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Home My WebLink About19389-z „ . , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, K.Y. CERTIFICATE OF OCCUPANCY No Z-19810 Date MARCH 22, 1991 THIS CERTIFIES that the building ADDITION Location of Property 170 DOGWOOD LANE EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 5 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7, 1990 pursuant to which Building Permit No. 19389-Z dated SEPTEMBER 13, 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 AS APPLIED FOR. The certificate is issued to JOSEPH CARPENITO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-169377 - JANUARY 15 1991 PLUMBERS CERTIFICATION DATED FEBRUARY 13 1991 - EDWARD H. KING Building Inspector Rev. 1/81 BUBffi NO. f TowN o~ souTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT fTHiS PERMIT MUST BE KEPT ON THE PREMISES UNTiL FULL COMPLETION OF THE WORK AUTHORIZED) ` D Date ~ j 19.q O Permission is hereby granted to: a,~.levl. „r,1..CLw~ ~0.4~1.....a.li::..... ~'.~....Q~.~!~5,......~~ ~C...I, 0 ~.3......... I ~....~.ea...... of premises Located at . ~......~~sa ........Zt~i.......wa'J.R..........G.4ss~.....L..f...1.A.A!.t.~'~ G~-~ ..~......i.~ .......................................................................1........... County Tax Map No. 1000 Section b..4~i! Block ....~.1.......... Lot No..... ~?.`-A........... pursuant to application dated .....°~,..'~.-~....r..~ 19..I.a.., and approved by the Buildineeg~~ Inspector. Fee $...a a{. Building Inspector Rev. 6/30/80 D R ^ ~ ~ nn Form No. 6 '~diA~t,i,th~y ~~9v'`~ iS ~b ~1J ~ TOWN OF SOUTHOLD U BUILDING DEPARTMENT TOWN HALL 765-1802 BLpti. DEPT: '~'pWN FS APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 19, lead. 5. Commercial building, industrial building, multiple residences and similar buildings and install.stions, a certificate of Code Compliance from architect or engineer responsible for the building. _ 6. Submit Planning Board Approval of completed site plan requirements.~- 3. 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, Che Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions Co 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 February 8 : 1991 .''1~kc.`c. ,'2/j_ / 3" 9~, lew Construction: XX....... Old Or Pre-existing Building.,,,.XX 170 Dogwood Lane East MArion, NY 11939 ,ocation of Property House No. Street Hamlet Joseph Carpenito _ ~ ewer or Owners of Property 5 5 ounty Tax Map No 1000, Section38............Block ................Lot...................... ubdivision,Gardiners Bay Estates 5083 177 .........................Filed Map............Lot...................... 19389 Z 9=13-90 Joseph Carpenito ermit No ................Date Of Permit................Applicant............................. ealth Dept. Approval ..........................Underwriters Approval... Tanning Board Approval aquest for: 'Temporary Certificate.,......... Final Certicate.,,FINAL , ''-e Submitted: $ ate, y~ . ~ ~ ~ APPLICANT.. Cow i9gro , . TEL. 765-1802 c~VFF~L(-~. T0~'VN O~ S(~YT'T~~I,D " , O~t OFFICE OF BUILDIPIG INSPECI'bR P.O. BOX 728 c°s+ ~ :~M1 ~ TOWN HALL y0~o~ ~ ~b~~ SOUTHULD, N.Y. 31971 C E R T I F I C A T I O N Date ~ 8 rh Building//Permit No.~ L Owner VdSe„~rlt ~ ~R?Rt~~NITo (please print) Plumber CI~G~~,rtt~'D ~f ~ (please print) I certify that the solder used in the water supply system contains 1,esG than. 2110 of l~ lead. , (plumber's siy ature) Sworn to beforeymc this day of ~t z G CL'~~ ~ ~ , L,, 19~f ~ Notar Public i Notary Public, ounty ' ..';~.r, ~MA~iC~r.raa~x~~ ~ - - - - NOtggY Public State ui t~ebv York No. 62-4&O~S6oa j Qualified't iresfMarch 30ty99 ~ 1~ MiM188i0n ~xp r'1:;LD Ii:S:'EC:IUN ~IUniG ~ COMMGNT° 'n x m 0 ~ ? t. - : ~ N W H FOUNDATION (1st) r ti u FOUNDATION (2nd) S2e~~ ~ -^°r- m ~j . 