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HomeMy WebLinkAbout17647-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219268 Date AIIGUST 6, 1990 THIS CERTIFIES that the bu11d1ng ADDITIONS Location of Property 870 RICHMOND ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 06 Lot 08 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Perma.t heretofore filed in this office dated NOV. 29, 1988 pursuant to which Building Permit No. 176472 dated NOV. 30, 1988 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. The certificate is issued to HENRY & BARBARA SANTACROCE, SR. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N093862 SEPT. 27, 1989 PLUMBERS CERTIFICATION DATED N/A ~~r~ _ Building Inspector Rev. 1/81 FORM NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (TH1S PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N° !,17647 Z Date ..........ff.l....`~~..© 19.~f.g Permission is heF~ y grantUe,~dL~t~oy// ~G~ ,y . ~Q~..........~'.1~ ~,....,.....!f. to ..~.~~....~Q~J.`/lfG.L!1....... ...f~....~~....~.~~~.......a'~f-.~~,~~..1~....,-~~P ct premises located at .......fl.../...d...../.1...~.xr~.~*-~...tC.l~.s ..........................................~.4?aG"".~J' . . County Tax Map No 1000 Section /mil/~ Block .......fa......... gLot No ....a. . pursuant to application doted l„l d.~9 19~1J.., and approved by the Building In-Spector. ll Fee 3.•.1/.7..• ~D~/ ildln nspectar Rev 6/30/80 Form No. 6 7~~ ~,~~~7~ TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 TOWN HALL ) ~ ~ ' ~ ~ 765-1802 W~( BLDG DEPT ~,ppLICATION FOR CERTIFICATE OF OCCUPANCY TOWN Uf SOUTNG~ s This application must be filled in by Cypewriter 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 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 12 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. b. Submit Planning Board Approval of completed site plan requirements. H. 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 o£ 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 6ccupancy - $5.00 over 5 years - $10.00 Updated Certificate of Uccupancy - $50.00 5. Temporary Certificate of Occupancy - Residential(~//$/1'S/.///00, Commer/cial $15.00 Date G?G~.~G!/ . ~~~r. 1~~~! :Jew Construction........... Old Or Pre-ex" tang Bu~/,Idi/Jng...../. rr7~O ~ K..(:-... o. OU yam/ /J Location of Property...~l..........~~.. ~ f/f.~:'~!...... House N,(o,~~,~/ ,p~~,/ Street f~ Hamlet Onwer or Owners of Property.~L.ilY~jID~.Y.3Z/.~l~d... ~~{'li~Q~~ .............~~jj...._...... County Tax Map No 1000, Section./...~~.......Block....~0...........Lot...~...P........... Subdivision...// .............................//....Filed Map ............Lot......... Permit No..~7lp~~ ......Date Of Permit.lJ'. ~0 .~~...Applicantl~ ~B!~W..y~.:~:^:" Health Dept. Approval ..........................Underwriters Approval...//................... Planning Board Approval [tequest for: Temporary Certificate........... Final Gertic t Fee Submitted: ~ far q~$.~ ~,G/r9G APPLICANT C6 2JyaG ~ -1~LD Ii;S:',~.C:~u:1 ~~Unic VOi'iMGNi.°. -v 1. - m a ?OUtiDATI01! (1st) c =OUNDATIOIJ (2nd) m~ - a ~ _ z 0 ?OUGH FRAME & PLUMBING r N 3. 0 ` ~ ~ a m m - LIISULATIOPI PER N. Y. - y STATE ENERGY CODE x ~ a 7 -.J m ` H n k FIi]AL ADDITIOPIAL COHMENTS; m - ~ _ H 9 C H H O Q m a r _ H b [7 H o ~'~~Y7 ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f l ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~ ' DATE ~ INSPECTOR ~ 1~~y~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f ) ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [~R,AMING [ )FINAL REMARKS: ~ c~- 1 ~ 0 INSPECTOR ~J DATE ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FO NDATION 1ST ( ] ROUGH PLBG. [ FOUNDATION 2ND [ 1 INSULATION C I FRAMING [ ]FINAL REMARKS: DATE Ja' 1 s ~ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001093 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 SEPTEN$ER 27,1989 ApplirotionNo.onJ71e 60563$89/89 N 093862 THIS CERTIFIES THAT only the electrical equipment a ducrihed 6doto and introduced 6y the oppiicont named on the ahoce application number in the premiwa of N. SANTACROCE, 870 RICNNOND RD, POKE-6, SDUTNOLD, N.Y. in the folloteinq location, ®Basement ®ixt FI. ? Ynd FI. .Sertion Block Lot Ices examined on SEPTEMBER 11 , 1984 and found to 6e in rnmpliance rrith the reyuirementx of this Berard. HxTLN! RXTURK RANDES COOKING DECKS OVENS DISH WAf11ER5 EXNAUST FANS OUTIJlTS ACIEf SMIITCNES INC;ANDESCEM . FlUG11ESCEM OTNEP AMT. K. W. NAT. K. W. AMT. K.W. AMT. K. W. AMT. N. P. 1D 7 it 10 DRYERS RlRNACE MOTOK IUTUM ANLANp REDERS Set<IAL RECrT TIME JOCKS Rllt UNI7 NEATEK SM~YfT~M1TSMT DIMMERS AMT. R. W. (Nl N. P. GAS N. 1. AMT. N0. A. W. G. AMT. AMP. NAT. AMTS. TRANS. AMT. N. P. a ~T AMT. WA1T5 2 600 SERVICE DISCONNECT NO.OE S E R V 1 C E AMT. AMP. TYPE IpMi~N. l w tVI I w Sv+ a a 7w s w .w ~coNO. a cc c°oi+G. No. or Ni.1EC a~~~ No. oP NE~eia a 'reurGR~a OTNM AEMRATUS: MIRING AADITION ONLY-1 G.F.C.I:-1 GARY DOROSRI LIC./2941-B 420 MONSELL LN. CUTCBOGUE, NY, 11935 11 Per This nrfificoh mutt not fte altered in Orly mannerT return to dle oNia of 1fKR Doord if incomct. Inspectors may bs i s by their crademials. COPY FOR BUILDI116 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT EE ALTERED IN ANY MANNER. D ~ ~ ~ O nrs ~ :i'I BOARD OF HEALTH U 3 SETS OF PLANS . °f~~ FORM NO.t SURVEY TOWN OF SOUTHOLD CHECK ~C BUILDING DEPARTMENT SEPTIC FORM ' ~sr~. _ , i TOWN HALL r;t;,c ,~~E SOUTHOLD,NY.11D71 NOTIFY ?pt,1'r;~.T._?r_,=.