HomeMy WebLinkAbout24312-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~ERTIFICATE OF OCuuFANCY
No Z-25314
Date OCTOBER 14, 1997
THIS CERTIFIES that the buildin~
Location of Propert~ 8925 SKUNK LANE
House No.
County Tax Map No. 1000 Section 104
Subdivision
AL'£~ATIONS
uuTCHOGUE NY
Street Hamlet
Block 3 Lot 15
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J~/NE 1OF 1997 pursuant to which
Building Permit No. 24312-Z dated AUGUST 14F 1997
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 ENCLOSE AN EXISTING COVERED PORCH AND ALSO TO RENOVATE ABOVE
AN EXISTING TWO CAR GARAGE TO STORAGE SPACE AS APPLIED FOR.
The certificate is issued to SALVATORE & ELSE--MARY COCINOTTA
(owner's)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUI~BERS CERTIFICATION DATED
N/A
N433596 OCTOBER 3~ 1997
SEPTEMBER 26~ 1997 SALVATORE CUCINOTTA
Rev. 1/81
IPO~M NO. J
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)
Do,e
,,,1, z ......... ¢ ......................................
Permission is hereby 5.~'~ (~..~..~./~'~-...~
granted to:
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...~m~.~ ........ ~ ........ ~.....~..~.....~.....~.~.....~
~ ........ ~~ ....... ~z..: .........................................................................................
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~...~ ~.~ ~.~ ,~. ,.~0 ~. ...... ~¢.~... ,,~ ..... .~J ......... ~.~,...../~ ..........
~,ildln~ I,s~,~tor.
....... .. . .......................
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING D EPARTMEIqT
TOWN HALL
765-1802
~PLICATION FOR CERTIFICATE OF OCCUPANCY
This appli~aCio~ mus~ be filled in by typewriter OR ink and submitted to the building
'inspeh~%~h~t~-~ollowing: 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 i% 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'~pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and
unusuai 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
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~ing pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-~xistinR Buildin~ - $i00.00
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 LT. 2 ...................
New Construction ........... Old Or Pre-ex'isting Building.~/~
House No. Street Hamlet
Onwe= or Owners of Property..~..f~.~?T*? ~ .~..~..-~...~J.~...~
~~ ~- ....... ~ Lot...~ ~'-' ..................
County T= 000. Section...-.--.... ......
Subdivision .................................... FiledMap ............ Lot ......................
Permit No ..~.~ ~ f..~'~ ...... Date Of Permit....~. f ~. ~?~Applicant ................. · ...........
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS
8~-!t}'~2q~1 BUREAU OF' ELECTRICITY
r~ 85 JOHN STREET, NEW YORK, NY 10038
Date ,~.,~'~QF!~,}~ ~ ~c: ~ppli~ationNo, o~fil~ ~'~ff~'~/q~ H ~1
THIS CE~IFIE5 THAT
~s examin~ on OCT()~]~ ~ ~ ~ 1~ ~ ? and found to be in compl~nc~ with the N~onal Elect~c~ C~e.
Lot
DRYERS I:URNACE MOTORS IKJTURE APfqJANCE F~EOERS
SERVICE DISCONNECT I NO. OF ] S
MITER
RANGES
~PECIAL EEC'PT
R
COOKING DECKS OVENS DISH WASHERS I EXHAUST ~ANS
V I C E
I
~ALVATOt~E CUCINOTTA ~ L
[A~ AVEI~IE
~,~, ~0~ ~ GE~ERALUANAGER
CUTCHO.3UE, ~f. 11935 ~ ~
Per -
This ce~ificate must not ~ altered in any manner; ~turn to the office of the ~ard if incorrect. ~nspectors may be identified by their credentioJs.
f
Town Hall, 53095 Main Road
P.O. Box~I79
Southotd, New York 11971
Fax (516) 765-1823
Telephone (516) 785-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No. ~
(please prlnt )
Plumber: S~L- C~ C i {%[~/4
(please print)
I certify that the solder used in the water supply system
contains less than 2/t0 of 1% lead.
Sworn to before me this
~6 ~ day of ~
County
BARBARA DL~CHUN
· 483,5190, ."~lk Courtly
Cornmlssk~ 6,~'re Oct. 31.1~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~.,!4 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
Date (~.'~[-~{3' (i~ '~ , [~9~? ~pplication No. on file . 'l~c .~ ~'~ /~ ? ~ ,~ ~ ~,<,~,
THIS CE~IFIES THAT
E~2,VAT~.tRE CUCINOTTA .°,925 BAY AVENUE, .mJTCH~UE, .F;
~ ex*ml.~ on ~ E~ T[~ ~ER 2~, t 997 and found to be in compli~ce with the N~'on~ Elect~c~ C~e.
Lot
RANGES
SPECIAL REC'PT.
E R
COOKING DECKS OVENS DISH WASHERSI iXHAUST FANE
TIMECLOCKSTUa~UNITHEATE~ MULTI-~T~TsYsTmS ] DI~ERS
~T~ ~PS RAHS, i ~T i ~.p j ~O, OFKET I ~T, I W~TT5
CU'~'CH~-~UE, ~; 1t9~5 Per ~ ~ GENERAL MANAGER
This certificate m~f ~f be =lfered in ony manner; refurn to the oHi=e of the ~=rd ~; incorrect Inspecfors moy be identified by lhelr credentials,
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMIHG [l~lNJC ~
[ ] FIREPLACE & CHIMNEY
INSPECTOR
765-180:'
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMiI~iG
[ ] ROUGH PLBG.
[ ] .~/NSULATION
[ ~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
SALVATORE CUCINOTTA
45 Sutton Place South
New York, N.Y. 10022
%.
