HomeMy WebLinkAbout11763-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.Z. ~2624 Date July 20 19.8.6
THIS CERTIFIES that the building A d d i t i o n a i o f f i c e s
Location of Property 33150 Main Road Cutchogue
House No. Street Hamlet
County Tax Map No. 1000 Section .09.?. ........ Block . .0.2 ............ Lot 014
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore f'ded in this office dated
·.. ~l.ujn. e.. J .6 ........... 19 .8.2. pursuant to which Building Permit No. q q 763Z
dated ........... .6.u.n.e...3.0. ........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 .........
Additional offices on existing real estate offic~.
The certificate is issued to Agatha Abatelli
(owner,~ g/X~q~{~ X
of the aforesaid building.
Suffolk County Department of Health Approval ..........................................
UNDERWRITERS CERTIFICATE NO ...... ~..6 ~ 18. 6. .0 ...........................
Building Inspector
Rev. 1/81
Per~nission~ is hereby gran~ted to:
BUILDINGS; I~ERMi~
(THIS PERMIT MUST BE KEPT 0N ~H;E PI~,~/~'~S UNTIL iULL
· --'~--='--AUTHeR ZED)
COMPLETION OF THE WORK
~ ~o~e '~.. ,...,.,.~.e......,~...~..~ ................. ,,~ ......
tO
Fee;
Rev., 6/30780
xr77~,
~.:..,!Lot NO. :~,./.. ..........
;.Z:;,: 19 and approved by the
PHILIP ~V',/. ABATELLI
EAS-I
TOWN OF SOUTI~OLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
April 3, 1984
TEL. 765-1802
TO Whom It May Concern:
Please be advised that the property located at District 1000,
Section 097, Block 02, Lot 014, owned by'Agatha Abatelli, has no
Certificates of Occupancy on record. There is a building permit,
# 11763Z, issued on June 30, 1982 for permission to construct
additional offices on existing real estate office building. To
obtain a Certificate of Occupancy for this addition, a final
inspection must be approved by the Building Inspector. If
electrical work was done, we would need a copy of the Underwriter's
Certificate. Applications for C.O. are attached, and the fee
is $5.00. (Location: 33150 Main Road, Cutchogue).
Sincerely,
Victor Lessard
Exec. Administrator
VL:ec
Attch.
FIELD INSPEC~ION COMMENTS
FOUNDATION
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
QODE
FINAL
ADDITIONAL COMMENTS:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THA~'
only the el~ctric~l equipment az described below and introduced by the applicant n~n~ed o,~ t, he above eppllcatlo~ number in the Premi'ses of
A. Ab~telli, ~aln road~ Cutchog%~, N.Y.
~n tbe follow~.~ lo¢~,~o.; [] B.se,.e.~ [] ~st II. [] 2nd Fl. $~c~o. Block Lo~
wos examined on J~l~ ~ ].~ .~ / 'J-9~'~ and fox,nd to be in compliance wSth the requirements of this Board.
FIXTURE ~E / FIXTURES [ RANGES COOKING DECKS OVENS DISH WASHERS E×HAUS¥ FANS
OUTLETS CEPTACLES SWITCHES NCANDE$CENT FLUORESCENT
DRYERS
OTHER APPARATUS:
(NOVISUAL D1,]~_E~_~ "~ Electrical Survey h~ l~en u~de of the ezposed electrical eqaipment
~r-[ ~.]~'~ p--r.~~n~.-~.s-~ indicated, "No obviou~ unsatis'D~ctory condition wm~ fotmd.
Agatha /hbace lli
Main P~)ad
Catchogxle, N.Y. 11935
50,00
AMOUNT
ELEASE REMIT BY CHECK OR MO~EY
ORDER TO THE ORDER OF THE NEW
YORK I~OAED OF FIRE UNOERWRITERS
AS CASH SENT BY MAIL WILL BE AY
1l
THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMP&lANCE. THIS B LL PAYABLE AT THE NEW YORK OFFICE 85 JOHN STREET NEW YORK N Y 0038
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL ·
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined..-:'?~../( .~. (.) ....... ,19d~.~.~
Approved.· .-~..(.J ...... , 19 .~¢¢).~Permit No.././'. ..d.
Disapproveda/c .... f.--~."i-...~'~. .... ''-'7'"'~")'/
................................
