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HomeMy WebLinkAbout19214-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19583 Date DECEMBER 13, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 2550 HAYWATERS ROAD House No. Street County Tax Map No. 1000 Section 111 Block 6 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 19 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 1990 pursuant to which Building Permit No. 19214-Z dated JULY 20, 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 RECREATION ROOM IN CELLAR OF EXISTING ONE FAMILY DWELLING The certificate is issued to LOU CARIO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-156599 - OCTOBER 19~ 1990 DEC. 13~ 1990 - WALTER MARCZEWSKI, JR. J ' /// Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDtHG DEPARTMENT TOWN HALL SOUTHOLD, FI. Yo BUILDIFIG pERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_o '~<)214 Z Permission is h~eby grant_ed to:, ~ /' .~ .~ ,m ~~ ........ ~. ....... ~....-.::......~~....~.....~~, o, premises located at ....:~.~...~.(. .... ~..~ ../.~....~(.. ............................................... ............................................... ................................................... County Tax Map No. 1000 Section ..... ././.,~... ....... Block ............. ~... .... Lot No .............. ./..~.. .... pursuant to application doted ........ ..~7....~.~ ................................ , 19...~,, and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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: ~. 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 i. 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 $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property ............................. House No. Street Onwer or Owners of Property .... ~....C.~.,(.©. ............................................... County Tax Map No 1000, Section. ........... /[7 ..Biock ...... ... ~.~. ....... Lot .... f.?[ ......... Subdivision ................................... . Filed Map ............ Lot .................... . . Permit No..~.~.~.~. ..... Date Of Permit .......... Applicant ...... ,~'.~ ~..~..~... Health Dept. Approval ......................... Underwriters Approval .................... Planning Board Approval ..................... ~ / Request for: Temporary Certificate ......... Certicate ...... ~...- TOWN OF 50UTIIOLD OFFICE OF BUILDING INSPECFOR P.O, BOX 728 TOWN HALL SOUI'IIOI.D, N.Y. | 1971 December 13) 1990 TEL. 765-1 gO2 Joseph Verity 32 Sound Road greeuport) N.Y. 11944 RE: LOUIS CAIRO TO Whom This May Concern, We are unable to complete your Certificate of Occupancy becauJe .of the following reasons. /-~'~_ An application for Certificate of Occupancy is not on fil~.. (ENCLOSED) / / :1o Underwriters Certificate on file. /_~.// The check is0oxz%l~,~tot~XJ/not on file.) $25.00 /-/ I';o !I(:alth Dept. Approval on file. /.~/ No final inspection has been made. Please contact: our office on this matter. Thank you for your cooperation. Buildinq Permit t~ I 9 2 I 4 Z Bui ldit~I Dept. ***/-~'/No Plumber Solder Certificate on file. ( all permits involving plumbinq being issued after April 1,1984 ) TOWN OF £OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date /~//3 f~o ×/ Building Permit No.. / ?~/~ Owner_LO U C/~f O (please print) Plumber ~/~17'.~ /~/~fCC2/~/~5~/~/[ (plea~ prfht) , ~ ........ I certify tha~ the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber'~ signature) Sworn to befor~ this _~___day of 19 ~. [lot~ary Public--County y Public THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Application No. on file o~y the electrical equipment ~ ~scrib~ bslow a~ introduced by t~ ~pplicant ~med on the ~ve ~ppllcat~n number in the premises of n thefol o~ ng loc~ion; ~ Base en~ ~ I~t FI. ~ ~nd FI. Section Bilk Lot FIXTURE I ~ FIXTURES I ~l [ 4 6 RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS ~EEDERS TIMECLOCKS UNIT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E GENERAL MANAGER '/his 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. 5 7GS-zS02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~'~ REMARKS: ,/~/~.. ~/~-- ~ I.L~_/~..~.:--.~-~ ~ : . ' 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INS~.ATION [ ] FRAMING, [ ~lrlNAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION PLBG. [ ] FOUNDATION 1ST [ ] ROUGH [ ] FOUNDATION 2ND ['.~INsuLATIoN [ ] FRAMING REMARKS: FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I~ ] ROUGH PLBG. FOUNDATION 2ND [~ . I~NsuLATIoN [ ] FRAMING ~r REMARKs: ~ ] FINAL -/ INSPEcTOR~ ~~ 765-1802 BUILDING DEPT. ,INSPECTION [ ] FOUNDATION 1ST [z"]"~UGH PLBG. FOUNDATION 2ND [ ] INSULATION FOUNDATION (lst) IIDATE il FOUNDATION (2nd) ROUGH FRAME & .PLUMBING 3e INSULATION PER N. STATE ENERGY CODE Ye FINAL TIONA'L COMMENTS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,¥, 1197'1 ?/.~.. TEL.: 765-1802 Approved . .~ ........ , 19~ Permit No ......... ~~Y r~O AS.NOT~O ......... ~ .............. t FOUNDATION - ~O REo~LfCATmN FOR BUILDING PEnn]IT 3. INSU~TION 4. FINAL ~NSTRUCT~N MUST INSTRUCTIONS BOARD OF HEALTH ............ suRveY ......... -..' . SEPTIC FORM ........... NOTIFY~ CALL ................... MAIL TO: BLDG. DEPT. TOWN OF SOUTHOLD , , a n e ofc o e officer) Builder's License No ..... ~t.~.~ ~_~.<~...../t.~I ....... Plumber s L cerise No ......................... ~.. Electrician's License No .... ~0~~ · Location ofland on which proposcd work will be done; . ~ . llouse Number Hamlet ' ' ' .......... tyTa 1000S /[.Z ' BI0 Coun x Map No. ection ............... ck ...... Lot ......... " Subdivision ..................................... Eiled Map No ............... Lot ............... (Name) . State existing use and occupancy of prcmiscs and intended usc and Occupancy 0f proposed construction: ' ~. Ex~stSng use and occupancy ....... - ....... ~,~ ................. B. Intended use and occupancy ............................ ~ ~~'~ ........ .COM E FOR . a/~c.[l~F~E~~o~-,~,e_ly filled in by typew.ter or in ink and submitted to the Building Inspector, with 3 sets ~.a~l~Ed~ji~l~.t~ .~."~. Fee according to schedule. ~t ~~~i~ and of build~gs on premises, relationship to adjoining premises or pubEc streets or ~]~ ~~k]~ of l~yout of property must be drawn on the diagram which is pan of t~s appE- caU~ESlGN OR~~~ C* The wor~'~6~?~'~ppIicatlon may not be commenced before issuance of Budding Permit. 'd. Upog approval of this, application, the Building Inspector wUl issued a Building Pc~it to the appUc~t. Such pcmit shall be kep~ off ~*he premises available for inspection throu~out thc work. e. Ng~build~g sba 1 bc occupied or used in whole or in part for any purpose whatever until a Cc~ificate of Occup~cy hall ha~; ~eq~ gft~ti~ p~ {he Braiding Inspector. APP~IIO'N;~8'~ERHBY~ADE to'the Build~g Dep~ment for the issuance of a B~Iding Pemit pursuant to the BuildinglZ~}~8~,e of tN~J;~J~8outhold, Suffolk County, New York, ~d other applicable ~ws, Ord~ces or Regulation[O~O~D~G~of buUd~gs, additions or alterations, or for removal or demolition, as hcre~ descdbed~ The .ap~ic~ee~l~ ~plica~e laws, ordinances, bufld~g code, housin~ code, and rcoulations and t admit a~A~fl~ctom on premises and ~ build~g for necessa~ inspections. ~ J ]. z ~ , o 4. FINAL - CONSTRUCTIONMUST · .