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Home My WebLink About10113-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No... 79.6'16 ......... Date ....... .Augu~.~C .6 ................ 19..7.9 THIS CERTIFIES that the building ................................................ Location of ProPerty . 92-(] ............ S1P..a~y. H.o. llow. La ............ $outholcl ..... House No. Street Ham/et County Tax Map No. ]000 Section .. 0.~.8 ...... Block .. ~ ............ Lot... 8....-~.. ....... Subdivision .Sl~.e~)¥. [-T-D~.'I OW ............... Filed Hap No.; . 63.1.[5..Lot No .... 8 ......... conforms substantially to the Application for Building Permit heretofore f'ded in this office dated ..... F~.hr:ual~..23..., 19 .?gpursuant to which Building Permit No ..... ~[0'] .J.~ .......... dated ....... F.et)~"tla~.. 2 ~ ........ 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 ......... The certificate is issued to .... P~and_azzo. B~ildtng. Co...~. Ina ....................... of the aforesaid building. Suffolk County Department of Health Approval .9-,S0,-.'10,. Jul.. P-6,..q 9.7.9, · P~obel~.t .A. V;illa UNDERWRITERS CERTIFICATE NO ......... ;4/~3.q 52. .................................. Rev 4/79 / / ,.- // . . .~-~. ~-:~":~. ~. ~' ..... '.~ ..:'~.. ~, i ........ Building Inspector FOEI~ NO, ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10113 Z Permission is hereby granted to: ~ ,~ ~ ) ' r .... ..~~~.~ r .. ~&~....~.. ............................................................. , .......................... z-~ ......... ~:'" ': .............. 7"~ ...... o, ~re~,se~ ,o~a,e~ ot~.~J.O...~...~X,a~' ................................ · [ [ ./_~,,. r./.,~J Z/.cd ..... ~; ................... ~ ....... ~'~'"'";;" -5:, ..................... '=' .... -'-' ..... "'"'vf-'" .... ............................................ ......... tn~pCcPtSli~at i°~ FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" ~and uses: 1, Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 New Building ....,~.. ...... Old or Pre-existing Building , .o0 Date .................. ............ Vacant Land ............. Location of Property ................................................................... House No, (~ Street Hamlet Owner or Owners of Property..~.~ .t~'.'~.. ,'7~......~.£/.'..~..~. ?)f.~..~....,~/~ .~¢'..., ........... County Tax Map No. 1000 Section , .0.~..~. ........ Block...l ........... Lot .... ~ .......... Su bdivision .S.D~ .~... ~. ?../~.. 0,(~. ......... MapNo ............... LotNo ............... Permit No. [~,/.~-~ .... ! Date of Permit ~. f2d."~:~/'~.Applicant .... ~.', .~.~. .... ~-~. · ~.~ ..... Health Dept. Approval ... ¢~'0../.~. ........... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and pern~m,eets all al~jicable codes and regulations. Applicant ......... ~ ..... f~,~? .................... Rev, 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS -- ~9~Pl BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~,~ ~u~v 26, l~?~ ~,,~,,o~o.o~,~6~ N THIS CE~IFIES THAT only the el~t~c~ equipment ~ ~c~ ~ o~ int~ by t~ ~i~t ~ on the a~ ~n ~m~r in t~ pmm~s of Ramdazzo Bldg. Co., ~s Sleepy flollow July 23, 1979 and found to be ifl compllance witn the requlrernents of this Board. fiXTURE FIXTURES OUTLETS ECEPTACLES SWITCHES INCANDESCENT. FLUORESCENT ~ve~C~l~Y 26 21 26 DRYERS *FURNACE MOTORS FUTURE APFtlANCE FEEDERS A,VJ. K*W* OIL H.P, GAS H.P. AMT. NO* A.W.G. SERVICE DISCONNECT I NO. OF I s ]1 200 ~ ~eb ~ x METER. 1-~moke Degector 1- 3Ton AC i-14KW Elec. Furnace RANGES i 30 R COOKING DECKS I OVENS I mSH WASHERS TC S BELL UN T HEATERS IME K r UNIT HEATERS Ut . . TRAN.~.. SYSTEMS EXHAUST FANS DIMMERS OF CC. COND. 2/O NO, OF HI-LEG A.W.O. OF HI-LEG NO. OF NEUTRALS OF NEUTRAL John T. SapanaroE Inc. 102 Oak Ave. Shl~'iey, N.Y. 11967 Lic.334 E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be COPY FOR BUILDING DEPARTMENT. Rill COPY OF CIERTIFICATI MUST NOT Bi ALTIRID their credentials. ! --H TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19Z~.. Permit No....Z~..~.5.X.~ .... ................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date a. This application must be completely filled in by typewriter or' 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 df 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 port 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 o Certificate of Occupancy shell 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 coj~"~ housing code and regu at OhS, and to admit authorized inspectors on premises and in buildings for necessary inspec~4or~. U3[g aure of opplic~on~or heine, if o corporation) (Address of oppllcont) State whether opplicent is owner, lessee, egent, orchltect, engineer htr lectrician, plumber or builder. If apgli~arlj~~ a 9~r'r~ora~, signature of duty authorized officer. ......... .... ..................................... 