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Home My WebLink About19592-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. · CERTIFICATE OF OCCUPANCY No Z19832 Date APRIL 3~ 1991 THIS CERTIFIES that the buildinQ ALTERATIONS Location o~ Propert~ 2300 PINE TREE ROAD House No. Street County Tax Map No. 1000 Section 104 Block 02 Subdivision Filed Map No. CUTCHOGUE Hamlet Lot 09 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 13, 1990 pursuant to which Building Permit No. 19592Z dated DEC. 17, 1990 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 TO EXISTING ATTACHED GARAGE. The certificate is issued to PETER M. IZZO & WIFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N177232 MARCH 5~ 1991 · OB~ NO. It TOWN OF SOUl*HOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PEPu~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 19592 Z · ~ .......... ~ ...................... ~.~ ....... ~.:..~= ................. ~ ..................................................... ~, ,~,m,,,, ,~,~ ~, ..~..~.~...~...~..~ ................................................. . .......................................... co..~ ~o~ ~o, .o. ~000 s.~,,o. ........ ~..~ .... ,,~ ........... ~ ...... ~o~.o ........ ~ ............ pumuant to application dat~ ...~..:/~ .............................. , 19~, and approv~ by ~e Building Inspector. Fee ~ ~ ~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 9' 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. ~. Fees I. Certificate of Occupancy - New dwelling $25.00, Additiohs 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 - $i0.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... ...~...~ .... · ......... · ............. ~:ew Construction ........... Old Or Pre-existing Building.....~.. ........ Location of Property. ~_~)C-P ~.<~..7..~.~., ..~/~ House No. Street Hamlet Onwer or Owners of Pro ert Pe~f~ ~ .......... ..~..~.% p y ............... ~ ..~-.~z~ .~ . County Tax Map No 1000, Section..../.~.~ ...... Block .... .~. ......... Lot....? .................. S~bdivision ............................ Filed Map Lot ............... Date Of Permit .... Applicant ............ . !~ealth Dept. Approval .......................... Underwriters Approval .... · .................... . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $,. THE NEW YORK BOARD OF FIRE UNDERWRITERS ,,~.r. .}. i'?~()~ } BUREAU OF ELECTRICITY 8,5 JOHN STREET. NEW YORK, NEW YORK 10038 only the electrical equipment ~ ~scribed below ~d i~tr~ by t~ ~[ic~nt ~med on the above application number in the premises of in the following Ioca{i~n~ , ~g FIXTUEE OUTLETS SWITCHES ~ Ist FI. ~ 2nd FL Section Block Lot and found to be ~n compl~e~we u'hh the requirements o~ this Board. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ~:LUOF~SC~Nr O'rH~R DRYERS ~THER APPARATUS: S E R C A.W,G NO, OF HI-LEG A W.G A.W G, "o. o~,~,£¢poN0.1 E GENERAL MANAGER Ibis certificate must not be altered in an), 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 NOTBE ALTERED N ANY MANNER. FOUNDATION ( ls t) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1~0,~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ( ] FRAMING REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] R~GH PLBG. FOUNDATION 2ND ~p/] INSULATION [ ] FRAMING FINAL REMARKS: '~~/~ ,_y~/~ _ DAI~ / ? 765-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. (_ ] ~IJNDATiON :)ND [ ] INSULATION [V,]' FRAMINO [ ] FINAL INSPECTOR ~~ /~-~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHQL.D.. ~L¥o 1.1.q7 TEL.: 7G5-1802 Disapproved a/c . ~' (B~ing ~nspe~tor) ........ APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ../ ...... 3 SETS OF PLANs ;.