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HomeMy WebLinkAbout24810-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25981 Date: 09/28/98 THIS CERTIFIES that the building ADDITION Location of Property: 2575 LIGHT HOUSE RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 50 Block 3 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 23, 1998 pursuant to which Building Permit No. 24810-Z dated APRIL 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEPHEN & ANGELA L PUTZI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A BuildinVinspectoV 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. 24810 Z Date APRIL 2, 1998 Permission is hereby granted to: STEPHEN & ANGELA L PUTZI 2500 LIGHTHOUSE RD SOUTHOLD,NY 11971 for CONSTRUCT A PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2575 LIGHT HOUSE RD SOUTHOLD County Tax Map No. 473889 Section 050 Block 0003 Lot No. 006 pursuant to application dated MARCH 23 1998 and approved by the Building Inspector. Fee $ 75 . 00 Building Insp ctor ORIGINAL Rev. 2/19/98 Form No. 6 rr r pp WN OF SOUTHOLD BUILDING DEPARTMENT if TOWN 765-1802L APPLICATION FOR CERTIFICATE OF OCCUPANCYT ABLDG. DEPT N F S UTHOLD A. This application must be filled in by typewriter OR ink and submitted to the buildin; 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 buildir 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) non-conforming uses, or, buildings an '•'pre-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 $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .251�. 4. Updated .Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ... . . . . . . . . . .. . .. . . . . . .. . .. . . . . . . . . . . . . New Construction. . . ... . ..... Old Or r -existing®B`uilding... . . . .. . . Location of Property..42•5 /.5. 1� agg4e &...�cJTi.?GI)/ . �7,r, Z fS I./ . . . . . . . . . House NoS Street V Hamlet Onwer or Owners of Property..Y.7€��EV � MS4_64 Pe/7 r/. . . .. .. . . . .. . . . . . . . . .. . . . . . . . . .. . . . County Tax Map No 1000, Section. . . J D . . .. ..Block. .. .. . . . . . . .. .Lot.. . . . .'C . . . . . . . . . . Subdivision.r.�. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . ..Filed Map. . . . . . . . . . . .//Lot. . . . . . . . . . . . . . . 2� Permit No. . Q 4. . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant.M'!m��W. .FxKz/ . . . . Health Dept. Approval. . .. . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . .. . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . 1 S. Fee Submitted: $. . . . . . . . . . . . . . .. . . . . . . . . . . . . . &C 551635�'"' '' CD 2- a578`I ' o��gOFFDJ4, O Gam` Town Hall,53095 Main Road yy. Fax(516)765-1823 P.O. Box 1179 Gy �� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 18, 1998 Stephen & Angela Putzi 2575 Lighthouse Road Southold, New York 11971 AMENDED PLAN REQUIRED ALSO. 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) No Underwriters Certificate on file. / XX The check is (not on file. )$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24810-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1 > FIELD Ii:S:'ECT , 0N 1(L`ITE COMMENT? ,r -o 1 . FOUNDATION ( 1 ) 1 c C4 FOUNDATION ( 2nd ) 2 ' z O ROUGH FRAME & PLUMBING ^ 1 _ y H 3 . m, n INSULATION PER N . Y . STATE ENERGY CODE 4 . 3 FINAL /09 a. z ADDITIONALCOMMENTS : ca • x h H H� Z W m H ^e H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � �� �'� INSPECTOR �� g/o M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE /A& CHIMNEY REMARKS: If DATE �� b' INSPECTOR f Dom 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] EFDATION 2ND [ ] INSULATION [ FRAMING [ \] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �- /J DATE f� INSPECTOR zlo765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: 421E DATE 7 X/o/er,9 INSPECTOR 1 6mac' BOARD OF BEALTH -- - - - - - - - - - - - - - } FORM NO. 1 �f3 SETS OF PLANS f l!�" TOWN OF SOUTHOLD /'SURVEY . . . . . . . . . . . . . . . . . . . . . . . 6 BUILDING DEPARTMENT /CUECB . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 e;, 'S ;TOWN HALL SEPTIC FORM . . -. . . . . . . . . . . . . . . . MT(IOLD, N.Y. 11971 •,.w a TEt: 765-1802 NOTIFY, EumJG.T.1:S9'S. _ r Trow OF SOUTiiOI_D M r CALL Eramnined.. ��. .T. , 19.... ... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved... . 19.... Permit No. L�o p 1.....� .................................... Disapprova c ....... .................................... (Building Inspect ) PLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wil 3 sets of plans, accurate plot plan to scale. Pee according to schedule. b. Plot plan slowing location of lot and of buildings on premises, relationship to adjoining premises or lxd)lic streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be ecemneed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 BEREM MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, 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. lbe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ard to admit authorized inspectors on premises and in buildi for necessaryin tions. 