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HomeMy WebLinkAbout17232-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFTCATE OF OCCUPANCY No 219493 Date NOVEMBER 8, 1990 THIS CERTIFIES that the building ADDITION Location of Property 4125 OLD NORTH ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 03 Lot 02.4 Subdivision MT. BEULAH ACRES Filed Map No. 6984 Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated SLILY 11, 1988 pursuant to which Building Permit No. 172322 dated JIILY 19, 1988 was issued, and conforms to all of the requirements of the applicable provisions o£ the law. The occupancy for which this certificate is issued is DECK ADDITION AROUND SWIMMING POOL & EXISTING DWELLING The certificate is issued to DENNIS DI TRAGLIA-ANTHONY MUSTO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 vo6;?~ 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 AUTHORIZED) N o 017 2 3 2 Z Date ...........~....L.`j 19.A. Permission is hereby granted to: n sta ~.3 z t~ ~ r 1 J~~. _ .~n of premises located of .!~~.r~.ia... ~.tl'~..~.~:....~.:....~.....r...... x.....1.11 rir3.l~4~?I~...~.E!-~.'....!..J.~?-ri:t~.....~-~-~~-~:~ :.........................t..'............ County Tax Map No. 1000 Section ......Sa.~.~........ Block r}Lot No......!~ ~.T......... pursuant to application dated 19.1..8., and approved by the Building In22sp-e7ctor. Fee S.. ~..s~:..Z. Building Inspector Rev. 6/30/80 ~ ` Form No. 6 TOWN OF SOUTHOLD 0 BUILDING DEPARTMENT ~ kfn~ TOWN HALL ~~~7U 765-1802 f ~ UTIipID 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 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 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 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 $15.00, Commercial $15.00 Date ~ .\..~~9'~LG New Construction......... Old~(~Or Pre-exisRting Buiy~\ding...... Location of Property....`~_.G... .~J~~.... kit-'....... ~r,;.:,k~.,~1~ House No. Street n ,,I~~\amlet Onwer or Owners of Property..:`::e:v: ~:......~T'~`~:~ 000 County Tax Map No 1000, Section ..............Block................Lot...................... Subdivision ....................................Filed Map............Lot...................... Permit No..1.~K..~ ~.~.....Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval.. Planning Board Approval Request for: Temporary Certificate........... Final Certicate.....!...... Fee Submitted: ~ya~4 ;+a ~d~.l`I'~k APPLICANT r1ELD I.:SPEC;iON (IlliiTE ~ i;OMMENT° -o . m ..1 H H ~-7 FOUNDATION (1st) = OUNDATIOtd ( 2nd ) - m 2. z o ~ ROUGH FRAME & PLUMBING ti H 3 . x' ra m i~ II7SULATIOAI PER N. Y. y ~ STATE ENERGY CODE x 4 . ~ ~ y FIidAL tJ ADDITIOPIAL COMMENTS; x ~ . . ' x ~v H ~ r "'3 H O ~ tl A _ H b t*7 b H 'tr& 'q^~~~ ~ -x'w i. t s'~$ M dy 1 ~ ?h ~ s ~ ~ ~ ~ (may+Jy~~ a ~ ter... ~ ~ ~ T ~ ~ i i .'SI ~ Q 1 ~ d ~ a ~ at { ~ ~ ti. PT ~ ~ c2.lq ~ ~ fl ~ rj EI ~ ~ ! j, ~ ~ as r ~ A ~ ~ ~ ~ ~ 1 ~ ~ ~ ~ ;ri ` ,r y a' ?~1 ~ ~ ~ ~~~,-~~~~~~4 ~ ~l ~ 4. ~ tom. ~...,.__.,p ~ V ~ t,•1 ~ ~ 4ati i ~ ~ atl ~ { I f , ~ ~ !A ~ ' k. ~ ! ~ , rn 11! p! ~-,y g ~ > % t 04 ~ ~ ~U PC G`f x`D. q ~9 ° 4 M ~ r j"~ r'S C' ~ BOARD OF HEALTH FORM NO. t 3 SETS OF PLANS Q- k. , , , SURVEY .,~,1{..... ~ I ~9$$ TOWN OF SOUTHOLD CHECK , , , , , , , . BUILDING DEPARTMENT SErTIC FORM , , , , , , , , , TOWN HALL TC";d~,`i,=,;;ttJit?C~ti7 SOUTHOLD,N.Y.11971 NOTIFY F ~ ..__x TEL.: 765-1802 n qq CALL Examined..~~.~..1...,15~~ MAIL T0: ~a-yt /a3~ 1 / p ~G //~~Z~ Approved •.W>1./..