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Home My WebLink About12025-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z'J.1-6.7.2. .......... Date February lZ4 19 83 THIS CERTIFIES that the building alteration & addiiton Location r~fprnn~rtx~ 1150 Terry Lane Southold House No. Street County Tax Map No. 1000 Section . .0.6. ~ ....... Block . .0.3. ........... Lot ...0.1. ,3 ........... Subdivision X X X ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .Ng.v.e..m.b.e.r.. 5. ...... 19 .8.2. pursuant to wkich Building Permit No... 1. .2.0.2.5...Z ........... dated Novmeber 18 ............................ 19.8.2. , 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 ......... an alteration and addition to existing dwelling * The certificate is issued toJOHN DiCARLO ..................... ?o¥.'o;, ...................... of the aforesaid building. Suffolk County Department of Health Approval n?a UNDERWRITERS CERTIFICATE NO ............ N.. ~.8.9.7. ~ .2 ............................. · This dwelling can not be used as a two-family dwelling. Building Inspector Rev. 1/81 BUILDING DEP~RTM~NT TOWN H~ALL SOUTHO~D~ N.Y. '~ COMPLETION OF THE WORK AUTHORIZED): permission is hereby granted to: fULL at premises located a ..*.~.'~....~-~. .......... ~.~.~..~ '";'~" ....... - ..................... t ............ ~'" ............. : .......................................................... : ......... ,....~....~....,~. ~...~?...:. , ~B~ Ta~ Map No. I~ Section .; ..~ ...... ~. Bl~ ,?.,.. ~....~tL~Lot No. ,.~..f..~ ...... . .., 19.....~., and 0pprov~ by the ~,..,n~ ..,,~.o. ~ ~ : Rev. ~/30Z,80 FORM NO. 8 TOWN OF SOUTHOLD Buiiding Departmen~ Town Hall $outhoJd, N.Y. 11971 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 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 tooograohic fe3tures. 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 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 existing buildings (prior to April 1957), Non-conforming uses, or buildings a~d "pre-existing" land uses: 1. Accurate sup~ey of peoperty 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. Data of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. / ' ' Fees: 1. Certificate of occupancy $5.00 2. CertificaTe of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1,00 $5.00 " New B~4dt'd~ ...... Id or Pre-existing Building(X)., ....... ~/Vacant Land ............. Location of Property .... ¢L-~5~'..~. .......... -- :~/~-, ;~ ~.~ Hou~ No. -- , I Sgre~ ' Hamie~ Owner or Owners of Property ,..~,~ ~ ........................................... 000s o,io, ..... ..3 ........... .......... S bdivision .... Filed Map'No Lot No Heahh Dept Approval ..................... Labor Dept. Approval ........... Unde~r ters Approva ~ ~ ¢~ 3~p ann n- Board A r al ~ -- , ...................... ~ pp ov .... Request for Temporary Certificate2 , .~ .............. Final Certificat~ ,. ,~, , ,% ........ - · s. ¢ ......... ¢. .... ' ' Construction on above described building a it-meets~abl~odes and regulations. ~o. ~, ~ t%3~ ' ' 1oooo6o THE NEW YORK BOARD OF FIRE UNDERWRITERS ~t,9 BUREAU OF ELECTRICITY ~- BE JOHN STREET, NEW YORK, NEW YORK 1OO3E ..,~J~-v 13, 1~83 ~Fplic.tio. No.o./ilel~SZZl'SZ N 589742 THIS CERTIFIES THAT only the electrical equipment as ~scrlbed be~w and introduced by ~he applicant na~ned on the able application number in the premises of Jo~ Di~lo, W/S 'f~ ~e S/O ~C A~., ~ld, i. thefollowing location; ~ aaseme.$ ~ 1st FI. ~ 2nd Fl. S~ctlon Bloc~ Lot was examined on ~ ~0 , 1983 and ~ound to be in co.tpliance with the require,nents of this Board. FIXTURE OUTtETS 7 DRYERS ~ECEPTACLES 21 SWITCHES 19 FIXTURES RANGES , OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E R V C A W.G. A W G NO OF NEUTRALS A W.G. PER ~ Of CC. COND OF HI-LEG OF NEUTRAL OTHER APPARATUS: Electric Room Hearers:6-1.0 K.W., 1-G.F.C.I 1-Smok~ L~cector 1=o65 K.W. Fred Bar, ch 354 Cle~ Drive Shfzley, N.Y., 11967 This certificate must not be altered in any manner; return to the office of the Board if jncqrrect DEPARTMENT. THiS COPY OF may be ider credentials. FIELD~INSP~CTiON CO~MENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 7654803 Examined ///. (..~/ ..... ,19.0Yff?--" Approved ./. (./../. OC 19~..~.'~ Re rmit No./C~. ~. o~q6~ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 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 issued a Building Pemfit 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 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,,4milding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neces~~- _ (Signature';~ ~g~'e} }~ 'c'p2~;;a}5;)4)' 2 ' (~/ailing address ;f app,~;~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ? ...................................................................... Name of owner of premises ...3-..: h ................................................ (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.. 1.1._5 .................... Plumber's License No ......................... Electrician's License No ....................... Other'Trade's 'Licerise No ...................... 1. Location of land on which proposed work will be done. ~ .r..w.t~. :~v,~k.~TA.,~,..,.)...S. ~. ~ ~. 1. ~ .......... ....... ...................................steet-'r--' ~ ..... Hamlet ................ House Number County Tax Map No. 1000 Section .. ~.~. ~: ......... Block ....... ~ .......... Lot...~.~ ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) L State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ~. 3.~.~ .*.~ .... ~ .~ ~. ........................................ b. Intended use and occupancy .~ .,..~. ~,., ......... ~4 ~e~ ......... 3. Na'tu~e of work (check which applicable): New Building .......... Addition...1(. ...... Alteration . .v. .... ..., Repair .............. 'Removal .............. Demolition .............. Other Work ............. o (Description) 4. Estimated Cost ..... ~) .... ~ ............ Fee ............................... (to be paid on Filing this application) 5. If dwelling, number of dwelling units .... ,~ ........ Number of dwelling units on each floor .... I ............ If garage, number of cars ~ ' , . . . f ~ ........................................ t~; .....~ ............. 6. I business commercial or mixed :occupancy, specify nature and extent of each type of use . lq ¢$. ~ 9~.*~Yt ¢.~. ..... 7. Dmaenmons of existing structuress ff any: Front. ~.~ ......... Rear .~ .~, .. ........ Depth .2,,~ .......... 'Height ............... Number of Stories ..... _? ................................................. Dimensions of same structure with alterations o__r additions: Front . .q.~ ........... Re~ ...~. ~. ............ Depth .. ~ ................ ,. Height . .~.~. ................. Number of Stories.. ~.~-~. .......... ~ ....... 8. Dimensions_of entire new construction: Front...~..~ ........ Rear ...z/~.c~ ....... Depth 7_ ~ Height . t.~. ........ Number of Stories ~-~., ................ i. i ........ O'(,~ iii. ii"i ...... 9. Size ofl0t Front J.7.~:~. ............. Rear !../~. ... Depth ../ ........... ii.iiiiii 10 Date of Purch ---- .~Nam fF ..... · ase ............................ e o ormer Owner . . - . ..................... 11. Zone or use district in which premises are situated.. ~-e.5 ~ ~.e~n.* ~ .................................. 12. Does proposed construqt/pn violaie any zoning law, ordinance or regulation: .~1.~ ........................... 13. Will lot be regraded .. [~...~..,. 'i' 'v'l~' ....... 1' ' ' ~'~ Will e~ess fill be.removed from premises: Yes ~ 14. Name of Owner of premises';14~ [,~ )~01~%;./0~- ~'ddres$~q~.~.e.l.~,.~..~,, PhoneNo . · i~.~ ~ e:;qrr ~ ~ ~,~ '~' iff. · · · . ...... ;.z · '.:-' ' .Name of Architect . ~..e e°t'~, tk,~i.. ~.~ .ex ....... Address~-~, q .~15,,.~, ~ ~(.. Phone No. '~. ~,~ ~ ~} ~.. Name of Contractor~..~f~.~. t' ~/..i ....... .L? ....... Address 60¢./~t ff]~¢~d. ~"b' Phone $o~,~.~.~'~' ~ ~_... PLOT DIAGRAM Locate cleariy and distinctly ail buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. : STATE OF NF:~OI~K.,~ S io ? ..... ............... (NanW of ifidividual' signing c~act) above named.. ~ being duly sworn, deposes and says that he is the applicant County ~. ~__~__~ ~ [ ~(Signature of applicant) ; : tlOt(o. 52-812~850, Suffolk He is the... ~c~Jg~.~a-~t. (Contractor, agent, corporate officer, etc.) af said owne? or owners, and is duly iauthorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perforuaed in the manner ~et forth in the application filed therewith. Sworn to before me this ................ day of ...... ,19... .... J ..................... ~ I~" ..................... ~ ~ ~ ~t ~ ~-4 ........... ~ ~-- ~ , I ' ' If copper ~ubing is used ~ h~J - ~, ~ . . ~ ~ fl · I ~ ~ of~peSK°rL°nlY / ,' ' - ~ ' ,~-~~;' ~ ~ ~ "~ ~L ............ ~ ** m DATE: ~' - f ---~ ....... ---~ ........... /t~ "' " ............. '-'- ~.'~ ~¢/:-'V ..... . - . . - ..... '.,.-. ' ........ '..'" .';I.' 1' k L' "., , Y: ~- ~- ~-- ~- ..... ~ ~..~ ~22 -2~&2,2-- --~ 765-1802 9 AM TO4 ~ FOR THE ' ~. ~_ J _D ~-~ .... ~O~.,~~' 1'-~ ..... ¢ ~ LA~ '" THE~ATEREqUI.EMENTScoNST.U~ioNOF &THEENERGyN'Y' -- ~j _~ ~ ~ ......... ~DE$. NOT R~PONSIBLE FOR 516- 765 - 5455 .~,~ - If copper tubing is used [or ,water distributing ~) ~ syslem; piping shall be ~-~ of ~yp~s~ or L only ,. ~ ~ ' I " ~' "~ , /, ,, , ~ v i ~ ~.:;.4 ~ ~:~ll~:~ /. ~ __, ,~, , ~., ~ ., ~ r,,[ ~.~~,~,.T .. ...: ... ,, _ ,,, . ...., ,,,... ,,. ., :,, ,,, , ~,,..:.~., '. ~ . 'GARRETT NG ~-~ A. STRA :' architect ' , ,:'. '' ~,~,~o,~.o.~o.~4~so,~o~: ...,,,._~.~.. -:..~-.~~= ~.:t~.x~ , / _. ,_. r~L' ' :1 0 ~ ,, ,, , .iQ - 5'16 ' 765 ' 5455