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HomeMy WebLinkAbout21327-z F FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22918 Date MARCH 24, 1994 THIS CERTIFIES that the building NEW DWELLING Location of Property 1695 CHABLIS PATH SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 3 Lot 3.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 1993 pursuant to which Building Permit No. 21327-Z dated APRIL 9, 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, GREENHOUSE & OPEN PORCH AS APPLIED FOR. The certificate is issued to PETER DeNICOLA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-93-SO-10-MARCH 21, 1994 UNDERWRITERS CERTIFICATE NO.-N-294278 - NOV. 1, 1993 PLUMBERS CERTIFICATION DATED MARCH 22, 1994 - BERTSAND PLUMB.&HEAT.INC, i1 ing Inspector Rev. 1/81 I'I FORM NO. f 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) p NRK.U 21327 Z Date 19..1., Permission is hereby granted to: Z-...,lT 11779 at premises located at-/6-6 . - County Tax Map No. 1000 Section ...c_:~./.~~ oo......... Block Lot No..... r... l pursuant to application dated 19.Y-'? and approved by the Building Inspector, Fee ~1 `31.'..,tl s°?!y 4... Bu g Inspector ;i Rev. 6/30/80 rt Form No. 6 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 $15.00 Date ..Y6A12Ck~ 1 ! 1,1q,1 New Construction.... Old Or Pre-existing Buildin Location of Property... .Cl\o`.13C1 ~.....0.4-L 1 pjAf ` d Q......... House No. Street Hamlet Onwer or Owners of Property .!~Al,COQ 4 County Tax Map No 1000, Section...."Q .......Block... ~.1......... Lot....: ? Subdivision....~~. !J27 S S... Filed Map...:/...... Lot.... 7 Permit No..,20::.77. Date Of Permit Applicant.~ ~~e&,, Health Dept. Approval........ ...............Underwriters Approval..... Planning Board Approval... Request for: Temporary Certificate........... Final Certicate.. A<~ Fee Submitted: /An n C . .p(/.` . APPLICANT c~ as 91. i i r,~fFOLK~. TFa. US-41 R2 ` ~O O TOWN( Of Bovmiw OFFICE OF BUILDING INSPfaOR i P.O. BOX 728 TOWN HALT. ~j SOUTHOLD, N.X.1197i r ~C E R T I F I C A T I O N E; Date March 22, 1994 ~r t Building Permit No.-3 Z Owner f (please print) Plumber Bertsand Plumbing & Heating, Inc. (please print) I certify that the solder used in the water supplx 00. .f p. contains loss than 2/10 of it lead. plymq@rfa a1$ t F ~ Sworn to before Me thin 22nd _day of March , Notary Public Notary Public, Suffolk Count y EILEEN M. AOACHE Notary Public, State of Newyork No.4826942 Qualified in Suffolk County , `•Commission Expires January 31,19_t6 z -pys.a„~ e Q In K a ~ o 'c 3i a LL x K ; j W N Pa ~ 3~ @ ~ ~ d ~ Q d d V % 6 C N Q I I V ui N a ~ ~ ^ _ F x f/) N 4 b Z; ~f~ i z .21 N m a U " o«o z ~d'J E g 3 ~ N ~ o °uld d g € W 2 C eC N .-a f z o i n _ • z 3 = V a0 I Q O U x E W m Z N W o m . ~z m W< ~ ~ a e Z O m H x 3 I°I- H a c Y al C o- x z Ti m o m z ° ~r ~ v ~ SS `3 > W> O hl ~ Z H ,tlY g d V o C W w a _ V.. K Z ~ .a [x ~ 3 m ° n d~ ~ `o U Y V m ch C w r © I O W0 e e °o o z H a « > o sq m LL p- r TI ~ N N W O xG O N VK V W 2 .oy' x .n o aaz ~ !l a o3 0 1 "Ij 7w 4 m o e n H 2 m N Qa r w L. N w i 7 IC' K N Q y Q GS ® x LL th d W C c OD m w z In F OD m ~ a O1 ~ x w 'C z i ,y o H O d a r cs) p 1-• H Y w O U® LL' w ~ ~ CWd U] ~ W O W S W -I M m x Z r I Z+i d U] W f_ W f. 1L I N E H Q w Q y~ to O N V VJ I I H O Q I Cq p CJ ~ ~ Z S O 0.a CY f.5 Y' U] H ~ F y m O m Wa H - O 5 H Z N T p c ~ ~ W Z tY1 U x, H H F-l m w C O V V z U w m U H r-] In x w~ O ~ C IQ- ~ Z E M N W x H N O j li .y e o V0V w I F ca .-I m E p~ o W dy L N < O :k U w ~ - p Q u i O y p ~ F K y V O6, H O 'Y' U ~ t W { H E b d 4 m N~ a v a i'~ K tt W O O ~ a I ~ t9 O W L7 tnE F p U C # G 0 INSPECTORS ;f<<~ Victor Lessard }n' `?-;Ji'FLtl. Principal Building Inspector Curtis Horton Y / ( SCOTT L. HARRIS, Supervisor Senior Building Inspector cz-~ cry Southold Town Hall Thomas Fisher - • w P.O. Box 1179, 53095 Main Road Building Inspector ~brs • ~`e Southold, New York 11971 Gary Fish Fax (516) 765-1823 Insp Vincent Ruilding. Wiector eczorek ¢ c Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD December 6, 1993 Peter Denicola a/c CHARDONNAY ASSOCIATES 15 Midland Boulevard Lake Ronkonkoma, NY 11779 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 (-'t/not on file.)