HomeMy WebLinkAbout18538-Z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Off9.ce of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20391 Date DECEMBER 4, 1991
THIS CERTIFIES that the building ALTERATION
Location of Property 680 RABBIT LANE EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 18 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 20, 1989 pursuant to which
Building Permit No. 18538-Z dated SEPTEMBER 22, 1989
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 ALTERATIONS TO EXISTING NON-HABITABLE ACCESSORY GARAGE
The certificate is issued to RICHARD S ROSEMARY FRIZZI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. A-025579 - NOVEMBER 14, 1991
PLUMBERS CERTIFICATION DATED NOV. 26, 1991 - RICHARD FRIZZI
Bu lding Inspector
Rev. 1/81
rosu rta s
TowN oP souTlloLD
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 18 5 3 8 2 Date ...~.T.,~. ~ 19.
Permission is hereby gro
u~F..
to .
at premises Ixated at
.
County Tox Mop No. 1000 Section ..........3~....... Block .............1~. Lot No......~:s............
pursuant to application dated ...........9~~:1'~ 19 and approvod by the
Bui ldi ngGl~nspector.
Fee ;...c7'..
uil t r
Rev. 6/30/80
~ Form No. 6
TOWN OP SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OP, 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 17 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.
i3. 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 Euilding - $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 9f•7~1.~~
::ew Construction...........n Old Or Pre-existing Building......
Location of Property.... .~'g~...........?4.I>bi) ~.Q.r1.C......~t.MR.Y/e"'~
House No. Street Hamlet
Onwer or Owners of Property.... ""'~r,,,F~~,Z;Z
~~jj ~
County Tax Map No 1000, Section.....~r.......Block..... ~Q........Lot.......~
Subdivision..``
. .Filed Map...........~.L~o~t~..yA
Permit No..!•a~.3,8.~.,.Date Of Permit....9J.~y.~p.~.Applicant..~l'."^""^.,.~r,!~Z,f,,,,,,...
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval..
Request for: Temporary Certificate........... Final Certicate....?......
Pee Submitted: $......~1 : ~
~c.y3o yl
e o~ a o 39 ~ APPLIGAN
cwFF~LIj C TEL. 7G5-1802
~o o_,, Totvrr or sou~~oa.D
o
< OFFICE OF BUILDIt•IG INSPECTOR
c°n P.O. BOX 728 r~ I ' i
~ ~ TOWN HALL
%bo~ SOUTHOLD. N.Y. 11971 f i i
DEC-31991 '~I
1 Pi
t
C E R T I F I C A T I O N ;
Date //vr /
Building P~ermiypt No. n ~~7-0~~3(~ Z
Owner ~7`~'~V~~-v'c~ Y`V' Zi
z
(please print)
Plumber ~~ta,V~F Z Z
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of to lead.
(plumber's iynature)
Sworn to befor~j/m~e"'this
~~Lday of .C~:~c.(X~Y>~2-
19~,
Notary Public
notary Public, County
a G
OOIIOIIMdIMl~01~
"~"..Ts"'
X93
~ - _ -r _
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE, ]
802Ak65 BUREAU OF ELECtRICITY
. ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
pore NOYEMBER I4,I99]. APPlicationNo.onjile 706~]b790/90 H 0'/.5579
THIS CERTIFIES THAT
only the electrical puipment a described below and introduced by the applicant rtamsdoPt the o6ooe oppligtion number in the premises of
~ RIi;RARD FRIZZI, 610 RABBIT i,ANE, EAST MARION, N.Y.
? IstFl. ? Ynd Ft. OIJT Sertiora680 BIoe1~~0/24 Lot
in thefolbwinA htcation; ? Basement G
~ was examinedun NOVEMBER 07 , 1991 and found to be in compliance with the rpuirements uJthis &wrd.
I
gXTtMI RXTURf3 RANGES COOKIN60lCKS OPENS DISH WASHERS EXHAUST FANS
OUTLETS ACLFS SWITCHES INCANpESCENT FlUG11ESCENT OTNER NAT. K.W. AMT: K.W. AMi. K.W. AMi. K.W. NAT. M. P.
