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HomeMy WebLinkAbout22709-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23896 Date SEPTEMBER 19, 1995 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 3075 OREGON ROAD NATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 100 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1995 pursuant to which Building Permit No. 22709-Z dated APRIL 28, 1995 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 ALTERATION & ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RALPH & ANN BADAGLICCA (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N362856 SEPTEMBER 7, 1995 PLUMBERS CERTIFICATION DATED SEPTEMBER 11, 1995 PERFECTION PLUMB & HEAT ? t B din Inspector Rev. 1/81 N FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23897 Date SEPTEMBER 19, 1995 THIS CERTIFIES that the building ALTERATION TO ACCESSORY Location of Property 3075 OREGON ROAD MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 100 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1995 pursuant to which Building Permit No. 22709-Z dated APRIL 28, 1995 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 ALTERATION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to RALPH & ANN BADAGLICCA (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N362856 SEPTEMBER 7, 1995 PLUMBERS CERTIFICATION DATED N/A Bu lding Inspector Rev. 1/81 FORM 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) pp N2 22709 Z Date .......4......4 ............!!77:'Q........................, 19F~./ Permission Is hereby grante T p / ~ s.....r x to ~.~J,...........~......1......`.... ......,/1(.. e...... 44 f?.. a fIwp. 9.5~ ~.........C-....~'........... .....k................... ~s e. . . 1 a's.....,-................,.,............ at premises located at........ ~~4•5 G?y•••1..~.•••• ?'I.., c..,. '.S G,........................ County Tax Map No. 1000 Section .....(...Q..4/....... Block Lot No.... pursuant to application dated ...............~~/L(.0.... 19..J.:.~and approved by the Buildirlg_Insspector. Fee $.....L.. Z.. Building Inspe r Rev. 6/30/80 3>q Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEP - 8 ~9g5 TOWN }TALL 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 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 17 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 "pre-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. 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, L'uildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Reside a1 $15.00., Commercial $15.00 Date 'dew Construction........... Old Or Pre-existing Building ...............~q.,.~ Location of Property.1~7..........2~F3h..,_ ..............!:lIt,/ .t/C .C....... House No. Street Hamlet Inwer or Owners of Property./. 6 N 1;&K. Ali N 10GIw 7ounty Tax Map No 1000, Section.. Block ~.,........Lot ~ >ubdivisi.on ....................................Filed Map............ Lot...................... ;,ermit No..~ Z?b. r.. Z..Date Of Permit ................Applicant............................. lealth Dept. Approval ..........................Underwriters Approval......................... 