9- z o_ Builder's License No ...... ~ ............................................ Plumber's License No..~.;..~..~.~.~../,...~..~.....: ............. Electrician's License No. %.~........'~..~.~..~...~.. ...... Other Trade's License No....'m'. .......................................... ~..~.. L.~ot 8 Location of land on which propose?~d work will be al, ne. Map No.: S~P....~.¢ .... No ..................... Street and Number ...~...~,...~......~..~]..~.~....~..~..~..Z~:~f.~...,~<'~z~.. ............................... ,~.~..~.,~:.~..~...~....Z~.. ........... ? ' Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .,.¢>1....~. ,~,,'.;~..~...t .......................................................................................... ....................... ........ .......... b. Intended use and occupancy ............ ~.~./.11~; L~ I 3. Nature of work (check which applicable): New Building'.~ ............. Addition .................. Alterat!on ................ Repair .................. Removal .................. Demolitior ..................... Other Work .................................................... ~LJ-/1 Zl.." ~'-"Z '-// Z~ (Description) ........................................ ..... ....................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ Jf garage, number of oars .........~..~ ........................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type 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 .................... .~....~umberlf of Stories ...... .~..~7..I ................~,~ I 8. Dimensions,,i Qf ~ntire new construction: Front .....~.~:'" ..................... Rear ...~..~..' ............... Depth ..~.~. ............... Height ....L~. .......... Number of ~,ories ...... L .............................................................................................................. 9. Size of lot: Front ............ ~.~ ................................. Rear .......................................... Depth ................................ 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: ..... ~f.~.: ........................................ 13. Will lot be regraded' .,...~.~ ............ Will excess fill be removed from pr~i~e~: ~ .) Ye~ .... ~ No of of ........... ...... ................................ ho,, ............ Name of Architect .............................................................. Address ................................ Phon~ No ....................... Name of Contractor~..~ .......................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ~11 set-~ck dimensions from prope~y lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW,, YORK, I ~: c COUNTY (~ ...[....~...~.. .......... ~.~.. ................. .~-.).......~.1.:~.~.~:...., ..~...~.~(..,~./~...~...~ ........... being duly sworn, deposes and says that he is the applicant (NameVof individual ~igning contracf) above named. He is the ................... ~.~...~.Q~.~..::: ............................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this applicction are true to th~est of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed t~er~with. Sworn to before me this ~ ~ / / // ....... · ......... Nora Public, ~~.. Coun~ .~,,~-~.~ ............................................... ~OT~,i,Y , UB].IC, R~ERS.~ VAN T_U~L, P.c. :--:":' ~' '-;-'-- ":'-~-*'-,' d LICENSED LAND SURV£YORS GREENPORT NEW YORK SUFFOLK CO. HEALTh DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM tO The STANDARDS OF the SUffOLk GO~ DEPt. ~ HEALTH SERVICES. SUffOLk C~UNT~; CEPt. Of HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONlY DATE: ~//~/2 .¢ H. Sm REf No O- ~,¢- / 0 APPROVED: C . ~ SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: DEED: L. ~'/D-' p. TEST HOLE STAMP SEAL J '19 JUL SUFFOLK CO~ HEALTH C~I'. H.S. NO.__ THE WATER S~Y AND SEWAGE DIS~SAL .~EMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. D. EPT. OF HEALTH SERVICES. APPLICANT SUFFOLK coUNTY DEPT. OF HEALTH SERVICES ~ FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.:~ A~ROVED: ~ ~FFOLK CO. TAX MAP DESIGNATIO~:~ s cT. OWNERS ADDRE~: DEED: L. ~(~ P' TE~ HOLE ~AMP ~;{~ SEAL ;~p ,~ :~r~'~) GREENPORT NEW YORK i APPROVEDIAS N~C)TE D DAT~ NOTIFY BUILDING DEPARTMENT AT ~765-2660 9AM fo 4PM FOR REQUIR. ED INSPECTIONS= ~1. BEFORE BACKFILLING FOUNDA- TION OR START FRAMING ~). FRAMING INSPECTION 3. BEFORE COVERING P~P.&S OF ANY KIND _4. FINAL WHEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ~. ALL CONSTRUCTION MUST MEET REQUIREMENTS OF N.Y. STATE CODE AND TOWN HOUSING CODE & ZONING T -I