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Home My WebLink About9927-zFORM NO. 4 TOWN OF 50UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED Certificate -[-- cUpancy No.. Z.1.4.67@ ......... Date ............. J.u..ly. ?.2. ........... ,19 .8.6. THIS CERTIFIES that the building ....... ~ ~.fl.5, t~¢ 9~..i~ac Aud ing..t~orc2~ ............ Location of Property ...3z~5 ............... Cg~.o.a&~-..P~Qgcl ............. Southold House No. Street ......... I~l~r~l'e~ County Tax Map No. 1000 Section .... ~..9 ...... Block .... 6 ..... Lot 2 Subdivision. X .Filed Map No. X....Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 7 19 78 pursuant to which Building Permit No. 9927Z dated ..... .S.e.p. ~..e.m.b.e.r...8 .......... 19..7.8, 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 ......... ....A.d.d.i..t.i.o.n...t.o..o.n.e.y.f.a.m..ily dwelling including porch. The certificate is issued to JOHN BERTANI ..................... ?oYn'o;, ...................... of the aforesaid building. Suffolk County Department of Health Approval ............ N / ^ UNDERWRITERS CERTIFICATE NO ................... N 480991 Building Inspector Rev. 1/81 FORM NO. ,4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N.Y. Certificate Of Occupancy No .... .Z.~.O00. J ....... Date £~F~RTIFIES that the building THIS ' 3h-5 Colonial Road, Southold Location of'Property ............................................................... Street House. No. Hamlet County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .S.ep.$ :. 7 .............. 19.7..Spursuant to which Building Permit No...9.9~.7..~ .............. dated . ~.e .p.$9~.~17. ~ .............. 19.. ~., 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 ......... Addition to One am 13~elling - <, ,,?, ,..?.~(,.,.:', !. ............ The certificate is issued to Johrl ..................... io¥,,'~;, '~ .................... of the aforesaid building. Suffolk County Department of Health Approval ...... .N./.A. ................................ UNDERWRITERS CERTIFICATE NO. " Bmlding nspecto~ Rev 4/79 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 99~7 Z Permission is hereby granted to: ...... ................ . :': at premises located at . . .~.~. CO./~..Q.~(.C~..-~- .......... j.~...O..~;:~':....:...~.....:::; ,..::: : ..., ................. : .................... ~.~ u..~..~.~. ...... ...... p~r~uant to opp!~coti0n, dated ,.,.....; ...................; ........ ...,,...¢}, :]9 ~ ~pp[oged ~y, ; Bb~lding !n~ector. . :, ; ' Building'lh~efor FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLLCATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor 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. Approva~ of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 informa- tion 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 .~ .-~..~.~...~. ,~...~.~;~..C3. ..... New Building ..... .~..' .... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~. Z~,,~ ............ ~,0, ,,~?.~,.,, ~..~2~, ......... .~...~..~., .~. ..... House No. Street Hamlet Owner or Owners of Property .-.= ,,-.. .... ............................ County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.. ~.C~ ~.7.'.~-:. Date of Permit ........ ~/~./J.7.~. Applicant .~.~./¢. ~.~.7'.~,~Z. ................ Health Dept. Approval .... .~./.~. ............... Labor Dept. Approval ..... /~//~1- .............. Underwriters Approval..Zi~O.~. ,~./. ............. Planning Board Approval ...................... Request for Temporary Certifichte ..................... Final Certificate . J/f~- . Fee Submitted $..~. ~'~Z..°~. ..................... Construction on above described building an~/~ermit meets all applicable codes and regulations. Applicant .c,~PP;~-r~...~.. ~E,4,fZ~ .............................. ,o.,o-,, 0o FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ -- _ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of properW 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 equat). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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 applicabte. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZZ)perty showing all property lines, ~reets, 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 informa- tion required to prepare a certificate. C. Fees: 7. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. .... .......... · ' g · -. ¢Y. ....... O d,,pr P e-existing B~uildlng ......... Vacant Land ............. Locat on of Property ~.~.~.~... .o;~." Owner or O.nets of "rope~ ..... '~¢'' '~' '~' ' ' '~' ' ' V ........ County Tax Map No. 1000 Section .... :.~.7 ..... B,oc~ .... ~.~ ...... Lot .... ~ ....... Subdiws~on ................................. F,led Map No ........... Lot No. Undmwnlers Approval ....................... ~lonni~ Board ~proval ...................... ~eouesl l'emporary Cerdfrca~e above described building and perp.~ meets a I applicable codes and regulations. ' ........... FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: buildings, propertv lines, streets, and unusual 1. Final survey of propertv with accurate location of all natural or topographic features. 2. Final approval of Health Dept. of water supplv and sewerage disposal-(S-9 form or equal}. , 3. Approval of electr[cal installation from Board of Fire Underwriters. 4. Commareia I~lildings, Industrial bui d ngs, Multiple fi.es dances and s miler buildings and installa- tions, a certificate of Code compliance from the Architect or Eng neet responsible for the building. S. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sulve¥ of peopert¥ showing all properW lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancv and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Cart f cate of occupancy $5.00 / 2. Certificate of occupancy on pre*existing dwelling / land use --Pre-Exis ting C.O. $15.00 3. Copv of certificate of occupancy $1.00 / Vacant. land C.0. $ 5.00 e. .te .... .............. New Building ..... ~ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Proper~ ..,(.No, ~). · Co~onia~ .Roa~,.. $o~tho~,,. ~0~ .Yo~ ................ H~ No. Street H~lot owner or owners el ,rope~y .................................................... ~C~nty Tax Map No 1000Section ~ BI ck ~ Lot Subdivision... ;., ................. ;;''/;Z~y ,F~lp~ ~9oN~ ~ ~G~G .Lot No .............. , . 3o ~'1~ ' oo~, ~,.~. Li~da Berta~i Parm,~ No.gX~ 3.% .... Date of P,rm~ ~. · ~ .... Apphca.~ ................................ Health Dept. Approval ........................ tabo~ Dept. Approval Unde~riters Approval Planning Board Approval ...................... R~uest for Temporaw Certifica[e ..................... F~nal Certificate ..... ~ ................. Fee Submi~ $. ~.-.99 ...................... Coastruction on above de~ribed buildin meets all applicabl~ ~od~ and regula~i Applicant ....... ' .............. Rudolph ~. Burer, as y R~. 16.1~-~8 ' THE .NE ¥O ,OARD F~ pL~T , :' TH S CERT F ES THAT 3°~ Bert~i 1980 I DRYERS ; '~'FURNACE MOTORS 0NIThEATE~S DIMMERS SERVICE DISCONNECT I ' Elec. Room ~aters-: 2- 1-~r~ke Detector :' ' : Paul Burns , , ', Sduthold :,~ TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southo]d, N.Y. 765-2660 FORUM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. Approved ............. ...~.....-..~.., lg....7.~..'..~Permit No ..................................... Disapproved a/c ........................................ %_ ............................................. ....................... '"~¢:'~'"'~~(Build~g mspector~ ~ ............... A p',cat,an No..E .Z ........... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter De 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 tot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving a detailed description of layout ofproperty 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 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 Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable lows, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessary inspections. ........ ........ s ...... ( d e ~f applicant) State whether applicant is owner, lessee, agent, orchltect, engineer, general contractor, electrician, plumber or builder. ....................................................... .................................................................................................................... Name of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) / c) ~ 0 ~ 7~ - ~/ - ~ Builder's License No ............... ~.~,J..~..~ ............... Plumber's License No ................... ./. / Electrician's License No ............... J7 ........................... Other Trade s L~cense No ............................................... 1. Location of land on which proposed work will be done. Map No.: ....... '..~...A...~'.~.~....~... ........... Lot No. Street and Number ........ .~.~...~.t:~.......~..~.¢~..~.~, ....... .~.J~. ........................................... ..~..~..C?, ...~.....~.._.~.. ......... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy (~).t~.~ ~..~.e~ ~/~..~(4'..~..~.~.. ......................... J b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building'. ................. Addition ............. Alteration Repair .................. Removal .................. Demolitior ..................... Other Wo, o~ (Description) ( 4. Estimated Cost ......... i.-Q~t..~ ................................... 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 of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify noture and extent of each type of use ............................ 7. Dimensions of existing structures, if ony: Front .........'~.~ .......... Rear ........... .~..'~..; ........... Depth ......~... .......... Height ~"'rl'"- 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 ......... .~..~... .................... Reor ......... ,/.,~, ........... Depth .......... ~ ............ Height ......~.~..~ ....... Number of Stories .............. ,./...fZ''~'' ......................................................................................... 9. Size of lot: Front ....................... .~...~..~. ...................... Rear ................ ~.-~.~?. ............... Depth ........ ./....~.,.~ ......... 10, Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................................ .~.] .............................. lot n oma la ordinance or re ulation "'-/(~ .... 12. Does proposed construction vio e a y z ' g w, g : .................................................... 13. Will lot be regraded . ............ ..~....~.. ....... Will excess fill be removed from premise~; ( ) Yes ( 14. Nome of Owner of premises ...~.~.~.......~...~..~....Z~...,,~...~ ................. Address ~,¢~4f/~/4...~.... Phone No..~.~..J~.T/....°~...~.. Name of Architect .............................................................. Address .......~.~...u~..~...t~.. ....... Phon~ No ....................... Nome of Cantractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property I/i~'~Give street and block number or description according to deed, and show street names and indicate whether~or corner lot. 9-' c_.q-Al-E OF NEW.,,:YO,~A, . . I c ~ COUNTY O~F,~....-~?..4-.../'~..6...~. · · .......... r"' · . ..~....0.~...~..~..~.....~..; be ng duly sworn, deposes and says that he is the applicam (Name of individual signing contracfl above named. 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; thai all statements contained in this application are true to the best of his knowledge and belief; and tha¥ the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ............ .. .............. ~ ~ ~BE~ C. CO~Oy NOTAry PUBLIC, St~te oi New Yo~ NOTIFy EUILDING DEPARTMENT AT 765-2660 9AM to ';PM ED INSPECTIONs: FOR REQUIR. 1, BEFORE BACKFILLING FOUNDA. OIJ$'NG CoDE & zoNI~G