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Home My WebLink About23290-zFORE NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24972 Date APRIL 10, 1997 THIS CERTIFIES that the building Location of Property 21605 MAIN ROAD House No. County Tax Map No. 1000 Section 108 Subdivision ALTERATION CUTCHO~UE, N.Y. Street Block 3 Lot Filed Map No. Lot No. Hamlet 11 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1992 pursuant to which Building Permit No. 23290-Z dated MARCH 26, 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 RECONSTRUCT FIRST FLOOR OF EXISTING ONE FAMILY DNELLING AS APPLIED FOR. The certificate is issued to JOSEPH & GLORIA YACCARINO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-371163 - NOVEMBER 22, 1995 PLUMBERS CERTIFICATION DATED APRIL 25, 1994-JOSEPH YACOARINO Rev. 1/81 FORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N-~ 23290 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ...... ~../..?...,~., ...................................... 19....~....~. Permission Is hereby granted to: ,.~,~.~..~...~.~,,..(.~: ................. . ~..~.~....~....~...z~z~. ............ , to.....,,,~..o~.,,r.~.~ ........ ~....~ .......... ~. .............. ~. ~ ......................... .'.¢.. ~ ........ ~.,.~.....~/~,..~...,.........~......~.,.,....~ ............. ~ .... ..,~. ~z,x~.~ ....... .,.Z./...~ ,;....:..~..... ~ .x.~ ~ ............................................................. at premises located at ....................................................... .~,.4T..~..., ~,:er. ~ ...................................................................... Coun~TaxMapNo. 1000 Seotlon ......... Z~2.... Block ........ ~ .......... LotNo ...... ~Z ................. pursuant to application dated ...... ~,~....~ ............... 19....~..., and approved by ~e Bullding Insp~tor. ~e S..,Z~.~. ..... Rev. 6~30~80 FOI~M NO.3 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) Date ...,~..'~.. ....................................... 19.~ N-~ 21964 Z Permission Is hereby granted to: ....... ~,~...~_.~ ........... , ............ ~,~/~ ....... ~.~...,~ ....... /~.~...~.~.~..~ .................. ~ ......... : ...... at premises located at..,.~. ~.~,~.,,-~,, .:..--~.....~..~.... ..................................................... CountyTa× Map No. 1000 Section ........ ,~..~.~.... .... Block ......... ..~,...,~.. ......... Lot No ....... ~, ............... pursuant to application dated .,,.~.~ ........................ ~., 19,.~.~..,, and approved bythe Building Inspector, ~~ , ~ ~,,Z~,,. " Rev. 6/30/80 IvOB~ NO. ~ TOWN OF SOUTHOLD tUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~N? 2058~z Permission is hereby granted to: ....... ............. .-........ ., .............. ~ .................. ,:~. ........ ....~ ......................................................................... at premises located at .....~.../...~..0...~. ...... ~.~.....~...:......~~ ................................ County Tax Map No. 1000 Section,,~..O...?. .......... Block i..."~'i.~ .......Lot No..~. ................... pursuant to application dated ......... ...-~...~. .................. , lg.~....~*.~,-., and approved by the Building Inspector. Fee $.~.~. · ............... · r~'~'Bulldlng Inspector Rev. 6/30/80 ~' ~ ~ · i:~ ~' , ·OBM NO. S 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) 9032 Z Permission is hereby granted to: ~ .,r~.~....~...u.~~ ....... ............. .:-~..~.,.,...~...~..,...../...,.~;..~ ............... ,I ,o z~.~.~..~....~......~,Lt.....~.~~,.~ ........ 0t pre~,sos ~ocatod ot. ~.t.~.~.~......~..~..~ ................ ~~. County Tax Mop No. 1000 Section ..... l...~...?.. ........ Block ...... ..c~...~, ....... Lot No.../.). .................. pursuant to application doted .......... ..~.~...(~ ....................., 19.~.~..., and approved by the Building Inspector. Butlc~ng Inspector Rev. 6/30/80 Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~ HALL 765-1802 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 I% 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 c6mpleted site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 hy 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 Buildin~ - $100.00 · 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... dL.,,~-~ ./.. 3..t~- ?- ........................ ' New Construction .... Old Or Pre-existing Building.~ ............... Location of Property.