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Home My WebLink About19146-z I w, s FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hali Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22607 Date SEPTEMBER 2Z, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 34875 MAIN ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 1 Lot 12.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 1990 pursuant to which Building Permit No. 19146-Z dated JUNE 21, 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 TO EXISTING FARM STRUCTURE AS APPLIED FOR The certificate is issued to RALPH & PATRICIA PUGLIESE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-276051 - MAY 14, 1993 PLUMBERS CERTIFICATION DATED SEPT. 15 1993 - R. PUGLIESE i1d ng Inspector Rev. 1/81 roses xo. s TOWN OF SOUTHOLD BtiiLDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 0 19.12. Date Z Permission is hereby grontejd~t~o,:1_ p ...~..7..4.5.....~?-~~. ~:...f ?.u!.!~ ~~.~:::!~!:~-:....~?.:.y.:.....1.! x'..,'14 ee..''...44.............. I.,.,.,.~.. , .........n...,..., ~~,,at premises located at .w~..7..Y ~5......!!.1.~:`.".:...!~ ..............~~:~'~:~-~s.............................. County Tox Map No. 1000 Seetion Block Lot No.....~.~:::"~ n n p O pursuant to application doted ....~,~JL~J....(A 19.1.0.., and approved by the Building Inspector. Fee S..s'5~.:. dding Inspector Rev. 6/30/80 v _ Form No. 6 ~'~~'Q' 7 ~ ~~~M~p, P~ `"s't ~~'J ~~'i 7_ - ~ t i~ i ~ TOWN OF 50UTHOLD • ` ~~~//35~ e ~M.,...~_ "Ii BUILDING DEPARTMENT V gi ,f M1 , ~ . 4i I 1 ~ ' ~M I~~•~ i ~ ~14 TOWN HALL SE6~ c 765-1802 f 1~ ~w,~ _ (3t i~'r. "iC"ss.'1"n,<.'~::il+i ii'E ~f r. 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 0£ 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 - Resident~i'a}l $15.00, Commercial $15.00 Date %U .CB.//t~--~~~ 1 g9.3 New Construction........... Old Or Pre-existing Building.../......... / Location of Property ...............~,tr}. t~ttl... ~yJ...................1-!. ~ 1~ D. ~ U. fir'.... . House No. Street Hamlet e Onwcr or Owners of Property.. ~ ~qq..''.]]~~. l ~!•Gl.~• • • • • • U. G.~. l!: J 4 . County Tax Map No 1000, Section......1.•1.•..-Block ...............Lot..!, ti":~~............. Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. }}ealth Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.//..--.~~..... Fee Submitted: $ APPLIC~~ Co INSPECTORS lo~~~ "-~.z" ~ D~ ~ SCOTT L. HARRIS, Supervisor ~a Thomas Fisher C°' '~~y " ~ Southold Town Hall ' ~ P.O. Box 1179, 53095 Main Road Building Inspector S,E't• °:13 Gary Fish .'FJ~' y. ti~4Jh Southold, New York 11971 Building Inspector ~ Fax (516) 765-1823 Telephone (516) 765-1800 Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE:~_~J~~ Building rmit No, Owner: ~ n~~~ (please print) Plumber: LPI j/f/`LOQ . (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. ( mb s Signatur Sworp~~ytp before me this day of ~~~j2~ 193 , Notary Public County Notary Public RbteryHubito, S ~ao~ Yorlt Qualified in SuNoi~'k CCounty Cemmissioa Expires December 8,19,,.x/ INSPECTORS Principal Building Inspector O~pSUFFO(~COG Curtis Horton y~ SCOTT L. HARRIS, Supervisrn Senior Building Inspector y x Southold Town hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector G • y Southold, New York 11971 Building Inspector ~ .~'0 Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD August 18, 1993 Ralph & Patricia Pugliese 2705 Bridge Lane Cutchogue, N.Y. 