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Home My WebLink About12223-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No. Z12515 Date June 6 8..4 THIS CERTIFIES that the building .-.-.r~¢.w..al. we..1.1.i.n.g ............................... Location of Property ~3~3o~ .............. .R?.t?~..n?.o.n...L.a.n.? .............S.o.u.t.h..o.l.d. .... · Street Ham/et County Tax Map No. 1000 Section 081 .Block 01 .Lot 011 Subdivision Paradise Point ·Filed Map No. 3761 .Lot No. 7 conforms substantially to the Application for Building Permit heretofore fried in this office dated March 18 19 8..3pursuanttowhichBuildingPermitNo. 12223 Z dated ....... .A.p?.i. 1...1 ............. 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 ......... a private one-family dwelling. The certificate is issued to HELEN C. ALBERI ..................... ?o;;,,,'o;, ..................... of the aforesaid building. Suffolk County Department of Health Approval .1. 2. 7 .S.O.-~ 1..0 .6.,.. 6. ./.1./.8. 4. t..R.o.b..t ....A. :..V.i.1.1..a.,. P.E. UNDERWRITERS CERTIFICATE NO.. Pending Building Inspector Rev. 1/81 , $~OUTH ~2223, rr.~s pE~rr ~u?'r Br~ K~'r ON-tH~ COMPLETION (~F THE WoRK AUT~i~Jz~) i! Z · at p?emise~ located at ............... ~(l~ty Tdx Map No. 1000 Section pgrs~uant ~o application dared. BUell ling Ii~spector. · ~e ~ ....... ,. .............. 7 and ~pproved by the FORM NO. 6 TOWN OF SouTHoLD BulkJing Depai:t~en~ Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the followlng; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or toDograohic features. · Final approval ct Hea~th Dept. of water supply and sewerage disposal--(S-9 form or e ual 3. Approval of electricaltostallat on from Board of F r8 Underwr t¢rs q ) ' . Commerc~a budd ngs, ndustr~a bu~M ngs, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B, For existing buildings (prior to April 1957), Non*conforming uses, or buildings a~d "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lides, streets, buildings and unusual natural or topograph ic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Data of any housing code or safety inspection of buildings or premises, or other pertinent informa. tion required to prepare a certificate. ' / ' Fees: , 1. Certificate of occupancy SB.00 / /$ 2. Certificate of occupancy on pre-existing dwelling land use /5 5.00 3. Copy of certificate of occupancy $1.00 Date , . New Building . ~(.~.~ ........ Old or Pre-existing BuUding(X) .. ....... =/Vacant Land -' . ........ S~reer Ham/et Owner or Owners of Property ~ ~1~i County Tax Map No ~000Section .0~1 Block 81 . Subdivision P~ra~ise Pei~ ,* - ~761 .7 ................. ................ Filed w~ap'No...; ....... Lot No .............. Permi~No1222~ Z Date of Permi~ ........... ~pp ~ca~ C, ~, Pewel~ ~uil~ler Health Dept Approval ,.?u~e 1, ]984 - ...................... Labor Dept. Approval ............... Unde~riters Approval . . .~. ~1, 198~ ................. Planning Board Approval .................. Request for Temporary Certificate ..... ' ................ Final Certificate ........ Fee Submitted S. Construction on above described building and permi(meets al~ app~cab ~odes and regulations, FIELD INSPEC ~ION ~ I. FOUNDATION (1st) COMMENTS FOUNDATION 2, ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENT~: ~='FR ~O. TA5{ MA~: in the following location; [] Basement was examined on My ~. l~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~Jl,I~Q.O '~1 ].~k~ 88 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT 6472e A. ~i, 4~b ~n~ ~, ~Ut~, ~t.Y. ~ 1st Ft. ~ 2nd Fl. Section Bilk ~t RXTURE OUTLETS SWITCHES 47 RXTURES ~ FUTURE APPLIANCE FEEDERS 'S RANGES 1 11.0 SPECIAL REC'PT. 1 aO E E DRYERS FURNACE MOTORS EXHAUST FANS IcooKIHG DECKS I OVENS I DISH WASHERS. TI~SC[OCR$ REt[ UNIT HEATERS MU[ ~ V I C 1 DIMMERS NO, OF CC, COND. A.W.G. A.W.G. PER ~' OF CC. COND. OF NEUTRAL 1 2/0 2/0 °'~f~J~i~Xlm: 1-4cir. ,lOOamps., ~otors: 1-F 1-60amp., Tz'nn-~'er 3-G.F.C.I. Z-~lnck, e detecl~ors COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUT~OLD ]Appr~.