$25.00 Rgx 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 # BPIF 21327Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. i ~:S. 1J:i D;I,T C:-fM L N T.^. m H R =OUtIDATIDN (13t) ' 1 c ti 'OUNDATION (pad) o \ W1574 SOUGH FRAME .PLUMBING II rIISULATION PER N. Y. I 3 STATE ENERGY II p CODE I ' I FINAL I ADDITIONAL COMMENTS: x Zld ' X x NA7 m r p ~ ~W 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE l INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [,j'-iRAMING FINAL REMARKS: ALI DATE ~~o INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ DATION 1ST [ I ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: &,-el ~L TE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION KA- [ ] FRAMING [ INAL REMARKS: DATE` INSPECTOR A CLk--i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [,~]'1NAL REMARKS: lu?'t -c" L-A I, DATE o)r 3 INSPECTOR i-80ARD OF H ALTII FORM NO.1 --3 SETS DZ- LAr V.. TOWN OFSOUTHOLD -'SURVEY ? 4, ) A i"'~I BUILDING DEPARTMENT '-CIICCK A/ . ~Ii " ? TOWN HALL ASEPTIC FORM SOUTHOLD, N.Y. 11971 TOWN TEL.: 765-1802 r:oTiFY, p , !•1.. ,1 MAIL CALL ~J AIL TO: Examined Approved ~ 19p~C.t:Permit No. • . Disapproved a/c •1 (Bu' ding ec*r. APPLICATION.FOR BUILDING PERMIT Date......, 1983 INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 lets 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 :)r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 hall 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 ;hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or .tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. fhe 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 'on .l 1. ature of applicant, or name, if a corporation) 155 010blawb 1&0:). Wee- 4VLJ O.,(Core.' .....................................141. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C)Wnf ..qy^ ix . 13 PV tl ~z Vame of owner of premises 5Z.54!tt?°. i' ett) 0-.sS0 r_% o S . (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No...... Fes, , , , _ , . t1- Electrician's License No. Other Trade's License No . Location of land on which proposed work will be done......... . louse Number Street fianilet County Tax Map No. 1000 Section C~S~ :©cqQ , , , , , Block .Q,1,0 QP Lot . X243, 0A7 . Subdivision C-11G/ WAQ'-, ...ci . ,5904~. Filed Map No. Lot -7 (Name) 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 ...........?~+^°~Le4 re of work (check which applicable): New Building , . Addition Alteration pair Removal Demolition Other Work:* Estimated Cost lmac esc iption) Fee (to be paid on tiling this application) 5. If dwelling, number of dwelling units t 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: Front Rear . Depth Height , Number of Stories . . 8. Dimensions of entire new construction: Front Rear . ~ ~ Height ........Depth Number of Stories 9. Size of lot: Front (m~.. Rear ....:3310 : q: • ...Depth.. . . . . 10. Date of Purchase ...I. , , , , , , • , • , , , , • Name of Fo er Owner . 11. Zone or use district in which prem~ses are situated , , . • • • • • • • . ' • • • • • • • 12. Does proposed construction violate any zoning law, ordinance or regulation: 1 }t b 13. Will lot be regraded I.. . Will excess fill be removed from premises: Yes 14. Name of Owner of premises k• i1 9?,`".),W000 Address .90k. 1 F~, ,??jPhone No. . -?A7 f 3 Name of Architect C? . 4,IRI> S.ra!LbaSS~ Address N... . Phone No. Name of Contractor . .r~. a~e~bCP1~ . • . , . , Address '.s /l :Otin~ 31y#J. Phone No. , f L5. Is this property within 306 feet of a tidal wetland? +F$~~, rorl.0NO... *If Yes, Southold Town Trustees Permit may be required. .•,•)GS-S3 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property tines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. Col~h'et'.~ ~YLoF~nS`P~J' Su,~l7e~ I FATE OF NEW YORK, S'S' JUNTY OF Y • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ove named. ;lsthe,~..,•,.. t C~ s (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work 'and to make and file this plication; that all statements. contained in this application are true to the best of his knowledge and belief; and that the irk will be performed in the manner setjforth in the application filed therewith. nom to before me this . r. .'.day of . 19 ~T Mary public, 7r . L(... County JOYCE M. WILYJNS Y i' V . . 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