HomeMy WebLinkAbout11828-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildinq InSpector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18111
Date JUNE 13e 19~9
THIS CERTIFIES that the building
Location of Property 225 MkPLE STREET
House No.
County Tax Map No. 1000 Section 42
Subdivision
ADDITION
Street
Block 1
Filed Map No.
GREENPORT ~
Hamlet
Lot 16
Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 28, 1982 pursuant to which
Building Permit No. 11828-Z dated JDLY 29, 1982
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 ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to
HENRY & MILDRED CORAZZINI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-070566 - MAY 8~-1989
N/A
Inspector
Rev. 1/81
BuILDiNG , ~
T0WI~ HALLi
$ou~rHO~D, N~. y.
'-, ERtl1.
BuiLDING P,
(THIS PERMIT MUST BE KEPT ON:~HE
11828
permission is hereby granted tm
:S UNTIL i;ULL
COMPLETION OF THE WORK AUTHOR ZEd) ~;,
Oote..~..~.~,., .~' ~Z..., ........ ,I,
c~f i~remises
CoUnty Tbx Map No. !000 Section ..... ,(,
pu~uant to application da~ed
Boiidlng InspectOr.
~eel $ .............
LOt No. ~,/,~ .............
and' approved by the
TOWN OF SOUTHOLD
BUILDING DEPARTNENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE ..........
HEW CONSTRUCTION .....~.-OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Location of Property ~[.~.~..~..; ff~ ~2~'
HOUSE NO.' SYREET
Owner or owners of Property..~..~..~.
.........,. ............
couoty Tax Map No. 1000 Section ..~.~.. Block ..a/.... Lot ~ r .~.
Subdivision ....................... Filed Map ........ Lot ..........
" Permit No Date of Permit
..................... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ ~-~' ~
APPLICANT. . ........
rev. 10/14/88
l:HE NEW YORK BOARD OF FIRE UNDERWRITERS
L*I '~l ! ?- BUREAU OF ELECTRICFT~
~'- BE JOHN STREET, NEW YORK. NEW YORK 10038
~ HAY 08,1 8 ~ ~pptic=~ion~o. onflte 6i620~8~/89 N 070~6h
THIS CE~IFIES THAT
~y t~ ~t~ ~u~nt ~ ~ ~ ~ int~ by t~ ~t ~ on t~ a~ ~pl~t~ numar in t~ p~s of
HRS. H~NRY COhAZZINI, 619 MAPh~: ST., (;RggNPORT, N.Y.
ia t~ fol~wing l~ation; ~ ~nt ~ I~t Fl. ~ 2~ FI. OUT ,~tlon Bilk
~s examined on ~ ~ ]~ ~ ~ ~ ~ ] ~ ~ ~ and found to be in compliance with the requirements of th~ ~rd.
RXTUIm IqXTURES FAKES OVENS EXHAUST FANS
O~T~/el'S FLUORESCENT OTHER
SERVICE DISCONNECT
OTHER APPARATUS:.
S E R V I C
2
SAGE & bADg~RNN
P.O.BOX 1768
8OUTHOhD, NY,
This cerfificme must not be oltered in uny munner; return to the office of the ~oord if incorrect. Inspectors mo¥ b~ identified by their credenfiuls.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date ~/(~'/~. 6(; don;
File No ................................
To .. ?.~?. ~..~.-~../.'~( ./ ......
,.. . '. . . ,, ...........
........... /./?: ~g __~
/
PLEASE TAKE NOTICE that your application dated ...~..~.~.~. ~ . .~.~.~.. ........... 19 g..~..
for permit to construct ~4 .. at
County Tax Map No. 1000 Section .............. Block .............. Lot ..............
Subdivision ................. Filed Map No ................. Lot No ..................
is returned herewith anti, disapproved on the }911owing grounds ~.X~7~.:.~..t~.. ~.'.D...
, ?.z', // /
cv .~../v .~.w:.. :~/,~'...~-7. ~ c~:.,7.~.. 7 ................................
//Building Inspector
RV 1/80
FI~D INSPECTION COMMENTS
FOUNDATION (1st)
FOUNDATION
ROUGH FRAME &
PLUMBING
(Jnd)
INSULATION PER N.
STATE ENERGY
qODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 1197;1
TEL,: 765-18013
Approved ...............
Disapproved a/c p..d..O~...~.~A..//-~. ........
Application No.././..~..~..o~. ........
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 stxeets
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 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, ai~d regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections. /~
/d
~(Mailing address of appli~nt)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nmne of owner of premises .... ~ ..........................................
