HomeMy WebLinkAbout18569-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25952 Date: 09/08/98
THIS CERTIFIES that the building ADDITION
Location of Property: 180 STROHSON ROAD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 10 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
tiled in this office dated OCTOBER 10, 1989 pursuant to which
Building Permit No. 18569-Z dated OCTOBER 16, 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to DIANE M. TRENTACOSTE
(OWNER)
of the aforesaid building.
SUFFOLK COIINTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-277482 06/01/93
PLUMBERS CERTIFICATION DATED N/A
u' dip Inspector
Rev. 1/81
!'08M N0. ~
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 ° ..L $ .rJ V g Z Date .../.Q~fv 19.....1
Permission is hereby granted to:
. . . .T~ - " . . . . . . . . . .
...~~.s~9
County Tox Map No 1000 Section ld.~. Block .......~~1........ Lot No......f..~..
pursuont to application doted ...........ff~..,l./.o 19.~.(., an6 approved by the
Building Inspector. /
O
Fee S..,S~
Buil g nspect
Rev 6/30/80
"1O
Form No. 6
t
TOWN OF SOUTHOLD S[P 3
BUILDING DEPARTMENT
TOWN HALL ,
765-1802 ~ _ .
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 Degt. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from glumber certifying that the solder used in system contains
less than 2/10 of 17 lead.
5. Commercial building, industrial building, multiple ressdences 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
~1. 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 accessary building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Cogy 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
New Construction......./. Old Or Pre-exist ng Buildings
Location of Property.. J.~...ST/t;Of~{Sa.`~...~OA~.... L• ? ~~CO~UG
House No~~. Street Hamlet
Onwer or Owners of Property..:!/!4u:=..,ri2xN7.Aeos7-~ .
County Tax Map No 1000, Section....~~ 3......Block.... ~~.........Lpt..Q,'J
Subdivision ....................................Paled Map............Lot......................
i
Permit No..~SJ.....z~.....Date Of Permit ................Apglicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval .
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $ ~ -
C~L~S 1 .S APPLICANT
~
c , a r_
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1205030 BUREAU OF HL6CTRIGITY
88 JOHN STREET. NEW YORK. NSW YORK 10038
pots JURB 01,1993 gppltcottonNo.onflle 66604389!89 R 277482
THIS CERTIFIES rHAr
only tM electrkol puiprnsnt m described 6ebto muf tntrodttced 6y eke eppRcottt ]rorTted oa the aboos oppGwNorA number in tfu protrtiese q/
ROB6RS PRBNTAC08S8, 180 9SROHOR ROAD, CUTCNOGUB, R.Y.
in theJolbminR brntion; ®Besement ®let fl. ? Ynd fl. DUT Sartion Block Lot
uses etemined on HAY 20 , 19 9 3 and found b tb. in compfiwtee wUk the National Elsebieal Code.
RIITYq X COOIMWWtlif OVENf OIfK WAfllStf UIMAUST FAIK
OUTtR! An6 fWRCINf IM'ANf1nCFNT r1110tltCENT OTNEn AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. NAT. N, r.
1 5 3
DRY8t4 RIptAC~ MOTORS titT11M AMIIMIC~ IM6dlf s/lGGAt MC'?i TMt! a6CKf ~ ItTNt IIFAiYf kMXTI-0aTllT fXLAMMRf
AMT. K. W. dl K r. GAt N. t. AMT. NO. A. W. G. AMT. AAV. AMT. AMK. TUINf, AMT. M. r. ~
~l AMT. WATn
SRRVIOIi RISCONNRCT NO.OF S R R V 1 C ~
AMT. Aes. TTrt 1,1' ]Vt 1 / eN ] R 7W ] / AW NO.O~C. COND. . O. NO. OI N4aG ~ ~
• a• NO.Oi AIFUnAa ~ •~~1
OTMlR AlI~ARATIIk
HDroesll-! x.e.
d~
TRIR lORR 6LBCSRIC LIC.#3488 B
P.O. B0E 48
dAHBBPORS, RY, 11947 0¦/RA/MANAeM
ii
Psr
TITS ctrlifitaM mIM npf be alMed in a monnery TWurn to flq office of the Board if incorrM. Im
ny pscfort may M idEnti/i~Kl-ly.-fMir credsMiak.
