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Home My WebLink About20054-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z20123 Date JULY 3~.g...1991' THIS CERTIFIES that the buildin~ Location of Property 2140 BAYSHORE RD. House No. 1000 Section 53 County Tax Map No. Subdivision ALTERATIONS & ADDITION GREENPORT Street Block 4 Lot 25 Hamlet Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30~ 1991 . pursuant to which Building Permit No. 20054Z dated JULY 30~ 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 ALTERATIONS (FINISH 2nd FLOOR) AND ADD DECK ADDITION. %qne certificate is issued'to BRUCE AND BARBARA PETRUCCI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-621899 - NOV. 1~ 1983 PLUMBERS CERTIFICATION DATED AUG. 2,1991-J.DABROWSKI PLUMBING & HEATING Rev. 1/81 ~ing Inspector FO~,M NO. o TOWN OF SOUI'~OLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) .... ~..~.~'~ ................... N~- 20054 Z m,,o . .,~...=.~ .................. , ~.~./.. Permission is hereby granted to: ~,~ ,// ,,~ , .? ~.. ...~~~...,......~.: ./.... . . . .~....~.., ~ . ~ .~ ~~.....,~ ..~...~:.%....~~ ~~~ ............. o, ~,m,,,,o,o,,,,,...~ ...... ~~:.....~ ............................................. .................................................... ~~/.~ .................................................................. ~.~ ~ ~,~. ,00o ~.t,o...G~ ...... ~,~, ...... ~ ........ ~o,,o ...... ~ .... Building Insp~tor. Rev. 6130/80 BUILDING DEPARTNENT ~ "" TOWN I~LL -~. 765-i802 '"' APPLICATION FOR CERTIFICATE OF:ioccuPANCY %. This application must be filled in by typewriter OR i ink and submitted to the building inspector with the following: for new building or new use: i. Final survey of property with accurate location of all buildings, property lines, 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 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 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 Build~ng - $iO0.00 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 . .. Old ...... ew Construction ........... Or Pre-existing Building .... ltouse No. Street .... Hamlet ,unty Tek Map No 1000, Section...S[3 ....... Block ..... .~. ......... Lot...~.~..~.. ' . . ............ ~bdivision .C~.(.C; . ~. .Filed Map.. ~ .Lot....~ ......... "' .-.. ... A1 · ' .. · .Date Of Permit. · ..... Applicant Dept. Approval .... ' .................. Underwriters Approva ..... Board Approval N arming .. . quest for: Temporary Certificate .... Final Certicate. APPLICANT - ' .......... 952 (:)11 ,:h..dI.y ::.~;(.)~, :I.?~?:I. I~lr",, Br-i..~c:e PetF,...icc:i i:.u'"es~ented ~De ~itln the~ ~:H': '~' a c:l'~ ~d .FoFm ,~u~i d ~,,x p :1. ,~'i. n c~d that c:omp:lot, ed all r"ough"..:i, rt and ir'ui~ta:l.l~tiC.)F~S~ by '7'"'2'.'""E]6 ~,,~:i. th ~:~x~:((~,l::)'lt:iF)n,, "l"l"u~) l~::~vatcH"'y ~,~a~s nc:fi:: tr~sds,~].:E~d A.(:'(::c~r" Feal::l:i. rlg '~':l'le~ er'u::.lo!sc-!!d .For'm~, :[ exl"i].a:i.r~ed tel Mr',, F'e'I:r'uc::(:::i. [':hat: I c::ou]. (:1 r'u::)t s;i !::H'l the) -FcH'"m .(.of '[:1"~ .F("~:I. :L cD~i r~(~'.l f FH'" I::U:)t aid 1. e) ~a't:~,.:,r" s;Upp :J 'i ~:~S~ ~, and NOT :L ~F~a(::I-.F r"(,~)e) ~(::):L dell'" ,s~ your" .F or"m cJolfl~,~F~.J.c: ~'::l'[:(~))l-' ~L{j:.ip:J.:Le~!i '1:(:) J:)~ C:(:H'II"t(gC::~::E:(,d NJ.~::J"I l~o:[d(.:z,I-' ~[~]..(91'" ~L~J::iJ:i].'J.E~E~, ,::~i~ the:,y p~:.~r"'[:t~:~J.l'l tc) tl'lez~ UJ.