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. (Pix FUWF< to
Plumber's License No...~..0..../~..~.~/)~/,~/.v.~..
Electrician's License No./..~..(o..~...E ..........
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
· / ................ ................. ....................
House Number d Stree%/~ ;~ l~lTamlet
· ' , 'oar -- × OI , x 0 /
y,,, Cohnty Tax Map No. 1000 Section ....... /.... '.~.-~.. Block ...... ' ............ Lot ........ ~. .........
'Subdivision..77./'/77~ .?..~. !6..t~...c~.J'. ?.~. ?-./.~-. ~ .J .t~...~. Filed Map No... ~;~.~.. t .... .~. Lot....~.' O ........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction!
a. Existing use and occupancy ~t~/(//{T~"-- dP./~.~-- f2/~4 {/.-.~.ff d~bjk~/_.,L~{/~'~r-
~C A ~ ~. . .w. ( 7.0 ' '
b. Intended use and occupancy ............. ./+...~.~. r..-C. (. O...~'.. ~ ..., ..............
3. Nature of work (check which applicable): New Building Addition. ../~......
............. Alteration . ...~.....
Repair .............. Removal .............. Demolition ........ Other ~ork ...............
4. Estimated Cos .......................... ~.'.. Fee ..............
(to be paid on filing this application)
5. If dwelling, numberofdwellingunits...~. .... Numb r of dwelling units on each floor ................
If garage, number of cars .... ! ....................................................................
6. If busmess, commercial or mixed occupancy specify nat.ute and extent of each ty2e of use .......... , ..... ......
7. Danenslons.l:ff~xlstlng structures, if any: Front..~../~......'~. .... Rear . . . ~. ~. ....... Depth .~?. ~ .........
Height . ./.~.. .......... Number of Stories .... '~).~'../~.... ¢.~..t ~'.~ . ../~..'~. ~..C.r~.. ........................
Dimensions of same structure With alterations or additions Front .~:..6(. 7..&~..~ ....... Rear .4.2'.f ............
' ~ ~ ' ' ' .... Number of Stories... ~..~..t.-.'~t~j/~t. ~..~.
Depth .. ~ ~..."/7... ~.~ ..... ,;'" Height. "'/' ~ ........... ~ 7 r
8. Dimensions of entire new construction Front ../. 77 .......... Rear .. [ ............ Depth ...-~../. ........
Height .. ~r...~. ........ Number 6f Stories ...(~.../~..~.~...., ............................. , .............
9. Size of lot: Front . .~.O..~ ............... Rear., . .,~'..O..'. ............ Deoth . ./?..~.-..-~'.. '2 .........
lO. Date of Purchase . ./.g.Q~/.~... i" ............... .,.. ,~a~.:~f~Former Owner . .~,/~.t .~.~..~..~.~. 7~.-"~ ........
11. Zone 8r use district in which premises are situated..~ . . I,~ ~...~.G...~j.~. r ................................
Does proposed ' ' ' ' ' ordinance or regulation:
12. construction violate any zoning law, ............................
13. Will lot be regraded ..../~C.Qj. ...... z. .......... :. Will exce. ss fill be remroved from premises: Yes .
14. Name of Owner ofpremises~H~-A[~.~r.~9.~6.~.4d.A2/Address .6.(?...t~.ftLt-.c[. ?.T..PhoneNo....-.....-...."~'7'~""~.~'~'F-'"
Name of Architect ..... .~.. ~. ~..v~..~. .............Address ................... Phone No.
Name of Contractor .... ~.4 ~-'- ......... Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
lines. Give street and block number or description ac ~ordmg to deed, and show street names and indicate whether
or corner lot.
, !
STATE OF NEW_YORK,
COUNTY OF .~. iqF. ~.oP:L~.--... ' S.S
· f~ ...... - ...................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the....~..~.)~..C~. . .~-~.Z ..~g. ti~.D ~:7 .P--~-~ ..........................................................
(Contractor, agent, corporate officer, ~tc.)
of said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this
applicationi that all statements conthined in this application are true to the bgst of his knowledge and belief; and that the
work will be performed in the mann6r set forth in the application filed therewith.
Sworn to b6fore me this . i .
........... .... dayot .......
J Nofary'Public, S~ate o{'tq,w Y$!~, . . .,/..t~.'~.T..~C, .................... ,L.~"...~ ~.....-. ~-.~-,
No. 52-0344963 Suffolk ICount~/z,9 (/ ' (S~gnature of applicant)
Commission Expires March 30, 19J/.~ ' '
Y!
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