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HomeMy WebLinkAbout11629-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g.1.1.4..5.7 .......... Date ..... ~..a..n.u.a.r.~..2.7. ................ 198..3. THIS CERTIFIES that the building ................................................ Location of Property ... 33.0. ........ M~le./~v. er~u.e.. (p.v.t:.,, Rd...) ....... ~I~tg.t;J,l;ucJq... House No. Street Ham/et County Tax Map No. 1000 Section . .. 10.7 ...... Block . .03 ........... Lot .., 005 ........... Subdivision .... X. .......................... Filed Map No...~, ..... Lot No...Z ........... conforms substantially to the Application for Building Permit heretofore f'ded in this office dated ·..H.a.r.ql3..1.2 .......... , 19 .8.2. pursuant to which Building Permit No..1. .1.6.2.9...g ............ dated ...,p.r.~.J~ 28 19 82 w ' ...................... , as ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... a p.r.J..y.a~.~. 9.n.~.-r.~.mS...~y .d.w.e~.J-.~.qg, .......................................... The certificate is issued to ..... 0'~-~.$..C. RQ~ .......................................... (o whet, ~ -o~'t~nal'lt~ of the aforesaid building. Suffolk County Department of Healtlx Approval .12.'nSf .--.'l.g s..1/.1. 2/g3. t.. P,9.h.t,,./~...V £,l..la ,. UNDERWRITERS CERTIFICATE NO ........ Iq..589 ~.'I.'[ ................................ ui ding Inspector Rev. 1/81 N? 1~629 z Permission is hereby granted to: (THIS PERMIT MUST BE KEPT ON THE PP'E~I~$ UNTIL ~UL[. COMPLETION OF THE WORK AUTHOP~IZED)~: : ~o,~ ....? ~'--~./.....~.~ ............. ,,..~ ..... ; ......... i .......... ~..: ....... at p~emise~ Iocoted at CoUa~ Ta~ Map No. 1000 Section ..... Z~..~....,, Bl~:k ;h.,-- .~." ......... .at No. ~ .......... pursuant ~o application doted ..~~J .,92 ~and ~pprov~ by the ...... ~, .~,.m..,.~ ?,......., Building I~spector. Fee I' ......~ ...... ;... nspectot~ FIELD ~NS?~CTION FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF SOUTHOLD Building Depar~men~ Town Hall SouthoM, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subr~itted in duplicate to the Building lnspee. tot with the following; for new buildings or new use: 1. Final sunzey of property with accurate location of ail buildings, property lines, streets, and unusual natural or tooograDhic 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 buiiding~ and installa- tions, e 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 peopert¥ 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 informa- tion required to prepare a certificate. C. Fees: ~, Certificate of occupancy SB,00 2. Certificate of occupancy on pre-existing dwelling or land usa $5.00 3. Copy of certificate of occupancy $1.00 New Building ............ Old or Pre-existing Building(X) ...... =/Vacant Land" Hod/se No, ' .... 'S;,'e;r ''' Ham/et County Tax Map No .1000 Section ... [,~. ,~. ....... Block .~. ............ Lot ................ Subaiwson. . ~' .... . .... ~ ........................ Filed Map-No...:. ,~ .... Lot No. , .-'. ..... Health Dept. Approval'. .................... Labor Dept. Approval ............. ...... . .. Under~vriters Approval ............ ..-.... · ....Planning Board Approval .................. R t f Te vC tiff Fi ICe tiff ' aquas or mporar er cate ..... ................ na r cate ........ - ......... Construction on above described, building and pe~'n~it'~neets a,~pPLi, cable~co_des and ragu lations. 100O3al THE NEW YORK BOARD OF FIRE UNDERWRITERS ii, l B'°H" 'UREAU Or ELEOTR,O, V STREET. NEW YORK, NEW ~ORK ~OO38 THIS CERTIFIES THAT N only the e~ctrical equipment ~ described below and int~duced by the applicar~t named on the able application number in the premises of was examined on JDIILI~.~ 6 t 1983 and found to be in compliance with the kequlrements of this Board. FIXI'URE Ii FIXTURES RANGES /COOKING DE OUTLE m~,~PiACLES SW TCHES ~-- CKS OVENS TS INCANDESCENT FLUORESCENT MVEA~¥ ~,~AT. K.W. 39 65 43 39 DRYERS FUR~NACE MOTORS FUTURE APPLIANCE FEEDERS SPECALEECPT. TMECLOCKS r BELL UNIT HEATERS SERVICE DISCONNECT ~ ND. OF $ E R V I · AMP TYpE EQUIP 1~2W I,~3W 3,~3W $~4W NO O~ERCC~COND A,W G. -- ' OF CC. COND, i zOO C~ x £ 2/0 OT~US~ppli~mC~ Iee~ler~; 1-~//14, 1-2#12, 1-3#6. Lot MUfTI-OUTLET DIMMERS SYSTUaS ~S- NO. OF FERT E ~/0 J/ol~ora; 1-3/4hp. 2-/~oke de%ec~or~ 1-4.