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HomeMy WebLinkAbout19808-z E`ORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold,,N.Y. CERTIFICATE OF OCCUPANCY No 220155 Date AUGUST 16 1991 THIS CERTIFIES that the building ADDITION Location of Property 580 KOUROS RD. NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 06 Lot 19.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Buildinq Permit heretofore filed in this office dated APR. 22, 1991 pursuant to which Building Permit No. 198082 dated APRIL 25 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to SALVATORE & ANGELINA CARIDI (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N194569 JULY 1 1991 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING 7/24/91 5~ _ ilding Inspector Rev. 1/81 4 1083[ NO. 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 0 ~ % $ Z Dote ~ 19.a..~ Permission is he y granted to: ~ ~f~.r°..~~.~...L~' . at premises located at .....,.~r~..Q...... ~"/..~f~:FL~..../~~4 ..K~.l .................................................7/,.fit.'.... ~a%p~F~~':.~Ai................................................................... County Tax Map No. 1000 Section ......1 Block ........4?............ Lot No.......1`.t...i..~..... pursuant to application dated .............~~~1~................................, 19.~~, and approved by the Building Inspector. d~ Fee $.~..C. Bu or Rev.6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION POR CERTIFICATE OP OCCUPANCY A. This application must be filled in by typewriter OF, 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 statemenC from plumber certifying that the solder used in system contains less than 2(10 of 17 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 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 ff Date ..~~/S`/`~~ New Construction... Y....../O~ld Or Pre-existing Building Location of Property,~'~a~m..l:~?f'.~?~t.~~:.~~ ...................~~:::!.~`c7~4LC:.......... House No. Street Hamlet / o~-~,,~ ~ ark , Onwer or Owners of Property.. .G.L(.(~~. .~J..~'!! :'t Lt County Tax Map No 1000, Section..~.~ ~ .......Block...~...........Lot....G.y~ Subdivision ....................................Filed Map........~..!..~Lot~...................... Permit No.~(~.Q,~..,.f:..Date Of Permit.rt(. l.. .Applican ~r?yjlyl<,!i(G(,,,~,~~ Health Dept. Approval ..........................Underwriters Approval......./. Planning Board Approval Request for: Temporary CertificaCe........... Final Certicate.....(/.... Pee Submitted: /y/ ? APPLICAN eo~ad/~s THE N~fW Ytl~!!K ®OARD OF FIRE UNDERC~'1~ aAC;" ' ' ~ l.n~loiz~. r E{IIIiAU OR 6LlCTIIICRY ~ 83 JOFIN 87'I~~T. NtW YORK. NEW YORK 10038 JiiL'T (~~,199i 7't6i7l91/91 N-]94564 AppNcation No. on file TN18 CERTIFFEB THAT ewly t/to alaeuiaol aquipoawt ~ decribd haioto eMd iwteadtteed by tM appllant natnod ow thr o6oss,(rytYuoNm weA11~?ie tlesrtowiw 4/ SAVLA'1'ORE: CART.DT; 5hi~ KfttlRIJS ROAD, NF:N Si~P'F'i);~i(; N. V. ~ in tkafel6atetttR locoyt~'~nt ~.f'4'd'f`°"t !.)tl'1` - ,)uN'F: 1Q 199 ~ IRt FI. ? Snd Fl. Sereipn BIRch Lot ~oaa exatwiwed on ~ and found to 6e in compliance n•ith the reyuinnttanln ~ thia faord. 