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Home My WebLink About12228-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ...... .~ 9.d.5; L. ~..o.n.. ~. 9..e.x. O, .~ .~.i.n.g..d.w.e. ~ ~-3.qg ....... Location of Property 780 Fetty's Drive Or.i~p.t. House No, S~reet Hamlet County Tax Map No. 1000 Section ... ~. 6. ....... Block ...... .~ ........ Lot .... 5 · .0 .......... Subdivision .... ~.e..~ .~y.'.s...~3.gb .~ ............Filed Map No. 5.~59. · .Lot No... 2 .......... conforms substantially to the Application for Building Permit heretofore fried in this office dated ·..~.a?.c.~.. 9 .......... ,19 .0.3. pursuant to which Building Permit No... q. .2 .2 .2. 8. Z. ............ dated .... .~ p?.~.~...6 ................ 198..3. , 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 existin~ dwelling The certificate is issued to GIANFRANCO AND EUGENIA MONACELLI ..................... 'f4 'f ................... of the aforesaid building. Suffolk County Department of Health Approval ...... ~ ./.h ................................. UNDERWRITERS CERTIFICATE NO .............. ~ ~.6.0.5. 9. .6.9 ........................... Building Inspector Rev. 1/81 N? !2225 SUlLD~NG D£PARTMI~N$ TOWN, HALl. BUILDING PE~IT: (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL iULL COMPLETION OF THE WORK AUTHORIZED) Z Date .:.~?..:k ................ i ............. ; ............. , P,rmis$ion is hereby granted ~ ' / /'~ ~' ~ ~ ...... ~ ~. ., ..... c ;,.; '":~"'w~,'~'"; ~ ~ ~ i, t p m a · ./ ....................... ,--..,-~ ............ ~ ................. ~ ......... p ........ ..~,~,....~:.-~ .................... ~.....~....~ ............... :....~.~ ...... ;;~ ............ . ........................... '". ~ o~'¢""'" ""~j '~ ~F~'- ~oun~ T~x ~op ~o. 1000 S,etlon ...................... 81~k i;..4~ .............. 2~t ~o. ........... : ............ Building: I~spector. , : ...... . ........ ..,:...,~~ .................... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 all buildings, property lines, streets, and unusual natural or topographic featu res. 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 instatla- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5, Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~Coperty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .......................... .... '~ ........ Vacant Land ............. New Building ............. Old or Pre-existing Building Location of Property House No, Street ' ' ~l~m~et County Tax Map No. 1000 Section .... ./.% ....... Block ... ?.~. ~ ....... Lot .... ~'~,..CP.. ....... Subdivision ..... .~..~:.~'..~l'..~....~..~.~..~. ): .,...Filed Map No. :.~. ~. ,~...Lot No... ~ ......... ~'?'~-'~{' gate of Permit .~/~ ~: Annllr~nt ~'~7 L~C//~ 0/~' ~%/(~, ..... Permit No. / ....... ~, /~,~. ...... ~. .................................. Health Dept. Approval ..... ?.~ ................ Labor Dept. Approval ........................ Underwriters Approval..~¢,.O. ~ .~.(¢.? ............ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .:. .................... Fee Submitted $ .... :: .O..O ................... FIEL~ INSPECTION 1. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CDDE FINAL DATE COMMENTS -.f~ '~: 7~ / ~ ~ ~x c~ /~ ~~ ADDITIONAL COMMENTS: m~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No. .~./ .... ~.~...-~.~. ~... .' ../C/~. ~. · .... ~/:~ PLEASE TAKE NOTICE that your application dated..~~..~ ........ ,19~. for permit to construct..~./..r~../Q/.. ~ ... at Location of Property ~t~:~d~o......~..///~?./....~..'... ~r~i ...... ~. ~:7'..Z'~/~..~.' ' '~"'~'t~lei ..... Subdivision...~~.. Filed Map No. . ~:~: '~2;;2 .... ~...}~ ~: is returned herewith and disapproved on the foHow~g ~ounds ~~x. ~~~7 . eo~~~../,.~.~..-.. ~~... ~....' ~ .... . .~.¢... ~~:~ :% .................................................... Building Inspector RV 1/80 76S-1802 BUILDING DEPT, INSPECTION ~'; DATION 1ST [ ] ROuOH PLBG. FOUNDATION 2ND [ ]INSULATION [ :] FRAMING [ ] FINAL REMARKS: 76S-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH~PLBG. ,FOUNDATION 2ND [~INSULATION [ ] FRAMING [ ] FINAL .EMA"~(S.. ,Acc~ ~ DATE i0UlO~ THE NEW YORK BOARD OF~FiR~ UNDERWRITERS Pate ,¥p,,c. tio,,No.o,/,,e N 605969 Giani'z.~co ~lli~ l~e~'ty'a ~ive, Orien~, N.Y. in the following location; ~ Basement ~ 1st Fl. ~ 2nd Fl. Section Block Lot was examined on J~l~ ~ ~ and fouttd to be in compliance with the requirements of this Board. FIXTURE OUTLETS DRYERS RECEPTACLES SWITCHES FIXTURES RANGES OVENS EXHAUST FANS INCANDESCENT FLUORESCENT SYSTEMS NO. OF FEET OTHER APPARATUS: E R V I C A W.G. NO OF HI-LEG OF CC, COND, AWG OF HI LEG AW.G OF NEUTRAL Ga~y 4~D ~n.~ell Lm]e C~t chog~e, N.Y. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ff~.' .~....-~. · .