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Home My WebLink About19547-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19833 Date APRIL 4~ 1991 THIS CERTIFIES that the building ADDITION Location of Property 575 GOOSE CREEK LANE House No, Street County Tax Map No. 1000 Section 077 Block 03 Subdivision Filed Map No. SOUTHOLD Hamlet Lot 025 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 27, 1990 pursuant to which Building Permit No. 19547Z dated NOV. 29, 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 ADDITION TO EXISTING ONE FAMILY DWELLING. ~he certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N179798 MARCH 22~ 1991 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ROBERT & SUSAN PADUANO /B ilding Inspector /OUM' bO. J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLDo N. Y. BUILDING PERMIT (THIS PERMIT MUST RE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne- 1 ':)547 Z Permission is hereby granted to: .../:'1..~,..-..-~.-,,¥~.~ ...~........~.~ ................... ...~..~.r.....~.~...~.....~ ............ ..~ ........... ,o ~..,...../....~., ................. ~l ~...~....~....~._0__~.....~....._. ................ .~ .............. ~ .................................. at premises located at ..~..T..~'~.....k~.~....~....~..~.....~ ................ County Tax Map No. 1000 Section ...... ...C~....~...~. ...... Block ........ .(~...~ ..... Lot No. ~...~'~.. .............. pursuant to application doted ..~..~.~.......~....~r. ........... , 19..~..O..., and approved by the Building Inspector. --Building Irtsl~ector Rev. 6/30/80 [ ,,APPROVEO AS NOTED, t · o,..TE..i-'"/~"' a;, .'~;; .......... ~"~'--' ' FEE: "~""~ ' ~' BY: ~- ~' L, NOTIFY BUILDING DEPARTMENT AT 76§-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS. 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4 FINAL CONSTRUCTION MUST BE COMPLETE FOR CO ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR WITHOUT C[~TIFICATE 0w OccUpANCY ..i - I _ Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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.OO Date . .~/./.~'.....M.~Z.... ........................... qew Construction ...~.... Old Or Pre-existing Building.. House No. Street Hamlet Dnwer or Owners of Property..~?~..~..~.~.~?.. . ...~...~...~..... .. . .. .. .. .. County Tax Map No 1000, Section..~.~..7. ..... Block. ~ .Lot......~..~. ..... Subdivision ............................ Filed Map ............ Lot ............... Permit No ......... Date Of Permit /.~..~ ..... Applicant ............ ........ z~/~0 .................... Health Dept Approval ............ Underwriters Approval ............. Planning Board Approval ..................... .. . Request for: Temporary Certificate ...... Final Certicate. Fee Submitted: $ ............................. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 March 13, 1991 TEL. 765-1802 Harrlngton & West 665 Goose Creek Lane Southold, N.Y. 11971 Re: Robert & Susan Paduano To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. /--//An application for Certificate of Occupancy /~s Dot on file. (E.close4) /--¢~/ ~Io Underwriters Certificate on file. /~_/--/ The check L:;(ox~b~tx~i/not on file.) $25.00 /-/ No }Iea].th Dcpt. Approval on filc. / / No final inspection has 'been made. Thank PJea'.;e contact ()ur office on this matter. you for your cooperation. Perm.i.t. It I 9 5 4 7 Z Eu i_ ld Building Dept. **~/--/ No Plumber Solder Certificate on file. ( all permits iuvolvJng plumbing being issued after April 1,1984 THE NEW YORK BOARD OF FIRE UNDERWRITERS l,O)OJ.~ t BUREAU OF ELECTRICITY 9' . t C · 85 JOHN STREET, NEW YORK, N~W,. YORK 1OO38~ Dute /~ppllcatlon No. on file THIS CERTIFIES THAT BOB PAZ(A~IO, ,576 GOOgl~; in thefollowlng loca~t:j~ ~tB~.t ~ Ist FI, [] 2nd FI. Section Bl~k Lot FIXTURES RANGES OVENS EXHAUST FANS DRYERS MULTI.OUTLET SYSTEMS NO. OF EEET NO, Oi~ERCC~COND- OTHER APPARATUS: V t C ~ NO OF HI*LEG NO OF NEUTRALS OF NEUTRAL OENEI~AL MANAGER Per_ , 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. J COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATEMUST NOT BE ALTERED IN ANY MANNER, FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION AND [.] ~,I,I~ION [ ] FRAMING [/-~/FINAL REMARKS:~~~M4~ DATE OCCUPANCY OR USE iS U~iLAVi/FUL WITHOUT CERTIFICATE OF' OCCUPANCy DATE: "J~) ~ b . B.E, ~ ~'~7 ~ ~ FEE: ~' ~ _BY:~' ~.L; NOT;~ BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR 'rile FOLLOWING INSPECTIONS. 