HomeMy WebLinkAbout18380-z ~ FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22193 Date MARCH 17, 1993
THIS CERTIFIES that the building ADDITIONS
Location of Property 1635 FOUNDERS PATH SOUTHOLD, NY
House No. Street Hamlet
County Tax Map No. 1000 Section 64 Block 4 Lot I4.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 25, 1989 pursuant to which
Building Permit No. 18380-Z dated AUGUST ll 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 ADDITION AND DECK ADDITION TO EXISTING ONE-FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to RONALD & BARBARA MORIZZO
(owners) )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N 133679 NNE 6 1990
PLUMBERS CERTIFICATION DATED MARCH 16 1993
Build nspector
Rev. 1/81
8oasi xo. s
TOWN OF SOUTHOLD
BUILDING bEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ ~ 8 ~ $ ~ Z Date ....Q.~!~ 19.~~
Permission is hereby granted to:
.
at premises located at ...........~tG IC/.~......i <~~7~i~........................................
.........................................i.~3~............
County Tax Map No. 1000 Section f.~... Block ..........~..~.J.. Lot Na..........1...1.£..-.~~..
pursuont to application doted .....-~,/.~.:s . 19.,1..., and approved by the
~LG . 7~'3//~~
Building Inspector. 7
o a/'
Fee $x..;1..61./
iidin nspector
Rev. 6/30/80
11/'„'1-~~j ~~`4ar_?~i'<
TOWN OF SOUTHOLD ~ F~ Z 4 I~
BUILDING DEPARTMENT j' i
i
TOWN HALL
~:~.a`s`. r-
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. ?24/93.
NEW CONSTRUCTION X.....OLD OR PRE-ERISTING BUILDING......pACANT LAND........
Location of Pro ert Founders Path
P Y..===..
HOUSE NO.
STREET " " " "
HAMLET
bwner or Owners of Property Ron & Barbara Morizzo
County Tax Map No. 1000 Section .64 04 14.3
Block Lot
Subdivision............
~ Filed Map
..Lot..,.......
Permit No.l$3$Q•Z.,_,Date of Permit $/11/89 Ron & Barbara Morizzo
..........Applicant
Health Dept. Approval
Underwriters Approval f~'~679. '9"~~f'~
Planning Board Approval .
Request for Temporary Certificate
Final Certificate ..X••,_.
Fee Submitted: $.•?5:00
APPLICANT,~>~:~~a
`~~a. (Z~ - .
~~~~~i~
rev. 10/14/88
c,~FFOLf-C' ~ TEL.7G5-18p2
~o o,, To~rr or so~r~~oa.~
1...
< OFFICE OF IIUILDII~IG INSPECTOR
~ P.o. IIox 7zs
TONN HALL
0~~~! ~ ~.~Q~ SOUTHOLD, N.Y. 11971
C E R T I F I C A T I O N
Date
Building Permit No. f_
~j~g~
~
Owner~jV 11~/~~
(please print)
Plumber ~ ~ ~ 71~,~Cor~ .
(please ~ ~ J~
print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1g lead.
(plumber's
Sworn to before me this
~'/X
19.v /r day of ~~T
Notary is
Rotary Public, ount
Y
EDITH i JAq(SON
Cued
M I~w York
Tam ErpNp Fd.18991~
f
THE NEW YORK. BOARD OF FIRE UNDERWRITERS '
Inoitvi
BUREAU OF ELECTRICITY
83 JOHN STREET, NEW YORK, NEW YORK 10038
JUNE p6,199Ci b5.9o53&9(89 N 13~ti79
Dote Application No. on file
THIS CERTIFIES THAT
only the ak*ctrkal equipment a descrihed 6ekrrD and introduced 6y thr applicant named on the ahooe appBation numher Jra the premises of
RON MURTZZO, ElD FUUNIlER9 f'A1"N, 3UU2'HOLD, N. Y. ,
GAR/OUT
in the fallowing locaUGSI, i Q~ment ~ /zt F1. ? Ynd Fl. Section Block Lot
u~eK ezomined on I7H and found [0 6e in cmnpliance wif.h the reyuiremenb of this Board.
FIXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS DTAClES SWITCHES INCANDESCENT FIUGtESClNT OTHEN AMT. K.W. AMT. K.W. NAT. K.W. NAT. N.W. AMT. N.P.
9h kb 13 la 2 l P1.1 1 1.? F
DRYERS RIRNACE MOTORS lUTURE AMIIANC! IREOERS SHOAL REC?T TIME CIOCKS EHL UNI7IHATERS MIE~SI
Tr
~ DIMMERS
AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMi. AMP. NAT. AMPS. TRANS. AMT. N. P. ttD ~ ~T AMT. WAT15
1)
SERVICE DISCONNECT NO.OF S E R V 1 C E
AMT. AAV. TYPt ~ 1 / Y'M t F JW 7l JW 3 / AW ~RCeCOND. a CC. COND. Np, DF N4tFG a'H NO.OF NEUTRALS OF mUT~eAI
i. .n r_~ 1 x t zlo t 2/a
OTHER {,AMARATUS:
. i 1 i ~ ~6
i RAfK LIGH(tN(i:-t7
- 6 & S CON1RhCi1lR LTC.K57ri-[
BOR '21F
S(llJ'fHOLIi, NY, i1Y71 O~AlMA11AOM
1 ] yi
Per
This certificaN roust not M ahered in any manner; return to the office of the Board if incorrM. Inspectors may ha- IRfiW by fAeir cndenlials.
L'DPY FOR BUILDING DEPARTMENT. THIS COPY ~i:ERTIFi~T~A~Y
II~T BTU ALTERED IN ANIf R.
F1~LD II:SP~C':iU;J ~~ll„':~: :;OMMfSNT°
p~„y
HyV~
_ H l0.
FoutJDATION ^ (i~t>
FOUNDATION (2nd) _ ~
2. "~~tv~,~-~ ~
z q
O U~
ROUGH FRAME & "IJ
PLUMBING
ti
H
3. ~
ca
ItJSULATION PER N. Y. y
STATE ENERGY
CODE
r,
A
y
4.
FI;JAL
o~
z .
ADDITIONAL COMMENTS: ~ ~
W
X
N
H
H
Ni~v
O
1
x
rh
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S~
d
b
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~ 3
/ ~ 765-1802
1. BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ]FRAMING ~i, [)FINAL
REMARKS: " G~~ n
< <
ry G.
DATE d INSPECTOR
C~J 765-1802
BUILDING DEPT.
INSPECTION
[~UNDATION 1ST ( ] ROUGH PLBG.
[ ] OUNDATION 2ND [ ]INSULATION
[ 7 FRAMING [ ' FINAL
~ G~~~
REMARKS:
/t~.r~
DATE ~ ~ INSPECTO ~ti%~~
~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST (~OUGH PLBG.
[ ] F UNDATION 2ND [ ]INSULATION
FRAMING (]FINAL
r
REMA ~K~S~:~ /
DATE ~ D INSPECTOR
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Gaerolkw.r-~r~~SYtaGO„~<t~r4YX.,e'Co~.u/rY,.l/,Y, L/1.!/O~llJ,e~~i~+E;? stD1.Ap
~u~.e9~r~-o.&-,~ours~~,~~r~.vrn~,~ri~. .s~rsv~n,.v. ~ ~,e o ~
' L~>.~/u9i~l°'.4s ~PF..fcGru Nl~po~'/~~NG~s E3T~Prt`S , v ~J ~y0
~=i/c4s/ro/z7~.t/c.B'~y ro 0 ~
,~siaFar-C !v. T,r~~,v,!/o,M~ G14~ dt/-/f/3 ~ .
a~
~r~-.r~aru+sE-.vey,~,5~a?.v1.Yc~ i ~ .'r,~
/~3~0
T65-1802
BUILDING DEPT.
f NSPECTION
[ ]FOUNDATION 1ST { ) ROUGH PLBG.
