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Home My WebLink About20162-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20903 Date JULY 31, 1992 THIS CERTIFIES that the building ADDITION Location of Property 15775 NEW SUFFOLK AVE. NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 6 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1991 pursuant to which Building Permit No. 20162-Z dated SEPTEMBER 24, 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 GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD QUINTIERI, JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B ld'ng Inspector i Rev. 1/81 meat xo. a 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°_ 20162 Z Date 19.l Permission is hereby granted t : ~ .`~7..7.5.1~:..~ .....Y~.-. af..:. at premises located ot .........~:5..~.~~j..-......~~..~ ( ....................................................~.:.:....~:G~~~............................................................... County Tax Map No. 1000 Section ~..y...,~.1...~...... Block .....~t Lot No....°z..~....... pursuant to application dated .......1.~.,~,~s 19.~~, and approved by the Building~Inspector. Fee Ss.~%~. . B ing Inspector Rev. 6/30/80 • Form No. 6 C L I i( ~~~.j ~T:_,(e-~~ f ~\`,tr'p' r, ~ TOWN OF SOUTHOLD i1}~~~~~~~~ BUILDING DEPARTMENT ~..~y 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. Oertificate 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 Construction.... Old Or Pre-existing Building.......... ti.... Location of Property.~a~.7.~.-t ...`v'~.A'.1.;~.t~. ~ 1. Cc'.4~. :L..~4:~:h-....... lIouse No. Street Hamlet J v Onwer or 6wners of Property...r.G ~:e{,. q} r.~ 1 ; County Tax Map No 1000, Section..~~.(........Block.....S-i.........Lot.....~ Subdivision Filed Map............Lot...................... tt u Permit Noa}CL~~,.~'~....Date Of Permit.~.~Jf./ (Z~.....Applicant Health Dept. Approval ..........................Underwriters Approval.....,................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate....~.. Fee //Submitted: $....'~'S ~ IT~iC• C.rC"•`:G~~/.~~.~~~l,G-t?:"l.-G!.~t'lt~lt ~ ~ ~ l AP~L'~CANT ~aago3 '1ELJ I;:.`'.: EC:i~;i ~~`Jn:_. I~ :;UP4i9LNT~ Y~ ~ Q a ~ H H 'OUJIDATION (1st) ~ ~ _ T • OUNDATIOIJ (2nd) _ _ m o ~ OUCH FRkitE & ~PLUMBINC • ~ ~ \~Z IISULAT20;! PER N. Y. .m-~ STATE EJJERGY CODs I T m ' _I FIJJAL ~ y 6 ~.O - ~ . o~ ADDITIO AL COM ENTS. Z ,6 S • \ • m • x ^n ~ ~3 a H \ N O T m a r _ H Z O ~ ~ m .a H • a G ~ z~- 7ss-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ) ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~ DATE L ~ ~ INSPECTOR rss-isos BUILDING DEPT. f NSPECTION FOUNDATION i5T [ )ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [)FINAL REMARKS: _ ~9~ ~ f DATE ~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING G-~ FINAL `..~~-f/ REMARKS: a DATE INSPECTOR N/F LIBERATORS S 78° 3°4' E 95' \CM N Fd Fd ALUM g g SHED 6°~ BS O 0 Z iv O ~ ~ ~ 0 ~ m Z ~ ~ Z r y 32.2' Z ~ O D SCREENED . ~ / ~z STORY N PORCH WOOD FRAME lL2 m PO RES/DENCE ~ 4i Chifiney~~ h , N b 327 4 28.4 /0.9 ~i o O o ~ 3 Z o ~ r i n 4 rFd Q Fd N 78°34'W 95' T/E=/90' NEW SUFFOLK AVE. YM#/000-//7-06-/6.005 SURVEYED 20 SEPTEMBER /99/ ~y/fddles indkafd h•ro on shstM nAf MAP OF SCALE 20' qtly fo,ltie Person for whom the wrvey 'b preparod, and on his.b~half fo The DESCR/BED PROPERTY Title company, C ovarn entcd Agency, Vnaufhorized aherafion or ad Jendin institution, if listed hereon, and dhkn to fhb to 1M assi noes of the lendin imtitution. S/TUA7E a'~ Is a vkletion of Section 7209 of g 9 th ew York State Education Law, GeorsnNSS an not transferable ro ~VEW SUFFOLK, TOWN OF SOUTHOLD aslaNMa1 htsthutiom or. subsequent owne ' SUFFOLK COUNTY, NEW YORK GUARANTEED TO ~ SURVEYED BY EDWARD OU/NT/~'R/, ?R, ~ STANLEY' ~T?' =a~/7KSEN, ?R. rowN of soveyo[D SURVEYED FOR EDWARD OUINTIER/, R, RO.~BZ~x:~~~~,, ' aVEW=SU FOL ;trY,~! /956 Crz.„^ o. 1.: s s..n" ~o:.P not touring ° f`. ;Yl' ' i/ - ` r. the iand Surveyors emb0ued Mwl shall "r~ hot be considered fo b~ n valid trw L/CEN D L?ANO- SURVEYOR - " ,,,rpy. " N.YS. L/C. i~0-x49273 ! i ~ 918464 ~ . , ~ _ ..4 _ , _ _ .a .rte < ,~.e ..n... ~a<,_ ~ ,z,.,:~ ~ _ . _ .k ra r'' BOARD OF HEALTH 3 SETS OF PLANS FORM N0. t SURVEY SEP 161991 ~ TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC FORI.1 TOWN HALL BLpG. pEPT. $OUTHOLD, N. Y. 11971 TOWN Uf i1TttlOf~O NOT Y a ~I TEL.: 7G5-1802 CAL . 