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Home My WebLink About12808-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13082 Date Dec. 24 ................. - ......................... 19...84 THIS CERTIFIES that the building New Dwelling Location of Property 3120 Al.b.~.rtson Lane Greenj~ort '- ...................................................... Street Ham/et County Tax Map No. 1000 Section ...0.5.2. ...... Block 04 .Lot 001 (P/O) Subdivision .... X p N ........................... Filed Ma o ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated Dec. 14 19.8.4 ..................... , . pursuant to which Building Permit No. 12808 Z dated ............. .D.c. ? .... 2. .1 ..... 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 ......... New Private One Farait7 Dwelling The certificate is issued to ............. PAUL J. CORAZZINI III ........ ...................... of the aforesaid building. Suffolk County Department of Health Approval 13- S O- 167 UNDERWRITERS CERTIFICATE NO ..... N660636 Rev. 1/81 Building Inspector FORI~ NO. I~ TOWN OF $OUTHOLD BUILDIHG DEPAR, TJ~EblT TOWH HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO 12805 Z Permission is hereby granted to: ~,,C ~{/~ L .... ~:~..~ ................. ~.~ ................. .~ ...... y~...~..~.~...,~z ...................... ,o ....... Cc~/~.:~.~.~.c~.cZ.......~.o.~.~...... £m.~.~.~.c,.~...... ~z. cL, ./.~ .¢~ ............. at premises located at ......~..../..~.~. ...... ~...//~------------------~Z~-~.-.-...~....-~...* ......................................... .............................................................................................................. ~.~./~....~7...~...,.~:.~ · County Tox Map No. 1000 Section ...O...~.~....C~... ....... Block ...... .~.....~... ..... Lot No...(~)J...'....~..... pursuant to application dated ...'.~..~.~'~2~.~ ........ /...~...., 19...~.dand approved by the Building Inspector. Cee ,../..~..~ Building InSpector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~p[~==t= 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 installa- 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 "pro-existing" land uses: 1. Accurate survey of peoperty 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 bu ildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: Certificate of occupancy $5.00 1. / Certificate of occupancy on pre-existing dwelling / land use 2. 3. Copy of certificate of occupancy $1.00 ~ --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 / Date .......................... ? New Building .... ~. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~,J~qO ~J~.r~$e~ J.~l, ~.F.~.¢~.O~'~L House No. Street Hamlet Owner or Owners of Property ............ * ............................... County Tax Map No. 1000 Section ....0. ~. ~ ...... Block ...... ,~, ........ Lot ..... !... :[: .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.~ ~L,~0~'~-- Date of Permit~-.[ I!C[t~Applicant I~D-~='r~O - [~q App Health Dept. Approval ....................... Labor Dept, reval ........................ ~ ~ [O/~.~ Planning Board Approval Underwriters Approval .~. ........................................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building andper~mit meets all applicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS 100][1~)0 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~,¢.at~ s~t~r~L m~ ~,,~.o~o.o~.~ ~s/~ N660636 THIS CERTIFIES THAT inthe/ollowinglocatlon, ~ Basement ~ ,stFI. ~ 2nd FI. Section Block Lot was examined on 8G~II~~ 8~:~ Zg~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 3O DRYERS 1ECEPTACLES SWITCHES FIXTURES RANGES ~OOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: 14LF. I l~lO~r~ Food Processor, E E V I C NO. OF CC COND A W G NO. OF HI-LEG A W.O. NO. OF NEUTRAl A.W. G z a/o 1 3/o N. ;'7'd "0 7 '~:. _ INSULATION PER N. STATE ENERGY ____~D~___ ~ INSPECTION DATE COMMENTS 1. FOUNDATION (2nd) ROUGH FRAME & PLUMBING FINAL ADDITIONAL COMMEN~S: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ~( Permit No, Disapproved a/c ......... ;': . :-.. ,,~ .. ' -0)fliltding Inspector) APPLICATION FOR BUILDING PERMIT :Date .............. , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street 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 no/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 