The URL can be used to link to this page

Home My WebLink About11955-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy PLDMBERS CERTIFICATION DATED: No. Z15412 Date March 24, 1987 THIS CERTIFIES that the building . A d d i t i o n Location of Property 3680 STILLWATER AVE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section . .1.3.7 ........ Block . 0 I .Lot 0 1 3 Subdivision .l?: .S....H..A.N? .................... Filed Map No. ! .2.8.q...Lot No.. ].0..2 ......... conforms substant!ally to the Application for Building Permit heretofore filed in this office dated p.c.t.,..4 .... ! .9 .8.2 .......... pursuant to which Building Permit No...1. 1. 9..5.5.Z ............. dated ..... O..c .c.... 6.:.. 1.9. 8..2 .......... was issued, and conforms to all of the requirements of tbe applicable provisions of the law. The occupancy for which this certificate is issued is ......... .... A.d. .d .i.t.i.o..n..t.o...e.x.i.s.t..i.n.g., .o .n.e.. f..a.m.i.l.y., .d.w.e. 1..1 j.n.g.: ........................... The certificate is issued to DANTE & FLORENCE COLOMBO of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO .~] .' - N 5 8 7 3 4 3 N/A Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 , i:~J,,DG. DEPT. APPLICATION FOR CEFITIFICATE OF OCCUPANCY i TOWN OF SOUTHOLD Instructions This application must be filled in typewriter OR ink, and submitted m Imm~m~ to the Building Inspec- tot 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 topographic 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 buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. §. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~"operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 3. Copy of certificate of occupancy $I.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. . · ..o ...... Location or r pe W .......................................... House No. Street HariC/et Owner or Owners of Property . .~*,-~..; ................ ~.~;., ......... .~,~¢/.~.4¥P~. ....... County Tax Map No. 1000 Section ............... Block ......... Lot ........ Subdivision ............................... Filed Map No ........... Lot No .............. Permit No././.~..~. ,~.'~Date of Permit /.~//~?,-,Applicant. '/~.. ~ ~ .~.~.~-~'~. ¢-~. ..... Health Dept. Approval ...................... Labor Dept. Approval ........................ Underwriters A'pproval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ,~..- ..... (~,..~.~ ~ ......... Construction on above described building and permit meets all ~e_ ~s and re~/~Zs' Applican t~,~~¢~.~~ .......... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~D BUREAU OF EI-ECTRICIT'~ 85 JOHN STREET NEW YORK, NEW YORK 1003~ THIS CERTIFIES THAT PP ~'# N Only the e~ectrical equipment as described below and introduced by the applicant named on ghe above application number itt the pretnlse$ of Dante & Florenoe Colombo, ~660 Stillw~to~' AVe., C~tcl~og~, N.Y. irt the followlng locatlon; [] Basement [] 1st Fl. ~ 2nd FI. Sectiott was examlned on ~(~Y~ ~ ~ 1~ and found to be in compliance with the ~equlremer~ts of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 1 2 DRYERS SYSTEMS NO. OF FEET NO OF CC. COND A W.O. PER ~ OF CC, COND, C NO OF NEUTRAL5 A, WG OF NEUTRA£ OTHER APPARATUS: Dante Colcmbo f3~80:;~till~wm~er (.,"u.~Cctzo~, N.Y. 119~ This certificate must not be altered in any manner; return to the office of the Board if inc~'rect. Inspect~rs may be copy ?~ B~I lNG DEPARTM!ENT. THIS COPY · I~ ; ANY MANNER. FIELD INSPECT I~ON FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING COMMENTS INSULATION PER N. STATE ENERGY ~pDE FINAL ADDIT%ONAL COMMENTS: K/IAP OF P~OPg~TY -t O~ :)x-xp-?,'E O, :4' -- ' f- LOP._E NQE CU?G 5uF£oc.~. Co.;- Scale,: ~6'= I*' 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ]~DATION 2ND [ ] INSULATION [~'~FRAMING [ ] FINAL REMARKS: ? DATE ~////~~ INSPECTOR ~~)'-~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ^ proved l?Pe it No//__ .... .............. Z ............. '~~/D/~.~/i,~.,r,,,, ........ ~h~;~;;C ..... APPLICATION FOR BUILDING PERMIT Date....0.~..~.:..~.. ..... 19..~f~. INSTRUCTIONS a. This appl/cation 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 i~su~d a Building Permit to the applicant. Such permit ~ 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecti/~s. , ,o (Signatu~ of applicant, or name, if a corporation) .... address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... . .(~.. :.. ~,ff~rC....C--O~.Q .~..~.o. ................ ~ ....... ' ................. (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 ....... 3 ~..0 ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on wh/ch proposed work will be done .................................................. ...~..~.8o. .................... $.r.~.o. ~r~.. A ~- ................ .c..~ · ."o a. ~- ............... House Number Street Hamlet County Tax Map No. 1000 Section ................. L~.~, Block .... .0./. ........... Lot. ...................~./~' Subdivision....~..'..~:..".."'~..'~..g~.. .................. Filed Map No... { .g-..~..0. ..... Lot.../0 -~.. ....... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~.' I.~. ~ L (~ ~.~' r~ I L.¥ b. Intended use and Occupancy ....................... ~ ~... ~./~./..~c~.~l..~...c~....: .......... 3. Nature of work (check which appiicable): New Building .......... Addition .......... Alteration ..... Repair ' RemoVal Demolition Other Work (to be paid on ~ing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ' 6. I business commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dnnens~ons of ex~st~ng structures if any: Front... ~.O. ......... Rear ... ~.6 ........ Depth.. ...... .?.~" ......... / ....... Height .............. ' · ,q · Number of Stones ........ f)..~ ............................................ Dflnensinns of same structure with alterations or additions: Front ................. Rear .................. Depth 'Height Number of Stories 8. Dimensions of entire new construction Front ............... Rear .... .'1-~-.' ...... Depth ..../~.( ........ Height ............... Numbler of Stories .............. 0~/~'. ..................................... 9. Size of lot: Front ............ : .......... Rear ...................... Depth ...................... 10. Date of Purchase ............ : ................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ......................................... 12. Does proposed construction violaie any zoning law, ordinance or regulation: ..... /J 19. ....................... 13. NamWill lOto~owbe regraded .......... . ~ .................. . Will excesst~,~t,~fill be ~,~rem°ved~o. from premises: Yes - 14. , e . n.er of premises /~IR, D~. ¢o~-om~ ..... Address ~.,~tr~ ~ V ..... Phone No..~!~:'.~/~ . l~ame of Architect ...... z.~ · · i ................ Address ................... Phone No ................ Name of Contractor ..... Jo~ .[~.~ ./?-~J ........ Address ~{xtd.~gfl. fl~t~..... Phone No..5077-.10 ~*T . 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. STATE OF NETM ¥ORI¢,/ , / ~ .~ ....... ' f~""~'~ .... :' ' ' i ................... being duly sworn, deposes and says that he is the applicant ' (Natfie qf indiVidual signin~ contract) lbove named. te is the ....................... i ................................................................. (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly ?uthorized to perform or have performed the said work and to make and file this .pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner ~et forth in the application filed therewith. ;worn to before me this ~ ........................ day of. :. .... ;' ,19..~'15~'~-. t ubhc, ,::.,/~-,-"~;~,d~'.7~.:. ~.., .... ~.-; ;' M :. 7 .~County ' JUDITH' T, TERRY c~/' iR'otary Public, State of New york No. 52.03,t4963 Suffo[I{ Co~n~,[/,~') Co I~s on ~ire~ March 30, ~9~. (Signature of applicant)