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HomeMy WebLinkAbout23677-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No—Z-24632 Date SEPTEMBER 19, 1995 THIS CERTIFIES that the building ADDITION Location of Property 680 SOUTH LANE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 6 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 12, 1996 pursuant to which Building Permit No. 23677-Z dated SEPTEMBER 12, 1996 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to DONALD A. & LINDA R. FOSCATO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector If Rev. 1/81 FORK NO. f 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° 23677 Z Date ...................... .................., 191... Permission is hereby grant to: ... . . .:�4. ..... :.....ts?.f44-Z-V................ .... ��.....r �f..... .................. to ... ........... .. � ........., �., �.7r .. . . ice....- ....... .car..— . .`.... . ... . .. ..........!"r.... ............... ..............-�` w: .... ... �?... v atpremises located at ...... .�(. .......!�:�1/. . ..'...... .........-�............................................................ ....................................................., . �r�..... .. ................................................................................................................................................................. County Tax Map No. 1000 Section ....J .......... Block .....1�..�...a....... Lot No. ......!,�...... pursuant to application dated ......................................................... 19. 0.. j and approved by the Building Inspector. Fee5..................�! . Z .. .................... Idin Inspector Rev. 6/30/80 Form No. n, IOcvt OF SOLr:HOLD 3L1 !NG DEP RT`EEINT � TOwN HALL JUL 2 4 1996 � � 765-1809- DG 65-1 ao2 MABLDG.DEPT. .P�1=C TION FOR CrRTI3'ICATI OF OCC TP ANC" IM SnI bunt n 3. This application must be .n Dy f-7DeTvri ter OR inkand Submitted t0 the building �'I.SDector with the fol'owing: for nerw building Or new use: 1 . Fina- survey of propert;7 with accurate location of all buildings, property lines, streets, and unusua- natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical iIlstaliation from Board of Fire Underwriters. �. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of Li lead. o. Commercial building, industrial buy'ding, muit_?le 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. For e-misting buildings (prior to Apr-rl 9, 1957) non-conforming uses, or buildings and "pre-expsting" land uses: 1 . Accurate survey of proper-t: showing all property lines, streets, Judd''ng and unusual natural or topographic features. ?. A properly completed application and a consent to inspect signed by the applicant. if a CertifiCate Of OCCJDancv is denied, the BuaidiIlg T_nspector shall State the reasons therefor wilting to tale appilcant. n mos 1 . Cerz4 icate of Occupancy - New dwelling $25.00, Additions to dwell�g �2 . , Altestions to dwel-fng 525.00, Swimming poo! 525.00, kccessory Ju—d n $75 00, Additions to accessory build= ,- S25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-e_Yisting Building - $100.00 3 . Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - 550.00 5. TemDorary Certificate of Occupancy - R2Sidential�7515.00,/ Commercial X15.00 Date . . . . . !. . . . . . . .- . . . . . . . . . . . . . . . . . . . . . . . ew Construction. . . �. Old Or -sting Building . � 5 � � ���U1J.(1_ocation of Property. . . ... !Q C//44( . . . . . . . . .. _ . . House No. Street Hamlet ro-S CA nwer or Owners of Property. . . . . . . l!��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . aunty Tax Map No 1000, Section. . 3 0. . . . . . . .Bloc{. . �. . . . . . . . . . . .Lot. .7. . . . . . . . . . . . . . . . . . . ubd_,rision. . . . . . . . . . . . . . . . . . . . . . . . . `i::. . . . . . . . ..?ed KaD . . . . . . . . . . . .Lot:. . . . . . . . . . . . . . . . . . . . . . ermit No. . . . . . . . . . . . . . . .Date Of Pe=i... . . . . . . . . . . . . . . .Appl-cant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ealth DeDt. ADDroval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters APDroval. . . . . . . . . . . . . . . . . . . . . . . . . '_anning Board approval. . . . . . . . . . . . . . . . . . . . . . . . quest =or: Temporary Cert-=-cafe. . . . . . . . . . . _iaal CertccatI . . . . . . ee Submitted. . . . . . . . . . . . . . . . . . . e o �,69 4 3 2 7(a BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] �ISULATION [ j FRAMING [/]FINAL [ ] FIREP CE & CHIMNEY REMARKS: C DATE INSPECTOR ` + t ROAitD OF 11EA1;111 . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . TOWN OF 5011'TiIO1.D SURVEY . • • ' • • . . . . ' JUL 2 4 IIIJIi.DING DEPAR'T'MENT CIiECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN 11A1.1, SEPT i C FORM . . . . . . . . . . . . . . . . . . . . Ei_t`G. DEPT. SoIITIioLD, N.Y. 1 19 7 1 TOtnrl C)1-SQLit �z l TEI.: 763-1002 NOTI FY g CAL]. I'x:nrirred......✓ ..f�..., 19. � MA 11. TO: . . . . . . . . . . . . . . . . . . . . -7 Aiproved.........�1!L.., 19�K-p Permit Nct. ................ .................................... Disapproveda/c .................................. .................................... ...................................................... (ikhi 1 rr , ln.• char) APPIACATION FOR 111JI1.1)ING PERMIT ` ! 1 NSTRt1C1'i ONS a. ibis applicatiot mist be cutgiletely filled in iry lYlhetariter or in ink arxi scd>wniCCed Co the ikrilding Inspector with 3 sets of plans, accurate plot plan to scale. Pee nccordbig to sche(hhle. b. Plot: plan slowing locaticxh of lot nix) of lxhildings Ott premises, relatiottship to adjoining premises or ixrhlic stgeets or areas, arxl giving a detailed descriptio( of laytxht of irroperty n+ist be drat�nt cxi the diagrafn which is part of this applicaLicxt. c.. 'llhe work covered Iry this applicatioh rv-ry not: be ccantr oced before isst><ance of ikhilding PenniL. d. Ilixxt approval of this applicatiorh, the ikhildint; Inspector will issue a ikrilding Permit to the noMicant. Such Txtnnit. shall be kept Ott the premises available for inspection thrcxhglxxht the work. e. No Wilding sirnll be occupied or used in wlxole or in part for airy ptrrpose wiraLever tihrLil a Certificate of Occ7gkarxy sial1. have been gratited Iry t:he lkhiIdinl; ]nspec_tor. A1111.1CA'l'ION IS IEUCHY lWE to the ikhilding Department for the issuance of n ikrilding Permit prrnr.artt to the 1krilding Zcxxr. O"Hivance of the 'Itx.nt of fxxrllWOld, Slhf[olk (XxtnLy, New Yotk, arxl other aiplicable ishws, Onlirtanees or RegulaLiOtrs, for Lire coxrstnheLiort of Imildings, acklitiots or alterations, or fc �rnoval or litioh, as herein described. Ilhe applicant agrees to comply with all nppl icnble laws, orclina es, '+ Ixxising code, aril reltilatiohs, arxi to whit authorized .inspectors cxh premises aril in imild' f r 'es .t tints. (Sil;natur of rhlg) 'can or tu". if a corlxwnti(jir) ............. . .. ........ (Mailing Rklress,of'altpllCanw��s ©t/, Stale witellrer applican is (xarmr, lessee�al,enC, aro'hitect, engineer, gerhera) contraPtt�i, electrici !vo► plutri)er,or, Ixti]der. ....�}-E- oe �! ... t o ... .Qui E --................ ..:. :. Kann of owtier of premises .....�N ki-P .A.:.�©S m T,—o 4..6 M .�...!�!oA— sc rfl............... (as oh the lax roll or latest deed) If nioicant is a corporation, signature of duly mit.lrorirecl officer. ......................................................... (Nanre arx) title of corporate officer) Iltdidersi.iceose No. ......................... Plttrrirers Liceose No. ......................... Electricians JAceose No. ..................... 011wr 'Trade's License No. .................... 1. i ma L i on o f I arxl on wh i ch prcgx>sed work w i 11, be cloy ie.............................................................. ......... ........................................................... ....y...... Ikxhse Mother Street 8 /� —7ilwileL CcxntLy Tax Map No. 1(x10 Sect:iot ....... ........ Illcx-k ...K-?.......... Lot ..r............. Sttlxlivisiot ...................................... Filed Hap No. ............... Lot ............... (N.anre) 'L. State existing use arxi oc.c ypao y of premises aril i terxled use nix] occttlkmwy of proposed ccxhstruction: OAE a. l.xi sting rise and occliparx:y ........... .(,L t+,"—t.... . >!................................................ h. lntemled itse arxi ocoxhlharx y ...... Q.D...... ... .... .1`.0 KJ....�....�lll L T......... I 7. t.•rlme of rx)rk (dieck ►Arica► ty,irlicahle): lk:%4 Ikrildioil .... . ... . . AdkliIion . ... .. .... Alteration ........ .. Itelrttir ........ .... Itaw:ivaI ............. lk0110IiLi011 ............ Other Work . ........................... ...... 11�— (I):rx:ription) 4. 1{stiurrlcid Ibat .... .............. . ... . Fee ... ....... .......... . ... ........... ...... .. ... . (lo be liaid ca► I'iI int; thin apl)l ication) If 11%oulIloll, ►rtriber of (kK..11irrS units . ........... lAuher of chsel1int; units oo each floor ... . ....... .. ... 