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HomeMy WebLinkAbout18664-z ~t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19189 Date JULY 6, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 210 BROOK LANE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 5 Lot 16.7 Subdivision REYDON COURT Filed Map No. Lot No. 7 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 15, 1989 pursuant to which Building Permit No. 18664-Z dated NOVEMBER 22, 1989 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 & DECK AS APPLIED FOR The certificate is issued to MICHAEL & LAUREN PISACANO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 6-20-1990-89-SO-113 UNDERWRITERS CERTIFICATE N0. N-124750 - APRIL 19, 1990 PLUMBERS CERTIFICATION DATED MAY 15, 1990-LISO PLUMBING & HEATING ~4 B ilding Inspector Rev. 1/81 rose: xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N 8~ 6 4 Z Date ....~v.~~:~......~.?- 19.E Permission is hereby gra ted to• D .............................................~.....'...._..-..n................. at premises located at . °':2 /.v..... .......L1 ~ yy.-- County Tax Map No. 1000 Section Black ....Q.~~.......... Lot No..:~_~...[.......l~c.~. pursuant to oppiication dated .........~.`.'~.'.::^."~~.....l...ti 19.~~., and approved by the Building Inspector. Fee S.~~a.:..`~...b7..... i .f.~: Bui ing Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT D ` TOWN HALL `Gf ~ ~ i,, 765-1802 H~`t'r'' APPLICATION FOR CERTIFICATE OF OCCUPANCY ' TOWN OF iOVi,- A. This application must be filled in by typewriter OR ink and submitted to the building ~spector with the following: for new building or new use: Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 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. ' 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 p 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 Date ...~u~: ~ ~Q l ~ New Construction... ~ . Old Or Pre-existing Building Location of Property House No. ~ Street Hamlet Onwer ar Owners of Property. F..qL'~~~"~ N s~~~~ ~ • County Tax Map No 1000, Section... .~7/.Block..... ~ .......Lot...~~.: 7............ Subdivision1.p~:t/~~...~A(J~'.f.;..........Filed Map............Lot ..............~.,.,.~..J.~.. Permit No. !.a b~C,l.......Date f Permit ................Applicant. ~ : ~ • • . Health Dept. Approval..... ................Underwriters Approval....... Y................ Planning Board Approval Request for: Tempura°Jr'y~`Certificate........... Final Certicat~/e..l~........ Fee Submitted: y ~iL~2~.CI//? ~ q `B g APPLICANT -ttztzz TEL. 765-I 802 o~~~f~'tilk ~ '1'UWN Uk' SUU'I'gULb Os:rICE OF BUILDING INSPECTOR P.O. BOX 728 ,,o~~ SOUL IOLU,IN YL11971 "~l ~ t~ C E R T I F I C A T I O N bate ~ /S`/~ D f3ui.