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Home My WebLink About11936-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No... Z11226 Date Sep~etaber..30. ., 19.82. THIS CERTIFIES that th~o~iidivtg . p.o. ctl. .......................................... Location of Property ... 5775..NO~.au.. Pgint Roads Cutchogue~ NY House Ale. ' ............ County Tax Map No. 1000 Section ...1.1.1 ....... Block ...1.3 ........... Lot.. 99.5 ............ Subdivision .bla~au .l?oint; .Club .Prop ........ Filed Map No..1.5.6 ..... Lot No..49 ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... $~p~;¢r0be~. :~? ..... , 19.8.2, pursuant to which Building Permit No...1~.9.3.6.Z .............. dated .. Sel~l:~mb~t~. :~.8 .............. 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 ......... ............ Iaground. ~wlr3~i~g. Poo~- .............................................. The certificate is issued to ... HELEn. CORBItLETTA.. ~oven's;', 'l~o~sde't~r't3t~'n'O ...................... of the aforesaid building. Suffolk County Department of Health Approval ... I~/A .................................... UNDERWRITERS CERTIFICATE NO .......... 1~. 5.7.7.8.6.5 ............................... Rev. 1/81 Building Inspector ~ T°%O~ SOWHO~D i BUILDING DEP~RTM iENT TOWN H~LL i~ SOUTH'OLD, N~ Y. , (THIS PERMIT MUST BE KEPT ON THE pP, EMIS;ES UNT L ,FULL COMPLET ON OF THE WoRK AUTHORIZED) i Building I~spector. Fee ~//~ Rev. 6/30,~80 n~ecto~: .................... N°. 1193~ Z Oote Permissioh is hereby granted to: J ..... "":~Y'"?2 ................ ...... ~F'";"~":'7 ............. :"; .... ":T~:':~:"""7, ~x ........ 5:::: ............... ':Z]~'"':'" "z' ':' '5:':"7 ........ ,o.: ....... ~:c~Z~: ........ ?~~.:~.~. ...... .......... ~ ........... ' ............... ~' ....................... :'"':'"7 ....... :";"'"'?'~~ '"'::~'"'"~'"'~ ........... ? .............. ""~'~ ... ..... ;7 ................. . ..": ' ": ...... ....... ~' ........... 7 ........................... '"?' ''~ "'" ...... '~ ''~'' ' .......... :' ...... ~ ........................................................... ~ ......... ~ .......... ,..,~ .................................. ~o~n~ ,~ ~,~ ~o. ,ooo ~,~,o~<~..Z~.~ ............ ~,o~k ;....~.~.:..,..~ ~o.~?. ........... ..: ...... ;...~... :. ..~.. :?.% , ,.~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 1~971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subn~itted in duplicate to the Building Inspec- tor with the following; for new buildings or new use; 1. Final su;,zey of property with accurate location of ail buildings, property lines, streets, and unusual natural or tooograohic features. 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 and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property tines, 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. / 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 $5.00 New Building ............. ?.~]d or Pre-existing Build, lng(X) .......... ~/Vacant Land -i ....... t ocat on of Pro crt .,~..~-~,,~. ~-,~-'~'; ', --~ ' ,' ' - ........... .......... Hou~ No. ~ ~r ~ S~re~r HamNt ... Owner or Owners of Property ..~~ &~~ ............................ County Tax Map No..lOOO Section .../~/ .... . .... Block .... /.~ ....... Lot.~ ........ Subdw~s~on . .Filed Map No ..... Lot No ........... Permit No. ateofPermi App cant Health Dept. Approval .... ~ ............. Labor Dep;. Approval .~/~ ............ ,.. Approv~ Unde~riters ...................... Planning Board Approval .~.' ......... , .. ~ - Request for Temporary Certificate ..................... Final Certifica(e ...... - ........ Fee Submitted S ....................... Construction on above described building a~p~ir~ee~s~abl~gdes and regulations. A~p cant~ .................... "X ............................. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~UREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 100~3B ep,=e ber 19a2 N 577865 TH{~ CERTIFIES THAT only the electrical eqaipment as described below and {~troduced by the applicant naoted o~ the abo~ e~lJcatio~r number i~ the pPemises of ~elen CorbelaCta, 71-~. ~aasau Poin~ Rd., ~aszau Point Cucchogue, in tkef,,tlowing location; ~ Basement ~ 1st Fl. ~ 2nd FI. Outside Section Block Lot ~.~x.~i,,.ao,~ Sepc~er 23, 1982 a,,dfoundtobei,,compliancewiththerequire,nentsofthls. Boa~d. OUTtET$ DRYERS SWITCHES fiXTURES RANGES OVENS EXHAUBT FANS DIMMERS S E R V C OTHER APPARAT~: Panelboards:l-2cir.60amp Aninspec~ion has been made of the exposed electrical equipment in the premises indicated. No obvious unsa~is£aeEory condition was found. Anthony T. Con£or[l 739 ~asc ~ain SE. Riverhead, N.Y. 11901 This certificate must not be altered in any manner; return to the office of the Board if incorrect. be credentials. AI.TE~ED IN ANY MANNER. copy DI~FARrMENr. TN!S cOPY Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD ToWN H,~LL, ~)LrTHOLD, lq'. Y. 11971 7654802 FIELD IY~SPECTION FOUNDATION (1st) FOUNDATION 2. (£nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL COMMENTS ADDITIONAL COMMENTS: FORM NO, 1 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ........ ............ ..~ ....... i/ (Btiildigig 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 commeficed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will i~sued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu~aout 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, building code, housing c9d% and regulations, and to admit authorized inspectors on premises and in building for necessary inspecstig~. >~ '-. / ., -- ...... ~.~k~. :c. ., . ¥: ~.',~. ~ .~ . . :r. .~ .,..~ ..... .. ,. .......... (Signature of applicagt, 0~. name, if a corporation) :5./.' (Mailing address of applicant) 1/~ State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. .......................... :, ........ .>.~ ............... ~ ........................................... Name of owner of premises t..:~;t...~...fr...~.. : .~.~: .~.e..¢!5:~' ............................................. (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 .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ................. Block .... /..-.% ........... Lot ................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex~st]ng use and occupancy .... : ...... ' .......... / ...... .{~./.. ~x 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... z~/~ -- (Description) .... 4 Fstimated Cost 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 nature and extent of each type of use ..................... 7. l)irnensions of existing structures, if any: Front ............... Rear .............. Depth ................ Height ............... Nuraber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... ~.. Height .......... : ........... Number of Stories ...................... 8. Dimensions of entire new constfuction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ....: ................................................... 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. !)ate of Purchase .......... i .................. Nam. e~l?rmer OwnerH~..... ": .......................... 11. Zone or use district in which premises are situated ......... ' ........................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................ 13. Will lot be regraded ........ ~ ........ ; .......... Will excess fill be removed from premises: Yes ('No) 14. Name of Owner of premises ..; ................. Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ......................... Address ................... Phone No.. i ............. PLOT DIAGRAM Locate 'clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~f~))R!~, above named. being duly sworn, deposes and says thane is the applicant ~-"He is the ................. ~.~ (Contractor, agent, corporate officer, etc.) of saki owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements cent/tined in this application are true to the best of~knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notar~ Pu.blic, NOI~RY PLIBLIC, Stele of I~ew Yel'~ PP Ng. 52.8125850 S~folk Expires ~erc, /