11` taral,e, rxnlx:r of cava ........ ....... .... ................... 6. If Ixrshwss, ecimercial or udxed cx:cupagx:y, specify nature and extent of each type of uae...... .. ...... ... .. . .. I. Iliax:u:r oo" of exiatiou slnrcaures, if any: Fkcart .. ... .... . . ..... Itear .... . .. ....... . Ik:pLIi .......... .. ..... Ik:lllrt: . ........................ llrulrer of Slorien . . .. .. . ..... ... ... . .. . Dinienaloos of sure at.rocture with alterations or txkliLions: front .. ..... ... . .... hear .. ............. Ik:plh .... .. .............. lk!il;lrl .. . ... .... ..... . .... tinlrer of Stories . . ... .. ........ 11. Diux:nsi(xrs of entire rrew ccx►slnK:1 itmi: Front Itear .. . .. .. .. ...... De-lit l► ...... .... .... Ik:il;lrl: ......................... NMulxer of Stories .. ....... ... ... .. .... 9. :lire of lot. F1(Kit ............. . ...... hear Depth .. ... . . . .... ... ..... 10. Data of 11►rchase ..................... 11nx of Foiller 04iii r .. ... ... ... ..... .. . .................... . 11. Lcxre or use ditAricl io width prernlses are siLuallml ... .................. ....... .. ...... . ................. . ... . .�. 12. Does prolrnst..A coosl:rcx:tloo violate any zcx►io8 law, ordinance or reg►ulat:ion. . ...... .......... .. . .... I J. Will lot: be rellratlecl ........ ............ Will excess fill Ire rawyved from pk aiti nes t YES u) r Ill. uarea of ►)Wrier of premises ..... ................. ..... Ackiress IiKxre no. .............. Mile of Arcaritecl ................................. ... Ackheas ... .... .. . .............. ...... I'1Kxre R). ... ..... ... .. Mile of (onLraclor ............................... .... Acklress ... ..... ........ . ..............1'IKnre Ib. .... ... .... . . Iii. Is this prolx:rly within 3(X) feet: of it tidal sAAlacxl? * YES ... ....... NO .... ... . .. *IF YES, IXXIIIKXI) -IC11JN '11111S111S IVIHI'1' IIAY III? I(ligllltll). PLOT DIAGItAN Locate clearly and distinctly all Ixrildings, Aiedier exislAnd or prolx)sed, atxl itxlicate all set-Track dimensions frau property lines. Give aLreel arxl block holier or clescripticx► according; to gleed` aexl Blow sheet rrtniea Boil bulicate %kelher inferior or corner lot. �- /1s /3v1LT 13 � �(0 LUDO� Dec AP ROVED AS NOTED11 DATE: JT B.P.# JLG6 2 2 FEE: -BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Apq§& NOT RESPONSIBLE FOR DE�ff OF 990 MUCTION,ERRORS (XAItIIY (M' ..... . . .. ........ ... ..... 14 AJ ....... being, duly r;`xrrn, delx)ses alai aayrt that he in the applicturl (Mrrx: of irxlividual. nil,niig cou(racl) Ile: in (lKa ... ........... ..!: .�dl�l.. ....... .... ..... ..... . .. . .. .... .... .... ...... .................... ((.)trfractor, alteoL, corixrrate officer, etc.) of said tanks or owixira, aid la duly authorized to lxarfonu or have Ix!rfonir=gl the a.rid work and to mice atxl file thin nppl icalioo; dial! till stat.unenCa cooLahx-d in thin trppl icaticnr tine Crone to the (Kart: of his koowledgt3 nod Ixfl ief; aixl Thal. the work will Ix: performed io the i4unrer seL forth io the applicalloll Iil therewfth. A.� :Bart o to (�or un_ Llr In ........ . ...... . .t .► 19gk. . . R)tary l'obli ,. ..... ............ ,'(Sig;ualur Apl,l icaul) ' DONALD McGAYHEY �.', Notary Public,State of New York ' No.4872093,County of 3uf Term Expires September 22,19: GAKD1NCRS -13 CCA zKS S[Rti NGE"K5 7R41 L- (A Tom. -2-2x-(o- TMAJ5 FLftr CARTI Gz I u.._ ¢olln'rE R rey� _ 4Z,�y Cr-A �c6-.2►�u L7 oTc�-F /� CRA Zxb , X _ t�GCKOLZ X #CGA �ycb X N � ICE v � CG P- �" U ri q� 7YP CCAq-44 FOG L S 014 jj 'EY q S T. HOUSE FLODR PLr'�N rDISN DA-rl otl �LA�� 14vus r- GS o 9- j9-9b GOVT 1� STRC�T -, 6oup�tD A,FOSCATO -�"� USF BECK �/4 l D 1 6� I f_ IDGD- 38— t, TAK MP-T.D. = -- - -- �ar� 9�-9-�3 - I ----_ _ i` T : UNAUT"PUD ALTFStAT1014 OR A[^1r"Qp, h 1. TO TMS SMM IS A VIOLATIOM Oi ,S 31"ON 7M OF THE WW T' a STAR �� +S t�uCAT�N UyN :;,_ L 11 s :j t.# !ES�?F 7+qS SiRVtTf M1AF M(�1 1E,u1M� ,,r a ,s„. r * r f,: ; 1FocED SFi1t Di I'! i .y, _ "r ,,;� ,a. «<K * ,5 +:;- `a+v:. x: "s v' *. -t �' v� .'kFl Alis x 3 � '= K .a. '�: ,,....yam ,,...,: ? 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FT. a cactw L -.0j. . t#9" a� TITLE WO,F$51d 617- -VUAJZAATEEP ftp F CQMMQNWtAJ'r L.ANC_T 7 E IW5Q 2AN/ESC' . _ - AS S ; ?�l ZVEYED SEPT 4 .�QEEWR'x+ RT NY ��`y� CS 2562P'�c LAND s