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HomeMy WebLinkAbout22502-zFORM NO. 4 TOm OF 8OUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Bouthold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25722 Date: 05/12/98 THIS CERTIFIES that the building ALTERATION CUTCHOGUE Location of Property: 2260 WUNNEWETA ROAD ~HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 7 Lot 18 Subdivision Filed Map NO. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 1994 pursuant to which Building Permit No. 22502-Z dated DECEMBER 1, 1994 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 SECOND STORY ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DENNIS & LAURIE CONSUMANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N352378 05/19/95 PLUMBERS CERTIFICATION DATED 04/30/98 PECONIC PLUMBING & HEAT. Rev. 1/81 FORM NO,3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT [TH)B P£RMIT MUS'f BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~o,~ ..~ ................................. / ,~.~...f Ne 22502 Z ........................ .. ............................. ~/~.~:,,,~...,,.....x. '~:.~, ................................. CounlyTox Map No, 1000 Section ....... .~,,/~...~.. ...... Block ........ ~ ............ LotNo, .,.,~,..,~,., ............... pursucln, to application dated .................. ,,~,,,~,...,~,~,, ........... ) 9...~,,,~,,,,,.. and approved bythe Building Inspector, ............ ~;iG~;~'i ............... Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. Submit Planning Board Approval of completed site plan requirements. '6. ~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 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 . New Construction ........... Old Or Pre-existing Building... ~ "] ..... j ..... Location of Property....~..~.~.~...~..~9~..o~. ...... ~ ......... ~.~...c~.~. 'g%~, ......... House No. Street Haml/et Onwer or Owners of Property .................. ~.~ ..... ~ ....................... County Tax Map No 1000, Section ........... Bloc ............. Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ....... Date Of Permit. ~, 2~.~ .... Applicant. ~ow ~ ~. Health Dept. Approval ...... ~oi~ ............... Underwriters Approval ........................ . Planning Board Approval...~..~.< .............. Request for: Temporary Certificate .......... 2 Final Certicate.....~.. .... Fee Submitted: $....~..~. :.] .~.. ................ ~APPLICANT Town Hall, 53095 Main Road P. O. Bo× ~ '~79 Southold, New York 11971 tax (516) /6~-1823 Telephone (516) 7B5-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. '~O2-Z (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plum~er~u Signatu~ ) SWorn to before me this Notary Public,~/~ County 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 1, 1998 George Ponttno, Builder Box #2 Cutchogue, N.Y. 11935 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) No 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. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22502-Z (CONSUMANO) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. STATE EL~ERGy CODE FI;[AL ADD: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ].~JJI:ATION FRAMING [ /,'*]' FINAL FIREPLACE & CHIMNEY INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION. [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS [~[~,~'7'7 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 O,~ ~Y 19,1995 ~ppfi~,~o, ~o. onf~ 87097195/95 N 352378 THIS CE~IFIES THAT o~y the e~ctr~al ~ulpment ~ ~scrlb~ be~ a~ int~c~ by t~ ap~ican~ ~m~ on the a~ve ap~icat~n number in the prem~es of DENNIS CONSUMANO, 2260 WUNNAW~TTA RD. , CUTCHOGUfi, ~s examlned on ~Y ~ ~ t199~ and found to b~ in complianc~ with the N~onal El~ct~cal Code. Lot FIXTUEE I I I FIXTURES RANGES ICOOKINO DECKS I OVENS I DISH WASHERS i EXHAUST FANS $ERVI~ DI~ONNECT ~ ~. O ~ S E R V I C E ~TOR8,1-l.5 H.P. ,1-F H.P. SMO~ T~CK LIGHTING, -46 ROSLAK MLMCTRIC P.O. BOX 164 CUTCHOGUE, NY, 11935 LIC.#3677E GENF, EAL MANAGER !his certificate must not be altered in any manner; return to the office of the Board if incorrect. Insoe~y heir credentials. [] COPY FOR~ eU LD NG DEPARTMENT. THIS COPY OF CERTIF!CATE MUi~T NOT BL~!~ERF~D IN ANY MANNER. · 13LDG. DEPT, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ' 4 r,~c~UfHOl_D "9 ~J:.(-~,~ ~,,.. :,-,' ..... .~.y TEL.: 765-1802 Examined . .~ ~. .... , 19 //.(B ldin Inspeotor) BOARD OF HEALTIt,. ........ 