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Home My WebLink About20009-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20097 Date JULY 22~ 199~.__ THIS CERTIFIES that the building ADDITIONS Location of Property 1750 LAURELWOOD DRIVE House No. Street County Tax Map No. 1000 Section 127 Block 5 Subdivision Filed Map No. L~J3REL~ Hamlet Lot 3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9~ 1991 pursuant to which Building Permit No. 20009-Z dated JULY 10, 1991 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 WOOD STOVE & SKY-LIGHT ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOROTHY & JOHN SCOCOZZO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A. Rev. 1/81 /filding Inspector ]J'OBJf ~0. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne- 2.0009 Z Permission is hereby granted to: ..... .... . , ...... (~....~:./~.~ ....... ~./~._m.... .......... "7~"'""'-~'"'"~'"-,~";~::~ ....... ~ ......... ~"""~: ............................................ ~, p~mises ,~Qted 0, ....... ~ ............... ~~~~ ........................................... County Tox Map No. 1000 Section ....... ../~..~.~..~... .... Block ........ ~ .... Lot No.....~ .............. pursuant to application dated .......... /../.~.. ................................... , Building Inspector. Fee $ ...... 19~.,,., and approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTblENT TOWN I~LL 765-1802 APPLICATION FOR CERTIFICATE OFioCCUDANCY i. 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 cerJificate of Code C~pliance from archiuect or engineer responsible for the building. 6. Submi~ Planning Board Approval of completed site plan requirements. ;. For existing buildings (prior to April 9, 1957) nOn-conforming uses, or buildings and - pre-exzsting" 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 i. 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 Buildfng - $IOO.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.O0 ~ate ............ ~ ~q..~.../. ............. ew Construction .......... Old Or Pre-ex~sting Buildin ~-~-~' ' ' ocation of Property...Z.Z~.~{ ........ ~C< ~ ...... House No. Street Hamlet qwer or Owners of Property.. .~ ~z ......... ~.~y ~=~ ~=p ~o ~000, s~io, ..... M~.]..~o~ .....~ ......... not ...... .~... ;bdivision. f-'-'~''''~.~ ...... Filed Map ........ Lot alth Dept Approval ' ....... Underwriters Approval arming Board Approval ............. ~quest fo~: Temporary Certificate ...... Final Certicate.. , ....... - ~f- · .~..~ ~. ~;~ ...... TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PECTOR P.O. BOX 728 TOWN ftALL $OUTItOLL), N.Y. 11971 TEL. 765-1802 To Whom This May Co¢cern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /? An application for Certificate of Occupancy is not on file. ~~ / / No Underwriters Certificate on file. /~_ Tile check is(~a~/not on file.) $ ~ /5/ No lleajth Dept. Approval on file. /5/ No final J. ns.pcction has been made. Please co~tact our office on this matter. Thank you for your cooperation. Building Permit tt ~ O O'._~ ~ Z Buildinq Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION (lst) FOUNDATION 2. (2nd) ROUGH FRAME & .FLUMBING INSULATION FERN. STATE ENERGY CODE FINAL / /f ADDITIONAL COMMENTS: OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined. ~.~..J~. ........ 19f/ Approved...~ .......... 19~.~. Permit No. ~.Z? ~ .~. ~..~ Disapproved a/c .................................. ./.. BOARD OF HEALTH ......... '--3 SETS OF PLANS .......... SURVEY ................... --CI1ECK .................... SEPTIC' FORH .............. CALL ................... HAIL TO: . (Buil,~g Inspect'9 APPLICATION FOR BUILDING PERMIT Date .................... 19... INSTRUCTIONS a. Tins 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 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 cbmmenced 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary Lnsp~.c~ions. .~ ...... , ..... --- (Signature oz applicant, or name, i~ a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, aLch,itect, engineer, general contractor, electrician, plumber or builder. ...... .... ..... ........... .. .,. ~ . ; ~. .... ., (as on the t~a[x roll or latest deed) If applicant is a corporation, ~ign~tu~r~'of duly huthorized officer. (Name and title of corporate officer) Builder's License No ..... ~ "~" ''~ < x-' Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed workx~/i-lt,be done .................................................. .......... ? );z . . . . / r. ?. . . . ': ............. House Number Street ~ ~'~ Hamlet County Tax Map No. 1000 Sec_tion ....... /..~x.. 7 ..... Block ~ 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 ... ./. %'2:(.~...~.. ~i~,~* ...... c~~ ~./ ........... ~v ~"~"..,~"~',"-~ ~' '~"~"~ ~,~,~* ~"~*~,.~ ,~"~ ~*~&~ ........... b. Intended use and occupancy ................................... ~tC.,?q:2 ~';~;~q~ .~.hc;~t~!.~.=,~ ............. 3. Nature of work (check whxch apphcable): New Building .......... Addition .......... Alteration ......... Repair .............. RemoVal. . Demolition OtherWork ---f?.,-'~,Y Z/:~4~ 4. Estimated Cost ..... .~..q .~. .......... 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 ................................................................ · d[ ' 6. If business, commercial or mxxe occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures!,ifany: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front Rear Depth ' Height Number of Stories 8. Dimensions of entire new construction Front ............... Rear ............... Depth ............... Height ............... Numb~er of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase .................... ......... Name of Former Owner ............................. 11. Zone or use district in wlfich premises are situated ................................................ 12. Does proposed construction wola~e any zoning law, ordinance or regulation: .... .., ........................... 13. Will lot be regraded .......... i .................. 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 property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold T6wn 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 descriptioh according to deed, and show street names and indicate whether interior or corner lot. : NOTIFY ~¢v[I.~[~,NG OFPAFtT~'z~ AT 7['J5-180,',,~ 9 A~I TO 4 PM FOR THE FOLLOWING INSPECTIONS, 1. FOUNDATION '~WO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CON~TRUC~ON 8HA~ ME~ THE REQUIREMENTS OF THE N.Z STATE CONSTRU~ON & ENERGY COD~. N~ RESPONSIB~ FOR DESIGN OR CONS~U~ON ERRORS STATE OF NFJh~ORKr'L-~ /~-- S S ...... ~'~. ;~.q .......x ..... ": .... ' ' I .................. being duly sworn, deposes and says that he is the applicant (Nam(of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or. owners, and is duly mthorized to perform or have performed the said work and to make and file this application; that all statements contain~ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner sbt forth in the application filed therewith. Sworn to before me this Guellfled in Suffolk COu~ d~ -3 (Signature of applicant) Cwmrnhmlon E. xplree Deaem~W' ~, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~NAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ~ZND [ ] INSULATION [ ] FRAMING DATE ?//~//~/ ' N S P ECTO R _~.~U~ '~Z'~· 7~-1802 BUILDING DEPT. INSPECTION RE:MARKS, DATE ~/:~/?/