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HomeMy WebLinkAbout9539-zFORNI NO. 4 TOWN OF $OUTItOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .~/.0. q..~)~ g ~... ((~!-.~ .... DF.% Street Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .............~!".1(...~ lS.'7~, pursuant to which Building Permit No. 9.[~ ~ dated .............~/9.V...%/., 19.7~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issuedis .~ .~F~I~ /~ ~ ...Olxt~ ..1~'~.~(.~[ The certificate is issued to ....... ~ 0 H ~ ...[ ~ ~ N y (owner, l~t) of the aforesaid building. Suffolk County Department of Health Approval ux~wm~as c~avz~zc.~ ~o... N..~. ¢. ~ .g.. P. ~ ........................ HOUSE NUMBER .... ~. [.. P . Street ... ~. ~.~ ..... [-~ p.fi ~.... ~'fx~ ~ 7 ~- ........................................ P.b.T~'t ~J. qF ~. ..................... 5~:c'ok~ VLOO~ .~h~,VA ske- Building Inspector ~ 7~'' (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9539 Z Dote .......................... N~)V ....... J$ .............. 19..~.~.. Permission is hereby grante~to: Arma.~d~..C.~..pe~te.~..~5o~t~**c.tln§...Zn¢....-A/¢ John Fabry ............ · 1.BO~ ....... .Lake~end..-A.~e ..........l~hemta at premises located at ~B'/8 D~;'ep Ho'3:~ L~':T.'q~ ...................................................... ' ............................................... ~.a.t ~l~ck .................................................. ~ ....................................... pursuant to application dated ............................... ~JO~ ....... .].,...., 19,~.~.,., and approved by the Building Inspector. Fee $.e5-,~.~ ............ ; FOBM NO. $ TOWN OF $OUTHOLD Building Depaffment Town Clerks Office Southold, hi. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate 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: 1. 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 occupancy $5.00 2. Certificate of occupancy on pre-existing dwetling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ...~T.'g~.~. ........... ~, ~.~.~ .............. New Building ..~.. ................ Old or Pre-existing Building ............................Vacant Land ............................ Location Of Property ~/~D;[~-Ql~e~3~D~-~2~j~r~D~' .......... Nattituck, N. Y. Owner Or Owners Of Property ~o .~..&...Lo.~e,i. we...~.a.l~z~y .................................................................... Subdivision ............................................... ~ ................ Lot No ............. Block No ............. House N~...~.Q.0.. .... Permit No...~.~..~9 Z Date Of Permit ...~.O...~..*....~:~..~p~'i~ant Armando Ca.r.p. enter Cont. Inc. Health Dept. Approval .~ .................................... Labor Dept. Approval ...... .' ......................................... Underwriters Approval ...~fl8 .................................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .,~ ...................................... Fee Submitted $ ..~... Construction on above described building and permit meets oil applicable codes and regulations. Applicant . ~.ZT0.8,~.~.O... J~,~'~).~J~ ~ ~....l~.~J~, ...~,~g.e, ..................................... Sworn to before me this c~m/~ ~~,,~ ................ day of ............................................ (stamp or seal) Notary Public .................................... County State of New York Suffolk County Office of the Clerk of the Town of $outhold (Seal) This is to certify that I, Judith T. Terry, Town Clerk of the Town of B~OUthold in thee said C, oun~ty~of Su. ffolkLhave compared the foregoing copy of uilding ~ermi~ zz±e #9539Z,issued on 11/4/77, containing building permit, certificate ..o.f o.c.c.u.,.p..a..n, cy, ~n'.d"ye'~or~":~f'"in~p~g~'t'£~%~";~. ~'l'~'t'~'~'"t'6"'§'~': ........... with the original now on Tile in this or,ice, and that the same is a correct Building Permit file #9539Z j~nd true transcript of such original uilding p. ermit,certzficate of occupancy, and recor~ of inspections relative_..~ ~u_ .u_I_ ~u .... f t'O'"g~?!~': .............................................................. unu ~,~ wuu~ ~,~,~v. In Witness Whereof, I have hereunto set my hand and affixed the seal of said Town this .........12.t.h .............. day ,~...,T.a..n~.az,~. ........... 19...