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Home My WebLink About12016-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.~.1.6. 3..3 .......... Date ........... ~p.~.5: .1.. THIS CERTIFIES that the building....Ag.c.c. 8..8.a?.~. .................................. Location of Property . ./4-.6.0...3197.~.t~..'qg.~.~. ~.99~. 9.~.f. .g.aZ~..~.~..e.r..~..d :...9 .u~.h. qg .u.e.,~ · .g,.. House No. Street Hem/et County Tax Map No. 1000 Section ...'1.'1.'1. ...... Block . ...0.~. ......... Lot ...0.0~.. ~ ~ ......... Subdivision..~.a.a.8. a..u. ~:..~.l.u.b...P~..QD .- ....Filed Map No...'I 5.6....Lot No. P.~.Q. ~ ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... O.e..~.o.b.e.~...'1.9. ..... ,19.8..2pursuant to which Building Permit No ...... '~ ~.0.5.~$ ......... dated .... .i~. o. ¥9.m?.e..~' .'1.5. .......... 19~.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 ......... Alteration & addition to existing attached garage Gerald & Anna M~rie Puccio The certificate is issued to ........................................................... (owner, fessee, oe renard) of the aforesaid building. Suffolk County Department of Health Approval 3I/), UNDERWRITERS CERTIFICATE NO ...... ??.6.?.6.7 ..................................... Building tnspector Rev. 1/81 BUILDING Di:PAR'rMJNT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON 'THE PREMISES UNTIL I~.ULL cOMPLETION OF THE WORK AUTHORIZED) :12016 Z Permission ................ ,...~ ....... _~.~...~ .. County TaX Map No. 1000 Section ..... /../..(.. ......... r. BlOCk .;..~...~....:.., iLot NO..~--.'~".~''"'~ pursuant tO application dated ...... ../r.'.~..(..//./...~.....L...i ...... i..!;...i~...., 1~ and ~pproved by the Building I~spector. ..... ~~..~ ....... · I~>~ullcling }nsl:~tor Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD f3uilding DeparTment Town Hall SouthoJd, N.Y. 11371 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the foltowin§; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or tooograohic features. 2. Final approval of Heatth 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 simiiar building~ 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. B. For existin9 buildines (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperW 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. · /, 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-exis~in9 dwelling 3. Copy of certificate of occupancy $1.C0 ¢land use Date ..... , .. New Building ............. Old'or Pre-existing Building(:~),j~ .... ~/Vacant L~,)nd~ -i ........... , ..... ........ ..... .... .... ........ Hou~ ~Vo. . . ~ S~r~ H~i~ Permit No ........... Date of Permit ........... ~pplicant ...................... ~ ........... Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Undenwriters Approval ............. ; .......... Planning Board Approval ....... '. .......... , .., R'equest for Temporary Certificate-. .................... Final Certificat~ ~ ....... - ........ ; * Fee Submitted S / ~ Construction on above described building and__ ~----pelmk'meets all~po~c~bl~odes end regulations. App!ica~t . .. 1000276 THE NEW YORK BOARD OF FIRE UNDERWRITERS TI~ BUREAU OF ELECTRICITy ~- 85 JOHN STREET, NEW YORK, NEW YORK 1003e THIS CERTIFIES THAT only the etectrical equipment as ~scribed belo~ and i~troduced by t~ applicant ~med on the able application nu.~ber ~n t~ pretnises of P~cio, ~ ~ S/S o~ S~. off Vast~ Rd., CuU~, N,Y. ~,, ,~,,i,,a o, ~ 17, 1983 and.found to be in compliance with the requirements of this Board. 1Z 26 13 12 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS LJNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E R V I C 2/0 OTHER APPARATUS: Etectri¢ Aoom ~k~aters:2~4.0 K.W., 1-2.5 K.W., 2-2.0 K.W., 2~1.25 K.W., 2-1.0 K.W. 1-4.5 K.W. Hot War:er Heater 1-~3Dke Detector OF NEUTRAL 2/o 'I~amms J. Fa.~ga 190 Wash3ingtml Ave. - i~st:ic [k~ch, N.Y., 11951 Lic.#169 This certificate must not be altered in any manner; return to the office of the Board if incorrect. COPY FOuR BUILDING DEPARTMENT. THIS C ~EN~AL MANAGER P er~ may be ide~r~tifled by their credentials, TOV, ZN OF Snr~'w-~nr r, OFFICE OF BUILDING INSPECTOR · P.O. BOX 728 TOWN HALL $OUTHOLD. N.Y. 1 I971 TEL. 765.I 802 - Applicant Dear ~ Permi~ ~^ .~ ~ - ~.~ ~q~ joo unaer ~uild~n~ on 'id .... /a~/ ,~as no~ /~_~toeen done. co,,~,e~e ~hzs fi!e, it is n~c~ ary '~-t ..... ~ of ~up~ncy be iSsmed Pie enc~^~= ~ ~ · ase fill out the ~~o~d ~o,m(s), return same to the above o.._c~ with a ,.~c.~ for $5.00 payable to the Town of Southold. Please ineicate to whom the Certificate of Occupancy is to be ma~ed Thank you for your prompt attention. VL:ec Enclosures Very truly yours, Victor Lessard Adminis [rg tor ~FIEL~ INSRECTION ~ 1. FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY %ODE FINAL ADDITIONAL COMMENTS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 1~1971 TEL.: 765-1801~ Examined.././d f..'.'.~. ........ 19~..? Approved. ?.../.../?.~ ...... 19~...~f~Permit No./,~.~. Disapproved a/c ........................... APPLICATION FOR BUILDING PERMIT Application No/..~..~../.~. ......... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted.~.~-'£!3~al'~ to the Building Inspector, with 3 sets oI~ plans, accurate plot plan. to scale. Fee according to schednle. 