'lanning Board Approval tequest for: Temporary Certificate........... Final Ce~-late -ee Submitted: ' Rwir-150l U3 , 1 /-a , Wf, s ~~389t~ .3$q7 TEL. 765-1802 ~vaamr 0 S~FFULkCpGy~ TOWN Or SOUTIIOIA) OfTICE 01" BUILDING INSPI'sCM o a P.O. BOX 728 u°, r^ TOWN HALL +0 t SOU'I'I TOLD, N.Y. 11971 C E R T I P I C A T 1 0 N Dat62~ Building Permit No. Owner.Gt 1- 1 tplea. ((mint) 1'lUntbel~~t-{_eC.IOA "Y'Vrw6~Y+ ~-~?a.1~?wj' (please print) 11 I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature Sworn to before me this ~ day of - - 1951-~- Notary Public Notary Public, ~1o u n t y Ybok No. 49441508 OMMINW EO" t N,~ o~o~~gpFFO~~-~ y~ G N x Town Hall, 53095 Main Road p • Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. Box New York 9 11971 Southold, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 29 1995 Burger Construction Inc. P.O. Box 934 Cutchogue, NY 11935 Re: Ralph Badagliacca - SCTM#1000-100-2-7 Prem: 3075 Oregon Road, Mattituck NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. ?xx The check's are not on file. $25.00 each. No Health Department Approval on file. No final inspection has been made. ?xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT #22709-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - 2 CO'S REQUIRED FOR THIS PERMIT. ONE FOR ALTERATIONS AND ADDITION TO HOUSE & ONE FOR ALTERATION TO ACCESSORY GARAGE. PLEASE SUBMIT $50.00 FOR BOTH. FIELD INSPECTION REPORT - - II DATE II COMMENTS 77 FOUNDATION IST9' _ _ i it Q _ y! o n ~ II II II it\ II II 1 FOUNDATION (2ND) l "Zoe ROUGH FRAME 6 PLUMBING n {I~9S czc INSULATION PER N. Y. N If y STATE ENERGY CODE ii II ii II 0 II It ii II II y Ii II II II II II FINAL Ii II 11 I II O ADDITIONAL COMMENTS: 1 v t O z H UI ~j h `?r~ ra a ' a N w g j~r;a 4 z i ~ F Q o z ` o'OSI - M.OE.ES.E°l'S Z ~ o, 1 h J al, O ~Pbac N k 0 ~901~.. -t ~ gFa uaoy _ 1 owf o Y ~ o o~ oc I ~ I .r' 7~ O ~ cE U) cI) ~ ~N ~z pz F i q N N .n r - a M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] UGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 0-/C- S""`~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ F MIND [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. NSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:.21af DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 pate SEPTEMBER 07,1995 Application No. on file 88503095/95 N 362856 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of RALPH BADAGLIACCA, 3305 OREGON ROAD, MATTITUCK, N.Y. in thefollowing location; ? Basement ® Ist Fl. ? 2nd Fl. OUT Section Black Lot was examined on SEPTEMBER 01,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT. K. W. PMT. K W, T. K W T. N. P. 3 11 7 3 1 6,8 1 1.5 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT K. W. OIL H. P OAS M. P. A. NO. A. W. G. AMT. AMP AMT, AMPS. TRANS. AMT H P SYSTEMS AMT. WATTS NO. OF FEET 2 SERVICE DISCONNECT NO. OF S E R V I C E AMT. MAP. TYPE METER T R 3W13 %3W 13X 4W NO. OF CC COND A W. G. NO. OF Hl- NO OF NEUTRALS A W G' EQUIP. PER % OF CC. COND. OF MIIEG OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 MOTORSEI-F H.P. G.F.C.II-11 TRACK LIGHTING:-24 G & S CONTRACTOR LIC.#578-E BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per 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 DUILDIN6 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY F 83 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEPTEMBER 9.3,1995 Application No. on file 10094295/95 N 363359 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of RALPH HADAGUACCA, 3305 OREGON ROAD, MATTTTUCK, N.Y. in thefollowing location; ? Basement ® lat Fl. ® 2nd Fl. OUT Section Bloek Lot was examined on SEPTEMBER 05,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTAGLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K. W. AMT K. W. AMT. K.W. AMT. K. W. AMT. H P 5 A 5 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIME CLOCKS EEII UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W G. AMT AMP. AMT. AMPS TRANS. MAT H. P. NO. OF FEET AMT. WATTS SERVICE DISCONNECT METER S E R V I C E _ NO. OF AMT AMP TYPE METER 1 /s 3W 1 0 3W 3 a 3W 3.0 4W NO. OF CC COND. A. W.O. NO. OF HI LEG A. W G NO. OF NEUTRALS A. W G. EQUIP. PERK OF CC. COND. OF HI-LEG Of NEUTRAL OTHER APPARATUS: G. P.C.It^1 t9" t G & S CONTRACTOR LIC.