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Home My WebLink About18887-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219232 Date Jt}LY 24, 1990 TH25 CERTIFIES that the building ALTERATION Location of Property 450 RAMBER ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 88 Block OS Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1990 pursuant to which Building Permit No. 188872 dated MARCH 16, 1990 was issued, and conforms to all of the requirements of the applicable ~I provisions of the law. The occupancy for which this certificate is issued is RENOVATE PORCH ROOF AND ENCLOSE AS APPLIED FOR. The certificate is issued to CHARLES CICCOTTO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N A ding Inspector Rev. 1/81 F n~osat xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL gCOMPLET~7ION OF THE WORK AUTHORIZED) N p J. $ 8 ~ ! Z Date ,~..A,:?rGY.t......~..~o 19.Q Permission is hereby granted to: ~~,y ....r~.~n..3.~..~.la........~ 9.. _ f _ to .~4r.....~~..~s.f.X~...~e~`:°'1,....~.lK.,...R?hF~:R~::.....f~r.~....'.?~. at premises located at ...T:,Sca.....~ C.-~'..., . County Tox Map No. 1000 Section o.~..Q..... Block Lot No....,.~.3............ pursuant to opplicatlon dated .....~.G.c4.4~... ~~1 19.0., and approved by the Building Inspector. Fee $...`4w~~..../.. ~:.S~..F'!e. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY .1. 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 17 lead. ' S. Commercial building, industrial building, multiple residences and similar buildings and installaCions, a certificate of Code Compllance 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 Che applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees j 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 Co 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. Up.;ated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date ;]ew Construction..... Old Or Pre-existing Building - :.ocation of Property...... ~0''.PR •~~1 House No. Street Hamlet Onwcr or Owners of Property........~'Pa:'Q.Q:'...~~C'..~.~".-•••••••••.••••••••••••••••••-••••••• County Tax Map No 1000, Section....... ~ ~..BLock.......:~.......Lot...~~ Subdivision ....................................Filed Map............LoC.............:_....... Permit No ................Date Of Permit................Applicant............................•- health Dept. Approval ..........................Underwriters Approval.....................: ' ' . Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: c~ z/9.d3~Z APPLICANT 7/z~r/yd ~lELD Ii:SPf'.CiiUN ~~llATE ~ %OMMENT° ~b m od 1. x eG - - - ~ ..1 FOUtJDAT20N (1st) ° l~ c~ N FOUNDATIOIJ (2nd) m 2. z o .G P,OUGH FRAME & PLUMBING N H 3. ~ I13SULATIOf7 PER N. Y. a STATE ENERGY CODE x a ~ I 4, FZi3AL -7 ~ C..O . o E z ADDITIONAL COMMENTS: x ~ 'n 9 ro H ~ 1 H ~ H O .,Q Z r x m 9 y x 7} 0 r__. ~ ~ri~ R 60ARD OF HEALTH . ~ ~ Lr ~p~ 3 SETS OF L.\NS 6FD04F0 .1 SURVEY TOWN O SO THOLO cHecr f/-~.a~9S. gt,p , N EP RTMENT SEPTIC FORD! . OFSOtIT LL $OUT}tOLD.N.Y.11rJ71 NOTIFY: TEL.: 7G5~1II0~ CALL . MAIL T0: •~1• ~-R~~~' :xantincd Tfl n 19 q ~ !:R::' . . ^pprovcd . ~'Y1GD44C~i. ~.~4., 19g1? Permit No. •iZ.'. . Disapproved a/c . .4.e/t!9-4... (Building Inspector) FiPPLiCATI%31~f FOR BUI! DING PERMIT Date ~ ~ ~ ~ 15 . INSTRUCTIONS ;,,t a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Buildin~.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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. 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, Nevv York, and other appIicabfe Laws, Ordinances or Rc_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, housing code, and regulations, and to admit authorized inspectors on premises and in brtilding for necessary inspections. ' ~LC~trJ ~ dc'-J UGO (Signature of applicant, or name, if a corporanon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Vame of owner of premises ~ L~ S ~ c O r ~-J _ (as on the tax roll or latest deed) . I • . . 'f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's Liccnsc No . . Plurnbct'sLiccnseNo. Electrician's Liccnsc No. ' OtltcrTradc's License No. Location oClanJ on which proposed workwill bt: done; ~SD... .2 ?