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Home My WebLink About23080-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~TIFICATE OF OCuumANCY No Z-24376 Date MAy 21, 1996 THIS CERTIFIES that the building Location of Property 825 ~UAR DRIVE County Tax Map No. 1000 Section 78 Subdivision ADDITION Street Hamlet Block 7 Lot 37 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 16r 1995 pursuant to which Building Permit No. 23080--Z dated OCTOBER 20r 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 A ~ECOND STORY ADDITION TO AN EXISTING ON'~ FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. L~BLIE & S-rm~.T.I% GA~.OLA SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N384880 MAX 2r 1996 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Buildzng Inspe~r FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHO.LD, N.Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEllON OF THE WORK AUTHORIZED) 23080 Z ........................................................... ..................................................................... ~o~,~Tax~op~o. ~o00 s~ot~o~ ..... Z~ ........... ~,o0~....~..7... ............ LotNo ..... ~..2.. ............... pursuant to application dated ........ ~....~'..-t~...-~...,....Z~... ................... 19.....~....~...... and approved bythe Bulidir~j Inspeotof. ~eeS....2~.. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING D EPARTMFAqT TOWN HALL 765-1802 APPLICATION FORCERTIFICATE OF OCCUPANCY A. This application must be filled in by gypewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey or.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/I0 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 ~completed site plan requirements. B. For existing buildings (prior to April 9, 1957)' ~on-conforming uses, or buildings and Vpre-existing" land uses: , 1. Accurate survey of property showing all property lines, streets, building and unusual na~urat 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 I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buiiding $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20200 4. Updated Certificate of Occupancy - $50.00 5. :Temporary Certificete of Occupancy - Residential $iS,00,~o~ercial $15.00 Date ................................... New Construction ......' ..... 9ld Or Pre-existing Building~. Location of Property....~.~.~. 7 ........... ..~..~...~./.~. J..~P.~.. ........ ~?-?.~..~-% .<-~-~. ..... House No. S t?~t ~ ~amlet Onwer or Owners of Propergy ........ ~.. I ~. County Tax Map No i000, Section ............................ Lot ...................... Subdivision .................................... Filed Ma~_~p ............ Lot .................. Eealth Dept. Approval ................... Underwriters ApprovaL.. .- ..... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.....~.. .... Fee 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 April 8, 1996 Ms. Leslie Gazzola 825 Cedar Drive Southold, NY 11971 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) So Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. So Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23080-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. NSUI,ATION PER N. F l NAI, ^Df) I.T [()NAI. (].OHHEN'I',$: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~".~:-~~ [~,~ '~.~71~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date ~"~' ~ ~ ~9~ ~ppl~ation No. onflle ~ ~%~ / ?~ ~ ~ THIS CE~IFIES ~AT ~y t~ e~tr~ ~uipment ~ ~cH;b~ ~w a~ int~uc~ by t~ ~can t ~m~ on the a~ ~tlon n~mber in t~e p~m~es o~ E~:LIF~ ....... CEDAR ~,~, SO%~HOLD, N, Y. was examined on AD~! ~' ~ ~9 ~ ! ~ 96 and found to be in compliance with the National Electrical Code. Lot 3. ~RS I mRN~CE ,~OrOES I FUTURE &I~U&NCE I~EO~RS RANGES ~PECIAL REC'PT S~RVIC~ DISCONNECT Ho. OF S R I A,W G, NO OF HI-LEO OF CC. COND. EXHAUST FANS .... TC , # 5 ~ .