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HomeMy WebLinkAbout18917-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19451 Date OCTOBER 16, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1105 PARKVIEW LANE ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 5 Lot 24.26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 1990 pursuant to which Building Permit No. 18917-Z dated MARCH 29, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to RICHARD & IRENE CAPUTO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-16- SEPT. 20, 1990 UNDERWRITERS CERTIFICATE NO. N-153701 - OCTOBER 4 1990 PLUMBERS CERTIFICATION DATED OCT. 16 1990-PECONIC PLUMBING & HEATING Building Inspector Rev. 1/81 Fosas xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) D ~.89~7 Z 3 ~s N _ Dare 1 Permission ishere~rante t~r'~;~ / /~/~~///J ~/o ~ c,~ ' at premises located at .......................1......... ..........d•~l.Gr>~............................................... County Tax Map No. 1000 Section ......../...1~. Block Lot No.........~~... t..O~r.6 pursuant to application doted ........3,1.~':6 19.9, and approved by the Building InQSp/,e~ctor. Fee $.'3./`.".. ilding~~~~~ for Rev. 6/30/80 Form No. 6 TOWN ('F SOUTHOLD '/1 'J~j 1~A~ BUILD L;C DEPARTMENT ? °'V O~ :O'a".i iiALL 155-18CZ ~j ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ~l f~ A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: far 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 installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Manning Board Approval of completed site plan requirements. t 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. Gerti£icate of Occupancy Newer elling $25~, Additions to dwelling $25.00, Alterations to dwelling $25. 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 i 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1/~5°°.00, CommeC~rcial $15.00 Date V .I• 5.~. New Construction..,/.. Old Or Pre-exi ting Building , Location of Froperty...~.,.4~~ .............~.~Q.~~y~~°:4W.~e'.............~~~~C%........ House No. S~tjreet l T Hamlet Onwer or Owners of Property..~~~•~••~%••IC'•~~~•%'•~~~~f`•~•••••••••••'•"°"""' County Tax Map No 1000, Section......~~.....Block......~.......Lot...~~~.'.°.? ~~pp 1/ Subdivision..! ~(~n ~..~..::4l~ .............Filed Map .,~l.~.S~...Lot.. Permit No. ....Daze Of Permit.. ~ ~4. .Applicant. r1.~.'~.j• 1~/ Health ept. Approval ..........................Underwriters Approval....1?................G~.~`;'""D' ~~z Planning Board Approval Request For: Temporary Certificate.........°. Final Certicate..~...... Fee Submitted: $ BOB KP.FtLB HOME tMPROV.~ f""./ P. O. @OX 520 •SOItTFFOL•D; NY '19971' ' 4'~"1~~ APPLICANT TEL. 7G5-1802 ~o/S~FF//0''(~~.~~~1 C~l% TORN OF SOUTHObD Ltii'~i:•p' ~c OFFICE OF I3L'ILDIt•IG INSPECTOR o ~r t~, P.O. IIOX 728 ~ '~~r.'+•' TOWN HgLL O. ~ `0'~ SOUTHULD,N.Y.11971 C E R T I F I C A T I O'N pate euildirg Permit No. ~p g Z! Owner~~IT~ -t' .