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HomeMy WebLinkAbout21185-z i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22504 Date AUGUST 6, 1993 THIS CERTIFIES that the building ADDITION Location of Property 255 WEST LANE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 6 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11, 1993 pursuant to which Building Permit No. 21185-Z dated JANUARY 13, 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 SECOND FLOOR ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES DIGIOVANNA & ORS. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL_ N/A ELECTRICAL INSPECTION CERT # 2420 - JUNE 14, 1993 PLUMBERS CERTIFICATION DATED AUGUST 2 1993 - VANETTEN PLUMB & HEAT. ui ing Inspector Rev. 1/81 FORM NO. 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 N9 21185 Z Date 19G~r Permission is hereby nted to: ....K7h to (~uf~;~.a~... . ....rte..... ` r at premises located at °arl .t`~...../// .ll lr e .........................................,`...v.................................................................... County Tax Map No. 1000 Section g.~..... Block ~............q. Lot No....... pursuant to application dated ...........4/// 19.lV., and approved by the Building Inspector. Fee S.. Tsl i . m............ r B g Inspec or Rev. 6/30/80 Form No. 6 X TOWN OF SOUTHOLD + BUILDING DEPARTMENT TOWN HALL Z"l 765-1802 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 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-conforming uses, or buildings and e '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 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 $15.00 Date New Con'struction............ Old Or Pre-existing Building.. Location of Property. 5j~.....W&--7 Lheyg............ft5j M.WnAl House No..~ Street Hamlet Onwer or Owners of Property ...`c9,R,5„4?//1!tiUd1h//"' ©jHC~CS County Tax Map No 1000, Section .....J~ Block ....1G;......... Lot....F . Subdivision.... .Filed Map............pLoot...................... Permit No ,Date Of Permit.. //~.3 3..Applicant.../ . Health Dept. Approval ..........................Underwriters Approval ON.F/[.E Planning Board Approval Request for: Temporary Certificate........... Final Certicate... Fee Submitted: 6G3, GG~/. 6.ece Y~~L7 APPLICANT 00-27- 125 dY _10W S~FFOUI'~ TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR to ` 3~ rn P.O. BOX 1179 ~O e?? r TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date-4 Building Permit No. Q 11 Fj jE; Owner (please print) Plumber Aber-1 I/Q r~G f{~-ter - V~r~ fir, fi (please print) I certify that the solder used in the water supply system contains,less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this _a~O_! day of 19 Ate' - `.'1<-~t4-~ ~wsu~tn ,c, HotarI Notary Public Public, County LINDA J. COOPER Notary Public, State of New York N0,4822563, Suffolk County Term Expires December 31,18 „ W O ° ) 'w I m 0 -4 CA m I 9~.; y 3 n m i m r m (o (D me )r„ .~r < D m a~' -1~ yi g)F -O 'O (D C7 ~ o gyp, M m x m m 3. , a z?).o m ) y m m o~ s q S vy f 3 da • C) T -1 y p0• i flq, }sue N ppj T I ry, ` ) m ml N m 1{ v. z r. O CD 7 C/I W m ,o o ) VI -q m r+ W 9 m m y m N ~I W^ - p x m I , O m 0 r 9 10, wire - a ° ) 3 i I:. I :E 11 vl yr i a0 m' U) 0 w 0. --4 11, 1 W 00 is sm zo p C) A) a m w o ` ` W j t%j D N r 3 -0 co 01 Can) 4 q•m ~0 Z it , x A ti 1 nt a hN CD q ? _o o m c m D CD 0 (o s 1~+{, to Bf,~P i q'r t , F6 +41Ifa ~i py `C+}, p~g~ i t v s c ~ 4 r b~(1'hpn4~' OL m limit" n 'r 11 Y 7n x AnSr. ^)i ,p O r No ~ty ct'g .Z py' NV m "z C ]p;' DP S+ i$dt 'fj~Y `„BCD { "o ) e~x,1+ ma .rl~ r, lrr, a ak zz v a _ /Z z N A i p n i t ~Jb' ~ ~,o) { 1 6 m m Zip 4 -i a 0 z p S a CM M 1 O W N 3 T _ CD N A o) a - T r x a z (7 3 'r' y .'1. F1 O s m y a w p m (1) m r. M a ID ; C O m u f N w CL CL z 3 z a N T j I p (O d m m ; O r p S~ m m z 3 ' ~lv1~. v~(~) cNVlbtl7v'l~bd~~ro~~%,~%~(~+~bcD(v)bcNvlb v1 vl~~lvl~c7tv~)~9lslCCNV16tll~1v ~Y~tlv tlrvlbw~)beXv)~ o~ ~ ^e~t.°.k(t1a.