- -E , ,.,THOLD~ ~'f, 11971 ~L ~ao~ This ce~ifJcate must not be altered in any manner; return to the office of the ~ard if ~ncorrect. {nspedors may be identified by their credentiaJs, 765-1802 BUILDING DEPT. INSPECTION FO~DATION 1ST [ ] ROUGH PLBG. [/].~UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE//~~~ INSPECTO~,* 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUND~ATION 2ND [ ] INSULATION FRAMING [ ] FINAL / INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ _] R~GH PLBG. [//] INSULATION [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~/~///~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING [ ] FINAL [ ] FIREPLA~CHIMN~EY REMARKS:~ DATE ~ INSPE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMII~G ~ V~N [ "~F,NAL [ ] FIREPLACE & CHIMNEY DATE INSPECT~ ?/ AT ~AYV/~W SUFFOI~ CO4~TY, NEW YOUNG YOUNG OCT I § 1995 ' ^pp,o,,~d ..... ~'. ¢.lf. .~. .... 199~. Pe,.,it No. ,d?. .~. . . .~. . Disapploved a]c ..................................... FORM NO, 1 TOWN OF SOUTItOLD BUILDING O E PAR'IM £ N'i'i TOWN IIALL SOUTHOLD, N,Y, 11.q71 TEl_.: 765- 1802 3 SETS OF PLAtlS ...... SURVEY ............... CI1ECK ................ SEPTIC F O Iti'l C~,LL , . APPLICATION FOR BUILDING PERMIT INSI RUCI I )NS a. This application must be complelely filled in by typewriter or in ink and submitted to tim Building Inspector, w sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and or buildings on premises, zelationship to adjoining premises or public st or areas, and giving a detailed desmipfion of layout of property musl be thawn on the diagram which is pad of fids a cation. c. '[he wink covered by this application may nol be commenced befme issuance o~ Building Permit. d. Upon appmvM of rids application, the Building Inspecto~ will issued a Building Pennit to the applicant. Such p~ shall be kept on Ihe premises available for inspection througho~t (he work. e. No building shall be occupied or used in whole or in pad [or any propose whatever until a CediBcate of Occtq~ shall have been granted by the Building Inspector. AIq~L1CA'I'ION IS HEREBY MADE to the Building Department for tile issuance of a Builcling Pmmit pursuant Building Zone O~dinance of the Town of Soulhold, Su[folk County, New Ymk, and other applicable Laws, Ordinanc Regulations, for the construction of buildings, additions or aHerallons, or for removal or demolition, as he[ei~ desert The ap ~lican[ agrees ~o comply with all applicable laws, ordinances, building F6de, I)ousing code~ and ~em}lations, admil atdhoHzed inspectms on p,emises an'~l, in building for necessalx inspecti~s. igmdme {([ applicant~orduffn~if a cg)rpmatim0 (Mailix~g address of applicant) Slate whether applicant is oxwmr, lessee, agent, mchitecl, engineer, general conhactor, eledrician, plumbe~ m [mil .................. ~',~'.~5%,.: ......................................................... ..... .... ...... ......................... (as on the tax roll or latest deed) If applicant is a cmporation, signahue of duly autllotiied officer. (Name and ~itle or cmporate ~ffficer) ~(~/ W~ Builder's l~icei~se H~) .......................... ,,,,,,,,,,~,..~,.,~,,~o. ..Lr..~..~..~ .... Other Ttade's lJcense No ...................... I louse Number Street llamlet ~:,,,,,,,~,','~,a,,,~.,oo~,~,,~,,,,,, . . . : . . ~7~'~ ..... ,,,o~ ....... 2 .... :... ,.~, .... :~. .7 ..... Subdivision ..................................... Filed Map No ............... Lot ............ (Name) State exisling t~se ami occtlpn~lcy of premises alld intcmled rise a~td occupanc~ of proposed constmclion: a. Exisdnaus~amtoccupancy . ....... ~, ~ .... ~ ..................... 3. Natmeofwmk(c eckxv tic applicabl~:): Nevc'Building .......... Addition .......... Alteration .......... I~epnir .............. Removal .............. I)emolHion .............. Other Work ............... 