2 . z o~ ROUGH FRAME & ~ ~ ~ ~ _ ~ ~ J PLUMBING ti H b 3. ~ m m y QQ`, I1dSULATION PER N. Y. ~ PD STATE ENERGY CODE ~l c~'( r ~ H ~ 4, ~ ? ~ ' r/ ~ FIidAL o m ADDITIOAIAL COMMENTS: x . x '°•W H b 9 ' H H w~ O Z N m H - x 0 . m ro H ~ '65.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [~]~ftOUGH PLBG. [ ]FOUNDATION 2ND [ ~-]~i~ISULATION [ ~RAMING [ ]FINAL -1A.'y~ ~ li'~c---- DATE ~ INSPECTOR 3~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ )ROUGH PLBG. (]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ 1NAL REMARKS: TE ~ ~ ~ INSPECTOR I ~~~y 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ®2 ~~~h.~' DATE INSPECTOR 3d' ~ THE NEW 1(ORK BOARD OF FIRE UNDERWRITERS Fa,{~~'~ t 1,~rY t1 j~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~A1'1lS~Ny 'Sfi,)°?~0:1 Ap IicationNo.onfile ~~~~'3t~`r,t}(}1S3Y7 dLT 't~9T7`7 ~ THIS CERTIFIES THAT ' ~al'i.l f ~f'$ ~ d if.!da only the electrical equipment w described below and introduced 6y the applicant named on the above application number in the premises of ,7t}Shl1J)f CAt?YM,f9,Y['Cr, 'I"itl 1'l?t~b{UfJi1 LPrY~IS, i~a~t3`P Mlk~lf)'Vd, NaV. in thefollowinq location: 0 Basement ~~--~~II l}XfA Q1Sd flit t'tsy L~ 1st FI. ? 2ru1 Fl. .Section Block Lot was exarnlned art ,TfafQY,l (7 ft,'l f}f;,) ;ly.f andfoundto be in coneplimrce uvth the requereretents o(tfris Board. FIXTURE ECEPTAGLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FWOPEJCENT OTHER PMi K W. AMi K W AMT K W. AMi K W AMT. N P. .;t7 f'f 171 ^tl y. DRYERS FURNACE MOTORS FUYURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI~OUTLET DIMMERS AM7 K. W. OIL H. P. GAS H P AMT NO. A. W. G. AMi. AMP PMT AMPS. TRANS. AMi N P. SYSTEMS pMi. WAiiS NO.OF FEET {I) SERVICE DISCONNECT NO.OF 5 E R V 1 C E METER NO OF CC COND. A W. G. A W G. A W G. AMi. AMP. TYPE EpUlp 1 q iW 1 ,e' JW 3,e 3W 3,e' 4W pER % OF CC COND. NO. Of HI-LEG ~ OF HbLEG NO. OF NEUTRALS OF NEUTRAL I l.~l{ I I t,t{~ OTHER APPARA7U5: ® [;N3}CtieF.S LP~IfMAA1Dt Lif:.{~~~iCkf?`3'+ ?7 't`TtYA,i1k S'f'_ f, i~;IV'i''RkfO6:`I', IVF, t'L'111 GENERAL MANAGER I1 Per i~Y' ~ s' 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. ( / J 0 ~ 765.1802 ILDING DEPT. 1 SPECTION [ FOUNDATION i5T [ ] ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: 4 I .r DATE ~ 5 ~ INSPECTOR r"~'~ BOr1RD OF HEALTH FOaM N0. t 3 SETS OF PLANS . SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL $OUTHOLD, N.Y. 11971 NO '7~t~_ 7~po/ • . CC q TEL.: 765-1802 CALL / / / /aC Examined ..csw.-~4~. • ~.~v.., 19 J.t? q MAIL T0: Approved .o~.~.~r...~ 19q!? Permit No. I..l.3$y,'~ ~ . G Disapproved a/c . SEP ~ 71990 ~"o..~ . rowN oF'sdu~ioLo (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .Septem>?er„?...., 1590. INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or jn ink and submitted to the Building Inspector, with ~ 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 aFeas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. x. The work covered by this application may not be commenced before issuance of Building Permit. ti. Upon approval of this application, the Buildin; Inspector will issued a Building Permit to the applicant. Such permit shall be kept on fire 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 far removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housin; code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. • . .h~az>:en .A...Samhach.. ,sr . (Signature of applicant, or name, if a corporation) P.O. Box 1033 7675 Cox Lane, Cutchogue,NS . (Mailing address of applicant) 11935 State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Consulting. En~ineer Jose h Carpenito Name of owner of premises (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (i~rame and title of corporate officer) Builder's License No. To ,be selected Plumber's License No. . Electrician's License No . . Otltcr Trade's License No . . 