FOP~ NO. I
TO%~TN OF SOU~{OLD
BUILDING DEPART~4ENT
TONN HALL
SOUT]{OLD, N.Y. ! 197 m
TEL: 765-1802
JUN 101997,
APPLICATION FOR BUff.DING PERHIT
INSTRUCTIONS
F_ PL ...............
suawv ... ....................
oCUF. CK
NOT I FY:
HAIl, TO: ...................
Date ................ ,19 ....
a. This application mast be cmpletely filled in Dy typam'iter or in ink and subnitted to the Building Inspector
3 sets of plans, securate plot plan to scale. Fee secordi~g, to .seh~!ule.
h. Plot plan st~ing location of lot and of buildings on premises, relationship to adjoining premises or [aJl)lic
streets or areas, and Riving, a detailad deseription of lay~lt of propert~r ramt be dra~ on the diagrm which is part of
this application.
c- ~ ~rk co~erad by this applicatim my not be ccra~ed before issuance of Buildirg Pemit.
d. Upon app, o~al of this application, the Building lnspactor will issue a Building Permit to the applicant.
I~mit shall be kept on the premises a~ailable for inspectim thron~ont the ~rk.
e. No building shall be occupied or ttsed in ~ole or in part for any purl~se ~nateamr antil a Certificate o£
Deoipaney shall ha~ been g, auted by the Building Inspector.
/kPl~I('~TRIq IS t~¥ ~ to the Building, Department for the issuance of a Building Pemit pursuant to the
Building Ztme Ordimmace of the Toan of Sonthold, Suffolk County, ~ York, and o£t~r applicable La~, Ordinances or
Regulatims, for the constructim of buildings, additions or alterations, or for lalo~al or demolition, a~ herein
described. The applicant agrees to cc~ply with all applicable la~, ordinances, building code, housing code, and
regulations, aad to admit anthorised inspectors on premises and in buildiqg; for seces.~'!~ inspections.
(Signature of applicant, or name, if a corporation)
04ailing address of applicant)
State ~nether applicant is (x,net, lessee, agent, architect, engineer, general contractor, electrician, phmber or build,
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Iqan~ and title of corpurate officer)
Builders License No ..........................
Pl~bers Lican~ bio .......................... . ......
Electricians Lieense No ......................
~r ~s Li~n~ ~ .....................
I. ~ti~ of l~ ~ ~i~ ~0~ ~ ~11 ~ ~ ....................................... ,~ .....................
..... ............................. 2 .........................
~ T~ ~p ~. I~ ~ti.m .............. BI~ ................ ~t ................
~ivislm ...................................... Fil~ ~ ~ ................ l~t ...............
(~)
2. State ~isti~ m ~ ~m~ of ~i~s ~ inte~ m ~ m~ of ~ cmstmtim:
a. ~sti~ ~ ~ ~ .............................................................................
................. .....................
15.
~;litne of ~rotk (c.l~nA-. Mdch aplflicable): ~ l~dlding .......... &klirion Alteration ..........
f~l~ir ............ ~al ............. l~t~l ilion ............ OLiver ~rk ..................................
~tiu~lc~l C~st ...~..'~. ................. ~ ...................................... : .......
(lo I~ I~id ~ filing this alglicati~)
~k~l I i~, ~t~r o~ ~11 ing utS ts ............ tlmi~r of &~l I ing tmi ts <m each rl~r ................
garage, I~el~r of cars ......................................
I~mieess, ~mrciat or mi~ ~, s~c~ ~tum a~ extent of eedt W~ o~ ~ ......................
I)inensi~m of ~isti~ strictures, if auy: Fnmt ................ ~ar ............... ~pth .................
I~i~t ......................... ~d~r of Stories ......................
I)inermi~m off ~m strtgture ~ith alteratkms or ~itions: ~ont ............... ~ar ...............
Igplh ................ ?... lgi~t .................... R~ter of Stories ...............
Biue~i~s~ 6~ enti~e ~ ~stn~tit~: ~mt ................ ~ar ............... ~pth ..............
l~i~t ......................... ~,t~r of Stories .....................
Si~ of lot: ~t .~:..~,.... ........... l~ar .................... l~pth ....................
l~ll'e of l~rcha~ ..................... ~se of Fo~lmr ~r ........................................
la~ or u~ district in dddl prm~i~s are si~t~ ..............................................................
l~s prol~l c(z~t~tim violate any ~dng I~, ordinate or regularly: . ~(~. ..................
~ill lot 1~ r~r~ ...... ~(0. ......... ~ill e~ess fill l~
~mms of ~r of ~i~s ........................... ~lress
g~ of firdtltect .................................... ~ress .............................. ~ ~ ...........
this p~mrty within ~ f~t of a tight ~tl~xl~ ~ ~ .......... ~ ..........
PI.OT BI AGllAH
l~cate clearly taxi distinctly all buildings, M~etlmr existing or proposed, and indicate all set-lmck dimensions
from property lines. Give street and block n~i)er or descriptic~l according to deed, as~ sho~ street hanes sr~l indicate
~0helber interior or corner lot.
~ru, delx}.~as a~l ,~ays that he iS the appl leant
Ik~ is the ..................... ~M~. ...................................................................
(Cx~Lractor, agent~ corForate officer, etc.)
of said t~mr or c~rs, m~l is duly ~thoriz~l to i~rfon, or h~e I~rlorn~l Ihe ~tlcl ~[k m~l to n~ arxl file this
Ih;It the ~nk will I~ i~rkm~l in the n~mter ~t forth iu the application filet tl~rc~ith.
~~31, /~ ~_