HomeMy WebLinkAbout6002-zFOF, M NO, 4
TOWN OF SOUTHOLD
BUH.BING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificnte Of rOccupnrlcy
No. Z..~89 ..... Date .........leeb ...... 8 ......., 19. ~.
THIS CERTIFIES that the building located at . C~dar- Dl, iv~ .: ............ Street
Map No.P,~tt~..DEV,. Block No ........... Lot No.. 3.~.~3~e36 .... i.14at~;ltuek .. N,I[o
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ..........Jt~lF. ·..~.., 19. '72 pursuant to which Building Permit No, . 6002Z
dated ..........July' .... ~$.., 19.72., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for Which this certificate is
issued is Priva-te · one- £a~a$1y. dYe'l'ling .... .wit~ A~a. adder,to,, ...............
The certificate is issued to. Geer~e .&. L~ml~e -P&pal ....... ~me~l ...............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval · .N,R, .............................
UNDERWRITERS CERTIFICATE No...pelld.~[....~../.~.O~./~/.~. · .............
HOUSE NUMBER .... I~ ....... Street ... C~dar. I)~ .........................
Building Inspectc~
FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
6002 Z
Date ~Tl~y 't/l~ 19 ~
Permission is hereby granted to:
Gee Taller A/gGeorle & T~n~e papp&s
B~ild an addition e~ existing dwelling
Xo~o ~ 35,36 ~attituek Der Co
ct premises ~ocoted at ................. ~ .........................................................................................................
~,at!ituck N.Y.
......................................... .c...~.~ ~..~?,~.~?.,. ............................................................................................
pursuant to application dated ......................... ~.t..,~...~. ....... ~. ........... , 19..~....., and approved by the
Building Inspector.
· ' ....... ~uilding ~nspector ........ ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
--ak 85 JOHN STREET, NEW YORK. NEW YORK 10038
~t~rch ~3, 1974 ~.p,,c..onNo. o.~,e 713~Z9 N 14821
THIS CE~IFIES THAT
~[y t~ e~t~ ~uip~nt ~ ~scd~ be~ ~ int~ by t~ ~ii~nt Mm~ on t~ a~ ~pllca~n numar in t~ prem~s
~. ~ Mre. George Papas, 865 Cedar Drive, Magtituck, L.I.
inthefoll~ingl~atlon; ~ B~ement ~ lstrl. ~ ~ Ft. outside s~,io. Bt~ ~t 3~t,35j
FIXTURE
OUTLETS
RECEPTACLES SWITCHES
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FLUORE,~CENT
DRYERS TIME CLOCKS
E R V I C
NO.~f: CC. COND. A.W.G. NO. OF HI*LEG A.W.G. NO. OF NEUTRALS A.W.G.
PER ,g OF CC. CC)ND. OF HI-LEG OF NEUTRAl.
OTHER APPARATUS:
~lec.room heater: 1-2.Skw
George Papas~
371 ~Irst Place,
Unlondale, L.I. 1~553
Per
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO. ~
TOWN OF $OUTHOLD
Building Deportment
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with 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 equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
installations, a certificate 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:
]. Accurate survey of property showing all property lines, streets, buildings and unusual 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 in-
formation required to prepare a certificate.
C. Fees: ~
1. Certificate of occup
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
or land use $5.00
New Building ................ Addition .... /............ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property ......................................... : .................. ~. ........................................................................
Owner Or Owners Of Property ~...~.~.~. ........~.~... ~.{;~.....~.~.~.; ...................................................
No ............. Bilk No ............. House
Permit No...~.~.~..~..~ate Of Permit .~.~..Applicant~.:..~ ....... ~{:Z~ .............. ~ ..........
Heolth ~pt. Approvol ...~ ................................ kobor ~pt. Approvol
Und*~ritors Approvol .............................................. Pl~nnino B~rd Approval ........................................
........................................
lee Submitted $ .............~ ~ ............
Sworn to before me this
Construction on above described building an~ permit meets all applicab~e codes and regulations.
Applicant ~ ~. ~:~..'Z.. ,,~;~-~r;~ ~. ~:...~..~?..~. r.~..;~/' ~ .......................