COPY FOR. BUBDING DEPARTMENL THIS OOPY OF C~RTIpCA7E MUST NOT 4E ALTERED IN ANY MANNER.
r
INSPECTORS
r Pnnctpal~Buildtng Inspector O~~SUFFO(~-COG
Curtis Horton y~ SCOTT L. HARRIS, Superuuor
Sensor Butldmg Inspector ~ = Southold Town Hall
Thomas Fisher P.O Box 1179, 53095 Main Road
Building Inspector ~ • ~
d p! Southold, New York 11971
~ ~az8 IFsp~ar ~Ol ~ Fax (516) 765-1823
Vincent R. Wieczorek Telephone (516) 765-1800
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
July 16, 1993
Diane Trentacoste
16 Sioux Drive
Commack, N.Y. 11725
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is not on file. $25.40
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 18569-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
*WE HAVE RECEIVED THE UNDERWRITERS CERTIFICATE FOR THE ABOVE
BUILDING PERMIT. PLEASE SUBMIT YOUR CHECK IN THE AMOUNT OF
$25.00 SO THAT WE MAY ISSUE THE CERTIFICATE OF OCCUPANCY.
THIS BUILDING PERMIT IS EXPIRED.
VICTOR LESSARD F~ fi~ ~y ''A'~
F.., ' Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR ~ ; ~ rn P.O. Box 1179
(516) 765-1802 ~y '~f~~ Southold, New York 11971
FAX (516) 765-1623 ~
,J'
OFFICE OF BUILDING INSPECTOR '
TOWN OF SOUTHOLD
JANIIARY 29, 1990
DIANE TRENTACOSTE
IS SIOIIR DRIVE
COMMACR, N.Y. 11725
Dear Diaae:
On Friday, January 26th an application for a Cer-
tificate of Occupancy was brought into our office.
We still need a check for $25.00 and a Certificte
from IInderwriters for your C.O. As soon as we
receive-t5es-e we will issue the C.O. Thank you for
your attention to this as soon as possible.
Yours truly,
U~
Secretary
TEL.'C,5.180~
~S~~FO
~ G To~rrt of soUTUOLn
~ ly c
Y ~ OI'I'ICG OE GU[LDING INSPECTOR
~ TOWN 1fALL
~ ~ ~ SOUTIIOLD, N.Y. 1 1971
January 3, 1990
Diane Trentacoste
16 Sioux Drive ~--cc=-~21~~+~ ~ ~'~Y~`'~°~~
Commack, N.Y. 11725
To S~Ihom This, May Concern,
P7e are unable to complete your Certificate
of_~Occupancy because of the follocnng reasons.
~r2~(~10-'7~/~// An application for Certificate of Occupancy
~ is'~tot on fi?c. CENCLOSED)
6 ^!o Undertrrit-crs Certificate on file.
'['he cix~c4; u. (]4~x811~~>exlXnut on file.) $25.00
P:o flea] th Dept. Approval on file.
C:o final >nsl~ection has beec~ made.
Please contact our office on this. matter. '
Thank you for your cooperation.
[)utldtr.cJ Pcrm~Y ~f I 8 5 6 9 Z
IIuilclinq DuPt-.
~*k/~/ t!o Plumber :,older Certificate on L-ile. '
( all permit:; invotv~ng plum}~iny being
i~sucd after ,'1pr51 1,184 )
7, ~m
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T_IISULATIOPI PER N. Y. I -n3~
STATE E2IERCY
CODE
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] UGH PLBG.
FOUNDATION 2ND INSULATION
[ ]FRAMING [ )FINAL
REMARKS:
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DATE ~I ~ U INSPECTOR
/ ~s"l~ 9
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST ( ] ROUGH PLBG.
(FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING -FINAL /
REMARKS: ~~?~~-n u_~.~?-=1
DATE INSPECTOR
~ y~~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
~RAMING [ ]FINAL
REMARKS: ~~,~~2____
DATE ~ INSPECTOR
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~ A BUILDING DEPT.
INSPECTION
[ ] F UND1~fiON 1ST ] R UGH PLBG.
