The URL can be used to link to this page

Home My WebLink About23840-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCcuPANCY No Z-24904 Date FEBRUARY 13, 1997 THIS CERTIFIES that the buildin~ Location of Property 4055 W&~CKLANE House No. County Tax Map No. 1000 Section 112 Subdivision ADDITION MATTITUOK, N.Y. Street Hamlet Block 1 Lot 6.1 Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7, 1996 .pursuant to which Building Permit No. 23840-Z dated DECEMBER 5, 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 , INSTALL A NEW HEATING SYSTEM IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH HIZ~O (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED NOVEMBER 1, 1996-LAWRENCE TRAPASSO · ~ui~ding Inspect Rev. 1/81 IPO'R'M NO. ,u TOWN OF SOfT, OLD BUILDING DEPARTMENT TOWN HALL S0UTHOLD, N. Y. BUILDING PER,MIT (THIS pER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 238t0 Z Dote ........................................................ , 19 ....... hereby granted to: Permission is ~ ..~~.~......~ .................... .......... ~~..~:.~ ...... ..~.~~...~.~ ~~ ......................... .~ ............................... }~ ~,~ ,~ed ~ .............................. .:~..~.~~z/~.~~ ............... ......~.:.~::::.~ ............................................................. ~~.~~ ................................ Coun~ Tox Mop No. 1000 Section ...... Z../..~... Block ............ ~.. ...... Lot No.....~...~..../. .......... pursuant to application dated ..................... '~....~/-..~... ................ , 19~..~, and approved by the ldlng Inspecto~ Rev. 6/30/80 Form flu. 6 TOWN OF SOUTIIOLD BU~LD1NG D EI'A p,'l'l ! E,~IT TOUN IIALL 765-1802 API'LICA'I'ION FOR CEI1TtFICA'I'E OF OCCUPANCY A. This applicatio, must be filled in by typewriter OR ink and submitted Lo tim building inspector with the following: for ~mw buiidiug or new nsc: l. Final survey of property with accurate location of ail bnildlngs, property lines, 2. Fiual Approval from ilehitli Dept. of wuLer supply aad sewerage-disposal(S-9 form). 3. Approval of electric~uJ, installation from Board of Fire U lderwriters. Sworu statement fromfplumber certifying that the solder used in system coutairs less than 2/10 of 1% lead. 5. Co,~nercial btiiding, industrial bt ilding, multiple res~cences and simzla · and ' . · · ' ' ' r bu~ldin s ~.oponsxo.te ~or tm building. 6. Submit Planning Board fipprova~ of compZeted site plan requiremeats. B. For existing buildings (prior to Apri~ 9, 1957) uon-confomning uses, or buildings and "pre-existi g' ~alld 1. Accucate survey of property showing all property lines, streets, building and uuusnal natural or topographic ~eatures. 2. fi properly completed applicatiou and a consent to iuspect signed by the applicant. If a c. vt~cate of Occupancy is deuied, the Building Inspector shall state the reasous therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,-- Alteratious to dwe~iag $25.00, Swimming poo~ $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existiug Buildiut - $100.00 ~- Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Col~lercial $15.OO Date ......................................... New Construction ........... Old Or Pre-existing Building.~ ......... l!ouse ~o. Street llamlet Co~uw ~ "m, ~o t000, S~tion...ll~ ...... ntn~k ..... I ...... ~o~. bdi ' ', " Su vision.. ~ .:;., .... ....................... Filed Map ............ Lot..;.. . ,~i~ ~o ......... -, .,~,~p~ or ,,~,,,~ ................~,o~: u~.