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Home My WebLink About17636-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18916 Date MARCH 26~ 1990 THIS CERTIFIES that the building. ADDITION Location of Propert~ 1170 HUNTINGTON BLVD. House No. Street County Tax Map No. 1000 Section 067 Block 02 Subdivision Filed Map PECONIC Hamlet Lot 01 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 25, 1988 pursuant to which Building Permit No. 17636Z Replaces B.P.$15591Z dated NOV. 25r 1988 was ~ssued, 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 DWF3.T.ING. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N851763 NOV. 4r 1987 PLUMBERS CERTIFICATION DATED N/A TERESA & GENNARO CAPPASSO Rev. 1/81 ~~/B611~dln~gInspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CO~PL~T~ON OF THE WORK ^OTHOR,ZED~ ui'(636 Z Date ......~..~ ....... .~.....~.. ........... , 19..?...~ Perm~sszon ~s hereby granted to: '...!.~ ~..,.....~~ .....C~. ~ .... ~...~ ~..~.. ~/.~T~ .~..~....;... .............. ; ............ ..~. ............... ~. .. . ~ , ...~.~...~......~.~ .~,....~..~.....~.....~~ premises located ot .,I.,/.?,.,0,.....~,'~,~ Coun~ Tox Map No 1000 Section .~,.~.~.., . Budding Inspector I '~. ., 19.~. ..~ ,, and approved by the Rev 6/30/80 ]FORM NO. ~ 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) NM 15591, Z Perrn~ss~on ~s hereby granted to: · ~..~..G.~...~F.~.F..~.. ........ County Tax Map No 1000 Sect,on ... ~:~.~.-). ..... Block ..... .~...,~.. ........ Lot No ...... ..~..[ ........ pursuant to applicat,on dated . ..~-)Lc..~:~(4.L~ . l.~ ..... , 19..~.(~., and approved by the Building Inspector. Fee $.....~.?...: '~...... Building Inspector Rev 6/30/80 TO~;N OF SOHTHOLO BUILDING DEPART}~EHT T0~N HALL SOUT~OLU. NEW YORK 765 -- [802 11971 NEW CONSTRUCTION HOUSE NO. STREET UAHLET Owmer or Owners of APPLICATION FOR CERTIFICATE OF OCCUPANCT ....... OLD OE. PRE-EXI~TI~G BUILBING.o. County Tax Hap No. lOGO Section ...... Bloak ....... Lot ......... Subdivisiom........ ...... ........ . Filed Map ........ Lot Health Depg. Approval ..... ~ ........... Underwriters Approval .............. Board Approval ..... ~.~ ......... Request for Temporary Certifima~e ....... Fimal Certificate . ~ 10/14/8E FORM NO. 6 TOWN' OF SOUTIIOLD BUILDING DEPARTMENT TOWN tlALL 76-5- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Bulldog Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Uude~iters. 4. Sworn statement from pl~ber certifying that solder used in system contains less 5. Co~erclal bu~ldlngs, industrial buildings, ~ltiple residences nnd slm~lar build~ngs ~nd installations, a certificate of code compliance from the Arch{tect or Engineer responsible for the bu{lding. 6. bubm~t PlanninE Board Approval of completed site plan requirezents. B. For existing buildings (Prior to April 9, 19573 non-confo~iug uses, or buildhgs a~d "pre-existing" laud uses: ]. Accurate s~ey of property showin~ all property lines, s~reets, buildiuss and unusual natural or topoKraghic features. 2. A properly completed applicatiou, a consent to iuspect signed by the and a certified abstract of title issued by a title company which shall show single and separate o~ership of the entire lo~ prior to April 9, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~iting to the applicant. 3. Date of any housing code or safety inspectiom of buildings or premises, or other pertinent info--tiao required to prepare a cergificage. C. For Vacant Land Cergifica~e of Occupancy: ~. ~ appllca~ion for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single amd separate o~ership of the entire lot prior to April 9, ~957 shall also the application. If a Certificate of Occupancy is denied, the Building I~pecgor shall state the reasons therefor in ~itimg to the applicant. D. FEES: CERTIFICATE OF OCCUPANCY - New Dwellin~ $25.00, Additions to D~elling Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.0O. 3. Copy of Certificate of Occupancy - $5°00 - over 5 years - $I0.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential Commercial er. 10/14/88 TOWN OF SOUTLIOLD OFt'ICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 March 9, 1990 TEL. 765-180.2 Gennaro & Teresa Cappasso 11~0 Hunt£ngton Blvd. Peconic, N.Y. l[959 To Whom This May Concern, We are unable ~o complete your Certificate of Occupancy because of the fei!el;lng reasons. An application for Certificate of Occupancy is not on file. (ENCLOSED) /--/ No Undcrwrztcrs Certificate on file. ._-/ /~_/ The check it;(q~C~t/nut ou file.) $25.00 /-/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Ihl[ld[ng Permit ~1 I 7 6 3 6 Z Building Dept. ***/--/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OUNDATION (1st) OUNDATION (2nd) OUGH FRAME~// PLUMBING NSULATION FER No Y. STATE ENERGY CODE FI~'~AL ADDITIONAL COMME~TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION I'~FRAMING []FINAL REMARKS: ~~ ~ DATE I~SPECTOR ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND [~FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL DATE INSPECTOR 0 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.. 