(Building Inspector)
APPLICATION FUR BOiLDiNG'PERMtT
INSTRUCTIONS
Application No..d'.//~..~'7. ........
a. This application nmst be completely filled in by typewriter or in ink and submitted.~:;~!_.'.:at~- to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan sbowing 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 applb
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 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, building code, housing code, and regulations, and to
admit auth6rized inspectors on premises and in buildings for necessary inspec~
g (Signature of ai~plicant, or name, if a corporation)
..., (Mailing address of applicant)
State whether, applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of'!Sremises .~..-~...CK~C~'-' -- .... ~r~?k ............................................
(as on the tax roll or latest deed)
If applicant is a corporatio~h signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No.. ~.Q% ."~..(,~....~../ .........
Plumber's License No.. ~/.~trJ'dg2qY2. ¢:~..~-.~..~ ~'~
Electrician's License No.
Otber Trade's License No. ~ ~
Location of land on which proposed work will be done: 0 ...... ~ ........... : .............................
· .................. ......... 1
Itouse Nnmber Street Hamlet
County Tax Map No. 1000 Section ....~. '.'~. ........... Block .~. .... Lot...[.4. .............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... ~ [ ~.. '-~' .............................
b. Intended use and occupancy ...... . . .(-~C~.Cz~-..~. ..............
3. Nature of work (check which applicable): New Building .......... Addition ....r'~..... Alterati'o~, ...... ;.,. :.
Repair .............. Removal .............. Demolition .............. Other Work ...............
(D 'i;r )
. e escn ,on
4. F, stimated Cost ....... ¥-[ cn, . ~ } ~-(,-~,(~). .......... Fe ....................................
(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. Dimensions of existing structures, if any: Front... ~ ~ ........ Rear ,,. ~ ~ ....... Depth ., ~O .........
Height ....~ .......... Number of Stories .... \ ...................................................
Dimensions of sgme structure with alterations or additions: Front ..... ~. ....... Rear .... ~'~..D~. ..........
Depth ..... ~'~. .......... ;,. Height ..... ~ ............... Number 5Stories ...... [ ..............
8. Dimensions of entire new construction: Front ..... ~.~r~ ...... Rear .... ~ ......... Depth ...} ~ ........
~?ight . . . .~ .......... Nurllber of Stories ...... .~ ...............................................
9. Size of lot Front . . .~J-~: .~g. ......... Rear... BE> ............... Depth ..............
10. ~ . . '
Date o.f P ~rcbase ............................. Name of F,~rr~er Owner ............................
1 1. Zone or use district in which premises are situated ........... .~. ~. ............ (~ ......................
12. Does proposed constructinn viol}~e any zoning law, ordinance or regulation: ....... .~..C)... ...................
13. Will lo.t be regraded ........ ~k~(~ ................... Will excess fill,b~ removed from premises: _ Yes No
14. Name of Owner of premises{.~ .G.~r~(~l/. Address ~. :~--~...~,..~_...~..... Phone No.~'Y/..~. 7.~.C).C2.C)....
Name of Architect . .~l~%\t~...C~.(~ ............ Address .M.l~c6~_~fi..c'~ ..... Phone No.~..~.5.Z .~.~.
Name of Contractor q3(XP~-~x,f:~ .~. (+..-C~ ........... Address 1.~&'~. ~"~°~,~a'~ i.~... Phone No..q[~)~..-.~.~..
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. ,~')~L~. C~,~.~-{~( C-['.
STATE OF, NEW YORK,
couNTy OF ..... , ......... : S.S '
..... .~..~...~f..~...~.,./.( .C~../.~2.~. ...................... being duly sworn, deposes and says that he is the applicant
(Name of individual s/gOing contract)
above named.
He is the ('~ ,~7~.l~(-~O~- '
(Contractor, agent, corporate officer, etc.)
of said 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 contained in this application are true to the best of his knowledge and belief; and that the
s~wOrk will be performed in the manner set forth in the application filed therewith.
om to before me.this
............. 71 .... .... , ........
Notary Public, . .~... ounty
,.
iKiIAIW PUree, state ~ m~w Y~ ~ .... ~ ..... ,,... ~ .........................
~. ~2.468oo~, '~ (Signature of applicant)
: Qu~f~d in ~ffOtk Count~ J~,f
~~OCCUPANC¥
6CCUPANCY 9il ""
USE IS UNLAWFOL
WITHOUT CEIITIFIChlT.. ""~ t'- -" ~
AP~'R~)VED AS NOTED .-;
DATE~.~ B.p.I.~ J/~6/.~'
NOTIFY BUILDING DEPAR~NT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
,'l. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
9. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUS~r
BE COMPE~TE FOR C. O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N. ~'.
STATE CONSTRUCTION & ENERGy
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONBTRUCTIOI~ ERiP. QRS.
Z
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