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Home My WebLink About20553-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20854 Date JULY 13~ 1992 THIS CERTIFIES that the building ALTERATION Location of Property 670 WEST CREEK AVENUE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 13 Lot 5.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 13{ 1992 pursuant to which Building Permit No. 20553-Z dated APRIL 16~ 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 ALTERATION IN BASEMENT OF EXISTING ONE FAMILY D~T~ING AS APPLIED FOR. The certificate is issued to of the aforesaid building. DEBORAH DOTY (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NOo N-235881- MAY 19~ 1992 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 I~OBM NO. ,u 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°-N? 20553Z Permission is hereby granted to: ~ . , __ /J ....~. ~.~..~..3..~ ................................................. ~~L-.....,.~.:...V.:......c!..~.~.L ...... ..........(..z.~ ~....~......~.~: ........ ~:~~ ............ at premises located at ........~ County Tox Map No. 1000 Section .... }...~...~ ......... Block ...... I...~ ......... Lot No.....(~.~.:..~ ...... pursuant to application doted .... ~ ....... .I...~ .................. , 19..~...~.., and approved by the Building Inspector. Fee $.....~.....?..~ Building Inspector Rev. 6/30/80 ~ ' .!,.'~t~ ~ !.,.';~.il TOWN OF SOUTIIOLD ~' ': BUILDING DEPARTMENT i i,'iJUL ' 6 1992 TOW 765-1802 : T(;~.,~ C' :?~ ~,'.~G~ !'APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR in~ 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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 Certifidate 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, Swim~ing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 ~. 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 $15.00 Date ..... ..................... New Construction..~ ....... Old Or Pre-existing Building ................. Location of Property ....... ~0.~$~.~.~y~ ...... ~$~? ......................... House No. Street Hamlet Onwer or Owners of Property....I~bP~.~b. PP.~.]~ .................................. County Tax Map No 1000, Section. !0.3· " 13 .0,5.:~ .......... Block ................ Lot ................. Subdivision .......... Filed Map Lot Permit No...~O~.5.3. .Z ..... Date Of Permit. 4/16/92 ~ . Ron Morizzo Builder, Inc. Health. Dept. Approval .......................... Underwriters Approval....X ................. . .. . Planning Board Approval ..................... ... Request for: Temporary Certificate ....... . .. . Final~Certicate....X. ...... .... .................. ] ................ THE NEW YORK BOARD OF FIRE UNDERWRITERS [000 [ ~ [ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date THIS CERTIFIES THAT only the el~trical equipment ~ ~scribed be~w a~ introduced by t~ applicant ~med on the a~ve application n~mber i~ the premises of h,cation: ~ B.sement ~ Ist ri. ~ 2nd }~, O{!T Section Blm=k Lot was examlned on ~/~ ]* ~ ~ ~ ~ ~ ~ and found to be in complionce with the require.~ents ~f this Board. FIXTURES RANGES OVENS EXHAUST FANS FtUORE$CENT OTHER DRYERS SYSTEMS NO. OF FEET E APPARATUS= E R V I C NO OF CC, COND CC, COND. NO OF HI-tEG A, WG OF HI-LEG NO, OF NEUTRALS 275 't'0[,'/14 II^t~BOR l, hl'Jl'.,' GENERAL MANAGER Per_ 'his certificate must not be altered 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. 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 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 29, 1992 RON MORIZZO BUILDER, INC. BOX 789 SOIITItOLD, NY 11971 RE: DEBORAH DOTY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~x~x~/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). 20553-Z BUILDING PERMIT Please'contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~OUNDATION (1st) '~OUNDATIO~'! ¢ 2nd ) IOUGH FRAME & .PLUMBING [NSULATION PER N. STATE E~;ERGY CODE FI~!AL ADDITIO~A'L COMME~$TS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~NSULATION ~/RAMING [ ] FINAL · * ~**~ DATE BOARD OF HEALTH ............ 3 SETS OF PLANS ............ FORM NO. 1 SURVEY ..................... TOWN OF SOUTHOLD CHECK ...................... BUILDING DEPARTMENT , SEPTIC FORM ................ TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 _xa,nin d. ..Z- Approved ........... k.~.-, 19~..~. Permit No..~x.e .~...~...~. ~ Disapproved a/c ..................................... ................................ " ..... APPLICATION FOR BUILDING PERMIT NOTIFY~ Rcn Morizzo CALL ?65-5772 blAIL TO: ,.