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HomeMy WebLinkAbout11742-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z132.1.8 ......... Date ...... S~.pterab. er. 2.4 ............. 1982. THIS CERTIFIES that the building ................................................ Location of Property . 25.0 .............. Par.afl J.~ · Po.tn t;. g.oad ....... S.Qu l;ho.ld .... House No. Street Hamlet County Tax Map No. 1000 Section . 0g~ ....... Bldck .03 ............ Lot .005...002 ........ Subdivision .... X. ......................... Filed Map No... X ..... Lot No .... X ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... d u n~ .3 ........... 1982. pursuant to which Building Permit No...1.1. ? 42..Z ........... dated ..... Jun~. 16 ............... 19.82, 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 ......... ...... ~..DriY.ate. ~no .-family..dwO lJ, J,~gf. ~£th. a.~tach~fl, gtl.~.ag$ .............. The certificate is issued to ..... Thom~a. J.,. ,& DolQ~'O~..Qar~.q ....... (owner, le&~?_f,!,t, ed.2oz~ ................. of the aforesaid building. - Suffolk County Department of Health Approval .. ~ 2.--.S O.-5.~t ~. 9].~q ~82.~.. ]~9~.t~ ~. ~....~. ~.q, UNDERWRITERS CERTIFICATE NO .......... P~t~ Sng ............................... Building Inspector Rev. 1/81 BUILD!N~G I (TH S PERM T MUST BE KEPT ON ~H,E PRE/~IS~S UNTIL ~ULL COMPL~ION OF ~HE WORK A~THORIZED) ~ ~ 1742 Permission is hereby to~ at premises located at ..~..~... ...................... , ..... C~%,' ........ T~x~ ........................................... Mop No. 1000 Secti°-~-~...~..~..~.,.~......!:.' ............. ~ ...... '~'""*'"~";"~"*'Bl°C~ ii..~i~"' ............ ........ · iilLLot'~' ......... NO. ................... ,~.,,..~.'.,.~..~t,, pUi~sUant to application dated ..~.~.~...~........,....~?~..~...~.;~..~...,~.. .... 19~and approved by the, ~ Fee Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Bui~dJng Departmen[ Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subr~itted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of propertv with accurate Iocation of all 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 buildings and installa- tions, a certificate of Code compliance from the Architect 'or Engineer responsible for the building. 5. Subm[t 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 peoparty 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. / Co 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 ? Date ..... New Building ...'.~.. ....... Old or Pre-existing Building(X) ......... = rVacant Land Location of Property . ~ .~ ~..~ ......... County Tax Map No..1000 Section ...... ~ .~ .... Block ,, Q. ,I, ......... Lot. ~, Subdivision ................................. Filed Map No..,; ....... Lot No. ........... of Permit . ~ '~ , Health Dept. Approval ........................ Labor Dept. Approval ...................... Unde~riters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate' ........ - ....... Fee Submitted S ............................. Construction dn above described building and permi[meets all app~cable_,co.des and regulations. Re*, 10-10-78 FIELD IN~S?EC~ION COMMENTS FOUNDATION (1st) FOUNDATION 2o (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY o FINAL ~DDITIONAL COMMENTS: FORM NO. 4 TOWN OF SOU'[HOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N.Y. Certificate 0[' Occupancy No..~]092.q ......... Date ,.. Hatch 23 ]982 THIS CERTIFIES that the.l, qt, ·,-'--.- .............................................. Location of P~op~r~y . .~50 ............. P.a.r.a.¢~pp..P. qi..n.t..R.qa.d.... Southold Ho,, No. st,e ................ fi Count), Tax Map No. I000 Section .. {)9..3 ....... Block .... .0.1 ......... Lot . .0.0.5...2. .......... SubdMsJon ...... X Fried Map No.- X .Lot No. X conf6rms substantially to the applicable provisions of the ZoningS... Code of the Towm of Southold. The premises are located in the ....... 'A".F, esidenti.~l-Agricultural Zone District and may be used.. £or such uses as are presently authorized by the Zoning Code in such. district ~uboect to, however, all o£ the requirements of the Zoning.. Code· This lot has access from Paradise Point Road, a Town maintained street. ']"J'~cccz'~JficateJsjssuedlo ... Richard R. & Mary A Lindsay (owner. Z--~.,D*.F~.c~-t) ..................... of {he aforcsMd .~..- Bu[]din~ Inspector 516-842-6660 TRIO WHOLESALERS, INC. Sept. 9,1982 TO WHOM IT FiY CONCERN: Please be advised that we have on order 13 white storm windows for Forestwood Homes. The job location is Paradise Point Road and Cedar Beach Road in Southold Long Island. Delivery from the factory is expected sometime during the week of Sept. 20th. We should have the windows installed either late that week or early ~he week of Sept. 27. If any other information is required please contact the writer. Yo_ur s truly, Don Levin DL:np STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR '~ THIS..~,ESIDEHCE. WILL CONFORM TO T~Ei~STAN~A~[~S ,OF THE SUFFOLK CO,'DEPT?O~ H~ALTH APPBOVED: SUFFOLK CO.' DIST. ' SECT: ~ooo . ;93..~, ~." OWNERS ADDRESS: DEED: L. TEST HOLE I::'bRM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 E.,amined...