~,~ Town Clerk of the Town of Southold, ou~nty~f~, TEL. TOWN OF SOUTHOLD OFFICE F1F BUILDING ~NSPEOTGR TOWN E)LERK'S OFFICE 5OUTHE]LD, N. Y. 119'71 March ~1, 1978 Mr. Jo~=~ Fabry 73-23 55 rd. Road Maspeth, New York 11378 Re: Building P¢~it #9539 Dear Mr. Fabry, I a~ enclosai~.g a copy of a note I ].eft for the contractor constructing your new home under this pe~mit n~,ber~ note item ~4 circlod in The plans submitted.to this office ~ld approved accordingly shows a 7'-6" ceiling hezght for the second floor, which is the minimu~ heigb~ permitted by code. I am bringing this to yo~' attention now since you no doubt intend to complete second floor at another ti~e and a building permit to do so could not be issued ~LUder these con- ditions. Yours truly, EDWARD HINDEP~ANN Building Inspector TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR' TOWN HALL SOUTHOLD, lq. Y. 11971 June 2, 1978 TEL. 765-1802 Mr. John Fabry 75-25 55th Road Maspeth, New York 11578 Re: Letter of March ~ , 1978 Dear Mr. Fabry, Today I issued Certificate of Occupancy #Z9041, dated June ~, 1978 £or your one family dwelling pursuant to Buildxng Permit # 9539Z, dated November 4, 1977. On the Certificate NOTE: 2nd floor non-habitable A Building Permit will be required to make the second floor habitable with 7'5" ceiling. I will accept the 7'5" ceiling. GH /pOs Yours ~truly, ~ GEORGE H. FISHER Senior Building Inspector of yon appear and attend before Hon. TO EDlCARD It[INDERMANN That all business and excuses being lald aside, you and each Frank DeLuca, one of the Justices of our Suprmme Court, at a tr±al~term, Part I thereof to be held in ~nd for the County of Suffolk at the Court House at Riverhead onthe l~th day of January 19 81 at 9:~0 o'clock, in the to testify and give evidence in a certain action now pending in the said Court between John, To Fabry and Lorraine A. Fab~r~r plaintit~s and A2~DTND0 CARPENTER C0NTRACTIN~ INC. defendant four/ 5aj~d date or. any adjourned date on the part of the said DEFENDANT and or a raz~nre to attend~o~ ~ill be deemed guilty et a contempt of Court, and liable to pay all damages sustained thereby to the party aggrieved, and felt FIFTY DOLLARS in addition thereto. ~E55, Honorable Fra~ DeLuca one of the Justices of saldl Supreme Court, at Riverhead, New York the 9th day of January one thousand nine ~un~red and eighty-one ~/ILLI~ E.' WILL'I ~SON~ Ciera Attorney for Defendant A~;davlt of Service on Zndividual State of New York, County of being duly sworn, deposes and aa~a, that deponent is above the age of 18 7ears and resides at That on the day of 19 at the Witness therein named, by delivering to and leav- ing personsily with said Witness a trne copy thereof, and af the same time deponent tendered fo a~d ~d the ~]tness ~ that being the lawf~ fee to ~h]ch s~d ~]tness ~as en~ed for m~leage and fox one da~s attendance: ~eponent ~e~ the ~oned and descx~bed ~n s~d s~bpoen~ day of ,19 AR;davit of Service on a Corporation State of New York, County of being dulp swor~ deposes and says, that deponent is above the age of 18 years and resides at That on the da7 of 19 at No. ! corporation, by delivering to and ~eaving a true copy o£ said subpoena personally with ~a o~;cer of said corporation, to wit, its ~nd at the same time deponent tendered to and paid fo ;aid oEicer $ ~at being the lawful ~ees to whic~ s~d corporation was entitled for ~leage ~nd ~or one da~s attendance: Deponent knew :orporation se~ed as ~ores~d tn be the corporation ~tioned and described in s~d subpoeHa and ~ew ~d ) [ay oi , X9 Plsi=tiE De~endunt u po na Attorney ~or (OE~ce and Post O~ce Address) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 January 28, 1980 TEL. 765-1802 Upon the request of Mr. Gordon Ahlers, I investigated the conditions of the dwelling owned by John T. Fabry & wf. County tax map No. 1000-115-17-7. found the following conditions exist: Very large crack in foundation next to the window well - south side family room. 2. Fireplace foundation cracked in 4 - 5 places. 3. Cement porch from family room leaning away from foundation approximately 2".to 3" Brick fireplace in family room leaning away from gable end at least 2 ~/2". 5. Outside door and door fram in family room is way out of square, "right hand corner". Respectfully submitted, CURTIS HORTON Building Inspector CH/mw BUILDING DEFA RTMEH T ,~ ~/Td~. ,,~~ K~,L,W..L~' TOWN CLERK'S OFFICE "/,.~ /, ~ L SOUT. OLO, N.Y. /~,.,~C~---~~? Examined .........~'""~"l ........... ' 9..'.~. ~. Appl~c~on No ..... L.. .......... ,N~rov~ .. ~X c'l . ,~7?Pe,~itNo ~...'5-~---7-'~-",¢~'% ............................................................................... , ....... ~ ...................... ~ b. Plol plan' ~h~Ioe~fion of lot ~nd o{ buildino~ ~ premises, r~lotion*hip to odjoinin0 pr~mi~ or public *tr~ 0r~, and fli~i~a ~ d~ripti~ of l~out ofpr~ must be drown on the diaorom which c. ~ ~ork ~r~ b~ ~ a~lic~fi~ m~y not ~ comm~ befor* i~*uam~ of Buildin~ d. Hpon ~pv~ol'o~ ~h~ ~pplic~ti~, ~. Buildln~ In,~tor will i~ue a Buildin~ ~ermit to th~ ~plic~n~. Such ~rmit shall be kopt on th* pr~mi~ avoil~bl~ for in~Hon thmo~t th~ work. ~. ~o buildin~ *h~ll be ~cupi~ or u~ in whol~ or in pa~ {or ~n~ pu~ whatever until ~ ~h~ll haw ~n ~mnt~d ~ th~ Buildino Ink,tar. ~PUCAIIO~ IS H~RfiBY ~D[ to th~ Buildlno D~pa~ment for ~ i~uanc~ o{ ~ Bui~ino Buildin~ Zone O~in~nc~ of th~ lawn o{ ~thold, Suffolk Count~, ~ Yo~, ~nd other ~pplie~bl~ ~ applicant ~r~ to compl~ with ~11 ~licobl~ I~w~, ordi~ buildlnO c~, hou~i~ c~, admit ~uthoH~*d in~tom ~ pr~mise~ ~ i~ ~uil~in~ ~r ~ (Signature of applicant, or ~, if a co~i~) .............................. ~X~;;';F~ii~;~ ................................ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .J/~.?.: ............ ?...~...: . ...~.....~.......~..' ......... ..~.. ................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ............................................. Electrician's License No....~...Z;..3..'.....~'.. ...................... Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ........................................ Lot No ......................... Street and NUmber .~..f..~......~...~...~.....O.~..~...~....~.:....[~..~.Z..,...~..~..~J..O.....~...~..~,..~. ~.. ~ ..... State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ..... ~.~.~..... ...................................................................................... ~ Intended use and occupancy ................................... ~ ............................................................................... C ~Jat~re of work (check which applicable): New Building ........ Addition .................. Alteration Repair .................. Removal .................. Demolition .................... Other Work ................................................. ..... 4. Estimated Cost ....... ) ......................................... I:~ l~ss al~hc~t*on) .................. ~. ~. .........: ......... ~;....: ....................... 5. If dwelling, number of dwelling units ........ ! ................... Number of dwelling units on each floor ..,) ........................ 1 If garage, number of oors ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e 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 ..,...~.~...f. ..................... Rear ...... ~j~.¢~. .................. t Depth ........................ ~'8 '~ ~'~ Height ....... Number of Stories ........................................ ]. .................................................................. 9. Size of lot: Front i o O ' Rear ....~..~....O....~. ......................... Depth ....~.~..O. .................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ! 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~g .............................................. regraded ....~...~ .............. Will excess fill be removed from p.. ~r~mi_s~s: ( ) yes (I/) No 13. Will lot be Gq- o Name of Architect .............................................................. Address ................................ Phone No ....................... Name. of Contract~ ..lbdt.....~g...~ .('~D.....~....C°..~.. Address ~.~...o....~......~..~.~ Phone No...~....~...q..T..~...°...~- Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, COUNTY OF ................................ ~' '~'~ ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of indi~;idUal signing contracf) ' above named~._.~Z_~ ~ ~.~ · He is the ...~~ .......................................................................................................................................... (Contractor, agent, corporate 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 knowledge and belief; and I thaz the work will~oe performed in the manner set forth in the application filed therewith· \ Swam to before me this ~ ....... Z~ ..... day of ...~/~:.~./J...~.~..'~..r~...~....~.. ......... , 1 ../.... / .................................................. ........ ........... · ~.~ ..~?~.. (S'g a re o applicant) I~0TARY P~BLI~, Slste m Flew York lle, ~2-4~43721, Sullol~ ~t'AMP ~ COUNTY HEALTH DEPARTMEN~ THE ~WAT/F..R SUPPLY AND SEWAGE OBCE WILL CONFORM TO THE ~TAND~~ OF SUFFOLK CO, DEPT. 0F H~LTH. 9~RVI~S. 15ED/ ~001~ / 9 L ? , EMT~Y= .j FIF,-.ST FLOOR.- PLAN I/4" = I'- 0" APPRO1/ED AS NOTED '~ E b4 E I~_A.L Ixl OTIE ~J NOTE f~ · ?P..OVIOE lSO~kMr ELECT. 5P_..F..VIC~ ll,O ACC O~-..DAI. JCE M/ITH 'MAT'L EL[CT, ~'OP~., ' HO ALUM. COMDL,IITS. * CONITR.Z~CTOI~. TO ALL DIN. ON , "$,]©~Y-.. TO ~.ONFOP,.M TO ALL DdlLDIklG COI~E¢''. 119 COOPER STREET, BABYLON, NEW YORK 11702 t! -<(~c. ~ (I <: bASEmEnT ? L A I',,I SCALE iA" = I" O" N: COOPER STREET, BABYLON, NEW YORK I1702 IO'-G" 4¥ 4 .5~-C0 h4 ~ F=L 0 0/~ rLAN 5P_.c.TIOI,4 '/4":- I'-o" NO 5 C A.L F_.: 119 COOPER STREET, BABYLON, NEW YORK 11702 FLOO~. I I ' 119 COOPER STREET, BABYLON, NEW YORK 1%702 D A C'~K EL 51C)D P_ LE "TAT~O~ 119 COOPER STREET, BABYLON, NEW YORK 11702 · ,DRll~W NG TITLE