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HomeMy WebLinkAbout22601-z low FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-23805 Date AUGUST 7, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 540 MAPLE AVENUE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 1 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 15, 1995 pursuant to which Building Permit No. 22601-Z dated FEBRUARY 24, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & DECK AS APPLIED FOR The certificate is issued to JULIUS GARGANI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-95-0021-JULY 25, 1995 UNDERWRITERS CERTIFICATE NO. PENDING - AUGUST 3, 1995 PLUMBERS CERTIFICATION DATED JULY 11, 1995-K&K PLUMBING & HEATING r Building Inspec or 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) Date ...............a 7 9.....,..,.. N2 22601 Z Permission Is hereby gran d to:~ /J.......rr to . 1146W.. -i~ ~ ~~9.... a?.v.. . lo ~°..llr-e~ ...:......I......... at premises located at............ ..~ZrIiC.Q. J,.. .1./;.. ...................G.......................... County Tax Map No. 1000 Section Block ........1 Lot No. p4< 4 C/ pursuant to application dated 19........., and approved by the Building Inspector Fee Building Inspe or Rev. 6/30/80 i I Form No. 6 L4 TOWN OF SOUTHOLD BUILDING DEPARTMENT A 1995 TOWN HALL 765-1802 T01,11"! F')! 1:41i l i 101D 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.' 3. 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . :ew Construction........... Old Or Pre-existing Building ,/1 .ocapion cf Property...~T.U II.i4P~ . L .4/-?.'.............5 o u't'1-1-e) c..~....... House No. Street Hamlet )nwer or Owners of Property...: UL_ 1 L) -5 C d}2F,An~i.... ;ounty Tax Map No 1000, Section Block, Lot. A:' >ubdivision ....................................Filed Map............ Lot...................... )ermit No.?'z(?°,1„7..... Date Of Permit. Applicant.,V~ i U S ~~ARARJ~ iealth Dept. Approval! ...a ,,,,,Underwriters Approval )lanning Board Approval request for: Temporary Certificate........... Final Certicate... / 'ee Submitted: $..~1i4~„~~ G:~c. q? I 1 C d ~aZjg Qs APPLICANT • • . • • . ' l t 5T fri ~i~ Y~ I~~d'Y 9~~~ ,y ~Y1•j r;~ I? i n i 1d,A.1 Y F'• ~ C'YtTs"Pl.ts fi§It USSI[.L;tfl;,, lNS,'I.CIC~lt tCAVtgI1,YLf ~~~~1 rat~~ ?U111ULIJ, Pd• Y, 18971 fY• ~11~C>\5 Y. ~ ''I~ )f) I~~ x;s ;~l 15 Ptrrtoi~ Etcv. 'Z LbO l r+l °i: ~:,41~1 3 ll f„. y I~ I' l ~li'•~~ S lM1'. • ,.~a„„t.~i~4~sEtr~~~p?n p°~~__.Y.~.~\~2G.~\(\C~. ~f•,t,~r:~~~yr~ t, ~C~Se av35 rr,'u i . I v= ,fir. Ge.'k ell b." Pt "Y rt r~ „ W?Lt G~Ca ' .1~ I .•y v ~,/,~~f 7id (plumber is i9tia tued ,,,q "Worn Eo . bt~~aka ma this ~ ; ~~~~'q1 f ;a• i~~ r,,ylIV/ y~k(F i, 14JL4 •~.e~,~.~c.:; .,a, Itakokya Isu19)", Notary Lai Comm; SUSAIvNE I PkRRt~-E)me I~ I NOTARY PUBLIC, StaN of N@w Vg;~ LG L5 t~; No. 4884709 t, Qualified in Suffolk Q®yy(I' ~ Cmmissiofi Ezpkes 111Yi IAUG ~r41995 ~ * rpq7 BLDG. DEP 7OWNOF SOUMOLD 4 r I~', d,'•;.ra tl fpA s , 14~ITTT` f~L 7 Ply } r ft7~ FIELD INSPECTION REPORT DATE COMMENTS II__ Y~J [ro=1 FOUNDATION ( L ) rr-_ I~ ? }~l s L-~ rc- I u FOUNDATION (2ND) I ,~t4GLL - ROUGH FRAME 6 PLUMBING n II I I I. I GJ~ _ INSULATION PER N. Y. STATE ENERGY 1i QL2 - CODE n ii II l/~ A H II I' II ill ~ FINAL II~ri ADDITIONAL COMME x1 cl~v H r 0 ro H N H 7 rd~ a cg°a ~w~ d H w o m w W¢~N ° m m o 0 n B E 0 g +C't w m 0 o ro o~ 3~~ n o o ro o ri O O o a w ti a N in, a CD (D PO 0 0 (D W M P) R. 0 4 P r H w Id ~ w + m O m Uq ~ 0 CD >0 = o P0 (D rA (D pi CD CD tl (D t ID 0 to v (D Id ( CD 000 0 0Qw9t~ omM U w M CD 0 Uq D Y p5 m V 0 o u~ +o cz~(Dw y¢ n ° w C w w w H m CD a p CD ppq Gp m o po C N c T+' K ~.0 9 0. r $ w p~ ~O:~ 0 (D .4 ~gow Cn(D CD mw+~' oa ID wn w CDC' CD wNP4 B rA DN O o CD o" C m p D C m Za d a y T' m u o N 9 B 0 0 .em 0 CD r„ .0 CD m w 0 ao m' 0 0 m Sz a' m p: ° IS CD C t m o t. P, to z n DN p ~l a m CD CD 5°°ow m w q CD CD P. D m o M 5j' 0 W. G \ 0' 9 Uq it CD ¢ 0 0 0 O N M ~5 0 O ffq~, .0~+ O 0 rF w 0 "d w~, ° F4 G 0 r Dm ° N N M 0~ ~ N U9 ~~S0FF01.t o~O x Town Hall, 53095 Main Road p • ,F Fax (516) 765-1823 P. 0. Box 91971 Telephone (516) 765.1802 SoutholdNewYork 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 6, 1995 Mr. Richard Israel P.O. Box 2130 Greenport, NY 11944 Re: Julius Gargani - SCTM#1000-64-1-21 Prem: 540 Maple Lane, Southold 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 is not on file. $25.00 xx 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 # 22601-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - AN ADDITIONAL FEE OF $16.00 IS DUE FOR AN 8' X 10' C~ REAR DECK BEFORE CO CAN BE ISSUED. pp~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: _ /X to DATE INSPECTOR T 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ) FOUNDATION 2ND V,4--~SULATION [ ] F G [ ] FINAL [ S CHIMNEY REMARKS: DATE ~o~ INSPECTO I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ Pf'ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ~d INSPECTO DATE ,22~o M-1802 BUILDING DEPT. INSPECTION [ ] F HDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL 041 REMARKS-. i v { ul/ t t DATE INSPECTO z M-1802 BUILDING DEPT. INSPECTION [/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION FRAMING ( ] FINAL 0 REMARKS: ` 1 DATE L- INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ) ROUGH PLBG. ( 7 FOUNDATION 2ND [ ] INSULATION [ 7 FRAMING [ ] FINAL ' REM KS: j DATE zl 7 INSPECTO i Satgn or NtALTit 3 "SETS or PLANS It Ott",I tOpM NO.t SURVEY t towN or sourNOLO cuCct` ~r i,i 7.....,,... NUILbINGbCPnIZTMENT SEPTIC r012N L78LDG. DEPT. t , , 1 , . 1 , i TOWN OFSOUTHOLD TOWN HALL SOUTHOLD, N.Y. 11971 NOTII'Y, t ,p TEL 765.1802 CALL' ,Q~tni 7 i l~p~~ Examined lq~'f MAIL Tot Approved ! 4 f i 19/.A Pennit No.P~~.lc~~l Disapproved arc , ...1.............. (Building Iitspe~ or) PLICATION 1"002 BUILDINcI Pt12MiT i a Date . ,1 .'.?2: ; . I 149is. INSTRUCTIONS a. This applicailloti must be completely filled in by typewriter or In ink and submitted to the Building Ihspectot, with 3 sets of Plans, accurate plot plan to scale. tee according to schedule. , . It. Plot plait showing location of lot and of buildings on premises, relationship to adjoining premises or public streets of areas, and giving a detailed description of layout of property must be drawn on the diagram which 15 part of lids appB- cAtion. c. The work coveted by this application may not be conitnehced betord Issuancd or building Mmlt. 