765 1802 BOARD OF HEALTH 3 SETS DF PLANS SURVEY ................... CHECK .................... SEPTIC FORM .............. NOTIFY CALL MAIL TO: ~,~ 353. Approved .~..~-u~.~a...Li~.....~'"'.., 19 ~ Permit No l~ ~ ~ ~. ....................... .................. APPLICATION FOR BUILDING PER~IT Date ............... 1.9 INSTRUCTIONS a. Tlus application must be completely filled in by typewmter or in ink and submitted to the Building Inspector, wi sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or public sh or areas, and giving a detailed descnptlon of layout of property must be drawn on the diagram which is part of this a, caUon. · c. The work covered by tbds application may not be commenced before issuance of Budding Permit. d. Upon approval of thru application, the Building Inspector will issued a Building Permit to the applicant Such pe shag. be kept on the premises aYmlable for mspechon throughout the work. e. No braiding shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occup- shall have been granted by tb.e Braiding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldmg Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hereto descnl The applicant agrees to comply with all apphcable laws, ordinances, braiding code, housing code, and regulations, an, admit authomzed inspectors on premises and m braiding for necessary inspections. (Signature * ' ' ' ot apphcant, or name, if a corporation) (Malhng address of applicant) State whether applicant ow~essee, agent, architect, engineer, general contractor, electrician, plumber or bml~ If apphcant is a corporation, signature of duly authorized officer. APPROV[P ii L N~IFY 8UILOIt'[' AT 7~-~802 9 AW Plumber's L~cense ~o ......... ~OWING INS-' 1. ~UNDATION Electrician's L~cense No ................ ~R ~URED [ ~H - F~MING Othe[ Tmdc's L~ccnsc ~o ............ ~ ,, 4, FINAL .............. Fded Map No .......... Lot ............ Subdivision ' ' (Name) 2. State eMStmg use and occupancy of premmes and intended use and occupancy o[ proposed construchon' a.b ExlstmgintendedUSe and occupancy .~ '~2'~~. .~~~-'~~' ....................... use andoccupancy~~__ - . . .... . ................ 3. Nature of work (check which applicab{e) New Braiding ' Add~tmn . (~.-. .... Alteration ...... Repair ............. Removal ............. Demolition ............ Other Work 4 Estlmatdd Cost .-?./.~ ...... $. If dwelling, number of dwelling units . 6 7. (Descnph~ ................. Fee ............................. (to be paid on fihng this application) ........ Number of dwelbng units on each floor .......... If garage, number of cars .............................................................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................ Dm~enmons of existing structures, if any Front ............. Rear ............. Depth ........... Height ............... Number of Stones ................................................... Dm~ermions of same structure with alterations or additions Front ............... Rear ............. De~tb ................... Height ................... Number of Stones ................ 8 Dlmenslons,~[a~r~ ~l~constructlon Front ........... Rear .............. Depth .......... Height ......~ll[~l~ l~ll~. Number of Stones ............................................. 9 Size of lot. Front .................... Rear .................. Depth ................ 10. Date of Purchase ........................ Name of Former Owner ................. 1 1. Zone or use district in which premises are situated ........................................... 12. Does proposed construction violate any zoning law, ordinance or regulation' . ......................... 13 Will lot be regraded ......................... Will excess fill be removed from premmes. Yes I4 Name of Owner of premises ............... Address ................... Phone No ........... Name of Arctxitect ....................... Address .................. Phone No ............ Name of Contractor .......................... Address ................... Phone No ............ 15.I$ this property located within 300 feet of a tidal wetland? mYES .... NO... *If yes, Southold Town Trustees Permit may be r.equired. PLOT DIAGRAM Locate clearly and distmctIy ~1 buHdmgs, whether existing or proposed, and indicate alt set-back dunenslo/~s f property hnes Give street and block number or description according to deed, and show street names and/ndlcate whe anterior or corner lot. STATE OF NE~V YORK, . f. , ;~S COUNTY OF ......... .~ I .................... [ ~ .............. being duty sworn, deposes and says that he is the apph( (Name of f,d~v,~i,~ contract) above named ,~u.vt ~ Hemthe ...... ~'- ~ :~(~_~~~~'~ ''' (~ontractor, agent, corporat~ officer, etc.) Of said owne~ o~~~uthonzed to perform or bare perfo~ed the said work and to m~e and file appkcat~on, ~a~et~s ~d m thru apphcaUon are true to the best of Ins knowtedge and behef, and that work wfll&~'~%~~t forth m the apphcahon filed therewith Sworn to b~fo~e me thru ....... 7 ..... or ... ......... 