~Itoet,.:.r swa£(e. 'u o v AM a, a ~tS.~'AlAai3 , . _ - ; x • s.. , ...s- _ ~ < .xse ' ss. x . -.off ~sa:.r*.,x,w'l~:'s~ INSPECTORS Victor Lessard v' 'J4 F13(;~ ~r~ Principal Building Inspector j ~tiV. Lp Curtis HortonY SCOTT L. HARRIS, Supervisor Senior Building Inspector --4' g n k.g c?: : ; Southold Town Hall Thomas Fisher v P.O. Box 1179, 53095 Main Road Building Inspector Southold, New York 11971 Gar Fish Bui ding Inspector1 Fax (516) 765-1823 Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JULY 30, 1993 MICHAEL VERITY P. O. BOX 476 GREENPORT, NY 11944 RE: CHARLES DiGIOVANNA s ORS 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. XXX The check is /not on file.)$25,00 No Health Department Approval on file. No final inspection has been made. XXX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21185-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD ~:(i•ILNTS 22 IN3 FOU11DATION _ I H ( 1st FOUNDATION (2nd) - ` 2. o J~OUGH FRAME & I U\ 1 -PLUMBING ti H c7 n =11SULATI0;1 PER N. Y. y STATE ENERGY CODE I ' -Y 4,42 FINAL i~l ADDITIONAL COMMENTS: s H \ H H " O r - H ° ^o H .,tn.. - - E:NIsIiGY (X)UE ncVIrw (non-electric) ' t 7814 (part 5) 6#800 degree~cays For SeurF- / l Z I / per bwga 2 ^ /~~o y ~{rl~.T/u Dated ///n! Z envelope Ccmotteht 11-value Exterior wall !t-1n hoof/ceiliny n-19 Floor 11-19 Foundation Wall R-10 slab a Ineulation n-10 alazing R-1.7 floors h-2.5 All 11VAd Nuipment to meet requirements of 7014.11 All 11VAd Controk systems to meet requlrphients of 7814.12 All Duct 8ylhtcl m to meet requirements of 7814.13 All Ventilating rlystems to meet requirements of 7014.14 All plpinq Ineulation to meet requitemetits of 7814.15 All SOtUICe Water neatinq Systems and equipnent to meet requirements of 7014.21 All Electric Systems to meet requirements of 7014.31 1b the best of my knowledge# beliefs and professional judgements these plans are in oompllance with the code U ra v s *4( N' lam ~ ~ f° J m' L f : 't w,'1 '~pP D32254-1 9OFESSI s e S M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ FINAL REMARKS: d4f-C , CI-2 DATE q/93 INSPECTOR "~`1 M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION FRAMING [ ) FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ UYFRAMING [ ] FINAL REMARKS: DATE U~ INSPECTOR BOARD OF HEALTH FORM NO. 1 3 SETS OF PL.Ia. . TOWN OF SOUTHOLD SURVEY , , , , , . BUILDING DEPARTMENT CIICCf . . . . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:OCAFY: 7 CALL , , , . Examined Igq /pr MAIL TO: Approved j~ 19~(I.. Permit No.4911JcJ. _ Disapproved a/c . 4 ( uildit~Ins ector APPLICATION FOR BUILDING PERMIT Date,..r 1919. 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 for 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 ins ections. (Signature of P-nDlic,'nt, or name, if a corporation) ~o: . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,e.. Name of owner of premises .14 (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. Plumber's License No. ~o,8, / , . , , . , , , Electrician's License No. (D. ~ Other Trade's License No . Location of land on which proposed work will be done . . . . . . . . . /v .................G145T ifQ/oit/.............. . 5 T 44 House Number Street Hamlet County Tax Map No. 1000 Section .....8......... Block Lot / f Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . b. Intended use and occupancy , ' 3. Repair Nature . of . . . work (check , • which applicable): New Building Addition Alteration LL . Removal , , , , , , , , , , , , , Demolition Other Work . 4. Estimated Cost (Description) ,Oac> °.v Fee S. If dwelling, (to be paid on filing this application) number of dwelling) units ~ . If ara a number of cars Number of dwelling units on each floor . g s , tIJ.-/f........ 6. If business, commercial or mixed occupancy, specify ~lur n e xtent of each type ofd se . . . . 7. Di mensions of existing structures, if any: Front (o , , , Rear 3~ . Hei-ht Depth .ber of Stories .l,1~ , , , , Dimensions of same structure w~ith alterations or additions: Front • . 