[ } FO NDATION 2ND [ NSULATION
[ ]~F'RAM C ] F1N/} ~
-T
~n~
DATE ~ ~ ~ ~ ~ INSPECTO~?t,~,~.~/~ ~.e,i,t
~ 1
VICTOR LESSARD Town Hall, 53095 Maui Road
PRINCIPAL BUILDING INSPECTOR P O Box 1179
(516) 765-1802 Southold, New York ! 1971
FAX (5 t6) 765 1623
S d P/MQL
'!1U'18
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD s
April 27, 1989
Ms. Diane Trentacoste
16 Sioux Drive
Commack, New York 11725
Building Permit #16549-Z
County Tax Map #103-10-017
180 Strohson Rd.
Cutchogue, New York
Dear Ms. Trentacoste:
During a review of our files, it was noted that the above
building permit has expired.
According to the Code of the Town of Southold Art. XXXVIII
Section 100-281H, every building permit shall expire >_f the work
authorized has not commenced within twelve (12) months after the
date of issuance.
If you wish to do any construction or alterations to the
above premises, please resubmit your application to this office.
Very truly yours,
SOUTHOLD TOnWI~3 ~B(UpIL"D"ING DEPT.
Vincent R. Wieczo k,
Ordinance Inspector
VRW:gar
' BOARD OF HEALTH
3 SETS OF PLANS
FORMNO.1 SURVEY
TOWVOFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL _ _ f
. °,OUTHOLD, N Y. 11971 NDCALL • ~ ~J• . .
TEL.: 7G5.1802 '
c, L T 0
E:camincd 1Q 19~r ~ O
Approved 1•~~sy . 19!!'. Permit No. /.a.~T.. ~ . 7?~ 7'T O
Disapproved a/c
DEPT:
APPLICATION FOR BUILDING PERMIT
Date I9
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 ad~oming premises or public streets
Gr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of ttus 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 shalt be occupied or used in whole or in part for any purpose whatever until a Certif cote of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY h1ADE to the Building 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 Lativs, Ordinances or
ReRuiations, for the construction of p~i~l~yngs, additions or alterations, or for removal ~ojr demohtron, as hereut descnbgd
The applicant agrees tB p~;~ tL ffi a°H ajlphcable laws, ordinances, bu ~ code, ho~mg co ,and regulations, and to
admit authonzed inspectors emises and in ~uildmg for nereseary ins i ns~ /.//C,.Q,.CL ~ L.cb~~,
, ; ; Y~ ' Signature of apphcant or me, if a corporation)
.t,,. ~ rY
, ~ tav1.~.~i.k'~.. ~attir~4~t,. A1:~.I1,7M~
sq^ +r~pq r (hfaihng address of apphcant)
State wlicther applicant. is owner, lessee, agent, architect, engineer, general contractor, electncian, plumber or builder.
.......~1~!A/c(? .
Name of owner of premises . ~IJ`}b~.~. , ,/rL.~!`(T~.~4 S.T. , , ,
(as on the tax roll or latest deed)
If apphcant is a corpora~io`n, signature of duly authorized officer
. .
(Name and title ocf}jc3orTpo[rate officer)
ALBuilder?s L censa No. .(c(~tj."Y SUI'rF,QLK COUNTY LICENSED
Plumbci s License No . . .
Electrician's License No . .
Otlicr Trade's License No . . . .
I. Location of land on w}iich prop°~ed work will be/d~one . .
House Number Street Hamlet
County TaC biap No (U00 Section ~'0-3............ Block . Lot ~7 , , , , , , , , , , : , ,
Subdivision ~ Filed Sap No. .x.... Lot .
(Name)
State eCishng use and occupancy /off premises and fin~tended use and occupancy of proposed construction:
a. Existing use and occupancy l-if'.( I/fit~f....! CCrt!]c .
b. Intended use and occupancy 'S'~i09 C'
3. Nature of work (check which applicable): New Bi idtng , Addition . Alteration , . ,
Repair Removal Demolition , . Other 1i'ork , , , .
~ ~~oo~ ~ ~ (Description)
~4. Estimated Cost Fee
' (to be paid on Glmg this apphcation)
S, If dwelling, number of dwelling units ..Qd !G....... , . Number of dwelling units on each floor .
