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Home My WebLink About12756-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCUuwANCY No Z-23591 Date APRIL 4, 1995 THIS CERTIFIES that the building Location of Property 770 MEADO~LANE House No. County Tax Map No. 1000 Section 115 Subdivision ADDITION MATTITUCK, N.Y. Block 4 Filed Map No. Street Hamlet Lot 28 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 4, 1983 .pursuant to which Building Permit No. 12756-Z dated NOVEMBER 20, 1983 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 AS APpT.T~n FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED DAVID & DONNA BOSCOLA N/A N--064229 --MARCH 31, 1989 N/A Inspector Rev. 1/81 I~ORB~ NO. ]J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby grantqa:~o: ~ c- ~-~ ...... ~ ...~.b.~ .......... ~ ....................... .~..'~,~.×.....~..~.i..-J .............................. :~. ........ ...~.~.~.~..~,...~.~.,~..:....I..! .~ ~ ~ ~ ,o .~~,..~....~..~ ......... ~ ........ _~......~ ....... ~..,.,..~. ........ ~ .......... ot pr,mi~,, Io~,,t,d ,,t .i..I.~..0. ....... ~'~.~Z.~.....~.~,.~.,...!3~..I.~.....C~.~. ....... pursuont to oppllcotion doted .... ~..~....~..;..~..L~...:.~..,..!.[. ................. , 19.~.~L~ond opproved by the Building Inspector. Fee $.,~. :.~ ..... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN BALL SOUTROLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Lo~atio~ of Property .... ~:~.. ~~ ~..~:.. /00~¢.. HOUSE NO. STREET HAMLET Owner or Owners of Property county Tax Hap No. 1000 Section ./iS.. Block ..O.d... Lot ..0.a..?... Subdivision ........... Piled Map . . .Lot ....... Permit No. t~.~.5~.~.Oate of Permit #hd~-.Applieaot Health Dept. Approval .................. Underwriters Approval .... ~ ..... Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted- APPLICANT... ......... rev. 10/14/88 ~Lo E23 S q ~1 FIELD ;$PECTION COMMENTS FOUNDATION {1st} FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITION COMMENTS: BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ~INAL REMARKS. ~ DATE///~~.~ ~ ~.,~ INSPECTO~ ~HE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ ! 0 7 J BUREAU OF ELECtriCITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date ~ ~1~ Applicati~o. on~ile 2477~98~/8:~ N 064229 ~E~IFIE~ THAT t~oilowing l~otion~ ~ ~nt ~ I~t FL ~ 2~ FL ,~tion Bilk ~t examin~ on and found to be in compliance with th~ r~uiremen~s of this Board. RXTU~ RXTUII~S RANGES COO40NG D~KS OVENS DI~I WASHERS EXHAUST FANS 13 4 6 3 S~RVIC~ DISCONNECT S E R C t.. lC, #5/8 E ! 1 iI This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by credentials. COPY FOR BUILDIHG DEPARTMEHT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN AHY MANHER. : TOWN OF SOUTHOLD OFFICF~ OF BUILDING INSPECTOR I'.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-18n2 This is to advise you that the job under bulld~n8 permit no.12756Z, issued to DavidBoscola on ._~/20/~.i._. for Addition is completed and a final inspection has ( ) has not (x) been done. In order to complete this file, it is necessary that ;* r:,~rtiflcate of Occnpancy be issued. Please fill out the enclosed form, retnrn same to the above office with a cheek for $25.00 payable to the Town of Southold. Please indicate to Whom the Certlficnte of Occupancy is to be moiled, and nrrnnge with tills office for an inspection date Occupancy or use is unlawful wlChout e CertiElcate of Occ.pnncy. I'lense help us to clear up this/matter ao that legal action does oo~ have ~o be token. Thank yo. for yo~lr prompt attenclon. Victor Lessard Executive Administrator VL:gnr encl . VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (51 fi) 765-1802 FAX (51fi) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD DATE: This Building Permit has expired. You are now in violation of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. Yours truly, ¥ictor G. l. essard Principal Inspector Examined . .~...°'n.~'~....[9+...afl..., 19 ~.~ Approved FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19~.~-. Permit No.)..~'~ . .~...~.. Disapproved a/c ..................................... ............................... .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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 pumuant 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 regulation_s, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) ....... (Mailing address of applicant) State whether applicant is owner, lessee, agen~ngineer, general contractor, electrician, plumber or builder. (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...~.~..~.% ............. lumber s Ltcense No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... i..~.~..~3~... ~ .-1~. ............... ....q...q ..o. ................. .......... .... ........ House Number Street Hamlet County Tax Map No. 1000 Section ...... [.(~.. ....... Block .... .O..~. ......... Lot...O..~.~ ........... Subdivision....~. (~..~f.%..0~.... ¢~..~...o~[.. ~. .... Filed Map No...~...~...~..~..... Lot .... .~.~ ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ . .~. ?..~....O~....(~...~.~. b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .......... Addition /' Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... ~.../ ~ (Description) 4. Estimated Cost ........ .~.~ ...................... Fee ~..b.: ................................. (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 ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ........ /...~4/O. CkN~ .... 8. Dimensions of entire new construction: Front ...... 3.~.~ Rear ..... \.'l.,3?~e_e.K.. Depth ...x.~.~q~.~. ..... Height ............... Number of Stories ............ ~ .~-~-t::K~.Pa-~ ............................... 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 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: ......... ~ .................... 13. Will lot be regraded ........ O..Q ............... : Will excess fill be removed from premises: Yes ~ 14. Name of Owner of premises . .~-C~. '.~.~. ~.. Address .X"5.l~X~:~¢.t~...~gx-. Phone No ....... . ......... Name of Architect .~~.~....~..$~..~..~. .... Address .~x~4{~X~ .['l~a$~, .... Phone No..~-°r~.~..~. ~ J ..... Name of Contractor ....... .~e~\~. ............. Address .... ~ .......... Phone No.....-757. ......... 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. STATE OF NEW '~K~// .~ o ~- ~,' (Name of individ nin a~ove named. f 3' 6f (Contractor, agent, corporate Officer, etc.) ot 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 work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Ns. 52-8125850, Sulfolk Cou~y