3 sETS OF PLANS .......... SURV£Y .... ~ .............. CIIECK .................... SEPTIC FORH .............. CALL ....... . ..... bIAIL TO: INSTRUCTIONS ~.a. This application must be completely filled in by typewriter or in ink and submitted to the Building inspector, with 3 et§ of plans, accurate plot plan to scale. Fee according to schedule. ; b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ;ation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ?he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .dmit authorized inspectors on premises and in building for necessary insrzections. ./"7.~ , ( 'g pp ' , name, if a corporation) .g. . :. C. .f. ......... (Mailing address of applicant) :tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~/ame of owner of premises .. ~..~.'.~.h ~..~ .... ~c~. ~1..5'~.~'~.c~ ....................................... (as on the tax roll or latest deed) !f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No../.~.:. ?2 : ........ Plumbers Lmense No... ~.~ ......... ~.. Electrician's License No... 9.3....~..~.h'....~. Other Trade s License No ...................... Location,of land on which proposed work will be done ................................................. ouse Number Street ........ h;~n'le~ ./~ ..................... County Tax Map No. 1000 Section ..... Block .. . :~ ......... Lot ..... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) · State existing use and occupancy of premises and in tended use and occupancy of proposed construction: a. Existing use and occupancy .... .[" j~.qvOt.~, 5.. . t~o. m.e,, ..... ........................... b Intended and [.~. ~q'~. · use occupancy .... 3. Nature of work (check which pphcable): New Building .......... Addition .......... Alteration ~.~. ....... Repair .............. Removal ............ Demolition .............. Other Work ............. ~ ~ ' ' (Description) 4 Estimated Cost /,/dL ,~ ~) i ......... t .... ~ ................ ., .... Fee ........ ' (t id fill g thi ppli ) ~ o be pa on n sa cation 5. If dwelling, number of dwelling dnits ..... [ ....... Number of dwelling units on each floor ............... If garage, number of cars ...i .' ' 6. If business, commercial or mixed! occupancy, specify natgre a~d extent of each Jype of use ............ 1 ......... 7. Dimensions~.q~'e~xjsting struciure%ifany: Front ....... ~.~ ..... Rear ....(/c;.~. ( De~th ~7 Height ... M, ~ '. ....... Number of Stories . ] .//.~ . '~ ' ' ' ' '~ ................ Dimensions of,~a~e structure wiih alterations ol;d.~it~n's'.... i .... ....... D pth ...... '~.~ ........... i. Height .~.~ ?q~umhar r~r qfr. q~e ! //~. 8. Dimenmons of entire new construJction Front ~ :~' .... li;ir'"-'"~'~~ ....... r~o,,",7'~ .......... Height .............. .,Number of Stories ...... 9. Size of lot: Front ..... /,~ .~..r ..... Rear ......... ' ' ' ~.0 ,t n--,~ ~,~ ~ ........... 10. Date of Purchase ....... [.~.~..~.. · ' ' ....... ~ .............. ~vm .'7~,-~. ................ ................ ~ame qfFormer Owner . . . · .~.~. ~i ................... 11. Zone or use district in which pre+ises are situated., e,.~t ct.e,r~Tq..1, .... i 12. Does proposed construction viola,re any zoning law, ordinance or regulation: JkJ.~ ~.... Will lot be regraded o ' · ' ' ' '~' - ~t ................. WHI excess fill be removed from premises: Yes Name of Owner of premises /~, .~e~ . .~. ~,wT ~0. O Address ~.t~.q~ c'.%~, ~ ...... Phone No~J..~ ~ .~.a ~..~'.. . Name of Architect Address / "- " ' .... N~ame.ofContractor ~e~.~cg~.~.~.~.3~.k~sD Address ~fM~oc~c.~z~_, PhoneNo ~ .~.-~5.~/.~,Y · pop rty wlthi& 300 feet of a tzdal wetland? *Ye~ ...... w~ ' · If yes, Southold T~wn Trustees Permit may be require~.' "~'F ....... property hnes. Give street and block ngmber or interior or corner lot. ... i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from descriptiofi according to deed, and show street names and indicate whether TATE OF NEW YORK, S.S 'OUNTY OF ............ : .... ~'.' .j .................. being duly sworn, deposes and says that he is the applicant (Na~fie o~ inuivioual signing contract) bore named. is the.... .............................................................. (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly a'uthorized to perform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. ~orn to before m~s ~, .. HELENE D. 'HOR~ ......... ~'lotar¥ Public, S~e of ~w Vnet. .......... .,, No, 495~364 _._. (Signature of applicant) CommisSion Expires ~alt 2~, .---