permi 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 Occupanc,. shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance df a Building Permit pursuant to th, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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, b~fldi.n.g code, housing code, and regulations, and t{ admit authorized inspectors on premises and in building for necessary/i~ctlons. //(~ignature ~o~applicant, or name, ifa corporation) (Mailing address of applicant)¢ State whether applicant is owner, lessee, agent, architect, engineer, 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) Build6r's License No Plumber's License No...~.~..~..~?.~ ~ ........... Electrician's License No... v~.~,~. ~ ~ ~.?. ~ ....... Other Trade's License No... ~..~. ~.~ .o.~t~. ...... '1 Location of land on which proposed work will be done '.A'I ....................................... ~ ~..0 House Number .,., ,. . . St~et Hamlet tyTa M N 1000S Coun x ap o. ection Block .... Lot ' ' ' Filed Map No ~t Subd~v~smn ................................................................... (N~e) L State existing use and occupancy of premises and intended use and occupancy of propo~d construction: a. Existing use and occupancy ........................................................ b. Intended u~ and occupancy ..................... ~~jj.x ............... p, 3. Nature of work (check which applicable): New Building Addition Alteration Repair .............. Removal ..... , ........ Demolition .............. Other Work .......... 4. Est~ated Cost ....... ~.'..1 ......................... Fee .......................... .~..., ....... (to be p~d on ~ing ~ app~cation) If dwell~g number 0f dwo~ng u~i[i '~' ' 5. , ...... [ ........ Number of dwo~lng umts on oa~ floor ............... If g~ago, number of c~ .......... .~ ........................................................... 6. If business, commorcifl or mixod~o~up~cy, specify nature ~d extent 0f each typo of u~ .................... 7 Dimensions of ex~fln~ stmct~o~, if any: Front Re~ Dep~ ' HeiSt ............... Num~r of Sto~ ...................................................... . D~enstons of s~e Structure wi~ alterations or additions: Front ................. Rear ................. Dep~ .................... ~..He~t .... ..................' ' Num~rogStories ............... i ..... 8. Dimensions of entko new co,s~ctlon: Front .., ~.~. i. ...... Ro~ . J ~.~ ......... Depth., .~ ~. ...... Height ..... ~ ~ ...... Numar of Stones ........ ~. ~ ............................................ Size of lot. Front ..... ~ ........... Rear ...... ~ ....... .... Dep~ .... ~.~ ........... i0. Date of Purchase ...... [~ !~ ................ N~e of Fo~er Owner . ~. ~ .~J .~ .~ i 1. Zone or use distHct ~ wM~ pr~s ~o situated ...................... ~ .............................. 12. Does propo~d cons~ction violate any zoning law, ordinance or foliation: ..... ~ ....................... 13. W~I lot be regraded .. ...... ~ ................ Will exce~ fill be removed from premis~: Yes [4. N~e of Owner of premises ~,~ec~/~t~l ~ddre~ . ~~ ~ .~L. Phone No. ~ .~ N~e of ~chitect ~..~. ~I.~C ....... Address . ,~ C~.Eg~.~. Phone No..ff~7. ;. 9.~,~,. N~e of Contractor . .~.~. ~, ~,.l~r~ ........ Address . ~qc~j'fl,Y,f Phone No. , ~7~. ~. P~T DIAG~M ' ~ ' Locate cle~ly ~d dis~ctly ~I b~Hd~, whether existing or propo~d;~ and. ~dicato ~1 ~t-back d~onsi0ns fro~ propc~y ~es. Give steer ~d biock~n~r or de~fiption acco~g to deed, ~d show s~et n~es and ~dicate Who~er: integer or c~er lot. COUNT~~tF~d~ ~ ~%" . , . ~' .... ~~. ~e~-~-~ ..... be/rig duly sworn, deP°seS and/ays that he is the applicant ~_~ (Name ofmdivid~ug ~ contract) . ~bove named. Hc is the ....... ' i '~r, agent, corporate officer; etc.) ~f said owner or owners, and is duly ahthorized to perform or have performed the said work and to make and Hie this ,lpplication; that ail s~atoments contained in this application are true to the. best of his knowledge and belief; and that work will, be performed in the ma~ aer set forth in the application filed therewith. Sworn to before me this .day: o, ----, -' ....... '" jgoI~ry i~Ublic, .... .~ .... ,..~.~ ~ .'. ounty ..... = ~ t~lllII llIll / )/ '~ (Si~natum of applicant_ ; ~ ~io. $2,Sl2~S~O, Sa ~OooJIIl,, i Term Expires March A