The URL can be used to link to this page

Home My WebLink About19113-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southotd, N.Y. CERTIFICATE OF OCCUPANCY No Z-20494 Date JANUARY 23~ 1992 THIS CERTIFIES that the building ALTERATION & RENOVATION Location of Property 700 FOX HOLLOW ROAD ~ATTITUCK~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 6 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1990 pursuant to which Building Permit No. 19113-Z dated JI3NE 8~ 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 ALTERATION & RENOVATION TO EXISTING ONE. FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. MANLIO ABELE (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTt~ APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-179730 - ~IARCH 21, 1991 PLUMBERS CERTIFICATION DATED JAM. 15, 1992 - GEORGE MARTINEK Rev. 1/81 Building Inspector TOWH OF $OUTHOLD BUILDIHG DEPARTMENT TO~VN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Dote Permission is hereby granted to: ..... ....... '.~.~.~....~...~.:.~. ............. ..~.~ ....... at premises located at ...?....c~... ...... .~.~....~.~...;,..~,.., ......... ~.~..~.... ................ County Tax Mop No. I000 Section ........ !../...-;~... ........ Block ...... ..~..,.~. ........ Lot No .....~....~.. ........... pursuant to application doted ........... ..~.~....~.. ..................... , 19..?,..D.., and approved by the Building Inspector. Building Inq:~ctor Rev, 6/30/80 Form No. 6 TOWN OF SOUTIiOLD BUILDING DEPARTNENT TOWN IIALL 765 1802 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 ~ater 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 I% 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. ~'3. For existing buildings (prior to April 9 1957) non-conforming uses, or buildings and pre-exzstxng" land uses: 1. Accurate survey of property showing ali 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 Fro-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 Location of Property. House No. Street Hamlet Onwer or O~ners of Property .... .~....~.~.[.O. .... f~ .~..~ ............................... . ..... ¢;ouoty Tax Map No 1000, Section ..... ~ ..... Bloc~...~.~. ......... Lot...?~-,.? ............... 2ubdivision .................................... Filed Map ............ Lot ...................... Permit No.., · ...... Date Of Permit ................ Applicant . .. . ...... !leal~h Dept. Approval .......................... Underwriters Approval ......................... ;'!,'tuning Board Approval ........................ ~equost for: Temporary Certificate ........... Final Certicate....~/~. ...... "ce Submitted: $ ............................. ...... . I TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. la{ Owner-~Af~(o ~_ (please print) Plumber ~,~ ~4~D ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. / (plUmber's signature) SWorn to befor~ me this 19_~ . '/ NOtary Public NOtary Public, ~ County · ~l~£~N sc~NAUD~ / Notary Public, State of Now No. 4904293 '* Ooa ified in Suffolk CounW__~= C0411m~ion Expires AugUSt 31, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF EL£(,~TRIOITY ~A[tC/~ 2'~, ] 99;[e5 JOHN STREET, NEW YORK, NE~ YORK ~OO3B Date Application No. on file t~ANI, I'O AB~] ,~,~ FOX ~[Ot,],O~ ~OAD, ~A~ (~ ~'K~K, ~ ' . U t, OUTLETS ~ECECEPTACLE$ SWITCHES F[UORE$CENT / DRYERS OTHER SYSTEMS NO. OF EEE'~ OTHER APPARATUS: PAN~t,BoARDfI:l..--11 C'I,R. JO0 S E R V I C 1 E O~ NEUTRAL ,/0 275 '{'OWN GENERAL MANAGER ~'~ , ~ h -~ 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. TOWN OF $OUTtlOLD OFFICI'.' OF BUILDING INSPECTOR ILO. flex I 179 TOWN IIALL $OUTIIOLD, N.Y. 11971 Apr~l 9, 1991 TEL. 7654 80,2 'RaNDAZZO Building Co. Inc. 127 Swan Lake Dr. Patchogue, N.Y. 11772 RE: ABELE To Whom This May Concern, Ftc are unable v.o complete your Certificate of Occupancy because .of the following reasons. /_--// An application for Certificate of Occupancy is not on file, (ENCLOSED) /_-- /~o Underv/ritcrs Certificate on file. /--~// '"q'he check [:;¢~I(I~tXRIL~I~K/not oll file.) $25.00 /~/ blo ll(?a].th Dept. Approval on file. /-~/ No final inspection hasCbeen made. P]ea:;e contact our office on this matter. Thank you for your cooperation. Btl i ld[~ Pep t · ' ./ · **/~/ Ho Plumber Solderue' rt.kfzcate' ' on file. ( all permits involvi, ng plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [ ] ROUGH PLBG. []FOUNDATION ZND [ ] INSU~I~TION []FRAMING [/~/FINAL REMARKS: DATE I N S PECTOR ~/~////~ 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [. ] ROU/GH PLBG.' FOUNDATION 2ND L~]~INSULATION/ FRAMING ~r ] FINAL REMARKS: FIELD FOUNDATION (1st) FOUNDATION I 2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ti ?F FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD. N.Y. 11971 TEL..' 755-1802 BOARD OF HEALT}I SURVEY .... SEPTIC FORH ...'''~' Examined ....~. ,~.'"'~..'