[dLD,3. d.., ~ Date .. ?.P .r.i3..7. t ....... 19.9.2. INSTRUCTIONS a. Tlfis application must be completely filled in by Wpewriter 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 lot and of buildings on premises, relationship to adjoining premises or public streets dr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tiffs appLi- cation. c. The work covered by this applJcatinn may not be commenced before issuance of Building Permit. d. Upon approval of this appilcation, 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 aOy 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. ,.. ?.o.n..~.qr.~.z.~.o..~.~.~.~fi.%r.,. ?.c... ......... (Signature of applicant, or name, if a corporanon) · ?...q... p.o.x..7.%%..s. 2! 77) ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, ~cifftect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises ... p.e.b.o..r.a.h. Dory ......................................................... (as on the tax roll or latest deed) If applic_~ is a cgrporation, signature of duly authorized officer. ... ............. . (Name and~[4 of corporate officer) Builder's License No.. 6772 HI Plumber's License No ......................... Electrician's License No ....................... Other Tradc's License No ...................... 1. Location of land on which proposed work will be done; West C.ree~ bve. qge Cutchogue tlouse Number Street Hamlet County Tax Map No. 1000Section 103 ' Block 13 Lot 005.003 ." Subdivision .............................. · ....... F, iled Map No ............... Lot ............... (Name) 2. State existing nsc and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Use and ........................... occupancy S~n.~le fa~il.¥ d[wellin_cj ................................ Single family dwelling with alteration b. Intended use and occupancy .................................................... 3. Nature ofwork (check which applicable): New Building ......... AdditiGn ........... Uteratxon . .::. ....... Repa/r .............. Rl~moval .............. Demohtion .............. Su i rm,~i n!.~ pool ......... Tennis Court .......... \ccessory Bull_ding .......... Fence ....... Ocher [~ork .......... 4. Estimated Cost $ 7,000.00 Fee $ 50.00 (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. Din~ensions of existing structures, if any: Front ............... Rear ............... Depth ................ Height ............ ~ber of Stories ......................................................... Dimensions of same%truct~re iVith alterations or additions: Front ................. Rear ........ Depth ...................... Height ...................... Number of Stones ....................... 8. Dimensions of enti~ nexw¢onstruction: Front ............... Rear ............... Depth .............. Height ......... ' ...... Number of Stories ......................................................... 9. Size of lot: Front ...................... Rear ...................... Depth ..................... 10. Date of Purchase ............................. Name of Former Owner ........................ 1 I. 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 .l~l~.o.r.a,h... 1D.o.t~' ..... Address .. ?.u.[e..hP,q.u.e. ...... Phone No ............... Name of Architect ........................... Address ................... Phone No ................. Name of Contractor ...R 9.n. ?.r9 .r .5.z.z. 9..B.u.i. 1..d .e.r.. Address ... ~.q U 'c }.'~.o.l, cl ...... Phc ne No..7.~ 5 ,- ~ .7.7. ;,_: ...... 15.Is this property located ~ithin lO0 feet of a tidal wetland? ~YES .... biO .... ~If yes, Souchold Town Trustees Permit may be required. PLOT DIAG 1L%M Locate clearly a~d 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 comer lot. Finish room in basement New 6' sliding door STATE OFNEW ~O-RK~7 z~. //[ SS COUNTY OF. fha..~A~....~'7~ ' ............ .t~..0..~.... 1. ~ .~..~..~.. ~ ............... being dnly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) above named. ~isthe ~- 0 /~ ~ (Contr;ctor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have performed the said work and to m~e and file application; that all statc~nents contained in tiffs application are true to the best of his knowlcdgu and belief; and that the work will be perforated in tlie m~ner set forth in the application filed therewith. Sworn to before me tliis ........... q ...~ ....... aay ol....~ ;~ ..... ~.~'. ....... , 19 ..~.~ .............. ~o. ~15~ ......... ~_ ~ua~ in S~k ~ ~ c//~ (Signature o f applic~t) ~mm~ ~ May ~ 1 ~ ~