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 of property must be drawn on the diagram which is part of this appli- cation. 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 pelYnit 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 Southotd, 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on promises and in buildings for necessaw inspections. ... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) 7'/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor,~ electrician, plumber or builder. (as 'on' ;t~e' ~a'x' ;o~{ ~; i~t~st' dee~)' ~'2 '/'/; ~ If applicant is a corporation, signature of duly authorized officer· (Name and title of corporate officer) Plumber's License No ..... ?./..d..,, .~. ........... Electrician's License No ....................... Other Trade's License No ...................... 1 Location of land on which proposed work will be done . . . . . 5r. o. . . . .... .C. .,..3. . .o. . . ........ · House Number ~ St4:eet Hamlet County Tax Map No. 1000 Section ..... I.I. { .......... Block ..... .O. ~ ......... Lot...~ .......... ............. Filed Map No../..D..~-~. ........ Lot..~. 2=5 ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... 5~/t.~.x~.. ~,q~7 ,{ ,.~./ ...................................... b. Intended use and occupancy ...... ~-:-z~ ~.,~ ,. · ...... .~.~.~..~.~.. .......... 3. Nature of work (check which applicable): New Building .......... Addition .......... on . Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ........ *" 'f'i ....................... Fee ............................ (to be paid on filing this application) 5. If dweiling, number of dwelling.units ........... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions ~fexisting structur0s, if any: Front...~ .~.., ...... Rear . . .?-:.~.. ....... Depth...~..~:-. ........ Dimensions of samer._,~ structure with: alterations or .~..'~.additi°~s: Front ... Number'S'" ' "~' ' ....... of Stories" Rear /. .... · .~.. .~... ? ........ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ........................................................ 10. Date elf Purchase .......... ; .................. Name of Former Owner ...~. ....... 11. Zone 6r use district in which premises are situated ..................................................... 12. I)oes proposed construction violate any zoning law, ordinance or regulation: .............................. 13. Will lot be regraded ........ ~. .....~ ............. Will excess fill be removed from premises: . Yes PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block~number or description according to deed, and show street names and indicate whether interior or corner lot. ff~xo_ ~ ~ r ,~ STATE OF NEW,~4~R~ I L., 1~ ~ COUNTY 0~~-'717 .~..[~.. ?'~ . __ ....... ~ .~'..~. k( ~. ~..tgi .~.l.~A~.~.~... being duly sworn, deposes and says that he is tho applicant (Name of individual signing contract) above named. He is the .................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file this application~ that all statements contained h this application are true to the best of his knowledge and belief; and that the work will be perfomed in tho m~n~r set forth in the application filed therewith. Sworn to before me this .- .......... ...... of..G . ...... ......... .... r~rm Exoires March 30. / is' usecl a-,- ~ or L only woes . ~ Unauthorized alteration or addition to this document is a vlolatlon of section 7209 of the New York State Educat~n Cop~es of this document not bearing the englneer's inked seal or embossed seal shall not be cons:dored valid copies. (] o~¥ ~,~eS ALL WORK SNALL COMPLY WITH THENEWYORK STATE BUILDING, CODE. AND LOCAL ORDINAhmE, 2,' TIlE NEW YORE STATE CONSERVATION CODE SHALL BE'COMPLIED.':- WIT~ AS PER PART V (BUILDING DESIGN BYACCEPTED PRACTICE~), 3, DOUBLE JACKS SHALL BE USED ON ALL SPANS EXCEEDING 6,FEET, q, SPIRAL STAIRCASE SHALL BE ONLY OF THF TYPE AND APPROVED ' AND ACCEPTED BY THE STATE CODE, 5, AT LEAST ONE WINBOW IN EACH B~RooM SHALL PROVIDE FOR FIRE EGRESS, Unauthorized alteration or addition to this document is a violation of section 7209 of the New York State Education Copies of fh~s document not bearing the engJnee/s inked seaJ or embossed seaJ shalJ not be cons=dered valid cop~es. STEVE TSONTAKIS Unauthorized alteratmn or addition to this document is · violation of section 7209 of the New York State Educat/on Copies of th~s document not bear:ng the englnee/s inked seal or embossed seal shall not be cons'~ered va!id copies. $'f E¥[ COIbSUL. q IN'G ENGINEER NYS PE~ 42817 '- ' ' AILL woRK; SHALL COMPL¥-~ITH the Me~ YD~ STATE .' ~'~ C~DE AND LOCAL ORDINANCE, ~ ~ . "~' " ' :w-~b ~, ~'d ~' 2; THE 'NEW YORK STATE CONSERVATION CODE'SHALL ~E ~OMPLI'~ IfGo~. WITH AS PER PART V (BUILDING DESIGN' BY ACCEPTED PRACTICES), ~m~g 1~ ~ ~.Tt~ system;far waterpipJngdiStKshajjbuting b~ ~, gOUBLE JACKS SHALL ~ 'USE9 ON ALL SP~S EXCE~I~G 6~ ~ET:, /~,;-~~ o~types~O~ q. SPIRAL STAIRCASE SHALL B~ ONLY OF THE TYPE ANg APPROVEg - A~ ACCEPTEg 3Y THE STAT~ COgE. 5. AT LEAST ONE ~'I[NgON BI EACH ~RO0~ SHALL PROVDE FOR / / , · is used copper tu~,t.n.g..L..ting of tYPe ~ addition tv this document is a violation of section 7209 of the New yo~rk State Education Copies of this document nat bearing tho engineer's inked seal or embossed sea~ sbal~ not ~e cons;tiered valid copies. STEVE T$ONTAKIS NY9 PE~ 42817 -, J