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