~rGh~91?,7~ l'~~(,(~` (please print) , Plu..:er ~~%D/I~G Go~h~iy~~/~~'~~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of l~ lead. I ~ J ( u er's si ature) Swor ,,o befor= me his day of ~x'S~-~._..~' • 19~. Notarf Pu is ttotar•• Public,SUr~~C)O~___County Nafary Public, 6teBO o? Aleswr'!cr k No. bl°l5? Zk~,~lifl.~i iwi SuHaffi ~u~~yfy ~'~a?sx:=9^airaY3 l~,sRera~s ~ . ~ r~~.-/ ~J~Fatx~~~ TEL. 7G5-1802 ~O OG ` TOWN OI' SOUTIIOLll ~i OFFICE OP BUILDING INSPECTOR ,~d~~~ P.O. BOl 728 ~ 't' T01VN I[ALL yf~ol ~ SOUTIIOLD, N.Y. ] 1971 ~~i s'f go M a To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. An aI>plication for Certificate of Occupancy i : not on Li lc. ~%wc-eeae.~Q /uJ` No Underwriters Certificate on file. The check is( /not on file.) ~ a5.o0 No ltcalt-h Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Bui] di.nq Permit f! ~ ~ ~ ~ ~ Z C~~°~`''~LO~ ~ Building Dcpt. No Plumber Solder Certificate on file. ~'x-~`~`Q ( all permits involving plumbing being .issued after April 1,19II9 ) ~ ~5"y~ S T'Y~? c~ ~c~ sfft1~ ZNSi't~G~otJ I~P+~7~ q Co~f:a~.uT.S ~ ~ S . L - 'OUtIDATI0;1 (1st) ~v- ~ - - - - ~ r ~ m, ?OU'IDATI0;1 (2nd ) 2. o POUCH FRki~1E & PLUMBING N i H to l ~ ! ~ 3 . '"3 II ItISULRTZ0;1 PER N. Y. STi.TE Ei1ERGY CODE ` . ~ m y 4 . n . I C FI;IAL ~ ~ ADDITIOPIAL COMMEI7TS: v • - , ~ x H\p `\1 9 n7 . H O ' ~ ~ (4- x y 1 • b Q m a =Cr ~ ~ki~ c _ THE NEW YORK BOARD OF FIRE UNDERWRITERS .l 10Olpll BUREAU OF ELECTRICITY 88 JOHN STREET, NEW YORK. NEW YORK 10038 Dace Q(".'rQRF",Ct t1~'7'~tr(1 Application No. on file E+"~4?~994t~/~C! ;{,rj,f'~f}'~ THIS CERTIFIES THAT only the olectrical equipment as deacrihed below and introduced 6y the applicant named on the above application number in the premises of RT,fHAR7? t;APt7"I'fi, AARK V7Jtifii f,ANtC, O~.f.N;IVT, 19.Y„ ~ r In the folloui+cg location• ~1~'~ Basement ~ /st F'l. ~ 2nd FL .Section Blcek Lut SF:6'!Pr??PfPS'E;R. ?~J,199C1 uK+s exornined mt and found to 6r in coneplianee with the rerluirernea is q(Chis Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANtlESCFNT FLU(M£SCENT OTHER AMl K W AMT K.W PMi NW AMi K.W AML. H P Il) .rJ f~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. N.W. OLL H.P GAS H P. AMT NO. A.W.G. AMT. AMP. AMT AMPS. TRANS. AMi H.P SYSTEMS AMT. WAIIS NO.OF FEET f { ~ SERVICE DISCONNECT NO.OF S E R V 1 C E METER No or cc cono A. w G A w. G A w. G AMi. AMP LYPE EQUIF 1.6' YW t ,6' 3W ~ N 3W 3,a 4W pER A" OF CC. COND. NO. OF NbLEG OF HI LEG NO. OF NEUTRALS OF NEUTRAL 1. ?•~tl C'~ f X 9. ;3!(f Q 2,r f1 OTNE0. APPARATUS: t9fl'1'CaRSe!-~1 ff.F„~?-d' H,.p. G.1~,C.f:-6 r, ~ s rorvmi~~r'rt,x. L,r.t~.#E>7R-~; / f3<Ix 2.z~ SflC!'P}{fl1Y©, NY , 1.'Z ~)•~9, 6ENERAI MANAGER f l~l Per V 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 DE ARTMENT. THIS COPY F CERTIFICA E MUST NOT BE ALTERED 1N ANY MANNER. BOARD OF HEALTH 3 SETS OF PLANS..... _ . Q 'Ul FORM NO. 1 SURVEY . BUILD NGDEPARTMENT SEPTIC FORM a?~. ' TOWN HALL BLDG. DEFT. SOUTHOLD, N.Y. 11971 NOTIFY t~OWNOF30uTHOLA TEL.: 765.1802 CALL ~.1""Y" `~/..~.9 1980 MAIL T0: - . Examined . . • • _ Approved ..3/~......., 19/.