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HomeMy WebLinkAbout22466-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-23610 Date APRIL 26, 1995 THIS CERTIFIES that the building NEW DWELLING 320 LIBERTY LANE & Location of Property 470 COLUMBIA ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 6 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 1994 pursuant to which Building Permit No. 22466-Z dated NOVEMBER 15, 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 A SINGLE FAMILY DWELLING WITH A TWO CAR GARAGE UNDER AND AN ATTACHED DECK AS APPLIED FOR. The certificate is issued to MARY & ALESSANDRO PILLEPICH (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-94-0096 APRIL 17, 1995 ELECTRICAL INSPECTION SERV. 6879 FEBRUARY 23, 1995 PLUMBERS CERTIFICATION DATED MARCH 29, 1995 PETE SOULLAS PLUMB & HEAT Building 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) Date 19.../. N® 22466 Z Permission Is hereby granted to: / fr.. /S.. /c....P/G ~ti% r~ . to . ~c2c - ii o s...... I f 'r a . .....................................................................Y.:r.~~`.?~i~Y........................................................... at premises located at X--a7........t leQ../.J....................................... County Tax Map No. 1000 Section X..~ Block Cam. Lot No.... pursuant to application dated 19.... and approved by the Building Inspector. 0" Fee :5,.,,./...t.. ..5zInspector Rev. 6/30/60 ?y--- - - Form No. 6 ti APR 2 5 1995 TOWN OF SOUTHOLD BUILDING DEPARTMENT _ TOWN HALT. 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: I. 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 electricJnl installation from Board of Fire Underwriters. 4• Sworn statement from1plumber 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,l`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 Buildine - $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 J Date New Construction.. Old Or Pre-exl' • e;: stin Building., Location of Property, , , L v~ i~ ~ • • • • • ~ • • House No. ~ Street Hamlet Onwer or Owners Qf Property..P. we/o, , County Tax Map No 1000, Section.. ),f„ ,,,,,,Block .Lot....... / ........................Filed Map............ Lot. Subdivision.. • oc~ v2 6 4. l/ /f Permit N Date Of Permit. .,rjj-[~~••Applicant.~cirS'~,~~.~'~i;~;~s',.eJ~ ealth Dept. Approval........,?••... Underwriters Approval..,. ? Health :Tanning Board Approval........, 2equest for: Temporary Certificate....... Final Cer[icate........... 'ee Submitted: 5,-•c. -rl l`~ I MIS /c~'. , , , , ~'0~K .V.~V ffIDf1 1u ~ 1TZ. ~DHM•NT~ 111DATION r(Jst) `j Ac-' TIDATI0IJ (2nd) I l 1 r/ GH FRAME '.PLUI•IBING' Av, JLATIO:J PER N. Y. y II 2 STATE ENERGY CODE I~ m FINAL ADDITIOIIAL COMMMITS: m • x \ ^o Town Hall, 53095 Main Road .i Y Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 j ~ - Southold, New York 11971 % n OFFICE OF THE BUILDING INSPECTOR ' TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. e2.2416 e L Owner: //G (please pr nt) A Plumber: A ` _ (please print) I certify that the solder used in the water supply system r contains less than 2/10 of 1% lead. lumbers Sig ature) Sworn to before me this day of 19 Notary Public, U County FRANCIS N. ANWSCN C2 (~y1 ( Nan4Nm 97M CamMWonftpk"8uRWkCa~N1I \ M 611 } R Qq- y y ' f 3M1. ~ k~o{~ ~ Y4rv~~f x~fk 3 X d (~~F M1k s f f N Ix Z 143 4 K .1 i ~ M1 fi x~ . f F f- i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH, BG. FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ ] FINAL REMARKS: DATE S INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING FINAL REMARKS: ~DATE of 765-1802 }/Ltr~>2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ FINAL [l REMARKS: DATE IN8PECTOR