19 gl. NOTARY PUBLIC, State of ~w ¥o~k Term E~p~re~ Va~ct~ 30,10...20~ ... County ~ FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y 11971 TEL.: 765-1803 Exammed~J[ ¢~<'~[*~. ~"~., 19~ Approve~~ X~, 19~9 Pe~t No ~ ~t ~ Dmapproved a/c .......... Received ........... ,19.. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................ , 19.. IN STRUCTION S a. Tlus apphcation must be completely filled ~n by typewriter or m ink and submitted to the Building Inspector, w~th sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing locahon of lot and of buildings on premises, relattonsh~p to adjolning premises or pubhc streel or areas, and g~vmg a detailed descnphon of layout of property must be drawn on the dmgram which ~s part of flus appl cation. c. The work covered by tbJs apphcahon may not be commenced before issuance of Building Permit d. Upon approval of this apphcahon, the Bmld~ng Inspector will ~ssued a Building Penmt to the applicant Such perm! shall be kept on the premises available for inspechon throughout the work. e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certfficate of Occupanc shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bufldmg Department for the ~ssuance of a Bmlding Permit pursuant to tb Building Zone Ordinance of the Town of Southold, SuffoIk County, New York, and other applicabIe Laws, Ordinances · Regulahons, for the construction of buildings, add~ttons or alterations, or for removal or demolition, as hereto describer The apphcant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulat~ous, and t admit authorized inspectors on premises and m bmldmg for necessary inspections (Signature of apphcant, or name, if a corporahon) (Mmlmg address of apphcant) State whether apphcant l~essee, agent, arcintect, engineer, general contractor, electrician, plumber or bmlde Name of owner of premises ~~.'' 'c~'~.<~¥.~9.. ~_~' .' ' ' '.~. ' .z~ ............. (as on the tax r(511 or latest deed) If apphcant m a corporation, mgnature of duly authorized officer (Name and htle ;f corporate officer) Budder's License No ~-~'~- . Plumber's Ltcense No Electrician's L~cense No Other Trade's L~cense No ...... her ~¢~b''r ' : ' Stre;; County Tax Map No 1000 Sechon ~.7 - - Hamlet Block ~ . Lot.. ( . Subdzwmon .... Filed Map No .... Lot ..... (Name) State ex~stmg use and occupancy of premises and intended use and occupancy, of t~oposed construction, a t~x~sttng use ano occupancy . c .~,.~. .... ~t :: / ....// ...... :...: .... . .~.~ ...................... b Intended u 9--4%-r · se and occupancy :L ....... ,~.~fl.' ..... .C~..C'~i ................... 3. Nature of work (check w~ch applicable) New Budding ......... Addatmn~...t... Alteratmn ........ Repair .......... ;. Removal .......... Demohtion ......... ~t~ --~.. C.,Other Work .............. ,~. · ~' "~=w ? (Description) 4. Esnmated Cost. ~ r~¢. .. ................ ~e ....... ~. ........ ,~,~: ....... 5. If dwelhng, number of dwelhng units ...... Number of dwelhng unffs on each floor. ~... If garage, number of cm 6. If busmess, commercial or m~ed occupancy, specify nature and extent of eac~fe of~se~ .................. 7. D~ensions of ex~st~ng structures, if any Front ........... Rear ............... Depth... He~t ..... Number of Stones ....................................... D~ensmns of same structure w~ alterations or addltmns Front ..... ~ ......... Rear ............... Dep~ ........... Hm~t ................ Numb~ of Stones ,; ................. 8 D~ensions of entre new constmctmn' Front ............. Re~.. .... ~ ~ .~ Depth ............ Hmght . Number of Stones .......... 9. S~ze of lot Front ............. Re~ ................... Dep~ ..................... 10. Date of Purch~e ......................... Nme of Fomer Owner .. 11. Zone or use district in w~ch premmes are s~tuated ........................................ 12 Does proposed consmction wolate any zomng law, ordmance or re~lation' . ............................. 13. Will lot be regraded .................. Will excess fall be removed from premises' Yes No 14. Nme of Owner of premises .............. Addre~ ............. Phone No ............... Nme of ~ch~tect .................. Address .............. Phone No .............. N~e of Contractor ..................... Address ............... Phone No ............... PLOT DIAGRAM Locate clearly and dtstmctly all buddmgs, whether exlstmg or proposed, and. mdmate all set-back dimensions from property hnes Give street and block number or descnptaon according to deed, and show street names and indicate whether mtenor or comer lot. STATE OF NEW YORK, CQUNTY OF. S.S ................ bmng duly sworn, deposes and says that he ~s the apphcant (Name of ~nd~vidual slgnmg contract) above named. He ~s the .... (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the said work and to make and file ti'as applicatmn, that all statements contamed m this apphcatmn are true to the best of h~s knowledge and belief; and that the work will be performed m the manner set forth in the apphcatmn filed therewtth. Sworn to before me tins ............. /.7 ~. ...dayof. . . NotaryPubhc, .~¢~4-~-,..~:. X~.~ ?../..e~... DOU~D ..l° OF' PL{O F::'E ~.TY EDV,'INA .~T PECON tC 0 C F 0