{ .4 t9~~. Permit No. 1 70131~L ~ 1 Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ,l. - - 15 INSTRUCTIONS ` a. Tlus 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 adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this 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 shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Buildin; Inspector. f APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of tTie Town of Southold, Suffolk County, New York, and other appticable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Sign e of applica , or name, if a corporation) ' (Mailing address of applicant}~ State whether applicant is,owner,'lessee, agent, architect, engineer, general contractor,;Qlecfrician, plu"mber,or builder. ~ ~,~I..'„ s•~„x~_ Name of owner of premises ...~jlJ ~ H~N~. /YJ K sTO..." , , `~,~>?N,/,~ , , , ^7`~,r}C,G~,f-, , , , , , , , (as on the tax roll or latest deed) If applicant is a corporation, signature b'f duly authorized officer. . (Name and title o f corp,ora't0„officer) d Bu~IdGr's I,jcflnse Nb?t>1`'::.~?? A` . v , ~i' ',di ~'~~'Vd~de~.]Ivf~in:~ibt :Bi~1"' Plumber.'.~YLi~ert~aFYo3.~t?'(a~yvl~'~~t:~':~. yI~+Ipv~ry~~'~ 3~'44 ~~ddttryry~~(((~q <AlPi .Si ~qPj '9• EleetRi~ia3tds<L~e""sts~s~fyc~",*:i'.f`~? ~`s}.~:a?~ Other Trade's License No . ~~~5. 1. Location of land on which proposed work will be done. . , E7<O nl a2Ttf...(~ . fti~' u ~ f} ~f .1.. ......................................M................... House Number V Street Hamlet ° - County Tax Map No. 1000 Section b~.r........ Block , , , , , , , , Lot o~..~........ . Subdivision Filed 6lap No. . So . ~ ~ ~ Lot . (Name) State existing use and occupancy of premiscs and intended use and occupancy of proposed construction: a. Existing use and occupancy A.Q.S. ! .~.4'~~ % /~.1~'L b. Intended use and occupancy ~ ~ ` ' 3. Retau of work (check which ,''applicable): New Building Addition Alteration , P Re' oval Demolition ~ ~ ~ • ~ ~~ou~ L Other-Work . (Description) 4. Estimated Cost , `'~~©©9, e r? Fee ~ (to be paid on filing this application) g g g units Number of dwelling units on @ach floor . If darallennumbeb of carsvelli• • • • • . • • . • • • . • . • • • ,3,; a r, 6. If business, commercial or mi><ed occup~ , sp cif nature and extent of cach.t • ~ ~ • ~ • • 7. Dimensions of existing structures, if any. ron[~~.~',+~!?~, l : YPe o~ ausp .,4 p, , . ~ : , , , _ • Height Rear ~ Depth moo.....'.... . Number of Storic~ Dimensions of same structure with alterations or a ikons: Front 6-~ ~ • ~ ~ • ' ' • ' ' Depth... ~ Rear.................. . Ileight . Number of Stories . 8. Dimensions of entire new construction: Front . I;ear , .Depth Height Number of Stories>,:; ~ ; . ti°w .6 . 9. Size of lot: Front ~ ol..,.p„$r; , , , , , , , , Rear . . l.ga. , . 4. De th ..4? G ..a.... . 10. Date of Purchase , , , , , , , , , , P ~ • • . • Name of Former Owner , 1 1. Zone ar use district in which premises are situated ....~!#S, ice.-~ur!9-L • , • • . • • • . • • • . • • . • • . • P 12. Does ro osed construction violate any zoning law, ordinance or regulation: .....rtl.q...... . 13. Will lot be regraded .....,rtep ,Will excess fill be removed from remises: ,Yes N~ 14. Name of Owner of premises . . Name of Architect . !F~7"ffd~ ,~u , . `D~>.~ . S.:.tl . <Ra~tA• Address . G ~4l.,ygieii-E . 47t~.S°`"r"~hone No......... . • • • • ..Address ..Phone No. . Name of Contractor ..~Y~g1?,~p1~t!?d!