HomeMy WebLinkAbout12531-Z Unit 4 Apt HFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.. ~.l.Z~ ] 1.1 ......... Date ....... q.a.n.... ! .7 .................. 198.6..
THIS CERTIFIES that the building Condo unit #6 .h.p.t.. N Bid. #4
Location of Property ..88~.0..~b~P.Y. ord b~ne East Marion
I4ouse No. ' ..... ~'r/e~i ...................... h[~tfiei
County Tax Map No. 1000 Section ... 03 B...O 2..Block . .Q !. ........... Lot ,3.7. ..............
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... Y.~t? ,..2.zt ........ ,19 .8.3. pursuant to which Building Permit No. 1.2. ~.3.1.Z. ..............
dated ... vT.u.]~Y.. 9.0 ................. 19 .8.3., was issued, and conforms to ali of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
Muiti~l.e residence Unit #4 Apt.#H includes 1 car detached garage
The certificate isissued to CLEAVES POINT VILLAGE INC
................. ioV, 't4aa'i,iri ' ii .....................
of the aforesaid building.
Suffolk County Department of Health Approval ........ 8./. 3.0./.~. 2... $ ~I~3.R ...................
UNDERWRITERS CERTIFICATE NO ................ ~ ~ .1.72.6. ! .............
LOFT AREA IS NON-HABITABLE
Rev. 1/81
Building Inspector
I~OB,M NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
12531 Z
Permission is hereby granted to:
........
.... y...c......L..J.~.K...E.~ ........... ~..~g.~..~?.~ T~
~.~L~).L.~.z.~Z2.~.~..~.~A..~¢~L...~t~.~h~.~.~.~.~ '/~/~
,,,,,~,, ~,~,~ ....... ~.~.~..~......~.ff.~.~.~..~.F~ ...... .~..~. ................................................
County Tax Mop No. 1000 Section ......... ...~Z ....... Block ........ ~ .........Lot No.....~.:...~...~.. .........
pursuant to application dated ............................. .-~..~....~.. ......... .~...~..., 19..~...~..., and approved by the
Building Inspector.
Fee $..,,,~...~,J,..~..
Rev. 6/30/80
FORM NO, 1
Town OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined ....... 0
~.pproved ~0 ' 9'~
Disapproved a/c ........ .
..... . , .
( Building Inspector)
APPLICATION FOR BUILDING PERMIT
Application No ..... /.~. :77 3/
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
:ts 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
r areas, and giving a detailed description of layout of property nrust be drawn on the diagram which is part of this applJ-
~tion.
c. The work covered by'this application may not be Commenced before issuance of Bu lding Permit.
d. Upon approval of this application, the Building Inspector w 1 issued a Building Permit to the applicant.
roll be kept On the premises available for inspection throughout the work. Such permit
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
mil have been grante.d by the Building Inspector.
APPLICATION IS'HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
uilding Zone Ordinance of. the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
he applicant agrees to comply with all applicable laws,'ordinances, building code, housing code, and regulations, and to
hnit authorized inspectors on premises and in building for necessary inspections.'
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
rote whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
(Name and title /
Builder's License No.
Plumber's License No.
Electrician's License No.
Other Trade's License No.
I )use Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
.......................... · F'iled Map No.
(Name) ........... Lot ...............
~tate existing use and occupancy of premises and into ~ded use and occupancy ol'proposed construction:
a. ~xJsti~!,, USe and occupancy ........................................................
3. Nature of work (check which applicable): New Building .~..'~ ....
Repair .............. Removal ........... Demo it on · Addition .......... 'Alteration ..........
~ ' · .......... ,.,. O~Work ...............
(to be paid on filing this application)
5. If dwelling, number of dwelling units ... ~:~ Number of dwelling units on each floor..~.4.t..~..O~..~.....
If garage, number of cars ...........
If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions of. e3{isting structures, if any: Front. . ....................
.............. Rear .............. Depth ...............
Height ............... Number of Stories ...........................................
Dimensions of same stncture with alterations or add tions: Front ..........
Depth H'" · ................ Rear
Dim ' · .. ............. e~gnt .......... t .... ,; ..... Number of Stories ..... i ............
8. ens~ons of entire new construction. Fro it /~1 q. ~ ,,
Height .2/~.~).~.* ' . ...... '~ ....... Rear ..J. 2/:.~. .... De t ''
.... ,Num bet of Storms 7-"r~-a o p h . . ,~..~...-..~. '.'.
Size of ot Front ~/~O.~ ',~ .......... 2. ...................
................... ~.ear ,,,.ff ~9 · .................
Date of Purchase / 2./~. ']"~ ....... ~ ........... Depth
Zone or ff}~ districi iff ~ ~i~'/' 'j'' r..-~--..: ......... Name of Former Owner . ~. ~-~J~' ' ~"~"~;"~.'.~ ........
Doe ...... premises are s~tuated ....... dt-ff..T/~ ............. iiiii ...................
~ v,uposea Construction violate any zoning law, ordinance or regulation: ~ .". tJ~.~'. ~..~.' ~i ~/.,CE..~4 ..~.'~'~..
Will lot be regraded ?>~. ~-? :5 ,, ,.
......................... v~m excess fill be removed from premises: Yes
............ Address ~.,~ ~ ',' .......
