HomeMy WebLinkAbout24734-zFORM 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. 24734 Z Date MARCH 2, 1998
Permission is hereby granted to:
JOSEPH & KATHRYN TEDESCO
32 JONES DRIVE
GARNERVILLE,NY 10923
for :
INSTALL HEATING SYSTEM IN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
at premises located at 2020
County Tax Map No. 473889 Section 097
pursuant to application dated FEBRUARY
Building Inspector.
SKUNK LA CUTCHOGUE
Block 0003 Lot No. 015
6 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25561 Date: 03/02/98
THIS CERTIFIES that the building HEATING SYSTEM
Location of Property: 2020 SKUNK LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 97 Block 3 Lot 15
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 6, 1998 pursuant to which
Building Permit No. 24734-Z dated MARCH 2, 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 HEATING SYSTEM INSTALLED IN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR "AS BUILT"
The certifiaate is issued to JOSEPH & KATHRYN TEDESCO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 01/22/98
PLUMBERS CERTIFICATION DATED N/A
BulldOg Inspectq~
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
?LICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submit(ed 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 c6mpleted site plan requirements.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'3pre-existing" 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
1. 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
2.Certificate of Occupancy on Pre-existinR Buildin~ -1~.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
Date..,,,~..~ ............................. . .. ..
New Construction. ~ ......... Old Or Pre-existing Building...~......¢ ....... ..
2 2o .......
Location of Property.. .(~. ....................................... ~t~..~.
House No. Street Hamlet
:..
..... --v .C. ...............
qn .,,s.
County Tax Map No 1000, Section .............. Block.. · ........... Lot../.~. .................
Subdivision Filed Map Lot ·
Permit No..~.~.~.~ .~...Date Of Permit.~J.~/.~ .~.. .... Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ............ .. ......... .
Request· for: Temporary Certificate ........... FinaleS. ate ...........
Fee Submitted: $..~ ........
co /
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAC.~l
8e69629 "U.EAM OF ELECT.,C,TY
V 40 FULTON STREET~ NEW YORK, NY 10038
Date JANUARY 28,1998 Application No. on file 15372798/98 H 058593
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
TEDESCHI, 1970 SKUNK LANE, CUTCHOGUE, NY
in the following location; [] Basement [] 1st Fl. [] 2nd Fl. Section Block
was examined on ~.TANUARY 22 ~ 1998 and found to be in compliance with the National Electrical Code.
Lot
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FIXTURE
OUTLETS RECEPTACLES SWITCHES FLUORESCENT OTHER
1
DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS DIMMERS
SYSTEMS
NO. OF
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS:
OIL BURNER INSTALLATION-1
NO, OF CC COND.
PER ~
OFCC, COND.
NO OF HI-LEG
A, WG
OE HI-LEG
NO, OF NEUTRA[$
O~c NEUTRAL
- !
1515 YOUNGS AVENUE
SOUTHOLD, NY, 11971 ' GENERAL MANAGER
11
This certificate must not be altered In any manner; return to the office of the Board If incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORH NO. I
TOWN OF SOUTIIOL1)
BUll,DING DE PARIS'lENT
TOWN IIAI,L
SOUTIIOLO, N.Y. 1197 i
TEl.: 765-1802
Apl)royce! ........... . 19. lc.nH: No ........
1)i ~rq)rov~l a/¢ ..................................
..... .................
BOARD OF HEALTI! ...............
~,9 SETS OF PLANS ...............
SURVEY ........................
CI1ECK .........................
SEPTIC FORH ...................
NOT]FY:
CALL ..................
NAIl, TO:
APPLICATION FOE BUII,I)ING PEENIT
l).te ................ ,19 ....
] NSTIHICTIONS
,. 'lhis npp{{cnt|on n~mt be co,~]etely
~ ~ts
b. Plot plan ~1~ l~att~ of 1o~ ~ o~ l~dldin~s ~ pr~i~s, relntton~dp to ~jointn~ praises or IX~blic
strut8 or
this
i~rmlt ~mll ~ kept ~ ~m ~1~8 available for tns~ti~ thro~*t the m~rk.
e.
