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