~PerrnitNo. ~~..7~ Q,2.__ ~,ru.L~,,.1 Disapproved a/c ~--J~<~~?~~uil • ng~Inspector) APPLICATION FOR BUILDING PERMIT ~ ~ /l Date ~ 19 . L`.) ' INSTRUCTIONS a. This application must be completely filled in by typewriter or in 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 Regulations, for the construction of buildings, additions or alterations, or for iemoval 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 building for neces inspections. (Signature ot" applicant, or name, ife~ or1anon)~ (Mailing address of applicant) • State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ; . . ~ Name of owner of premises u••••••~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. - (Na e and title of corporate officer) Builder's License No. 6..~. ~ . • . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. j.l ~ ~ h~ House Number Street ~ Hamlet County Tax Map No. 1000 Section • . • • . • • Block . a.ot ~ , , , - C / , Subdivisions C ~ 7 , ,L/~. L'.. V Filed Map No. l.t/~ S_.J Lot . • (~7ame) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy • • • ~ . .a'€ b. Intended use and occupancy d 3. Nature of work (check which'~applicable): New Building . ~ . ~ . Addition teration . . Repair • moval Demolition t>~~1s esc p r n) 4. Estimated Cost . /l S.OCid Fee . ' t3A.Yt1J9' . W, 5. If dwellin number of dwelli (to be aid o~,~i~gi~q~a'~ g, r}g units Number of dwelling units on each floor , . If garage, number of cars ~ , . 6, If business, commercial or miXed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front Rear Depth . Height ...............NymberofStories...................,.................................... Dimensions of same structure With alterations or additions: Front Rear . Depth . , .Height ......................Number o~ Stories . ' 8. Dimensions of entire new construction: Front ~ Rear ....rjr 3......... Depth ,`c~ . Height . Number of Stories . 9. Size of lot: Front ~ R ~ 1 , Rear .....1.~ ,i!.' Depth 2 0, ; d~, , , , , , , , , , , 10. Date of Purchase , ; . . . ........Name of Former Owner . 11. Zone or use district in which p',remises are situated f(?~sr;06N'+;~!'ft; , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: ...!1!d ' 13. Will lot be regraded !11P. i Will excess fill be removed from premises: ,Yes L,g> 14. Name of Owner of premises . 7k,B~,,E , ~/~1~~~.~~'~~~dress ...................Phone No. ~.°.Y:.Y?g.:>.3 r'? Name of Architect i ..............Address ....Phone No...... . . Name of Contractor ~.B .Kt~<'r.4 .Address aysys,,;vr;a av a21.t~T phone No..3~s' 3s3 , . 15.Is this property located within 300 feet of a tidal wetland? *YES....N0.;7C. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly a~l buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ` Cfl ~ 1/(~ ur ~`tiri $o h ~ ~ 'i e r R^p6s/~ 6~ 7'1,5. L---- f 0 ~ r K ~5 a ~i ----6° i STATE OF NEW YOR~~/K, ~i 5. 1 OUN YO ..~.5..flE.- . . (Na ~ ~of Sndiv a al s';,n~ ~ ~ V~ v ' ' being duly sworn, deposes and says that he is the applicant }ng contract) above named. i , He is the t~.