~t<y ~all h~e I~n grnnt~ }~ O~ Ikdldlt~ lns~tor.
~H.IC~FI~ 18 I~ }~ to tim lkfilding ~rt~nt for the is~m~ of n ~tlding ~mit ~rmmnt ~o the
I~{ldJng ~ ~d{~ of t~ I~ of ~ltl~ld, ~lffolk ~m~, ~ York, a~ other n~li~ble l~a, {~di{~ee or
~lati~s, for tim ~t~tt~ of ~dldt~s, mMiti~s or alterations, or for r~al or ~lition, ns herein
(s' ppi' "
(Pa' ~ a&l ppi' -)
'A ~'4::~'~Tg',,e~'~¥j~ ;;,,q, ,~:~, ~ u
StnCe ~mt}~-~l~qt.~l~u., tle~, ~e t, nrd~it~ct, eng{~r, get~ral c~tractor, electrician, pl~r or
.......... ;~.~aiAwd' ~':'~om~o~';{ ...... ~" '~ .............................................................
......................................................
.......... ~ ~. ~~. ~ ............
~1~ ~ice~ ~. 3.] .Q~ ..............
O[l~ ~'e LJcen~ ~ .....................
I. {~aLi~ oE ]a~ ~ dtJd~ p~l ~rk viii I~ ~ ................. ~-~ .................................
Ilouse lt~{~r Street II~.let
~,,t, Tn~pNo. ,~ ~,~, ....... :7--(----"'~ '~ :'>"
~lMivisi~ ...................................... Fil~l Pap ~ .......... * ..... I~ ...............
(~)
2. State exist~ um aM <~<y of l~enisee a~ intem~ use a,~ ~ of pro~ e~st~ction:
Resident
F~ist i~ ~ ~Y ................................
ResidenC
b. ]nte~ u~ n~ ~ .............................................................................
I0.
II.
12.
14.
15.
lz~caLe cLeer]y a;~l dJsl:jncl:ly a'l
property lhv~a. Give ~tree~
xd~etl~r interior or core,er
~rip¢iaO System.
1~ Borage, [tid~r o~ cars ..... ' .................................
I f Ix,aii~sa, ~m~rcJal or m[~ tl"~oq~y. ~l~Cl~ tmLure aT~ ~ten~ o~ eadt ty~ GE u~ ......................
Dl.ens[~}s of s.~ srn~t~*re ~lLh alrera~J(~s or ~l~ions; Fron~ ............... ~ar ...............
i PI.OT
UNDERWRITERS CER'I'IFICATEI
REQUIRED
APPROVED AS NOTED
FEE: ..') ~, £/~ BY: '"'7~'T~L'('~"
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION . ~0 REQUIRED
FOR ~URED
4, FINAl.. CON~RU~O~ MUST
ALL ~N~
THE ~aOU~ ~ ~a ~.y.
................ beiul; duly a~)r., delxxsee a,xl says ti,ar he is the al pl, l(:an
(~.t~ of i~xlivid~mL ~ig.i~ c(~tract)
~t.'S ~1~ I~c Joh'h iRomanelli President
I~ i~ the ........ ~.~ ~ ~.. ,,
((~mtractor, agel~t ~ cgrl~raEe officer, etc.)
of sa](l {~er or ~e['s, mKI t. duly aqthori~ I;o lerform or have l~}rl'or.~l Lite seid ~[k a[KI Co .~,ke taxi file this
appl [caCit~l; thai: att 8LaLelents conk'alii iQ I.h[a application are t'ne Lo lite Imsc of Id0 klx~l~ge m~ I~l. ief~ e,xl
tha~ th$ ~k wail I~ ~rfon~l J. the ~.~mtmv ~ forLh i~; Ute ~ppl.'cation fil~
(~%utl:ur~of Api)l ica.t)