The URL can be used to link to this page

Home My WebLink About9838-zFOEM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.. Z9252 ..... Date ....0.c.'cO]).e.r...'1.6. ..........., 19. THIS CERTIFIES that the building located at . .~2~5....W.i. gg .i.n.s..L..s~..e. ..... Map No.../~65.0 ..... Block No ........... Lot No .......... .8.0. ..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ... July...5 ........... , 19..7.8 pursuant to which Building Permit No ..... 98. 5.8Z dated ... Ju.%y. · ~1/4 .......... , 19.78., 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 ........ P~,.i.va~;e. One. F.~mil.y..Dwelling ................................ The certificate is issued to ...... Nortl% .Fork .Equ£~c~-es ·. Inc. .................... (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval ...8.-.S.0.-.79...Qc.~.o.b.e.v..'1.2.,...'l.9.7.8.... UNDERWRITERS CERTIFICATE No ...... ............................... HOUSE NUMBER .... 12~5. ..... Street ........ .W.~gg$ .n.s..L..a~..e. ................... .............................................. Gr. ee~PO~.~,. N...¥, ................ ....... ....... Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N? 9838 Z Permission is hereby granted to: · ..?J, .'~...R ..au~..~..~..-.~...,~...z..~ .o....~.1.~!~ ,, ...C...o..,. Znc. ..a,Zc.....No ~bb.. ~.o~.k .,~.,r~u/.t:l.~m .......... : ......... at premises located at .............. '.J~..,,~.~ ..J~.~i,~.J/~....~:....;.,!:,.~,.:.:..:...:..%... ............................... .......................................... ~ ...... .(l~.e~O~..~ ~. !Ne~.. ~Q~,..;.. ,: ,: ........... ~:, :. :~......;.: ............................ . : · y.~e~-.~e~..~..~e~ v~.~e~'e.... ~;~..(~.ee~es...~e,l~-~ee,~.ea.. o,., .................. , ............. .P, Ui~u?nt, ~. to application dated .... ~. ....... ~. ...................... .. ~.-,;.,..;i 19,., ~"'~4/~ ~ andoppro~ed Building Inspector. Fee' $;.,..~...~.~..'1..0.. ...... N;S. 8-aO-Tg by the FORM NO. 6 TOWH OF $O~JTHOI.D Buildi.g Delmdme.t Town Clerk~ Office Southold, N. Y. 11971 APPLICATION ~R CERTIFICATE OF ~CUPANCY 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 aT 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 dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ..................................... .t~ ~.. .... New Building ..........~......_% Old or Pre-existing Building ........................ z... Vacant Land ............................ Location of property ....... ....... .............. Owner Or Owners Of Property .....~..~....~...~.......~...~.../~.......~r..6~. .u,L.'~..'...~:.. .~- ......................................................... Subdivision ..C...~,~,,.,,E:/~,...,~.c~!..I:J~-]~.,, ....................... Lot No....~,...... Block No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicont R./~,.,~..~-''~:'~' .~./-C- ~ , ~...c_ . Health Dept. Approval ...~....%....o......~....~ ....................... Labor Dept. Approval ................................................ Underwriters Approval ~ ,.L~...,~..~...'.°~'..I ...................... P ann ng Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ Construction on above described building ~1 permit meets oil applicable codes and regulations. Applicant ILJ b r?x o . ........... Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) .-w / 0 TOWN OF SI-IUTHI~LD OFFICE OF BUILDINB INSPECTOR TOWN E)LERK'S OFF|r:.E SE)IJTHEILD, N. Y. 11971 TEL. THE NEW YORK BOARD OF FIRE UNDERWRITERS pm BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~t~ September 27, THIS CE~IFIES THAT ~reenpor?~ L.I a~ fou~d to ~ in ~mplia~e with t~ requiremen~ of th~ ~rd. RXTUIE OUTLETS 2.*3 DRYERS SERVK:E ~ ~O; O~' ~T. I ~P' Tm 3~3w 3~4w l-S~ke Detector ~A~ ~TORS ~ ~E ~ ~'~ OIL H.P. ~ H.P. ~T. ~' I ~W.O. ~ I ~ 2 I 2 !~ I ~ C(~ iIN~ DECKS OV~th~J Dl,~q WASHEI~ T. K.W. AMT. g,w. ~MT, K.W. V I C E I/O EXHAUST FANS DIM~EI~ I/O John T, Sppenaro, Inc. 102 Oak Ave. Shirley, L.I. Lic.334 £ II T This certificate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified by t~eir credentials. ..... c~oqy.FOR ~u_!~_~. T~. copy oF CERT~m~TIL~MU~ ,~NO~T~TaR~ ~m~m~'_.~ ~ER. .... FO~M NO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Application No ..........,?.,~,, ,~,~ ............. Approved ...... Ju~l.y......~.~ ............... , 19...'~.8. Permit No ........ 9~3~ ................... Disapproved a/c ......................................... ...~ ............................................. APPLICATION FOR BUILDING PERMIT Date ................. ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 o~ areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 issue 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 ar in port 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 otterations, 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~]r~inspections. ~'J~(4~ .~. ~ ......... ....... .... (Address of applicant) State whether applicant is owner, lessee, agent, archi,eat, engineer, general contractor, electrician, plumber o~ Name of owner of premises ..~4~.~'..~'.4~......~.¢~.....-~;~bL/,..'~Z.,(4~.~....~]~,,~...~ ............................................... :.~. .............. If gppJicar/~is a corporate, ~gnature of duly authorized ............. (Name--'~' -\-~' '-~ar~ title of corporate affi;;;) ...... officer. Builder's License No ..................................................... Plumber's License No.~...,,J'~/~.(~.~.l..f~.-~..~.~.....~..C~.- Electrician's License No. Other Trade's License No ............................................... N Location of land on which proposed work will be done. Map No.: .L~...o~...~.(.~......~...~:/q~ Lot No...~.O. ................ Street and Number ................................................................................................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... ;..~....l~..,..C~,.,'.r~..N.~....~ .................................................................................... b, Intended use and occupancy ....... !./%. ~.~......~..~,~...~...~......~..¢,~.... ............................................................................... 3. Nature of work (check which applicable): New Build,ng' .....~. ...... Addition .................. Alteration ................. Repair .................. Removal .................. Demolitior ..................... Other Work ................................................ . .... ~' (Description) 4. Estimated Costzf../~,,~.~.)..O.~.~, ..................................... Fee ............... ..~.,~..,..L~., .......................................................... (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 .....~)..~...~, .................................................................................. i ......................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typd 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 ,.~.~,- ................... Depth .~...~. ............... Height .j..~. ............. Number of Stories ."l .................................... '~ .......................................................................... 9. Size of lot: Front ....l.~..O ............................................ Rear .~ ....................................... Depth ..X~.¢), .................... 10. Date of Purchase ........................................................Name of Former Owner .,.~. .................................................... 1 1. 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 ..,..~.~.~ .............. Will excess fill be removed from premises: ( ) Yes (~3 No 14. Name of Owner of premises .................................................... Address ................................Phono No ....................... Name of Architect .............................................................. Address ................................Phone No PLOT DIAGRAM 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 end indicate whether interior or corner lot. 'L 1 STATE OF NEW YORK, ~ c c ..... ................. .......... L.t. L ...................................... being duly (Nome of individual signing contract) above named. sworn, deposes and soys that he is the opplicom He is the ............................................. ~ ................................................................................................................ ~ agent, corporate officer, etc.) of said owner or owners, and is duly aufho~fi~ed 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 tha~ the work will be perfo, m'~d in the manner set forth in the application filed therewi/t~ Sworn to,~fore me this ( / - ........................ ................... tb g~atur~f a~cQnt) ~uifolk .dlSpos~l and wateP suppl~ for this location have ~? this d~pa~tm~nt and fonnd ( ~o~+ ,) ~AMP C~FORM TO THE e~A~~ OR SUffOlK~ co. · APPROVED AS NOTED/ DATE, 7~ ( "'-/- '~' NOTIFY BUILDING DEPARTMENT AT 7~5__~ 9AM to 4PM OR ~EQUI~ ED INSPECTIONS. 1. BEFORE BACKFILLING FOUNDA- TION OR START FRAMING 2. FRAMING INSPECTION 3. BEFQRE COVERING PIPES O? 4. FINAL WHeN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 5. ALL CONSTRUCTION MUST REQUIREMENTS OF N.Y. STATE COD~ D TOWN HOUSING CODE & ZG:~G II ? 1 t