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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24321 Date MAY 1, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 705 BIRCH LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 83 Block 1 Lot 26
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 23, 1992 pursuant to which
Building Permit No. 20523-Z dated APRIL 6, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOSEPH CASAROMA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
u' ding Inspector
Rev. 1/81
FORK 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)
Date C' 19c~'~'
NN? 20523Z
Permission is hereby granted to:
Gsf~ r.................
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ta .rte C.... v A
....s~;:..a
at Premises located at ...ill of . ......K
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LL
County Tax Map No. 1000 Section .........fl.. Block ............1....... Lot No...........
pursuant to application dote,J 19........, and approved by the
I7ba 2cc•/9
Building Inspector.
Fee S.SU....
` . .
B.... Ing Inspector
Rev. 6/30/80
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rvim u,..
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOwN HAIL
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
"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 Buildina - $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,`~Commercial $15.00
Date .......1....2~.'J~ 6 .
New Construction........... Ol(d~ Or Pre-existing Buil 'n 4. C
Location of Property..19.5....1»~ ~.VL ......~!-v:J~1:t:...~.(... la..~.._......
House No. r Street Hamlet
Onwer or Owners of Property... ~~.9 5tq R
County Tax Map No 1000, Section.., ~QQ......Block..`!. .........Lot...!. V..........
Subdivision .......................................Filed Map............ Lot
Permit No.2.Q.~5.~ 3....Date Of Permit.. L~. z? ApnlicanQ.Q* p.rl .l v • .
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $....2-! 4APPLICANT
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5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS
5 BUREAU OF ELECTRICITY 5
40 FULTON STREET - NEW YORK, NY 10038 c5
CERTIFIES THAT
5 Upon the application of upon premises owned by
GOODALE ELECTRIC CONT INC JOSEPH CASARONE
5 P. O. BOX 1190 705 BIRCH LANE 5
C5 MATTITUCK, NY 11952, CUTCHOGUE, NY 11935 C~
Located at 705 BIRCH LANE CUTCHOGUE, NY 11935 S
5 Application Number: 2087757 Certificate Number: 2087757 e5
5 Section: Block: Lot: Building Permit: BDC: 5
5 ns11 5
5 Described as a esidentia~l1 occupancy, wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: 5
5
5 Outside, 5
5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
5 authority having jurisdiction, and found to be in compliance therewith on the Day of
5 10th March, 2006. 5
5 Name 2TY Rate Rating Circuit Type 5
Miscellaneous
5
replace mast and meter pan
5 Service
5
5 1 Phase 3W Service Rating 200 Amperes 5
5 Service Disconnect: 1 200 cb 5
tj Meters: 1 NEW
5 5
5 5
5 5
5 5
seal
5 1 of I 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 5
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Town Hall, 53095 Main Road p • Fax (516) 765-1823
yelp! ~.a~~ Telephone (516) 765-1802
P. 0. Box , New York 9 11971
Southold
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 9, 1996
Mr. Joseph Casarona
449 East 14th street
New York, NY 10009
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
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 # 20523-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
o~~gOFFO~,I-~Q
o~ Gym
CA
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Town Hall, 53095 Main Road p • Fax (516) 765-1823
Telephone (516) 765-1802
P. 0. , Box
York 9 11971
Southold
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 28, 1996
Mr. Joseph Casarona
449 East 14th Street
New York, NY 10009
Re: Building Permit #20523-Z - (add)
Premises: 705 Birch Lane, Cutchogue
Suff. Co. Tax Map #1000-83-1-26
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
=I D
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FOUNDATION (1st) I o \
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FOUNDATION (2nd) 0
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?OUCH FRAME & I O
-PLUMBING
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3. x
INSULATION PER N. Y. H
STATE ENERGY
CODE I T
FINAL
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Memorandum from
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWN HALL, SOUTHOLD, N. Y. 11971
765-1802
a j
INSPECTORS ~~gUFFO(,~ co
(516) 765-1802 ~,ZO G,y SCOTT L. HARRIS, Supervisor
VICTOR LESSARD, Principal
CURTIS HORTON, Senior y z Southold Town Hail
VINCENT R. WIECZOREK, Ordinance p P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire Southold, New York 11971
Building Inspectors 0( ~`a Fax (516) 765-1823
THOMAS FISHER Telephone (516) 765-1800
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 26, 1992
Turrigiono Construction
P.O. Box 15
Ridge, New York 11961
Re: Premises @705 Birch Lane, Cutchogue, N.Y.
Owner: Joseph Casarona
Suff. Co. Tax Map #1000-83-1-26
Gentlemen:
In order to process the building permit for a deck addition
to the above premises, we will need more construction details.
