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HomeMy WebLinkAbout21008-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21069 Date OCTOBER 8, 1992 THIS CERTIFIES that the building ADDITION Location of Property 1950 YENNECOTT DRIVE SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 4 Lot 30.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 7, 1992 pursuant to which Building Permit No. 21008-Z dated OCTOBER 8, 1992 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 RAISED BRICK PATIO ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ESTATE OF MARION MARTOCCHIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Z 4 Building 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) WN9 21008Z Dare © Id" 19-1.... Permission is hereby granted to: A.4 4~ ..N•'L.Y............ .....JMK(.. F............ o .......ll?7/ - /4 SD . at premises located at cr.. ............--1............................................... County Tax Map No. 1000 Section Block .....Or......... Lot No... pursuant to application dated lal- 19/. and approved by the Building Inspector. Fee $ Building Inspector 1 Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 17, 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. 3. 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. 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 ,,,,OCT. 8,:1992 ew Construction.......... Old Or Pre-existing Building......,.,. cation of Property . 1950 YENNECOTT DR.. ............,,_SOUTHOLD, N.Y. House No. Street ..Hamlet ewer or Owners of Property.... ESTATE OF MARION MARTOCHIA unty Tax Map No 1000, Section... SS........Block...4, 30.1 ..........Lot........... bdivision........................ ..............Filed Map............ Lot...................... rmit No., 210082 „Date Of Permit., aCT: 8: 1992 Applicant. ,T: WOLANSKI filth Dept. Approval ..Underwriters Approval......................... inning Board Approval........ guest for: Temporary Certificate........... Final Certicate........... Submitted: 25.00 T. Wolanski • J C 0 ~IAr~ Q APPLICANT Z~ 01110 1 1p, + ~ x~E+,~ vy f s S .y~`nn~..''3" r~ # r \F/a:... ?~~A i AVi k I k , i ~d3 a ' 1' 4 qq pp p 1U I n 3. ~ L, iPf + iJ"IQSC s ~,y -l ~ I- .~1 F Ito Y ) ~ ~ q f .,i ii flAt ~ ~1 ~ ' B(L I{k a e."k~" r'~kc72!¢s'k SW . ' ' ' ~ ~ wAC.?- sN ( rr'":SrsvS!'tS)tvxt'rhat ' a £ CN i nQ eurveWf S t11kati gtaaV tY POND ¢3"T e ~r 'E~`+'b?,`~sji(~2a1 "ShsihnoRhe WnrslAzM4 ° 4n Gra ~Y Va4?tauo noAY Poa.4u ~ ~m;:r,. ~ ' 3 t r C°uaY~pteba lnigcato¢ hkVgan t9s 'P e;la , f r , _ ~.n9Y 7o tM+peraonlo,r whrs the m VmV Y r WSW d, anenn h6 mha7S os. r.ln~on/. AbM3egm~+nl S ^is^,7"J P?? r ~i -ti "ino in ?+tUtton tissad H sron Ad ? q o.-f7 `+d 8r., i2 ciAo0%o1 thoI.scan +u { t css S n: ^ am cr.Snre 1104 c ~i Q't. 2i eu9te InBYtei1i0n8 or Spb-A acne Agree PAT+o a t rv off, - L # cYCl.tlh1~'fC23GE T~NdC... ...F 7AINIV~ ~NAV_ ¢ a CCCC t ' 1'M1 ~ M,;: ^4c''' I. ~ 4TH' ~ 1 t LO 2 c* w ~3} ~ ~ ~ 'd'~f11 ro ~y yt N r J {lfi t o iC =m C 4 / ~fi~. nw44 ~,fy C] ! ~ I A~ lie! m -(I ! f1 t' MAP. 11A ILI". GOAQJ,' F!P TG }1( l~. L 16 L T"?i;_FM /raa "T 4 t ~m OCT, '7, MAS ..I 3 v a r. IAA ' T ` k!C~kt 3 .f ~ R,tbll C,~RI'~YC?e!.~ V,pS ,A } 5t~ h 34rtrti~"F ~>1,t 4k } 2.+~.bd£ i . Z.w ~l. 1SJ.v R a.AA 4 .l.~wr ` 3. Nature of work (check which applicable): New Building Addition . Alteration Repair Removal Demolition Other Work . (Description) 4. Estimated Cost ...2.2 Fee ..775-,. . (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 . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories . . . Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories . . . . . . . . 9. Size of lot: Front Rear . Depth 10. Date of Purchase Name of Former Owner . 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 Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address Phone No............... . Name of Architect Address Phone.No................ Name of Contractor Address Phone No. 15. Is this within 300 feet of a tidal wetland? * " property Yes........ No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, 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. S;- v. a GL e,~ STATF.OFNEIW GRS.S COUNTY OF . . • • • • , , . being duly sworn, deposes an d says that he is the applicant y (Name', , f }gdividual; signing contract) above named: He is the . ~..4(Y\ve4 . (Contractoitagent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before mp this ~..._.....;dayof .......19 Notary Publi(OJ66- , , • , • County CLAIRE L. QLEW Notary Public. State of Now York c h No.4879506 Qualified In Suffolk County (Signature of applicant) Commission Expires December % 18 - I r BORED OF HEALTH lip FORM NO. 1 3 SETS OF PLANS _ . C~ OCT 7 I92 TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK : , , , L TOWN HALL SEPTIC FORM • TOV,hij OF SOUTHOLD, N.Y. 11971 ...:.x...Fw TEL.: 766-1802 N071FY ; Q CALL Examined ...............„19(9. MAIL TO:..,___.,..,..„. Approved 19 Permit No.. A /049A Disapproved a/c ( it id n" g Inspector) APPLICATION FOR BUILDING PERMIT Date 10.:77, . .7 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of I; 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 inspections. ~ ~ • . - (Signature o 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. ~...........................................gip . Name of owner of premises1 ! , (as on the tax roll or latbstdeed) APP y~. . 7~ DA If applicant is a corporation, signature!of duly authorized officer. 3 NOTIFY SUILDIN DERNIff E AT (Name and title of corporate officer) 7MIS02 S AM 10 A PM FOR 7NE FOLLOWING INSPECTIONS: Builder's License No . 1. FOUNDATION - 7WOREOJIRED FOR POUREDCONCIWM Plumber's License No . . 2. ROUGH • FRAMING & PLUMBING 8. INSULATXW Electrician's License No. 4. FINAL • CONSTRUCTION MUST BE COMPLETE FOR C.O. Other Trade's License No. .....I . ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF 7HE N.Y. propose work will be done. STATE CONSTRUCTR'SI a ENERGY 1. Location of land on which d DES. ' NOT 'RESPONSIBLE 'MR DESI N ERRORS fit? ' . House Number ~t Hamlet County Tax Map No. 1000 Section r......... Block V Lot.*- Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy cz-A b. Intended use and occupancy . 1>e~...~rr!Y~.%1!!^-~!4.eilyo •,..,4 ~J 1141 " : Y~ i'k N1Y 'Y uy ,E,e~7 `iT 1k"R•. 4~ q ~~~Y W bf4,' 4 v 4 ~F; . -,n r l~z`~ifl'J~k?+`'}. d~l~+$1~f., F+'.4 F -r , A,~n• _ _ - _ + x~ 1 c. i ~ { l} aY W k~ btu '~,~'~.~l~ x r im ~ ,a ~ I ' N' , , ri,in dr' 4 rE; r kv Yri nor, h Yq F e, r JyY~.{ " ly'kt. +.li. :L J, " ~ a J F s r x rnT ~ ' ! 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