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HomeMy WebLinkAbout24252-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25191 Date AUGUST 11, 1997 THIS CERTIFIES that the building ADDITION Location of Property 950 WATERVIEW DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 7 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 1997 pursuant to which Building Permit No. 24252-Z dated JULY 17, 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 FRONT & REAR DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL A. & SHIRLEY CAMINITI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspect/ Rev. 1/81 FORK NO. 8 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) N° 24252 Z Date .......... ........... ...�� ..................... 192/. Permission is hereby granted t ...................... �� o . .... .. ................... ............................. ..... .............. . ....�� .�. // - � .................................. .� ............ . ........... ............................................ ................ ... ................................................................................ ....... . ..............._.. .................. at premises located at.........% �.../04� ....... .. �.r... .................vt '1........... County Tax Map No. 1000 Section ........� ......... Block ...... ............ lot No. ... ............... pursuant to application doted .............. .................1 .........., 19. ond approved by the Building Inspector. Fee $•�......j••.•. ... .......... . .... Building Inspector Rev. 6/30/80 CW -x5-S900 I r �`•-•>?.- -�� -� BUILDING DEPARTMENT • � 9,I TOWN HALL AUG - 7i9�}I ja 765-1802 't1''. DfF'-L PLICATION FOR CERTIFICATE OF OCCUPANCY nn 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 17 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) non-conforming uses, or buildings and _- '.'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 - .25,C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.000, �CCommercial $15.00 Date Z.-. .9.17 - / New Construction. . . . . . . . Old Or Pre-existing Building. Location of Property. . . . . . . . �. . . . . . . . . ..�. . . �PeVl uJ. ..�. . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. nn Street Hamlet Onwer or Owners of Property. . . . . "aa - rr . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .(y. . . . . .Block. . . . . 2. . . . . . . . .Lot. . . p�6 . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate... . . . . . . . . r9� Fee Submitted: $ . . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T -- cr� I II'.L11 IIf1i I'I;1;111111 III;1'UII I' I!(,'l t: CUIII IIi II I 'i "pl` ti 1A FUMIDAT 1011 DID) 1 1111111:11 i'IlAlll'. 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UILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALT, SEPTIC FORM . . . . . . . . . . .. . . . . . . . SOUTDOLD, N.Y. 11971 l TEL: 765—I802 NOTIFY: JUN 171997 ;�' � CALL . . . . .. . . ...... . . . . Approved. 1;'�19.� ermrt MAIL TO: . . . . . . . . . . . . . . . . . . . . �r, Emintned... ..... r, ,cl,9Dy.,s?f —Permit 1Vo��.. �Z pprove<l �..... Disapprbvc .... .................................... ........................................ ... ......... (Building Inspector) 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 with 3 sets of plans, accurate plot plan to scale. Fee according, to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout: of property most be drm4n on the diagram which is part of Lhis apldication. c. The work covered by this application t'rry not be commenced 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 tbrougluout 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 111310 1Y WE to the Building department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Neu 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 wilding code Jimsing code, mxl regulations, and to admit authorized inspectors on premises and in building I nece ry tions. /xI ....... .. ................ a rcanC, o name, if a corporation) .. .. ..(..4....:::........... (Mailing auk rens of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... © G)AJ Nave of owner of pnaurisea .......t ....Iy.:.. ).tt IT) S�l .. ... t� C� ( . !t!( > ...................... ............. . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly audwirked officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be (lone.............................................................. ....................................................................................................................... abuse Number Street hamlet Canty Tax Map No. 1000 Section ....� ...... Block .....,7......... Int ....... 8 Subdivision ...................................... Filed Map No. ............... bot ............... (Nave) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....................1.........._................................................... b. Interxleol use and occupancy ........7\�./.'