questions, or require any additional information, please feel free to call
me.
Architecture East
CON~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] .INSU/I. ATION/
[ ] FRAMING ~,~ [~AL
[ ] FIREPLACE & CHII~N~Y~
REMARKS: ~, .~~ ~/ ,
DATE ~~/: INSPECT~~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ~ROUGH PLBG.
i. i AT'°N
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE ~/~///~ INSPECTOR
765-Z802
BUILDING DF. PT.
INSPECTION
[ ]/~OUNDATION 1ST [
[~,'~ FOUNDATION 2ND [
] ROUGH PLBG.
] INSULATION
[ ] FRAMING [' ] FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
NSPECTION
[//] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] INSULATION
] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
INSPECT /~ ~0~~
765-1802
BUILDING DEPT.
[ ] FOUN 1ST [ I PLBG.
[ ] FOUNDATION2ND [ ,~] I/NSULATION/
[ ] FRAMING [ C]/FINAL
[ ] FIREPLACE & CHIMNEY
765-180;2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ]/~UGH PLBG.
[/.~ INSULATION
[ ] FRAMING
FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE ~ INSPECTOR
FORH NO. I
TOWN OF SOUTIIOLD
BUILI)ING DE PAWII4It. flT
TOWN IIALL
SOIITIIOLD, N.Y. 1197 I
TEl.: 765-1802
/ (l~Jildmg Instate)
PPLICATION FOR BUILDING PEEMIT
BOARD OF HEALTH ...............
%3 SETS OF PLANS ...............
,o~ffEY . . ,~ -.- . ..,., .................
CHECK .~,, ~'-.,, ~'-', ................
~F. PTIC FORH ...................
NOTIFY:
CALL . .~?A-A!!! ........
MA~, TO:..V]N. CfN.T. .. f~. ~. ~.~, ................
.. ~~. ~X.. H.~ ........
INSTRUCTIONS
a. 'lhls application must be completely filled in by typewriter or in ink and ~d~mitted to the Pifihling Inspector wi
3 sets of plan~, accurate plot Iflan to scale. Fee according to sd~edule.
b. Plot plan showing locatt~ of lot and of hHldl,gs on premises, relationship to adjoining premises or l~dflic
streets or areas, and giving a detailed descriptlc~J ol~ laycut of property ,amt be dr~a~ on the diagran which ia part of
this appl icatiee.
c. 'Ihs work covered by this application may not be ccm~enced before isstmnce of I~filding Pemit.
d. Upon approval of this application, tl~ l~ildlng Inspector will ia.m~ a lhilding Permit to the applicant.
permit ~hsll be.kept o~ the pr~nlsea ~vailable for inspection tlwc~ho~t the work.
e. No building stroll be occupied or used in w~vole or in part for any parpose ~dmtever antll a C~rtiflcat'e of
Oc ,cupesey shall have beee granted by the l~Hldlng Inspector.
APPLIC~'FII3N I$ I£REBY I4MJg to tlm lhdlding Del~artment for the issuance of a Noilding Permit parfnmnt to the
Suilding Zone Ordinance of th~ 1~ off Sc~ithold, Suffolk County, New York, and other applicable Laws, Ordbumces or
lleg01ations, for tl~ ccustructiee of buildings, additteea or alterations, or for r~n~val or demolition, as herein
descril~L ~m applicant: agrees to conpl¥ with all applicable laws, ordina~ces, building co~, I~ousing code, and
regulations,~and to admit anthoriz~nl inspectors on pr~fises and in building for necessary iuspectiees.
(S~gtmture of applicant, or name, tfs corporatmn)
500 ^za&a ~d., Mc.~a.e.~. ~....U. ~5.~..
(Mailhg ~klress o[ applicant)
State whether applicant is own~er, lessee, agent, architect, en§i~,~r,'§eoeral contractor, electrician, ph~d~er or I~dlde~
........ ~p.~..a.~..~..~...o..~.n.e.~.o.~, &o.z... ...............................................................................
~ or ~r o~ p¥~lsea .........v..Z.n~..~...O..~..a.n..~.o. .................................................................
(as on tim tax roll or latest deed)
If applicant is a corporation, signature of duly antl~)riv~i officer.
(Name and title of corporate officer)
Pltrdoers Licens~ Ilo ......................... .
