Loading...
HomeMy WebLinkAbout23982-zFORM NO. 4 TOWN OF SOUTHOLD BOILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25261 Date SEPTEMBER 11, 1997 THIS CERTIFIES that the buildin~ ADDITION Location of Property 5345 SOu'~ HAR~ORROAD House No. Street County Tax Map No. 1000 Section 87 Block 1 Subdivision Filed Map No. SOuTuOLD~ N.Y. Hamlet Lot 18.7 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4~ 1997 pursuant to which Building Permit No. 23982-E dated MA~CH 12~ 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 CONSTRUCT AN ADDITION WITH BA'r~KO(~4 AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED SOu'ruOLD PARK DISTRICT N/A N-423165 - JUNE 18~ 1997 SEPT. 2~ 1997-MATTITUCK PLUMBING & ~TING Rev. 1/81 FO~t,e NO. · TOWN OF $OUTHOLO 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.° 23982 Z Permission is hereby granted to: . ./....~.....~.~........7....~... .................................. ~- ~;-- ...~...?./~......~.~ ....... ~../..~..~.~.'......~.,.~ ............................................................. at premises located at ........ ....~....~..../.....'~.... ...... .~/~...~.....~..~.........~...~..... ~r~./~...~..~/~-~' County Tax MOp No. 1000 Section ..... Z~... ........... Block ..... ~..../.. .......Lot No ....... /..~...,.~. .... pursuant to application dated ....~..~..~ ......... .~......E~.. .......... , I9..~...~, and approved by the Building Inspector. Rev. 6/30/80 --0~,%' Cc- SOUTHOLD ~UiLD!NG 765-[302 ....._. u- ,',.,J, FOE uz.?J-.'-U~.=z OF ir. suet:or. '/~z[~ n ~he =~__o~_..e=~:~ -~' .... fog ~ew buildiag or ae,~ use: -cr--~-, and unusual nanur~ or copo~rap~ic features. 2. Fine! Approval from 5e~h Dep[. of wa~ar supply and sewera~e-dlsposa!(S-9 fc~). S~'or~ s~i~ame~c from plumber cer~ifytn~ chic ~he solder used ~ zys~ co~ii!ns less chin 2/10 of 1% laid. ~cus~__=_ 0u__~=~ ~!:ipie residences and s~i!ar oui!dinms and ~s~iacious, a cartificaza of Code Comp!i~ca from ~chiuacu or engineer responsible for ~he budding. 6. Sub~t P!a~ Bo~d ~prov~ of compie[ad simm plan requlr~anus. For am±st!Lng buildings (prior co April 9, !957) non-conforming uses, or buildimgs and "pra-~x!su!ng" land =sas: k. Accurane su~zey of proper~-y sho~_ng aJ_l proper~y i~es, s~raezs, bu~dia~ and i. i proper!? comp!e~ad application a~d a consen= ~o ~specl si~ed 5y ~he app!ican~. r= : Car~ifiag~a of 0caupancy is de~ied, ~he Build~n~ inspector shall s~a~a [he raisons %herafor ~ ~iu~E ~o uhe a~p!icanu. i. Carzificaue of Occupancy - Ne,~ dwelling S25.00, ~--:cara~io~s ~o ~welling S25.00, S~fng pool S25.00, Accessor7 buLid±n~ $25.00, Additions ~o accessor? buLl!ding $25.00. Bus~esses 2- Caru!ficama of 0ccupauay on Pre-~isu~Z Bu~d!n~ - S100.00 3. Copy of Car=ificaza of Ocaupanc7 - ~ .2~ Updated Cer~iflca~a of Occupancy - 5. Temporary Caruifica~a 0f 0ccugauc7 - ~asi~entiai ~!5.00, Co~eraia! 515.00 New Cones---ac--ion ........... 01d Or Pre-ex!scing Building..XX ............. Location of Proper=~....5.3.4..5..S.o..u.t.h...H.a.r.b.o..r..R.o..a.d. ............ S.Q.u.t.h.Q .1~ ..................... ~ouse No. Street Hamlet 0n~-er or Owners of ?ruper~--7 .... $ORthOl~ .Pa~k. District. i ................................. Soun=7 Tax M~p Nc !000, Sec:ion ..... .8.7. ...... Block .... 0.~. .......... Lo~...!8. ................. Subdivision .................................... Flied Y~p ............ Lot ...................... Pe-'-~ic No 23982Z Da:~ Of Fermis. 3/1 2/97 Apo~;c=u-R°n Morizzo Builde.~Inc,.. Eealzh Denn. ioorova!. .Unde~,~.i:ers ' .... ' Board .kpp r ova! ........................ XX f:r: Temperer': Car~!fi~ane .... :-Ln-i Car~inaze ........... Town Hall, $30§5 Maln Road P. O. Box ~1 t79 Southold, New Yo~ 1197I Fax 516) 765-1823 aphone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF $OUTHOLD .,CERTIFICATION Building Permit No. Owner: ,~k:~ urg,..O LC) 'qlk ~. ~ (please print) (please p~lnt) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this .~, day of ~ i~,~? Notary Public,, ~ County ON! ~:l"~Olll'l$ OZZlaON Z STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~'/FOUNDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: DATE ~-////~ 765-1802 BUILDING DEPT. INSPECTION ]~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREP!LACE & CHIMNEY REMARKS: [ ] INSULATION ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTI/ON [ ] FOUNDATION 1ST [ ./] ROUGH PLBG. FOUNDATION 2ND [ ] ~NSULATION ~]~RAMING [ ] ~:INAL [ ] FIREP~.ACE & CHIMNEY  765-1802 BUILDING DEPT. INSPECTION [ ] FOUNI~)ATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN~U~TION [ ~FINAL DATE,, INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG, FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNn)ATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING R/OUGH PLBG. / INSULATION FINAL [ ] FIREPLACE &C IMNEY ~ .EMARKS: ~'~:~;~ ~ DATE ~/~'~//~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~L<~? ~. BUREAU OF ELECTRICITY --- 85 JOHN STREET, NEW YORK, NY 10038 THIS CE~IFIES THAT ~'~HTH<4[~ P~: O!STRiCT. TEERY LANE~ SOUTHOI2', N.Y. ~s examined on ,y[[~} f ~ ~ 1~9'7 andfound to be in compli~ce with the NaMonM ElectHcM C~e. Lot DRYERS OTHER APPARATUS: S E R V I A. W. ~. NC*~ C~ HI*LEG OF CC. COND OVENS EXHAUST FANS C E L~C, g ~IINEEAL MANAGER Per ~ i ' 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, :t RON MORIZZO BUILDER, INC. Contractor - Home Improvements P.O. Box 789 SOUTHOLD, NEW YORK 1197! (516) 765-5772 BLDG. DEPT. .... TO ,,WN QF SOU7, o! ,9 Diseppro~ed a/c ................. ... FORH NO. I TOWN OF SOUTIIOLD BUILDING DEPARTHENT TOWN UALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 BOARD OF HEAl,Ill ............... 3 SETS OF PLANS ............... SURYEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL HAIL TO: ................... APPLICATION FOil BUILDING PEP. HIT INSTRUCTIONS · Date....~.a.r.c..13 .... 3... · 19.9.7. a. This application m,~_ be completely filled in by typewriter or in ink and sut~aitted to the Building Inspector: 3 sets of plans, ~,~,=ate plot pla~ to seale. Fee according to schedule. b. Plot plan at,ring lecation of lot and of beildings on premises, relationship to adjoining premises or public streets or areas, and giving a ~etailed description of layer of property ~a~st be dra~n on the diafff, m ~aid~ is part of this applieatio~. c. The ~ot4c covered by this application u~j not be cctmmenced before isst~me of Building Pemit. d. ~ appioval of this application, the Building Inspector *rill isese a Building Permit to the applicant. Such pemit shall be l~pt on ~he prenfises available for inspection thmngt~ont tt~ ~ork. e. }lo building shall be occupied or used in whole or in part for any purpose ~tmtever tmtil a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATIU[i IS I~{~i ~ to the Building l)epart~eet for the ismance of a Buildlng Pemit pursuant to the Building Z~e Ordlru~ce of the To~ of Southold, Suffolk Count-y, Ne~ Yofl% and other applicable Ln~s, Ordinasees~or ll~gulations, ~r the ccxtsttuction of beildin~s, additions or alterations, or for tc~al or demolition, as herein described. The applicant agrees to comply ~ith all applicable la~s, ordinances, building code, housing co~, and regulations, mxt to admit authorized inspectors on premises and in building for necessary inspections. .... .~.o..n.. ~9 .r.! .z.z..%. ~u.A% .d.*..r. :..~ .n.?... ........... (Signature of applicant, or nane, if a corporation) (Railing ml~ress of applicmt) State ~tmther applie~mt is ~mer, Iessee, a~ent, architect, engineer, general eontrector, electrician, plmber or build ........................ ~ ................ .O.~ll~X ~.],..~ 9J1 ~.1~ ~.q ~.q ~ ............................. Build~rs License No...6.7.TgJ~X .............. Pits*bors License Ho .......................... Electricians License Mo ...................... Other Traders License No ..................... I.. It~ation o[ lat~l on ~hich progosed york will be done....~..h.a..r.f...H.p.u..~.~ .......................................... Te]ir Lane ..................... .S.q t&~ hq jl.~ ........................ B0use l~ber Street County Tax ~ No. 1000 ~ection ................ Block ................ Lot ................ Bubdivision.... ............. . ............... . . .. . Filed I~p NO ...... ..... . .... Lot.. .......... . . 2. State existing use i~d occupancy of pt'e~ises and intended use and occupancy of proposed construction: Park House a. Existing use and occupancy ............................................................................. b. Intended ase and eccupaec~ .... .P.a..r.k.,.H.p.u..s.e.. ?..i,t,..h...B.a..throoms .............. ~1te~ion . .~ :~. ..... I~l~i r ............ ~al ............. l~ltd~ ............ Other l~r~ .................................. csti,~t~l ~st ....$.~9~,~9 ....... r~ .............................................. (~o I~ ~id ~ filing thi~ 6. ]f l~,~s~, ~cial or mi~l ~, ~ify ~Lu~e a~M extent of ead~ ty~ of u~ ...................... 7. l}i,,enni~, of ~isti,~ ~tn~ture~, if a,y: Fret ................ ~ar ............... ~pLh ................. [bi~;t ......................... ~t~ oE Stories ...................... l)J~nsi~ oE ~ atn~tu~e ~ith alterati~ or ~Jiti~m: Fr~tt ............... ~a~ ............... ~pLh .................... I~;~t .................... Rel~r of 8to~ie~ ............... 8. i)i~mnsi~s of enLi~e ~ ~sCt~tJ~: F~t ...~.'. ......... ~ar ...~.~.' ........ l~pU~ .... ~) ........ thither ..... ~.Q.' ............ L ... ~d~r of 8toriea .... ~ ................ 9. 8i~ o[ lot: P~t .................... ~ar .................... ~pth .................... I0. l~te of ~;rd~ ......... ' ............ ~ o~ Fo~mr ~r ........................................ I I. ~ or um district i. ~id~ p~i~s am si~t~ .............................................................. ;~,.~ ~ ~ ~ ~i~ ~7.~..~g~.~ ~}~¢~ .............................. ~ ~ .......... ~ oE ~it~t .................................... ~ress .............................. ~ ~ .......... I~. 1~ thi~ p~rty sltldn ~ [~t oE a ti(~l ~tlaM? ~ ~ .......... ~ .......... PI.OT I)[AGEAH l.c, cate clearly and dJstlnctly all buildings, xd~ether exist, lng or pm~, m~l itxlicate all ~t-~ di~nsi~s f~ pr~mrty li~9. gi~ .t~t ~ bilk ~imr or ~scripti~; acco~i~ to ~1, a~ ~ 8trot ~s a~l i~licote ~d~Ll~r interior or ~r .............. ~p.~..I~ ~.~ ~.~ 7~Q ............................ a~ ~, I~ i~ tl,e ..... ~.q~.~ ............................................................................... (~tracror, nSeut~ cora>roLe of r~id ~r or ~rs, n~tl is duly ~tt~i~ to lei[otto or h~ l~r[oW tl~e ~i{I ~k otM to rake m~l f[l.e this al~llcnti~; ~1: .il. stat~mnts ¢¢~tait~ in this nl~l i¢ati~ are tn~ to the l~st of hi~ k~l.ml~ n~ Iml. i¢[~ ot~l that the ~tk ~itt I~ ~r[on~l i. the mt~r PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF I% LEAD. If copper tubing is used for water distributing ..... sy~te_m; pjp~n_g shall be of types K or L only / J P~UMBING ALL FI.~MBING WAS1E & WAI~ER LINES NEED 54 min 36max TOILET PAPE APPROVED AS NOTEO UNgERWRITERS CERTIFICATE RE{~UIRED TESTING BEFORE COVERING II CLEAR FLOOR l~mox Clear Fl~o- $~ac; ~ Lav~?rles and S~nks 18 42 mm 455 LEG CLEARANCE 11 min TOE CI~EARAN, CLEAR r . _Le~ Clearances ,I i FLOOR 18 305 - _ ~ ..: __, ................... d