(stamp or seal)
BUILDING DEPARTMENT .~,~.~
/~ /~..~ TOWN CLERK'S OFFICE// '' ~-
Exomined ...~ . .{.{ le ~ ~ Application No....~.~..~..~. .........
.... .......... ' ..... ....
~p ~ed ........................................ , 19 ........ Pemit No.
....................................
Di~roved. a/¢ ................................. . ....... ..................... ~ ........ .~. .................
'/ (Buildind I~-spector) % L ' ' ~'
,: ,' :, ,,,,, ' INSTRUCTIONS
a. This aPplication must be completel~ filJed n by typewriter or in ink and submitted in triplicate to the Building Inspector, wit
3 sets of plans, accurate plot plan to scale, Fee accarding t6 schedule.
b. Plot plan showing locatiOn @f lot and of buildings on premises relationship to adjoining premises or public streets or areas, and
giving e detailed description ~f~ laCk)Ut of proberW must be dr~wn on diagram which is part of this application.
c. The wo[k covered by this application may not be commenced before issuance of Building Permit.
d. Upon aPPrbval of this application, the Building Inset ,or will issue a Building Permit to/the aPPlicant. Such perm t she be kept
the premises,ava~able for inspection througbpot the work, ~ , ~
e, No building shall be: oecuPiedd~ ~sed in whole Or:in Part for. any purpose whatever until a Certificate of Occupancy shall have beerf~
granted by the Building-ln'spactor . ' '
APPLICATION IS HEREBY ,I~AI~E to ,the Buik~ir~ Department, for th.eissuance of a BUilding Permit;pursuant to the Building Zone
rdinance of ~he Town of S~uthidJ~,~ffol~ Count¥,'~Jew York, and otheF applical~l~ I~aws, Ordin~nce~ 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 buildings for necessary inspections. '--
(Signature of applicant, or name, if a corporation)
State whether applicant is .m~J~', le.~e, a~ent, archit~.~;.e~gineer, general contractor, electrician, plumber or builder
Name of owner of premises ............ ~.,~:.t~..; ...................... }~. ........................................................................................
If applicant is acorPorate, signature of dUly authorized off[~er.
(Name.and title of corporate officer)
Location of land on whichpr..opo_sea~ ... pro osed work will be done Ma No.' Lot o 3..~,,---~ ,~,, --,~, .~,
1,
Street and Number ............~...~....'...,..- ...... '.---'~~"""'..'--"-..-'..----'
Municipality
2; 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 .............. ,~.~ ................................................................................. ; ...... ~
.......... Alteration ...........
,3. Nature of work (check which applicable): New Building ....................... Addition.
Repair ......................... Removal ......................... Demolition ........................ ~)ther Work ....................................
(Description)
.(to be paid 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, specify nature and extent of each type of use ....~ ...................
Dimensions of existing structure~; if any: Front ../J~.~... Rear
Height Number of Stories ....... ,- ........... · ......................................................
Dimensions of same structure with' alterations or additions: Front ....~..~..'. ..... Rear ..... ~ .~.....~.....; ............
Height ................................................. Number of Stories
11. Zone or use district in which premises are situated~ -- .......~..~...~.. ......... ; ................ .~ ...........................
12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ,-~-~...: ......~ .............................
13. Will lot be regraded ~ ................... WiU excess fill be~.l:emoved from Premises:E.] Yes I~No
(Address) [,/&~ I~/V~/- ~" J~Phone No.)
Name of Architect ............ ~ ....................................................................................................................................
-,~ ~ ,~L _ _ ~ ~ (Aj~ress) ,, (Phone No.)
· ~ ----(Address) (Phone No.)
PLOT DIAG RAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-beck dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate wheth-
er interior or corner lot.
/o~
STATE OF NEW YO~,^ ~ . )
COUNTY OF ....... /..~......~ ....... }
~~ng duiy sworn, deposes and says that he is the applicant above named.
(Contractor, agent, corporate officer, etc.}
of said owner or owners, and is duly authorized to perform or have perfgrrned 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 aDolil~tion filed therewith. &e& ~N. tall. -~--~e~
...... ....... ;.