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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