~t~p]~e.l.,~e~. · .f , Ileal tb Pept fipprova~ ' ' ......................... Underwriters Approval ......................... ?lanning Board fipprova} ......................... '~equest for: Temporary Certificate ........... Fina~ Certicate ........... "ce Submitted: Town Hall, 53095 Main Road P. O, BOX 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: Building Permit No, Owner: ~-O ~ 4D ~ "[~ ( ~-'Z~o (pleaSe print) 7 Plumber: ~_ .,~ ,.~ ~Cj'J, ¢_~ (please print) I certify that the contains less than 2/10 solder used in the water supply system of 1% lead. (Plumbers Signature) Sworn to before me this / . day of County [~"'" VITO E, FRACCALVIERI ~ Notary Public, S ate of New York No. 52-4~526~39 Qualified in Suffolk County Commission Exmres March (:()1)1~. Al)l) I'l' I OtlAt, (.:(.)t ~'~tr, t,t'l'(l: OIL BURNER Certificate of InsPection Name_Joseph Rizzo App~ 14021 · Loca'~ion: 4055 Hallock Lanet Mat~ituc}(~ NY 11952 Applicant: Petro/Reliance Address: P,O. BOX 788, Smithtown, Ny 1--1787 Tel. N~_686- 1954 UcN~~ Expires: ELECTRICAL INSPECTION SERVICE, INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 TEL: (516) 286-6642 ........ ~...~..L/..?.]~ ........................... ~..~., ~;;. ~ ..... ~.:~ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 HE^LYH' 3 SETS OF PLANS ..... CI1ECK SEPTIC CALL ................. MAIL TO: Disapproved a/c .... . ................ ~ .......... ; )~/ ~ ], ,~,~ //. cctor) , .~ . g Insp INSTRUCTIONS ~ a. T~s application must be completely fffled in by typewriter or Jn ink and submitted to the Building Inspecto~, with ~ts of p)ans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show[ng location of lot and of bulldogs on premises, relationship to adjoining premises or public state' r a~eas, and gJv~g a detaJIed description of ]ayout of p~opcrty must bc drawn on the diagram wh[ch is pa~ of this appI ation. c. The work covered by t~s application may not be commenced before issuance of Budding Pe~Jt. . d. Upon approval of thls application, the Building Inspector wH1 issued a Bugd~g Pc~Jt to thc applicant. Such pe~J z~l be kept on the premises avaUable for inspection throughont the work, e. No building shall bo occupied or used Jn who~c or~n p~( for any purpose whatever undl a Cc~J~cate'of Occupanc ta]l have been granted by th~ Building Inspector. A~PLICATION IS ~EREB~ to the ~uJ]dJn~ uildi~ Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ordin~ces o e~ulatJons, for the coustn~ction o[ buJld~ffs, additions or alterations, or for removal o~ demolition, as herein described he a~cant a~rces to comply with aH applicable ~aws, ordinances, buHdb]ff code, housJn8 code, ~nd regulations, and t( ~mit authorized ~specto~ on premises ~nd ia build~ [or nccessa~ inspections. . / ......... (Sionature o[ applicant, or name, ii a corporation) (Mailing address of applicant) :ate whefl:er applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ' ..... · ~me of.owner of premises ...... (as on the tax roil or latest deed) (Name and title of~o~orate officer) ...... Builder's License No Plumber's License No .................. Other Trade's License No ....................... Location of land on which proposed work will be done .................................................. ..... .......' ' , '- c; House Number Street Hamlet County Tax Map No. 1000 Section · ~ I~ Block .. I ' Lot...~'.~ SubdJvJs on ........... .. ............... ' .......... Filed Map No ..... Lot (Name) ......................... Stat~ existing use and occupancy of premises and intended use anti occupancy of proposed construction: a. Existing use and occupancy ...