M-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROU LBG. [ ] FOUNDATION 2ND INSULATION FRAMIN [ ] FINAL REMARKS- DATE I ? INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING ( ] FINAL REMARKS - ,74 DATE o INSPECTOR ? M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG._ VKFOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: Q c i i i DATE. / Y INSPECTOR =NEW M-1802 BUILDING DEPT. -NSPECTION FOUNDATION 1ST [ I ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: I Z/ DATE INSPECTO FPP- 7651802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS:.~ 0-16 9~~ G DATE 1 J INSPECTOR e o 0 0 0 0 0 0 0 o a o 0 0 1 t (516) 286-6642 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE c EAST PATCHOGUE, NEW YORK 11772 6879 c APPLICATION NO. ON FILE t DATE: 2-73-95 c < ADDRESS: 470 Columbia Road VILLAGE: Southold TOWN: Southold c , ISSUED TO: Alessandro & Marv Pillepich c < INTRODUCED BY: EECO Electric Corp LIC. NO. 2816-E < AREAS LISTED WERE INSPECTED ON: 2-23-95 AND WERE FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRICAL CODE. ca o~ LOCATION: x_BASE FIST 2ND RD I ATTIC -POOL to ~ OUTSIDE,RES. _pLSMOKE DETECTOR -DETACHED GARAGE t< > c ~ <a SERVICE DISCONNECT t METERS AMPS PHASE 1 200 OH d II nylyl© u4d < < i(/ c THIS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. HUGO S. SURDI > INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS. PRESIDENT c ~ ' o 0 0 0 0 0 0 0 0 0 0 0 0 o v o f W tti ~ W ~x+~ Ac- V~l r ~ a _ /T3 h" h r4r to mi- x a G BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 r TEL.: 765-1802 r:oTl FY J~ CALL lX Examined 19MAIL TO: Approved .......l~/, r . , 19/.Permit No.°~.~.' _ . Disapproved a/c (B~ Ins ector) APPLICATION FOR BUILDING PERMIT Date 19... 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 according 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 County, New York, and other applicable Laws, Ordinances or Regulations, 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, ,building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary nspectio ~(Signature of applicant, or name, if a corporation) (Mailing address of a/licant) State whether ap licant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........X1"o Name of owner of premises (as on the tax roll or latest deed) If applic t i a corporation, sigrn re of duly authorized officer. ~ c-'~- . itle of' orp ate officer) (Name and title, 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 done.~C ~did1~06C3/ ~S0U7?/61.4D House Number Street Hamlet County Tax Map No. 1000 Section ®77 Block ....06/ Lot Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use, and occupancy b. Intended use and occupancy 41r ~~~~C~ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work . (Description) 4. Estimated Cost J© Fee . (to be paid on filing this application) 5. If dwelling, number of dwellingl nm . . Number of dwelling units on each floor r~ K ...ELs?(if~ 6 ara e, number r acars occupancy, specify nature and extent of each type of use . Height garage, nsoof ox4 ing-structures, if any: Front Rear Depth berof Stories T>>mof sawe structure with alterations or additions: Front Rear Depth ~ . Height Number tones S/ 8. Dimensions of entire new construction: ction: Front `rq . Rear . Depth . L Height / . berofStories.......f 9. Size of lot: Front : Rear Depth 10. Date of Purchase l . Name of Former Owner 11. Zone or use district in which premises are situated ?r . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . 13. Will lot be regraded I . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises i Address . , Phone No............... . Name of Architect Address Phone No............... . Name of Contractor . Address . Phone'yo 15. Is this property within 300 feet of a tidal wetland? *Yes.. No.