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Home My WebLink About11971-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. S.q.q65¢ ......... Date ........... .l~ey. 5. .............. , 19.8} THIS CERTIFIES that the building . g4ic~5.~ j.p~ ..................................... Location of Property 50 Cove Road Southold House No. Street Hamlet County Tax Map No. 1000 Section 052 .Block 02 . .Lot 008 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... O.o.~obe:r..q 2 ..... , 1 ~2.. pursuant to which Building Permit No..'Hg?J.7, ............. dated October fl9 1982 , was issued, and conforms to all oftherequirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... For second story addition to existing dwelling The certificate is issued to .. Ackil&e~. Stach.~.iari~ ................................ (owner, lessee or tenantl of the aforesaid building. Suffolk County Department of Health Approval ~T/A UNDERWRITERS CERTIFICATE NO. N5c)6~66 Building Inspector Rev. 1/81 TOWN oF BUILDING DEIZARTMIEN TOWN HALL $OUTH'OLD, N~ Y. BUILDING PERMIT (THIS PEP~IT MUST BE KEPT ON THE P~E/~ISES UNTIL FULL cOMPLETION OF THE WORK AUT~IORtZED) ' " N°. ~:1971 Z Permission is hereby granted to: ~..~.. · :-. .. ."='- '- ~::- - ':~' ~ : ,~,>,..~......:~....~.~x~:.:.~:~...?.... ...................... CounW T,x Map No. lO00 Section. ~:~.... BI~ ~ ~t No...~.~ .. pursuant to application dated .;.].~ .... :, ... and ~approved by the Building nspector. Fee $.,.{..:,, .............. Rev.~ 6/30Y80 FORM NO. 6 TOWN OF SOUTHOLD IBu iJding Department Town Hall Southold, 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 aH 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 s~milar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer re~onsible for the building. 5.Submit Planning Board approval of completed si~e plan requirements where applicable. B. For existing buitdings (prior m April 1957), Nonmonforming u~s, or buildings and "pre-existing" tand uses: 1, Accurate ~ey of peeperW showing all property lines, ~reets, buildings and unu~al 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. C, Fees: 1, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5,00 3. Copy of certificate of occupancy $1.00 New Building . .~ ..... Old or Pre~existing Buildin~ .~ ......... Vacant Land ............. House No, Street ...... County Tax Map No. 1000 Section Subdivisio~ ........ , ......................... Filed Map No ........... Lot No .............. Health Dept. Approval ........................ LaBor Dept. Approval ........................ Underwriters Approval · ~ ........ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...~. .................. Fee Submitted $ ~ , ~ Construction on above described building and permit meets all appt~able codes and regulations. 1001093 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1D~ BUREAU OF ELECTRICITY ~- E5 JOHN STREET, NEW YORK, NEW YORK 1003~ Va~. March 22, 1983 ~..li~a,lo., ~o. onJ'ile 199719--$3 N5 9 6 ? 6 6 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application nu other irt the pre,rtises of lit. Achzlles otachciaris~ Carole P~., $outhold~ ~.Y, in the following locatlon; [] Basement [] Ist FI. ~] 2nd FI. Section Block Lot was examined on ~If~'C~l IL 7 , 198~ and found to be in complia,ce with the requirements of this Board. FIXTURE OUTLETS 6 DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS SWITCHES 8 FLUORESCENT SYSTEMS E R V I C NO OF CC, COND A.W O A W.O. NO. OF NEUTRA PER ~' OF CC. COND OF HI-LEG OTHER APPARATUS: KlecCric Roan l~aters:l-2.5 K.W., 1-2.0 K.W., 1-1.5 K.W., 1-.75 I~W., 1-.5 1-~oke l)egec~or 1-G,F.~. AWG, 42 O [~ell Lane Cutchogue~ N.Y., 11933 Li~,#2941 : ~ . .. Per, ' '~ ~ ~ Thru cerhflcnte must not be oltered in ony manner; return to the offce o~ the Board i~ incorrect Inspectors -~- ~- :~--.:[:_a ~ ...... . ~--'.- -~ u~,~V~ DEPARTMENT. THIS COPy OF CERTIFICATE MU8~ N~T BEALTE~ED IN ANY MANNER. YIELD INSPECTION COMMENTS ~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY Q,ODE FINAL ADD.ITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180~ Disapproved a/c. ' "~ .'. /' (BuilSing Inspector) APPLICATION FOR BUILDING PERMIT application No. ,(.'7. g./7..¥ ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre., or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apg cation. c. The work covered by this ,application may not be commenced before issuance of Building Permit. d. Upon apprc:al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern 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 Certgicate of Occupan sball bare been granted by tile Building Inspector.