~ ~.~'% b. lntended use and occupancy ~6'~ ~e~ ~.Q ~ .......... :'....~ ............ .3., Natpre of work (check which~ atmlj, ~,,~]. e~ew uuumng ......... Addition Alteratio Repair ...... R~nl'o'~ ........... b ....... .... ' ................ Demo ition .... :. · · k ~..~.T. iO~ · . , ...... Other Wor 4. Estimated Cost .... 7~ (Des~r on i 'b . ............ Fee ......................... ~'n ' (to be paid on filing this application) · 5. If dwelling, number of dwelli~ g its ...... Number of dwelling units on each floor.. . Ifgarage, numberofcars ...~ ............... ' ............ 6. If business, commercial or m. ed occupancy, specify nature and extent of.each type of use ................... 7. Dimensions ot xistlng stmc~res,~fany: Front .... ~ .......... Rear ............. Depth . Height ............... Ntimbe~ of Stories .... ' ~ ............ Dhnensions of shine stmctur~ w~th alterations or additions: Front ' · ' D pti ' ~ II igl R ' · .... ' e it .......... ear .............. 8 i fsi "' ' ' ' · ..... : ·. Number o ohes . Dimens OhS of entire new cons'traction: Front ~ · ............ He'ght ' N ~b fsi ' ' .............. Rear .............. epth i ............... u er o o~es ............. ' D .............. 9 Size of lot: Front ...... ; Rear ....... ' ......................... 10 fPu I' .... pth ~ . Date o rchase ........ · ............. De ............... I di ...................... Name of Former Owner ......... ' .... ~2' Zone qr use strict in which p.enrises are situated ....... . ................ · d gl ................. · . Does propose Construction via,late any zonin aw, ordinance or regulation: ........... 13. Will lot be regraded ....... ; > .......... · ........... 14. Nmne of Owner of premises fe, i.~' ' ................. ....... Wall excess fill be removed from premises - Yes .... Addressq~( ~2 ~5~. ~;u~.ph_ ., &q~ ~h~,r Name of Architect ...... ' ..... ' ......... -~, q one mo. .72tq ~. ..... Addres%...z ........ ;... A Phone No. Name of Contractor J~Z~ ' ' ........... . .... Address~-a.!~[ ~?P'.'~¢~hone No. ~.Q~;wl (~ 5. I~ this property within I00 feet of a tidal wetland? *Yes ........ No ...... · If yes, Southol, Town Trustees Permit may be required. ' '' PLOT DIAG~ .[2~5~ o-' , .s~reet and ~ock pumbe[or description accords, to deed and oh .......... bac~ dimensions fro~ ........... orner IoL . , o , o,.~ auc [ n~es and indicate whethcl UNDERWRITERS CERTIFICATE ~: ~ ,,% REQUIRED ' ~ . :,: ' ' '~ 1¢5,1802 9 AM TO 4 P~F~ THE F'L~t.(OVVI?~G INSPECTIONS: FOH POUgED CO~GREI'E. ;,L DOUGH * FRAMING & PLUMBING ' ~>~&~.//~':'.~'~'[:'~ ~'~T',~:~77~,'q~.~ ~ 4., ~. . z~, FINAL CONSTRUCTION ~UST ¢?~? LJ~>'}~?'~ "'? ~'-'.:,~ -: ,... ,,, ;.:, AL L CONSTRUCTION SHALL MEET ~."~ ,~'H': ;,&/~:?~ s%ATE CONSTRU~ION & ~ERGY -,. ~A.,~.'~,:, CODES. N~ 'RESPONSIBLE FOR "~''~ ~ r~' '~''~ DESIGN OR CONS~U~ON ERRORS rTE OF NEW YORK, , U~y OF ............ S. Si ..... . s "' · ..... ..... ~ ......... boi~g duly swum, deposes m~d says that he is the ye named~Name of individual s gnmg ~ontract) ......... ...... ...". ............ ' i (Co tra nt po '" ~i ..................... ' .............. n ctor, age ,cur rate o cer, etc.) I , aid owner or owners, ~d is duly auithorized to perform or have perforated the said work and to m~e and file this ication; that all statements contained M this application are true to the best of his knowledge and belief; and that the < w~l be performed in the manner set ]forth in the application filed therewith. ' m to before me this ............ · 'd(4 . . i' ':