1. Location of land on which proposed work will be done; 170 Dogwood Lane northside 1,17;93' west Old Orchid Lane East Marion Efouse Number Street. Hamlet County Tax \fap No. 1000 Section 38 Bluck 5........... Lot ..5........... ' . , Gardiners Bay Estates 5083 177 Subdivision Filed !<Sap No. Lot . •(Nantej ~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: one family residence A. ];xisting use and occupancy B. Intended use and occupancy..,,one,family, residence,..., ~ c 3. Nature of work (check which applicable): New [3uilding Addition XX • • • • Alteration XX, , • , , , , , ,Swimnin ool.. Repair Removal Demolition g P . Tennis Court Accessory Building..........Fehce .......Other Work:........... 4. Estimated Cost $32 , 000.00 . . Fee • (to be paid on filing this application] S. If dwelling, number of dwelling unfits , one• • • , , Number of dwelling units on each floor If garage,numbcrofcars ' ' 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use , , , , , , , , , , , , , , 7. Din}cnsio,n& it{s•"'"" c~yres, if any: Front 3$.'.7, ° ..:.....a. Rear ..•.3.$ :79......'Depth'..24:9P....... . . Hiii~~it'.',.~~~.=.;i:•ta~,_,y. umbGrofStorics.........,one... Dimensions of same structt)re with' alterations or additions: Front ..3 $ : ? Rear .23 . Depth 48,y~~ 4~~.,.,.a ; }Icight12 ~ Number of Stories ~.~@................ . 8. Dimensiok~6f ntir `ew constntGtion: Front . Rear . 23:........... Depth 23.4'.......... , Height ..12:.. . Number of Storic4ne • , , , 9. Size oflof:Front.99.72'.....~,......... Rcar..~?.•.1.6 Depth 241.:42:.&.y.~3:.18: 10. Date of Purchase , .Name of Former Owner . 11. Zone or use district in which premises are situated . ~ :4P. • • . . p p ~Q c any zoning law, ordinance or regulation: N4 . . 12. Daes ro osed construction vtolat 13. 1Vill lot be regraded Nill excess fill be removed from premises: Ycs XX , No . . 14. Name of Owner of ppremisesJos; , Carpeni,to', , , ,Address .17o..R4gwPod .ka:. Phone No. 4.7.7.-.0536..... , . Name of ArchitectWarren A. Sambacli, Sr; , ,Address P013ox •1033, Cutcho~gle No. 734. ;2992...... . Name of Contractor ,TO. be ae'llected: • , • • , ,Address . ..Phone No..... . ' IS.Is this property located within 300 feet of a tidal wetland? *YCS....NOX~.. *If yes, Southold Town''iTrustees PLOTDIAGRAM a required, Locate cleazly and disfinctfy ail buildings, whether existing or proposed, and, indicate all set-back dimensions frbm property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. ~ Spo h91- 4guE• -12_.16' ~ ~ pO~~o 6XT~'NSio~ a' 23' ~ w ~ ~ ~ ~ N N wns' v ~ i - y~ I -y~. w jExts ~x~ oNe ~ `C 3 a Qo, 'sraey 2e5. t9.8h' p U 0 3s,.,,, d o t v~ o, o ~ ~ 4 , I ~ J' V ~ ~ 1 il• 93' ~ 99•'j2 p0 23Za 0p~F/ R'~ ~ \o . 6AD% i Q.t7 Do61~DQD G~}n/E i STAT& OP NEN YORK ,S.S COUNTY OFSOU,T,IjQL'~, , , , , , , , . Warren A; Samba~h : Sr: , , , , , being duly sworn, deposes and says that he is the applicant (N'amc of individual signing contract) about named. licistltc... Consulting Engineer (Contractor, agent, corporate officer, etcJ 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 therewith. Swom to before me this ...........7th..........dayo(. September........ 1990. Notary Public County ~~OAJ.¢OOPEH ~ ~ lam- ~ ~ • • • • (Signarure•ofapplicant) Nptary Pubtiq, Htate of NsW York No. A822683, $uholk CouMS~ /7v ' Term Expires De¢amber 81,1 y