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HomeMy WebLinkAbout21457-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22734 Date NOVEMBER 18, 1993 THIS CERTIFIES that the building Location of Property 225 BURGUNDY COURT House.No. County Tax Map No. 1000 Section 51 Subdivision N~WDWELLING Street Block 3 Filed Map No. SOUTHOLD ~ N. Y. Hamlet Lot 3.12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12~ 1993 pursuant to which Building Permit No. 21457-Z dated JUNE 4~ 1993 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & DECK AS APPLIED FOR The certificate is issued to PAUL M. & MAUREEN CLANCY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 93-SO-40-NOV. 5, 1993 UNDERWRITERS CERTIFICATE NO. N-288245-9/1/93 & B-036786-9/1/93 PLUMBERS CERTIFICATION DATED NOVEMBER 15, 1993-MATT. PLUMB. & HEAT. CO. Rev. 1/81 lvO~-M' NO. S TOWN OF SOU33'JOLD 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°_N.° 2145TZ Permission is hereby.gronte~d to: __ ......... ,.._~.~-~..Z£: ....................................... ~ ~,~. ,~ ~ ~.~.....~~~~ ........................................ ................. ~ ....................... ~~~ ..... ~.. ..................................................................... Cou,ty Tax Mop No. ]000 Section ..... .~...~... ........ J~Jock .......... ~ ..... Lot No ..... ..~..<..~.....~...... pursuant to opplicotion dot~ ..... .~ .................................... , {9.~., and opprov~ ~ the Fee $..~.~.. Rev. 6/30/80 Form No. 6 TOI~N OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 NOV li8 I9c 3 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 inst~llations, a certificate of Code Compliance from architect or engineer responsible for the building. 6.. Submit Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to April 9, 1957) non-c6nfbrming 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. :. 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 ..... L.../. /..~'.~) aw Construcgion ........ Old Or Pre-existing Building ................. ~cation of Propert ...~.~r~ ~O~m ...C°.°~'r 5o~T'~oc~ ... IIouse No. Street Hamlet ~wer or Owners of Property.. · ~ ~ unty Tax Map No 1000, Section... ~/ Bi .~. .~ · · .......... ock ............. Lot,.. ~qM~ gO~ob~ ................... bdivision.. '''', .................. Filed Map ............ Lot ...................... alth Dept. Approval. ~'~O~~O ........................ Underwriters Approval..~ ................... anning Board Approval ........................ quest for: Temporary Certificate ........... Final Certicate..~.~. ..... ¢ o ? 3 c/ -- ' .......... INSPEGTORS Thomas Fisher BuiMing Inspector Gary Fish Building, Inspector Robert Fis~xer 'Assi~ant Fi~e Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOVWN OF $OUTHOLD SCOTT L HARRIS, Supervisor, Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 7654823 Telephone (516) 765-1800 CERTIFICATION DATE: ' eon£ains less than 2/10 of I% lead. I cert[£y chat the soldez used ia [he water supply system Sworn to be£o~e me t~is Notary Public, ~_~.~/~ County ota y Puh RON MORIZZO BUILDER, INC. Cohtractor - Home Improvements P.O. Box 789 SOUTHOLO, NEW YORK 11971 (516) 765-5772 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wleezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 17, 1993 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Hr. Paul Claney 225 Burgandy Ct. Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XXX An application for Certificate of Occupancy is not on file. (Enclosed) XXX No Underwriters Certificate on file. XXX The check is (cutdatcd/not on file.}$25.00 xxx No Health Department Approval on file. No final inspection has been made. Xxx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ BP# 21457Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION {1st) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: r? 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ['~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 7~5-1802 BUILDING DEPT. INSPECTION FRAMING ~ [ ] FINAL DATE ~//~/~)_,'~ INSPECTOR~~//~,~~ 7~5-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG., FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] R/OUGH PLBG. FOUNDATION 2ND [~ INSULATION [ ] FRAMING [ ] FINAL REMARKS: 7G5-~802 BUILDINO DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FO~UNDATiON 2ND [ ] INSULATION [ ~]~FRAMING [ ] FINAL DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS Pa~,~ ~ [0@[~J?[ BUREAU OF ELECTRICITY ~ SE JOHN STREET, NEW YORK NEW YoRK 1OO38 THIS CERTIFIES THAT . aOGO~ 30~1993 and found to be in compliance with the Na~onM Elect~cal Code. FIXTURE ~ p J IT I FIXTURES J RANGES IC~KING DECgS I OVENS ~OlSH WASHERS EXHAUST FANS s$~Vl~ OI~ONN~cY ~ ~. 