~.~d~.~....-/~-~-4./~..~.4: .................. .~-'9/~. ~ ..................... Onwer or O ers of ...................... county T= 000, Section./ . f ....... Bloo ........ .... Subdivision .................................... Filed Map ............ Lot ...................... Health Dept. Approval .......... ~'. .............. Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .......... Fee Submitted: ~ $~ ~9~ ..~ //: INSPECTORS Thomas Fisher Building Inspector Gary Fish Building Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Sonthold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 CERTIFICATION certify that the solder used in the water supply system eontains less than 2/10 of I% lead. Sworn to before me this 3'C ~a~ of /~,~ , ,9 Cq~. Notary Publlc,~~County FIELD i:~S:'ECT!QN~. · ~ IIDATE ]1 COM~4£NTS FOUNDATION ( ls t) FOUNDATION {2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: // / Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 o~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-disposai(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumbar certifying that the solder used in system contain~ less than 2/10 of 1% 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 -p -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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling, 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 Buildinm - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property ......................................................................... House No. Street Hamlet Onwer or Owners of Property .................................................................. County Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval .................. ' ....... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. .- APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [!~NDATION 2ND[] INSULATION [,~/FRAMING [ ] FINAL REMARKS: ~)///~'-~ ~ 7G5-1802 BUILDING DEPT. INSPECTION ]FOUNDATION 1ST [! ~l'~BG. J FOUNDATION ZND [,~/I'NSULATION FRAMING [ ] FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [,~RAMING [ ] FINAL DATE , INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ]FRAMING [ ]FINAL 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~ PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARK~S: ~ DATE ~ _//_~/~ 'NSPECTO ?~5-Z802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST ~ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ F,~iNAL REMARKS:~ THE NEW YORK BOARD OF FIRE UNDERWRITERS [L~314 BUREAU OF ELECTRICITY " ~ 85 JOHN STREET, NEW YORK, NEW, YORK 10038 D.te NOVJ~I~ER 22,1995 ~pplicationNo. onfile 7526e39I/9~ t~ 37~163 THIS CERTIFIES THAT o~y the el~trtcal ~uipment ~ ~scribed ~ a~ int~uc~ by t~ opplicant ~med on ~he ~e ~ication n~mber in t~ p~mlses of JOE YACK~II40, M/~IN ROAD, CUTCHO~UE, N.Y, in the fotloteing loc.tlon; [~ Basement ~ Iht FI. [] grid FL Section Block ~ms examined on NOVB[~qBR 17 ~ 199 5 and found to be in complianc~ with the Na~onal Electrical Code. Lot OTHER APPARATUS: RANC~S ;PECIAL REC'PT 1 20 I C E OF CC, COND__. 2 EXHAUST FANS DIMMERS OF Hf-tEG WELL MOTORS: 1-1 G.F.C.I:-7 SMOKE DETECTOR ~ BOX 16 ,STILLWATER AVE. CUTCHOGUE, NY, 11935 GENERAL MANAOER ll 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. COPY FOR BUILDING DEPARTMENT. THIS CO~ , BE ALTERED IN ANY MANNER. BOARD OF HEALTH ............ ~o.~ No., suRv ~-Y :: . TOWN Or ~OUt. OLO CIIEC~ .~:$):~ .. BUILDING DEPARTMENT SEPTIC FORM ................ TOWN HALL ~ d ~OUTItOLD. N.Y. 11971 NOTIFY: , ~~ TEL.; 765-~802 CALL .. ~ .................. Examined .... MAIL TO. ...f... .... c .......... (Building Inspector) APPLICATION FrOM BUILDING PEF1MIT MAY I 11990 INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building I~spector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plm~ showing location of lot and of buildings on premises, relationship to adjoining premi.~s or public streets or areas, and giving a detailed description o£ layout oF property must be drawn on the diagram which is parr o£ th~s appli- cation. o. The work covered by t~s application may not be commenced before issuance of BuUding Pe~it. - ' d. Upon approval of this appfication, the Building Inspector w~l issued a Building Pe~it to the applier. Such pe~it ~hall be kept on the premises available for inspection throu~out the work. e. No bulldog shall be occupied or used in whole or in part for any purpose whatever until a Ce~ifi~te of Occup~cy ~hall have been grmted by ~e Build~g Inspector. APPLICATION IS HEREBY MADE to the Bulldog Dep~ment for the issuance of a B~lding Pe~it pumuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable ~ws, O~ces or Regulati~s, for the construction of bu~d~gs, a~ditions or alterations, or for removal or de ol .... The applicant agrees to comply with all applicable laws, ordinances, bu~fl~g code, housing ~2d~t~ admit authorized ~specto~ on premises and .