HomeMy WebLinkAbout24997-zFORM NO. 4
TOWN OF BOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26271
Date: 02/09/98
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1055 SKUNK LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 97 Block 4 Lot 7.4
Subdivision Piled Map No. __Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 26~ 1998 pursuant to which
Building Permit No. 24997-Z dated JULY 1, 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 ATTACHED ONE CAR GARAGE & DECK AS APPLIED FOR.
The certificate is issued to UBALDO & MARGUERITE FILIPPETTI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-98-0063
ELECTRICAL CERTIFICATE NO. 24115
PLUMBERS CERTIFICATION DATED 11/11/98 THOMAS MAFFETONE
12/17/98
11/25/98
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. 24997 Z Date JULY Iv 1998
Permission is hereby granted to:
PHILIP SCIRE (Fillppetti)
46 MARINER CIRCLE
WEST ISLIP~NY 11795
for :
CONSTRUCTION OF A NEW SINGLE FAMILY WITH ATTACHED ONE CAR GARAGE,
REAR AND FRONT DECKS AS APPLIED FOR0
at premises located at 1055 SKUNK LA CUTCHOGUE
County Tax Map No. 473889 Section 097 Block 0004 Lot No. 007.004
pursuant to application dated MAY 26 1998 and approved by the
Building Inspector.
Fee $ 699.20
Application Fee + 75.00
774.20
Building' In~ec~r -
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 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.
B. For existing buildings (prior to April 9, 1957) ~on-conforming uses, or buildings and
Ppre-~xisting" 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
t. 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 -
4. Updated Certificate of Occupancy - $50.00
5. .Temporary Certificate of Occupancy - Residential $15.00~ Commercial $15.00
ate ....... .....................
. .~.'..... Old Or Pre-existing~l~__~ ~ ~,Building .................
~ew
Construction.
~oca~ion of Froperty ....................... · .... .~.~x.~ ........... ~v.~w~u .......
House No. Street Hamlet
3nwer or Owners of
Frope=y...ut .d.o.. er. .k .... 1. ...............
:ounty T~ M~ ~o 10o0, saction..~.'.t .............. .... Bloc~...''~ ..Lot .....................
~ubdivision ............................. .. .. .. . Filed Map ............ Lot ............ ... ...... ·
Permit No....~..~..~. ?..~....Date Of Permit...~.}..~.kl~.~. . .Applicant.~..~.q.~..~-~. -~ .....
~lanning Board Approval ........................ ' '
.aquas< for: Temporary Certificate ........... Final Certicate...:Ml:gl.. llllit
SLOG D~PT
contains less'than 2/10 of 1% lead.
system
Sworn =o beforeme ~his .
Term ExpimS~
DATE:
11/25198
ELECTRICAL INSPECTION SER F1CE INC.
$75 DUNTONAVENUE ' ;
' EAST PA TCHOGUE~NEW YORK 11772
: (516) 286-6642
~ILLIGE: Cutchogue TOWN:
ADDPd~$$: ,Skunk Lane . '
ISSUED TO:
Gendot Homes
' LOC~dTION:
Der. Garage
OTHER
EQUIPMENT
Outside, Res.
was examined on , 11/25/98 and found to b* in ¢onipliance: with th* Hational Eiectrt*al Code [
Base.. XX 1st ~ ' ' ;2h~ ~ 3rd" ' A~ ~'~ ~ ' , ~, 15 '
28 ' ]-~xhaust 4 , [
I
CLo~Es wA~. G~. DISP. ~GE [ O~ ~O~ D~ECTOR I
20Amp. . ~ : 6 ~ [
I
b'WJTCHE$ RECEPTACLES FLYTURES HEATEP~, ' ' FANS ~ ' G.F.L AIR. COND.
39 43 28 l-~xhaust 4
DISHW. dSHER DRYER CLOTHES WA~I. GM. D!~gP. ~GE , OVEN S3ffOKEDETECTOR
I 30Amp. 20Amp. 6
FUI~VACE OIL G)~ CIR. · MOTOPJ BELL T2&d~ SERVICEDI~CONNECT
4-f , 1' .~rm '~a~ vv.~a~
1 200 UG
¸'i
HUGO $. SURDI
PRESIDENT
· Tins ~titioatomust not be altered i~ any mmmex
PINK COpy OFFICE
I-cook top 30Amp.