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19146'Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. _ _ _ T~~ _ , THE NEW YORK BOARD OF FIRE UNDERWRITERS tlAC;is t. iD~~ ~b2 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date 1~'19Q~1 Application No. on file ~tb~~l~~9~t9.S ~ ~ ~`7Fy{>Jyl THIS CERTIFIES THAT only the electrtcol equipment as deacri6ed 6ebw and introduced 6y the opplicont named on the ofPOVe opplication number in the premiaea of C~fIGT,CESF U)'f1YARt'1rI fIAIPd RS1fiU, C'CItC,iS(L`;Iihl I1,Y, in the folloscing locationl ? Basement ? ]st Fl. ? 2nd FL. C1UT .Sertion Block Lot u~as exmnined on ~ F' R 7 I' ' I Q 9 and found do be in compliance rltth the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLE$ $W17CNE5 INCANDESCENT RUORESCENi OTHER AMT. K W. PMT K.W. AMi K.W. AMT K.W. AMi. H P s ~ ss z >r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PY TIME CLOCKS EELL UNIT NEATER$ MULTI.OUTLET DIMMERS AMT. K. W. Oll H. P. GAS H. P. AMT NO. q. W. G. AMi qMP. AMi AMPS TRANS. AMT. H P SYSTEMS PMi WATTS NO.OF FEET ~ ~ ~ SERVICE DISCONNECT NO.Of $ E R V 1 C E MIT. AMP, IYPE METER 1,6' TW 1 ,9 ~W 39 8W 3,9' 4W NO. OF CC. COND. A W. G. NO. OF HFIEG A. W. G NO OF NEUTRALS A. W G. EQUIP. PER 8 OF CC. COND. OF HbIEG OF rvEVTRgI OTHER APPARATUS: ISQ1'ORS:1.°3 N.F„1 A' iI.P. PBNRf,C3U~(tDSsi-t. Ct"i1. S~ F;Lk;C. WtITF;R dGR9'I,~RS:: I -n, St, W. G,P.G.1::-2 7'RXt.L'A L:tGlt'PINGI-9•"S / ' - MANZU dLNCt1~T 6LC,~L576 E ~/~h~ 1J.2 Ht1MPPiAN 9T ' UAIILFlf `iY'i((iA('tl NYf tlat?9 OENERAIMANAGER 11 ~ Per ~ 1' _ ~ - `i Thia 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 A4TERED IN ANY MANNER. 'r1ELD It:S:'EC,iUU~ I~UnaF. ~ COMMENTS m .-Q 1 • ^7 0~ FOUtJDATION (lst) C+7 - a FOUNDATIOtJ (2nd) - 2, z 0 . ~ P,OUGH FRAME & J U`1 PLUMBING to ~ . H b 3. ~ ~ ~i m y IIJSULATION PER N. Y. STATE ENERGY CODE ~ H q. FI;JAL on ' , ~ z ADDITIONAL COMMENTS: ~ ~ . t c~ L.\ . X 11R.) .b • H 77 _ S+ ' H ~D O 5 r „ x r .3 x v t~: • m -o H B0~1RD OF HE~ILTH 3 SETS OF PL<1NS FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK tl. •7~"• • ~ ~ Io2• • • • • • • • . BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N. Y. 11971 NOTIFY q c~ TEL•765.1H02 CALL .~~.:~.~•/•u~~•.... MAtL T0: Exatttined ~ E'!"`~ .?:I.., 19~. • Approved ~ l.Y~?-f 19~d Permit No. ~ ~ 1t}~? .t~".. f"", ~ 0~/ sue, C: Disapproved a/c Y` ~ ~ ~tl ~i~ pPR - 6{990 ~.1, , 4', ~=3os~ . (Building Inspector) ' ~~~f''`' t" ~~,.a_.m-... ~ APPLICATION POR BUILDING PERMIT Date . ,~~/.i./. ~ . 1~~ INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or jn 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 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 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 Re;ulations, 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, building code, housin, code, and regulations, and to admit authorized inspectors on premises and in building for necessaryt spections (3ign ore of applic t, or irrYey;,if arcorporauon) (Mailing addres f~ ~tcant) x, State whether applicant is owner, lessee, nt, azchitect, engineer, general contractor, elec ice,, lumber or builder. ....~.~'V.'N~:~t . :h;~......... . • Name of owner of premises ~/j:~10/~::~•~~i: ~Uf~ ~/.••K4E...~~7/•/Y. f~~~r.S~; , son the tax roll or latest deed) !f applicant ig a corpotaUO~ •~atura~o'f duly authorized officer. • , ' . ~ (N e andntitle o,f o aEate'officer) Builder's License] No. ~'~`r/{!f--. . Plumber's License No . . Electrician's License No . . . Other Trade's License No . . 1. Location of land on which proposed work will be done. • • . ..3.~~~~.~1>9~~.... ~.~.T~-~~.~ ~ Efouse Number Street Hamlet County Tax \tap iv'o. 1000 Section . 7 • • • Block Lot ..f.G~..........'.. . Subdivision Filed Diap No. Lot . .......~Naine) State existing use and occupancy~o'f~premises and inte%n~ded use and occupancy of proposed construction: a. Existing use and occupancy .,va./•~?.~ ~!7~1•~....'