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 or Occupancy j 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 County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or fat iemovai or deniolitio s herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, ltousinlt codd, lid t guiations, and to admit authorized inspectors on premises and in building for necessary cell its. Si nattlre ( g of applicar(of name, i corpotau'oti)` .l4 1 l . .114,• (Mailing addtel ofldplt) bant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electriciah, plumber or builder. . ................1..1.......11.•.1,• Nante of owner of premises. ...::T U ~ I U 5 6./q. 2 C-, /9- ti I . ....................lf.,. 1.111.1.•,.....1.. (as on the tax toll 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. tlectriclan's License No. Other Trade's License No. . 1. Location of land on which proposed work will be done; .530 11!~.P.~ .A!! S'UV nfoLr~ i i0U 1 f f, f 1 t„ i 4 0 4, 4 11 . 4 1 4, 1. l i 1 1 se Number 5trtct, Hamlet County Tax Map No. 1000 Section ~ , ' J . , Block 1 . , , 0 . 1 1 4 , l.bt, 1 7li~i,1 l , t l i . ' ...111 Subdivision . riled Map No. . . 1.... •..1,4001 1.01 {..1.•.,1 2- Slate existing use and occupancy of premises and intended use and occupancy of proposed constHlction: A. Existing use and occupancy..... ,V G Q! 7-. B. Intended use and occupancy r M U .,1 .i...,fi.., 1,1.1 ......1., 1 3. „Nature of work (check which applicable): New Building f 1~.. Addition ! + . + + + • ` f , Altet~Non , , , , • t + + 1 (repair + , . • 1 , t , ItRnlovsi . , • . , Demolition • , . , . , , , + , , { , Swimming pools, , + , t b l , Tennis COUtt . , . Aet•essory huilding. , . . , . Fence , , . Other Wotk1 t f { 4. Estimated Cost .l9 .i'. , Fee , .,f,f „ {,,,t{,itf r, .l/ (to be paid on filing tills application) 5, if dwelling, number of dwellin units . , , . Number of dwelling units on each floor + { , , , , , , , , , • , , If gatage. (lumber or cars 11i,,.. I........ I....... • i t, l+! 1, 1...1 { 11 t t 6. If business, commercial or nlix 6d occupancy, specify natute and extent or each type of use , { . + , , ! , • , t + , , { , 1 1 7. Dimensions of existing structu es, If ally: Front )tear t 6+ . , . , , . f + + , { Depth Height Number of Stories... Dimensions of same structure twill' aitetalions or additions: Front • + + )tear Depth • . Height Number of Stories , • + , { + . , . { , . • , . 8. Dimensions of entire new construction: Front ....-S- ti1 ~r Depth fir(' t+,,.{ p .,f „ tit Ileigl't ' Rear „ . + . . Number of Stories 1. , , . + . . . . . . . . . . 1 { + , . , , ! 1 9. Size of lot: Front Itcar . . ! lh.' , , . Depth , 10. Date of Purchase . Namc of Former Owner I L Zone or use district in which premises are situated . , , . + . , . , . t . • 1 , , • + , 1 + • • , { 12. Does proposed construction violate any zoning law, ordinance or regulation! . . . . • , f + f 13. Will lot be regraded + + , , , }VIII excess filLbe temoved from premises! Yes . NC 14. Name of Owner of premises , 5i.442 l J ; Address ?aGtu: , ye,A ft+ 11 Y V41), Phone No.4ii' Y.1 . Name of Architect Address . 1 t f . Phone md. i t . , , , , . , Name of Contractor 11 Co • • Address ~0 'S ? P° m, el-, ~ f, Ohotte No.: 14-7 _ + :fit i°: ?-A • . 15.Is this property IotIatbd trithiri 300 feet of a tiddi toetiundl *icLs,1;/..No!