1. FOUNDATION ~O REQUIRED FOR POURED CONCRETE 2. ROUGH ~ FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR OESIGN OR CONSTRUCTION ERRORS 765-1802 BUILDING DEPT. INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS INSPECTOR ! TOWN OF SOUTIIOI,D OFFICIi OF BUILDING INSPECTOR 1~.O. BOX I 179 TOWN IIALL $OUTIIOLD, N.Y. 11971 Ho. rah 13, 1991 TEL. 765-1802 Rarrington & West 665 Goose Creek Lane Southold, N.Y. 11971 Re: Robert & Susan Paduano To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. / /_--//An application for Certificate of Occupancy ./is/ not on file. (Enclosed) /~_~,/ ~',o Underwriters Cc. rtificate on file. /./_/ [he check .i:;(ox~x~k/not on file.) *25.00 /12/ No Ileal. th Dept. Approval on file. /-_'/ No final ins[;ection [las 'boon made. Please contact ()ur office on this matter. Z Thank you for your cooperation. lhiil(]ing Perm.i.t II I 9 5 4 7 Building Dept. *'~/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN O~,gOU'f~OLO Approved /~.~..~* .~.., 19~..O. Permit No..) ?..~.~.."ff...~. 't ,':;ETS OF P1,AN;; ....... FOrM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CllECK .......... BUILDING DEPARTMENT SEPTIC 20RM ............. TOWN HALL NOTTPY ~ $OUTItOLD,TEL.: 765-1802N'Y' 11971 ~,. /~-~ 7.47~ ~... AIL TO: / MAIL Disapproved a/c .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .~.~. ¢'f ............ 19 .~..~2 INSTRUCTIONS a. This 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 cormnenced 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 all applicable laws, ordinances, buildkng..~e, housin, geepde; and regulations, and to admit authorized inspectors on premises and in building for necessary in (Si~nfifture of applicant, or name, if a corporation) , .~..~..sT.. ~.~. (M ailing address o f applicant)-'C'f J~, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............ .~.<~--f .~. ................................................. Name of owner of pre~;ies ...,~.~,.~..~Z-..~..?...¥.~.,~.-k..~-...~~~ i i 7111 i i. i ..... i .... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No '~/e --"'/~ ..... ,~'~/~. '~' ~.~/'3 Plumber's License No ........ f ................ Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done· ................................................. ·..<TZ..~. ....... . .~...e~ .~.~..~.-../7....../~.. ................ '~9.~.~'./...~.. ............... House Number Street Hamlet County Tax Map No. 1000 Section ....~). ~.?. ......... Block .... .~. ............ Lot .... ~ ~.. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~..~..~. · · .'"~'.. ~ , .-'. ...................................... . ntended ,,se a,,d occupancy ... :. 3. Nature of work (check whicb applicable): Next, Building .......... Addition ...1.~/..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... /~ (Descrip.tion) 4. Estimated Cost ~ Fee ...................................... ('to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .,/. ........ Number of dwelling units on each floor ................ If garage, nuntber of cars ...... /~. ................................................................ 6. If business, commercial or mixed occupancy, specify n~,ur,e?nd extent of each taype of use ..................... 7. Dimensions of existing structures, if any: Front..~. ~ ...... Rear . ~. ......... Depth .~'7~ ~' 5,'" Height ............... Number of Stories .... ~ ............... ..~,; > ................... , ............ Dimensions of same structure with alterations or additions: Front ..~r_~. .... ........ Rear . r-5~t~' ............. Depth .~.2, .'? .'i ............. Height .... ./~. ............... Number of Stories ... ~ ................. 8. Dimensions of entire new construction: Front ...... ?..' ...... Rear .... ~..;. ....... Depth . . ..~.." ......... Height . . /..)~f ......... Number of Stories .... ./ ................................................... 9. Size of lot: Front ..... ~O'm/.~ ............ Rear .... ~.~..' ............. Depth . . ./'.~. fi. ~ .............. 10. Date of Purchase ............................. Name of Former Owner ............................. 1 i. Zone or use district in which premises are situated ..................................................... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ................ ~, ......... Will excess fill be removed from premises: Yes I4. Name ofOw~-ter ofpremises~,~'{..~c~.~?:,g.~... Address J~-. ~.-~..~..°~.~.~. Phone No. 7.~. Name of Architect .......... .~. ........ , ..... Address ... ~ .~ ?--. ??. e~.'~... Phone No Name of Contractor .~.,*~..<".~..~..~..~. ~-'. Address ~*~ ~%'o7~--~--~Phone No' 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... z~----~... *If yes, Southold Town Trustees Pe{-mit may be required. PLOW DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property hnes. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ,lbo\'e named. [fe is the (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this oplication: that all statements contained in this application are 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 therewith. Sworn to before me this .......... ~. 7 ........... day of..~...riftS.. ............. , I9 .~.~ HELEN IL D~ VOE NOTARY PU~IC, S~a~e o~ New Y~ .... · .......... No. 47078711, SuflolkCe~nty?/ .~' (Signature of applicant) Te~ Expires Ma~ch ~0, lq ~/