~ .~t . . . ALL ~NSTRUCTI~ SHA~ ME, ' . (~~phcant,f~,~acorporan,n) ' BE COMPLETE FOR C.O. - · · ~- ~;.. .... : ........ S'a ~ E IGNOR~ ~ON RRORS ~ , = , t, eh=racer, =eneral contractor, electncmn, plumber or builder. . ameofownerofprem,ses . ~~ %~Cq~[ ~ ~U [axon the tax roll or latest deed) , apphcant :s a corporatmn, signature of duly authorized officer. ~ . 3. Nature'ofwork (check which appliiable): New Building ......... Addition .......... Alteration ...... R~epair .............. R~m~oval[ .............. Demolition .............. Swimming pool ..... /. ..... Trennis Court ....... i. AcCessory Building .......... Febce ....... Other Work .... .~ ....... 4. mated Cost ..... ~ ...................... Fee ...... ~ ............... 2 ...... · · ~ (t g thi ppli ~ o be paid on illin s a cation 5. Iq dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... I~gara~e number of cars 6 I~b ' 'al ' d o [ up y cify d f h typ f . uamess, commerct or m xe ~c anc, spe nature an extent o eec e o use .................... 7. Dimensions, of ex st ng structures, i~ any: Front ............... , Rear ............... Depth ............ . H?ght ....... N~ffi'be~ Of Stories Dimensions of same ~ ~ ' Front Rear structure w~th alteratmns or additions: ................................ Depth ................... }Ie:~t ..... Number of Stores..., .... 8. D:mensions of~Mr~n~w.J~onstmction: Front .... Rear ............... Depth H~tght .............. umbe~ of Stories ..................... ,.; ........ 9 S~ze of lot: Front '~ Rear Depth 0 ..... . ...... ..... , ............... Name of Fomer Owner .................... ; ...... ~ Zone or fi~e district in whic 1 premiX'es are situated ................. .... Dges proposed construction violateI any zoning law, ordinance or regulation ........ ~ · .~-J;;.7,,~'. .............. 3. X~fll lot be regraded ...... .. Will excess fill be removed,~fg~ premises: Ye~..., No.. 4. N~e of Owner of premises ....... ~ * ' Address .~ ~...~ .... Phone No.. 7~.' ~$.~2~ -~ .... Nme of Architect ........... ~ .............. Address ............. 3lq: Ph~B~IN~. ,,:,; .... '. :. .. N~e of Contractor .W~P~! ' dre - -~S~ Phor{~ ~ly ma oi mctw.ml buRdMgs whether existing or proposed ~rope~y Enes. Give street =d block number or description accordMg to deed, ~d sho~'~T~e"~t n~' '~es an' ~-' f ~di~ate whetheC ;TATE OF NEW YORK. , 7OU~TY OF ' · I (Name of individual signing contract) lbove !named. ...... being duly sworn, deposes and says that he is the applicant is tile ; . . i [ (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly :mthorized to pe,rform or have performed the said work and to make and file this Pphcgtmnl that all statements contained in this application are ~rue to the best of his knowledge and belief; and that the .Vork x~fl be perforated in the m~ner set forth in the application qled therewith. ~wom[ to before me this ' ~ · ..... , ....... of < . ~ ......... ; .............. ~ounty - . • o FL BATH 0 0 ' � CAF" DET 13, L o 0 FINIS I"ED BASEMENT UTILITY ROOM 0 0 UTIL CL 01 -... SEW? 0 UTILITY CLOSET 00 6 A CL CL rs pry .. w.wJ� ^• rw i Sr ! •• .•.,, r• •• w +t sM:• �•• r r •rr♦. i•.. .••, •r •� ••/• •. "•�• .!w �.t L BASEMENT FLAN 16t n 7a Ky� SCALE: 1 '-0" 1 /8" d 12 u 4P 06/06/2022 2550 HAYWATERS ROAD BASEMENT PLAN CUTCHOGUE, NY 11935