~.O.'7..C...t.4...., 19 .FT.'-/ / ^pproved ..TT<~../.4 .... ,19~.~ermit No.../..d~.4 ~ DJsappro ed a/c .................................... / , (B' ~uilding Inspector) APPLICATION FOR BUILDING PERMIT Appiication No. ff./' ~..~..~. ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted :t, -~Mpli~a~ to the Buildin~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Pict plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street_. or areas, and giving a detailed desm4ption 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 permi: 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 Occupanc.x shaJI 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 o: 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 tc admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicafl~t~ or name, if a corporarion) State ~vhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nmne of owner of premises ~.' .~...~...~TL'.~ .~...~.:..'°PFLZa~...;.. ~r--.2 ...................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . ....... ~ · q(Name and title of co.orate officer) Builder's Licens~ No .......................... PIu nber's License No Other Trade s Ltce xse No ...................... 1. Location of land on which proposed work wilt be done .................................................. ..... .~..,,~......~.& .~.....~--~,,~..~:~. ?.?,..,:~...~. ..... .< .~..~..~.,..~¢... ,~ t .-?~. X ............. House Number &.5'-'~ Street ~,"~-~.£..t.~L~7- ?'----*~ Hamlet County Tax Map No. 1000 Section . ..*, p.-~ .......... Block ,.0./. ............. Lot. ¢9, ¢. ~ .~.77.~: 9. ,~ .2.~., Subdivision ..... ~ .............................. Filed Map No. X'i ............ Lot . '/( ............ (Name) ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: .. , · ........................ a. Existing use and occupancy ......c)-~. :cL....~..~7,..,.~z.': .. ,,,tmi~ m ,, or}c tcnec*: wlncll applicable): New Building .......... Addition .......... Alteration ~ ........ Repa r .............. Removal .............. Demolition .............. Other Work .............. ~ '"- .~i ~ (Description) 4. Estimated Cost .,5.~...o?-:~.. ?. ' .............................. Fee ................................. . ~ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units . .c..-"'~5..f5 .TL'?.':'.C[.. Number of dwelling units on each floor ........ If garage, number of cars .... O'rk-q._~ ....... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . .z~-...' ............... 7. Dimensions of existing structures, if any: Front / .'T'... ............... Rear . . "'" Depth Height ............... Number of Stories LWI,~---- Dimensions of same structure With alterations or additions: Front ................ Rear ~'"'. Depth ...................... Height ............. ' .... Number of Stories ..................... 8. Dimensions of entire new construction: Front . .~.,~ .~ .... Rear .~ 3.: ......... Depth . Height ,,. ............. Number of Stories 9. Size oflot: Front /.4'.0. ....... Rear l( ~pth -,,:,x'/qP. ................ " . .... ................ - .... 10. Date of Purchase ' '"°~"'°m-~' :/~ ...... Name of Former Owner ~, ~_~x'-~,w~.,.-, . , , I 1. Zone' r use district in which premises are situated ............. ' ..................... 12. Does proposed conktruction violate any zoning law ordinance or regulation.:q,,~ ................ 13. Will lot be'regraded ..... q~ ..~7 .................. Will~xcess fiI1 b · 14. Name of Owner of nr~mi~*~ ~/,~7'Je"l~°~ (~.~,~-e°~--'~ ...... ~ ~ ,, e removed from premises. Yes No ,, ~. -- ~--..,:=.~ ,,S:,.%q4,?.-v ..... -~. ,. .... ~aaress ~.q~ .7;...~:?~.er~..o~. ,tx-'----~'0- Phon~ ~q,~ p~ame ct/~.rchltect ...'1~_..~l :c.,,..~.~l:.. . ,6.~ ::E~a,,4~-n,~,.','~j ~' ' ' ;,7-"' ~1'~' '.;/A ~.~"d, 2,'4 'z~-' Name of Co,,~-o,-~ ~-57,., ,, ,$, ~q/A,-t'a't' ................ .:t_' :- ..... ;.-,:l.'..rnonerqo..'T./.o.: ,'.9. r.4... "7 .... or . .z-. ¢-,-,. ~-w.-....q .~.~ .<~;L!~.~.... Address . .,~ ~X-, ~ 7'¢'Z~-.~.~. t'.'.. Phone No.y.Y,-.li': P.?~../ .... 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 NEW YORK, cousTY OF.. . 1C ...... 'i 13. .g>., ._5 ~.SD J5 ...... ~. ~ .D2.1. r ~ . being duly sworn, deposes and says that he is the applicant (Name o~individual si~nifig contract) ' ' above named. He is the ............. - ........................... .' ~ ............................ ~c~p~[~r,~y~s, an~ ~s ~1[ au.t~to~rm or have perfomed the said work and to make fih's ~ ...... ~,, u.~, ,., ~a~ements con,ned work will be ~erfo~ed in the mnnnnr'e~* ~ .... · ~¢' ,, -'.7-- ZF5 ....... ~t m ms ~now~eage ann ~ehef; and that the - , .............. t tu~m in [ne application Hlea therewith, ~wom to before me tnis . ~RI~L~C, ~ of ~ ~ // v " ' ~ ............................ ~. ~m~as0. s~ ~ c~,/ ~ (Signature of a he~t OCCUPANCY OR USE IS UNLAWFUL WITttiIIIT ~CERTIFICATE OF OCCUPANCY ~.~'TROVED AS NOTED NmfFY BUILDINg. DEPARTMENT AT 765-1802 g AM TO 4 PM FOR THE FOLLOWING INSPECTION';: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2,ROUGH - FRAMING & PLUMBING 3,INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C, O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. -i