The URL can be used to link to this page

Home My WebLink About21462-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22389 Date JUNE 15~ 1993 THIS CERTIFIES that the building. Location of Property 755 HARBOR LANE House No. County Tax Map No. 1000 Section 97 Subdivision ADDITIONS CUTCHOGUE~ N.Y. Street Hamlet Block 6 Lot 8 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1~ 1993 pursuant to which Building Permit No. 21462-Z dated JUNE 7~ 1993 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 DECK ADDITION & 5x7 SHED ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FELIX & ALICE ALFANO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED P~ND~NG - J[[NE 14~ ~993 Rev. 1/81 FO~M NO.3 TOWN OF $OUTHOLD BUILDING DEP~TMENT TOWN SOUTHOLD, N.Y, N£ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 21462 Z Dato~ ......... ~ ....................... 19..~....~. Permission Is hereby granted to: .... .z~.....~~..~-~.. ...... ~ ......... ~/...~,.,,,,,~..~..~..,~...c...,~,~..~....,.~-z,~. ...................... .......... .................................... /..2 .......... CounlyTax Map No. ] 000 Section ......... ,~,.,,.,~.. .... Block ........... ~ ........... Lot No...,~ ..................... pursuant to application dated ........,~ ........ /. ........... ] 91..~,,,,~.. ...... Building inspector. Fee $...,, ,~',, ,~,~,,, ,~,, ,~, and approved by the Building Inspector Rev. 6/80J80 Form No. 6 TOkrN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 . APPLICATION FOR CERTIFICATE OF OCCUPANCY ~his 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: t. 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 ............. Location of Property, 7~'~O'-/.~.~..~.O..~..~..~.~ .~.~.?~..z~..~..~.'.~..~. ./~...~. House No. Street Hamlet Onwer or Owners of Property...~..~../-%./.~...~..~..~/ ................................. .... . . County Tax Map No 1000, Section ..... ~.~... .... Block...~ ....... Lot ~. . Subdivision ................................... Filed Map ......... Lot ...... Permit No ................ Date Of Permit ........... ... .. Applicant.~..~..~.~.J~.~..~.~..~.9 ....... .. Health Dept Approval ' Underwriters Approval P1 App 1 ..... arming Board rova .... : ................... Request for: Temporary Certificate ........... Final Certicate..~.. ....... ~ Fee Submitted: ................. .20 ...... ............... FOUNDATION ( ls t) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING DATE INSPECTOR ~'~ THE NEW YORK BOARD OF FIRE UNDERWRITERS [~'c-~[09,~ BUREAU OF ELECTRICITY ~-- I~S JOHN STREET, NEW YORK, NEW yORK 10038 Da~e ~I~N~ 16,19~3 Application No. onfile (~6133~3/93 fl ~e027 THIS CERTIFIES THAT Only the electrical equipment ~ ~scribed be~w a~ int~duced ~y t~ applicant ~med on the above application nu tuber in the prorates of in thefollowinglacatio.; ~ B~sement ~ Ist FI. ~ 2nd Fl. O[~'I'/DECK Sect o.9 ~ Bl~ Lot 8 t~sexamlnedon J~]~ 1~4 ~993 and found to be in cotnpliance wlth the requiretnents of this Board. FIXTURE OUTLETS DRYERS FURNACE MOTORS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OTHER FUTURE APPLIANCE FEEDERS TI~IECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C )THER APPARATUS: AWG OF CC, COND NO. OF HI-CEG A. W. G, NO. OF NEUTRALS OF HI-LEG OF NEUTRAL 425 MONSE£L LANE GENEIt. M. MANAGER t~ This certificate must not be altered in any manner; return to the office of the 8oard if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Examined ................. i9... ^pprove ... .... Permit Disapproved' a/c ................................ ~ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ........ ] SETS OF PLANS ........ SURVEY ................. CIIECK r,O~ ~ DY; CALL .................. HAIL TO: . . INSTRU6~IONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 st?eets 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 inspections. (Signatur9 ofc~icant, o~'hame, if a corporation) ..... ............. -... (Mailing address of applicant) State whether applicant is owner, lessee,'agent, architect, engineer, generai contractor, 'electrician, plumber or builder. Name of owner of premises . .,.