HomeMy WebLinkAbout17041-zFORM N0. 4
-,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17190 Date AUGUST 11, 1988
THIS CERTIFIES that the building ADDITION
Location of Property 275 COVE CIRCLE GREENPORT, N. Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 049 Block O1 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 27, 1988 pursuant to which
Building Permit No. 17041-Z dated MAY 31, 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 isPASSIVE SOLAR COLLECTOR ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to JAMES & CYNTHIA PIRILLO
(owner, xxxxxxxxxxxxxxxx)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. PENDING - MAY 12, 1988
PLUMBERS CERTIFICATION DATED N/A
~~ _
Building Inspector
Rev. 1/81
Fosas xo. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Nfl ~I7~~1~. Z Date ...........~. ~~ .................... 19.~,~
Permission is hereby granted to: ,~,n
.~t..~. t .................~
`~"~`~"~``'°I~
at premises located at ...t3.?.~ ...................~r.~-.................~.~RPc:4lt.....................................
.................................................................................................................................................................
................................................................................................................................................................
County Tax Map No. 1000 Section ......0~.9........ Block ......~.I......... Lot No.....~..s .............
pursuant to application dated
Building Inspector.
Fee $..~~..... /..
.........~.c~..~.7 .......................... 19.~.f1.., and approved by the
..... .,..t.i'J.'..~' ........ ........... ~..............
Buil ing Inspector
Rev. 6/30/80
aosas rro. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOID, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 14581 Z Date ....~.~-~t,~K~.,~t.Z.Y........~...~r........, ~9
Permission is hereby grouted to: ~
.... ~7'K~/~~.......~y.../..~r.~'~.l~v..-..........
..... z ...~-.~~.~~~~~ ...................
to ........~'~~,FGG~~.~../.J..1.1.RG~. f1X.;.."..~.4~5tf..~:`.t.~.....~j~!....
~ '..-' /
of premises located at ........~./...~........~:.CN4~.......1.,~1.~..1~ :.........................h ...
............... ....... .... .... ... ... ...... .... .. ............ ......~ ./...Q... ...
~~~ ................... .... ........
Q
~ ...... .. .. .. . .. . .. .... .... ... . ........ .... , ... ... .
Ql
~
....
County Tax Map No. 1000 Section ..... Block ....
.
.. ........ Lot No. .........
.
.
x
pursuant to application dated .......L..:~~..... ...Z,-:~ ................. 19. y. ,and approved by the
t3uilding Inspector.
Fee $....~~.. ...
wilding Inspector
Rev. 6/30,/80
.. FORM N0.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~s~~ to the Building Inspec-
torwith 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 form or equall.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusuai natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling, $25.00, Accessory ~$ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00 , over 5 years $ ] 0.00
4. Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ... August _ l 1:..1988....
NewConstruction,,,,,, OldorPre-existing Building ............ Vacant Land .............
Location of Property 275 Cove Circle Greenport: N.Y: .
.. .... .. . . .... . ......
House No. Sheet Hamlet
Owner or Owners of Property .......,,JAMES & CYNTHIA S: PIRILLO
County Tax Map No. 1000 Section .....4 9........ Block .. ~ ............ Lot ....l 3 ......... .
Subdivision .................................Filed Map No. ..........Lot No. ............ .
Permit No. 45812 ,Date of Permit .?~?.g~gb.Applicant „James J. & Cynthia Pirillo
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval .... PENDING , , , , , ,planning Board Approval ..................... .
Request for Temporary Certificate .....................Final Certificate ............ , ......... .
Fee Submitted $ ... ?,5:00
Construction on above described building and permit meets all app~li-c7able codes and regulations.
Applicant .G~~~~.:`I.~'1t-:`:`:y ........................
Rev. 10.10.78
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r~~ELb `INSf~`ECTI~N uATE ~ coMMEfJTS - _~ ~;~
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FOUNDATION (1st) ___ ~ ~ ?