If garage, number of cars ...7.~/~.E~ . .
6. If business, tomnacuial,.ny,niixaed occupancy, specify nature and extent of each type of use
7, Dimensions of ei~'sg T cs, if any. Front ,Rear ...J'.3: ~ Depth ~ , .
Heig}tt .?`f? ~ iber of Stones . ~ .
Dinrensif~ajtt¢„~,iic ath alterations or addtuons Front Rear !~5 : .
Depth . . . . . . ...Height . 3O. . 1 , . Num~n,ber of Stones . . .
8. Dimei~Q;lsg t e v on ruction: Front . ; T, , , , , , - „ Rear . ,'F.~:T......... Depth s•~rt:.... , .
Heightn „xYi.9 . N ubcr of Stones ! .
9. Size of'larr~rorrt~ ' Rear . ~10$ :~L' ~ De• to . l~~'... - -
0. Date of Purchase QC ~l A,a{/A .1.q~.. ...Name oC Former Owner .Jc? . X0/2 ~ L~3l. , , , , , , , , , ,
i. Zone or use district in which premises are situated .
2. Does proposed construction violate any zoning law•, ordinance or regulation: . ~ .
3. 1Yil! lot be rcoraded }-?O............ , . NiII excess fill be re~~3A~9ved from premtses: Qes No
l14. Name of Owner of premises .~lRk><..~2~~ f4S1'i~dress Ib.~~DdY.~/l.(PKHh4fc.. Phone No. ~Y.'~!'1J.'d:.... .
Name of Architect PN.$.. A dress $'o...... Phone No .
er'fiift f . .
Ir`ame of Contracto r~~p~,/>~e.~avr. ess/sQ~~s'~G7. ~l9~fjb~one No. 7. z?~:.~',`.'/J:.. .
5. Is this property located within 300 feet of a tiidal wetland? *Yes No
*If yes, Southold Town Trustees PermitPLOTDIAGKAMeNu{r, /Dbf -~C.u !v•w•wf ~•p jYpUSr l
iuew /}en,~+G~
Locate cleazly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
roperty lines. Give street and black number or description according to deed, and show street names and indicate whether
ttcnor or corner lot. / /ey~}(~~~ J q
` { f~ATE:~ ~
o (sp~VCJ7
N071FY UI G DEPA
l . +~i1l11T Yuri.UDES APPFtpuq~ 765-1802 9 AM TO 4 R THE
TQ >'~EN10V'E EXCESS FILL tOFOUNDATIONPE~TWO REQUIRED
FROP.~ A80VE 1'~EMfSES BY FOR POURED CONCRETE
R. iRAC11NG LOT 2 ROUGH -FRAMING & PWMSING
DRfYEWAV CONSTRUCTION 3 fNSULATION
L`ESSpppl CONSTRt1CT1UN 4 FINAL - CONSTRUCTION MUST
nELLAR CONSTR TIO ! AI.BECONSTRtlCT ON SHALL MEET
THER 7HE REQUIREMENTS OF THE N.Y
STATE CONSTRUCTION 8 ENERGY
CODES NOT RESPONSIBI'E FOR
L~cSIGN OR CONSTRUCTION ERRORS
iATL OF \ElV YORK S.5
. , , , ~•~e'P~, • • -f fL~ ,v?A.t: 0?~ being duly sworn, deposes and says tftat he is the applicant
(\amc of mdnidual si~mng contract)
ovc named.
:isihc
(Contractor, agent, corporate officer, etc )
said owner or owners, and is duly authorized to perform or have performed t}te said work and to make and file this
ahcation, that all statements contained in this apphcation are true to the best of his knowledge and belief, and that the
xk will be performed in the manner set forth in the apphcation Gled therewith.
•orn to before me ibis ~p~,,f-
,tar}• Public. ~ , , County /{/J,' (
HENRY GUERRIER O (v/ yr-~'~-7~
atary Public. State dI NiW Y9fIF • • • • • • • • . • • • • • .
a. 30 6697690, Nassau CD4Hfy (Signature Of applicant)
Qualified m Nassau County
Certificate Aled in New Yafk B®Y
Commrssion Expires May 31, l