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all ,buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block Aumber or description according to deed, and show street names and indicate whether interior or corner lot. r L iQErLT q/ _ G _ eve t 3 ~1 , _ (1 O '7'pOF'~ED ~I1 A.PO,ty~i..a~,vLr(7 ~s • 1 ~ t' RC7 A4rvE- f~chad• Pte, i +77 N, 11 "1 , I ~2 ~ Ga z STATE OF NEW YOR$,m S COPVTY J-o /ivr individual signing • • ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant (Name of id contract) above named. He is the ......1 ok't; ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ay o `NOS .ue 19Qy: Notary Public, ..........I'...... ounty ` ROBERT I: $$COTf' JR NOTARY PUBLC, State o .Y. (S nature of applicant) No. 4725089,E Suffolk Cou Term Expires May 31,19 • aunh4 , i UM TT q~qo .l\ CCC G \j j Y E1 , IAf YtuS F PA a~~33 ~ v 4~ g^~ a.wi -41i HIM 4 yop J~ 1- - - b a ~ 3 ~ m 3 V p rt/' Z 7~ Y ~ R ~~i ONlNt~ ~R • R ~ h ZO 0 ,7Y~ey ' ~ V ywrr,~ W d ah 111 ddg N q . ~ s 0 v tl~ AY0 V Y V 9r`nvy I~ p 0 SQ u-s 4~ O o W~ ~o a EE w i R n c_ d0 V Ma Cv.1 j 07 Ck= \ l.. X " btu co 21M & C= CL. h 0- IN ~ - o n i OR ~JQ'rOpCVSKi ~ \1~ 2° 3Q ~ bo \ Q W J (Q W ~ ~ m z ~o~~ QN1fJ ,~p~ i Z ~i IFZM, fl, 2 e -z avnofj 4 V .~sriiPi oc~,oo,9l~• . ka ~ .t Ok' a v Vl 13 n o N W CJb oa di8a~~7oJ 10 0 a~ V O L ~nr /i W p o b o Ilk, - bra/.~rrirrr~y -=''~/y ~ II Q Al - - N - ~ e K;.If 4/ -d~voR gP OD~SKI ~ ~i Z tea' ip y W ~ ~ OJ Z i Y Fl NI 1; T] wF L '^V RF'~'~^ 4 P ~ 1~p'~ X' n+°-T~9. ',~4 F N"'"' eT~i.,~j'Q~S iy"W , ,M"VI Mn S : t vl h rIS [ Y N ~ t - f r~ F I f:. In i 4 11 :rl ~ ~ ~r ~ ~ i A:" N 4 V ' L1 r Od1x ,a r r ~ . as. sav.~~ i d i~ ?7 1 rt i E _ ~F''~ ~ FJ K~•~rr tee. .~C.'?s6 ~i' _ ~ 'w'ar _n.cst - PLUMBER CERTIRCAT/ON ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY _ SOLDER USED IN WATER SOAPLY SYSTEM CANNOT' / A EXCEED 2110 of 1 % LEAD, OCCUPANCY OR C~ USE IS UNLAWFUL n PLUMBING WITHOUT CERTIFICATE ^Lnum6mv m .r r , ` _ ~ `~"v-"..'r"""""`~`" " - it _ ""'c"" ' --'--_~~•.~r-4:4,.:+ OF OCCUPANCY `VWMLMNEED ~.J'. - 7E871NQ W1'OIiE C,,(1\IEIINO DO'NOT P,ROCEtD w' UNTIL 2nd SURVEY OF _ - FOUNDATION LOCATION HAS BEEN APPROVED N copper tubing is used for wMSr distributing *MOM; piping "ll be N' . APPROVED PS NOTED of types K or on tttt - pAtE: f e.r.r YtIaG~ UNDERWRITERS CERTIFICATE -~d REQUIRED - . . _ _ - I NFEE' OTIFY BU - - OEPARTMENT.AI 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTITONWSO'. REQUIRED , . 1. FOUNDATION FOP POURED CONCRETE - -2. ROUGH - FRAMING & PLUMBING 3. INSULATION . 4. FINAL CONSTRUCTION'MUST BE COMPLETE FOR C.O. LL TRU TI THE REQUIREMENTS OFATHEMN.Y. _ STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR - DESIGN OR CONSTRUCTION ERRORS r " a w I r t ~ 4a. ~ ~ ~ ~ emu} . _ v 77 1 r M.y r r Z y d. _ ]Y.. phi J 7/emu .a t, „ h N i e I' IEr S$ Zc v~ROVtil OPEN EMERGENCY E CA E A 77- Q REQUIRED BY'P RL 714 pF -.aN Y. STATE B41 iNG CODE. _K r-, co~l L / if/fVf)p d ~yyM6 M*bE OPENINGS FOR EMERQENCY ESCAPE AS ~xc t k C REQUIRED BY PART. 714 0~~ / b A - ~j N Y. $TI~fE BUILpING'COn f g. Fa I hhh N „/4-/PRO1IDEOPENINGS 'FOR O EMERGENCYESCAPEAS - I p REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. ~a s - l F t ~ E 4 - ~ - - ~ ~ ' vl i! ~ -F+- 1 77 L , ~x9~~~~~1u.L' J 4 u~ ~+4W`t.[.x~~,.z_.-~.Y°~..... 'i"k ~i..~ . ~ .3 ~ a, ~1 ~.~_hS~ ~ "ice _ _ a ~ ~ ~ f ~ a v z Hirµ a ~s tiY ~ { A 3 ~ ..,.•-u .tx .`ij J 1 4f M PROVIDE NO, FINE a,, 1 RATED SEPARATION TO I ' i PART. 717.3 Jgr(1) OF C N.V. STATE, RDIIDINA QpDE p Y~ ~ I g yy~~~ , V 1 " ~i .'S cl 6 ' .v.-, 17- 12 1 r rYi° ICI, i 1 ~ ~ k.. ~ -IN 21~