Electricians Liceuse No ......
Other Trede'e License No ................. · ...
I-. l~catlon of land on ~hld~ proposed work ~ill be do~ ..............................................................
305 Brook Lane Southold
~k~se ~be~ Street ~nl~
County Tax Map NO. lO00 .~:tion ...~ .......... Block ...~. ........... Iht ..J.6.,~ .........
Subdivision .... g6t~.~q~,.C.~t ...................... Filed Nap No..~.~.~.~., ..... l~t ..1..6...~. ........
(~)
2. State existing use and occupancy of premises and iotebded use and occupancy of proposed ceestnsct~ee.
a. r~xistlng use and occupancy .~.ac.a.~ lp.t ...........................................................
' .S.~n9lg ~,.a~.'.i~.~ h ..uAe
b. Intended use and oc .................................. .. .
3. N~tta'e o~ ~ork (cbeck ~liich applicable): ~ l~ildifll~ ....g. ..... Nklici~ .......... Alteration ..........
I~el)air ............ Ibm)oval ............. I}eml tt:l~, ............ Other
,(Deecrt pt:ion)
/~. I'~at imte(I Cost .... .~(~ 0..~. '. ............ fee ..............................................
(Lo be Paid oa filing this apptJca~:lon)
5. li~ {k~ellit~, nt,d)er of dt,'ellh)g tanil:a ............ tired)er of d~,~lling units {m each floor ................
If garage, t~tad)er aL: care ....... .T~O ...........................
6. If IxmI,eaa, (x]mlercJai or mlxe(t'~c~q)ancy, aPaclf~ nmi.tire a~)tl extent of each type of
?. Dimenuicsm of axial:lag strum:urea, If any: Fr{~r....~/.~ ......... I'(ear ............... Dept~h .................
Ileigifl: ......................... I'&~ni)er of ~t:ortea ......................
I)l,,eneie, s at~ ~e~na a£rucf:ure with alterations or addit:iona: Froot: ............... I~ear ...............
Depth .................... Ilelght: .................... I~d)er o~ Stories ...............
6 ' 6.6'. 35' 8"
.... ~ ................... ~ ~f St:~i~ . two
ff~ ~o ~ cx~ ~ ~ . V~.c.e. nt Orlando ~so 500 Azalea Rd.
· · ............ l~ ~. 298-4334
· ~m of &r~it~t: .... .R~.~.k Searles ~i~eeo 13.1 Rt.e 25A, Rocky Pt.
........................... I~ ~. 744-2852
· ~ of ~at:r~t:or B.o.b...G.igo~is ~l~eea .4,~6 .Old N. Rd.~ Southol~. · 765-5696
IS. We this properly within ~O feet:.of a ri(Iai I~t:land? * W.~ .......... 140 X
I,ocate clearly and dlst:incrly all L)uildin~o, d~et:her existing or proposed, and indicat:e all ~et-l)ack fliraeaeiona
I=rom Inroi}erty lines, Give at:rest: and block r~d}er or deacripticn according to deed, and shcx~ street nares ar~l ir~licate
td~tl~r interior or corlEr lot:.
Se~ attached survey
,~rA'll~ (xr NI,,'N YCXtK
.............. I/il~e.¢~ .O~c~tdp. ......................... beiul~ duly ~rn, delX)~s and ~ys thaC he ia the applit~mt
(~,~ of itxlivl(hml, s'l~nmg contract)
0.w.~¢r of lot
lie ie the ......................................................................................... . ... .
((:caitractor, asettC ~ corperat:e officer, et:c.)
of .aid {~nmr or o~.re, and ia (luly mitberj~ to patron, or Imve Ix~rforrt~] t.he ~id ~rk alxl to n~ke and file Ihi.
aloft italian; thai: all ~tatamntu e(mtal~ in t:hie fll~)licatiCm are trim to the best o~ Isis klx~l~e and I~1
that th~ ~rk will I~ ~rfon~l tn the n~m~mr ~t forth in the appl. iention
,C~rn to before IIIl~ Lh[s
....... ¥..?.. ..... .....
JOANNE O. K~U9
Note~ Public, State of New YO~
No. O1KL5~0798 ~ ~
Qualified in Suffolk Coun~ ~'~'
~ommlssion Expires March 20, 1~ I