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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 ':1C~-~6 # a3NaW3~3W /_82R-¢,9C xe~ 8928 69~ 00¢_' , 00~':, 001¢ 0 80C0¢-5 'ON '3Iq S A N ~06~ 'A'N'i3V3HU~AZU UOA~A~['I~ I]N¥] SU~]H~ "] NHOf' , C)O~ = ,, f, ' L c. ~'L - 'i~ - Lb - OOOI ~ dV!4 XV.L ALNNOO >l-IOa=tflG gb-~O-~,O C~::!A~A~NG M~tN 'A_LNNOO >t-IOa=ING d-IOH_I_NOG =tO NMOI '91NOg:::Ia .LM :ELLVN.LI9 A_L~t~ao~ta =to A:::IA~tric~ 9N~-86 # 33NBUBBBU EODO§ 'ON '3I] 'S'A'N '~ ;06~; 'X'N'OV3HW3AIW 'W ±S¥3 g WOA3AWRS NHOP 0 ILl ~t~tOA MDN 40 ANVdNO"2 DONV~RGNI ::I9.LI/ N¥"21~tEINV .LG~M 'd~0'2 I'2b~J.G~IV NV1190c:IO~.LEIIN I I I ::Idctl-IIJ, Od-lV~]lq :lC) j.q~l-]k,l~Od ~0 MON C]N'~'] ,09 =,,~ dO Afl~M~Od ~O MON ~N~q , O0 ' 0§1; ~-V F~NOZ dNflO::l ~dl~ O dNflO-4 J-NEII4flNON · ~,, O~ , Gq. 9AS 3 ,, OD, 1: §o HO A-I~NL~iO_~ LdO MON ~JN~¢9 :O.L 'P'L - '~ - Lb - 0001 qb-~O-II AZlA'~nG 9¥N1=1 qb-bO-LO NOIJ-V'20-1 NOIJ.¥dNnO4 '>l'blOA M~N ',,L.LN(IO'D >190--l-.ll']~J dqOHIflOC:5 -lO NMOI 91NO'~Z:td l¥ 'ELLVR.LI¢ A..L~tZ:ldO~d -lO A~'",,'~ti'IG =JO J-q~-'t-]Ni~OH L"JO "dON 3IFIdVUO ~G~t. ON / gcdddd~ F 7 pROVIDE OPENINGS fOR EMERGENCY ESCAPE AS REQUIRED BY PART. '/14 OF t~.Y. STATE BUILDING CODE.