/•{ Aff yes) Southold Tout Trustees Permit may be tbyuitpol PLOT DIAGRAM Locate clearly and distinctly 01 buildings, whether existing or proposed, and. Indicate all setback dimensions I'rbr property tines. Give street and block number or description according to deed, and show street nitmeit find Indicate witethe interior or corner lot. " i ' I I I I I i . . STATE OF NEW Oi l S.S COUNTY OF . UO C~. . 01' ?.I.0 H /i 2D ? s ~2 g being duly sworns deposes and lays flint he Is tl'e applicat . (Ni)ne of individual signing contract) above named. .I Ile is Tile 1Z .t.. +,,,/f (Contractor, agent, corporate officer, etc.), of said owner or owners, and It dilly authorized to perform or have performed the said work and to Mal=e and fik Ili application: that all statements Collldiiled in tills application are title to (lie best of his knowledge and belief; and (list th work will be performed in the manner set forth in the application filed therewith. Swom to before the this .....day Of ....7 19K Notary Public, / uCouUnty SUSANNE J. PIRRIC e NOTARY PUBLIC, Stem of Now York •''••+••••+••••••1+ " No. 4882799 (slgnarnre or appllcanl Qualified in Suf4lk County Comm'saiern Expires !Jan. 211 101 7 LL > yw00in O>~wrcO Wv~ia ltz~ w Wes` 6 O ...A IM f. W Z F vi a (n O Z w fw.- LE.t w Ut Z 4 k U (40 x W ut es F u= w i to 4j J3 Y ¢ O 2$ O ar _ U~z ii - o. 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'r} ~.a 4UPANCY OR „ a USE I1'63 UUMFUL Vv'FINOUT CERTIFICATE OF OCCUPANCY is I 00 NIN MOIL Ilia FRAMING UN1L OURVIN OF FOUNDATION UEGI = r HAS BEEN AFRVVIEL - 2 - - a' x - _ 14 - d' RP HO ~S NOTED / F= 10'-- Flk 2a r,._ - (y 2. CS t LtLF u _71 7t, DATE: a fs B.P-# a~~PDI FEE. BW 1 NOTIFY BUILDING DEPA T ` - < 756-1802 B AM TO 4 FOR THE-' FOLLOWING INSPECTIONS: 1. FOUNDATION - TwOREQUIRED aI! FOR POURED CONCRETE uin N II r~~ ti, C--~v i30 2. ROUGH - FRAMING & PLUMBING j t}I r; ~I ~p N FIRE INSULATION ofI I 4. FINAL - CONSTRUCTION MUST NJ{,E LAS.'. f.C-'1'.l 1 t9 ",j~~(V-{ l 6~: 1;I,tlF,.1 <<, -;l`. rF F.::E H'1 MTq FARA ION TO BE COMPLETE FOR C.O. I - " MfL aM41)OF ALL CONSTRUCTION SHALL MEET 1 - - I THE REQUIREMENTS OF THE N.Y. I06 CODE. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR i' J f I aNO 5'ne~e~. - f 0 DESIGN OR CONSTRUCTION ERRORS I - / - .4 ~J / 2.6 b y R~iE~NC1ENCAFEAf PLUMBER CERTIFICATION i~~p- 2~v , rs ON LEAD CONTENT BEFORE Kom p MR 714 Of CERTIFICATE OF OCCUPANCY Q r L10IN{OppL , 1-7i ,-t„COUC~c~4'!r:`udl~4lUItCZEM!~t~1 SOLDER USED IN -WATER m I I Pnze~wa ~nol'w SUPPLY SYSTEM CANNOT 19 At--A\ &,)4 > QP EXCEED 2110 of 1 % LEAD. L f5r? 1, c ' s.1 [~i it l o~ v If copper tubing is used - - - 6f 01 for water distributing system: piping shell be i _ of types Kor L onl onl 12 . ~ 0 C11 Y4 f y PLUMBING - ALL PLUMBING WASTE 91 & WATER LINES NEED - TESTING BEFORE COVERING - FL~ f ~'7I 1 Pre X,ac'7 3 7• ?J ~~1~'~ j ' - i A - ~ ~ _ ~ d .y i ~I. ~ _ 4;17 --V N.- 77, . \s / ' ~ 'K?l-. 111 I _ ~ _ - -_.-xy .-r.C . b1 ~~f• _ dT ~~F ' r ~ ~ _ .yT .77 - ~~~I K~_._. , .'--=J1.q_ I^.-. ~ ~~r cI _.t~ -l. _ .y. ew - I i b~ t I y~1 L I 1 'jI ~ iaY v.~ 1 1 1i t~. a; . . cwt?na~ I I .e ;x ; i b ' I 'i { r I'crl EF' r00-(IA~(~. 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