~ bui~d~g for necessa~ inspeotions. -- . ~~orporarmn) .. (Mailin~address of applic~t)~ State whether applicant is owner, lessee, agent, ~chitect, engineer, general contrh~br, electrician, plumber or builder. ............................ Q~.c..~~.e~ . . ' (as on ~h~ tax roll oflateitd~d) ...... ~ ......... *~'*-; ' lrappl~can; is a c~eratlon, ~lgnatur~ o~d~ly a~horlzed o[~cer. ........... ~.~ ;r ;;~;;; (Z~;;;~ ......... '"'" ' ' Plamber'~ License No Elecidcian ~icense No 1. Location of land on which proposed work will be done: · . lious~ Number Street ' ' '0' ' '~ .......... ' ~ Hamlet ......... ou ax ap o 1000 Section ......... BlOck bjj ............... Lot ........... u vision Ei) ~ .............................. ~ ...... ed Map No. L ' ~ (Name) .............. ot ............. ..... - .......... ...................... 3. Nature et work (check which applicable}: New Building .......... Addition .......... ,'dtcratmn ........... Repair ...~.. ........ Rbmov¢l .............. Demolition .............. Sw(m~/.ng poet ............ ~ Tennis Court.. ........ A~cessory Butldtng .......... Fence ....... OCher 14ork Co , .................. ..................................... .. (1o be paid on filing this application) S If dwelling number of dwell ng u~it~ ' Number ofdwellisg units on each floor If garage, number of cars ..... ~ ............................................ ............. 6. If business, commercial or mixed Occupancy, specify nature and extent of each type of use'. ..... ~; ........... 7. Dimensions of exist ngst~cturcs 'irony' Front . ~ . n~.~ ~* De.,h Hmght ... ~ ...... Numbur of Stodes ..... ~ .............................................. Dimensions A~c st~,c~re xvith! a tcrations or a~itinns' Front . ~. (~.~ ....... Rear ~t~f~ ...... mmh...~../.~ .... ~m ~t .. .~.~ .... ~,,,,~oXSto,~ . / ... 8. Dimensions qfent[mnew con~tmc:lion: Front ~ ~?g?:].. ~. ~r.. ~.(&~ ..... ~ ~ddt~ .[~3~ '~' Hcmht . ZQ ........... Nun~bd~r of Stofie~ .... ~ ........ .~Z-; ............. .* '* ~'~X 'i ..... ....... ::Z":4; ..... ..... ..... _ 7 /~' ~ , ......... vc n~ o~ ~ o~er uwner [~/.~..~$~Cd ...... 11, ;cone or us~ d~strict in w[~ich~tem~ses are situated .................................. f. ............... 12. Does proposed Construction'violata any ~oning law, ordinance or regulation: .. ~ ...................... 13. Will lot be regraded .; .... ~ ....} ................. Will excess fill be removed from premises: . ~s .... NoW. l,l. N~e or Owner or premises~¢[ 3~O ~at~ddress ~SP, r. 4~ l*, O~l,one No.. Nme'of Architect ............ ~ ............... Address ~./~/~ ......... Phone No ................. N~e of Contractor. ~/~. ~.~ ~.} ..... Address ................... Phone No ..... ¢'. ..... : .... 15.Is this property locate~d within ~00 feet of a tidal wetland? *YES *If yes~ Southotd Town Wrustees Permit may be required, PLOT DIAG ~M Locate cle~ly ~d distMctly ~I b~fldmgs, whether existing or proposed, ~d. indicate MI set-back d~ensions from property lines. Give street and block number or description interior or comer lot. accordln to deed and show street nantes and indicate whether, STATE OF NEW YORK, S.S [ .... ~.. ~h ~i~ ..................... being dt ~ sworn, deposes =d says that he is t~e applicant , ~Name of ind vidual s gning c~ntract) above named. ! ~ (Contractor, agent., corporato officer, ctc~j ....... ~ o¢ said owner or owners, ~d is duly authorized to pc[form or have peffo~ed the said work and to m~ and fil~ this application; that all statements contaiued tin lids application are lrtm to tim best ofhis knowledg~ and h~li~f; an6 that work w~l he perforated in dm m~ner set (orth in tim aPplicalion filed therewith. Sworn Io before me tiffs i '. Nota~ Public . 0 8 A~ .. - ' -- ~ N~147429f19 ~ ,, , QuaRried in Nassau Coun~ /,,) Oem~i~slon Expires June 30, l~g~ 8~'- I0' - 50" E ~ No PHY5 ~ c~. L I00. O0 .............................. . I00.00 Z~T - / /