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HomeMy WebLinkAbout21731-zFORM NO. 4 TOWN OF SOUTROLD EUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~RTIFI~ATE OF OCCUPANCY No Z-23397 Date DECEMBER 9, 1994 THIS CERTIFIES that the buildin~ NEW DWELLING Location of Propert~ 3935 pARADISE POINT ROAD BOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 81 Block i Lot 16.12 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 7, 1993 pursuant to which Building Permit No. 21731-Z dated OCTOBER 23, 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 OWE FAMILY DWELLING WITH ATTACHED GARAGE, DECK & OPEN PORCH AS APPLIED FOR. The certificate is issued to of the aforesaid building. STEPHEN J. PERRICOWE (owner) Rev. 1/81 SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 93-SO-67-DEC. 2, 1994 UNDERWRITERS CERTIFICATE NO. N-311608 - APRIL 26, 1994 PLUMBERS CERTIFICATION DATED MAY 17, 1994 - LIBO PLUMBING & HEATING FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 2~73~ Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: f ,~ __ ......' ..,.~7..~..z~.......~,~..~/........~£...~"~ ' . .............. '. .... CountyTax Map No. 1000 Section ....... .~.../. .......... Block ....... /., ................ Lot No.../..~.,.:..,/..,~ ........ pursuant to application dated~.,~,~.~v.. ................................... 19 ................ and approved bythe 4~/~/~/~ Building Inspector. / ~ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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. 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 Buildin~ - $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, Co ercial $15.00 ~ Date ........... .~TL//..~.~/..~.. ................... New Construction .... Old Or Pre-existing Building ................. Location of Property....~..~.~ .............. :~.. ~..~.~..~.A!~'..P.~.. o ~1). ..... .~.~..~..?~.~. ......... House No. Street Hamlet Onwer or Owners of Property ...... ~. ~. .' ................................ County Tax Map~No 1000, Section ..... ~.J ...... Block ..... / ........... Lot ..... ./.~.'./.?. % ......... ~t~ ~ l.~.~jOj.5, l:..?.~.U.~ ' ~- , -- ..... ......... .Filed Map..:~.7.~. / .... Lot ........ /. ?~...j. . Subdivision Permit No....~. ! .~/.~ ....... Date Of Permit...~. D./.~. -.~.l~. Appl icant..~ ...~.~-~. ~;.~.~..~ . i i i i i i Health Dept Approval Underwriters Approval ....... · Planning Board Approval Fee Submitted: $ ......... ~., .... ................. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECI'oR IP.O, BOX 728 TOWN IIALL SOUTIIOLD, N.Y. 11971 TEL. 765-18O2 CERTIFICATION I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Publie,~ -f%-/~z~ Notary, Public ~_County DOLORES L USO Notary Pubti%Sm~ ofNew Yo~ SuflakCoun~. No. 484102~,5~ Commiss[on Ex~resOct31,~L~ 'too[ 93 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 BUREAU OF ELECTRICITY ~-- % E5 JOHN STREET. NEW YORK. NEW YORK 10038 Dat~ APRIL 26,199~ ~pplicatlon ~o. onf, e 82959493/93 N 311608 THIS CERTIFIES THAT o~y ~he electric~ ~uipme~t ~ ~scri~d be~w a~ i~t~uced by t~ appli~t ~don the a~ appl~cat~o~ nu tuber tn t~ p~m~es of S~ Fg~ICO~, ROBINSON aO~, (F~ISE POINT), SO~, N.Y. ~s examlned o. APRIL 22,1994 a.d fou.d to be in co~plia.ce ~ith the N~onal ~evt~cal Co~e. FIXTURE [ [ I FIXTORE$ [ RANGES [G~KINGDECKSl OVENS [DISHWASHERS EXHAUST FANS ~T~TS ~l CEPTACLES SWITCHES ~o~ ~ F~ ~ ~ ~.~. ~. ~.W. ~, X,W. ~. ~.W ~ ~P. DRYERS ~RNACE MoTORs FUTURE A~LIANCB ~EOE~S ~PECIAL REC PT TI~E CLOCKS BELL UNIT HEATERS MULTB OUT~T DIMMERS SERYi~ DI~ONNEC; ) K, OF B S E R Y I C E [ 2~ C~ M1TERE X 1 2/0 - 1 ~/~ OTHER APPARATUS: MO~RS~2-F H,P. ,5-1 H.P. G.F.C.I~-14 SMO~ DOROSKI ~LEC. INC. 425 MONSELL LANE CUTCHOGU~, NY, 11935 LIC.