}ditiq Fer/mat No. ~,~~p~ ~ Owner. /f//G/~.C2 Q/ ~`~J''~C~t,r28 (please pr n ~ 7 Plumber./~iSo ,''`moo%~~~J~i<r+ Kf~~[~i (p ease pr $L y~1z' t certify that the solder used in the watier supply system contains less than 2/10 oP 1$ lead. (plumbex's s aturel Fworn to before me this /.S clay o t CG ' . ,t ? ~ 19 ~0 v / ~ Notary, Pu io Notary Public, S~~/~ ..County OOLORES L LtS0 Notary Public, State of New York Su11dk Couny • No. 464f0 Commisalan EzpirPi Oct.31, . unz TEL. 765.1802 ~pS~FF~Ulk~O~ 'I'01VN U~' S0U'1'd0Lb ~,~c brrlCli OE~ tiU1L01Nt; tN5P~CT0K ~ r.o. pox 728 y + ~ 'TOWN HALL SOUTIIGLU, N.Y. f 1971 ,;~0~ ~ C E tt T I F I C A T I O N bete ~ F3ui.lding Permit No. ~p6 r Owner. /?//C~~ ¢r ,i'/J'~C~t.~~t..p p ease pr n Plumber ~~/.S~o i'`~o~i,,2~riz p ease pr ~!r y~~ t certify drat the solder used in the water supply system contains less than 2/10 of 1$ lead. (plu ~ s ature) Rworn.to before me this clay of /~C.(- r ~ ~ 19 ~0 Notary, Pu is Nol:ary Public, •S~~~G~. _ County 60LORES L USO Notazy Pubic, Sute of New York SuNdkCouny • No. 684f0 Cammisalon fxplrvf Qq• 31, THE NEW YORK BOARD OF FIRE UNdE'RWRITERS I~Arr• 11,5`iti'r,1. BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 40098 Date AF'R 1, L. '1 y, 19yU APPlication No. on file (~7fJSflyyU; 90 14 1Y.i/`,>0 THIS CERTIFIES THAT only the electrleal aquipaseat w descriked 6eloTO and introduced 6Y the applicant named on the a6ooe eppliatbn num6sr ht the promins of Ml•'.i~Afa. PT.iACANO, 210 k1R+If,1K t.ANfe, 'N)UI'IIQLD, N. Y. in the folbminq bcation; ~ Basement ?K (At FL ~ Ynd Fl, G Alt ~ OU I Sw~tiun BlockJ` Lot ]eaa e.TOmined un PJARI;N 22,1991) ondfoandto 6e in wntplionce aiththe reyuiremenM Of thu Board. s RXiUR! RX RANfiIK GOOItINO tNGKS DIfN WASIt94 BXNA11fT fAN4 _ OU41lTS AQK f1NlTp16 INCANDESCENT Fl GTNEII AMT. K. W. AMT. K, W. ~ AMi. K.W. AMT. K. W. AMT. N. P. >R !x ~e ~1 ~ra a a ?.'r 1 a.~ rL r DRYBlS RIMACE MOTORS RI411M AMl1ANq ItlOMf SMCIAL IIEC'fT TIAAf GOCKi pLL YIYT IOATRRS MEN s1 T~ DDAM/RS AMT. K. W. Oll N. P. GAS X. P. AMT. NO. A. W. G. AMT. AMP. AMT. AAVb. TRAttti. AMT. N. P. ~ !Rf AMi. WATTS G F J. Su 1 = SRRVK! DBCONNRCT ND.OF S E R V 1 C E pp~~ AMT. AAa. THE ~ t l ]'e 1 X ]w ] X T4 ] X AW ~gC,COND. Of CC ~ ~ NO.OP NI.1E0 ~ ~ NO.OP NEUIKAIK Gj w. iMl 1 '1 t10 Cl1 1 X 1 fi/li 7 Y/It OTIIRR ANARATIIA - li. f~.1:. 1:-5 SMOKC J7F1kC1GR:1 - _ ~,o,C _ rlJHl_r 'I; (_Lr~crR1+: LJC.gS.S"271. G~ KJ. B3, IsnX l~SM '31tUNU AVF:RUF. OMIAL 1'MIAO~ R4VF_RtiF.Ap, NY, i i 5101 ~ 7 Y (]V Per L This tarlHktEts must not M aMrod in any manner; return to tM offka of tM Board ii iTESOrrett. s,ma 6e identified by Cwdentiok. COPY Pdt. WILDING DBPARTM~'NT. TNlri COPY OF CERTIFIGTE RMI7'= ~ IN ANY tlAi~ER. <.t U aM F. N T ~ 1• ~ H -~I ~ ~ U17DAT20:1 r ~ 1 ~ } I, Gz N m ~ I U td D A T I O IJ ( 2 d 1 ~ ,~,Q,~/ o d OUGH FRAME ~ ' PLUMBI.1~ N „j ~ ~ ZG n ~b 3. T2ISULATION PER N. Y. STATE EPlERGY ~ x CODE _ _~r H 4. - i ~ ~-J FS;lAL ~ r~ ' I T f ADDTTIOP CO METITS : _ ~ . x .b • ~ H ~.N ~ ~ H O rC a • N / a m -a 765-1802 BUILDING DEPT. INSPECTIC)N [ F UNDATION 1ST ( ) ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REM KS: j~s~ .