The URL can be used to link to this page

Home My WebLink About21369-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22279 Date APRIL 28{ 1993 THIS CERTIFIES that the building. ADDITION Location of Property 1475 (a/k/a 435) PIPES NECK RD. House No. Street County Tax Map No. 1000 Section 53 Block I Subdivision Filed Map No. GREENPORT~ N.Y. Hamlet Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27~ 1993 pursuant to which Building Permit No. 21369-Z dated APRIL 27, 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 INSTALLATION OF HF2tTING SYSTEM & INSULATION IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS & IRENE COSTAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 FORM NO. ~1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL. $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ,AUTHORIZED) N°-N? 213tis Z Permission is ~e/~_ gr~nte~ to: /~- ..... ~.~Z ............................................. ~ ~ //~ ..~..._~~ ....... ~:~...~.....~~ ...................................... ~t pmmi~l l~at~d ~t ..~ ........~~~~ ~(. ~ ................................... ......................................................... .......................................................................... co~ ~o~ ~p uo. ~o00 ~ct~o~ ......... ~ ....... ~k ......... .~ ......... lot ~o ....... ~.~ ........ Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- BE JOHN STREET, NEW YORK, NEW YORK 40038 THIS CERTIFIES THAT in the followlng location; [] B~sement tt~sexaminedon ~1 I~ ~ ~ 1~99~ FIXTURE OUTLETS RECEPTACLE~ SWITCHES [] Ist Fl. [] 2nd FI. O'IJ~t' Section Block Lot and found to be in compliance with the National Electrical Code. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS E OTHER APPARATUS: E R V I C A. WG PER ~' OF CC. COND, OF HI-LEG OF NEUTRAI. GENERAL MANAGER Pet' 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. 1993 Form No. 6 g77 ?7£2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Bo APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by ~ypewriter OR ink and submitted to the building inspector with the following: for new buildin.g 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 2il0 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildimg 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 t9 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 .... ..I~.....~.~?..~L~C~ ~- Location of Property ................................. ;..~2.. ............. ~. .................. House No. Street Hamlet 0nwer or Owners of Property....~.V~.. A. l..~.~. ~%~.-'.~. ...................................... County Tax Map No 1000, Section .... ~.~. ..... Block ...... ~ .......... Lot .... !7%. ...... ' ......... Subdivision .................................... Filed Map ............ Lot ...................... ]ermit No ................ Date Of Permit ................ Applicant ............................. tealth Dept. Approval .......................... Underwriters Approval ......................... )lanning Board Approval ........................ lequest for: Temporary Certificate ........... Final Certicate ........... ?ee Submitted: $ 'OUNDATION ( 1st) ~UNDATIO:! FRAME & -PLUMBING ~SULATIOZ PER N. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS: Tn the best of my knowledge, belief, and p:ofessionat judgement, these plans arid specifications a,:~ in compfi~nce with the New York State "' ~,.. ~,,~,o,~ ..... , .parL bl,~'or ~; ' Cnr~F, sectioll~S 2.T 1993 , Examined . FORM NO. 1 TOWN OF SOUTHOLD 13UILDIN(3 DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.; 765-1802 Approved.. XgZqPermit No. Disapproved a/c ..................................... BOARD OF HEALTH ........... 3 SETS OF PLANS ........... SURVEY .................... CHECK SEPTIC FORH . . · ..... NOTIFY MAIL TO: ( B}3ffding I~,~pect~)r) ' APPLICATION FOR BUILDING PERMIT .... · INSTRUCTIONS a. Tlzis application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, ~,ith se'ts 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 stree qr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 perm shall be kept on the premises available for inspection thrdughou~ the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant 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 tk 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 describe( The applicant agrce~' to comply wi'th 'all applicable laws. ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary ins_il;lecI~ps. , (Si,nature ot applicant, o; ~r~e', if'a'C'orpo'r.~uon') ' (Mailing address of applicant) State whether applicant is owner, lessee, agen~gineer, general contractor, electrician, plumber or builder Nameofownerofpremises .~..~ h [.~..~E, ~O~fk9 ' (as on the tax roll or latest deed) If applicant is ,q cbrporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... USE V f THOUT CErTiFiCatE OF OCCU?^NCY I Location of land on which proposed work will be do~e ..... ' H N ~b St ................................... ouse un er ~ reetx, Hamlet County Tax Map No. 1000 Section · · Block [ ~.~ ........... · ......... Lot. Subdivision ..................................... Riled Map No ........ Lot .......... (Name) ~,' ....... · .... 2. State existing use and occupancy of premises and intended use and occupancy ofproposed construction: a. Existing use and occupancy .~.t.~..b~.~ ~/f~f .~..!~ ntended Use and occupancy ............................. 3. Nature of work (check vhich apphcable): New Building .......... .Addi.tion.. i ........ Alteration .......... Repair .............. Rempval .............. Demolition ......... Other Work .~t,~ -.. 4. Estimate'd Coat . bOO '""' .'~ -~ (IJ¢ffC~'l~tidn) I / (to be paid on filing this application) $. If dwelling, number of dweiiing units ............... Number of dwelling units on each floor ............... II'garage, number of cars ................................................................ 6 Ifb in ci I ix i y ap ifyp~tu nd tentof htyp of .... · us ess. commer a or m e occupant . cc re a ex cdc e use ...... . ........ 7 Dim nsi of i ti ~ if Front ~.ht.'.~..~ R ~..~7.6'.~. D pth~ i~.O.'. '' · e OhS ex s ng structur s, any: ........ ear · .. . .... e Hight ~'(5t Number fStorie ~ .... Dimensions of same structure with alterations or additions: Front Rear Depth Iteight ................................... ' Number of Stories 8. Dimensions of entire new construction: Front Rear Depth .... · 'gl i , ' ........................................ Hm tt ............... Number of Stones ............. ; ............ t .7.$' ............... · hA? [~,9 f "' ...... 9. Size of lot Fron ..~ ...... Rear. : .............. DeFt ,., .. .......... 10. Date of Purchase ........... iii..i..il ......... Name or Former Owner .... 1 1. Z ne or use district in whzch pr.emmes are situated ............................... 12. Does proposed Construction viol,ate any zoning law, ordinance or regulation: . .4.O.'........-............ ................ iii'''. 13. Will lot be regraded ......... : ......... Will excess fill be removed from premises: Yes ,, No 14. Name of Owner of premises~{~'l.~..~.' .~i i~.' .'l'.'~;~i . Address . ¢.~....1~.. RD. ... Phone No. ck'['~'~ ??.o.~.' ...... Name of Architect ~, ~?...~..',,..Pd~,.g. ..... i' i.. Address ............ No. 577: .TX. . ...... Name of Contractor ' ; . ^,;,, ...... I .................. '~"~ ................... Phone No ........... ~;-... 15.Is this property located within~O0-'feet of a tidal wetland? ~YES .... NO.[Z.~.' mil yes, Southold Towh Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all lbufldings, whether existing or proposed, and, indicate ali set-back dimensions from property Lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or comer lot. UNDERWR~ER$ C£RTIFiC~I'E REI~BIREO ;.S STATE OF NEW YORK, COUNTY OF ................. ........ FEE: ~ o~. ~ 765-1~2 9 AM ~ 4 PM FOR TNE FOLLOWING INSPECTIONS: 1, FOUNDAT{O~ . ~O REOUIRED FO~ POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ,ALL CONSTRUCTION 8HA~ ME~ *THE REqUiREMENTS OF ~E STATE CONS~U~ION & ENERGY CODES. N~ RESPONSIB~ FOR DESIGN OR ~ON~RU~iON ERROR$ ................ being duly sxvom, deposes and says that he is the applicant (Name of individual signih; contract) above named. lie is the ............ (Contractor, agenf',.corporate officer, etc.) of smd o~ner or owners, and is duly~ authorized to perform orhhave performed the said work and to m~e and file this application:, . that, .all statements, contamed~ ! , in t tis. application, are true to t ~e best of his know edge and belief and that the Work will be perlo~ed m tile m~ncr, sct forth ~n the apphcation filed' therewith. Sworn to before me this