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Home My WebLink About24696-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. t BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24696 Z Date FEBRUARY 19 98 f Permission is hereby granted to: j CANIO A TOGLIA PO BOX 94 FISHERS ISLAND NY 6390 for CONSTRUCT A DECK ADDITION TO AN EXISTJ G NON-CONFORMING HABITABLE ACCESSORY GARAGE AS APPLIED FOR. I at premises located at MONTAUK AVE FISHERS ISLAND County Tax Map No. 473889 Section 010 Block 0007 Lot No. 010 pursuant to application dated FEBRUARY 2 98 and approved by the Building Inspector. Fee $ 35 . 00 Bu ' ng ` nspector ORIGINAL Rev. 2/19/98 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000656 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 09,1998 Application No. on file 16928398/98 N 467898 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of CANIO TOGLIA, W. END OF IS. CRESCENT AVE. , FISHERS ISLAND, NY in the following location; ❑ Basement IN 1st Fl. ❑ 2nd Fl. GAR/OUT Section Block Lot was examined on SEPTEMBER 2 5,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET IAMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.GOND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 175 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: G.F.C.I:-1 Z & S CONTRS. INC. L C, L P.O. BOX 202 FISHERS ISLAND, NY, 06390 GENERAL MANAGER 11 Per This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BO,= OF HEALTH . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . .BUILDING DEPARTMENT CIIECK . . . . . . _ . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY Examined . . . . 0/ . . . . CALL . . . . . _ . . . . . . . . . . . jjjj 19 t1AIL T0 : . . . . . . . . . . Approved . . . . ... /�. . . . . 190 ermit No. . . !. . .< �. . . . . . . _ . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �-• . . . . . M� (Bui i Ins ector) �' I FEB 21- [LICATION FOR UILDING PERMIT Date �'+. . . . . 19 q� -- ` i'Mot O 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 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 Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New, York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The 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 i pec ns. Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .c- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises `�4. . . `. lc?,, !!� . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . V�(as on the tax roll or latest deed) If applicant is a 6orporation,.signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . .C �.,��. :• �, , , , . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . ... . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . , Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . 1.`7. . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building. . Addition teration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . Other Work . . . ... . . . . . . . . . . � (Description) 4. Estimated Cost . . . .O�/. . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . riptio ) (to be paid on filing this application) S. If dwelling,number of dwelling its . ... . . . . . . . . . . . . Number of dwelling units on each floor. . . , , • , , If garage,number of cars ' ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures,if any: Front . . . . Rear Depth Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: FrontRear Depth . . . . Height . . . . . . . . . . . Number of Stories . 8. Dimensions of entire new construction: Front . . . .. . . . . . Rear . Depth Height . . . . . . . . . . . Number of Stories 9. Size of lot: Front . . . . . . . . . . . . . . . . . . .. . Rear . . . . . . . . . . . . . . . . . . . . . . .Depth . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . Name of Former Owner 11. 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 excel fill be removed from premises: Yes No 14. Name of Owner of premises �u>. .•, .-C,-- ��R . Address �sh?{,� ��lry �V �l, Phone No. . Name of Architect �_ . . . . . . . . . . . Address . Phone No. Name of Contractor"►PI . , , . Address rAkr..c., ,�, ,y�,�, ,phone No.'-::�I�P:Ar-. 0 15. Is this property within 300 feet of a tidal wetland? *Yes, , , , , , . . No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required. t PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF N YOIA '/, S.S COUNTY OF& y�� v'�"L-- ' ' ''"� �"T•"'• '• 0�q• • • • • • . . . . . being duly sworn, deposes and says that he is th (Name of individual signing contract) y e applicant lbove named. Pq -le is the . . . . . . . . . . . . . .Q' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent,corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the vork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . .day of4� . . . . . .`- �duntyy 19 lotary Public !'� Ef�E�N G. A-L-LV NOTARY PUBLIC,.NEW YORK STATE NO. 01WA9509185 . . . ./`?` . . . . . . . . . . . . . . . . . QUALIFIED IN SUFFOLK COUNTY p0 TERGA EXPIRES U^TO�7'' "� 19 qd (Signature of applicant) KLt Tdp�-cP� ¢e>2•- r'o r�• 5 To OR } PLCQ� �4d ! r• � F i (CIS f'�' r 7. U� � �� UlL W F U L E j To her Rc�,9�< x �'�s l`d:•y ��;� V ITUCUT CERTIFICATE /vf' w Cr OCCUPANCY r � wrtti %z' /��ywoagd i� de•twad.� ' H e a d e R +o h e, i t S{q('ad. + PIT. 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