HomeMy WebLinkAbout18498-z
• FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19148 Date JUNE 14, 1990
THIS CERTIFIES that the building RENOVATION & ADDITIONS
Location of Property 1700 NORTH OARWOOD RD. LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 127 Block 6 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 3, 1989 pursuant to which
Building Permit No. 18498-Z dated SEPTEMBER 15, 1989
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy £or which this certificate is
issued is GARAGE, BREEZEWAY & DECK ADDITIONS & RENOVATIONS TO
EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to RAYMOND & BARBARA COLUCCI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-132399 - JUNE 1, 1990
PLUMBERS CERTIFICATION DATED N/A
Gt.c r,
wilding Inspector
Rev. 1/81
roses 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)
N 1.8 4 9 8 Z Date ..:.~:1`~..~-Pig...... i 9:~.~
Permission is hereby granted to:
.............~i~.....''.~--....:......
~7......~.......~~.......~
D.~.
~~a:•~:R:~....1 .,....~...Q,ac
jj~~
at premises Located at ..l..Z.~........!?~l?... ~
:^s:L:. ~ • ~
A
County Tox Map No. 1000 Section Block Lot No...........9..
~~77-- \\~~yypp
pursuant to opplication doted ...X.•F.:m~...~ 19.fi..U.., and approved by the
Building inspector, VUU
Fee S••~.:../.....
Building inspector
Rev. 6/30/80
' ~ Form No. 6 _ RR
TOWN OF SOUTHOLD ~ ~ ~ CS ~ ~(1
BUILDING DEPARTMENT
TOWN HALL
765-1802 (J
APPLICATION FOR CERTIFICATE OF OCCUP BLDG,
'
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-4 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 12 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 Apti1 4, 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 oi; 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.D0,
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
Date SIINE 4;.1990.
New Construction...ga.,.... Old Or Pre-existing Building
Location of Property.....~~00. NORTH OARFLOOD RD. LAIIREL
House No. Street Hamlet
Onwer or Owners of Property.., RAYMOND S BARBARA COLUCCI
County Tax Map No 1000, Section....?~.......Block.....06.........Lot..09
Subdivision ....................................Filed Map............Lot......................
Permit No. 184982 ...Date Of Permit....9~15~89....Applicant.., RANDAZZO BLD .
Realth Dept. Approval...... ............Underwriters Approval......................
Planning Board Approval
Request for: Temporary Certificate.:......... Final Certicate
Fee Submitted: $
1. ,
.APPLICANT ~ .
Co ~ l91y8~
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ,
1[1UU12J BUREAU OF EIEGTRICITY
8S JOHN STREET. NEW YORK, NEW YORK 10038
Dete ,TUNE 0!,149(1 ApplicotianNo.onjile 6737?140/90 N 1:51344
THIS CERTIFIES THAT
only the electrical equipment a described below and ineroduced 6y the applicant named on theebose application number in the premises of
fB
RAYPtr)ND C-0LUCCI, 15iU N 6Ah:WOGC~ DRIVt. L.AURFI., N.Y. ~
in thefollowinq location; ? Basement ?X ist Fl. ? Ynd F1, GAR/pUT Section B/ock15 Lot
uNU esamined on IYAY 10+1490 andfoundto 6e in cornplionce with the requirements of thin Bwrd. aa~
i
BXTURE R%TURES RANGES COOKING MCKS OVENS OBl1 WAfINRf EXHAUST FANS
OUTIETS lFiAC1E5 SWI701E5 INCANDlSCENT RUORESCENT OTHER AMT. K. W. AMT. K. W. ~ NAT. K.W. AMT. K. W. AMi. N. P.
L3 SF. 14 12 1. 1 13.7 1 1.2 4 F
DRYERS NRNACE MOTORS NtTURE AIFIIANCE R~ERS fFEGAI RFC?T TIME CLOCKS ~t WMT WATERS MUL140URlT DUAMlRS
AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TEAMS. AMT. N. P. ~ tl! TAT AMT. WAITS
1 Cl~t1
SlItVN7 DISCONNECT NO.OF S E R V 1 C E _
AMT. AMP. TYPE METER 1 A' TN l ,e 3W ] / 3W 3 / AW NO. OP CC COND. A. W.O. NO. ~ MbIEG A• W.O. ND. OP NlUtRA13 A. W. G. ~
EOUI?. PER B OF CC. COND. OE NFlEO OF NEUIMI
1 lUE1 CB 1 X 1 1 °i
OTHER AFFAMIUS: -
S.F.[:.I:-3
I
PAllln R. BURNS LTC. K'1.8?k
2]5 TOWN HARBOR LANE a,,, ~
a 017'f H 01. U, N Y, 1 l v 7 l O/YIIAI AW/AOp
PKq~!