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FOUNDATION) ( 2nd )
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ROUGH F -~J
PLUMBING
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3. 7
IfJSULATION PER N. Y. //.2~ ~p,~
STATE ENERGY ~
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CODE
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FINAL
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ADDITIONAL COMMENTS:
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING
[ FINAL
REMARKS: DlC
DATE ~ I ~ ` II
INSPECTOR
~~,~,
i~s~l
TCrS-1802
BUI4DING DEPT.
II~ISPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN ULATiON
[ ]FRAMING [ FINAL /~~,
REMARKS:
DATE ~ ~ 7 ~~ INSPECTOR
'ss-isoz
f31JILDING DEPT.
[ ] FouNDATI®N aST [ ] R®u~l~ PLIa~.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING
[ ]FINAL
V /s
REMARKS:
~~ Gn O
~{'' J-[G~ /' r~~-
DATE
b ~ INSPECTOR
765.1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION iST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [`~~ INSULATION
[ ]FRAMING [ ]FINAL
r
REMARKS: ri~~~~_~
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DATE ' ; % / ~' `~~" "<` INSPECTOR %~ '/`~'~°Gl ~
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FORM W0.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
50UTHOLD,N.Y.
NOTICE OF DISAPPROVAL
``((~~ Date ~~-~Vyt2 i~... ~ :~ ....., 19 ~~: .
. - . C~.Crz~ ................. .
PLEASE TAKE NOTICE that your application dated .~~.~,('.... ~~..........., 19G~.~.~
for permit to . COI ;S.T.t~-.vc7.. ~4~..l .~. i Rte( ............................... at
Location of Property .. Z, . • ~ • • ~~•~••~•~'~%•~ •'• ' Srreei ~ • • ~ ~ • ~~~~~~~ H Q~p~
House ~o.
County Tax Map No. 1000 Section ~ef . • . • . • • Block .. Q ~ ........ Lat . O ~ .~...... .
Subdivision ................. Filed Map No. .:.............. Lot No. ................ .
is returned herewith and disapproved on the following grounds .1 ~-?!~`.5. • !V~.Cz?L`:Ct''~.~-~•~
~~~a~i~ 4:.. ~~ (cQb..x caG. ~.~: ~~Z~,~G~ ::t3U.«, 4~-..~!C~ ..~~i~ Lu~:~....... .
~6?/?.~ SJS~..i.~..:i"~<4 :~ ~ ..(n e /.>~~....~~~\/.1 t~C-~ ...12. cz? !1~ ~...~. .
~~144.~o~Z!~.. { ..d.h4~4~ri~:...~~~..of:.~Lt~•1.12~.~.h...."..
..::f:C-~G:T"..~4~ .........................................
• . . . . . . . . . . . . . . . . . . . . . . A . . I . . . . . O b . . . . . . . . . O s . . . . . . . . . a . . . u . a . . . . .
-. . . . . . 1 . . . . . . • • . . . . . O O . . . . . . . . . . e • . . . . . . a . . . . a s o . . . . . a . . . . s
`~ ~~~ ~ Bui.lding Inspector ~~~~~~
RV 1180
~, , ~ ~~„ rr 4,~~~.v ~~Ci l.t, .....
- Yn iq., ~' 217it.y „,.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
°OUTHOLD, N.Y. 11971
TEL.: 765.1802
Examined .. ~ //~7........, 1~ ~/
Approved ..~1. Z.~~......, 19~PermitNo. rT.Z`.~~
Disapproved a/c ~. ~ ................
...... ra,~~Qx
.......-?co...~'-~-~....... ........ ... .....
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
DEC - 21985
Received.,,........,19.,.
q1o~- ~~~ a~4-.
`o~d~ ~v
~.~, u~~- i ~ to
7~v~•...
3/$~ ~.~~
Date~~r.~'.~,-~,?~...~.7, 195
INSTRUCTION ~~~ }rfi
a. This application must be completely filled in by typewriter or in ink a b tted to t~" 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, relationsh adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on iagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of B g 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 inspections.
( i~gnature of applicant, or name, if a corporation)
(Mailing address of applicant) r%
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .~F1C~?E'-.S.~r.`*~:~!1~!!9.S:.I~,~,02jZLp,,,,,,,,,,,,,,,,,,,,,
...........