111ff{IRi RRCJRf OUIIRIS Apli RMRiQRD M NIIRRlIClnl Down AMT. R. w. AMT. R. w. AMT. R.w. art. n. r. _ e 6 7 5 l F• 0lYNi R WOK NflYMAM1AMp Rte' !lRiiAL RRC'Nt ril/dIOCA ~ Mµ YMI _ NAT. R. W. pl M. OA! n. t. AMT. NO. W.O. AMT. MV... .AMT. AAVf. }RANI,. AMT. a.1. ( dM. 1' WATw i {Q ~ylp 'I NO.Ot f ! R V 1 C R - AMT. Atr. 1TN l.r 7'M l / JVt ~ i ]V/ t A AW uo. t ~ couo. w. NO. a wuo ho. b uwMrs _ { O111RR ANMiATYf:R c.r•.c.t:-2 'i SriONF AETF.CTOR~-i r r- PAUL R.. HiJE IBS 1, i:C.j~2A2-f.' ?.75 TONN NARHOR I~ANF SOUTHOI,P, H'f, I'1.97?. 81~C:'MNIR/! 11 e ~ ~ t1a. , awN ~Rf w aMnd in °°X dpi ~+Vw^ !i 1~i!!...,Rf .~ludl (f M~r~Mb. a. , ~ IRtf~t ~ui.ox~c o[ .'>~IMt TLL. 7G. -1802 . ti: ; ~ . O~FICF.OI' B,U~ILD~I•L•1., IVSf',EL-TOdt ~ P.Q.. i3.o; zs• - "O ~ ~ ~ S013TH4>LD, , I.X. 1:197 fl `p'~ ~lO. ~ , ~ 7 1 ~ ~ ~t ~ ,ill. 2 9191... ; 4,~~ at.Dr. rowN situ, wa~~r~ ,..~MT,.a C E R T I F I CAT I- O.Ld Date JULY 24, 1991 Building Permit No, 19808 Owner HARRINGTON & WEST / CORIDI JOB (please print) Plumber HARDY PLUMBING & HEATING, INC. (please orint) T certify that the solder used ~.n the water supply system contains Less than 2!10 of 1~ lead. (plumber's signature) -Sworn to before me this day of r 19~ Rotary Publ' Nota~: Pc~h'.ic, Coun;.y CATfIERINE A. ldAGit)PJ Notary Pi~U+io, data of Pde~ York c'lELD II:SP~C:IUfd ~~llAiE ~ ~OMMENT° .o\ 1." ~ _ _ - H FOUt7DATI0N (1st) c ti m FOUNDATIOtJ (2nd) 2. ~ ~ z O ROUGH FRAME & ~ PLUMBING N H 3. ~ ra ItJSULATIOPI PER N. Y. y STATE ENERGY CODE m a FI;JAL r o z ~ ~ ADDITIONAL COMMENTS: ~ - y / ro \ ' ~ x 'ti•O H H \ H O ~ 2 i hJ H r - x t7 ' m ro H I 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~G u~ DATE ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( }ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING ~ [ ]/FINAL REMARKS: k-~~~~.,-~G~ ` - E f ~ DATE `5 INSPECTOR r~~ a ~ r ~ 7ss-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ROUGH PLBG. [ ] FOU DATION 2ND [ ]INSULATION [ FRAMING [ ~ J FINAL ~ ~ REMARKS: ~~r.2~c-~ ~'~~~r.~-r~~ ~ l ~f ` i ~ } DATE 6~ INSPECTOR Q n o i +ni. 765-1802 BUILDING DEPT. 1NSPECTtC~N UNDATION 1ST [ ] ROUGH PLBG. 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O~~ mwm-+F p c m oC7~ ~ ®j~ ~~mm~ $ ~ p owm tai ~ x o n > ~ n ~ c 'S` ~ ,c czm ~ 1 3171 ~ )J J' j S ~~Y }~SdcYi X11 { ~ ~ o~ 1 o~~C s~~g C~~ C.1 ~°•Q~ , ° ~ ~ m ~ ~ °"°^°°-°-•p»•~- B 0 A F: U O F H E A L T Ft ~~'~~C~`_I~1~J~~~•~'~,~ FORMNO.1 3 SETS OF PL.1:1S Ili{ 1", l~~ g I~ TOWN OF SOUTHOLD SURVEY . . B` ;APR 2 2!991 j i BUILDIT t~DEHARLMENT SEPTIC FOR:1 . . y~~~ f° SOUTHOLD,N.Y.11971 e ~~m~ ~ _ ~ I L~ ~EsC~;+-~ i. ~ ( TEL.: 765-1802 t:OT Y ; _ .4...,,_.,.._,. TC1Vl'?i ~ i r~ C A~~ _ f~~-fir. t•IAIL T0: approved °~k~........, 19g.. Permit No. . . Disapproved a/c _ . (Buil ng Ins or) APPLICATION FOR BUILDING PERMIT Date ..T,/, . !.9 19 INSTRUCTIONS ~ a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 as,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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- iti~nn. 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 tali 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 tall 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 wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regula 'ons, and to unit authorized inspectors on premises and in building for necessary inspections. /(/S i/g~natu/re applicant, or~iname/, if a corporation) (Ol~7J C~O~fP ~f e7C C~C~ (Mailing address of applicant) tate whether appli~can~t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ameofownerofpremises .