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HomeMy WebLinkAbout17986-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19872 Date APRIL 26, 1991 THIS CERTIFIES that the building ADDITIONS Location of Property 955 SHIPS DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 3 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 1989 pursuant to which Building Permit No. 17986-Z dated APRIL 4, 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 GARAGE, SECOND STORY AND DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LARRY J. & VIOLET TUMINELLO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-182276 - APRIL S, 1991 PLUMBERS CERTIFICATION DATED APRIL 17, 1991 - C. ZERVOS uil ing Inspector Rev. 1/81 •osas xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) / N o J 17 9 8 6 Z Date .1~1.~ 19 Permission is hereby granted to• ....4 . ro ..~~9',w/1. Q.e.. ,l.~Z ~ //~j/J• /~1 C/ / ur.(i/~,,.• ct premises located at ...~..c; ~~2!!`.~ County Tax Map No 7000 Section . Block .....J~............ gLot No . pursuant to opplicat~on dated ,7 19~.! and approved by the Budding Inspector. ~~O^ Fee S~~6f.~,rSC,t~. /~B Iding Inspector Rev 6/30/60 ` Form No. 6 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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-9 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 1% 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 prnp~rly 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 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 $15.0~0/, Co/mgmercial $15.00 Date ..........,T~/•1~ New Construction........~.7.. Old Or PLre-existing Building.......... Location of Property....7.5~.....5!~l~f?5..~/,y f . ~4~~41~%f... ~ q7~ House No. Street Hamlet Onwer or Owners of Property.......!.. F LP?~:e'y I~O County Tax Map No 1000, Section..../.~......Block......~.......Lot.......,-~.~,7'........... Subdivision .~~F//filed Map...... :..../L,,ot....... _ Permit No.. ~~77R~F ....Date Of Permit....~~T~4.9...Applicant...G~;.2~C'..T.~./.~/t1~:~~0...... Health Dept. Approval ..........Underwriters Approval...../.................... Planning Board Approval...................... Request for: Temporary Certificate........... Final Certicate....ll...... Fee Submitted: $...°?S: ~ ~.ec. K Is23 l/~f ~w.riti~ .-rr . ~o ~ 1 ~a2- APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 ].1951.12 ®UREAU OR ELECTRICITY 85 JOHN STREET. NEWYORKrNEW YORK 10038 e ~ ate APRIL 08,1991 Application No. on fue 62787189/89 N 182276 _ THIS CERTIFIES THAT - ' E oniy the alectried aquipnsent a described 6eloto and introduced 6Y the applicant narPSad on the a6ooe appBation number lrs the promLse of - z LAi1RENCF. TUNINELLO, 955 SNIPS DRIYE, SOUTNOLD, N.Y. inthefollowinglocotion; ? Basement GAR/ATTIC/OUT ® lst FI. ®End Fl. Section Block Lot _ was examined on APRIL 01,1441 ondfound to 6e in cornplfanre with the rryuirements of ehiE Board. RXTYIE RXTURES RAIgE4 tXKIXINO DECXS OVlNS DISH W EXHAUST FANf OUTLETS RITACIES SWITCIIK INCANClSCEN7 FIUaE]CENT OTMEn AMT. R. W. AMT. W. AMT. K.W. AMT. R. W.. AMf. N.I. 21 29 25 18 2 F DRYERS RJRNACE MOTORS RITURE ARPEANGE IREEERS f'ECIAL NC'M TMMGlOC1I5 ML WET IMAigS /MATI.OUTYT WHINERS AMT. R. W, ql N. r. WS N. P. AMT. NO. A. W.O. AMT. AMr. AMT. AMPt. TRANS. AMT. N. P. tp a ~ AMr. wAm - 1 30 7 600 SERVICE DISCONN[CT 110.0E S ! R V 1 C E G~ AMT. „ AMP. TYPE ~ t / tW 1 / AV ] L 3W 3 / ~W NO. ~CCjcOND. c NO. Of IN~LFG ~ ~ NO.OP NEUIRAlS OF ~NEUiMt OTNEII APMRN;IUf.. R 3TON A.C. UNIT/PR.ACT. AIR NANDLER-1 MOTORS:1-0.33 N.P. G.F.C.I:-4 SNOKE DETECTOA:-1 ~o~ - SAGE 4 LADEHANN INC. P.O.BO% 1768 30UTNOLD, NY, 11471 oENEEAI MANA09 ii Psr ~ ~.i r ,Th'is artificoN must not ba ElNred in Eny marmar; Mtwn to the office of the EOard if incorrect. InspscMrs may be identified by their cndsntia(~. s CO?Y FOR_BWLDIHG DEPARTMdiT. TtgS COPY OF CER?IFiCATE MUST NOT `BE ALTEI[E4 IN ANY Mkt. TEL. 765-1802 ~oS~FFDCI~'~o`~ TO~°JN OF SOYTTHOLD ,Z~," , , ~c OFFICE OF BUILDII•IG INSPECTOR ~ ~ P.O. BOX 728 TOWN HALL vO~f~! ~ SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date 17 5 Building PermTit No. }'T9gb7 Owner ~.AY-Y~ l U vh i v~ 0 ~ ~ O ( lease print) Plum'aer C©NSTi}'t~TItJQS ZCIZVCIS - PLUM!BE12S !