~-dl't!SLG/L... .........:.SouTh~o~17...... Eiouse Number ~ StrceC. ~ Hamlet g BI'vck ~ 2-~ ~ County Taa 11ap No. 1000 Section Lot . . Subdivision F~i1cd piap No. Lot . ........(Name) State ecisting use and occupancy of premises and intended use and occupancy of proposed construction: , a. Existing use and occupancy ~ ~ ~ : r~.°:~.............. . . ,.w l... 6.Int i``~~~ ended use and occupancy . • • . • • • . • . ~ " ' i ~ ~ • • • • . p,yxn. ~n..+m..x..waawuMntrwa,nvw w.., gym. , '9~., s~~~ - 3. Nature of work (check which applicable): New Uuilding ~1li~..'. t Repair Removal l . . Damdlition g~~ Tennis Court Accessory Building. i ,~F~is~~i~i'. th o t. Estimated Cost . !..`a. Z}.:~'.:....._. „ •Fsd . i`'.'":. w~.~ ' (to be paid o ~m ttoi5 IC dwelling, number oC dwelling units Number of dwelling units on each door ICgarace.numbcrofcars S. IC business, commercial or mixed occupancy, specify nature and extent of each type of use , . 7; Dimensions of existing structures, if, any: Front Rear Depth . . Hcicht Numbcr,of Stories , . Dimensions of same structure with ~ltcrations ar additions: Front Rear , . Depth #Icigftt Number of Stories . 3. Dimensions of entire new constntct)on: PFOnt 16:~ . Rear . Depth Height , . Number of Stories . ,t :aiie of lot: Front /,d ~ Rear..... l ~.Q . . Depth /.7 Z r.3 ','i: 1?atc oi' Purchase . De1~ , 6 o~ 'C°e c ir;Q , . . . ~..~e. ~ ..Name of 1=ormcr Owner ./.>4 ~M.. .~`1'.. . i.;, ;ra^c~.or. use dstrict in •,vhich premises arc situated . . . . ~ . . Dn~rs pa•oposcd construction violatc'iany zoning law, ordinance or regulation : . . . 3, ~Vili iot be regraded ; , ,Will excess fill be rcm~ov/'cd front pfem,i}}cs: Yes , No . . Nance of Owner of premises CiccR°T;T.?? Address 3."!¢. .p~/E .f'~ • ~'S1on°e No. _ . Name of Architect . . • • .......Address ...................Phone No...... _ Name of Contractor ...Address ..Phone Nn.... . , 'h IS.Is Chis property located within •I 00 feet of a tidal wetland? *YES.._:NQ.~.. *Ef yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from noperty Lines. Give street and block nufiber ar description according to deed, and show street names and indicate whether nterior or comer lot. y'<<,"~ . ~ , ,,,,i CT€' t. c . aR I '4~ r ' I hid I Y~. ~ T~~.. srnTe or- ~E~v YoRI:, s COUNTY OF being duly sworn, deposes and says that he is the applicant • (Name of individual signing contract) above named. Lfcisthc I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed tltc said work and to make and file this application: that all statements contaitcd in this application arc true to the best of his knowledge and bclicf;and that the work will be performed in the manner sia forth in the application Glcd therewith. Sworn to bciorc me this 1'' ; .............~~...~.~.day of . I /u~: ~~1......., 19 9G iNotary Public, ."Q-~~f:%`:'.~ . I~ a-,Vd-~.", County h/~/~~ Q ~G_y~j HELEN K DE YOE ....4/.n°.':'.' • • ~ : - • • . NOIARYVt18LIC,StateofNexiYorR ($ignature of applicanU Term~Fxplrei March 30 1~~.~c ' ~F~ t.h , . ' _ I E; G ~ a; 1 ~ ct - - ~ F ~C i~? b y. / (1 ~ ..,-r2~3o I ~n vnnr i jll J Or . v: N. 11 . r a... r c l` i ~ i t. a~' ~ Vi ~ I o ! ~ . = F. t Li « • Y'''~~--+ ' R. ~ waif j I ,m fir. ~ - _ u~ -_.CDE-__ ~ ~t . C-J!: i~~r r . - - ` ' ` SUFFOLK CSO~UNNC~TY DEPARTMENT OF HFJILTH SERVICES rv ~'v .rt-, ~ ;C; r ~ OCT L L E FAMILY DWELLING OlM.Y f F ~ . - _ ~ DATE 1987H.S. REF. No..~52l.6~ ~ , . - . The sewage disposal and water supply facil>tres for ih~ ' ' ~ ~ location have teen inspected by this DeparlaMM and/or other ales nd fou to ' Chief~o Bureau of Wastewater' Wrapriant iF If DYNE b5T PnMt~ oa ~L ~ t d~~~~~~~~v~~ uSE~v~ GE Q~G~ '~~~~p ~GV NlM1r ~R ~~,~(~34,.a,re w ~ j _ _ ~ ~ ~ ~ ' 1 i ~ , ~ ~ 3 ~ T~ ~ ~ ~ r.~~ - c~~ 1 ~p ~ sr° .Y ~ Py } 1; cs` p + I . ~ ~s ~ 1 3'~ ~ 3 ` g ~ ~ ~ ~ ~ i r f' _ m. ~ s' ~ rte. I' . _ 1 - ' ~ (1x15 1~~'4 1 1 - - r j ` , ~ _ - - _ _.T..~ .Y._ . _ ! l I ~ ~ f: r. l ~ L psS 4 I ~ ~ ~ ~ i ~ ~ . i ~ ~ y i?? y' 1 ~ 3ti' 3y 3y~ i ~ ,i € ~ ~ ~ +,i , i ;i I ~ , -n.~uf~ ~'f-o In S - Su 7~n/G 7uu2 / } 1\ 6_ k I rr t V 3. i ~ n I I~