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
..............................................
(Name and title of corporate officer)
Builder's License No. .....V'u':'."`.n'ti!.......... .
Plumber's License No . ....................... .
Electrician's License No . ..................... .
Other Trade's License No . .................... .
1. Location of land on which proposed work will be done. ... ~~"~'~- -n -~4;-t-e.~-~*~- ~ v!'C~
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 ~~`R'~e
b. Intended use and occupancy ~ .~ ............ . . ... ~.. , C~%~~^ ~y 1
~Qiixz~ .cuz9=lc. ~ _ -
House Number /~ Street Hamlet -z~
County Tax Map No. 1000 Section ... ~ : I ........... Block ...... 1. , . , . , ..... Lot .....I..~? ......... .
3. Nature of work (check which applicable): New Building .....'..... Addition ...~....... Alteration ......... .
Repair .............. Removal .............. Demolition ......... , ..I ..Other Work .............. .
(Description)
4. Estimated Cost ..~gy. 4:~?) ...... . ..................... Fee ...~.~Q, :-a.
` (to be ,aid on filing this application)
5. If dwelling, number of dwelling units ...........:... Number of dwelling units on each floor ........:...... .
If garage, number of cars ............................................:........................ . . .
6. If business, commercial or mixed occupancy, specif ature and extent of ea h type of use ........ ...... .
7. Dimensions of existing structures, if any: Front . ~,~.... Rear Depth . ~ ,
Height /P ............Number of Stories ..4':KQ...~l .
Dimensions of same structure with alterations or additions: Fron1~ ....~0..~....:.... Rear ~. ~ .~ ........... .
P g
S Hem hntsions o~nt~ire new construction: Front ....~.~::::::.RearNumber~ ~tories .. /. ~? .............. .
...... Depth :~:.........
g • ../.U. ~....... Number of Stories ...~:... . . . . . ....... . .
9. Size of lot; Front .............. ... Rear ...................... Depth
10. Date of Purchase .~.'-~- 1,~! ~?, , . , , , , , , , , .Name of Former Owner ~~~~-~-i:°-.~•. ~44y-:V-r ... .
11. Zone or use distric inf which premises are situated ................... .......................... .
12. Does proposed construction violate any zoning law, ordinance or regulation: .h. ~ 0 ', . ... . ..................... .
.. ....... ~f~
14, Nameoof Owner o d remi~p. RNIt~$ ...~...~.. 1 .. f~Addressxcess fill be removed fr9m premises: Yes
p `~. ~ ~ 2 ~c GAP u~.G~.2e4-~ ..Phone No. U.?`7.':/S. z.1.. .
Name of Architect ...........................Address ...............:...Phone No............... .
Name of Contractor ............ . .............Address ..... , . , ...... ..Phone No............... .
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.
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STATE OF NEW YORK, S S '
COUNTY OF ................ .
................................................. being duly sworn, deposes and says that he is the api5lica~nt
(Name of individual signing contract)
above named.
He is the ............................................................ ...........
(Contractor, agent, corporate officer, etc.)',
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of hill knowledge and belief; and that. the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this l
............ ~. ?.... .day of ....~~O;~?~c.~.-`~~4J..., 19~~s. _ ~
...
Votary Public . ....... ........ !t :.. ~!!!L-.~!G~~-.. County I
H K. pE VOE
MaL1RyMIJ8eLrjeG. of ~ ~~ {Signature ofapplica t)
« '.e
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.~'.-11971
TEL.: 765-1802
Examined ...~'Y. ~~ .e~.~..., 19 ~8
Approved ...~.'~ ~rS~ .~~..., 195. Permit No. ~.~.Q.~~ ~-
D' roved a/c u
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK ......................
SEPTIC FORM ................
NOTIFY
CALL .....................
MAIL T0:
isapp .....................................
i ~l (Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ................... 19 .. .
INSTRUCTIQNS
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 appB-
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 inspections.
