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HomeMy WebLinkAbout21473-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22703 Date NOVEMBER 4, 1993 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 270 OSPREY NEST ROAD GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block -6 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1993 pursuant to which Building Permit No. 21473-Z dated JUNE 9, 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 & OPEN PORCH ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL V. & DORIS A. BADAMO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-037265 - SEPTEMBER 30, 1993 PLUMBERS CERTIFICATION DATED N/A Bu' din 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) N® 21473 Z Date j~ 19.. Permission Is hereby granted to: .........r.~.~ at premises located at....V,...70.... Q.... ~ County Tax Map No. 1000 Section ~ Block 6 Lot No. 1031 19..-...., and approved by the pursuant to application dated I Building Inspector. E Fee $ ....777~~cx..... k l _ Building Inspe.ctor r Rev. 6/30/80 Form No. 6/~ k)Alym~ may. TOWN OF SOUTHOLD t, r BUILDING DEPARTMENT NOV 3 1993TOWN HALL 41;1 ` 765-1802 .b..., 7Q°r.'i~s 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 nor 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 0 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 "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 .........•...4 . :ew Construction....... Old Or Pre-existing Building „ .ocation of Property. %Z"?Q... ®SQIZ~`( (S i { House No. Street/ Hamlet )nwer or Owners of Property,~k,) V lJ0(ZlS `BN)A"n0 :ounty Tax Map No 1000, Section ...b 'o ~...Block Lot. .0-0' 00,0,,,,,,, , ubdivision..j...~~.77 ................................Filed Map............ Lot...................... ermit No. C1 .1. ,,.Date Of Permit. .~...t,: cl): ....Applicant........ ealth Dept. Approval ..........................Underwriters Approval lanning Board Approval equest for: Temporary Certificate........... Final Certicate... =e Submitted: ea L/ 7 03 APPLICANT M lELD i ;SPECTiU:i DATE OaKMENT° 1. V y d' Y a z -3 FOUNDATION (1st) FOUNDATION (2nd) 2 z O ROUGH FRAME & an PLUMBING 3. m INSULATION PER N. Y. STATE ENERGY CODE FINAL -La ADDITIONAL COMMENTS: ~o m ~ ' x ro 0 \ y \ H O i m y d. m - ro y i i Y ~ 1 ` ggt N N D ~ Q• ~ ~ o w ~3 ~ m ~ 1^ \ A y : y' 4 ~ q 3 ~Cr L4 tZ Owl a ~~0 ~ rn t ~ wb in ob C n ~ = W 'vi x 44 ° a n Id ON O 4 v rtt L4 of It Tut b i ro c,€ S~ ~ O t N ` Kj. N ~ M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST ( ) ROUGH PLBG. [ ] FO NDATION 2ND [ I INSULATION [ FRAMING FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: =~~Z F a r i G tjt F i 4 f k i~ f F f s DATES INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: _(2G/ --/Zb DATE ~l INSPECTOR, THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 804,696 BUREAU OF ELECTRICITY F- 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date S"P'rEffm 30,7.993 Application No. on file 81794993/93 N 0:3'7268 THIS CERTIFIES THAT only the electrical equipment" described below and introduced by the applicant named on the above application number in thepremises of PAUL fK DOR19 BADANO, 270 OSPREY NEST ROAD, GRPrNPORT, N.Y. ~55 in thefollowinq locos QrL;FBasgrtwjl, ~ LJ IRt Fl. ? 2nd Ft. OUT Section Bieck Lot ens examined on M kk~~ ~lfC'HHILLL.NnnNHH HR ii bb and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER T. K. W. AMT K. W. T. K.W. AMT K.W AMT. H. P. 6 3 1 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECPT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS F. OF FEET AMT. WATTS AMT. K. W. OIL H. P. GAS H. P AMT NO. A. W. G. AMT. AMP. AMT. Amps. TRANS. AMT. H. P. NO. SYSTEMS 3 6@4) ` SERVICE DISCONNECT NO.OF S E R V I C E METER NO ME CC COND A. W. G. A W. G. A. W. G. AMT. AMP. TYPE EQUIP. 