%2941-~ GENERAL M~NAGER 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. COPY FOR 2~UILDING DEPARTMENT. THiS COPY OF CERTIFICA'~E MUST NOT BE ALTERED IN ANY MANNER THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001093 BUREAU OF ELECTRICITY BE JOHN STREET. NEW YORK, NEW YORK IOO38 O, te APRIL 26,1994 ~ /~pplication Mo. o,f~t~ 82959493/93 ~ N 3116~8 THIS CERTIFIES THAT o~y the electrical ~uip~e~t ~ ~scribed be~ a~ intr~uced by t~ applic~t ~med on the a~ve appl~tion ~umber i~ the presses of in the followlng location; ~ B~,ement ~ )st FI ~ 2nd FI. ~G~/ATTIC/O~ ' Section B~k Lot ~s exa,nined on ~L 22,1994 and found to be in comPliance with the NaMonal Electdcal Code. , SERVICE DISCONNECT · I NO.~OF J ~ . AmT J AMP METER !J 2~ CB 1 X OTHER APPARATUS: MOTORS:2-F H.P. ,5-1 H.P. G.F.C.I:-14 SMOKE DETECTOR, - 1 "XTUEE I l~ OUTLETS ECEPTACLRS SWITCHES L FIXTURES RANGE 54 9 56 53 D~c¥,-k:) J FURNACE MOTORS I FUTURE APPLIANCE F~EDER$ SPECIAL REC'P [COOKINGOECKSI, OVENS IDISNWASHERS ,,M, CLOCKS~,. at, ps. JiRLLTEAN$. ~UNIT HEATERS MULTI.OUTLETNo.SYSTEMSoF FEET OF CC. CONO 2/0 EXHAUST FANS i .~V~T H P. 3 1~ DIMMERS E DOROSKI ELEC. INC. 425 MONSELL LANE CUTCHOGUE, NY, 11935 LIC. #2941-E GENERAL 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, i 765-1802 BUILDING DEPT. I N SPECTIO~~'~° [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION / FRAMING [//J/FINAL DATE / /'/ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION 765-~.802 BUILDING DEPT. SPECTION ION IST [ ] ROUGH PLBG. FoU~TION 2NO [~ ~)l~%TION ~'~ FINAL 765-1802 BUILDING DEPT. INSPECTION ~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING FINAL 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~TION FRAMING [ ] FINAL REMARKS: , 765-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [~ROUGH PLBG. [ ] FRAMING FOUNDATION ZND [ ] INSULATION [ ] FINAL REMARKS: INSPECTOR Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 17, 1994 Mr. Stephen J. Perricone 7470 Rt. #48 P.O. Box 41 Mattituck, NY 11952 Re: Angela Griffo Prem: 3935 Paradise Point Road, Southold NY 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 xx 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 # 21731-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUr~DATION (1st) FOUNDATION ( 2nd ) 2. ROUGH FRAME & ,PLUMBING 3. INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS · Approved.. ,/~.~.:~,~ ....... 19 .~. Permit No. ~.../?...:~/.'.~ Disapproved a/c ..................................... TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 BOARD OF HEALTH 3 SETS OF~..PLANS ....... FORMNO. 1 SURVEY .z .. , TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC FORM NOTIFY MAIL TO: , (uifldin~rpector) APPLICATION FOR BUILDING PERMIT Date ..... INST TIONS ' ~ter'~r'in ink a. This application must be completely tilled in by type and submitted to the Building Inspector, witl 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 stre. 6r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl 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 peru 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 Occupm~ 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describ( The applicant agrees to comply with all applicable laws, ordinances, bqil~ing ~ode,,horlg~g code, and regulations, and admit authorized inspectors on premises and in building for necessary ins tio s. (SignatUre of a~licant, or name, if a corporation) ' 7.~7.C../.4.r.q..F.. £¢. ¢.0.~. ~/.. (Mailing address of applicant) State whether applicant is..owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build. ..... .