HomeMy WebLinkAbout824-zFOI~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
June 14 60
No ......... ~....6...2.~ .... Date ........................................................ , 19 ........
THIS CERTIFIES tho,t the building located at
Map~R.~.~...~.~..~.,l!... Block No .......... ~..~. .......... Lot No ........ .6.6..~.....8.?.~....8.~. ...................................
conforms substantially to the Application for Building Permit heretofore filed in this office doted
.......................... ..~.?'.'.~....~..~.....~..~.. ....... , 19....~.~., pursu.a'nt to which Building Permit No. Z J~24
dated ................. ..~..~...¢~-..~...~....~.~. ............... 19......5.?,was issued, and conforms to oil of the requirements
of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ................
................................................................ ................................
This certificate is issued to ................... ,~,.~,..~.?.,~...~.I..,,C,,.~.~.~..~.....O...,v~,.,,~.~ ........................................
(owner, lessee or tenant)
of the aforesaid, building.
Building Inspector
FOR. iV[ NO. 2
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS P. ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 824. Z
Date Al;lg~S~, ~1. 19??, ....
Permission is hereby granted to:
. ~!. ~...,S~....~,...~ ..............................................
to~ld new ~ faM~ dwell~
at premises located at e/S ~ayview Ave~ue~ 6ree~.~..rt
Summer ~ven Subdivo Lots 86, 87, 88
pursuant to application dated ........................... ~..t~...~.~.~....~.~ .................. l~?. ...... , and approved by the
Building Inspector
Building Inspector
HCr~A~ ~. TE~RY
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
Q.C. ELECTRIC INC.
P.O. BOX 518
LAUREL, NY 11948-0518,
PARIS STACHTIARIS
700 BAY VIEW AVENUE
SOUTHOLD, NY 11971
Located at
700 BAY VIEW AVENUE SOUTHOLD, NY 11971
Application Number: 2076311
Certificate Number: 2076311
Section: Block: Lot: Building Permit: BDC: ns11
Described as a Residential occupancy, wherein the promises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 2lst Day of October, 2005.
Name QTY Rate Ratin~ Circuit Twc
Miscellaneous
storm damage-re-connect only
Service
1 Phase 3W Service Rating 100 Amperes
Service Disconnect: I 100 cb
Meters: I
seal
I of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the'location indicated.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOL , N. ¥.
£xa m i ned ............ ~.~?/. 19...~...
Approved ............ ~.~,,~.../I~ 9..~..,~ermit No ........ ~...~...~......
Disapproved a/c ............................... ~:~_~:_~., .~..~. = :~. ....................................
(Building Inspector)
Application No.
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 location.
c. The work covered by this application may not be commenced before issuance o~ Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throughout the progress of 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 a Iterations, or for removal or demolition, es herein described.
The applicant agrees to comply with ol~ applicable lows, ordinances and regulations.
r~*~-~/ (Signatu eF, e~::~appi~ant, or name, if o corporation)
(Address of applicant) ,
State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises..~~.~.,..~~
If applicant is a corporate, s~gnature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on whichCproposed/~,.~/. ,,,~ / //~ work wiff be done. Jv~p No: ..~~,-D~ No:~~
Street and Number ...... ..~=z..--/..M~....)~...~.~(~'......~..'.~..~.-.~...~..~.~...~. ......................................................................
/ ' ,//' . Municipality
2. State existing use and occupancy of pr.emifes and intended use and occupancy of proposed construction:
a. Existing use and occupancy ............ ~~H ..~.~...~..... ...............................................................................
b. Intended use and occupancy .......... ,.,~/,,'7~,~.L~.,~,~.~...~.,.~,~~~......~..~..¢~.~...~
/
3. Nature of work (check which applicable): New Building ...... ./..........Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ......
4. Estimated Cost ...... .,Zr-dm.6r'tZ::~.¢. .................................. Fee ...... ...............................................................................
(to be paid on filing this application)
,5. If dwelling, number of dwelling units .................. .......... Number of dwelling units on each floor......./.. ...................
If garage, number af 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 ......... i...~.r/~ .....Rear ........ ¢~...c~. ......Depth .........~..../~... ..........
Height ............................ Number of Stories ...... ./....~Z/ ......
11. Zone or use district in which premises are situated ................ ,~d..~.:..~.%~:'~:'y~ ....................................
12. Does proposed construction vioJate any zg~ing law, ordinance or r~gulation? ....,¢..~..,.,,~ .........................
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor .................................................... Address ............................................ Phone NO .....................
property lines. Give street and block
whether interior or corner lot.
PLOT DIAGRAM
Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set~back dimensions from
numbers or description accordinc to deed, and show street names and indicate
STATE OF NEW//Y~.I~,..~/. ) S S
COUNTY OF~.)
above named He is the ................ ~.....w..~ ...............................................................................
(Contractor, agent, corlborate 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 his knoMedge and belief;
and that the work will be performed in the manner set forth in ~l~n filed therewith.
Sworn to before e this ~ / ~M~p' Pu ~c, State of New York