~'w. ho~ wa~er hea~er G.0. Electric 6 Poplar Avenue b/edfordF N.Y. 11763 Llc#2677E GENERAL MANA~iER This certificate must not be altered in any manner; return to the office of the 8oard~f incorrect, Inspectoks may be identified by their cr¢dentia s. COPY BUILDING THIS COPY OF ANY MANNER. STI~VI~ G, TSONTAKIS, D~a~ve~ 1~45~ Middle Rd. Mattituck, N.Y. 11952 (516) 298-4533 April 23, 1982 Building Inspectors Office Town of Southold Town Hall Main Road Southold, N. Y. 11971 RE: Randazzo Building Corp. Plan 9 4746. Gentlemen: Enclosed please find a copy of the revised drawing essentially accomping your comments dated 4/9/82. Yours truly, SGT/d Encl. Steve G. Tsontakis, P.E. cc: V. Randazzo ,tance by the m' ceilings for dye treatment veneer, wain- ~aper or ethel assembly in such ten the other. paying ~zuesx. rials as clay shale, Gsneral provisions e~dtt'lR protective. Assembly of materials and ~ccessor~es, nciuding frames and haroware, in'stalled m a w,ll partitiom floor, ceiling or roof opening ~o prevent, resist or re~ar~ me passage of fire, llame, excessive ho~ or hot gases. --lul~iliC. Construcm~ a~arra~ed Io operate other redetermined temperature ~f t~mp ~ , ~self.closlng. Arransed and equippe~ with elevates which will ~nsure closing a,er having been opened. premises. ~ lot, plot, or parcel ~t land including me buildmSS or s~ruc~ures thereon properlv line. Line establishing the boundaries nf premises. repair. Replacemen~ m renewal excluding additions, of any pan o~ a building, structure, 0evlce, or equipmem w~th hke or ~imHa~ materials or pa~s, for the purpose el maintenance ~f ~ucn nuild- rog, ,tructure, devwe, or equlpmeut required. Required b~ tins Code. residual defleclion. Deflection resulting ~rom an appheO earl, remaining after remova~ of such load roof covering. Matenm applied 1o roo~ sofface fei protection against the elements. Root nsulatlo~ snau ~i i~e deemed to be a roof covenng. ~lf-closin~. See oefi~ition under opening protective. shall. A~ used m th~s code , mandatory. smoke pi~. Enclo',eo .assa~e, ~,ea to convey the products stairway. One or more Hi~b~ ,,i stairs anu me necessary oe~ow, ~ ~na -, '-, ~---I Is'7~T ~m ............ ~. t.,~ -'dor~ An aft~c shall -, Ftl,i--~all no be ue~mOr, ,o .~a ~*,.*- ~ ..,~.~ moots the ~equirements be de~med to ~e a story w,,~,~ habitable space, street. ~horougnfare t]edicaked and accep~cx tar a mumcipalilv FORM TOWN OF'SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ~...4.~.~.~.~..~ ~ ........ ·/' :'7' .~-.VX~.~..Z.~ &..~..~.' PLEASE TAKE NOTICE that your~cation dated. Z~~...~.~ .... 19~ for pe~it to construct.., ~ .... ( ~24~,, ,~ ~.~ ~ ............ at "Location of Property -~& ~ · .2 ................ c ~~ .~ h~se ~o~ ............ St~et Ha~/ot ~ounty Tax Map No. 1000 Section , .~. ~ ...... Block .. ~ ~ ...... Lot .~,~ ..... Fil p N ~ No ....... Subdivision ................ ed Ma o ................. Lot ...... -..~ ~ .. is returned herewith and disapproved on the follow~g grounds .~, . ~3~~. .... ............. ~ '; ......... :.:_... ~// ~ ~ ~, B~lding Inspector 1~0~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. - ~r ..~ ................................. , ................. t No ............................... Disapproved a/c ......................... ~i .......... ['">' ........................................ ^ p,cot,on .............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ 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 or 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 rin 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 Laws, 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 laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in, buildings for necessary inspect/[~ns. , .,1-. ..I .4/1 ......... ; ......... p' , c~ ~arr , ' p 'o ) ..... ....... (Address of applicant) owner, lessee, agent, architect, engineer, ~contracto~r, electrician, plumber or builder. State whether applicant is 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..~..,/~JA..~..~..I..~.~...~.....~.~...~..C...; Electrician's License No...~.'...~...~.......~....~C..I.......~' - "~-?~( ' Other Trade's License No ............................................... Subdivision Location of land on which pr~osed work will ~ done. ,Map No/. ...................................... Lot I~o ............ ~ ..z. Street and Number ....... e~.....~....c~.....~..~.a'g.(~..~.~ ....... .~....~....L..~.~.~.....,.~.~...~..f:5'. ..................... ~~'.~.x~.' State existing use end occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy b ..~, O- ..~. b. Intended use and occupancy ........................................................................ , ...... ..~..~.../~....'./,~ ................. County Tax Map No. Dist. 1000 Section /()?____Block 3 Lot 3. Nature of work (check which applica~ Repair .................. Removal:. ........... 4. Estimated Cast ./,~.~.Jg,~.~.~ .......... 5. If dwelling, number of dwelli'ng units if garage, number of cars ...'.~,.. .......... 6. If business, commercial or mixed c 7, Dimensions of existing struct4res, if ar Height ........................ Number of St Dimensions of same structure with al Depth ................................ Height .. 8. Dimensions of entire new constructior -Jeight ...~....~.. J ' ......... Nu~be~ of Star 9. Size of lot: Front ..J.!...~.. ...... i ............. 10.,: Date of Purchase ...........'.?. ................ 11. Zone or use district in whichipremises 12. Does proposed construction vliolate an 13. Will ,lot be regraded ....~. ~.?.. .............. 14. Name of Owner of premises~/.~),~'.~.....' Name of Architect ...~.~..~.~.~ Name of Contractor 17.,~.0~ .... Locate clearly and distinctly all buildir property Jnes. Gve street and blbc¢ nun whether interior or corner lot. e): New Building.....~........' ..... Addition .................. Alteration ................ ...~ Demolition: ................. i. Other Work ..................................................... ~ /7z? ~ (Description) ........................ Fee ................ ~..u... .................................................................. (to be paid on filing this application) ..... / ...................... N~mber lot dwelling units on each floor ............................ :cupancy, specify nature and extent of each type of use ............................ y: Front ............................ ;Rear ................................ Depth .................... Dries .................................. ~ .............................................................................. 'erations or odditions: Front .................................... Rear ............................ ......................... Number ofj Stories ............. : .................... ...... ear...E .................... De, th..3A ............... es ................................. '].:,' ~:.' ' I ............................................. '~, ....... '~ ................... ..... Rear ...r.j.,~ .................................... Depth ...~.~..~. ...... ......................... Name of Former Owner ..... .~ ................................................ are situated ..................................................................................................... , zoning law, ordinance ot' regulation: .... .~....O.....~. ......................................... Will excess fill be removed frpm premises: ( ) Yes (~xt) No 'q~..g,~ i 0~9~~'¢;~ .~.~.(.,..~Z.~- ~o.. .. ......... ......... . o.o No. ...... .~.~ ......................... AddJ~ess ,,~/..,~)....J.Z"J. tTZT/.J.....~Phone No ....................... ..~..~.....CO..' ............ Add~ess/~'~'sP~u~t;~'~-'"'~6¢';'"--~----- Phone No. PLOT DIAGRAM ~s, whether existing or prgposed, end indicate all set-back dimensions from :er or description according to deed, end show street names and indicate COUNTY 0~:~ ~., ......... fo.-, above named. is the: ........................... of said owner or owners, ~'nd is duiy'Zr~t4~ this application; that ail ,statements/~f~*'~'~t~ ~icontaJ that the work will be performed in ,the man~ Sworn to before me this ~ ...... /..~..~T ~f Notary Public, .~. .................... being dul~ sworn, deposes and says that he is the applicam ~tracf) : ' eLL~.~L~perform or have performed the said work and to make and file ~ed in this application ar~ true to the best of his knowledge and belief; and er set forth in the application filed therewith. ............. ............. ............................. ANN NEVILLE StutU of NeW ¥~rl~ Suffolk Ceunty 30, ?. 9.~,~,,',,',,',,',,',0- I T T i SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE OF SUFFOLK CO.1 SERVICES. SUFFOLK COUNTY DEPT. OF HE/ SERVICES -- FOR APPROVAL CONSTRUCT ION ONLY DATE:. -- ~-~--- H. S, REF. NO.: OF ~FOLK CO. TAX MAP GESIGNATION: DIST. SE:CT. BLOCK S~AL ~ ~ ~ ,. , , ~ ~, . \ SUFFOLK CO. HEALTH DEPT. APPROVAL , , ~ ~ , ~ t ~A~ ' ".., . .~~.. ~ ' ' . ~' . ' , ~.~ ~,, ~'x ~.~ ~ro~ ~o i ~, I ~ - ', ~ 0 <',~ , ~v X '-, "- ,- / '~' ~ ' ' ~ CO~TRUCTION ONLY ' ~ ~. ' O ' '- ~ -- .:~Z~ ~o~Z~ DATE:: ......... ~~, x ~ :. ~_ / ~._ X ~:~ ~' .,':( A~ROVED: , ....... ' ' % ' ' I --~_'~ ~ ~ " / ~[ k A ~,,- ~o . .... m~. SECT. ~K ~L. / ~w~.~ x ' ,.~ ~ I ................... ','~ .... this departme=~a Co.nd ~'~4- I ~ ' sEAL addition fo fhis documen~ is a viola;ion of s~c~ion 7209 of OCCU?~T~C¥ OR, USE IS L~HLAWFUL WI'iH6~T CERTIFICATE OF OCCUPANCY £ 7 ' b-..I addition to th~s document is m violation oF section 7209 of the New Yo:k S~ate Education Cop~es of t[~:s document not bearing the eng[neeFs inked seal or en~bo£sed soal sha~l not be consld~red valid copies, LC:) L6CJ~L CObES. z" hl~ gt i d _'Pi O! addition to this document is a violation of sechon 7209 of the New York State Education Copies of this document not bearing th-' engineer's inked seal or embossed seal sh. II no} be considered valid copies,