~ in acccraan~ wlth Board FEB 1 4, // // .1 RODERICK VAN TLIYL P.C~,~ LICENSED LAND SURVeY'ORS GREENPORT NEW YORK (si _ SUFFOL SERVI CONSTF DATE: _ H. S. RE APPROV SUFF; DIST. OWNERS DEED: L TEST FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTM[NT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ............ .......... , ...... Disapproved a/c ............................................................................................. APPLIGATtON FOR* BUILDING PIERMIT Date ~rch 18~ 1983 , 19 ............ INSTRUCTIONS o. This application must be completely filled in by typewriter od in ink and submitted ir~ triplicate to the Building Inspector, with 3 set~ 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 o, areas, and giving a detailed description of layout ofproperty must be drown on the diagram which is part of this application. 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 pa rt 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, buildihg code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ........... ..................................... (Signature of applicant, or name, if a corporation) R~O Behi~so~ RS. Gree~T~or%, ~¢~ Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · ] Bu~l~ er ~r. ~ ~rs. i. llberi Name of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~3 to b~, licensed Plumber% License No ................................................. Electrician's License No ............................................. Other Trade's License No ............... !! .............................. Location of land on which proposed work will be done. Map No.: .,~.'~....1, ............................. Lot' No....7. ................... Street and Number ...~..1R.~.~.~.e.,.~...~..e..~,..~. ................................................................... ~.~.~..+¢.~.9.).~.~, ,~..~.....~..-. ............ --~ c~¢7L~4"~ Municipality State existing use and occupancy of premises and intended use and accupancy of proposed construction: a. Exisiting use and occupancy .............. .~.)~;~.~.n..~'....~.~..?.~ ................................................................................... b. Intended use and occupancy 1Res:L~ .~t;i~1 Dwe].lii~ property lines. Give street and blo'ck whether interior or corner lot. 3. NatUre of work (check which! applicable): New Building ..X..X...~. .......... Addition .................. Alteration ................. Repbir .................. Removal ~ .................. Demolition .................... Other Work .................................................... i ~ . ~'~ (Description) 4. Estimated Cost $100,000,. ~ (to be paid on filing this application) One 5. If dwelling, number of dwelling units ........... ................. Number of dwelling units on each floor ~we ear attae),,e~ ~ra, ge ..... ' ...................... If g~rage, number of c~rs ..... . ............................................................................................................. 6. If business, commercial or !mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structu,'res, if an?: Front ............................ Rear ................................Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structur~ with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................Number of Stories ................................ 8. Dimensions of entire new cor~struction: Front ..... .~.~.~. ......................... Rear ...~..~.