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Home My WebLink About12154-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z']']. 6Yl.9 ........ Date ........... A.p.r.i.1... ~.~. ........... 19...83 THIS CERTIFIES that the building . ~,~$~;r..s~t..i.o.u. .................................. Location of Property ...~ 2680. I~aiI~. l~Qad ................... .E.a.s..~..H.a..~.i.o.n. .......... House No. Street Hamlet County Tax Map No. 1000 Section .. 03.q ....... Block ....O.'l.~. ........ Lot ....0.~.~. .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'dcd in this office dated ...~.e.b..~.u.~.r. 7..2. ...... , 19~..~. pursuant to which Building Permit No...~.~.']. ~.~. ............ dated .... ~..?~:~.u.~.r. 7..'1.? ........... 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 ......... Alteration to existing structure The certificate is issued to . .. Martine .Be-olie~n.o.r,.l~deldr.t~a.n.t)__ of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N 5982/I/I i.d. _ ...... ~.~?.~..~ ......... ..Ox-Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. (TI-IlS PERA~IT MI~'T BE KEPT ON THE PI~:MISES UNTIL FULL COMPL-~'IOJq Of: THE'~'ORK AUTHORIZED) N°. 613O18O FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 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 features. 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peopert,/ 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ............. Old or Pre-existing Building ;, ........... Vacant Land .... , ......... Location of Property .... /.~.. ~...~.. ........... .~..~../.A~. .... .~..~.,. ........... . .~_'..~..~"....~..~..~. ' House No. J , -- ,~ Stree, t Ham/et Owner or Owners of Property ............................... ; .......................... CountyTax Map No. 1000Section . .~...~...~ ....... Block ..q.(..~. ...... Lot..(~../..~. ....... Subdivision ......................... .! ....,..Filed Map N~.~ .......... Lot No .............. Permit No. 4 ........ of Permit ../...../...Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Fee Submitted $ '-~1 ~-'~ e.¢ , Construction on above described building ,~9.'~rmit meets, all appli, l,l~a_ble codes and regulations. Applican~ ~ Rev. 10-10-78 looo7o~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1]~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oate ~:~ e, l~:~ Appl,catio.~o. on/ile 2oa8~-8:~ N 598244 THIS CERTIFIES THAT only the elecTrical equipment as described below and inTroduced by The applicanT n~med on The abo~e application number in the premises of Marcine J~erliere, 12680 Main Rd., East Marion, N.Y. in the followlng location; [] Basement ~ 1st FI. [] 2nd FI. Section Block Lot was examined on ~C~ '~ , 1~'~ and found to be in compliance with the require~nents of This Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES ~ 11 7 8 DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R OTHER APPARATUS: OF CC COND. C NO. O~ HI-LEG OF HI,LEG NO. OF NEUTRALS OF NEUTRAL Tracklighting:16' - 0", 5-1iCes. ~al PraCo Green~orl;, N.Y., 11944 Lic. t1049 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be COlbY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, credentials. FIELD INSP~CTI~'N f FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING DATE COMMENTS INSULATION o PER N. Y. STATE ENERGY q. ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 x m,ned ..... Disapproved a/c .......... ."..-.~...~.. .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No. /'.6~,. ~ ........ 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 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 apphcabte laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) · .¢.q~.~e. :~:c.- ~...~./~ .e,. ~:,: (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder· ......... C~.,. ?erc~.c. (¢,~,.~d ~cr Name of owner of premises..../~.. ~.F..~../.F'.)...~.....~..~..~././..~'..~. ~ ..................................... (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 ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done. /'T')~tt-/ /(-~'(2('t~1 ~("~.~ House Number Street Hamlet County Tax Map No. I000 Section ..... ~ ......... Block .... Z./ ......... Lot Subdivision ..................................... Filed Map No ............... Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................. ~]~ (~[~..~.~. ~~ ................ - ,..,~o~0 ~, ~ o~,,~ ................ ~.~-~h.e~¢... ~. ~~D ................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work K.' .~) ? .~.~-".{.~ .... ~ r' /~.-,rd (Description) 4. Estimated Cost ...g(,~/. /,)iff'C) Fee /O -'~ (to be paid on filing this application) 5. If dwelling, number of dwelling units. .............. I 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 .... I..2-7..' ....... Rear ..... t..o.~-. ...... Depth ... ~ ~: ...... Height ............... Number of Stories ... 1 Dimensions of same structure with alterations or adfiiiion's] ~'r~)~ .... i'~--' ........... 1~' ' ' '; ~ ............ tJepm ...... -.~ ............... Height ...................... Number of Stories .......... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ......................................... 9. Size of lot: Front ...................... Rear ...................... Depth ..i..'.i'.i' i ........ 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 ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect .. ~ ...... : ........... : .... Address Name of Contractor ..'~.~ ./~'.t~./..~.. //'/ds, e/~<~..c2 Address ~. ~ .~ ./?'.~.' ' '2~ .... Phone No ... ............................ Phone No.~.. ~..~..~ ~. i?i? .' .~_~ 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 NEWARK, , ....... .c~...~..~:~-~. (,qCc.6 .... /q...0,]. d~.<~4/d~ ...... being duly sworn, deposes and (Name of individual si~ning ~ontraf_t~(-J lbove named. says that he is the applicant te is the ~-(i~~;nt, corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this :pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ;worn to before me this ........ M_~Y-~.: ........ day of.....<Z~.~./..n~.~_~----~--,~_.~)., 1~.~ -,, ; ; ...... .,, % -... v - .................... .... : .... NCn~tlBtlC. Slate of New Yor[ ~gnature of apphcant) ; Malorona Job '~ ~ 765-5772 im~--.. RON . ~OME IMPROVEMEN~s~ CARPENTRY ~ OLD ~.Ew ~O~ST~UCT,O~ CUSTOM HOMES R.J MORIZZO SOUTHO LD, N.Y. Remodel Kitchen 1. Rip out walls 2. Insulate walls with h" insulation 3. Insulate ceiling and floor with 6" insulation Cover inside walls with lxlO T&G Pine 5. Not replacing any windows in kitchen area Enclose Porch ® Rebuild existing enclosed porch with 2x~ walls and 2x6 rafters ( on existing slab) Replace windows and door (see diagram for sizes) Insulation in wa]is 4", ceiling and floor 6" If copper lubing is used for water disl'ributing sys:em; piF.,ir~g shaJl be of types K or' L only APPROVED AS NOTED ~ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. j/~" Cb>( '- ..... ---' 765-5772 I~ w..-RONNIE'S :'~0M E IMPROVEMEN'I~~ j o~o & NEW CONSTRUCT,ON ~-- ~''--- CUSTOM HOMES R.J.'MORIZZO SOUTHOLD, N Y /~ o,c. '- ...... 765-5772 ~'.~ RONNIE'S ~~ ME IMPROYEMEI~I~~ ,' ,~ CARPENTRY ~l~'~J~ I1~ OLD & NEW CONSTRUCTION ~ ~- CUSTOM HOMES ~ R.J. MORIZZ~ SOUTHOLD, N.Y. '" OOKYi