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Home My WebLink About11620-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Of Occupancy THIS CERTIFIES that the building ................................................ 1700 West Road Location of Property . $~.Q ............... ~.qa..t..Qr.e. 9.k' .~.yg.n.u.o. ....... .C.u.%qt.lpg.u.o.... House No, Street Hamlet County Tax Map No. 1000 Section .! .1 .0 ........ Block . .q .1 ........... Lot ,...0.1.2. .......... Subdivision..X. ............................ Filed Map No. X. ....... Lot No..X ............ conforms substantially to the Application for Building Permit heretofore fired in this office dated · .glo. E:[ .1..17. ........... 198.~. . pursuant to which Building Permit No...1J.6.~.0...g ............ dated ... fl.p.~..i?...2.0. ............... 1~8.2. ., 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 deck addition to an existing .d.w.e..1.~.~n.g:.. The certificate is issued to . ...F?.a. qq .i.S.C.O.. B. 9.:i..0.[.~9 .................................. (owner, le~eee,~.e,nee,~ of the aforesaid building. Suffolk County Department of Health Approval .... .n./.e. ................................. UNDERWRITERS CERTIFICATE NO ............ P./.~. .................................. Building Inspector Rev. 1/81 TOWN O~ S0UTH~L~ BUILDING DEpARTMEIqT~ TOWN HALL SOUTH'OLD, N, Y. BUILDING PERMIT '(THIS PERMIT MUST BE KEPT ON TH,~ PRE/v{IS~ UNTIL PULL WORK AUTHORIZED) COMPLETION OP THE ' Z Permission is hereby granted to:" ~ ..... ...... ~.~. ....... ~.e:~.~.~.....~...~. . ~~z~...~...~.~...... .......... ..... ;...~..-~ ...... ......... ....... ~.~.~~......~.~ ......... ~~.~.~..~.~.~ ....... ~. ......................... ~ ~.~ ,~,a .~:..rz~.~....~z~Z:.~..~? ....... ~ ....... ~ ........ '~..~ .................... .............. ~ ....................... CoUd~ ToX Mop No. 1000 Sect,on .... ........ Bilk .~:. ~ ........... ~ot No.; ........ pUrsOant to application dated ..... ~..:,.; ...... ~L.., 19 a~ 6pprov~ by the Building Idspector. Rev i~/30/180 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions / A. This application must be filled in typewriter OF{ ink, and submitted in duplicate to the Building Inspec- tor with the folJowing; for new buildings or new use: 1. Final survey of property with accurate location of all buiMings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal--iS-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 installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. B.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 peoperty showing all property lines, streets, buildings and unusual natural or topograph ic 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: 1. Certificate of occupancy $5.00 2, Certificate of occupancy on p~e-existing dwelling or land use $5,00 3. Copy of certificate of occupancy $1.00 Date .~ay16..'{982 .. New Building .. ,D.e.o,k ....... Old or Pre-existing Building(X) ........... =/Vacant Land ......... l~O0 & 3350 st C tcho~ Location of Property ........ We reek Avenue Cu ue House No. Street Ham/et Owner or Owners of Property .... ~,z'.e,~.~. Solo%%o, County Tax Map No, 1000 Section , ll0 Block ' , 0.1 Lot. 012 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..1.~.(2,0. .... Date of Permit ./4-~,2.0/,8.2., .Applicant . .R,o.n~,e,'?. ~.o,m,e..I~,1~. ,o~.e,m,e~,t.s ....... Health Dept. Approval ........................ Labor Dept, Approval ...................... ,, Underwriters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificat~ ........ - ......... Fee Submitted ~..~4~'~ ,~. ~?..C~, ......... Construction on above described building ~r'~)mif meets all applJ, cable~codes and regulations. lC Rev. 10.1Kl-?a C~'O' A ' FIELD INSPECTION 1. FOUNDATION ( 1 st ) FOUNDATION (2nd) COMMENTS ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: R,J MORIZZO SOUTHOLD, N Y ~L/o 0S£ TOWN OF SOUTHOLD ~9.5~{c) ! 24.0A(c! FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-180:2 Disapproved a/c ....... : .......................... ~/'. .... df} ~--,,/i ................................... . (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No.X/./.~ .~?. ·O ........ Date .&l~.~.l..1.4. ......... ,1982 · ' INSTRUCTIONS a. This application must be cpmplcl9ly filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagam which is part o~this ap[ cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pen~ shall be kept on the premises available for inspection throughont the work. e. No buildiag shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall bare been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for th~ issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town %f Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction et' buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized iuspectors on premises and in buildings for necessary inspections. .