1,e' 4W 1 B 3W J d 3W 3p 4W PER d Of CC. COND NO OF HI LEG OF NbLEG NO. OF NEUTRALS Of NEUTRAL OTHER APPARATUS: MOTORS L 34 11J, i f { i PAUL AOANO :1652 WANTAGN AVENtIB WANTAGN, NY, 11.793 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. f COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER: BOARD OF HEALTH FORM NO. 1 Z3 SETS 0. 1'i PL 1:75 C , I_s /SURVEY TOWN OFSOUTHOLD nr~p~~y t~ ~t n p BUILDING DEPARTMENT %CFII CI oYrAA _ 0 JUN-473 TOWN HALL SEPTIC FORM . SOUTHOLD, N.Y. 11971 . '.!i;•a. 4:'C"7~ TEL.: 765-1802 NOTIFY CALL aiiiined. 199 NAIL TO: Approved 0 195 Permit Disapproved a/c . . (Building I ctor) 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 set." 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 fbr 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, -(Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Ow /t' ,per Name of owner of premises ~dMs. , , . S VOA O (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. U3 L~~ , , • , , , , , , , Plumber's License No . \ . Electrician's License No . Other Trade's License No. 1. Location of land on which proposed work will be done . " ° 14e l Itos .....Eea .X~....... House Number Street Hamlet County Tax Map No. 1000 Section Block Lot C 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 . ~N}L , , 32~(, , IJ~(.{ ?~+'~7 'tw.{tam. b. Intended use and occupancy ,p0 g Neste<'3~GiY r~,::~:~7;•% ~(a'-.:;t8tf'sas~+a 3. Nature of work check which p Rent plicable): New Building , , Addition Alteration v Re azr a oval Demolition Other Work , . O (Description) 4. Estimated Cost cY~ Fee... g, (to be paid on filing this application) S. If dwellin number of dwellin If are a number of cars $ units . . . Number of dwelling units on each floor , g s, 6. If business, commercial or mixed occupancy, specif niture and extent ofcacht ype of use . , , . 7. Dimensions ofSexisting structures, if any: Front ~a.' V* . ~ • ' . Rear . 3~.~ Depth .~9.~.' (o Height , , , , , , , Number of Stories O!:I~, , , , , , , Dimensions of some structure with alterations or additions: Front Rear ..3~ . . ~P.......... Depth ....S(W- to........ Hei t _a gh Zfst. . t~......:.. Number of Stogies . , . , y... . 8. Dimensions o ~ entire new construction: Front ......"q . , . , . ; Rear ?~P.' ~J .....Depth . ,„Z,'S,•- b.. , Height o.~ 9 • , , Number of Stories .......Pt-44. . 9. Size of lot: Front . d' Rear epth . 10. Date of Purchase Z S ~/i0iJ171?1Z o 11. Zone or use district in which r ~ ~ ~ ' ' • ' ' ' • • Name of Fortner Owner br!t?.. , . . , . • , , , , , , N , , , p emises are situated , . 12. Does proposed constructi~oop~ violate any zoning law, ordinance or regulation: . 13. Will lot be regraded ...:`q- t Will excess fill be r_erpo,w from premis e 14. Name of Owner of prem'ses* . DIDRt~ , N~ddressZl~,~1~R!'f t 'aT hone N '~~b~ -!m Name of Architect i~ ~ Oyt{ , N.. v ~ n1, , , , Address 6iU IA 9 NYC, phone No~ I4?~Z'Zt'9S•'~ Z Name of Contractor . . Address . . Phone No. . 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 alll'~, 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 corner lot. CIO Iq, 5~ 5~4 5 R`3/' `J 17,1 Jb~ o , i - ~ l~X~sT-. ~ F'o2~H 41 151byL / p~IT1cr4 ta.nd ?k,17 ;'oe i 5.2. 52 q¢ , a° zi,.¢ III ~ ~ M~ ~v, o 1 N -((,12 i o rra. 1. o STATE OF N_ E RK COUNT"I• . , S S ' ' ' ' ' ~V . • • •'1,-~ • being dul sworn de ose • Y p sand says that he is the applicant (Name of individual signing contract) above named. He is the.... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 ~ct forth in the application filed therewith. Sworn to before a this .day of., ....,19 Votary Public, County CLAIRE L BLEW Notary Public, State of New York. . Qualifl d In Suffolk CouT L~ (Signature of applicant) Commission Expiree December Hj, 78 1 41 C. 0d0 NMOl ~OF y33~s."r~,g I i el i • 70 ! 1NT:¢ t{ ov auw pal - REJI ncas A d rl I L'xisTl Nt~ RaeF a Own P REMAZp-S 3 a-a I 1 ~xIS~IhIC~ T VS(:. A-I a£: q.o-eF.~r!Jlb°~, i L/ )-TTta L"(e oa k~ I `9 ! I I I' a~"rl Tto o,ciNu1 -0 ~i ~ (211ti(°~. 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