~..~.~..~.. ~.'. ?-...fl../~.2 ~.&_.-..z~/~.~.//..~..O. ........... ' ..................... (as on the tax 'roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nam~ and title of corporate officer) Builder's License No ..... ~..~ Plumber's License No ....... ' ................ Electr:c,an's License N . ' ' Other Trade's License No .................... I. Location of land on which proposed work will be done. ·. . Ilo.se Number Street '' 'I~a,;l'l;; ....................... County Tax Map No. 1000 Section ...: .... .,q. ~..'. .... ' Block .... .~. ..... ' Lot. ~..-' ................ SubdMsion ' Filed Map No .......... Lot (Name) 2: State existing use and occupancy of premises and intended use and 'occuponcy of proposed constructmn' a. Existing usc and occupancy . ~&.-./.L~, .,%-~'.A~..~..,~.~. ........... ?-' b. Intended use and occupancy .Z.C-?.'.~. ~..~7../././~. c~-../~. ~.'.~.~.~.,-;~ ~ 10. ~11. 12. '13. 14. 15.' '3. Nature of work (check which a,~,q;~,~ .......... .'.~.' .. ' . · ,,-~- ,,-,,ute/: mew ~mmmg ........ '. · · Addition ..... ~t6rati~n .......... . Repmr .............. Removal .............. Demolition .. ~.. Other Work .......... 4. Estimated Cost ..... escription) · ' · .................... Fee . · ~ -' (to'be paid on filing this application) 5. If dwelling, number of dwellin¢ units .............. Number of dwelling units on each floor ...... · Ifgarage, numberofcars .. ~ ... " . ........... ~d ify ...................................... 6. If business, commercial or mix occupancy, spec nature and extent of.each e of use ................. ' typ Dimensions of existing structu es, if any: Front ........... :.. Rear .............. De ..... Height ............... Number of Stories ... . . pth .......... Dimensions ofshme structure with alterations .................................................... Depth ' ' or additions: Front Rear Height ................................ ' ' Number of Stories Dimensions of entire ne~v constiruction: Front ' ' ........ Rear .'. · Depth .Hmght ............... Number of Stories ........ Size of~ut' Front . [ · -- ' ' " ..... ~ ........................... Date of Purchase .... ,. ..- . .[ ....~Depth ..................... - . . . " · : .................. r~ameot~mrmerowner ........................... Zone or use d~stnct m which premises are situated .............. '.....; ...................... . Does proposed construction vioiate any zoning law, ordinance or regulation' ' ............ Will 10t be regraded . . , ' ............................... ........................... wm excess fifl be removed from premises: Yes No Name of Owner of premises . ._c .~ ...... ; ........ Address . 4~/.~.~.- ............. Phone No.~.~ .,+f~. ~ %~...~..~.... Name of Architect ......... ~ ............... ' Address ................... Phone No ............... Name of Contractor ........ i ................. Address ............. . ...... Phone No ......... I.s this property within BOO feet of a tidal wetland? *Yes ........ No..W~.. ....... · If yes, Southold ~own Trustees Permit may be required. ' .... ... ;' PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensiohs from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. . ~TATE OF NEW YORK,/ . oum'v ......... s.? x" .,Z ! ' ' ........................... i .... being duly sworn, deposes and says that he is the applicant (Name of individual signin contract) '.boTe named. , ' fe is the ' ' " ' ' I (Contractor agent porate officer ) ' cor' etc ' ' ' f said owner or owners and is duly Cuthorized 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 s~t forth in thc application filed therewith. worn to before me this I · d f ' ................. aye .., ..... 19 Otary Pu'l'c o~ , . ............. ,F'"v. ........... County ~TA~ p~,~y~ ~~a~,~0~ , . ' PP ' ) o01 L, C ',.9