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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! ,,I t II