~.., 19 9.4 · Approved ....~q~..~.., 19~P. Permit No./.Cl.//..~..~ · Disapproved a/c ............. ~o~ (Building Inspector) APPLICATION FOR BUILDING PERMIT NOTIFY ~ c^L,... ........ HAIL TO: INSTRUCTIONS Date ' 19 a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Buildin~ fit~ector, with sets of plans, accumte 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 lhyout of property must be drawn on the diagram which ispazt of th.is appLi- cation. ¢. The work covered by this application may not be commenced before issuance ot~ Bui/ding Permit. - ' d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applleant. Such permit shall be kept on the premises available for inspection throuo_hout the work· ¢. No building shall be occupied or used in whole oran part for any purpose whatever until a Ce~ifica~ 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 ImrSuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law,& Ordinances or Regulations, for the Construction of buildings, additions or alterations, or for iemoval or demolition, as he~in described. The applicant agrees to comply with all applicable laws. ordinances, building code, housina ode, and regtaafions, and to admit authorized inspectors on premises and in building for necessary inspections~ ."~" ~/rc~°.. ........... ..... · . (Signature ot applicant, or nar~e, if'a'c~..$b-r:]~;mn) ' .. . . ...t ~.2.. ~. ~,~.,.. Z,0x~...aa. ~ .~. :..~. (Mailing address of applicant) State wh;ther applicant is owner, lessee, agent, architect, enginee~~ectrician, plumber or builder. (as on the ta.4r'ohi o;lit;st'jgj)' if appleant is a corp~tion, signature of duly authorized officer. (Name and title of corporate dfficcr) , ' B Ider s License No ........... .~ ......... mum ~er's License ~o. C, H SPr:i.~g 4¢. .l ~ C, . . Electrician's License No. ~,l./2/d.S. ~c~.C..7..~ .... OtherTrade License No ' I. Location of land on which proposed work will be done; .................... · . .. TT f ilouse Number Street ........................... · Hamlet ............. c tyTa ~, i,00os ll~ i' · Oun x ap No ection ............. ck ........ , ........ Lot $ bdi ................ ~:. u vision .................. Ei{ M ' · · .......... ~ ...... cd ap No. (Name) .............. Lot ............... State existing use and (~ccupancy of premises and intended use and occupancy of proposed construction;· 3. and occupancy l I.~'-I ................. ._ .. ( bl ' · ntended use an occupancy ....................- .......... Repmr ~.--- ............ R~mov~l .............. Demolition ...-- ....... Tenn£s Court ......... A~cessory Building .......... Fence .. (to bc paid on fi lng th,s: S. If d~'clling number of dwelling uhits ~ ' Ntlmber of d~ elling units on each floor ' If gara,'e number of cars" d ~ ify 6. If business, commercial or mixc cCupancy, spec nature and extent of each type of use ..................... 7. Dimcnsionsofexistingstructurcs.lifany: Front ............... Rear. ........ . ..... Depth.............. . Hcieht Number of Stories Dimensions of same structure with alterations or additions: Front . Rear . ' Depth ..................... . }lcight ..... Number o£ Stones ...... 8. Dimensions of entire new construction: Front Rear Depth Hci,aht ~umb!er of Stories 9 Size of lot: Front ......... ~ · - .< .......... Rear ...................... Depth ...... I0. Date of Purchase ................ · . · ........... I ................. Name of Former Owner ........... 11 Z d ' il mi sit ted .................. · one or use mtnctmwhcxpre sesare ua .... ; .................................... 12 Do op d c ti violai i ........... 13. Will lot beregraded.... .... ...:...............' . . . Will excess fill be removed from premises: Yes .... lq{:. [ I Name of Owner of premises : ' Address Phone No ' Name of Architect ........ ...,...~ ............ . Address ................. . .Phone No ............... .. Name of Contractor ' ' Phone No ;*'.. ' .......................... Address ................................. 15.Is this property locatled within [00 feet of a tidal wetland? ~¥ES .... NO .... mlf yes, Southold Town lTrustees Permit may be required. PLOT DIAG RAM ' il Locate clearly and distinctly all bu' dings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nhmber or description according to deed, and show street names and indimte whether interior or comer lot. STATE OF NEW YORK, S;.S COUNTY OF, ................ ~,~ k,~'"~T._Y~'/,:,; · .' ' ~ -~: ....... ~ .......... being duly sworn, deposes ~d say~ that h~ ~ the applicant · . (Name ofmd~mdual s~gntt~g contracO above named. of said o is duly[aut~pe,rform or have perfo~ed the said ~vork and to m~e and file this application: that all statc~nent~ contaifled in this application are true to the best of his knowledge and belief; and that the Work will be perforator in the re=ncr S~vom to bclbre mc this . ~. 4707878, S~O~K COUnt/ I~ Expite~