~S~FJ:LL~J.I"~i~ J::)E~tHI'"C)Ct~tl "FI"~c~ ],~a'J':'[t~:~)l'~ I'"~tvt'tJ, l"H~j J,~:~ L~Flde,,l'"fi~tc:iocJ by lli~ 'J:o ~D~I'I 'J::J"l~:'~: 'lt:h'J,~ ~:':(:')~"~:~J.r'~(~:)(:] .F:i.w~, p(.~r"c:e)FJt:('5%) le:,ad and nine:,'~sy-f:i.v~:e i:~e,r'c:eH'ds(~E~%) t:i.n,, T wo~..~].d hc')[')~, t;hat '~"h~,.? fc).l.J.c)wing 'Fa(::t~ ~a~:, comp:l.:Lng ~:i.'l:l"~ th~:~, ;I.a~,, It ~,~,,~ not urd::'i.]. 't':l"~ Fall o'{: :1.~86 that: :[ h)~.?~':~:~m(~D ~:~W~l'-~.~, vJ.~:~ C')~tK" ].C)(::~':X]. r'~:~,ws~p~:~peDF~, 'IT.I't~'~: ,~m~r'~dmer'r~:~, 1:o '~::l't~ EJz~H:~.~ L)Finl.::J.r'~g Wa'i::e)F' ~c::t bu(~,l'"())) sxLgrle)d ir'r[:o :Law or') ,]uric) :L(:?~, :I. gE)6(I (::c:)rls~ideH~'(::.)d ~s~:v~(.:;) .For" l.~i~iE:~ ar'u:l &O/4.()~, of ~()/~()~, 2) I w(:i~].(:J v0))r'lt:ur"~) t:o sh~y 't':h~t~, to da'k:e~, t.h~:, Nl'l .L c:h h ~ vt:) I::) e~e r'l c: o r u"~ ~ c: 't'. ~::~ d ~-~ :i. t h 60740 cH'" pub ]. :i. c: I'u~:t]. 'Lb ,, Ne~ I"lav~..:~ a.I. 1 Fe~cl ~xbou'l: ~ i ~ .... ' ...... 'khe c~!xt, ensive u!;i~e o.f: 60/4() or 50/5().., standards o.l: the past~, have n(')k i"ev(.::.~i~l(~)('l a pub]. :i. c hea.l.'kh ep:i. demi c :, .I. .~eel tha'k the has'ke)~)], y add ~:ha'k ILO-1 eac. I ~;(::)]. dE, l'" (:::(l;}r'kail'll y el. J. lllil]ates 'kh(.~., c:oncern ,Fc)l'" ].ead....pc~:i. sc)rt:i.r')~:] via sc~].(:J(~red poCal.)le wa'keF (.J:[st. ribLv[:'.i(::~FI k~zems~i at'icl r(::,)adi],y acknowledge 'kha'k, i'[: (]L.U'" {~C)VEet"i"lJ.r'l~] bc}d:[E)s are 'l:o I::~(.:~]. :~. ce th ~ s al'"~:~)a ~, 'EI'I~:.}~ ]. a'(::tce!'" approach i ~:~ mc)st prud~rtt ,, z~.) ~ly J.~::JI']C)I'"&~I"iC'(~~ C)'~; th~s amc,?ndment t(::~ the law was co-inc:i, dent. ~:L'l:J"i tJl(~? '[:J. hle per:i, od tha'k the law chanqed,, ~:~ki. nc::~c) I am at .i:ault and .it cou:ld I::)e d:i..f:.Ficult to reach d~.,~r:~.¥'~g the normal wc~rk'i, ng hc~urs (~'~: the day, ]: ~.].]. ~:ont. act ~'.~.F.[:ice on '['hursday(8'.".8-91). I'F you have had time to cc~nsic'le~~ t.h:i.s iODizeD !THE NEW YORK BOARD OF FIRE, UNDERWRITERS , BUREAU OF ELECTRICITY' ' ' , J'---J~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,.reNovea~er l, ~ App,cation No. o./ile ~sv/a~.. N 6 218 9 9 THI~ G~ffTl~lff~ THAT only the electrical equipment ~ described below and int~uced by t~ applicant named on the able application number in t~ prem~es of ~as e~amlned on ~r ~ ~ ~ and found to be in compliance with the requirements of this Board. FIXTURE I I Ir FIXTURES v~,TRANG~w. OUTLETS~]i RECEPTACLES~ SWITCHES2~ INCANDESCENT~ FtUORESCENT L3 FUR,".:CE,.l,, '"'P"'"" EUT2EA"L'::CE'E:'O W :' SERVICE DISCONNECT I NO. Gl S E R METEI 1 150 cb X AMT. AMP. IYPE jQgjja 1~'2W ] 3~3W 3,~4W OTHER APPARATUS: 1-G.F.I., 2~ke Detectors. ,Track ~,~Et~t~ng: 18' O' 11 Lites. JCOOKING DECKS J OVENS J DISH WASHERS TIME CLOCKS BELL UNIT HEATERS~ 'MUL[~OeU~L E l TRA ~ SYSTEMS AMT. A~AP$' NS' NO. OF FEET V I C EXHAUST FANS DIMMERS A W,O, ND. OF HI-LEG A,W.G. NO, OF NEUTRALS A,W,G. OF CC, CONO OF HI-LEG OF NEUTRAL 1/0 1 1/0 Ted Cheshire, Jr., (~. l~x 255A, ~ound Avenue Mat~;l~kp N.Y. 11952 [,.'Lc. 953 GENERAL MANAGER This 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. FOUNDATION ( ls t ) FOUNDATION 2. f2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: C ~ TOWFJ OF SOUTHOLD Examined .......... 19 ~/ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved, .~.~. ~.O. ......... 19 ~/Permit No...5~.~ ?..~. ~..~.