#57II•-E HOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per 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 COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. apwaiimou Fyh l nwcs "t y!~' jr° 644111101 m ~n7y0lr C6001A BOARD OF HEALTH 1411)'•13\1202 WWA6WI!iC' G-"46010611M 3 SETS OF PLANS Bfvibif CIDA FORMNO.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 N o TEL.: 765-1802 CALL In~r• 7J~ J ./7. Examined 19 j MA L T0: Approved 2.d 19 5. Permit No. Disapproved a/c ; j I~ « 11 (Buildin. • , ~ BLDG. DEPT. L Spector) k TOVity OF SOUTHOLD 2 A P ICATION FOR BUILDING PERMIT ~~F K V Date .`3J / INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accotding to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of Property must be drawn on the diagram which is part of this appli- cation. C. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Countyi New York, and other applicable Laws, Ordinances or ReVI ions, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, build' de, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins t' s. (Signature of a p scant, or e, if)a corporaIwn) (Mailing address of applicant) State whether applicant is owneellessee,aageent, architect, engineer, general contractor, electrician, plumber or builder. /..1 Name of owner of premises ~~/,/1~}?• • f~(j L/GC (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ( ; Plumber's License No . Electrician's License No . Other Trade's License No . 1 • Location of land on which proposed work will be ddone: house Number . S! .........1/.. Hamlet County Tax Map No. 1000 Section /op Block 2 - Lot........ 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V " " 3ano0 sTUUay ood 5ulwwtnS' uotltlow3q IcnowdlJ Sn da11 uotlc~al(V Uo111PPV 5u!DI!n0 malt' :(algcotlddc gol4myoayo)yiomJo 3~nlcN wool 1 Iipllla USE IS UNLfiwVIF L Ap R~OV DASHOTED ~G„' F fl CERTIFICATE DATEB.P.# 70 VVI THOUT FEE Sis~ BY pp[~.~~.+~~pngpgapq9~y NOTIFY BUILOAG DEPA ' u 0'."CU i-YA CY 76$-1802,9 AM TO a RIBA FOR THE EGLLOLM9IVG INwPp{; i f(,}iua. i°i)(s YOIJP{' ~ ~ tvb°rarran.rz. wiuFaa4v, n~ - a~nif.Yo~- 3 ~~krwc~=2~n+a,oonn A, FINAL r~,,_ . „h:•',. ~.,,'.,Si - (7,6Ia3:}!1fF BW"a~ix~iC4 lfiT Ow-w4k lance, 5r' zµ ~ ~ MEW' - - BE COMPLETE Gil-. I; U - ALL CONSTRUCTION <,HAI L MEET TIME REQUIREMENTS Or ME N Y STATE CONSTRUCTION 1L ENERGY uN~E~'~~N k~ ' CODES. NOT RESPONSIBLE MR ' - - FY+~va~ Hsi- xDl4rxY-"? ul+NCt+ul " ' 3).ST rwi DESIGN OR CONSTRUCTION £RROF NO W PLUMBING ALL PLUMBING BASTE _ $KI4t'Nk~ & WATER LINES NEED - ( - TESTING 13EFoRE COVERING PLUMBER CERTIFICATION rt3" : ON LEAD CONTENT BEFORE rrs CERTIFICATE OF OCCUPANCY 1:t' I SOLDER USED IN WATER r6~ ~ i' ,,i}.' ~ r?bsoMabtr~'f"rrl~,5 SUPPLY SYSTEM CANNOT EXCEED 2110 of 1% LEAD. If COPPSr tubing is used fOr water distributing Tom` -'totem: Dieing Shall6e of types K or l only 'I ~ 7} 44 G 0~,. I C-rci~{'t t~lE CJ+f"~tN~YS~ w~~curzs a Tj~ _ _ WI'IHRKtaA~1~TtFiEt~'~ M! r'~~ln//} C~t~ { L~~, ` ,+ztb ca~J~6cTV,rri, L l . }v~w.~~ cry Foar, N ~ ~ ~ ~ P O .C 9Yi ~ ~o ro boa F - _ II I i oc 44* 9 I etr - t a va Ire I'D i ~y. { 1111 I , . 1 f It, - i r 1 1 1 3z A - ~ ~ 1 Y - --I_ T~ :i..,, t?Ltyy i~ * '.t~y1. ~,c-, I i k .in -I i'. y~t 71 - - ~ I . ~ ~y~L~""g g~y~wli~•anc~E,, y~~,t C~" GLa'S G`iia.ACt2.. ' ~ - - - ~y co x ' O.F,gccTtpC i L1C ~I