�: '...Y.Lt.L.5:...... .XJ.& .... /I Vf,(> . ..... ............. ...... / iJ I J. I.Iwe of amok (clietac rAeido sl,il)licable): NLiJ Iktildhgl .......... Aklilion .......... Alteration .......... ittgaur ............ Itei ........... Iklrol1LIoil ............ other kkak .......... ........................ I-IT--- (Ileacript ion) h. Val.inetted Cost ..��115 .......... fee .............................................. (to be paid off filing; this application) 5. if akaalliall, officer of (kJellio',yl uniLs ............ tkidwr of tkJelling units on each floor ... ............. ifgarage, oxainer of cars ...1...................I.............. G. If Ixos11less, ooturercial or fill fred occupirmy, specify nature Fail extent of each type of use....... ............... 7. Maturations of existing st-rui ares, if any: Frotl........ ........ Rear .............,. Depth ......... ........ llcig)t REdwr of Stories ...................... Itiaensions of sane slruchire Will alterations or okli Lions: Front- hear ............... Depth .................... lie it)it .................... Umber of Stories ......... R. Iliuensions of entire new cOuStnx:I:iot: Runt ................ Iteor ............... Dept It IleilJot ......................',... tMficer of Stories ..................... 9. Size of lot: Front .........I........... Ilear .................... Depth .................... 10. Mile of (1u-chase ............I,........, Name of Porter (Mier ........................................ II. ?til ie or use distrir.0 in rAiidi pretises are situatetl .................................... .......................... 12. Ulan proposed construct-ion vi 01111-e any mining law, ortlinnanice or regulation: ........................ 13. Will lot be regraded ..................... Will excess fill lie reamed fron treatises: YES llt) 14. Noes of GJrxr of prciSises .:'......................... Aklress ........ Mone No. Mine of Ardailect .................................... Address ......... ..................... Male No. ............ Mae of Contractor ................................... Aktrefis ...............................Moos tio. 15. is Illis firloS `JOl lwithin lthi n7lll-MJN1 feet of a tidal weclaixl? * YRS ...... .... M ........ .. * Idisl ;RS 17 inn. NAY lot RL.(XIImd11. PLOT IIIAGRAN Image clearly atx) distinctly all Ixdldi iga, wloellter existing or progxnsel, nail indicate all set-Itac:k dimensions frau properly lines. Give street hod block axnher or description according to ileed, Soil Show street nares aril irxlicate tdoether interior or comer lot. \ � PO,-" �S I ,Y SI'A'i1S (A? NW Y(MM (X111NIY (N' .. .. «- ...... ..... t l (Nnat ul' ioxli lual.�ign ql can /�/ ....... ..-wing duly sworn, deposes sol says Hunt be is the appliand. . ............ ............... .... .. al) Axwe naasl, Ik: is Iho .. ... ... ... " !.' -::!.......... .......... .... ............................................... .... ((kxd.ractor, figett, corporate orficer, etc;) of Said oawax:r or woes, not is duly author ized to pet fora of IMW Ix:r10111VA the sold weak Still to nrdul 111141 file Ihia opplicaLiou; (11111. fill fil-ateteuLs conlailleft in this application tare t.tou to the Ix:at ol: his knomledge textIx:lieN Suit IIm( (he o.xnir will lie perfoom-d int the nxsaaer tel: forth in the agpl.icntioo fit d tloerewilh. fM,xano lu liefole ne this �.-..........(ls of ..... c ).. Notary I`ublic .. .. ... . ..... ... ... ... .................. 40SEPH H. GIBBONS Hgualure w ' pplicanL) Not Public,State of New York No. 524618265 Dohlied in Suffolk County Commi,,-,)n ;.xp:rus April 30, 19 5 TE PS To rqF.AVF- - � x L 5 , T , 1-1 � O U s � N w n cry srxlsr A _ - - -- R2Ic � In/ D -- -- - o•A r 1 v E .X1ST' ' �x1sT. 9TZP5 ra � RADp -;7 1 l Y4 L E X I S.T, (a o P- -c�"Sly ExIS�• I HOUSE 1 I A � y �/ PLAtN ° LGA • -- 2r4 c.c,A --- - - -- 2 x 2 C,G.A.- -- -"to r i 4A, lie2x6 A s TEco uA%QeR APP 0 ED AS NOTE _ > - qc X S T` DF.ile.lu�a /A• x G e•e,A. t IrJ 6 ,A E �7 a� - _.''G1K�C.,✓t.Ml+i4- ,�Jr}rL G.c.A. :._ ^Yr. I - PATE;-1� ..( FEE:,..�gy, 2x6 c.c.q, NOTIFY, UILD OCCUPANCY OR .. .c.A, --_ -R 755 18 MG DE TAT . 7�@'CR JcitY 'LF4 c '. QxE C•.C.A. - 0,11 9 A TO "--- -- , /� FUL FOILOWINGINSPECTONS• FOR '.HE THOUTCERTIUSE IS FCATE YtRgYXR L: Z;Ip C.C.A = p LY04 & 2R4CGA ECo. NA NC.ERS 1-1 0' U,S- LEDGER 2X6 G,G.A. 4xA G.c,A. - - �' Y. FOUNDATIONPURED - TWOREQUIRED W FOR H - FR MING & P OF OCCUPANCY _ 2, ROUGH - FRAMING & PLUMBING c.O,A,'. 3 :NSULATION . y +4, FINAL . CONSTRUCTION MUST - 12x 12 x �6 P 4, PiSR ,Q' �' RF COMPLETE OR SH i ALL REQUIREMENTS ENS SHALL. MEET THE REQUIREMENTS OF THE eV.k: STATE CONSTRUCTION & ENERiiY . CC,OFS. NOT RESPONSIBLE FOR DESIGN OR CON STflUCT10N ERRORS --1 A YNOERWRITERS C E % `0 RFQUIREO n +r v u a " A 0A" _�TG7i0-�4, _. cy sEcY � oN �a 5 _ cTioN �� � -�- —_—__—_ 3�4' 1•aIzl,O1 ,97 Q , _ AMFq N� 4 : �• ',. 41F. /..p A141116y AY, R7ANN[M IIIY 'I`47,AN ,� r. N D . " -, • c; - q MM r