BUILDING PERMIT No.
BLUE ORIO1NAL YELLOW COrY
z,,S. -~-ON
FIELD '" ';?~-~
FOUNDATION (
COMMENTS
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING'
e
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
765-1802
BUILDING DEPT.
INSPECTIO~
[ ] FOUNDATION 1ST [P~ ROUGH PLBG.
[. ]/~4JNDATION 2ND [ ] INSULATION
[ ~ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~//~' INSPECTOR
/ /
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] IN. ILiON
[ ] FRAMING [-~]~,NAL~
[ ] FIREPLACE & CHIMNEY
DATE
,INSPECTOR /~~~~
765-~.802
BUILDING DEPT.
INSPECTION
[ ~FOUNDATION 15T [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] INSULATION
] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ]ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ]FRAMING
[ ] IN~SULATION
[~INAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [~NSULATION
[ ] FRAMING [ ] FINAL
[]FIREPLACE&CHIMNEY
DATE
INSPECTOR~/~~/
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DAT£
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] F~NDATION 1ST [ ] ROUGH PLBG.
[~,~ FOUNDATION 2ND [ ] INSULATION
] FRAMING [ ]FINAL
[ ] FIREPlACE&CHIMNEY
REMARKS. ~~
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT~
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved a/c '
B~ARD OF HEALTH .........
3 SE'~S OF PLANS .........
SURVEY ............. o ....
CHECK .................
sE ,T c ..... .
/ ................
0~(PPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Tlfis applicaffon must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee accm-ding to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public st?eets
or areas, and giving a detailed descriptioh of layout of property muJt be drawn on the diagram which is part of this appli-
cation.
c. The work covered by tiffs application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will i~sued 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 purpose whatever until a Certificate' of Occupancy
shall have been granted by the Building Inspector.
'~' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South0td, Suffolk County, 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 inspect6rs on premises and in building
State whether applicant
for necessary in~ections..~ ~,~ _ ~ .
(Signature of/,~pplicant, or name, i! a corporation)
.
[Mailing address of applicant) //2 ¢62~
~s owner, lessee, 'agent, arctfftect, engineer, general contractor, electrician, plumber o~ilde~
N~me of owner of premises ....................
- (as on the tax roll or latest*fleed) .
If applicant is a corporation, signature of duly authoriied officer.
''~' (Nam/~,and~ [~'~
Builder's License No ..........................
Plumber's License No...~..~..~.~..~.. ............
Eleo,ician's iceuse ...........
. ~ ~ ,
1. Location oflandon wlfichproposed workwillbedone.~~..(~..~~~.
House Number Street Hamlet
Cou'nty Tax Map No. 1000Section..:..~¢Z ....... Block ..... 4 ....... i... Lot...~ ...........
Subdivision ........ .. ' Filed Map No. Lot '
(Name) , .c ......
2; State existing use and occupancy of premises and intended use and occupancy of proposed const~6ctipn':
a. Existing use and occupaucy ...................................................
b, Intended use and occupancy .
· 3.Nature of work (check which al> cable): New Building
........ Addition .......... Alteration ..........
Repair .............. Remo?al ............ Demolition · Other Work...
4. Estimated Cost (Description)
~ · Fee
~ .? (to be paid on filing this application)
5. If dwelling, number of dwell ~g t inits "' .... i '/'
~ .............. pmmoer oI awenlng l.nits on each floor
· If garage numberofcars ~ · · ............
6. If business, co,mmercial or mi,xed Ibccupancy, specify natnre and extent of,each type of use
7. Dimensions el existing structuresi if any: Front ............... Rear .............. ' ..................
He.ght ............... Number of Stories ..... i ...... . . Depth ............
Dimensions of same structure with alterations or additions Front ~ ,- ........