- ] 5 3
DRYERS FURNACE MOTORS tUTUR! A?FUANd /REOlRi fF[gAt RRC?T TpM txOCKS pU INai HEATtiK MULTFOUTIET DIMMERS
AMi. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMT. Mfr ANT. AMPS. TRANS. AMT. N. P. NO. M AET ~T. WAYS
] 30 ] 60Q
SlRVIt~ DKCONNECT NO. aF S ! R V 1 C E
AMT. AAV. TYPE F 1 X TM 1 X tW S X tW S X AW ~R
~CGND. ~ W. NO. GP NI-lFG a'~~ NO. d NEUTKAVi « "NWEVTGIMI
orHn AnARATUS:
" YAWEL80ARDS:].-3 CIR. ].00
" G.F.C.I:-1.
RICRARD 1rRI7.Z1
~ P.O.BOX ]265 E
I7 VILLAGE VAX <IEEiEtAE MANAGER
3MITRTOWN, NV, ]]787 11 5+
Per G
- Thit nrtificaro mlpt not be alrorod in any manner; return to 1M oHica of tM Beard if incorrect. Intpecton may ba ident'diad by tMir crodantiols.
'
S~FF~LI,'~, TEL. 7G5-1802
o~ol,~ o~ To~rr or so~Tr~oa,D
. < OFFICE OF BUILDI?•IG INSPECTOR
~ u`
t° `~Y '-;~~il~, rn P.O. BOX 728
•+0 c?~i TONN HALL
%'0,~~~ SOUTHULD, N.Y. 11971
C E R T I F I C A T I O N
Date 9~0rt'/
Building Permit No. ~d S3~ ~
Owner C~~«....Q I ~
r i L Z r
(please prrin~~t-)
Plusbe~ /~~~~cwcr 1',-, ZZr
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1g lead.
(plumber's si ature)
Sworn to before me this ,
L_day of -~E~T
19~,
Notary Public
tlotary I'ublic,_ County
FRAMCROSSI
NdfARY PUBLIC, Stars of NewYdk
No. 4849204
Ouati(ied in SuHOIk County
Canmission Expires Jan 27,1992
_w _ ~ JNM E N T.^. °b
1. u• p
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• _ I M
OUI7DATI011 (1st) I _
a~
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m
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°OUGH FRAME ~ ~ ~ p
PLUMBING ""~`'~`O~` _
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I17SULATION PER N. Y. ~ y
STATE EfJERGY
CODE _ A
.(~Y.`
H~ .
FI;JAL
~U
DITIOf1AL COMMEIITS:
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h ~n ! T
0 ' ' ono % :L ~ ATt~t~l~ REF;~{2 LD
_ ~u~KMi~w ~ p 2.~iSE 11~k IN FUaGP lJE.
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ouurnsl uw. / GL1/~ Z}1 AM ttiCA ~M ~ ~ I
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~IA~PIfY~iv ~AY O EEAYAIID IAUf COf I. ~j\_, rte' V~~~' ~~+~1~•_~~•
OYAEAEAEEf MCI.:ATfO ID7fON SIIAll 1111
aar ro m rfuw+ roE wfasl illl wvr ~ ~ /
If /EBAEffr. AND Mi MIf f[NMf TO 111E ~/IA^~^
!-IRE f:REIEM(r, u'OYE4YNNTAl Af.M[Y w~ ~ _ ~ , , _ _
teo~f{ NtmrtwN furEO flrola wr ~ - - - Y~
• • '+77 - O' 7O .jN~`AYI~S Oi TMt flltl.fD ..P. ~j" ~/('f'!1~a fly?' ~y,T.
fwi.AfEff Atl ffDr IEA,.Eru. J. .rGx it ' T.(E~=.~~N K.IE•~.
ro .w.Eaw ...1flfffa. p .I..W,f,
- orn~.
765-1802
V BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ROUGH PLBG.
] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REM KS:
DATE INSPECTOR
_ ,
_
' BOARD OF HEALTH
FORM NO. 1 3 SETS OF PLANS .
SURVEY
TOWN OFSOUTHOLD CHECI:
BUILDING DEPARTMENT SEPTIC CORM .