7~~~,v~~,~?~,~~, , Exantincd ~c~°~ l~j IL TO: Approved 1~~......., 1~~Permit No. ~I:~.°~.~ . Disapproved a/c . _ (B dding In •ect r) APPLICAl"ION FOR BUILDING PERPAIT - Date ( - 15q~ . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or jn ink and submitted to the Building Inspector, with 3 ,sets of plans, accurate plot plan to scale. Fee accordin; 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 Jaye: t of property must be drawn on the diagram which is part of this appli- ~:ation. 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 ar 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, b - ¢ing c e, ustng code, and regulations, and to admit authorized inspectors on premises and in btiilclingSarnecessarv.- s, ,c+iPns a (Signature of a~icant, or name, if a corporauonj - (Mailing address of applicant) State whether applicant is ~w~er, lessee, agent, architect; engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~.la ~~-/."aCl~._.. /iil/~.~.4-~'~ . (as on the tax roll or latest deed) If applica ~~~~c))orporat- 'n, s' ture of uthorized officer. (Name and title corporate officer) Builder's License No. J.J1.~11~~, , , , , , , , , , , , , , Plumber's License No . Electrician's License No . ' Otfter Trade's License No . . I. Location of land on which proposed work will be. done; i xi; , House Number S/t~reet. l Hamlet ~ ~ ~ " County Tax Alap No. 1000 Section l........: Block , , , , , y~, , , . , . . , Lot . , Subdivision Filed Aiap No. Lot . (N:une) Stare esistin~ use and occu Inc of premises and -mended use and occu ~ P' Y panty of proposed construction: A. );xisting use and occupancy.....`~1:~ B. Intended use and occupancy... A'l~''~. • • :f.A ~,:~,~"',J1,:1IIS`:~£a~.'t~±~ ' 43ci ~a'riu7' .le~'~.'# .rsYt «..BF.~E: >~~qx~! ! . 3. Nature of work (check which applicable): New pudding Addition • • • • • Alteration Repair Removal Demolition ..............Swimming .pool-. . Tennis Court Acicessory Building..........Fence .......Other Work:..,,'....... 4. Estimated Cost Fec • (to be paid on filing this application) 5. If dtvclling, number of dwelling uri'its . ~ Number of dwelling units on each floor , , , , , , , , , If garage,numbcrofcars /r 6. If businrss, commercial or mixed gccupantcy~pecify nature nd extent of eac type oC use , , , , , , 7. Dimensions of existin structures 'iC an Front . . • . De th . , , , , , , , g Y: ..•7'~-.~. ~ . .Rear ~'..T... p .~lf. ~ . Height ...irl;a`:....... Number of Stories ...i. . . + Dimensions of same structure with alterations or additions: Front Rear ..'/G¢ i .t(,+; , , , , , , . Depth P......... f Height .....Number o~ Stories t ~l . J ; . 8• Dimensions of entire new constn+etion: Front ~ Rear 1 .Q:.. , .Depth r-t7 ~ • , , , , Height ~'/z:~ Number of Stories . , . 9. Size of lot: Front ~ ~ Rear . ~~rl U ~ D/e~th ~ .],e~. ~ ,1} r~........ . 10. Date of Purchase ...f. . . .......Name of Pc+:,ner Owner . J~.o~.G.•~ , . • , , 1 1. Zone or use district in which premises are situated • • . . 12. Does proposed construction violage any zoning law, ordinance or regulation: (J~ • • 13. 1Vill lot be regraded fl2D.. ~J1 >'LVill excess fill be removggd,, from premises: Ycs "~J . 1~3. Name of Owner of premises ;rQ Nt.~~,(t!/.'l.~t/Jlddress(5.~~?'. A~~CkSk.li'P.I~d1I~'itone No.~+~I • • Name of Architect ! ..............Address ...................Phone No........ , . Name of Contractor • . L .......Address .Phone No... . 15.Is this property locat~,ed within app feet of a tidal wetland? *YCS.. NO• *If yes, Southold Town !!Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all ??uildings, 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 c`~`~-._.._ ~ !I ~ ~ • WC6~PCy1Ei? Ii c ~ rJ ~ o ~ I I ! ~ I 'C . , 1~ STATfi OF NE1V YO~ \K S.S ......!~..5uik' _ QJ2.•_.... COUNTY OFF1,........`~.~ - , , , , .Yx~!-!?•'I~, + Qu 1. N:~ 4? Y: , • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ! -Icisthe ......................!'i.Q~2~.................... (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 file this application; that all statements contained in this application arc 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 thcretvi[h. Swom to before me this ...........~.~4-~. ..day of , 19~~ Notary Public, . • .County ((0 Jat• Lq'~'~C ~p,/i~1JB11 MN.'~ (Signature oCapplicant) ~t~t;tE, tM~MW