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HomeMy WebLinkAbout10096-zFORM NO, 4 TOWN OF 50UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building .. kc. qo~p.r.y, ~,t,r,u, .c.t,u.r.e.: .. ..................... Location of Property ........ 6 [t2.8 5.. Main. J~Q~Clj ........ G. r..~.e.n.p.o. ,r.t. ................ House No. Street Ham/et County Tax Map No. 1000 Section 4 5 . .Block I .Lot 11 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..N.o.v.:..3.0. .......... , 19.7. g. pnrsuant to which Building Permit No... 3.0. 0. 9. .6.g ............ dated Gan. 9 19 7.9., 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 ......... · ACCe~.s.Q~y. s.~rU.cture, to enclose batteries. The certificate is issued to LONG ISLAND LIGHTING COMPANY ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ........... ?./..A ........................... UNDERWRITERS CERTIFICATE NO .................... 1~./..A ........................... Rev. 1/81 Building Inspector FOEH NO. 2 TOWN OF SOUTH0/D BUILDING DEPARTMENT 1'OWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING' PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. ~"10096 Z Permission is hereby granted ~o/ to ..Co.~z~Z.....~C~....~:..~,...~.~.~..~:....~.~ ........................... ..~Z~g~.~...~./[Z~<~g:......~ .......................................................................... pursuant to application dated /~,~-/0~'~,~ ~'0 19.Z..~,, and approved by the Building Inspector. ~~~_ Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 South01d Substation 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 featu res. 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 peoperty 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 or land use 3. Copy of certificate of occupancy $1.00 $5.00 December 23 1~85 Date New Building x× Old or Pre-existing Budd~ g . . Vacant Land Location of Property 6928.5. Main Road, Greenp~ort, .N,.e~. Yqrk... House No. Street Hamlet LONG ,ISLAND LIGHTING COMPANY Owner or Owners of Property ............................................................ 45 1 11 County Tax Map No, 1000 Section ............... Block ............... Lot ................ -- Map No -,- Lot No Subdivision ..................................................... ~ ~ ....... .10096 4/19/79 · LONG ISLAND LIGHTING COMPA. NY Permit No. Date of Permit .......... Applicant N/.A '"App N/.A, Health Dept. Approval ....................... Labor Dept, roval ...................... N/A N/A Underwriters Approva~ ........................ Planning Board Approval ...................... -- Final Certificate .~es Request for Temporary Certificate...... . . ......... .. ................... . Fee Submitted $..5.: .o .o ....................... Construction on above described building and, permit meets all applicable codes an.d regulations. Applicant.., :~.~./[C.~, · · .t~,' :. · ,~,~'. ~. ,/~,'~~. .................... Maurice P. Fitzge~j~d, LILCO Representative FOB~M NO. ~ TOW~ OF $O~TNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ............... ...... , gJ Z.. No..Z ............... ........................... ....... ................. ........................................... EC..:...:zx .......................... 2 .......................... ....... ......... {Bu~in~nspector) Application No..~...~...~....~..(. ............ APPLICATION FOR BUILDING PERMIT Date .~.¢2 .;(., ', '~ 19.. INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 ofproperty must be drawn 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 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 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 Co. (Sianature of applicant, or name, if a corporation) ~50 Old Country Rd. Mineola, NY 11501 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises ...g,°.~;...Z..~..]:..~...q.d....~l~.h..~..~.~...q.o.... ........................................................................................ If applicaj3.t jsa corporate, skipature of duly authorized officer. '(Name and title of corporate officer) Dr. Matt, hew Cordaro, Vice President , Builder s License No .............................................. .~.'." Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... Locatl~n~pf, J~nd~.on which proposed work wsll be done. Mop No.: ,...0.~_5. .............: ....... ../. ...... Lot No ......]; .................. ~. .~Z/~'~$. Main Road - 430' South of Chap~el Lane Southold 3rreer eno INumDer ...................................................................... , .......................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: lect Generatzng & Dist ~ t ~ ~ o. Exisiting use and occupancy ...................................................... Z'. ~.~..,],Q;O...~. ~;kO~ ................................ b. Intended use and occupancy ~.~..~.~9~`~.~.~.e.~.~.~.~..~.~.~..t.~:.J:~.~.~.~g~.e.~.~..~:..e~ ...................................................... 3. Nature of work (check which applicable): New Building'. ....... ~.. ....... Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work .................................................... .~ (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dCvelling 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 ............................ Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8' 8' 8. Dimensions of entire new construction: Front ................... , ................ Rear ............................ Depth 12' Height 8' Number of Stories I 9. Size of lot: Front ...L[~.~.:,~..0..'. ..................................... '. Rear 416.50' Depth 621.40' 12. Does proposed construction violate any zoning law, ordinance or regulation: ...N...O. ................................................. 13. Will lot be rearaded .....N...o.. ................... Will excess fill be removed,,fmm p,r, emis,~s: (,) Yes~ ( ) No ~ ~hu u±~ uo~n~ry ~. N~ ...................... ...... Long Island Li~htin,$ Ccx.~.,ressl~I$..n..e..9.1a~ .N..Y..... Phone 28-2890 Name of Architect .............................................................. Address Z75]..E.;...OZ.c~...e~b,u~l~o~ l~d ...................... 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 fo deed, and show street names and indicate whether interior or corner lot. SEE ATTACHED DRAWING F27481 STATE OF NEW YORK, COUNTY OF ................................ Dr. Matthew Cordaro ................................................................................................. being duly sworn, deposes and says that he is the applicam (Name at'individual signing contractO above named. He is the Vice President (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ail statements contained in this application are true to the best of his knowledge and belief; and ti.ar the work will be performed in the manner set forth in the application filed therewith. Sworntobeforemethis,_ ~ -, , ....... ~.g..-~... ...... day of .....~..m.L,(~.~..~'.~¢~, ........... , 19.7.~.., Notary Public,. 'v~.2.G,~.~..~. County ..................................... ~R? JO TERRtLLION (Signature of applicant) Notary Public, State of New Yore Dr. Matthew Cordaro No. -,0-4603827 Vice · re,:.tdent Qualified in Nassau County ,' Commi~sian expires Mar. 30, .!.9..~,~, ,,Fr D APPROVED AS NOTED NO~ ~ DEO'a'RT~ENT AT 765-2660 9A/~A to 4PM FOR REQUIR- ED INSPECTgOHS: 1, BEFORE BACKFILLING EOUND'~i- TION OR START FRAMING 2. F~AMING INSPECTION a. BEFORE COVERING P[P~S OF ANY KIND 4. ~IH~L WHEN JO] COMPLETED NOT RESPONSIBLE FOR DESIGN O~ CONSTRUCTION ERRORS ~. ALL CONSTRUCTION MUST ~E~ REQUI~EMEN~S OF N.Y. STATE CODE ~{D TOWN HOUSING CODE · ZONING [DDED LIGENI~E:: REPLACE~ ,Sw." ~60 A LONG iSLAND' ENGINEE~RIJ NEW 'ri ¸ m ~ , " L oU VE ¢~ LouVER INCH x 0.~54. = .ET~r'