HomeMy WebLinkAbout12343-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z13787 Date August 20 1985
THIS CERTIFIES that the building One family dwelling
950 Paradise Shores Road Southold
Location of Property/:/~s~ ~V'ol ....................... ~/eSt' ..................... Hamlet
County Tax Map No. 1000 Section .. 9.s.q ...... Block 01 ..... Lot 027
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore f'ded in this office dated
...... ?.p.r. ~..4 ........ 198.3.. pursuant to which Building Permit No...~ .2.3.~..3 .g .............
dated ...... ~v.. 2. ¢ ............... 19.8. 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 .........
...... .O.ne.. f.aja~, t y..d.~e..~.~.%n.g, ..................................................
The certificate is issued to ..... P.A.U.L..J. & KA. THLE. EN L FOR.ESTIE.RI . .
(°wner,~e~e~9~f~C~9~X X
of the aforesaid building.
Suffolk County Department of Health Approval 13 - S O- 55
N679~97
UNDERWRITERS CERTIFICATE NO .................................................
Rev. 1/81
Building Inspector
FO~M NO. 2
TOWN OF $OUTHOLD
~I~ILDtNG D~:PAR?MEN?
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PEIU~.IT
(THIS PERMIT /V[UST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 123t3 Z
Date
.... .......
Permission is hereby granted to:
...~.~.Z.....~...z~.~...~ ....................
..... ..4F.~......~..~..,.~...:~, ......
...... ~Z~.......~.....~.....~.~.~' ...~..~..~z'..[.~.~.~ .............................
...................................................................................................................... ,..1..~/.~.~..~.~...z~
County Tax Map No. 1000 Section ..~...~..~., ........ Block ...~.../.. .......... Lot No...t~P~..z ........
pursuant ,o application dated ...,~./:./../.........~... ....................... , 19.~...-~..., and approved
by
the
Building Inspector.
Fee $,.~...,..-~.. ......
Buildin§ Impector
Rev. 6/30/80
TOW. NOFSOUTHOLD !91 Ill l
Bu,lding Department ~L - J/U,
Town Hall ~ Il ~
Southold, N.Y, 11971 ~ ~Dn,E,P?~,,.,, -
APPLICAT ON FOR CERTifiCATE OF OCCUPANCY I F'
A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec-
tor.with the following; for new buildings or new use:
1. Final su~ey of property with accurate location of all buildings, prope~y lines, streets, and unu~al
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical instailaQon from Board of Fire Unde~Hters.
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. Submi~ 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 ~wey of p~perty show~ng a~ properW ~{nes, struts, buildings and unu~al 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 pe~inent 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
Data .............
./
New Building ..... ~'. ....... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ................................. ' ......
House No. Street Ham/et
Owner or Owners of Property ....................................................
County Tax Map No. 1000 Section .. O ~ o Block ~.~ Lot. O2-.~
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. I)-% u, '5 .~; Date of Permit ~ .t.~l I.~.5~.Applicant . ~..~.-?.L=..1~o~...~.~.~.~...~. ...............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .~.... .....................
m/[~ able codes and lations.
Construction on above described building and per eets a~l ap~ljc
regu
Applicant ...... ' ...........................
Rev, 10-10-78
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
August 20, 1985
Mr. Paul J. ForestSeri
300 E. 54th St.
New York, N.Y. 10022
Desr Mr. Forestieri:
Enclosed is your C.O. for' your house .Located
at 950 Paradise Shores Rd. Southold.
You requested bhat a copy be sent to Southold
Savings Bank however you only gave us a check for
$5.00. The amount should hhve been $6.00 ($1.00
['or the copy).
I called Southold Savings Dank and they said
that they do not recetve the copy hut your attorney
should. So J called Dick Lark's office and told
thom that I was sending you the C.O. and that you
would be in touch with thom. You can have a copy
made and send it to them,,
If you have any questions please call me.
'fours truly,
Building Dept. Sec.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1001071 BUREAU OF ELECTRIC TY ,
~hg 85 JOHN STREET, NEW YORK, NEW YORK ~00~8~
,at~ "'e~.~~5. ~ ~,~,,~.,o.~o...~,,. ~2~/~ N 679997
THIS CERTIFIES THAT
only the electrical equipment as described below and introduc~ by tl~ ~ppl~ant named o~ the above appJlcatlon nutnber in the premises of
Paul Fores~ieri, 950 Paradise sho~e~ ~oa~ ~o~o1~, NY
in the following location; ~ Base,nen~ X~ 1st FI. ~ 2nd Fl. S~tlon Block Lot
w~ exantlned on et~o~nd to be in comptia~ce with the requirements of this Board.
Febru~y 15, 1985
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
19 4Z ;~4 19
DRYERS MOTORS ~ME CLOCKS
UNIT HEATERS J MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S E R ~V C
OT, HER APPARATUS:
1-G.~'.C. 1.
~- ~%oke deteCtOrS
NO OF CC COND. A W G.
PER ,0~ O~ CC. CONO
2/0
1
21o
~0~ 215
Sout/~old, NY 11971
11
This certificate must not be altered in any manner; return to the office of the Board if ir~correct. Inspector{ mo)' be identified by their
FIE~
1.
I~PECT I ON
COMMENTS
FOUNDATION (1st)
F'OUNDATION
2.
(2nd)
~OUGH FRAME &
PLUMBING
INSULATION FERN.
STATE ENERGY
qODE
,a, lxJC
FINAL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined ,~.~...~..~. .... , 19 .~.,~
Approved Pe N
Disapproved a/c .......................... -('x./ ........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Application No/~..~'d~. ..........