We are returning your plans so that you can indicate on them:
1. Spacing of floor joist.
2. Location of girders and supports for girders.
3. Construction of outside and inside perimeter of deck.
Please return three revised plans to us and we will process
them as soon as possible.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Building Inspector
TJF:gar
Encl.
765-1802
BUILDING DEPT.
INSPECTION
[ J FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ J FIREPLACES CHIMNEY
REMARKS:
DATE 7 1 INSPECTOR - 1
BOARD OF HEALTH
. .w ....u.
~°r-a o~zrt ~c; RMN0.7 3 SETS OF PLANS
C~t~'9C07~~'°`.'~M_l~'`r~:,i TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT CHECK
d' MAR 2 3 1992 TOWN HALL SEPTIC FORM . .
SOUTHOLD, N.Y. 11971
3L~~~':.- TEL.: 765-1802 t:oTIFY
s
70 ` CALL
Examined 19/9, g~ h1AIL T0:
Approved ~0 , 197-k~, , Permit No. ~!.Y.J ~
Disapproved a/c t~ . arJd~C. ~p . `i.=G~~~~ .
..'.....~1......
(B ildi o Spector)
APPLICATION FOR BUILDING PERMIT p
Date . ~J J. `6 19 . G
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
leis 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
ortareas, 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, ordinance , building111 code~ousing code, and regulations, and to
admit authorized inspectors on premises and in building for necess inspection.
1... 1 -j
Signat re of applicant, or name, if a corporation)
o..P (21.1 N, 9 . I .C AJ.0 uve~...11 5. .
(Mailing address of appl cant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
owotR
C D1.v.1J
Name of owner of premises ~ ~
(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 . .
Electrician's License No . .
Other Trade's License No . .
I. Location of land on which proposed work will be done . .
7 1......p~c~~~.. (_PHI ,...........COQ.L1~~Ve~.......~ew.~.,~Ic.........~ly~...
House Number g Street Hamlet
County Tax Map No. 1000 Section ? Block L Lot .r?. W
Subdivision Filed Map No. ~E7
Lot
(Name)
State existing use and occupancy of premises and'i Intended use and occupancy of proposed construction:
a. Existing use and occupancy ~C \V. - .,^R~ V !l ~1 IM\\ ~}4~ .41~ ~J tl , „ , ,
b. Intended use and occupancy ~V S 14 ~ ...1 JET 51 r , , , ~ , ,~~,4 X ,15,T~N CL ,QAC
3. Nature of work (check which applicable): New Building Addition Altera ion .
Repair , oval Demolition Other Work .4-t
4 = (Description)
4. Estimated Cost k ,IQ o.o
Fee........ .
(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 t pe. of use .
7. Dimensions of existing structures, if any: Front . , . 3b , i.. , • • • • , Rear . . . Depth 26. 0, , • , • • ,
Height Number of Stories .
Dimensions of s We structure w~th alterations or additions: Front . . ..3b.,2 Rear
Height N Height Number of Stories ,
Depth Z. . ........mction: Front ~ b ?.......Rea ear 36.-. L....... Depth th ~ F: ~ .
8, Dimensions of of entire new new ns .
er of Stories . ........r .
9. Size of lot: Front ...2$.. Rear ~.7: ,0. S, • D th l l i d .
10. Date of Purchase O.C'L. P~ra5q. , • . , • • . , . Na e of Former Owner tl!... 4n'j.
11. Zone or use district in which ARaf or/ Ov
proposed mises are situated _ csl a~ y 2 .
12. Does construction violate any zoning law, ordinance or regulation: N. I? .
13. Will 14. Name lot
owner regraded premises . . No ' • ' • • Will excess fill buemoved from premises: Yes o
SQh.../)?ftlloNl~..fQ. Address 795.. b.if...L!1...... Phone No. S16 7 y.Z6 79... .
Name of Architect Address . Phone No.
Name of Contractor 7~RRI,C~IVp, • ,~s Address . r NY ,~p•~--D~ l~,
15. Is this property within 300 feet of a tidal wetland? Yes..
*If yes, Southold Town Trustees Permit may be required. lv/
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.
~p
APR ED AS NOTED
- DAVE: BA # yd 52 3
FEE. NOTIFY~ BEPAliTWW T
7615-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
16E 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
STATE OF NEW YORK, S
COUNTY
q . t !
• • • ~ • • • • • • • • • • , being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named. L~ h
He is the ............N e I : PA I I C !9 aJ .1 .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly, authorized to perform or have performed the said work and to make and f1h, 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.
Swom to before me this VIVIAN HEINZ
)h Notary public, State of New YWk
No.OIHE4963152
• • • 19 . , . Qualified in Queens County
i
Votary Public, Y Commission Expires Marclr5,1994
County
. Ihl/ On C/),-
(Signature of applicant)