_IC, 2.3~'-~- P (glease print) i certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. Cm ~ ~ ~ ~ ub~ ~--r°~'Zv ~ (plumber's signature) Swornyy~~`o before me this 'day of ~3"~ ~ J ~ 19 ~ N t ry Public Rotary Public,_~ //L County ~ MCP N A. dAC08 Plotay PucGc, Wtats C! NaN Yor{f No. `iW"un'J`J y[t,:a'I~i41611 (n .^it{ijL~k Ci0!•:4l}f Comani~!on E;p~s 3,19' ~ :TEED LLJ1~~~.r11V1I ~~UA:~ ~ i;OMMENT~ -a 7. m _a H - H FOUIIDATION (1st) c FOUNDATI01! (pad) m - ~ z ROUGH FRAME o PLUMBING ti 3. ~ urc~ ~ m Y: m IIdSULATIOtt PER N. STATE ENERGY CODE x r- 4, FIi4AL - E z ADDITIOCIAL COMh9ENTS: x ~ 1~ Q ,c~ c r x c ~ 1, r 7•~ ~ ~ c S• y3 . ~ ME~R 3 1 BLCG OEPT. `1C"t ~j.}r~7~~ TOWN OFSOUTHOLD `W ' ~ f .if2,r ~7 ~ HO2rH ---..i J ~7 ~ M C: 1`Tt ~ -»-~lc~ nn ~ ~ ' G~ ^„4 ~ ~ ~ I 1e ~ G ~ ~s't Pcu. - -7 t : i ~ ~ ~ W ~ : ~i ~ E .g~ ~yl f 3~d( ~~C> nor ~ z rrsa (~Yf b rtry ~x~ ~ ~x m 5 ran ~ ~ ~ 5.27"t9 ~~"1,/, 11f.32 ~ ~ ~ z ~ ~ r~~~s~ ~ ~ t ~ ~ ~ ~ ~ o T ~ ~ p LA ~ o ~,o e~p~> oomo gy°` / ~ ems' ~ u N ` ` ~r ~ ~ f*f w40D, o°m° Ta.~^wo> fs~ elm u ~~i t ~ z z ~ In '1 Zo K m A C O ~ W ! K Z .O ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~NAL REM 5: DATE ( ~ INSPECTOR 765-1802 BUILDING DEPT. 1 NSPECTION [d ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL REMARKS: DATE INSPECTOR ,ti~ 765-1802 BUILDING DEPT. tNSPECTIQN [ ]FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND INSULATION [ ]FRAMING ]FINAL RE RKS: DATE INSPECTOR / ~ ~ ~ 765-1802 BUILDING DEPT. lNSPECTI~N [ ?FOUNDATION 1ST ( ] ROUGH PLBG. [ J FOUNDATION 2ND [ J INS ION [ ]FRAMING [ FINAL REMARKS: w DATE ~ 3I l" INSPECTOR j ~ ~ ~ ~ ~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( } ROUGH PLBG. [ ] FOUNDATION 2ND [ ~SULATION [ ]FRAMING [ ]FINAL REMARKS: ~~-2~`~L DATE d~ a INSPECTO ` " ~ 765-1802 BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( ]FINAL REMARKS: DATE INSPECTOR 765.1842 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION (]FRAMING [~]'~INAL REMARKS: ~ DATE 7 1 INSPECTOR BOARD OF HEALTH n ~'i a ~ ~y 3 SETS OF PL.1NS D:K•~::: ~A~~; I7 FORM NO. 1 SURVEY TOWN OFSOUTHOLD CHECK 27 1989 BUILDING DEPARTMENT SEPTIC FORM TOWN HALL //3 BLDG DcPT SOUTHOLD, N Y 11D71 NOTIFY K-j/~ S'3~~ ~y //~/OF SOUTNOLD TEL. 765 1802 CALL , , ~ . Examined . 19~ MAIL TO» Approved ~'Y 19~ Permit No.. ~ ~g~~° Disapproved a/c (B ildm^ Spector) APPLICATION FOR BUILDING PERMiT Date ..................15.. ~ INSTRUCTIONS a. This 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 stree~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation. c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm 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 Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance cf a Ei:.ldii:g Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Orduiances o Re,ulations, for the construction of buildings, additions or alterations, or for removal or demahtion, as herein describe. TIie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t~ admit authorized inspectors on premises and iii building for necessary ins ctions. .~.GC4lt . (~Si/na~t (~e ap i}ca~nt, or name, i~f a~corp~o~ratio/n) • ~ailmg address of applicant) State whether applicant is owner, l/ess/ee, agent, architect,_ a/n9/sneer, general contractor, electrician, plumber or buiIde, / ^ . . Name of owner of premises l:-17~~...