40 .v.................. i (Signature of applicant, or name, if a corporation) 25oo ki 0U$C. to 5OV774o � N/`y ......... .J............ _"................� 7r (Maili address ofapplicant) #19i?l State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...........©w .....Z................................................................................................. �NGEclq- !cITZ Namof owner of premises ................................................. ........................................... (as on the tax roll or latest deed) If applicant is a, /corporation, signature of duly authorized officer. .............../ /F• .................................. Mtine amxl title of corporate officer) BuildersLicense No. ......................... Plumbers License No. ......................... a Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land ton which proposspeed��work will be done................................................................. ..... ..... .... ................................................ House Number Street Hall/et County Tax Map No. 1000 Section ....... V...... Block ..... ......... Lot .......`e....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and inteuse and occupancy of proposed construction: o� em a. Existing use and occupancy ....�ESmD��,t!-`,T-UA G�./.........�........................................ b. Intended use and occupancy � S �8��1 'PPAC 3. N•hlure of: work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ............�RJenwal .. .......... Demolition ............ Other Work .................................. ...../.y.0491 (Description) 4. Estimated Cost .. ....•t......... fee .............................................. A04 (to be Raid on filing this application 5. if (knelling, nnber of dwelling l:units . n4..... Harber of ckaelling units on each floor ..M ........ Ifgarage, amber of dura, .....M1.4.................... 6. If business, connercial or.mixed occupancy, specify nature and extent of eacii type of use.......YO....... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height .......................I�.. Nuhber of Stories ...................... Dimensions of save structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Ninber of Stories ........... R. Dimensions of entire new construction: Front ...."Kq.l....... Rear ....° °?�...... Depth .... r�r�/r.. lleiglht .......fir'. ( (off / ISI . Nudber of Stories ................ 9. Size of lot: Front to! '2-06 � Depth .�f`fyeS�E' !�ND„I ��a•8&� ........ ........ Rear ............. 10. Date of hirchase ....IO•.��'S(gig a.... Name of Former Owner ... ...3(.'744x............ H. Zone or use district in which premises am situated ..... ................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... �.......... 13. Will lot be regraded . Will excess fill be reiroved flan preraises: YES p nu R4...../�,. �” �� 14. Names of Owner of remises f��y� A!6x� ��%zl, Acklress yZS0O �/ Lii�tlSExq? None No. �f;�S"Sj �..... k 1p cuM c /yrv, . `7j9DNi..( :I. Rhone No. M'dt/oo Naxue of Architect' .....I. �.9..K .y..... .fR.... Add qNT Mie of Contractor .......... O �'Ve�........... Address ........ ........17hone No. 15. is this property with 300 eet of a tidal naetland7 * YES .......... W .......... *IF Y1S, :X1[M"D m4N 71i1>SIPL+.S MiMrr MAY ID3 Wg1IRKD. FL0'i' DIAGRAM lcx:ate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-lack dimensions firm property lines. Give street and block nnber or description according to deed, and slow street names and indicate Miether interior or corner lot. SEE %,r,ec �,� SI-All, (A? NW YORK, ss (ujNiy or ....�...�......... t •..0........... .....................being duly sworn, deposes and says that he is the Applicant J572-R -CN f1A&# l a*r Z (Nave of ihxliv dual signing contract) above runed, lk is the ..........r.......... Co /.STyQdcl.o/�. .............. ....... . . .................................................... (Contractor, agent,1l corporate officer, etc.) of said owner or owners, and is duty i authorized to perforin or have performed the said work and to make and file this application; that: all statements contained in this application are true to the best: of his knowledge six] belief; aux] that the work will be performed in the haauher set forth in the application filed therewith. :kxhrtu to beforerre this .D.�... y or E." .....19..�.r.. Notary Rhblic .. ................. .............. �. ........ (Signature of ApplA cant JOYCE M.Wfi-6NS Notary Public,State of Now York No.4952246,Suffolk Cou Term Expires Juno 1112, 119 d a t ACEix 126, 9V4 Sm. F4. R H J W ' x a } k J � to d � ZF ad I J W m c. P a .oz - o i 26.00• wltec �' N - 1 mwcc d � P� an ,j � � �❑ 8wao ; f' 6Ht0 p-mac a.i• zSc.. oo' : . - . - _,,, r _, : l. _ , „ ,. -. , , - w ., _ . ., . _ - - . , _ _ . , _ - ..�,. _ _ - W _ jj ' y- w �1jF i ) a . . ,-: . - .. _ --- . .. . , . 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