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Home My WebLink About21269-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22306 Date MAY 6, 1993 THIS CERTIFIES that the buildin~ Location of Propert~ 23005 MAIN ROAD House No. County Tax Map No. 1000 Section 109 Subdivision ACCESSORY CUTCHOGUE, NEW YORK Street Block 1 Lot Filed Map No. Lot No. Hamlet 8.7 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 1993 pursuant to which Building Permit No. 21269-Z dated MARCH 17, 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 ACCESSORY AGRICULTURAL BUILDING AS APPLIED FOR. The certificate is issued to ROBERT PELLEGRINI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 lrow-wr NO. $ TOWN OF SOUTHOLD BUILDING DI':PARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~-~? 2126S Z Permission is hereby granted to: ...~....~~.~....~.: ............... ..... .../....~.:..~.....9..~.z ................................... .... ..4Y~...~.~..7:..~,.....~..,.~.:....//..~.~ .7. ........................... ~ ............... ~ ......... ~..~.~...~....:~.~. ........... ~...~ ....... ~. ................... at premises located at ........... ...~..~-,-..~...~...~ ............. ~.~./:~......,~....~.: ................................................ ...................................................... ,....~_....~,~ ........ ~,./...,: ........................................... ................... ~ ~~.. ................................. ......................................... ................................... County Tax Map No. 1000 Section .... ~...~...~. .......... Block ....... ./.. ........... Lot No. ..... ..~.:..Z ........ pursuant to application dated .......... x1~.../~.....~'...~....~.. ................... , 19.~.,~..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOU~HOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be fi&led in by ~ypewriter OR ink a~d 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. B. For existing buildings (prior to April 9, 1957) non-~onforming 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, Swinging 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 Build~ng ........ Rouse No. Street Hamlet County ~ax Map No i000, ' · .... f ....... Block ..... ~ ........ Lot....~.,~..~..f/?...d~. 3ubdivision .................... Filed Map Lot ~ermit No.~/~ ~ ~/. ~,~/~ ~.~.~.../~.../~.,~..~ ~.~...,~..~. ...Date Of Per,it. ~ /~ ~ A licant ..... lealth Dept. Approval .......................... Underwriters Approval ......... :lanning Board Approval lequest for: TemporarM Certificate ........... Final Certicate ........... ~ee Submitted: $ ............. /~ INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 APRIL 23, 1993 SHARP CONSTRUCTION COMPt~iNY P. O. BOX 997 NESCONSET, NY 11767 RE: ROBERT PELLEGRINI To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~_x~$_~x~__~l~not on file.)~ $50.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 21269-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: ROBERT PELLEGRINI THE NEW YORK BOARD OF FIRE UNDERWRITERS 85 JOHN STREET, NEW YORK. NEW YORK o~y the e(~ trlcal equipment ~ ~scdbed below a~ intr~uced 6y t~ appllc~t ~med on the a~ appl~at~n nu tuber in the prem~es of thef~lowlng Iocatlon; ~ Basement ~ Ist FL ~ 2nd ~. 0~? Section Bilk Lot examined on ['[~ Y 2 ~: ~ J. 9 9 ~ and fo~d to be in compl~ve ~ith the Na~onal Elect~cal Code. RXTU~E FIXTURES RANGES OVENS DISH WASHERS EXHAUST DRYERS C GRNEliAL MANAGER This certificate must not be ahered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ]FRAMING ~L /~ RE:MARKS: ~ ~'///~/~ ~/_~ -. OUND~TION (1st) JUUD~TIO~'I ( 9nd ) 'JGH FRAME .PLUMBING LATIO,'I PER N. Y. ~TATE ENERGY CODE ?I:~AL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION ;ZND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ,/[ ~ FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE ~ INSPECTOR~ i ~,, gA~ - 9 1993 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF HEALTH ......... ~ 3 SETS OF PLANS .......... · SURVEY ................... ~.~ ClIECK -l-j,--:---:-.:..-:. SEPTIC O ....... ' ' TEL.: 765-1802 I1o?I FY: /~// ,' -- / ( x,O, v'7.,:.:. . ~ ! '/ ......... ' ...... ' / HAIL Disapproved a/c ' ~ ' ~ .... ' ...... ..... . ................................. , / .' a~ / . .. cto;; APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ! a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accnrate 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 s~reets or areas, and gi¥ing 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 Buildihg 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 appUcant agrees to comply with al/ applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for n_ecessary)nspections./~/'? /~ ~. ~,.. (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. ..... , Name of owner of premises.. ~. da/,./."