(Sign ture of"applicant, or name, if a cor~ arson)
(Mailing address off app •
State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
................................................................................................
Name of owner of premises ..sJR.!rt~'8..c~..•.. ~..45117.T.7frft.~.,.~.~f(,,LCj,,,,,,,,,,,,,,,,,,,,,,,
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
..............................................
(Name and title of corporate officer)
Builder's License No . ........................ .
Plumber's License No . ....................... .
Electrician's License No . ..................... .
Other Trade's License No . .................... .
Location of land on which proposed work will be done . ............... .
.................................
House Number L/Street Hamlet
County Tax Map No. 1000 Section ......Y .~......... Block ......... /........ Lot ... ~.~........... .
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 ...6h$.Q~Ga~i ........ .
I ~ ................................
b. Intended use and occupancy .. ~f. G4~:4-r!-e. q=!~~ro..~...Gi~?t... .
- - ---- -
3. Nature of work (check which applicable): New Building .......... Addition .. ,~....... Alteration ...... II .. .
...
Other Work ....... )
Repair ., ........ Removal .............. Demolition .......... • • (Desctiption
4. Estimate', ~C ......
Id Cost .,~g~. 4~ :~ ..... . ...................... Fee ..." ' ,to be p . "_:......... .
' aid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ........ '!.....; . '
If garage) number of cars ............................................ : ....................... . .. .
6. If business, commercial or mixed occupancy, specif ature and extent of each type of use ........ ........ .
....
7. Dimensions of existing structures, if any: Front . ~... Rear ?~~. Depth . ~-~
Height /P ............ Number of Stories ..4"zr?~.-.. `d .-~>~
Dimensions of same structure with alterations or additions: From .... ~ .1.....' .... •Rear .. ~ .~ ............ .
Depth ..j... ~.`.~ ............. Height ........,.............. Number stories . De th -:..... .
g ns of entire new construction: Front ....`~.~f .... Rear ...... p
Hei ht 9../.G~. ~....... Number of Stories ...o.?•,-:Q- ....................................... . i ~.
9. Size of lot: Front ...................... Rear ...................... Depth .... , ...... '~
.....
11. Zone or u rchase .~-,.,-.~.-....I, ~ ;?, , . , . , , , , , , .Name of Former Owner .~i {dam;-.'~:... •. i`r~-c~ 44~!-:~-:... .
10. Date of R se district in which premises are situated .................................................... .
12. Does proposed construction violate any zoning law, ordinance or regulation: .h. /. U ........................... .
13. Will lot be regraded ...NV........ .....Will excess fill be removed' fr m premises: Yes dQc~
14. Name of ,Owner of premises .~I~v+R ~~ . s~..~~ ~1 ~~>,Address L. ~t~:!~'~:-~.+?4'~4{~~Phone No. 5!~~.7.:': ~ S. z.il , ,
Name of i~rchitect ...........................Address ...................Phone No........ '.....,.. '';
Name of
Contractor ..........................Address ...............:...Phone No........ ; ....I,L . •
PLOT DIAGRAM
Locate cle',arly 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.
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COUNTY OF .. ~''~G
-STATE O~N~OIit{~c-,~ ~ ~~~ being duly sworn, deposes and says that he is the applic
• • ~y•' ~~ ~ ant
(Name of mdrndual signing contract)
above named.
He is the .....................fir-.'~. !7~'~-.~
(Contractor, agent, corporate officer, eta.)
of said owner, or owners,, and is duly authorized, to, perform or have performed the' said work and to make and file t11is
application; that all statements contained in this application are true to the best of His knowledge and belief; and that the
work will be perfopnbd imthe manner set forth in the application filed therewith.
Swom to before me this
............... .C. day of ... .! :'.l .... ...., 19 .° . (j
~.
Notary Public, ..... .. .. ...... County
CLAIRE L. QLEW ..G~ ~S. ~. ~~'~~-?~ ....... .
NotaryPubllo, State of New York ' (Signature of applicant)
QuaiffieNd ir~ ffoClkGCouniy
Conlmfeaion Expires December 8,19..