~,h%i~/92G- F r ~ ~ DATE I ~ INSPECTO ~ ~ ~ ~ ~ ~ r~-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f ] ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ]FRAMING [ ]-FINAL REMARKS: `~`1~.u~-~c~--~~ ~ / DATE ~~!~~~_INSPECTOR ~ ~ i ~~-isoz / BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [~RAMING [)FINAL REMARK ~i1~,..rut~.- T" ~ /'-~1.4! O ~ DATE ~ d2 D INSPECTOR ~ rV ~ 765-1802 BUILDING DEPT. I NSPECTIOI~I [ ]FOUNDATION i5T ( ] ROUGH PLBG. FOUNDATION 2ND INSU TION FRAMING ( FINAL REMARKS: _~~~-,n /~.-~~~'-r/ _~~~f- DATE CAL ~ / 1J INSPECTOR BOARD OF HEALTH 3 SETS PLANS `!~_l~vt~: ~FORMNO.1 SURVEY . TOWV OF SOUTHOLD CHECK ~~iQfa.~ BUIL"D.INGDEPARTM-ENT SEPTIC FORM TOWN HALL p ~Q EOUTHOLD,N.Y.11971 NOTALL ~~qo `~I!4[.?.. TEL.: 7G5~1802 MAIL T0: Examined Jl1.J~;-en^~y~ 19~ y~~ f ~ Approved ~ Q.~u.,. „ ] 9 ~ 9. Permit No. ~.(O(o ~ ~r,-..~...~,~ LI Disapproved a/c . . t' V /~a t R ; Npit f 5 !9~ , l ~ u:..W.~ ~~..._.m,., _ o~ TOW vtUF SOUTH0~0 " (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19... 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 gremises oz 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. Upan 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 bfADE 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 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 building for necessary ins ect' ns. ' ,~/OJ (Sig~n}atuyre oyf applica(n~t,.~-o~yr~name, i~fA ~a~/corppojr/aJtiryon) (T~lailing address of applicant} State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C~Gc~a>oN f2- .......................,y.~.........................©.... Name of owner of premises .(!!?~:.~'!,$Z; f . ~~"~~XJ... ~!S.AC.H-~4~ 'c~ . (as on the tax roll or latest deed) !f applicant is a corporation, signature of duty authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFtOLK COUNTY LICENSED Builder's License No. , ~{,u„C/ „ Plumber s License No. . ~~7~,~' . . . . . . Elecerician's License No. . ~l~j~.~~. ~l f'~TI~ ~ C Otltcr Trade's License No . . 1. Location of land on which proposed44work will be done. ....~C'y.~~?~- (°L~~:6~Z ~ . House Number Street Hamlet / r-7 County Tax hlap No. 1000 Section ......o~ Block Lot , , , Subdivision....:2~- Dlrln/. ~tyet~' . .Filed D1ap No. ,~,3QJ.. Lot ..(Name) State existing use and occupancy of premises and intended use attd occupancy of proposed construction: a. Existinguscand occupancy b.lntended use and occupancy ~11`!