-;~s, . , , , , , , , ..Address ,43ax!?'+?- Sp;.~rw;~p . ,phone No. 3G5-: $-GSa IS.Is this property located within 100 feet of a tidal wetland? *YES..,~~y *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM • Locate, cleazly and distinctly a)1 buildings, whether existing or proposed, and, indicate all set-back dimensions from proprrty lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~er~ ,S'~'~ it TAceH~~ ,SvYe-e~s i ~ ~L` `c K. •5 12Gs ~ . L~, k' O` = $C~ sir . ~•a~' ~ aog~. ~5 OCCUPANCY pR __.____r arPeov~~ as ivarr>a . USE IS UNLAWFUL I~1 J • ~~,rE 7 ~ ~,P u .~7 a 3a ~ wIrHOUr cEarlFlc ~ FEE: 7 ~ .70 ar~~ ...Y~~_ OF OCCUPANCY NonFr etnt.Drnrca o~;ra aTN,~ NT Ar 755•t802 8 AM rci n Fc. t ~ ,~E FOLLOWING INSf Ef.71e~N(-: ' 1d7a~ ^ ~ • 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH • FRAMING R PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST 6E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUNtEMENTB OF THE N.Y. STATE OF NEIV YORK, i STATE CONgTRN~J~ ~ ENERGY COUNTY OF S•S CODEB. NOT- R68NON816LE FOR g • • • • • • bein dul DESIGN ~ UCTlON ERRORS • ~ ~ ~ ~ ~ • • • • ' ' • ' ' ' ' ' ' ' ' ' ' ' g y sworna deposes and says that he is the applicant (Name of individual si n~ng contract) above named. He is the ••.••.•.••••••••••••'••••••(Contractor, agent, corporate officer,etc.)~~~~~~~•~~~~~•~~••••••~~~~•' of said owner or owners, and is dull authorized to perform or have performed the said work and to make and file this application; that all statements cont~med in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne{set forth in the application Glcd therewith. Sworn to before me this .....day ofl',• 19b~. Notary Public , , , , j/ n(J6{~ ......(~:...W County ~j~ ~ Ili ~~ExIF#b~NK~3~ . W (Signature of applicant) I LOT 2 ~ /92.64 SfK s,,, I N88°04 50 E N FE 5. fE ~ Q n'~ ~ 01'E ~ N t~ Q ~I ~q N ~ A ze' s>; ~~~ee' y r~ L3~1 k Is~ 1 ~ i ~"42, 4. ~-G j ' awl ~ p A Oo ~ ~ 1 { Y a~'! s. F~ ~ qn 'o /~A ~tc Y_'l a n tP of \h a° s ['/~k ~ t°~ 0 n~ Pai... .G ~ ^ 4. ' ~ .J ~ a ~ WELT H..• w.9~ ~I 3 _ ~ ~ ~ . \ O.l'E 1 0~' AfE ///J l fE 00'N / 3. B'E 1\ ' • P/PE W/NAIL / A' ~ OlJ / Y~ ?n . G P~sr ~ ~x~ °F~~F W t~ tiaP \ \ _ f7~D' ~ ~ _ h ~ k a •SUFF COUNTY DEPARTMENT OF HEALTH LFRY o n p I'~ StNOLE FAMILY DWELLING ONLY ? cA ~s~ i DAT(ij~y n 5 1988 H.S. REF. ND. ~ ~ -S ~C~"4rD 2,5. `The sewage disposal and water supply i cilities for this ""'N t`gi location have been inspected by this Department andlDr y3 ' other agencies and f{~~~~(j o sa6'~{yyI`',}• c ~ N K/~^ W ~KA~~G.e Chief of Bureau of W N?ee~narrt LOT / • ~ ON MAP OF rN MOUNT BEULAH ACRES F/LE N° 6984; F/LED MAY 29, /9B/ CERT/F/ED TO' S/TUATED AT SOUTROLD SAV/NCS BANK f/~ PECONIC ABSTRACT /NC. FOR it ANTHONY MUSTO ~1 TOWN OF SOUTHOLD DENNIS Di TRAGL/A SUFFOLK CO., N. Y. sea and OF SEW yD 6~p"~O w. DD~,~'P~- surveying & o ~ ~ ~ engineering p.c. ~ ` ~ 0 west main street OB, WG sE L Ol ~ 6 ~o~ ~T. riverhead, new york 11901 Pr<. tn,~ o, g923 JQ, TO6,. ~~,'d';!V'JNt?], i (516) 369-1717 ~ Sep SJ~` HLlV~4 :G 1dJO ~9 LAND ..t j ti't1Q;; 'i 7 a a J!l c 4 f/,tA/ J-:/-4N March 13, 1987 Job N4 84-501A ELEVAT/JNS /N AN ASSUMED DATUM RFNO LRTS _9-2487 1000-051-03-24 SCQIe: I~~=4a' T- 3/-87 NASSAU SUFf OLK BLULPNIN?NG ~.w .K`.1Y4+.~/ i3++~-rr~;`*r~~Y.M_TYKT.Y?1%.?IR~~SI~W.Y~~1r{S'h^~^lYe~/"1>•'~SFr 'N.tl.SRFT 'r .w~y'rv.~.~2~'M`TI~'12. ...CiY<n«•.TN.e'9vrn1[t.•aYV rrv,.nr..rnM.'em\.fmwrrva`S~°xMrw.re«rn.nmw.r?".,.w^.1++~*2+A'r.t--. rn~..+r'~.~n