- .~.e: y~:~ ~: ?fi:'. .... (Ks on the tax roll or latest deed) If appz~t is~orporation, signature of duly authorized o~fficer. (Name and title of. corporate officer) Builder's License No .......................... Plumber's License No ......................... Electri.c. ian's License No ....................... Other Trade's License No. /~l?. ? .~' 1. Location of land on which proposed work will be'done. 23oo ' . . House Number Street County Tax Map No. 1000 Section .... Subdivision . ................. ' ................... Filed Map (Name) S~ate exzstmg use and occupancy a. ExzsUng use and occupancy. 3. Naiure of work (check which applicable): Repair .............. Removal .... 4. Estimated Cost .. i New Building ...... Addition .......... Alteration .......... .......... Demolition .............. Other Work ............... (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ..... ~. .......... Number of dwelling units on each floor ................ · If garage, nuraber of cars . .! .............. If business, commercm[ or mixe~ occupancy, specify nature and extent of each type o~f use . 7. Dimensions of existing structure§, if any: Front...~.~.~. 1~. .... Rear .............. Depth ............... Height ............... Num[~er of Stories ...................... ~ k'~ .............................. Dimensions of same structure with alterations or additions: Front ................ Rear ......~...~ .~ .......... Depth .... <' ~ i ' ' . .... · '~' ('?'.' .......... i" Hmght ..... /.~ ............... Number of Stories . nb 8. Dimensions otent~re new construction: Front ..... .~.. r. ...... Rear .... ~.~'. ( ......... pm . .~1~'/.~? f. ....... Height .../,zj ......... NumBer of Stories ..... /. ................................................. 9. Size of lot: Front ...... ................ Rear ...................... Depth ............. .......... 10. Date of Purchase ........... i ......... ' .......... Na~e of Former Owner ............................. 11. Zone or use district in which premises are situated 12. Does proposed construction viola~te any zoning law ordinance or regulation: .,'P~. .................. 13. Will lot be regraded ; · . . Will exce ....... ' ' .... .............. , ........... ss nn oe re, morea Irom pr, e~ises; Yes No 14. NaPa e o f Own er o f p re,,mises ./,~.,lC~..,~.e~'~.,.~'.~. ,.~.,I Ad d ?e ss .~ .j-.~. ~ ~n,,,, ~,, ,~,Z'' P h~'~-l~t'r~ Name of Architect ./,fl,.~/I,f'..,~ .~ .~.j,: .~..,~,~..L,G ... Address .~O...,~. ng:.,('~.~. ,<'~Phone No Name of Contractor J..~.~'..~. !<"~,',,q..~.^.~.~.a/ ~,~,~ .... -9~O'/t,,',~'~,~_~"C,,(;,7 ' _' · * , ....... ~uu~a~ r; .r ...... ' ....... 7.."~q41ll.~lNO. T.~I....~.t..~..< · · 15. ~s tn~s property w~tnin 300 feet of a tidal wetland? *Yes ..... No...~, '' · If yes, Southold Tbwn Trustees Permit may be require~] ' . '' -... PLOT DIAGRAM, Locate cleai-ly and distinctly all property lines. Give street and block r interior or corner lot. STATE OF NEW YORK, COUNTY OF ' [Name of individual signing contract) above named. , '| -' ' ~ )uildings, whether existing or proposed, and~indicate all ~et-back dimensions from umber or description according to deed, and show street names and indicate whdther ..... being duly sworn, deposes and says that he is the applicant lie is the .................... ! ........................................................... (Contractor agent corporate officer etc ) ..... )f said owner or owners, and is duly ~uthotized to perform or have performed the said work and to make and file this ~pplication; that all statements contained ~n this application are true to the best of his knowledge and belief; and that the .york will be performed in the manner set forth in the application filed therewith. ;worn to before me this 7~'-'t~ '? 7' ....... t ....,'. ....~ · ....... ~.oun[y Nc,. 52.7~,'~ (k,olif[ed ia 5vff$1k County (Signature of applicant) 75.0 0 )- J Ad£1CUL T~RAL ~UI£DIIKE ¥ £7-oR,~Z BLOOD PZAN 16" 60 -0" FL OOR TED EARA'¢E Door HEADER /2 '~ /2 ' lOt3'' flOOR DR,~ItV /,2 '-- 0 ' /g'- 0" UNDERWRITERS CERTIFICATE RB]UIRED 0CCUPAI~CY OR [~SF. iS U~LA~VFUL WITBOUT CERTIFICAT~ OF OCCUPANCY 765-1802 9 AM TO 4 PM FOI~ THE FOLLOWING INSPECTIONS: 1. FOUNDATION * 'I~NO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST SE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y~ STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ,4G,~ICULTU,~.A,L SOU T/-/ £L £ YA -FI O AI T/off 12 ?£LLE~RINI f ,j 4'/Z F~'/---r :d TIO/V ® ~" FM? .' ["Z:-,-E ~{,;M6 'Vh¥£YA RDS