NameofContractor.dS~/C~ff' ~'O~t'$J?~ C~ .. ''--,k...~2~.~?~.'...PhoneNo... t.
............... '.-.'. · aUaress . . .~r..,~../,:~.. ,~ff,~/ . . Phone No ~ ~ ......
PLOT DIAGRAM
Locate clearly and distinc[ly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
.roperty lines. Give street and block number or description according to deed, and.show street names and indicate whether
~terior or corner lot.
'ATE OF NEW YOI~K,
.... . 2-n :.:
(Name ....................... being duly sworn, deposes and says that he is the applicant
of individual signing contract)
ore named.
(Contractor, agent, corporate officer,'e't~.i ............................
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
*licafion; that all statements contained in this application are true to the best of his knowledge and belief; and that the
rk will be performed in the manner set forth in the application filed therewith.
orn to before me this
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
To....~....~.....~......g...~....~....~.~..
.. ~...~. ?.... ~~~.....r~
PLEASE TAKE NOTICE that your application dated .............. .~.~..~...~..~..., 19.....
for permit to construct ~7~ . . .~..~..~...~..~.~.~t~ at
LocationofProperty ~ ~~. ~ ~~~~
County Tax Map No. 1000 Section ....... ~. .... Block ...... ~ ...... ~t .............. ·
Subdivision .... ' Ffl~d Map No ................. Lot No ..................
~ r~,.r.~ ~w~t~ ~n~ ~pp,ow~ on t~ ~o,,ow~, ,rou~ ~.~.~. ~ .~...
~... ~...~ ..... .a. :.~ ~... ~... ~.< ~.. ~. ~ ....
.~ .... d4~ ......... ~..~~.. ~... ~...~...~ .......
~ .Build~g Inspector
RV 1/80
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
July 1, 1983
Emanuel Kontokosta
c/o Ka Construction Corp.
43 West 54th Street
New York City, N.Y. 10019
Mr. Kontokosta:
Referring to your letter of February 9, 1983 to Mr. Lessard
you commented on Mr. Hindermann's objections. One of his objections
was the lack of physically handicap as required by Sec B-214 of
the State Code. You wrote it was your intention when you applied
for Building 4 to address the merits and validity of this re-
quirement as it concerned owner occupied dwellings.
Yes, you applied for Building 4 but as yet nothing has been
received in regard to B-214.
Enclosed is a disapproval.
Yours truly ,
George H. Fisher
Sr. Building Inspector
GHF:sw
Enclosure
DEPARTMENT OF HEALTH SERVICES
COUNTY OF SUFFOLK
PETER F, COHALAN
SUFFOLK COUNTY EXECUTIVE
DAVID HARRIS. M.D.. M.P.H
COMMISSIONER
March 24, 1983
Mr. E.M. Kontokosta, P.E.
Kontokosta Associates
43 West 54th Street
New York City, N.Y. 10019
RE:
Cleaves Point Village
H.D. Ref. No. EM 8
East Marion (T) Southold
Dear Mr. Kontokosta:
We are in receipt of your letter of February 8, 1983 in which it
requested not to add the additional leaching ring that would normally be r
quired as per the change in your plan.
Please be advised that this office has no objection and would no
require an additional 150 square feet to be installed. Would you please b
so kind as to forward to the writer three new site plans indicating the ch
in the status of the units.
Very truly yours
Robert W. Jewe~T~ P.E.
Public Healt~/~-Engineer
Environmental Engineering Sec
RWJ:ljr
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pZOperty 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.
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
Date
New Building......L~... .... Old or Pre-existing Buildir~g ............ Vacant)_Land . .i. ~../_,~/~ ;2._ ~//
Location of Property. ~.~...~..~... ~~./~. ~..~5.. ~ ~/.,.., ~6~ ~
Hou~ No. ~ ~ Strut/ Ham/er
Owner or Owners of Proper~ ~ ~ . .~/.~ . .~g~..~f % ................
County Tax Map No. 1000 Section ~'~ Block ~ / Lot. ~
Subdivision .. ~.~ ............................ Filed Map N~ .......... Lot No ..............
Permit No.
Date of P~mit .......... Applicant . ~ ~.. ~4~. ~ ~
Health Dept. Approval...~~/~.~ .... Labor Dept. Approval ........................
Unde~riters Approval ........................ Planning Board Approval... ~/.~.~...
Reque~ for Temporaw Certificate ..................... Final Certificate .......................
Con,ruction on above de,r/bed building and p~~~~at~
/
~=! I ~ : BUREAU OF ELECTRICITy
:, ~ JOHN STR~EETi NEW yORK, NEW YORK 10038
m~v~q ~i .-~Y~a ~e W/S ~t .~ton, N.Y. Bi~ ~4 Apt H
D~ERS
EXHAUST FANS
SERVICE DISCONNECT I C
OTHER APPARATt~:: .u[ ,I~
1
'Ton 'A/C~ ~Uaits, 1-3, Ton A/C Udits
1-4.5kw~ Hot'Nater Heat er
Panelboards:, 1-~Ocir. 200a~ps.
G & S Elecdric
Box' 215
Southold~ N.Y. 11971
Lic. 578E GENEI~AL MANAGER
This certificate must not be altered in any manner; return to ~he Office of the Board if incorrect. Insoectors may he identified by their credentials.