¢. ¢,_. .......................... ....... ........................................... ....... ). ' . ' ......... Nameofownerofpremises . T'/~ht ' / .Q~.,..~ (~;C~:/..~..A-~.~rLz{'3j. (as on the tax roll or latest deed)/~/ If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ..... .~. Plumber's License No .............. ~ ......... Electrician's License No. ~.~ c..[ [-/~. Other Trade's License No ...................... Location of land on which proposed work will be done E.O. ~ '~4,~0 ~! ~0~1) . .~..A-.{~A.I~.~X~. /5)r)/klT .. ..... ,, ................. , ................. ~ iO.q!.'i~ .o.9. ~...ZY. ,. ~. ...... ~ .q.. ~.¥..7~.. ...... ~ouse Number , Street 1; ' Hamlet County 'Fax Map No. 1000 Section ........ ~.l ...... Block ........ [ Lot ./~)./.~. Subdivision. ~.~$~...L'.~(( .............. .... FiledMap No.. ~.~(~.. Lot ' ] .~.... (Name) ' .............. State existing use and occupancy of premises,and intended use and occupancy of proposed construction: Existing and ~/I~C A- .A-.I ~. .C_. ~.b'. [_) ' a. use occupancy ....... b. Intended Use and occupancy ....... 3. Nature of work (check which tpplieable): New Building ....~... ,,.. Addition .......... Alteration Repair Removal ' Demolition Other Work : (Descriplion) ~' ,, ' (to be paid on filing this application) 5, If dwelling, number of dwelling units,,.. . , .,. Number of dwelling units on each floor ................ If garage, number of cars ' T,c~. P 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............. 7'HeightDimensi°ns of existing structgres, if any: Front , . .l, ................. Nthnber ofStories il! : IlI. ........... i ................. Rear .........: ::: : D, e.p.t.h. ........ Dimensions'of same structure iwith alterations or additions: Front Rear Depth [ Height , Number of Stories '-8, Dimensions of entire new construction: Front ....... ~, ...... Rear .... ,c4, .~. ...... Depth .... .q, ~. ...... Number of,qto~es ...... ~ 9. Size of lot: Front ..... ~ t ......... Rear ........ Depth ............... 10. Date of Purchase ......... i .................... Name of Former Owner .......... , ................... 1 1. Zone or use district in which premises are situated ................................................... 12. Does proposed construction violate` [ny zoning law, ordinance or regulation: ..... ~/?. ....................... 13. Will lot be regraded ....... i' ' .~..~.D.~. ,~., ....... ,,, Will excess fill, be removed from premises: Yes 14. Name of Owner of premises ~.~..~.qA. ~../,~t .~?.Q .... Address , g,/~/PI .~0. ~qf,oJ-~?.~OPhone No. ~$47 ;..~.~ ( .~. ,~.. 15. Is this property locate~ within 300 feet of a tidal wetland? ~Yes ..... No ~ ~If yes, Southold Town Trustees Permit maybe ro~uired~ ...[ PLOT DIAGRAM " Locate clearly and distinctly gll buildings, Whether existing or prolSosed, and, indicate all set-back dimensions from property hnes. Give street and blo~k number or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF., S .... , .... ~ · · · ~ .' ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above nmned, i I tie is the......,. ,,~-~,~ I ' (Contractor, agent, corporate officer, etc.) of said owneLor owners, and is duly authorized to perform or have performed the said work and to make and file thim application; that all statements colntained in this application are true to the best of his knowledge and belief; and that th~ work will be performed in the manner set forth in tbe'gpplication filed therewith. ...... ' · · · · '~ ""~' · 'day ~/'~l ..... .,19~..5 /' ~4 ~ ' ~bl~t~ ] . . ~ ' ] / ~ (Signature of applicantZ