TOWN HALL
~ vOl1THOLD, N.Y. 11rJ71 NOTICY
TEL.:7G5.1802 CnLL
Examined.` °?.z.......,19~^~ G 2C MAIL T0: ~ •
Approved . /~:7i 1907 Permit No. ~O.S?p. / ~ l/`•"OJfI//~
Disapproved a/c S.~yyl~
p ~6~~d~
l~ SEP t ~ ~ a.
~Buil ing Inspector)
APPLICA//////TI FOR BUILDING PERMIT BLDG.DEPL
TOWN OF SOUTHOLD
Date 15...
INSTRUCTIONS
a. Tltis 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 inspectionG;. ~ ,j~/
(Signature of applicant, or Hamel!!, ~if a corporation)
~ y. ~~,7.
(Mailing addrdss of applicant)
State witether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Du.r~ ev
.
\ame of owner of premises ~0.~.. r. Z Z,/ `T
(as on the tax roll or latest deed)
IC applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's Liccnsc No. .
Plurnbcr's Liccnsc No. .
L•Icctrician's License No. ,~r~:-~^.^-?Z.~........ .
OtlterTrade's License No. .C:/-w':`:~!-r
1. Location of land on which proposed work will be done. .
p
E louse Number Street " " •
o Hamlet
County Tax \tap No. 1000 Section .....J~. ~ • • • • • • • . • • Block , . , ~O , • . • . • • , • • • , Lot
Subdivision Filed flap No. Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of roposed construction:
a. Existing use and occu anc e 5~i'r/ ~ '
w~~
. py{,r.N .~+rAM . .
b. Intended use and e 5~~v e?1~ ~ ""0
3. Nature of work (check which applicable): New Building ~ 1/
Repair Removal Addition Alteration
• • • • ~ • ' ' ' ' ' • • • • Demolition
OthcrlVork.~G.no~~
..stimatcdCost...~h (D:scription)
4. Fee....................................
S. If dwelling, number of dwelling units , (to be paid on filing this application)
• • • • Number of dwelling units on each floor , ,
IC garage, number of cars , , , , , . • • •
6. IC business. commercial or mixed occupancy, specify nature and extent of eac type of use ~ • • • • • •
7. Dimensions of existing structures, i( any: Front , , ~Q ' ' ' •
f{cigftt Number of Stories Rear...:............. Depth „o?
Dimensions of same: structure with alterations or additions: Front / o •
Depth Rear ....~Q...........
Ilcight Number of Stories .
8. Dimensions of entire new construction: Front .
flci_Itt Rear Depth
Number of Stories • • •
9. Size of lot: Front ~o . . . . . .
Rcar........~ ~ Depth y
10. Date~i}'Q~ase ~ • 7.........
Name of Former Owner , , Circa. ' • • ' '
1 1. Zone or use district in which premises are situated _ ~ • • ' ' ' ' MKS' ' •
1 Does proposed construction viqlate any zoning law, ordinance or regulation: _
13. Ni111otberegraded ......!t!o
14. Name of Owner of premises , tP;1,a;.f Fr, zz i ' ' • ' Ntll excess fill be removed from pre Yes
Address{7?/(4}e..• Sm.~f ~j8k5=3G4I~
Name oC Architect ' ' ' ' ' '
' ......!~h a o..
Name of Contractor . ~ • o;,r.~ e? • ~ • • • ~ ' • • ' ' ' • • Address ...................Phone No.. • • • • • • • ~ • • •
..............Address
15.Is [his property located within •••••••PhoneNo. _
*If yes, Southold Town Trustees Permi[emay bearequiredetland? *YES .NO....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fron
property Gnes. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
//'y
STATE OF N[lV YO 1; /
~OUtiTY OF , i~ S.S
. fir. t. z. ~.1........ .
(Name of individual signing contract) • • ' • • being duly sworn, deposes and says that he is the applicant
16ove named.
is is the , ~^~li
(Contractor, agent, corporate ofCiccr, etc.)
,C 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 arc true to the best of his knowledge and belief; and that the
'orl: wdl be perCorntcd in the manner set forth in the application Glcd therowith.
tvom to b~iore me this ~
• .....day f ..%~~"~"".~-.n~
..................19...
otary Public, , , , , , , , , /~~~~~G;~
~4'
~"~~L~g.~~ Signature of applicant)