~,/... /G.~/?T!:"tC/.~c.Z. • (as on the tar roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co orate officer) Bwlder's License No ~?.:/r • • • Plumber's License No. . . Electrician's License No. . Otfter Trade's License No . . 1. Location of Land on which proposed work will be done. ...,t~.5~..4-~'j/./1~t', , ~!l,1• • , J. ....s~..........~, ..~~s .................emu-~~.r.~...... House Number ~ Street Hamlet GG h County Tai &fap No 1000 $CCt10? J• • • • • • • • Bioc:k • • , , , • Lot . ~ . Subdivision Filed t\tap No. Lot . . (Name) State e~isLng use and occupancy of premises and intended us}e/y/and occupancy of proposed constntcrion: a. Existing use and occupancy ........~~~~~~F• • • ~1?7~i• • . ~ , b. Intended use and occupancy yt.!-'.-ir~'~; cLC~c,~.Q.v,~• . , • _ - . , , • , . , , . , f.. _ , ' 3. A'ature of work (check vv hich applicable). New Budding Addition ~ ~Uteration . Repair Removal , Demolition Other )Vo,[ka1.......... . ~~R (Dcscnpnon 4. Estimated Cost .........._.Sr~l. ovU Fee . (to be paid on Ghng this apphcaUOn) 5. If dwelhn„ number of dwelling units . Number of dwelling units on each floor . If gara;e, number of cars . 6. If business, commercial or mixed occupancy, specify nahire and extent of each type of use . . 7. Dimensions of existing structures, if any Front : Rear Depth . Ha_ht Number of Stones ,'~.~YS~....................... . Dimensions of same structure with alterations or additions. Front Rear Depth IIcight Number oC Stories . g, Dimensions of entire new construction. Front Rear Depth . Heiglit ...............Number of Stones . ~y~i~~._i . . 9. Size of lot. Front ............Rear Depth . 10. Date of Purchase , ,Name of Former Owner 1 ~ Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation /t/t~ . 13. Hill lot be regraded .......,1~'L? Ndl excess fill be re oved from premises Yes y.-. 14 Name of Owner of premises ..L,.~?!?x, !u/l7.i,ti;+e"lPAddress ,~yk~~l....... .Phone No. 1 S..:-,~Y3,3d'. Name of Architect ...........................Address ...................Phone No............. . Name of Contractor ..........................Address ...................Phone No.......... . 15.Is this property located with in ,'300 feet o£ a tidal wetlaud? *YES....HO./~. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro property lines. Give street and block number or descnption according to deed, and show street names and indicate wheth intenor or comer lot. . yaw, . ti ~ STATE OF\EN R' SS COUNTY OF s..14G 1 ~~!'C / ~l~l.~!:'K./`~ being duly sworn, deposes and says that he is the applica (Na c of mdmdual signing contract) above named. tie is the ~lZ/~.GC2t.~ (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authonzed to perform or }iavc performed the said work and to make and Gle tl application; that all statements contmned in this application arc true to the best of Sus knowledge and belief; and that t work wdl be performed m the manner set forth in [hc application Eilcd thcrewi[h. Sworn to before me this 7. ~.........daY of . ~~'14.rtc~; 79~~. ~otaryPubhc . ......~,y~rr.t-~5:........ County ~~c C ( ,,.G ~DA J. COC QPER NoteryPubllc, Steteof New (Si;nature of applicar No. 4822563, Suffolk County t) Term Fxpues December 37,19.,_ rnu,a~i., n~H - r ~ ~ ~ ~ z m g~ k~ ~ o ~ ~ ~ N y ~ ~ A, ~r~~rou`~ro ~ ~ A ~ In ~ A " r ~ ~ ~ ~?1 x~iww~~~ ~ A A y , +-1 1 ~ /r z g o W~ ~ \ G ~ ~ w~w~ ~ D ~ ~ ~ ~ o ~ ~ ~ ~ ~ ~ ~ v m ~ ~ - n D r A D o snr W ~ w ~1 rt, -F b ~ ~ . 4. C -o ~ ~ n ~ ~ ~ b Q~ . ~ ~ C n ~i C m y` - ~ ~ ~ ~ O O O O p p Q .b o~ l.1 ~i ~ po w ~ O ~ Ut V C ~ r1, ~ ° b Oa ra ~ W ~ ~ W ~p~ ~ ~ ~ v ~ ~ tz g n r p e ~ y~ ~ Z~; ~ ° A o ~ ~ lD ~ ~ n ~ $G r A\r M Y7 ~ I V l`{ ~ l ~7 t$ VIII Z w ,3.' 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