~9~.n.~.e. '?. fl. qm.e..I.m..pr..qv.e.m.e.n.t.~. ....... . .......... (Signature of applicant, or name, if a corporation) , ........... (Mailing address of applicant) State whether applicant is oxvner, lessee, agent, arc'dtcct, engineer, general contractor, electrician, plumber or build General Contractor Nmne of owner o f premises ...B.o~..t.mt..n: .~..I:t.~.r.b.o-v.' M..my~n., ....... (..I*?.~.n.It..~9~9.~9.) ........................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...2.67 ..................... Plumber's License No ......................... Electrician's License No.' Other Trade s LicenSe No ...................... 1. Location of land on which proposed work will be done..~e.~.} fi.~e.e.k..A.v.e.n-u.e.~..qu.t.e.h~.u.e.,. ~: ~.. ............. House Number Street Hamlet County Tax Map No !000 Section Z/../..~, Bloc / ......... Lot ............... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of premises and intended usq, and occupancy of proposed construction: a. Existing use and occupancy ...Both .l~tl~,J. di~ .o.n.e..f.~.~.i.ly..d.w.e~I~;tlag ............................... Nature of work (check which lapplicab Repair .............. Reinoval Estlinated Cost ....$. 3.5.0.0...0.0 .. e): New Bugding .......... Addition orations- ......,... Demolition Other Work . .~. )..~,,"77'7. , (Description) ..................... Fee .............. , .......... (to be paid on filing this application) Ifd~e no nnmberofdwellit;,units ' ~, ' ' =, }o .] .............. Number of dwelhno units on each floor ............... If garage numberofcars .. i - .] ..................................................... If business, commercial or mixed occu{~ancy, specify f~ature and ext'ent of each type of'use'..., i ............... Dimensions of existing struct~4res, if aqy: Front ..... : ......... Rear .............. Depth ............... Height . NJ nber ct Stories ........................ Dimensions of same structure iwith alt, rations or additions: Front ................. Rear ................ Depth He I. Dimensions of entire new con~tructio~ Height ............... Number of }. Size of lot: Front ......... i ....."' ). Date 6fPurchase .......... . ..... l. Zone or use district in which promises 2. Does proposed constrnction violate an t. Will lot be regraded ....... [...' .... ~t .... Number of Stories ...... · (s ' ') .................... Fro-' ee Plan pth a~ .............. R~ar ............... De ............. Stories ............................... ' ....................... ...... Rear ...................... Depth ..................... ............ N~me of Former Owner ......................... .. re situated .................................. ?. ............... zoning law, ordinance or regulation: .............................. .............. Will excess fill be removed from premises: Yes , Nc NameofOv,'nerofpremises .~.n.k. 8, iotto ~ Cutch ue N.Y. /4. ........ : .... Addr,~ss ..... .og...~ ......... Phone No. 7..3..6.~9.~. ...... Nmne o, Arclin,ct ........ .................. '.. Address ................... Phone No ............... Name of Contractor ...l~oltr~t~ .I~q'~.i i~iq..?. .... Address . .6.b',5. Jernick L~,ne ,~ ................ Ph~.~ No. 765~57.?.2. ...... Locate clearly ~d distinctly all build! roperty lines. Give street and bloc:k numN .tefior or corner lot. PLOT DIAGRAM tgs, whether existing or proposed, and, indicate all set-back dimensions frorr · or description according to deed, and show street names and indicate whethe: FATE OF NEW~OPj,*KX '" S OUNTY-O~., S., ....... (Nanie of indi~ idual siod'ffi]Y'g co~ e is the ..................... : ...... .~ said bwner or owners, and is d{,ly auth ~plication; that all statements comained 'ork will be performed in the manner set fc .......... Z ........... .... ota~ ublic .~. ~ .,~ ~ ~"' c'' ,'A;c S'ak,, o: New Yorg '. ' , ~ ~o, 52 03~5963 S~f~olkj ~un~ .............. being duly sxvorn, deposes and says that he is the applicanl~ :ract) (Contractor, agent, corporate officer, etc.) rized to perform or have performed tht: said work and to make and file this this application are true to the best of tfis knowledge and belief; and that th~. th h~ tile application filed therewith.