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HomeMy WebLinkAbout18398-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18360 Date SEPTEMBER 11, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1630 SMITH ROAD PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 3 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 7, 1989 pursuant to which Building Permit No. 18398-Z dated AUGUST 18 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to A. BONANNO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRgVAL N{A UNDERWRITERS CERTIFICATE N0. ~A PLUMBERS CERTIFICATION DATED N/A U 2. c.~ Building spector Rev. 1J81 i Fosa~ 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 AUTHOR{ZED) N 18 3 9 8 Z Dote .....~'...~~'..(I.~ 19....... Permission is hereby granted~to: ~ r ..~'~..n..~u..,.. , y~,~,~ to ...C'W`~`....~`. '.r3f.~.. ..ca~~~:c:ri'r..••.. ./r.~..........:ZrA..... F'~~!~Fli ~1~/'J:.~ at premises locnted at ........~~..:~®.........5~~"....f..~~.~~ ~ ..!,~1............................................................... ......................................................................p..'...pp................................................................................... County Tax Map No. 1000 Section .........,,/....Q....... Block Lot Na........os.~.. pursuant to application doted ~~~7 19..~1C..,~and approved by the Building Inspector. O ~ Fee $.4..t'. n for Rev. 6/30/80 .r . • ,~Q,Y ~ _ TOWN OF SOUTHOLD `~r~ _ ~ BUILDING DEPARTMENT tl TOWN UALL ~ ~ ~,t-' 8 ~W 1 i i SOUTHOLD, NEW YORK 1 197 I y~~ L~,~_~ ~,,~,e~_", S ~LU~.~ 4?F;`i. 765 - 1802 TONff~lUS=~J€y1~1+CES"~ APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE Ataust .6, 199 NEW CONSTRUCTION ..X ....OLD OR PRE-E%ISTING BUILDING......VACANT LAND........ Location of Property.l~3Q.Snl3.$~1.~4A~ ..............i,ee•~niC................... HOUSE N0. STREET HAMLET Owner or Owners of Property..A.r`30Gt8gt7Q County Tax Map No. 1000 Section ..g~., Block LoG Subdivision.I~dia~.?Teel£.Ha~k.-.... Filed Map ...~~1..LotO~~'....... Permit No. .1f3.~4n.L..Date of Permit .~~~~~~4..ApplicanC~ngirgpment.last_Inc for Owners t3ealth Dept. Approval .....~~A.......... Underwriters Appraval...T~A......... Planning Board Approval ....NI.A......... tiequase for TemparnxY Cartiticata irinal Certificate Y. Pee Submitted: $...p2.~.©17............ APPLICAN . ~ . . p~'E Sl.dB t1t ~nvirnnment ~.ast, Inc. ~ec~ 3ga~ ~.183~0 ev. 10/14/88 l ~ 3 g $ ~ Tss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] iNSULATiON [ ]FRAMING [/FINAL ~ e.~ REMARKS: r `.r J ~ v~ i DATE ~$'Q' INSPECTOR ~~~~.,c G~~ r'1cLD I;:SPEC;IU;I ~~UniE I ~OMMLNTS t ~ a - - FOUtJDATION (1st) FOUidDATIOW (2nd) _ _ _ ~ 2. o b1 P,OUGH FRAME & ~ G PLUMBING ti 3. ~ ItJSULATIOtt PER N. Y. STATE ENERGY CODE x a a. 2 Ci. GLD. ~ e H FIiJAL o . z ADDITIOtIAL COMMENTS: ~ x ns x ~ ro ~ H \ 31 H ,1 9p., H \ O Z G M A r d m H r 2 T65-1802 l Q ~7 c BUILDING DEPT. INSPECTION [)FOUNDATION 1ST ( ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL REMARKS: ~~5 . p DATE ~ PJ ~ INSPECTOR L~~~' ' wAl/.t a,~6 ! ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE t 100041 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK. NEW YORK 10038 +a~~~I t<,,.