4. Estimated Cost ...................................... Fee / (to be paid on filing this applicali~>n) 5. If dwelling, uumber of dwelling units ............... Number of dwelling units on each fleor tl garage, number of cars ........................................................................ 6. If Imsmess commercial or mixed ogcllpallCy s ~ecify ililllllO illltl~=xle~ t of each typo of use ....... ~ ..... /.. · l/., 7. Dimensmns ol ea~stm~ structmes, ff any: I font .......... ~.-.~. Rear ......... l)eplh . . .': ........... 1~ ~ens~ons~s eslr git 'eWl ~allmal~onsorakhtl~ns: hront .. ~ ~..'~ Rear ...~.~ 8. Di,nm,sions of entire new cpns ruc ion: Front ...... I.% ...... Rear ..... (.& ...... Del, Ih ,.. >~.Q ........ 13. Will Iol be iegraded .......... ~ ............... Will ex,ss fill bo removmhhot~ plemises: Yes Name of Atch~lgct .~ ..................... Address ...... ~ ......... ~,Ihon,No ................ 15. ts this preperty within 3)0 feet of a tltal ~¢etla~d? ~Yes ........ No .~. .. · If yes, Southold Town Trustees Permit may be required. I.ocate clearly and distinctly all buildings, wt~ether~r proposed, and. indicat~ all set-back tlhnensions flora 9topetty rices. (live street alld block ~lnmber or description according tn deed, arid sllow street names ami indicate whethqr interim' or COl lief lot. i ............ .............. ': .... ~ ........ ~. being duly sworn, delmses and says that he is the apptican~ {Name of individual signiilg cont~acl) rove named. ................ ............................................ .............. (Contractor, agent, corporate officer, etc.) said owner or ownels, and Js duly authorized to pe~fe=m or have perftumed the saki work ~llld lo make and file Ibis qdication; that all statements contained h~ lhis application n~e tree to tl~e best of his knowledge and belief; anti that the tnk wilt be performed in the manner set forth in the npplicalion filed therewith. vcm~ to before me this r — _ - _ n e t � u' l .v ,I i v ` r _ EAR i r DELA 1 i I . -FAC CCA -P.,lt.l.3- ' I', 5 I G 1 S i Ir D�R' 1 '. ra1 �"co-rf 7, - - OCCUPANCY OR F: USE IS UNLAWFUL 11 FbC I- A0kA[ I WITHOUT CERTIFICATE ;� � X ty w �,. CUPANCY A d� 'r OF OC e 3 PROVIDE OPENINGS FOR s<a YT�r x EMERGENCY ESCAPE A5 1 : — L •. F C•,f>x Vrv• tiE;l L'Ir�G+ , C REQUIRED BY PART.714 OF N.Y. STATE BUILDING CGDE I f I 4 ' IT 3S`f`'I179 LVL If 1-11 1. ' � �1 cw 17 f, l 97 � � RfpcE fErl, { y*, f d _ APPROVED AS NOTED 74 ,r.MY, DATE: OeYJ 1l B.P.N 30r1'O� - ' FEE. PI7LN = r� NOTIFY'BUILDING DEPARTMENT AT f �!`� 785-1802 9 AM TO 4P FOR THE / Exlsni�c- OAcr .-i CA 7 WE• r - - -'�-- ---'-{ _ _.._...y FOLLOWING INSPECTIONS: 1 �. _ 1. FOUNDATION - TWO flE0U1flED —"r FOR POURED CONCRETE � CCnA�TIC PrC (" G � I ,i - 2. ROUGH -'FRAMING & PLUMBING '1 3. INSULATION Aell 2- 4�t 0 ,), _ 4. FINAL CONSTRUCTION MUST IV G� �/ // F`"' ""— �'!'A ' '"'L'•yA ocP� ``�.P€n+7 yl BE COMPLETE FOR C.O. - �' "'- -- ALL CONSTRUCTION SHALL MEET Yv'Lk�, -(;{��vl;i+ r _ ' ; � THE REQUIREMENTS OF. THE N.Y. UNDERWRITERSREQUIRED RTIFlCNTE COPES.STATE NOT'RRES RESPONSIBLE EFOR , - wl spa^ N0ltlrf�ft7, (tA TU l 3 S TV ' . ' .,z oeslGry R, � srfluCn � f ERRORS 1 To GCNrrHtlEQED :RC^6M 6'f 3'LY' . �. - , ' _ "i" „-r;� ,..i,,. -. "„ ,. !•;,='.,--.�,.- .;.I yi k'i(6'4 iZl�76" ' I r . Z-2.f ro W/3�a plu t if I 3-zxg �vs iBs;PR00IDE''AiHRFIRE' 3/ .Y2' N I .Y..�.. ._ _ �r ;um r"E ,RATED SEPARATION TO ' � � � - � _.Ah�lte +#77:Q4ti4 ': . ,4 PART.717.3 (f 1) OF _ Mai, Ilpad psY+�-..dr is , N.Y.$TATE,BUIL ING CODE.' xrs . - r GJ7F;1 M1'POi2 r .N y . 1 i 944 �y { �.^ „ -L. l..,. I ii �'.1 �'1 '� n, t '.L, firy{.1 k.' ?'• 'Lt^n $)y. �_..�...� . ,(� �� •� ,. -� ! -, :� } .�. _�� .rz '�-- �,� � � r } �t P a 5 � ScALe V, r d �{