This certificate must not be altsrad in airy manner; return to the office of the Doord if incorreq. I ~.nigcrb'i identifiRd (Mir ctadaldio'Is.
COPY FOR BUILWNG DEPARTMENT. THIS COPY OF CERTIFICAT# MUST NOT #E /i~T#R~! IN ANIf MANiIER.
l ~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG. !I
[ ] FOUNDATION 2ND [ ]INSULATION
P""'" ~
[ ]FRAMING ~
FI~NAL~ V
~`i156 ~ ~ ate""=
REMARKS:
DATE INSPECTOR
~ J
lELD I;:.°.: c ..U:. ~~U„^. Ij ::U<YMENTO
m
a
_ `i
r'OUIJDATIO?J ( 1st ) I ~
?OUIJDATIO?J
(2nd) f
~
,c,,. ~ o
ROUGH FRAME
PLUMBING
y
3, a
m
n
IIJSULATIOfI PER N. Y. • • '3
STATE EfJERGY
CODE
4. / y
4 ~y 90 9' - •-eL# 3978
FI;JAL
O
ADDITIOfJAL COMMEIITS: ~
x
~ 9~ •
x
H
b
y
H
O
• `m
- / -a
d
m
^o
H
l ~
765-1802
BUILDING DEPT.
INSPECTIQN
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ a INSULATION
[~RAMING [ ]FINAL
REMARKS: 7~u
T
- r
7
DATE ~U INSPECTOR
765-1802
BUILDING DEPT.
I NS~PECTION
[ FOUNDATION 1ST ( ] ROUGH PLBG.
[ FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
DATE ~ ~ , / ~ INSPECTOR
l ~ ~ 765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ~ ]FINAL
~
REMARKS:
DATE S INSPECTOR
a 0
~
@
I a ~
Y !
w ~ R~ D~i~~iE yZ~.3i ~ F
M v N 1~o i
h
3 i ' m' C a
N ~ ~ w
P 1 .O~•S~E• • ; yp"E j 1963!\, =
N ~ ~ U ~2
~ 3. \B ~ ~ U n w e"•p Y. ~
i\~
h ~ " .Q~ i\ 1 F -
\N ~ " " i
Tr i
,Y W
-n n x~
_ ~l_ 'ifnn ryes'
„
N ROAD ~•z > to - o' Sp,W• L J KN~YN
RA~GO~ y' yy.sy ~ ~ N.iB' /f
\\\1~~,, ~ N ~
~ .0~ Dp+E .odd',,:; p t
} y.ie p~ yp„
N ~BIi p e ~
Z,~o
.o
b a
N
Y9.0'
3
O
J
O
~ Z e~' n.
Q ro y1 ~
~ w OLL ° m 5
O o ~ri oy y,~o
O YS 4,2•
t I I
~ v o
10 o N ~ o I
"i ~ J .Oi V. ~ 2YA
i G aggCC
O ti w ~ I 5~ i2'3 ? b ?OS
O r ~ \ ~ O, 4 1 y o e `v WY J~qN
W H ~ W { CI k3 OWZZ W OY
f~ C ~ V { g.o ~ ~ V c AVWt qty AN4
II ~ '3` T = ~ K ~ t Y 3,$ Z i t• ~f W F>yqb kgp
' f v y 9„.. ~Wio~~ ~.~~ii
N I4 (Y V ~ 34 e~ 0 iJ64WZ ~4
n " w ~i r F I P P Q
~•ON •n o ~ w i .~hEa::n~'f
i0 0~ a z U y~ y ~ E
t oa ~_w °cE lCi I ai ~5 £~~;;s J
j u =A.
f ~ C.a i Nu C oty~U`PSO R7 ti1- _
I m o a~ ..ii 33
~ tcu ~ wN ~ gg ~Q OJ O
'Y s u a w SrBF t~8o o_e uV1O hq
` ~fu' H N rl 4 q~ ~ Q'6 E~~
` ~ ~~C VS O h n
s>_- m
~ Om~W Z~
J
y- W
' - Gti
W2}-O''
_ O
p" O
. GRE - ~ ~ U a~=~
i U U ° ~
. ~~S • ~ ~ O O
vJ ~ f a
_ R o o O
/ ~ O~
rr !LL+ CY U Q ~ O Z tt ~
~ t O ~ r
j ~>-~f--a~3a. Qtr
O Q Q O J Q O O U Q
in v. u~ - m.1s . J to : cfi ~
roy
O~ Z
~ ti ~ , Q
y y~ ~ ~
5
~ ~u~ ~`~a ~ s p
' ~ ' t6 ,
0
3cswr ,e G. ~
° ~ 2
~,~~wo 'O v ~ ~~~ch N ;2 l~W'
, 2 ~ ~ tH ~ ~f p1.~9
d LL O `
goo a o P~ •
N..9°~2'OP~~~pO~ ~U~
HWO
LLm
~`y ~~OWN
NO`` _ =yYF~i.