Date, ~ .5~.~..~. ........... , 19 .a~.f
INSTRUCTIONS
a. This application 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 promises 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 Bnilding 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, Ja~pusing co~/e, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections./A//~// ~ YI/~
.. ....
(Mailing address of applicant)
State whether applicant is ow. ncr, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
......... .o~..~..,...~. y.,.~p.~..~. ....................................................................
Name of owner o f premises ...¢./~.~. ~....~.......~....~..~.T.~. ?t. g.~....~.-.... ~ ~..~ .~!:¢?.' ........................ (as on 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 ..........................
Plumber's License No.. 7..0....ff---~..-e(,~.//~¢2~(.~... , .
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done. Lo'o' z'l '~/%h~ t~ ~ ~.oA~ ~ ~¢.~ ~ .......
House Number Street Hamlet
County Tax Map No. 1000 Section ...~. ~..rg. .......... Block .. ~./. ............ Lot...~..~..7. ..........
Subdivision ..................................... Filed MapNo ............... Lot ............... (Name)
2, State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... .~...P~?...T...~...,~..~. .......................... ....................
b. Intended use and occupancy ...... 5 ! .~'.~ !~....~.../~.. '.c..t] .... .b~..~J! '.N. ~. ...............................
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other W~or~ ...............
' '"o dv.//.~ c4g.~. (Description)
' (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 ioccupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures; if any: Front... ~ L~,.;.:...R.ea.r .............. D. ~pth ...............
Height ............... Numl~er of Stories ..................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
. Depth ...'. Height Number of Stories
8. Dimensions of entire new constrUction: Front .. 4/~ ~ Rear ~t~ ~ Depth 'z~r, z.
Height ............... Number of Stories .........................................................
9. Size of lot: Front }~ ' Rear ~c~ ~ pth 375.
· .......................................... De ....~.. ...........'1' .....
10 Date of Purchase ' Name of Former Owner
11. Zone or use district in which Premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation' . .~J. ° ..........
Wall lot be re raded ~a~r~ ' 1'I excess fill .....................
13. ' g ....... ~_~, · ............. ~. ·. · ~_'~ ' be removed from premises: Yes
Name of Owner of premises ........ J~ ........... 5[~l~rrhss ................... Phone No .... .~v~.- ........
Name of Architect ........................... Address ................... Phone No ....... ~
Na/ne of Contractor T~'~°'- T. ~'~t.~v~',-,' Address aq'l e a.s, ~r. Phone Nb':'. .............
PLOT DIAGRAM
Locate clearly and distinctly all ibufldings, 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 JS.S
COUNTY OF. ]'..~.c~ .~.~.~..C.K. ....
,.
.... ~./....-,T..:.. ~ ~ C~. .~. ~ ! ................... being duly sworn, deposes and says that he is the applicant
(Name of individual sign!lng contract)
above named.
He is the ...................... ' ...................................................................
(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 ail statements contained 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
.......... ./'/7...._., ........ day or.. ~'9/~. ~.../.
LINDA F KOWALSKI
Ouahrmcd in Suffb~k Coun~
Commission Expiros ~arch 80~ 19~h~
/
(Signature of applicant)
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[~ FRAMING [ ] FINAL
REMARKS:
DATE.
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST/ ROUGH PLBG.
FOUNDATION 2ND [ ]~ INSULATION
FRAMING [ ] FINAL
REMARKS:
DATE
INSPECTOR
! I SUFFOLK CO. HEALTH DEPT. APPROVAL
H.S. NO.
~,' ' ' ~ -SuffOLK COUNTY DEPT'/ O~ HEALTH
~E~VICE5 ~OR APPROVAL
CONSTRucTION ONLY
~ S~FOLK 60. T~X
i ' .......
TITLE ~. 1tt-~-4~ 2~Ng ,~L
bED
IS3.'70 ~
lSZ.9o
DETAIL
S.C, DEPT. OF
H[ALTH S~.RVb.
...~ [dONU~ENT
· . . AL~S. ~
~ ~ ~tisfaeto~ ......... '
TITLE NO. t lt-~-4D~ - ;~,~NO
SUFFOLK CO. HEALTH DEPT. APPROVAL
H. $. NO. ID- ~0 ~ ~E=.5
STATEMENT OF INTENT
THE WATER .~,~,~,~,~,~,~,~,~,~JPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS' RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
(St
APPLICANT
SUFFOLK COUNTY DEPT· OF HEALTH
SERVICES -- FOR APPROVAL OF
CONSTRUCTION ONLY
DATE:
H. S. REF. NO.: IS- $~-~ .....
APPROVED: , ,,
SUFFOLK CO. TAX MAP DEsIGNA?ION:
· DIST. SECT. BLOCK PCL.
OWNERS ADDRESS:
. ~00 E. ~4~' ~?~.~EET .
T~ST
GEEENPORT~ NIEW YORK
I I , ' ..... NOTIW BUILDING DEPARTMENT AT
~ i I :, '[-' [ I -765- 8n2 9 AM TO 4 PM FOR THE
rFOq ~JRE~ CONCRETE
I I ! BE C~A~PLFTE FOR C O.
~ I I I ALL CONSTRUCTION SHALL ME~
THE REQUIREMENTS OF THE N.Y.
I I [ STATE CONSTRUCTION & ENERGY
_~ODES. NOT RESPONSIBLE FOR
I I I ~ DESIGN OR CONSTRUCTION ERRORS,
' ' ' : :" ' ' i,
''; ' ~,l i I I ~"
, il :', ,, :
"~', ' ~ I '] :
"
~', ~' ' i'
i, '~1, ~ ,,
, , I I : : ' ~
I
~ ' ~ z~ ~L~~- I
~ - of Wpes K or L only
L, +