~R:~`~:~~?, d„/~s?, P~iv~ ~ecr-~~ ~(as on the ta~X roll or latest deed) "applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~-3 /3 T Plumber's License No . . Electrician's License No . . Other Trade's License No . . Location of land on which proposed work will be done. . p ...........~`,,.........~~GJ f House Number Street Hamlet County Tax Map No. ]000 Section .....1~~ Block Lot.... Subdivision Filed Map No. Lot . blame) 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 , , q~",~~--~- ~J~ " 3. Nature of work (check which a ~licable): New Building . pP Addition Repair Alteration • • Remov • • • • • • • • • al . Demolition .Other Work . 4. Estimated Cost . , C~-z7 (Description) ~ g g g e (to be paid on filing this application) 5 . If dare] ennumbeb of carswellin~ ulnits Number of dwelling units on each floor , 6. If business, commercial or mixed occupancy, specify nature and extent of each t • • 7. Dimensions of existin structures Ype of use . g t~fany:Front Rear Depth Height . . . . . . . Number of Stories . unensions of same structure wit~t alterations or additions: Front . , , , , , , , , , Rear De fh • Height ......................Number of Stories . ction: Front Rear ...............Depth He ~hYsions of entire new c Number of Stories . . . . , , , , , , 9. Size of lot: Front i, Rear t'.S . . . . . Depth •?G S ~ . 10. Date of Purchase 19,„~,Z,,,,,,,,,,,,,,,NameofFonnerOwner 1 1. 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 " " " " " " " • ' ~j^• / Will excess fill e removed fr m premises; Yes No '14. Name of Owner of premises cJc~.!'.vQ~,a-•e ~'ar'~~'~ ~ 8'd /~ow-o r , ,Phone No. ..........:AddressS,• Name of Architect ..Address . Phone No. , Name of Contractor ~.1.`a'!'!ist~5~`?e..;r~f~. _ , , ,Address ~6J' Ge orr •~v+cei(,!(q phone No. ,7,(T; ; ,r,'~/q J; 15. Is this property within 300 feet of a tidal wetland? ~y~s••••,• „ No , *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all b~uiidings, whether existing or proposed, and, indicate all set-back dimensions from ~ property lines. Give street and block nymber or description according to deed, and show street names and indicate whether interior or corner lot. 'I ~ I~ . 7 - _I~"~ f+, rf" f~~r~~~t~.~ ^b wt - ~ !J I it4 i , _ ~ i~ I ~ ~ ~ ~ I S ~f ` r ~,-r'~Bb.i- w; ~ as i'E ~ a r - iii ~ I`--- - I I, I iI STATE OP N YORK, S S :OUNTY ' ' ' ' ' ' ' ' ' ' e ' • ~ g...... , b ing duly sworn, deposes and says that he is the applicant (Name of icF6ividual si nin (contract) hove named. 'e is the . (C ntrdctor, age it, corporate officer, etc.) • • ~ • ~ ~ • ' ' ' ' ' ' F said owner or owners, and is duly aUtho ' orm or have performed the said work and to make and Gle this ~plication; that all statements contained in this application are true to the best of ]iis knowledge and belief; and that the ?rk will be performed in the manner se~ forth in the application filed t}terewith. 'trn to before me this p~~ !.day of ...i~ 19 ,~1.'/ Public`!:':~-~x~u; ,.~~~,t-„((~,~~,County ~ t ' HEIENE HQHNH Notary Pu4fla State of Newyork , . QuaBfiedie SuffolkGounttyy (Signature of a~plicant) Commission Expires Mai 22, 19