~;~..,-BL~BRUARY 2,5,1991 71309590/90 N 175888 ' ° t ~ Applirotion No. on file THIS CERi1F1E5 THAT = only the akwtrieal equipment ax dsxcriked below and introduced 6y the appUcant nomad on the ahooe appBcation number in the promlNS of - NTNONY AONANNO, ].630 SNITH ROAD, 1.5, PBCONI:C., N.Y. in the fdbwinA IocationkuA~ IFrF,ept l ? Ixt Ff. ? Ynd Fl. ~IJT .Section Block Lot = wax examined on [Bb~n 1 `/Y and found to 6e in complianre,eith the reyuirementx of th4 Boord. q%TWE AC1iS tYY1TC11ES R%TURES RANGES COOKING DECKS OVBiS DBN-YFASfIQS T FANS t%IRETS INCANOfSCENT FIUORESCEM OTNER AMT. K. W. AMT. K. W. AMT, k.W. NAT. R. W. AMT. N. r. - _ ~ DRYERS FUBIACE MOTORS WTt111E AFKIANCE It1E0NS SMNIAI RECti TIME.CIOCItt EHL UNIT IIEATERE IAII?T1.0YTIR DMAARIRf ~ fYETRMt AMT. k. W. Oll N. r. GAS N. r. AMT. NO. A W G AMT. AA1r. AMT. AMTS. TRAITS. AMT. N. r. ~ tElT AMT. wins C SlRVICE DIECONNECT NO.Of S E R p~ V 1 C E AMT. AMr. TTR ~ 1 / tW 1 R SW 7 / T'/ t / IW NG. O~CCeCOND. ~ CC COND. NO. a N4lEG 01' No. OF NnnxAU OF 'I' EuAAI OTHER AFFMA111& DLC AfC-1 r- ~ / o NILARY N. NOLLHORN & SONS I,IC.iE2562-B O~ 102-5 CARLETON AVB. SUITB B ~E~Ri p~AOER - ISLIP TERR., NY, 11752 11 ~ Ptr This eerfificate mutt not ba alNrad in airy mo r; return to the office of the Eoard if incorrocl. Inspeclgrq M idRnNNRd by their cndeMialR. COPY F !UI A TMENT. TNI lIE AL IN ANY MAMIER. BOARD OF HEALTH 3 SETS OF PLANS D FORMNO.1 SURVEY,... TOWN OF SOUTHOLD CHECK ~w~~ BUILDING DEPARTMENT SEPTIC FORM . TOWN HALL £OUTHOLD, N.Y. 11971 NOTIFY ' Dt_tp:y ia.},t. " J TEL.: 765.7802 CALL TOWN t)r ~,~~.,i ~ ~ ~ ? . Gxaminc r. ~ 19°', , MAIL T 0 : , Approved /~r~ 0 19 , . ,Permit No. ~~,~.g(~~' Disapproved a/c (d3uildin nspector) APPLICATION FOR BUILDING PERMIT Date 1S . INSTRUCTIONS • a. This application must be completely filled in by typewriter or in ink and submitted to the Building inspector. wit}1; gets 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 qr 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 :.arson. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of Iltis application, the Buildin6 Inspector will issued a Building Permit tq the applicant. Such permit :haU 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 OCCitpancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildin; Department for the issuance of a Building Permit pursuant to the 3uilding 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.' Che applicant agrees to comply with al! applicable laws, ordinances, building coda, housinG code, and regulation;, and to admit authorized inspectors on premises and irr building for necessary inspections. EN,Y ll~U m.4°NT . ~A$T.. ~,Mfi r . (Signature of applicant, or name, if a corporation) 3875.. IIVDIAN.N~~~. ~AN~. ~..1~.~44N1~.. ' (Mailing address of applicant) sate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or' builder. r~N.~l~A.4...~4NT.RIA~,?Q~ . . Jame of owner of premises R'1,R... A.~...AC~NANN..4 . (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. . t~.R~~. . (Name and title of corporate officer) Builder's License No. f , , rJ'. ~o....... . Plumber's License No . . Electrician's License No . . Other Trade's License No . . Location of land on which proposed work will be done. , , , , , , , , , ; , , , , , , , . . I ~ 3~ . . ........gym. t,~t :h .4~Q~ls~,c~............ cal~.\ c~... ~ . HouseNumbcr ~ Strcet\ 1 Hamlet County Tax Map No. 1000 Section AgfS......... Black ......Q3, , , , , , Lot , Q, , , , , , Subdivision (N, 01A1,~(..,t1(~GK . Q/}l~.l~, . • • • F~Ied Alap No. . ~S~/, , , , , , , Lot 43'.3 (None) ~ t State existing use and occupancy of prCemises and intended use and occupancy of proposed construction: a. Existing use anJ occupancy I.AI.(v,L,r~ ....FA~n. ,I.t..Y... tDW~Lc /,(!1G . b. Intended use and occupancy $JN..G~.~-.t.... FJ11?l./.4,Y, ...I~,t;v~f-.~(N.Ct-.. 1u~~0te;~.K......... ~ 3. Nawre of work (check which applicable): New Building ? Addition , .a .:~~11.~ , , , Repair RcmQval , , Demolition t9the~ SW. r~ ~C.~, . . . r. p,usct7ption) i. Estimated Cost a~.5 00 i Fee ~ • ,.c•,;'... (to be paid on Citing this application) i, If dwelling, number of dwellin units Number of dwelling units on each floor , . , g, If garage, number of cars . ~ " i. Tf business, commercial or mixed occupancy, specify nature and extent of each t pe of use . ~ Dimensions of existinb structures, if any: Front . . R.~.', . , , , , ,Rcar .Depth ,~iff~, Height , Num;bcr of Stories , ,1, ~ ~ ~ " " " ' Dimensions of same structure with alterations or additions: Front , .Rcar . Dc th ~ ~ p .'..at` I'Ieight .r. `t, , , , , , , , . Numb ~r of Stories ....!?n,r., , . Dimensions of entire new construction: Front 5. 4, Rear . R,S..a........ Depth ...14~. , , , , , , , Height . Nul>jlber of Stories ' I. Size of lot: Front 3.~.I~........... Rcar ~0 ~ , , Depth ..I 9.S ' . . . . I. Date of Purchase .Name of Former Owner . , Zone or use district in which premises are situated ..~~~.tA~~f71A , , , , ~ " ~ ' " ~ ' ' ' . Does proposed construction violptc any zoning law, ordinance or regulation: . N.O.. , 1Villlotberegraded N~. .1Vill excess Cill be removed from premises: ,Yes Name of Owner of premises . ,/,~•,13p:N/'~(U!N, Q, , ,Address Phgnc No . . . Name of Architccr - ,Address ...................Phone No, . • , , . , , Name of Contractor t:,Ai!/,l/~4gM,tJV,T, , , {~/!?$,T... ,Address .Phone No.. ; ~ ~ , , ~ , , , , ; , , ,1 S,Ts this property located within 9p0~feet of a tidal~wetlaadY *YBS..,,Np.,,,. *Tf yes, Saukhold Tawd, Tru&tees Pernik aay be required. y PLAT DIAGRAM , _ Locate clearly and distinctly all i,buildings, whether existing or proposed, and, indicate ail setback dimensiogs from operty Unes. Give street and block number or description according to deed, and show street rtames and indicate lxhether :crior or corner lot. ~ ' 33 6 2oN ~ , i I,, 'LINE , i LX1~`tINCr , 116"- MIDUJS: Sl !A~\\~\~ ~ . , , ~I ~ 1R~P '1 ~I~cC I< `cN cr 50~ t3nev. ~-u~E v ATL OF NGiV YORK, ~ S UNTY OF (1\amc of individual signi, " " ~ ' ' ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant ' hg contracU we named. I sthc (Contractor, agen(; corporate officer, etc.) said owner or owners. and is duly • , , • • • • . authorized to perform or~havc performed the said work and to make and filo this lication: that aU statements contained in this application arc true to the best of his knowledge and belief; and that the k will be performed in the manner%sct forth in the application Glad therewith. ~rn to before me this .....................day of ~ , 19 . ary Public . County , (Signa[ure of applicanq