(]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ INAL
REMARKS: ~
DATE_~ +INSPECTOR
BOAKD OF HEALTH
• 3 SETS OF PLANS
° FORM NO.1 SURVEY
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY 7b5-5772
TEL.: 765-1802 CALL • • • . .
CC MAIL T0:
Examined ~l.~1 19P.~ pp--
Approved ..0~~ 194/. Permit No. ~c~~. v.o
Disapproved a/c
D
r
~(Bu' ng Inspector)
,f~~ ~ ~ ~ ~ APPLICATION FOR BUILDING PERMIT
BLOG. i7EPI. Date ..Suly..25 19 .89
. TOwN_ of
sourt~o~u „ , ~ INSTRUCTIONS
a. Tlris application must be completely filled in by typewriter or in ink and submitted to the Building 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 street
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 permi
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 Occupanc}
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 of
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 tc
admit authorized inspectors on premises and in building for necessa1,'~Jinspections.
. /~.~'1 mOrrz2t~~t~ar_LGl'Err,=r~C.°........
7
(Signature of applicant, or name, if a corporation)
,,,,P;,O.,BOx,789,,,Sauthold,. NY„
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
,Contractor,
Name of owner of pretises .~~7n,&,Barbara Morizzo
(as on the tax roll or latest deed)
If appl' nt ' a corpo on, signature of du authorized officer.
(Name and title orate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. ...6;72 HI
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . .
1. Location of land on which proposed work will be done. Southold, NY
1.`i55 ...................Founders,Path.... Southold
House Number Street Hatnlet
County Tax Map No. 1000 Section .....OE'4.......... Block ...04,,,,,,,,,,,,, Lot.,.14.3
Subdivision Fc:unders, Estates, , , , , , , , , , , , , , , Filed Map No. , , , , .834... , , , Lot . B6 .
(Name)
2. State existing use and occupmrcy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy One• family. dwe•1•ling .
b.lntended use and occupancy „ .Ore family dwelling with addition and deck
i
3. Nature of work (check which app~iicable): New Building Addition . X Alteration.--..... a: , .
Repair Removal Demolition Other \Vork .
(Description)
4. Estimated Cost ~JB.,AAA..Df~ . Fee ..50.00.................... , .
(to be paid on filing this application)
5. If dwelling, number of dwelling uj~its . 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 Number of Stories , .
Dhnensions'of same structure wit} alterations or additions: Front Rear .
Depth Height ......................Number of Stories .
8, Dimensions of entire new construction: Front Rear ...............Depth , .
Height Number of Stories , , . .
9. Size of lot: Front Rear , . Depth ~ . i~ . `'I„r.°I„~~ .
10. Date of Purchase ..................Name of Former Owner " ' t' °
p
12. Does ~ o osed co st u thon vrola ises are situated , . ; L .
p p ~e any zoning law, ordinance or regulation : ~ ~ .
13. Will lot be regraded i Will excess fill be removed from premises: Yes No
14. Name of Owner of premises Rcm.',&. Barbara. MPx'] 22~ddress PA. BPX. ,789, , , , , , , , .Phone No.76,5-,5,7,72, , , , , , , ,
Name of Architect L ...............Address ...................Phone No............... ,
Name of ContractorRon, Mnrizzq, Builder.,. Znc.... Address P0. 8ox..789......... Phone No.7b5-5.7.72....... .
15. Is this property located within 300 feet of a tidal wetlandl *Yes No K
*If yes, Southold Town Trusjtees Permit may be reqgu~ired.
PLOP DIAGKAM
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
interior or corner lot.
I'
iI
STATE OF NEW YORK, S.S
COLi'NTY OF .
. : being duly sworn, deposes and says that he is the applicant
(Name of indivrdual signigg contract)
above named.
He is the
I (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dulyl!~ 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 his knowledge and belief; and that the
work will be performed in the manner set forth in the application flied therewith.
Sworn to before me this
..............`3 ~ ....day of .1..~~.......,.,19 ~9
Notary Public, i r' . . . County
HELEN K. DE VOE
"°rrr~~aieie ~
oikc~u . .
(Signature of applicant)
Term Ex rea Merch 30,1 I~
I