Denth ~ · .- ' ' · ~ ......... i~ear
~' ·; .................. tleigot , . . x~_ ,_ ,~ ,,. ' .......
of ............ ............ ..... ..' . , . · ...,~umoermatones
8. Dimensions entire new construgtion: Front . ~' '~. · .. Rear .~',~. .... De-th
Height .../.O? ......... Number of Stories .. ~ ......... v .............
9. Size of lot Front /,grT.~. ~ . ~j_' 2/'~¥ ',7,;4
10. Date of PurchaSe .... ;"~ .............. ,-*~ ·. *..*'..'~ ~ t,'./. .......... Depth ,,~,2/~..,~,.~ ~-.~..~...
................... ' ....... .. Name of Former Owner . ...'TTTZ-~...
11. Zone or use district in which prmr ises are situated ........... ' ................. : .......
12. Does proposed construction violet ...... ....
13. Will 10t be regraded .... ~ ny zoning law, ordinance or regulation ~ ....
x,, ...... ~ ....... Will excess fill be removed from remises' .~.~.._,
14, Name of Owner of premises~.~-".~ ~, .... Address · .~. .... Phone No. ~b. ~..~t'.~. '
Name of Architect ~'-4~.~?'/4~ ? .... ., .~ ...... Address ~*/../~.,~.-t~,d./v;~7..~e No
Nmne of Contractor ,,~/~;~ (4% ' · " ........
' :~ ..... Address '~.at~,, d~.~'. ~. · .;r~4. '~ Phone ~n.
15. I.s this property within 30 feet of a tidal wetland? *Yes ........ No.J~]'.~..'.' ..........
· If yes, Southold ToWn Trustees Permit may be required.
' I PLOT DIAGRAM
Locate clearly and distinctly all biiildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines, Give street and block nu~mber or description according to deed, and show street names and indicate
interior or cornerlot, i ' ' whether
;TATE OF NEWVOPg
................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing ~ontract) '
bore named.
)r' '
, , etc.
f said owner or owners, ~d is duly au~tl}orized to perform or have performed the said work and to m~e and file this
pplication; that all statements contained {n thisapplication are frue to the best of his knowledge and belief; and that the
'ork w~l be performed in the manner set,fort ~ in the application filed therewith.
worn to before me~
................ day of. I ,
~I;E,~80~O, ~ ' (Signature of applicant)
~ PU~, 8tale 6f New YorR
No, 01E~078O~3
SURVEY Ot= PROPERTY'
· ~,~./N 'F-°/:'"P SlTUATtE, AT PtEC, ONIC,
¢.,p... 2D ~ TOINN OF SOUTHOLD
~ SUFFOLK COUNTY, NEIN YORK
5URVE'fED O4-O2-q¢
'FOUNDATION
LOCATION
5U,F,FOLK COUNIY TAX HAP
~ I000- q-/-
CF:~TI,FIED TO:
UBALDO I=ILIPPETTI
MARCUERITE PILIPPETTI
I'4ETROPOLITAN ABSTRACT CORP.
~*i!~ ~ ~ 'FIRST AMERICAN TITLE INSURANC. E
,,..,.'{') j COMPANY' O,F NEIN YORK
LAND NO,~10F~ FORMErLy OF
LAND NOk~ OM FOP-.PIE~L'K OR r~O(~ER F~USS~LL S¥O~TENBUF~GH
RO<~EF?. ~US~bELL ~FOUT~NBUr~GH
.......... N82 °5 t ' 20 "E
..... ~::;c:E:rz:,,.:7:- 374.51 '
~ ¢[) LANI? NO~ O~ FO~L~ OF
~ t-~ET~R ~AI L>O~F ~i
O '
rrl~
,
~/ -'- 56
ZONE
~ N.Y.S LIC NO. 50202
dOHN C. EHLERS LAND SURVEYOR
GRAPH'E(2 SCALE ~ "= 60' 6 EAST HAZN STREET
--- ~ RZVERHEAD, N.Y. ~90~ /
369-8288 Fax 369-8287 REFERENCE ¢ 98-t43FNL
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7
pROVIDE OPENINGS fOR
EMERGENCY ESCAPE AS
REQUIRED BY PART. '/14 OF
t~.Y. STATE BUILDING CODE.