-~.~ . b. Intended use and occupancy • • • • " " " • . i h applicable): New Building Addition Alteration . 3. Nature of work (check w•hic P emoval Demolition , Other 1York . , . Re air R' / (Description) 4. Estimated Cost ..G .Q)..V iv,° . . Fee . (to be paid on filing this application) 5, If dwellin,;, nambcr of dwcll~ng units Mmtber oC dwelling units on each floor . Ifgaragc,numbcrofcars 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use . . . 7. Dimensions of existing structures, if any: Front 7.~.......... , Rcar ru•7....... , , Depth .~1.......... . Height , Number of Stories . / . . . . ss'gM ~ Rcar S.~/.'~<:...... . ~ with alterations or additions: Front Dimension of same structurq IIcight , s r5i!~~' . Number of Stories . Depth ~M. . ' 8. Dime~~!tp of,~~Gire new construction: Front Rear ...............Depth . , . , . Hci lit , , t°.` Number of Stories . . 9. Size of iot: Front . ~ o~ Rear 7. ~ . . . . . Depth ,~.5'c~b~, . 10. Date of Purchase ...,f.~D'.7 . . . . ame of Former Owner ,L'T.~r!. • • s ~~o 11. Zone or use district in which ~tremises are situated t~'.'.... • • . 12. Does proposed construction vaolate any zoning law, ordinance or regulation : . . 13. Hill lot be regraded . ~~t~,0, , , , , , , , . , , , , . Nill excess till I~e removed from gremises: /!/D Yes Nc 14. Natne of Owner of premises?ff}./~~.1~~4 ~it':14`. Address .?7P1.,Ult•PGr , ,Phone No. 7.3.~/.:5~~~'~3 Name of Architect N.'.vI p!'~ , • . . . . . ........Address , ..........Phone No.............. . Name of Contractor rl/.o,~;Y~ . . . . .......Address ..Phone No.. ,i.. 15.Ts this propertp located with in~00 feet of a tidal weCland? *YES..,.NO~. *If pes, Southold To{~rn Trustees PLOTDIAGRAh1 a required. Locate cleazly and distinctly III buildings, whether existing or proposed, and. indicate ali set-back dimensions from property lines. Give street antt-bloolraumber or _description according to deed, and show street names and indicate whether interior or corner lot. - - ~-is /t R id RoRO ~ ti ! y/ i G• 1 i9/~S ua ATE C'. E l ~/v i w C Arvo Y/N J lS r' N ,[3f76{ N ~ ~ 'Wic-~ wi wrw 27ovYt ~N~ . ~ 1~f r ~I! !/Yt.S7 S i O k ~ - ~i ~ ~ ~ ~ c~a ,t,~ APPROVED AS NOTED ~ ~ ~ DATE: b 3/ B.P. k ry: ~ 7s'~ ~S,~artN loo FEE: 05'21, BY: . G'. L NOT{FY BUILDING DEPARTMENT AT ~ ~I ~H' 786.18D2 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS; II ~ N,vz ~ 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ~ o• 2. ROUGH - FRAMING R PLUMBING ~ " 3. INSULATION STATE OP NE~V YORK, I - ~ ' 4. FINAL - CONSTRUCTION MUST COUNTY OF !S'S BE COMPLETE FOR C.0 ALL CON TRU Tt N S LL MEET • ~ being duly sw°~IEd~ff~~~hvt•t~"'it1.~Phcani (Nalri~ of individual si,n`ing contract) STATE CONSTRUCTION & ENERGY above named. ! CODES. NOT RESPONSIBLE FOR Hcisthe DESIGN OR CONSTRUCTION ERRORS••••• (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ilti: application; that all statements cont mod in this application arc tnm to the best of hls knowledge and belief; and that the work will be pertbrmed in the manne~ set forth in the application filed therewith. Sworn to before me this ......,..,,.~P..... .....day of !1............ . 19`~~. Notary Public, .....~a~R:rti'.. I_ ~Jp r!.~..... County HEIENKOEVOE ~~~(Signature of aPPlicant • N01A8Y PUBLIC, StBa of New Yak No. b70?678, Sa8c8c Cowitfb, i , Tenn Expires IAxrch 30,1 _-+~~a ~ ~ + _ 9" 1 . ~C... ~ $ V P~ V4 ~ P OveRH£A~ i Y M ~ 5 f~ - ~ S. T:~7 f~ A G ~ ~ S~;T C? ~ A G ~ S _7 C~_ R7~_~::~` 6 ' RE5t r4H - . (e ~ 3 • 3 j O\ oi~ a~, x~rAii. Roor1 ~ ~,,r 72G Sq F7 ~ ~ r~t"~,'~ 2, ~ i~ - k, a ~ 2~ i o D J o° ~ ' a~ o ~ ~ ~ ~ - ~ ~ . ~E ~ ~N~~~~'t~ c / 2• pyFRHEA~~pYFRHLA~ I DVFR?~lEAO 2 2' a~ 23' b" 21' 6" ~ - 67'