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Home My WebLink About22449-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23341 Date NOVEMBER 10, 1994 THIS CERTIFIES that the buildin~ .ALTERATION Location of Propert~ 9980 NASSAU POINT ROAD House No. Street County Tax Map No. 1000 Section 119 Block Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 19 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 1994 pursuant to which Building Permit No. 22449-Z dated NOVEMBER 4, 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 ALTERATION TO AN EXISTING OWE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 VINCENT J. & MARIE I. PETROZZO N/A N/A N/A FORM NO.3 TOWN OF $OUTHO~.D BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. 22449 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: .................................... ..~..../~.. .~...~.~..:.....~ ............................... ~ ...~.~..... ....... ~.,,.......~,..~...L:/..~>.~ to . . . . . . ././. . ~d: ......... ~ ........ ~~. . , . . .: :~ ....... ~ ....... .... :....,,~.~.~2,~. .............. /..~: .......................................................... : ............................. Coun~yTox Mop No, 1000 Section ...../../,,~.. ........... Block .......~.,~.. ........... Lot No ..... /~,., ................ pursuant to application dated ............... ~..~-~.~..f ....... .,.~...?.. ........... 19.., and approved bythe Building Inspector. Fee $...., .~..~..'~ ..... Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTME.NT TOWN HALL 765-1802 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 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 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 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-existin~ Building - $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 Date ......... ~.~..~./f ....... New Construction ........... Old Or Pre-existing Bu~ding.....f~..~..~ ..... Location of Pronertv ~ ~ ~ ~ ~ ~ I C~ ~ / . ........................ ..... I, mouse ~o. Street ~amlet Onwer or Owners of Proeertv~d~Z ~7~7~0~'F~ ~ ~ · ........................ ~., ........ - ,; ........ -,~.....' ~..~¥..~..~/. .... County Tax Map No I000, Section...Z~.f ...... Block...~ ........... Lot .... Lf ............. 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: ~ ................ STATE E~IERGy CODE FI;;AL 7GS-ZSO2 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL OCT 2 8 199 Exanfin~d , ...,.-. ~pproved ..... IZ/.~ ...... 19 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 .a. Disapproved a/c ..................................... , Buil/Singqnspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTIt ......... 3 SETS OF PLAHs .......... SURVEY ................... CIIECK ....... HAIL TO: Dat~ .................. ,19... a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the ]~uilding Inspector, with 3 ~'ts 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 ?tailed description of layout of property must be drawn on the diagram which is part of this appli- ahon. K ~ ~' .~'o ~e_c/~ ¥ 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 ~all 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 tall 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 .uilding 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 ag/ecs 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 ipppections. _., ........... (Si=nature of apl~icant, or name,'ff'-d corporation) (Mailing address of applicant) ,rate whether applicant is owner, lessee, agent, architect, engineer, genera[ contractor, electrician, plumber Or builder. ,"amc of owner o f premises ~./.ffwn/7'-~ ~ F~'-~ o 2- ~ti .~...~.~._ .~..~.rs. ( .~. ,Z"' /~ff~,.._.-/~ o 2~ 2>0 (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 .......................... Plumber's License No ........ : ................ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. House Number ......... '~ir;;i .................. r' ' 'h~;;l;; ........................ County Tax Map No. 1000 Section ...L/./. .......... Block ...Z .............. Lo,...:~ ............. Subdivision ............................. : ....... Filcd Map No ........... ~... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: K.. e. ................................... b. Intended us~ and occupancy .. ~ ~.. 'f?. ~.~ 5~ ....... ~~ ......... ~,o ,~ ' 3. Nature of work (check which ~pPlicable): New Building .......... Addition .......... Alteration ....... Repair .............. Removal .............. Demolition .............. Other Work .............. O.~ .... (Description) 4. Estimated Cost ...................... Fee ..................................... i (to be paid on filing this application) 5. If dwelling, number of dwellin¢ units ............. Number of dwelling units on each floor ............... If garage, number of cars .... i ................................................. "7'4] ........ 6.' If business, commercial or mixed occupancy, specify nature and extent of each,type of use ...... ./t.//~.: .~ ......... 7. Dimensions of~x~isting structures if any: Front /4:/. /(. .2~. . Rear , ,4/./. .'.~.-. Depth .ff7.,~..,~ . · Duncnmons o~f/sa,,m,e structure With alterations or ad~t£tions Front .~/..]~.. '/>~.~, ' f~,/'~' .......... 8. ,D,m)enmons ofae~/ir,.%e new construction: Front .... ,,,-/'~. · .~. · · · Rear ....../v/Z.,'ff/. height ..... tv/'. tV .....Number of Stories /./(..,~../..~. ' ~ ...... " ........ ' ........ Zone or use district in which premises are situated .... ~ ............... . ......... '~ ..................... 12. Does proposed construction violate a, nv zoning law ordinance or regulat on , /~. ......... ~/ .......... 13. Will lot e ~d ......... · l~,~'a~,de~d_F6'~'~:¢:/t,r/,~k..,~.~ .~ ........... Will excess fill beremgYed from premises:/?q] Yes N ,. ............ Address ................. · lPhone No .............. Name of Contractor ........ ................... Address ............... ~... Pho,ne N~ ............ :.. 15. Is this property within {300 feet of a tidal wetland? *Yes ........ No..L'~T ..... · If yes, Southold iTown Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing .or proposed, and. indicate all set-back dimensions from property lines. Give street and block!number or description according to deed, and show street names and indicate whether interior or comer lot. ,~TATE OF NEW YORK, 20UNTY OF ................ .~ ~.S . ......................... ~ ................... being duly sworn, deposes and says that he is the applicant (Name of ind, ividual signiOg contract) ~bove named. le is the . ~ (Contractor, agent cor orate offic ) I , p er, etc. f said owner or owners, and is dulyiauthorized to perform or have performed the said work and to make and file this ~)pl cation; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the .'ork will be performed in the manner ~et forth in the application filed therewith. worn to before m:~,)his ....... .... · ....... ...... .otaryPublic, .~.~.'..~.,~..~ounty~. if'" .,` ,~, ~.._---~ It \\ 5~ '- FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~'UTHOLD, txLy. 11971 '£E12.: 765-1'802 '.4'ermit'No.. . .72 .a: Disapproved a/c ..................................... · . (Bui~ing~lnspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTIt ......... 3 SETS OF PLANS ....... SURVEY ................... ClJr'CK . . _ '.This must be completely filled in by typewriter or in ink and submitted to the ~Building Inspector, with 3 ~ts 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 publ/c streets r :areas, and gi~g a detailed ..description of layout of property must be drawn on the diagram which is part of this appli- -J:. c.' The work covered by this application may not be commenced before issuance of Buildin~ Permi[. ./?.d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~ail 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 .roll have been granted by tlie Building Inspector. -'~;~PPLI~'~;rlON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the · uilding 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 ag{ecs 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 ip,.~ections. ?/ ~ :~-"' ' -i (Signature of aPt~icant, or name,~f~ corporation) (Mailing address of applicant) ,rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber 6r builder. Ja eo owner pre ~. oz-~-0 ,~a/~ /F/~rtt~- (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. ,, ,. a title of corporate officer) ~.~.: Bmlder s Lmense No .......................... "Plumber's License No -~Electrician's License No Other Trade's License No :. Location of land on which proposed work will be done 'House Nmnber Street Hamlet County Tax Map No. 1000 Section .............. Block ................ Lot ,. Subdivision ..................... ................ Filed Map No ............. · . Lot ............... (Name) S~ate existing use and occupancy of premises and intended use and occupancy of proposed construction: : ';'~ ~' ~%(~ .~'~ .... ..~'~:.':.~.~;. ,A'~¢ :'. . . .' . . ' ,~,':'~~. ''r~ 3. Nature of work (cimck which abplicabl · , ): i'~ew i~uuaing ........ Addition ,~ ;:" Demolition · · er Work ...... ~,,4. Estimated Cost 0 d (Desc~ption) ?'.:~ ............... Fee ....... ~ 5 If dwelling number of dwelling~ units (t9 be paid on filing this application) ' ' ' Number of dwellin~ units on each floor , '~f, . If garage, number of e~s .... ~ ..... 77 6. If business, commercial or mi~ia ~,0.: .......... .~ ...................................... q ........ .............. upa~C S CCH ' '::' '7.' Dimensio ........ - Y' p y rip,re and extent ofeachlvpe of Use .... ~ ..... .~.~ ns o~e~st~ng structures, ~I any Fron ~ ~ ' · ' "~7 Height ,,, ff/~ , ,,Nu'' _C: t.d/fl~4 ....... Rear ,,~/~ , . Depth, :~'~:~' ~. . ~' · '. · m ocr el 8tones. 4g I. ~ .......... .~, ~cnsmns ~;_st~cture ~th alterations or a~Rions' Front .... ~L' ....... C ...... ~Z~' ......... ~3~ ' · · r~. .~ height ..... ~ ......... Nu · ~::~, D~mens~ons of e~t~e new construction. ~-, ~/~,, ~ mber o~J~es .... ~.., ......... ~:,' Hexght ..... ff/~.. . Nut,or ~ c,~' ;~... ~e~r ....... 4~/~ .... D~pth . ~ ....... .... 9. Slzeoflot Front . ~/~, . , , ~/'/~' .~ 4 ....................... :'10. Date of Purchase . .Z)qT~ . ~ ";;' '/~ .... ? ...... ,. ~epth . ff~; ........ ................ , ........or so== ..... Zone or use &smct ~n wluch pr{mises are situated .... ~ ..........~ ................ "J 2. Does proposed construction violate ~v zoning law, ordinance ~r regulatid~: .... ~ ~ ~ ~")~ ........... ::13. Wflllotbzte.raded .~ .... fid ..... ~ .... ~ ........... ~ ~, , ,,, ...... Address ........ ~e of Contract .... , ,, · · , ....... Phone No.. ~ ............. ~, o~ . ... :.....~ ...... ............. Address .... ~..: ....~ cu~s properuy w[tn[n 300 ~eec of a t~dal ~etland? ~v~ ': ....... [2"~ ............... ~If Souchold ~o~n Trustees Permit may be required ~,,r , ' PLOT DIAG~ :' · . cl~a~ ~d d~stm~?~ ~llbmlda~s, whether ~xistin~.or prov~s~d and, indioate ~. ~1~ l~t aa ~]0~ number or desc~*~ ....... ~' ._ v . -, ~ . - .......... ~ u~nslons Item , ,,p.ua a~ura~g to Oeea aha snow street n~as and ~di t, ~ ~ t . cate whather " ' .; :,' I, gTATE OF NEW YORK, 2OU~Y OF ......... SiS .......... ~ ...................... being duly sworn, deposes and says that he is th~ applicant - '~ (Name olin ividualsignin contract ~bove ~a~ed. . ta is the ..... .............. (Contractor agent ............................................. ': " ~ corporate officer ere) ' f said owner or owners; ~d is duly mthorized to perform or have perfo~ed the said work and to m~e ~d file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the .'ork will be perfo~ed in the m~ner set forth in the appliea~on filed fiierewith. .~om to before me his .....'.. ........... ? ..... .,,