~l;• dl (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 this application; that all statements contained in this application are true to the best of iris knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to befor~e)me this Notpry Public, l..I,l.: I~ . ~Q: County 1' . HEIEpp K f1E VOE • . NUfARYPUttttC,StatpofNewYak (Si natureofa licanq Tmm~Fxa~aMaercoh90.1~ g PP a ~ A ~ N N~ ~ o ~ ~ ~ ~:~7~~~ ~ W Z ~ ~I Lori>a i11,4P OE OrD/EiYTBY Tf1ESE.4 ~ < ° ~ (~jt ' SECT/ON THREE Or7/EiYT, 70GYiY OESO//Th'OLO ~ ~ ~ V F/LEO OC70BEiP/E' /97A /YO. 6/60 \ ~ ~ u ~ o ~ a 1 I S OL OU Y D[RARTMENi OF NEACtH SINGLE FAMIt.Y DINELLING ONLY ~ a,• DA~~~ ~ ~ ~_1,ts.~'1~. N.S. REF. N0...~L-cS~:G~ ~ ~ ~ The sewage disposal and water supply facilities fm' this ~ ~ • location have been inspected by this Department and/or •1 other age cies and "round to be sa(isf~tory. j ~1 o t3ureaita;~rZM •r~~ement Y, ~ Q1 ~ ~ ~ ~ b b ~ ~ ~ • ~ ~ ~ y9r ~ e ~ zea, .`o ~ 1, Oiq .~~ak y9 9 g5 _ RN\~~ u 1. ~ a Ol' nv V~2A ° lez ~ - c ~s ~ ~I S . -27= 46.3 ~ SL6' \ a7 y ~ a y~ ,l~ ~ 4s. ~ S S i i d ~ ~ 'SP'.SO'2t~",.G`' ~ X2.60' ~ ~ ~ ~ O e~ ~ A ~ o (e ~ o ~ ~,tr~v~! fvLOraad7xav 1 pEYL AA(9 S4r16D/NYS777GC77d7ES' ~ ~ O ' BYSLO~OfRCrYC77L61'TY/~ALTHOEP.OF.77Q•/YT ,ALBERT W: TAB' \ cn rnrm sc~v~tort °o P.O. 90X 312 PLAINNGN', N.Y. 11D03 p • 1F7.. (516) q33-3725 FAX. (516) A.'f3-~W09 e,.•`°~EaF N~yy~!`°.: ~ FINAL SURVEY 0~~°yPy~~aTw•T,,O r0 $URyE'YED: A//GU3'T/7, /990 ° a ~ ~ CF3tiIFlED ONLY T0: 1 R/CHARD J, CAPUTO 8 /RENE E. CAPUTO « O PAPERS A9STRACT `~,~2~.,, a~ ~ : ~a`~,: N J O ••P''~~/AN€7 ro 4. N µFlSIIRE)AEN75 U.S. 5fANUA1t004:=.. SClIIE 1• . <o• ~ Cflt111GtTN7NS 9WI. 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FINAL -CONSTRUCTION MUST BE COMPLETE FOR C.O. . ~ CERT/flC~ATE Of OCCUPANCY THE REQUIR IEMENTS OF THEMNEPr ~ "-R USED IN NWTER STATE CONSTRUCTION 6 ENERGY • SuPALYSYSTEM CANNOT DESIGN OR ONSTRUCTNON ERRORS ExcEEOZ~o or LEAD. - i <E pf NEW yo - I <P ,cc M. T 9.F p y ~r l Ro~~SF_p, //a GS2 FoR ~ ~ s ~~a. ~ • _ - - - ~ - i ~ ~ ~ ~ ~ ~ s /AR R /h RT rl~ /C!/Ak0 CAPA~ :n s D, „ ' w ' (p 'Z $CAIE / /i_ ~ 0.PGPOVEp RY: 9RAWJ RY - -w i , I Sdp 032254-1 ~N DALE'. REVISEP . - , jJy ~ .~G YO . - ~ i - / AOFESSIpNP 809 KEHIE HOME lMPIgV• RID. ~ SOUTHOLD: 19+' ~4A71 ~ ~ ~/L' /P • GRPN9NG NUM9FR ' . ~ - - ~ ~ ~ ~ ~ F'RnN7" 1(JBW ~ ~ O,v£ nF F/vE i r - - ~ _ ugf _ . r n i ° ~11e ~ _ orb ' I. ~I,kf~~ j ~ 7 1i I i I i 1 I 1 ~ /t DC , M I I ~I _ ~ ~ { I y ~ I I ~ { ~I 1 ~ ~ ~ • 1 , ~ %7~4 1 1 ~I ~1f I ~ ~ _~Co4~ _ I ~ ~ ~ MKT i , f ~ i 1 K . ~ ~ . ~ 1 ~ ~ I ~ ~ ~ p f, Ce 9 !`I ~ it 1~ ~ I 1~ II \01 ; I ~A~Sr ! 6 f ~ ( I -.i I~~ tie' I; I' .-ter' t ao v - ' 1 I ~~I n _ y I _1 Iy. ~I 1 .ia i;f -I~o ~'ox, ~J c ,r 76 I ~ ! ' ~ ~ I ; 1 I ~ wc, ~ ~ , ~d R~.&~~y ~ I I 1 1 Q t / 3 ~ f r~ b~ I 04"p t ~ i 1 { 4 F . ~ ~ - _ _ I l ~ i ~ ` ~ ' i'~ ~ ~i *1 ~ ~ ~ I~I//I,~I 111 d --__..__.11Aw .I~ I I ~ ~ M il.l ! l1~ i,l maw ~uw 1 If ~ i r - ~ f ~ i ~ ~ _ pad if - ~ , .yf yr,~5eu.4~,~. 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