~.'~L.~t-... ~~;ME~`.~... ~.~eL.t.trll'.~.........''..,::......`........ 3. Nature of work (check which applicable): N'ety Building • • ~ . • • . Addition Alteration , , , , Repair Removal , Demolition Other 1l'ork , , , , (Deseriplion) Q. Estimated Cost . O.t Fee . (to be paid on filing this application) 5. if dwelling, number of dwelling units . Cf!V'~ Number of dwelling units on each floor IC garage. number of can ~'7,yif!~.. ~~:2...~i~!3C~1) 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of e:yjsting structures, if any: Front . Rear Depth , Hehltt; C~. Number of Stories Dintenstons'of same structure with alterations or additions: Franc Rear , Depth . } Height Number of Stories 8. DimensiGeiht~ew construction: Front , 6 Rear Depth S!a , Height Nunvber of Stories . , z :...~7:W~"J................ . 9. Size of lot: Front Rear..................... Depth 0. Date oCPurchase Name of Former Owner(.i1tZL!~..t4!~n~ y~jaYZrzR~.. 1; Zorn or use district in which premises are situated . . ~ Does proposed construction viohhte any zoning law, ordinance or regulation: , Pf!~~ . 3. 11'ill lot be regraded ....I~!~..'.... , , 1Vi11 exc ss ftll be removed from premises' Yes 4. Name of Owner of premises !J!.~k1~~t.C, t~~~: ~y4aK)Address ~,0.•e~'vA.". ~j~ii ......Phone No.~~~" , Name of Architect p~ti'1~a. Gt/!nr~UL. ......Address ...................Phone No.. . Name of Contractor .~.ff'?`~')'?{?~~........ Address , ....Phone No.... , ' 5. Is this property located within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit may be reyy~~ired. " PLOT DIAG1cAM Locate clearly and distinctly all (buildings, whether existing or proposed, and. indicate all set-back dimensions from :operty lines. Give street and block dumber or description according to deed, and show street names and indicate whethe, aerior or corner lot. I !I . i II . ' °ATG OF ?iER' 'ORh., ~ S ~L'~\?Y Ol~ X11-.I-ot; • ~ ~ n S~ . . 6cing duly sworn, deposes and says that he is the applicant (~amc o(mdnidual si4mn'g contract) ove named. is the G?U?/f/~2 / ~ oo+l~L!3ei L~-. • , . l'~ • (Contractor, agent, corporate officer, ctcJ said owner or owners, and is duly puthorizcd to perform or have performed the said work and to make and file this atication: that all statements contairjed in this application ate true to the best of his knowledge and belie[; and that the rk will be pcrfocmcd in the manner set forth in the application filed therewith. orn to before me this ~.h........day of. N.c~V~!'rb~C....... , 19 ~9 tan• f ublic . . ~.;v,~{4~~....... , . County n N JUNE E SAYRE ~Q ~tat1' Publb, &tnte of Now YGtIF . P1o• ~1QA^"s~:~ ~ ~0Y~ (Si nature of a licant) JUNE SAYRE ~i . ~ ~ g PP Notary ibbAo, a of New Yak . No. 4948505 QuaGaed in SuHoaC Countyry Commission C-xoUea alao 1"R l ' _ _•'L r ~ti. ~ ~ U~ a ~ A.ve~,v s yS /ffg 6~ F~ $ ~ ~ ' ~x i ~ i R I ~ ~ ~ {J~° ~ AQ , f , ' f~ ~ V ~ F w ~ ~t Q~~~~~~ ~ ~ N /V i ~ a~~aK i V~ O ~f _ ~+SCO bAgA;~ ~.y ~ ~ Y Q+C ~p~ ~ . ~ . s'G ~ ~ V' ~P ~aee° Sozw7l~.Z-J ~ d/~~/ - ~ - ~ ~°?asw+°~ ~ 8 ~ ~ ~ F~ l.