=W=_~~.:
~~o~~
j/~ - p, W W ~
~~QJS[A
¦fLLt-C
W
O .
2
1
• BOARD OF HEALTH
3 SETS OFP,y/ANS
•FORM NO. 1 SURVEY V .
TOWN OF SOUTHOLD CHECK ~~~'J~- • - -
BUILDINGDEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
30UTHOLD, N.Y. 11971
TEL.: 765-1802 ALL
T0:
Examined 19 .
Approved 19 Permit No............ ~ ~ ~ ~ ~ •~g
Disapproved a/c p
~.,i "s SF, 5198,9 '
~:or.Dt=Pr
(Building Inspector) TQb~N
OF SOUTNOLQ
APPLICATION FOR BUILDING PERMIT
Date -.,,?T 19~
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl
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 stye
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap
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 pen
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 Occupa;
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
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance-
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ
The applicant agrees to comply with all applicable laws, ordinances, building cod ~us' code, and regulations, and
admit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, ivf a c oration)
(Mailing address of applicant)
State whether applicant is_owner, lessee, agent, architect, engineer general contractor electrician, plumber or build
eI~ ~ n
Name of owner of premises N.o.n~.~-..~9-,Q~fFR.q-... ~L,(,~.t?~i.l .
(as on the tax roll or latest deed)
If app is rNorp rati n, signa re of duly autho 'zed offic~
(Name and title of corpora officer) ~
ALL CONTRACTOR'S MUST BE SUFFOLR COUNTY LICENSED
Builder's License No .
Plumber's License No.G~.: ' 1~•~ Y~ .
Electrician's License No. ~t}.~~..~,..~...
Other Trade's License No. 11~
1. Location of land on which proposed work will be done. . ~ W~d~ .
L~-(1..~~....:......... .
House Number Street Hamlet q
County Tax Map No. 1000 Section Block Lot J, .
Subdivision Filed blap No.o~. ~ Lot . 5.~....... .
(Name)
2. State existing use and occupancy of premris-es ja~n`dlinten d use and oc'c~u-~pancy of proposed construction:
a. Existing use and occupancy ~ . ~.1. ~ t-~ :f.... g.~.Q~.1~.~.t.~ . .
~ ,l l it t1
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration'7'~ .
Repair Removal Demolition Other Work .
f (Description)
4. Estimated Cost v ~f QQ~. ~ Fee .
` (to be paid on filing this application)
5. If dwelling, number of dwelling 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 eac type of use .
7. Dimensions p~' existing structures, if any: Front . C~ ~ .........Rear . Z~ Depth .
Height . ~ .............Number of Stories ...I............. ..~z. .
Dimensions of same structure with alterations or additions: )~ront .~1! "C~ Rear ..r .
Depth ...................Height Number of Stories ...j .
8. Dimensions of entire new construction: Front Rear Depth .
Height i .Number of Stories w................... p... ; . p:, t. .
9. Size of lot: Front . r'f).~ Rear .I.~o De th 1p~ .
10. Date of Purchase .............................Name of Former Owner .
11. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation : .
13. Will lot be regraded ............................Will excess fill be removed from premises: Yes No
14. Name of Owner of premises S.E.. S4'~.`3~`~.....-. Address . , , _ ..Phone No .
Name of Architect ........~.7~ ............Address Phone No..~~//~~....
Name of Contractor,~2.~ tJ.Nr.Ca. (rf(', ......Address ~'~.~wAf~(~.D.R..~lc~ No. 4('!.~"~.~.~.... ,
I5. Is this property ocated within 300 feet of a tgidal wetland? *Yes No~,-
*If yes, Southold Town Trustees PermitPLO~ DIAGRAM ed.
Locate clearly and distinctly all 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
nterior or corner lot.
iTATE O N W YO K S.S
:OLI Y
.(r being duly sworn, deposes and says that he is the applicant
(Name of individua signing contract)
above named.
Ieisthe
(Contractor, agent, corporate officer, etc.)
~f said owner or owners, and is duly authorized to perform of have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
vork will be performed in the manner set forth in the application filed therewith.
>worn to before me this
~ .day of 19~,l.
lotary Public, .....'f- . ~ . County
ROTARY PUBLIC swre'°oi°Er2:w Yak Signature of applicant)
Na. 4767878, Suflalk County
Term Expires tlRxroh 30,191