} APPLICATION IS IIEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constructiou of/buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and inspectors on premises and in y ulsr~ecrlons. /.---D admit authorized buildings for necessary ins ections.~. (Si=nature'm,,, ' ~ '~" ~of applicant, or name, if a corporation) · ' (Mailing address of applicant) State whether applic:mt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bnild, Name of owner of promises ..... . ./.~.a.,'..//C~'.. ~.~.~. ~.c.fS...~/.~../7. z'.,15. ..... ' ........................ : '(as on the tax rolt or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ ~....f~. .............. Electrician's License No...~...~. .... .~. ....... Other Trade's License No ...................... 1. Location of land on which proposed work will be done... ~. ~. ~ b...o/,z¢ .o. [4..~ ~g .% . ..................... House Number Street Hamlet County Tax Map No. 1000 Section --~ ~ Block Lot Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. Sta~e existing use and occupanc7 of premises and in:cured usc and occupancyof~oposed construction: /Z a. Ex st ~g use and occupa ~cy ....... ~.~.l~.h~.~. .... ~ .~..' ................... b. lntendeduseandoccu,ano, , e ~ ~,~.q'r~..L W/ Z~ ~ ~' ;. Nature of work (check which applicable): New Building .......... Addition · .,.:).. Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... : ~../D~,~__~d (Description) Estimated Cost ................... Fee .......... (to be paid on filing this application) ;. If dwelling, number of dwelling un2its .... .~ ....... Nnmber of dwelling units on each floor ................ ). I. !. [. If garage, hum her of cars ........................................................................ If business, commercial or mixed qccupancy, specify hatnre and extent o f each tyEe Of use .............. D ~ensio'nsofexistinestmctures, ifany:Front ... ~/~.~../ Rear ~..5 .... Devth..~. / .. Im~ht .~ ........ ~...NumburolStones ~ ............................. Dimensions of same stn~cture with~ alterations or additions:/Front ... ~ ~ ......... Rear . .~. ~ ........... Depth ........ ~ ~../ ........ ' Height ....... ~.~.., ........ Number of Ttories ... ~ ................. Dimensions or .:ntir~ new construc:tion: Front ..... ~.& ( .... Rear ...~. ~ .t. ...... Depth . ~..( ........ Height ......... ~ .... Nt nbdr of Stories ..'~.~.. ~de ~ ~ ........ ' ..... Siz;ofIot:Front .... ~.~¢.~.. ......... Rear .... /~.~.('~.~..~. Depth .~.~..~ .... [~.~. Date o'f Purchase ....... /.g.~.]~ .............. Name of ~rmer Owner ~r? ~.. ...... Zone or USe district in which premises are situated ........... ~...~ l ~e~*l & ....... ' .................. Does proposed co ~strt ct on v olat~ any zoning law, ordinance or regt Iation: . .~ ~ .................. ~ ill lot be regraded ...... ~.O.'~ ................. WEll excess fill be removed from premisesk Yes Name of Or:ncr of premises . · ...... ehone Name of Architect 'M ......... ~ ............... Address ...... '...: ......... Phone No ................ Name of Contractor ~.~.~.~. ~..~.,~n~ ..... Address ~ ~T~' ~ ~q'e .... Phone No. ~ PLOT DIAG RAM Locate clearly and distinctly ail b{fildings, whether existing or proposed, and. indicate all set-back dimensions from · roperty lines: Give street and block nu[u:ber or desc~p'tion according to deed, and show street names and indicate whether terior or corner lot. rATE OF NEW Y~R~j being duly deposes and sa5 s that he is the applicm~t (Name of indMdual signin~ contract) )ore named.. e is the .......................................................................................... (Contractor, agent, corporate officer, etc.) ~ said owner or owners, and is duly ~uthodzed to perform or have pe~;formed thc said work and to m~e and file )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the rammer s~t forth h~ the application filed therewith. yom to before me th~ ~ . Cta~ eublic~~..~~..... County ~. ' JUDITH T. TERRY, ~ ~ . NotaCJ Public, ~tc, te of N3w York _ ~ m ~.~~ ~m]ssioa ~pires Maro~ ~0, ~ . ~ (Signature of applicant) iI , NOTIFY BUILu,, Tr~M FOR FOR puu~ & pLUN~BING 2. ROUGH - FRAMING 3. INSULATtO~NsTRUCTION MUST 4. FINAL - ' BE comPLETE FOR C. 0