~ Disapproved a/e ..................................... ~,~ uildin ~[,fl sp e~t o r ) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS CALL ......... ['IA I L TO: a.' This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s,;ts of plans, accurate plot plan to scale. Fee according to schedule. I b. Plot plan showing location of lot and o~f 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 inspectign 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 necessa[y inspections. -- (Signature of applicant, or name, if a corporation) · ........... (Mailing address of ~pplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... .O. ...................................................... - ........................ Name of owner of premises . ¢~.~..O.~..C~.' ',' gy.h).q .~...C%.~.cJs... ~pt/. ¢.Os.~..e,~,. ............................. (as on the t,ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officeD Builder's License No...%O.v~O..e~O3....r) .r~'..~7. ..... Plumber's License No....~ .' .~.-}..~...~. ........... Electrician's License No...O~..~.~..v~. ............ Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. }louse Number Street Hamlet County Tax Map No. 1000 Section .... .~...~. .......... Block ....... .~. ......... Lot...'.0%...~. ............ Subdivision .0.q:-G~.~'~iC~ ~ ~:7~$3COc~--~- Filed Map No. .~.~;>-k~. Lot..~.\t-~:.~.t..~.~. .... · (Naifi~) ........................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy R~ ~$2~..e3q~C,.~..., 3. Nature of work (check which applicable): New Building .......... Addition ...~. ...... Alteration .; .~. i ..... Repair .............. Remqval .............. Demolition ........... ;.. Other Wo[[~... - II~ ~(D~s~.tion ) · Estimated Cost ....... ~ ............ Fee ...................................... i (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 ..... j 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ~ Height Number of Stories · D,menslons of entire new constrUction Front Rear ............................... Depth ............... Height Number of Stories 9. Sizeoflot Front IC~.~~ i . ~ 10. Date of Purchase . . .~. ............ Depth . I~.~ ...... ............ ffam~e of,F~orm~r Owner I~.i\~.[O.~ .Q40&.l¢,. ~¢~' ~.~.' i ~'.o.~c~' 11. Zone or use district in which premises are situated.. .[~.~..~iCICD~.CI~ .............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: . NO,. .) ...... 13. Will lot be regraded .~,1.~. ~ :. ~..., ............... Will excess fill be removed fr, o__m premises: Yes No 14. Name of Owner of premises['J~¥~c~{, ~0.~.c4~ *.~q~l~0~'. Address ~.~'~. ' ' '1~''~ · ~*,1. · i~none INO.~ .~'~JJ.".,~.:~.'~.. 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 ri,Umber or descriptioh according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTy OF S,~ (Name ...... ' .............. being duly sworn, deposes and says that he is the applicant of md~wdual mgnmg contract) tbove named. te is the ' ' i (Contractor, agent, corporate officer, etc.) >f said owner or. owners, and is duly huthorized to perform or have performed the said work and to make and file this tPplication; that all statements contain!~d in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner s~t forth in the application filed therewith. ;worn to before me this .... · ~. ....................... County IELEN IL I~ VOE ' NOTARY PUBLIC, ~ of ~ Yo~t No. 4707878, Suffolk ~1~ ,~ Te~m Expires I~rch 30, lt~_ Z (Signature oI~ applicant) !, ;i 0 W.~ 7.