~., 19O~."~ 2~¢??~' ' '~4'~/-~ l~.:eermit No Approved Disapproved a/c .,r,m~.~....¢~..../.'..e ..... · (Building inspector) Application No./(.~.~.~..~.' ....... INSTRUCTIONS a. This apphcation must be completely filled in by typewriter or in ink and submitted 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 streets 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 issued 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 authorized inspectors on premises and in building for necessary inspections. · ~.~.~. ?...,4.~ .~i .~... ~.¢..~m.~.. ;~ .~.4¢. ......... (Signature of applicant, or name, if a corporation) F.e. !...~..~...m..o.~.., .~. ~.,~.~..~ me...n,/,. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ~.~. ~..~. .... 0.o..~. :,e_ .n~.' .-~...~. ............................................................... N~e of owner of premises ..~./.~..~..~?..~.~.~.q ~ ~'o'O/.Ov/.~ ,'z/vx,,,~er:,/// (as on the tax roll or latest deed) I~54ppli~nt is a c.qrporation/-~il~nature of duly authorized officer. (Name and title of Is~rporate officer) Builder's License No....7..~..(,? .O./~..~. .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work wilt be done .................................................. · 9..~.. .... ~4...:~..~...i~.e.,.q~ ................... .o~.:~.~,7. .... .,v:..sd., ........................ House Number Street Hamlet County Tax Map No. 1000 Section .... .].~. .......... Block .... 7.:.O. ......... Lot ..... .~.,..O. ......... Subdivision...~.Pw.~..q ..... .~0~!7.~. ............. FiledMapNo...~.'7.~.~.~..~. .... Lot ...?~.. ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ?./../~.~./..~....~..~../~././)4.....~../4Z. ~./~/..A,'..~. ........................... b. Intended ~se and o ccup ancy ...5.~. ~ ~../~.....:.,e.~ '. ~'7' ' ' '~ ~t. O..'S. ¢,...(~ ~, '~ o~,).-- .......... 6.; 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building .......... Addition ......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... Estimated Cost .... .~...(--f-~.. ............... Fee . ~'~ (Description) (to be paid on filing this application) If dwelling, number of dwelling Units ............... Nttmber of dwelling units on each floor ................ If garage, number of cars ..... : ................................................................... If business commercial or mixed occupancy, specify nature and extent of each type of use . . . Dmaens~ons of existing structure~, ~f any: Front .... ~ . ??... Rear ....~. ~.,, ,~.~,,, Depth ,, ~.,,, H eight ............... Number of Stories ...... 'e*~.. ~ ./g..~<- ...................................... Dimensions of same structure with alterations or additions: Front <~/'¢..~.-~/. . Rear . ~.z~../?... Depth · .~. ,¢, ........ He~ t . NumberofS one gh ........ .~ ......... , t s ...................... Dimensions of entire new construction' Front /~ Rear /~ ' De th // Height ............... Number of Stories ........................................................ Size of lot: Front ...........! ........... Rear ...................... Depth Date of Purchase ........... ~ .................. Name of Former Owner ............................ Zone or use district in which premises are situated ...... [~ .e,7 .......................................... Does proposed construction violate any zoning law, ordinance or regulation: .... ..~. ........... Will lot be regraded ....... ~/..~.%.. ..... ........... Will excess fill be removed from premises: Name of Owner of premises .......a2(-..~.C ......... Address ................... Phone No ............. Name of Architect ........................... Address ................... Phone No. Name of Contractor ............ .ay.~ ~ ........ Address ................... Phone No. i .~.~ ........ PLOT DIAGRAM Locate clearly and distinctly all !buildings, whether existing or proposed, and, indicate all set-back dimensions from property tines. Give street and block dumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF N~E!~RI~,/ .cd ~ S COUN ., .... ~" .... ~// (Name of individual signing contr~ above named, ......... being duly sworn, deposes and says that he is the applicant He is the ...................... i, · · ;_;,~--~. ·..~.~ .................................................... _~ctor,~gent,~ -~ corporate officer, etc.) of saic) owner or owners, and is dull/authorize~u pm'mrm or have performed the said work and to make and file this application; that all statements cont~ned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner'set forth in the application filed therewith. Sworn to before me this · .day of....~ N d/~e m:.za0o, a~u .~,~et~w ,od C°untL~ ' ' " .......... ~01~ARy pUBLIC, State/of New YolPk ~nature of applicant) No. 5~-8125850, Suf~l( Cou~q~V~/ Term [g, oires March 30. d