0 ~ S E ~ V I C OTHER APPARATUS: ~O~'OR$: 5"~' GENERAL MANAGER 1:1, This certificate must not be altered in any manner; return to the office of the Board i{ incorrect. Inspectors may be identified by their credentials. THE NEW YORK BOARD OF FIRE 'UNDERWRITERS BUREAU OF ELECTRICITY ElS JOHN STREET, NEW YORK, NEW YORK 10038 Date ~[~'J~[~ (~ , ~ ~pplicationNo. onfile ~ ~Tg~ lg3/T~ THIS CE~IFIES THAT ~R~[~* NO, 2~7~ o~y the el~tricaJ ~uipment ~ ~scribed be~w a~ intr~uc~ by t~ ap~lcant ~ed on the a~ve ap~ication number in the premises of CLANCMY (RON HORIZZO BI,DR, DUR(~iH'IDY COURT~ ~OUTHOLD, in thefollo~ing b,catlon; ~ Basoment ~ Ist Ft. ~ 2nd FI. 0U~' ' Section BI~k Lot ~sexamlnedon ~[~ 30,1993 and found W be in compliance with the NaEon~ Electrical Code. FIXTURE OUTLETS RANGES DRYERS I FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT. K.W. I OIL H.P. GAS H.P. AMT. NO. A.W.G. SERVIC~ DISCONNECT I"O. OF I ~. . METER-- SPECIAL REC'PT R TIME CLOCKS BELL UNIT HEATEE !MULTI-OUTLE1 AMT. ' AMPS. TRANS. ~ SYSTEMS NO. OF FEET V I C OF CC. COND NO. 0g HI&EG A. W, G, OF HI.LEG EXHAUST FANS AMT. H P, DIMMERS AMT. WATTS j~ This certificate must not be altered in any manner; return to the offce of the Board if incorrect ns~ector ..... ~ ~--,t-~ ~ .. · ~ .. COPY FOR BUILDING DEPARTMENT. TH S COPY oF CERT F CATE MUSTNOT_= B~ ALTERED N'ANY MANNER .© II ~)./~ ......... 19 ~. Permit NO. ~'. -/~/'/~<" Approved Disapproved a/c .......................... : .......... 'FORM NO. 1 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT gEPTIC TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... FORM RON MORIZZO, BUILDER Z~:~ZZ~ ........ TO: APPLICATION FOR BUILDING PERMIT Date .... ¥.ay..!.~ ........ 19~..~. 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. Th6 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 inspec~iq~s. ........ F)g.N' .H g~.I.Z.Z.g ~..B.q I..L p.E.F]...I.N.C... ........ (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. ..... D~il0¢r ................................................................................... Name of owner of premises ..... ~. * u J-..M, ~. Maut'm.~n. C&.,~nc e.y ......................................... (as on the tax roll or latest deed) If appl~ cor~;~i~ion, signature of duly,a~horized officer. . (Name and tit[erof~CSv~porate officer) . ALL CONTRACTOR'!I-'I~UST BE SUFFOLK COUNTY LICENSED Builder's License No.. ~77R .kt:I ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done~ ...Ch.a. qd. 9.n.n. qy. ~.9.qq~. ............................ .......... ........ ...... ............. House Number Street Hamlet County Tax Map No. 1000 Section ..... ~..~ ........... Block ...... .3 ........... Lot ..... .3... ~..~ ......... Subdivision..C.h..~.r.d.qn. O.~y..V/c~o¢.e. ................ Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... New Dwelling and Deck" b. Intended use and occupancy .................................................................... 3. Nature of work (check which applicable) New Building ...... Addition .......... Alteration .......... Repair .............. Remoyal .............. Demolition .............. Other Work ............... : (Descriplion) I (to be paid on filing this application) 5. If dwelling, number of dwelling 6nits ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixedioccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmcturesl, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stones ........................................................ Dimensions'of same structure wi~h alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... Dimensions of entire new constr~ction: Front .......... . ..... Rear ............. Depth ............... Height ............... Number of Stories ......................... i i ........................... 9 Size of lot: Front . ~ Rear Depth 10 Date of Purchase ~ Name of Former Owner 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violalte any zoning law, ordinance or regulation: . N.q ............................ 13. Will lot be regraded .......... i .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Pabl .¥.. qlan~e~ Address Phone No ...... Name of Architect ........... i ................ Address ................... Phone No.... 2 .......... Name of Contractor ~3on..Hoci;~ao. 5gg l,~t~r'.,.l oAddress .... 15. Is this property located Within 300 feet of a tidal wetland? *Yes ..... No *If yes, Southold Town TruStees Permit maybe re0uired. i PLOT DIAGRAM Locate clearly and distinctly all puildings, whether existing or proposed, and, indicate all sebback dimensions from property lines. Give street and block nlumber or description according to deed, and show street names and indicate whether interior or corner lot. -'8. STATE OF NEW YORK, S.S cou r F ................. .... ~'~"~' · · ' '/~' '~'tr~'KZ"~"" 'i .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. , ice He is the .................... I ............................................................ i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi 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 his 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 .............. . .......... day .......... Notary Public,~Stete of Now Yo~ No. ~9§1384 Qualified in Sulfo k County Commission Exptres May 22, ~"' ,zz~ ygl lH. l~,62~br~ /y-~ ~