HomeMy WebLinkAbout10181-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No... ~.1.z~t73 Date June 4 19 .8.6.
THIS CERTIFIES that the building ...... ~ q ~.ep.~. 9 .e y ................................
Location of Property ..... 69.8.25 ............ [4i~.i.~t. ILd.. .... q v. e..e.n.p. 9 .v .1; ......
House No. Sa'eet ........ H~iet
County Tax Map No. ]000 Section .... ~t ~ ...... Block .... 1 ........... Lot ..... 1..1 ..........
Subdivision .............. ~( ................ Filed Map No. .X. Lot No ..... X
conforms substantially to the Application for Building Permit heretofore ~ed in this office dated
· Yl~ r ~. 29 ........... 19 79. pursuant to which Building Permit No ..... .1.0.1.8.1. .g ..........
dated ...... Kl~V. i ~..1.9 ............ 19 ? 9., 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 .........
·.. ~,c~.es ~ o~,v...~ ~;r. uc t;~?.~ ......................................................
The certificate is issued to ............ LDo'iff. ~[$J~.~ $ p..I~];~[t.T.I.l~ ~..C.O., ..................
(own,r, ~ltr~ ~
of the aforesaid bugding.
Suffolk County Department of Health Approval ~/K
UNDERWRITERS CERTIFICATE NO .......................... ~l/~t. ....................
Building Inspector
Rw.l~l
FORM NO. 2
TOWN OF $OUTHOLD
BUILDIHG D£P~RTM£NT
'TOWN CL£RK'$ OFFICE
SOUTH'OLD, N. Y.
BUILDING P~ERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No. 10181 Z
Permission is hereby granted to:
./~ ~. ~..4 ... J--~J~/)~Z~ .... Z./~'~.7. ~.~......~.~...
........ 2.5.~ ........ t3x.c~ ...... ~.~,~,.v.~..~......~..~.
............................. .~....t./..V..~C.~..6.~.~....~t.:..-.,~ ../~ ~ 0 /
to ....... l~.U.!.k.D. ........... ~0 ......... A.~. t2..~..~.~.t~. ~.:.(. .......... .c~:r .~..u.~ .~..tz .r~..~ ...........................
Building Inspector.
Fee .................
I~0o- '-/5- t-II
opproved by the
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 ~nk, and submitted I~ 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--iS-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 buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing a~l 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
5. Updated C.O. $15.00
$15.00
Data May 27, 1.986
New Building XX Old or Pre-existing Building Vacant Land
Location of Property 69285 Main .Rd., .Green~ort, New York
House No. Street Ham/et
Owner or Owners of Property ...~.°Rg..~.s.l.a:~..8..~.2. cj.b.~.&.~.c4.9,o.; ...........................
County Tax Map No. 1000 Section 45 Block i Lot 11
Subdivision ................ ¥ ................ Filed Map No. - .Lot No...T ..........
PermitNo. 10181 Z Date of Permit .~./A9/.?.9..Applicant .~.o. q9 Tsland f,z htzngCo
Health Dept. Approval ........................ Labor Dept. Approval ....................
Underwriters Approval ....... ~../.A .............. Planning Board Approval . . .~/.A. ................
Request for Temporary Certificate ....... .- ............. Final Certificate .... .~.e..s ...............
Fee Submitted $ .5., .0.0...~.~_~' .C~..~..~..~. .........
Construction on above described building and per,~it meets all ap_plicabie codes and regulations.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
$OUTHOLD, I~. Y. 11971
TEL. 765-1802
September 16, 1980
Long Island Lighting Co.
25 01d Country Road,
Mineola, New York 11501
Dear Sirs:
Re: Building Permit No.10181Z
4/19/79 to 10/18/80
With reference to the above and your letter of
September 5, 1980, please be advised that the above
captioned permit has been extended for six months new
expiration date April 19, 1981.
If the work is not completed and the Certificate of
Occupancy not issued after the six month extension period,
you are than required to apply for a new Building Permit.
Yours truly,
George H. Fisher
Sr. Building Inspector
GHF:jd
LONG ISI-A, ND LIGHTING COMPANY
1650 ISLIP AVENUE BRENTWOOD, NEW YORK 11717
Direct Dial Number: 516.~348-6168
September 5, 1980
Town of Southold
Office of Building Inspector
Town Hall
Southold, New York 11971
Building Permit #10181Z
Att: Mr. George H. Fisher
Gent lemen:
In reply to your form letter received on September 4,
I can advise that the subject project will not be com-
pleted for several months.
Will you please issue a six~,month extension of this
permit in order that the work may be completed.
Thank you for your cooperation and would you please
forward this extension to me at the Brent~ood address.
Very truly yours~
C. H. Streater
C S/d
FC-45874-SS
b!
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, N. Y. 11971
TEL. 765-1802
Long Island Lighting
2~0 Old Country Road
Mineola, N.Y. 11~01
Co.
Dear Sir:
This is to notify you that Building Permit No.
issued .~. ~/19~79 . to LILCO
will expire on 10/~'9/80 "'
1¢181Z
If more time is required to complete the Job and obtain a
Certificate of Occupancy, you may apply, kY letter, for a
six (6) month extension.