~. ................... Depth 9. Size of lot: Front 1414~ 146' i ................. r ...................................... Rear .......................................... Depth 1~1 Plus~ 10. Dat~ of Purchase ................. i ...................................... Name of Former Owner ........................................................ 11. Zone or use district in which ~remises are situated Resi¢len~i~] 12. Does proposed construction vi~iate any zoning Iow~ ordinance or regulation: ..~.9, ................................................. 13. Will lot be regroded ...~.. ......... i ............. Will excess fill be removed from premises: (~ ) Yes ( } No 14. Nomei of Owner of premises ..A..:i...A-..1..~ Address ................................Phone No. ~j~%...j~.~.~... NIn~. nf A,ehi+~+ A.! kl~erz & ethers Address Ga,r4e~n Ci%y Phone, No. ......................... r ............................................. Greennert 477 0995 e f C.J ~'. Vewel~ Address Phone No. Nam: o Controctor i ................................................................................................. PLOT DIAGRAM Locate clearly and d~stinct[y eli buildings, whether existing or proposed, and indicate ah set-back dimensions from number or description according to deed, and show street names and indicate STATE OF NE .W ..)~O..J~/~3Z~'~' I,~'~ ...... ,,, COUNTY OF/..2~T..~...~'C..~.C~?'' IV? ~ ~-- ~P~ ....................................... being duly sworn, deposes and says that he is the applicant ' (Nome of individual signing contract) above named. J He is the .......................................... [ ....................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authonzed to perform or have performed the sa~d work a.nd to make and file this application; that all statementsJ contained in this application are true to the best of his knowledge and belief; and that the wo~k wJJl be performed in the manner set forth in the application filed therewith. Sworn to befor~me this ~' j ............ L4.:. o: ....... . . .p . Notary Public~~r..~~ounty~ ~'~ .......... ~....~.~..~ ....................................... ] / (Signature of applicant) JUDITH T. TERRY~ ~ ~a~ Public, State of N~ YOf~ N~ ~-03~963 Suffolk ,Co~~ ~he sewage disposal and ~ater Facilities f*r t~s lecatl~ tnspeeted by this ~e~r~en~ ~ERICK VAN T~YL LIcENsED LAND SURV~ORS GREEN~RT NEW YORK SUFFOLK CO. HEALTH [>EPT. APPrOvAL H.S. NO. ! ~' ~0-106 STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE DEPT. SERVICES. SUFFOLK SERVICES -- FOR APPROVAL CONSTRUCTION ONLY DATE: H.S.R~F:NO.: tZ - ,,.~O *-' t06 APPROVED: , , , COUNTY DEPT', OF HEALTH OF $1~FOLK CO. TAX MAP DESIGNATION: P. SEAL SUFFOLK CO. HEALTH DEPT. A~VAL' H.S. NO. STATEMENT OF INTENT THE WATER suPPLY AND sEWAGE DISPOSAL SYST~ FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT· OF HEALTH SERVICES. S~FF~E CQ~NTY ~EPT, OF HEALTH SEEVi~ES -- FOE APPEOVAL OF BL~K PCL, DEED: L ~ /A P. RODERICK vAN Z~YL, GREENPORT NEW YORK OCCU?^HC¥ OR OF o~' Wpes 7 NOT~Y BUILDING DEPARTN~I=N! ~/ 765-1802 9 AM TO 4 PM FOR TNB FOLLOWING iNSPECTIONS: ,1. FOUNDATION - TWO REQUIRBO FOR POURED cONCRETE 2. ROUGH - FRAMING & pLUMBING ;3. iNSULATION 4. FINAL - CONSTRUCTION MIJSY BE COMPI PTE FOR C, O. ALL CONSTRUCTION SHALL THE REQUIREMENTS OF TNB N,¥, STATE CONSTRUCTION & CODES. NOT RESPONSIBLE DESIGN OR CONSTRUCTION I I I I I I /=/~ ON T E--k F. V/~ T IoN 1-- II 'T II ,,5,r,f:::. ?c; 7'4, i~.) AG. If copper lubing is used for water di~trlbbting :syslem; piping shall be of types K or L only //- d 7'- d" ~ter distributing ~y~iem; piping shall be types K or L only _%. 7244" 6~C or,/~ FL ~'oR. 2xtO ~t /¢'0c ALL FOO~'/l'q~5 /d/-O'/ V/AL/ S e4 c E-,: ,s'/=/-'O'' 5H/ ~v q /0 Lo '/ '~ &"'~,'d' co,,,c CIE~03S - JE-CT/O~ 0 r /~.~ ;-~-,~ N C-~ FoE ~-Wz_~,' ~¢/~ = iLO" %, '% , '%%, 7 i 0,/ /d ~ 0" t 5t'tEET 7 °~: 7