~v!.:.:~."t,~ ...A~ TEL..765-18D2 CALL .T~.~..~Y9~°...... MAIL TO: Examined ~!.`3~......., 19 / r !f7 gpproved . ~.f~~S~ 19 ~~Pcrmit No. l.J/6 .1 Disapproved a/c . uilnspector) APPLiCAT10N FOR BUILDING PERMIT Date I` INSTRUCTIONS . a. Tlus application must be completely filled m by typewriter or m ink and submitted to the Building Inspector, w 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 sr or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this • cation. c. The work covered by ttus 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 p~ shall be kept on the premises available for inspection throughout the work. e No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occup shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Btulding Permit pursuant t~ Building Zane Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc Regulations, for the construction of buildings, additions or alterations, or for removal or demofltion, as herein desc, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ai admit authorized inspectors on premises and in building for necessary inspections. (Signature ot""applicant, or name, if a corporation) . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bull C~il/~?Cr~, . . . Name o£ owner of premises . ~ . (as on the tat roll or latest deed) If applicant is a corporation, signature of duly authorized officer . . . . . (Name and title of co~~rp~ojrate o~fF~c/er) ~ Builder's License No ~oSy- 1.~7 "°~~~/~1Q1'~r?'y Plumber's License No Lu~?~~~~ ' G ~uY ~Jf 05K i ~GEC~.2/~/~"J Electrician's Ltccnse No , Other Trade's License No . . 1. Location of Isnd on which proposed work will be done . . House Humber Street Hamlet County Tsv hiap No 1000 Sec[io ~ Block .~o• . • , , , • • Lot . ,o~v~r9CGl~ Subdivision • • • • Filed Dlap No , (Name) Lot 2 State e~istuig use end occupancy of premises and intended use end occupancy of proposed constnution a. Existing use and occupancy . b Intended use and occupancy . • ~~tih9E 3. Nature of work (check which applicable) New Building • • • Addition • • • • Alteration . Repair .Removal Demolition ..Q~ k • • ~i' (~D^e-scnptii 4. Estimated Cost `~~.SJ rj0. J~ F e l ~.74 ~p , (to be paid on filing this applicaUOn) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If gars^e, number of cars 6. If business, commercial or mixed occupancy, speedy nature and extent of each type of use J.K~~. 7. Dmiensions of exist[ g structures, if any Front ...J`-. ~ Rear ,d •Z Depth . Height ....../G Number of Stones Dunensions of +~sa a fracture with alterations or adddions• Front ....SZ Rear . -~r..y . Depth ..=1Z- Height l6. Number of Stones l . . 8. Dimensions of en ire new construction. Front .r~l~ . ~ :Rear Depth , , Height fit? Number of Stones . . ~r ,.y~ . . 9 Size of Iot Front /.v!~ Rear . , .13. ~d:?.. D'pt ~,5y ~ Oa~ , , 10. Date of Purchase .,1.'~G~ Name of Former Owner ]'~//!~,{tL.~!/.i' G? . 1 1. Zone or use district in which premises are situated ~'l~' T.yQ!:~. • • • • • • • • • , , . 12. Does proposed construction violate any zoning taw, ordinance or regulation: . 13. Will lot be regraded ~Q. ~ Will excel fill be r~ oy~ from premises: Yes 14. Name of Owner of premises~~/S.r7Eu~~~-rR~%~. Address .~t-.h~m!^~ .•L'. ....Phone No..}~S '~'3f7r Name of Architect .....Address ...Phone No... . Name of Contractor-~r~.~ t~t?.t2,~'......... Address ~~~~~(//,P~~d , , .Phone No..~f a a~~~ IS.Is this property located within 300 feet of a tidal wetland? *YES....NO.? *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions property fines. Give street and block number or descnption according to deed, and show street names and indicate why intenor or comer lot. 3~' ~ ~ N , L ~ ry _3 22 Ira f ~ Eta 1 ~ 33 6><lxius t ~ \ ~ ADD STATE OF NELV YORK, S S L ` (CN~1UN~ COUNTYtO /~Z/~j'. ~~~~.L~'.~ being duly sworn, deposes and says that he is the apph ` (Na e of mdrvidual signing contract) above named He is the . . . (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file apphcation; that all statements contained m this apphcation are true to the best of his knowledge and belief, and tha work will be performed m the manner set forth m the apphcation filed therewith Sworn to before me thgis ....a.'.~/.f,..~ ..dayyof (~~c/mot/^e?.t-~ 19~.~. Notary Public, . . Q. v~~.... County HELEN K DE VOE . 9-.-~ (Signature of apph[ NOTE+7Q78~8 S~u9NMSMCau_ i+ta 5 Term ExWres hteich 30,1 w ~ Ir I l_. +r 1 ~ - ~ 30 ,2 s 0 r~ ~ ~ ~ ~ ~ 4 ~ . 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