3..f..4!fi . Rear ...rte y!~ Depth ~ $-,f Height . . Number of Stories . • • • , , , 8. Dimensions of entire new construction: Front . Rear . ~rt?~--. De th p Height Number of Stories 56~'VA4 i 9. Size of lot: Front /100.x. Rear /00, OR.. • . , , • ; Depth .....e~ 31~.• 0 (D....... 10. Date of Purchase ,,,,,,,Na eof):o e Owner ...,t~',~'!P.l'!rr~;.~!!~,,,,,•,•„ 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded " " • • • • co Will excess fill be removed from premises: Yes l~LL99~J 14. Name of Owner of premises /J'Mjag !?z ' ' ' ' ' * Address . Phone No. . Name of Architect ~ Trr . Address . • • • . . • . . . . • ' r/Q Phone No. . Name of Contractor .../-Gljc,,hq~,L Address A, V; Phone No...~7.?, ; 9 7 15. Is this property within 300 feet of a tidal wetland? *yesY. v!4?PNo' *If yes, Southold Sown Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all 'ibuildings, 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. I i I I ;TATE OF NEW~j O~+ S :OUNTY OF Fh u c f..... tc.t,c~ L L . • • ' • L~~ 7(. • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. eis the (Contractor gent, corporate officer, etc.) f said owner or owners and is duly aluthon ' z o perform or have performed the said work and to make and file this T ication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in th er set forth in the application filed therewith. vorn to before 1mc this, 1!?.. da o j.... 19v'. ataryPublic, Su County ROBERT f. 5 TTY f6 : • : G!.. . NOTARY PUBLIC St of f1Y. No.47250$9 S o~kCou S gnature of applicant) Term Expires'IMay 31,19 IOid tilt Z1 I ~ AI S~ ! 1 1 :1.. .J( yl f t t ° } 11f In ~ f ~ f~. ,..n.n,.....,-so.m.,.... •e....,«w..rrn<+ ,w...w...,,.....w....:M.«rv.-.....-..,+r«• ••,.......w...u..r.rwl.fw ( 1'9 Ifisl 4 GP. 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A"1~~5.~~' Sf~t /q, 33' SG PLUMBER rERTtr.,cATioN is used ON LEAD CONTENT BEFORE If If copper tubing CERTIFICATE OF OCCUPANCY PLUMBING for wateridin9 shall be SOLDER USED IN WATER ALL PLUMBING WASTE E & WATER LINES NEED E sY types K or t onl SUPPLY SYSTEM CANNOT ED dl VERING EXCEED 2110 of 1% LEAD. TESTING BEFORE COVERING 3Qca-t i I I I I ~ I 11 l,nv I 22D510 I 1052 ~ 26'31c I I _ _ 4wc li - A - 13 A'~ Zo 8=d' - 9.Z u 4 I-- _ 4 ,Q n Z" 5s4v _ ~ ~7,E=L7F;s N ll E=pp,r. u o t81 a~~INI ,U ~a a N I ~ ~ - 'd d "Ali " a Uwe of N ~1=C7F 4~CM m I I ? cel~- MR o EYt5T. MAIN c.a. 01 i N F7- ~F$C c~ I I Ye uM 1t~4.. ExISTING FtRsT FLocR c~, - - ITT 9 I - P --7r~ 1'D1=A 1n..-I--cvDE 2:CJ' R iL,cE N 10 I _ _ ~~ti GDx ~r 2-2:d 2-24' 2-243to 2- 243Io 12,VENTtD.So~'F~'T 2-2.4' 2+G'- I+L'.~ N 2X4=}!."oc- ~Ik~l S Dlµc g_ly £ws7 V _ -C,fvEK~ UNDERWRITERS CERTIFICATE 3 f I~-'z'GDV r s7ssT-To Pie REQUIRED Pte" 92 ,OF NEW YO C502"UPANCY OR 2 r Pt'-1 L"oc. I * 3P ~ + USE I UNLAV VFUL i w ICI ,h sa w }~2 ZJ~ p32264 1 ~p L w X. I T 0,F ("Y"' f l'TH ygUy®T~~wgCE,A4RTIFICA I "P i~ op'rOFE5510NPy - PJ=d" Li 9 J L_J L_J N Otn /h It- f~itl~~ %OJ ~'S S'icp COL, s{o~u couc.~Tcs tltl A R ED AS NOTED o nAT 114-3 B.P.N~ 9 E `.f l o~ 2aa Ca%n,n -Ae-lweCh eac I~r C lti G z z"~~ Y L FEE: NOTIFY U ING DEPA T AT N 19 v wu~ 765-1902 9 AM TO 4 PM OR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE - 2 ROUGH - FRAMING & PLUMBING -yam a. INSULATION I(1 CJ 1 1 Q 16T tQ 4T 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET 4,'1 O AFPROVEOBY; DRAWN BY L SCALE: THE REQUIREMENTS OF THE N.Y. OATE~ L '9Z REVISED STATE CONSTRUCTION 6 ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS MARaLEs Res, f \/tRCY F5LVF~- bRAWINOINUMBER ti%'U !%WI~b6bbb. f00W dllYIAINf• LET ILLIA 4 R~ 4F~ ~L~v~~ i cur l -f-EAS'T~) - - - - - - 77 - OF NEW YO T y v~ ti ~ / ~ a f s m ( 2? Y r Y. ~ rJ 0~2254-1 aU P90FESSION~ S l D ~ ~ VAT'f ©N ~~~fGR7E(~ OI`J_L.LE.VATI (2Q ~VYC-ST~ PL,~,,iv r~R, 1 SCALE. ~d i-l o" APPPOVEDBY: L DRAWN BY DATE: -D2- gEVISED Mau ~~~s Rte. M, V~rz~~yl 8~~~ DRAWRJG NUMBfl1 LLJP MINtIC CN NO. IOCOMCWIVgM• '2 eh' 'I