~.. SEPTIC FORH NOT I FY HAIL TO: Date · ./i9. INSTRUCTIONS a. Tiffs application must bo completely filled in by typewriter or itl ink find submitted to th~ Building I~.pe~t~r, ~ets of p~, avcurate plot plan to scale. F~ =~o~ing to schedufg. b. Plot pl~ showing location of lot and of bulldogs on premises, relationship to adjoining premises or pubic ~tre~ or areas, and ~' ' o oxvmo a detMled description of layout of property must be drawn on the diagram which is pa~ of tM~ apF ca,on. . ' ¢. The work covered by tMs application may not be commenced befor~ issuance of BulldOg Pe~it. ~. Upon approval of this application, the Building Inspector will i~sued a Building Pc~it to the appHe~t. Such shall be kept on th~ premises available for Mspection throu~out the Work. '* s. No building shall be occupied or u~e~ wh' or ~ . . ' APPLICATION IS HEREBY MADE t '- ~- ' o me ~uild~g Dep~ment for the issu~ce of a B~Iding Pe~it puguant to ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable ~ws, Ord~mces Regulations, for the const~ction of bu~d~gs, additions or alterations, or for 3emoval or demolition, as here~ desc~bet The applicant azrees to comply with all pphcabte laws, ordinnnces, buQd~g code, housing code, and regulations. ~d . admit authorized ~specto~ on premises and in bulldog for necessa~ inspections. ..... (S~gnature oF apphcant, or name, if a . (Mailing address of appHc~t) State whether flp~JJca~f Js owner, lessee, agent, ~chiteet, engineer, general contractor, electrician, plumber or builder ...... ..... ........................ If applicant i~ a corporation, SignatUre of duly authorized offer. (Name and title 0f cq~05at~ officer) (.~) 77q~ . ..... Builder's License No ............. ~.. Plumber's License No ........................ Electficbn's License No... . ........ Olher Trade ~ License No ...................... 1. Location ofland on which proposed work will be done: . Street · Hamlet ..................... I '" ' ..... Subdivision .... ' ..... · ........... ' ' .................. Eilcd Map No. StZte e ' ' (Name) .............. Lot ......... Ppli ~ ' 3. Nature of work (check which a cable) New Buildin · ........ · Additian . ...... ... t~tcration . ........ Repair-. ............. R~.mlovaI ...... Demolition .............. Sw£mming pool .......... Te..~.s Court ..... ~..-~eeesso~y'fidii~i~g .......... Fence ....... Other ~ork~.. ~ (~a h~ paid on filing this avplicatmn) 5. If dwelling, uumber of dwelling~ units ........ Number of dwelling units on each floor ....... 6. If business, commercial or mixe~d occupancy, i natnre and extent of each type of use .................. 7. Dimensions of ex'sting st~cturcs, if any: Front ..... Rear ' Depth Height ...... ' . ' ..................................... ......... NUnl~ber of Stones .......... Depth .... ! . . ea ............... +.. ne~t ...................... Number of Stohes ......... 8. Dimension~ofentire new consth~ction: Front Rear Depth Hei"ht~ Number of Stories ......................................... 9. Size of lot: F~ .... ,0. ..... ,. ........... ...................... ..... ....::: ...... .''" ~ .................. Name of Foyer Owner ................ 11. Zone'~se district in winch premises are situated .... ; .... 12. Does proposed Constructio~ rio[at, any zoning law, ordinance or regulatmn: .. ~ ................. l~.Lx ~x~ Dro~ere7 Zoe~ed ~zthin'~o0 feet of a ti~al wetZaad? 'aYES .... ~I~.~.. ~ZE yes~ Southold ~owfi ~rustees Perm~ nay be required. PLOT DIAG~M Locate cle~ly ~d dist~ctly ~I: bu~d~gs, whether existing or proposed, ~d. indicate ~1 set-bac~ d~cn:~a:~ :; prope~y ~nes. Giro street md black'number or description accord~g to deed, ~fl shaw street n~es and ~dicato interior or comer lot. I AP, PRiED AS HOTI~D NOTIFY BUILDING DEPARTM~ 76~-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION '~O REQUIRED FOR POURED CONCRETE 2. ROUGH ~ FRAMING & PLUMBIN~ 3. ~NSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.C. ALL CONSTRUCTION SHA~L ME~ THE REQUIREMENTS OF THE N.~ STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE O F , ,...~ , O_L~<,.~5//,.,/,~ r,*~'~ ./ . $ S ' COUNTY OF .~_,/k~.,~/.e.!.~ .... , ' ............... (Name of individual signing contract) ..... being duly s~vorn, deposes and says that he is the applica:- above nam'ed. Otsa[d ow ~ ne , d is duly autO, nzed to perform or have performed the said ~vork and to application: that all statements conta'ined in this application are Irne to the best Of his knowledge and belief; and that Work will be performed in the manne~ set forth in the application filed lherewith. Sworn IQ bel'orc mc this i ~'- ' · .. / .: ......... ~ ....... dayo~ .9,, .... ....I~C-_ ~.-.~=.--/ IOtU ' 'County Nolary Publi ~ .' . .. rv u~)~lo, ~tete of NewYo~ ....................... No. 48795051 (Signnlure ~ Quellfled in Suffolk County remission Expires December 8, 19,'~,