If the work is not completed and the Certificate of Occupancy
not issued after the six (6) month extension period, you are
than required to apply for a new building permit.
Very truly yours,
GEORGE H. FISHER
Sr. Building Inspector
FO~'~ NO. !
TOWN OF SOUTHOLD
BUILDING DEPARTME~qT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
................ .... '
~proved ...............~.~..?~..~ ........ '..~, 19.~..'1. Permit ........... .., ..................
Disapproved a/c ............./~::u:~ ..........................................................
.................. ~:.d~..,..~4 ~ .......~..~...~ .................
(Building Inspector)
Application No ............. / ................ ~
APPLICATION FOR BUILDING PERMIT ~.
................
INSTRUCTIONS
o. This application must be completely filled in by typewriter o~ ia ink and submitted in triplicate to the Building~'~
Inspector, with 3 sets of plans, occuiote plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relcitionship to adjoining premises or public streets m
areas, and giving o detailed description of layout ofproperty must be drov~n &n the diogrgm which is part of this opplicatlon.
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 o 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 port for any purpose whatever until o Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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, oF far removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections.
Long Island Lighting Company
(Signafure of applicant, or name, if a corporation)
250 O~d Country Road
Mineoia, NY 11501
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner
Long Island Lighting Company
Nome of owner of premises ....................................................................................................................................................
If opplicg.~l) i,s,,a corporate, signatgrehof duly authorized officer.
....... .....
(Name and title of corporate of~cer) . .
Dr. Matthew C. Cordaro~ Vice ~resioen~
Builder's License No .....................................................
Plumber's License No ..................................................
Electrician's License No .............................................
Other Trode's License No ...............................................
I.
Location of land on which proposed work wilt be done. Mop No.: .......... 0.~.5. ....................... Lot No....1..1. ................
Street and Number ...N~r~..]~ac%~...[.3~l..F.t....$out}~..C~a~el...Lane ................................... S. ou.t. holf] ....
~ ~ o~,~ ~ ~ Municipality
State existing use and occupancy of premises (]nd in,'ended use and occupancy of proposed construction:
c Exisiting use and occupancy ..~le. ef;=i~_..D, is.~3'.:[ht~;.toi~..D.ubata~t;[~3.~.....U,z~a.~.teztdm, d ..................
..
b. Intended use and occupancy ..~,q.~.rc~e..,9.s...?.~? ....................................................................................................
3. Nature of work (check which applicable): New Building'. ................. Addition X Alteration
R~pair .................. Removal.. ................. Demolition .................... Other Work ...................................................
, (Description)
4. Estimated Cost $25,;4001 ..........................................................................................
.................... ] .......................................... (to be paid on filing this opplication)
5. If dwelling, number of dwelling units ......... .7.. ................ Number of dwelling units on each floor ...........................
6. If business, commercial or ~]mixed occupancy, specify nature and extent of each ~pe 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 ....... ~. ......................
8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................
Height .................... Number of Stories ..........................................................................
No~ available No~
]0. Date of Purchase ................ ~ ....................................... Name of Former Owner ........................................................
lk Zone or use district in whichlPremise, ore situated .~Z.~..~...~.~.~9~ .........................................................
~ ~O
12. Does proposed construction v.iofate any zoning law, ordinance or regulation: ........................................................
13. Will lot be regraded' ...~.~...j ..............Will excess fill be remove~r~vV~, ( ) No
14. Name of Owner of ,rem,see ....L.~ .....................
~LILCO $. 0 ac 733- 590
Name of Architect ..............: ................................................ Addre~ ~~,~ ~One No.
Name of Contractor ............ ;..~9 ................................... 2nme as ~ SE~6"~ ......
Address ................................ Phone No ..... ~.~ ~.~ ......
PLOT DIAGRAM
Locate clearly and distinctly all buildings whether existing or proposed, ~nd indicate all set-~ck dimens one from
pr0pe~ lines. Give Street and blpck number or description according to deed, and show street names and indicate
whether interior or corner lot.
~ ~ ~ ' ' ,' -, '~or De~ails
~ { ~ ~/~'.~'.~* - - ~,~,~' See LILCO
STATE OF NEW ypRl<, t[~ ~
COUNTY OF ..~J~ ...... (¢'¢
......................................................... , ........................................ being duly sworn, deposes and says that he is the applicam
(Name of individual signing contract)
abow~ named, i
Lie is the .................................. ........... ; ....................................................................................................................
t (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and fiJe
this application; that all statements contained in this application are true to the best of his knowledge and belief; and
thor the work will be performed in (he manner set foRh in the application filed therewith.
Sworn to before me this
,
.................. .. .. .. . .. . ... . ... ... ...................
EATHRYN L PARANT ~ . ~ ~_~--v--~( (Signature of applicant)
NO[aW i~ubhc, S~ate o~ New York ~~ ~ / ..... ~ D~. Matthew C. Co.dado
i?), 33-30~2270 - f Vice President
t
APPROVED AS NOTED , ~!
DA,E,
NOTIFy BUJLDING'DFP~RTMENT AT
31087