~,P~'v ~ c.Q.rr f am familiar v?(th the Standards for A royal and ; GoT• 7 ,69,vvdf',E~E+~~....~!'~tU,CT' Q~....~,~~e Construction of Su4surface ~aw~ ~e,Df~suos~ii ~y~ ~ x = ~ ,?x9i~aU rSrtrYir~iY Ton~vas'S~iTds~~~~Y toC Single Family F~ESidenr,~s and wilt abide by the.. ~ ~ ~p,,p%,y~1^€EO~S~_G~~~~- ~ ~ conditions se,~ forth', th®rcalw and on the permit to s~y~~B HB?i*,PiQ[T Ti~"4E G'a. - oonstruct t x ~ ~ , ~i wa R Sfpnature f~~~~i +.~~C ~ ~b A~=;_"'°c~ A ~ ,~.QC~ ~ibxra.7~it~o . ~ ~ ~ 9.!!~`~' /~'XY%tE'/Y.~t!/r' ovF6.~£J~X2'~/,Q4f!~4 ~;awa ~'t'~?rtc .5F A iYl' 27 /le . a s ~ : ~ - - ~ " 1W 'Y ~ ~ 1~'1 ~ u.~ ~.,u H` ...a..~ .x..,,,~.~.'t'~.,..c.'`~~..--'rw_u=.~..~.T~~.,+..~'-~.~~-.._._ _ ~°«~u~s..~ ~5 _ - ~Ahau6v6~ ( ~ v,~iru.un) lc'EYOD,U .j>,P/lid ' r ` ~ i v c ~ ~ o Q o G SUFfOIK (AUNTY DE°ARi~M1Efl1 OF NFAITH a~~ ' ~Sfli+1GIE FAMII l DWEl11N~, ~NLV u` hV D^rf~UN ~~~F ~ RFr PIQ • ' :1 ~ 4 T~ ,~-r ~ ~i Oro°x! ~n ,.fi, y r 1: ~ 5E~ ~anp ~ g ~r ~e~ . rep for this ~ ~a sv~ IU.r V! Peel. P~ ~15FN~,.C~1'.: (h. ;R 4iBftfiri;~InO~Of 7r ~G~~~, LEt{/„~~ 4 o!her v~en~ n fcw'd br ti;taet<~ . , s/ " p Z~ o ~ ~.r?ti. • 6 _ ~ o , i L"i~e{ of 8 r~:~~ ; ~ ~Yastewafer ManagNnent ~sGd ,es25 ~ S * ~ ;~``:S r v ~4 \ L~1~ Q ~ _ ~..P ~..,..;.•,J ~ s q~,~ 33~g6 F Op NEW Y~/ .^ri. - ~ ~ ' ~ " - _ ~~wFL~EYJ7cui~~~ vi ~ ~-T, w / G. ~ E N ER~Y' CODE CALCULQ,TION.~ (FDA NON-ELEGT/i/G/-FrEd-r) Fp A.~~S(,ChU PEa. Q\VN S.~: ~I.a~ JL ~/S 1:Y QE.S/C/,~! ~L/TEFi.4 - b000 ~ECj2EE ~dYJ - DATED ~ JO ~L~Br - O~A.: /O F S. A• : 70 ~F SUBSYSTEM AREA Q besi~u .4Ltowco ~E$1yN 11c~o~vFO ~Ei\\,4t2ftS U" U BTU-N 6TUH EXTEQ/D.O. \Vd/_LS (!al3C,SS) I 0.17 EXTEA./oa \vQLLS ~oPeQUE) ~_z,z / 4 0.05 G~~fo GL~Z/N!j /7" % 3'7C 0.58 /3p30 D~Q..$ .7 0.90 JU7p CE/L/N/aS /,d<~L1F /Su+' if O'03 US3p FGOOA_ 5os ~ p o.os ys3° 1NF/LTGAT/~N l vpL.,rE~ Z,1f~u Oo/8 L3~5-o r J.~. - Ea P?~OV ~x rl?~~tAG/ c~ ( Lo Grr'~ /u 1-~ e t. ~ ~i'n d~,ti t~., iU~ TES To-rocs ~j ~ Z 0 ,~r i~?y~'y 1) HEATING EQUIPMn"'NT 1L MEE:' 7813.23 - 758 EFF. TO THE BEST OF MY RNGWLEDGE~ 1 fir m""y~ , 2) HEATING CONTROLS TO MEET 7813.13 BELIEFi AND PROFESSIONAL ~ ~ ~ RANGE 45 1C1 75 DEGREES FF.HRENE3F:IT. J1IDGEMENP THESE PLANS P12E v w 3J WATER HEATING PER 7813.3]. THRU .38. IN CGMPLIANCE WITH THE C017E. '"moo 032259 4) PIPE INSULATION 7813.19 Q~~fE55lOWP~~\, 5) WINDGWB -DOUBLE GLASS. E) CONSTRUCTION 10 MEET N.Y.S. ENERGY CODE. - 1J ~ p _ 1