The URL can be used to link to this page

Home My WebLink About10795-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No Z10591 Date .,july..~,0 19 8.1. THIS CERTIFIES that the building ................................................ .............. ~.~p.l.e...L.~.n.e. f Cr.e.~9~r~. l~.ej~cl~ }...~r,ertl~Or.t.,. N. ¥. Location of Property House No. ' 'Street Ham/et County Tax Map No. 1000 Section .... 38 · 0.1...Block ..... !. ......... Lot ... fi. ............ Subdivismn CP.e.s¢on.t;..Bosg:ll .Con.d. omin;LtlnlFiled Map No. 62 ...... Lot No...lJnt.t~ .6C... conforms substantially to the Application for Building Permit hergtofore filed in this office dated ....ltl.n.y..2..~ .......... 19 .8.0 pursuant to which Building Permit No ..... 107.9.5. g ......... dated ........ ,July..23 ............ 19.. 80was issned, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ............... Soz'.eened..in. Par. ch ...................................... .. ...... The certificate is issued to .... Nicholas. &..Cons.tance..La. Racco ..................... of the aforesaid building Suffolk County Department of ttealth Approval .... I~/R .................................. UNDERWRITERS CERTIFICATE NO ...... g/Il ........................................ Rev. 1/81 Building Inspector FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDI~IG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 10795 Z Permission is hereby granted to: .... #f...~./.~.~.~.....~.....~.M~.T.~..¢.!~.r~ ......... fi.~ -~'t~c o ................ ~. ...... ~/~.~(~.~ ...... A f (~ ......... ...................... ~%~. ......... ~.~..e ......... (.f..~.~ ~ ~ to ...a.f~.~ ......... ~ ....... ~..~.~.~.¢.f~./~ ........ ~.~ ......... L:.t ;~.~:L.E.~.t~.E ........ ~.....~..~.,.2~/.~L~ ..... at premises located at ~ ~ ~( ~ k A ...~¢¢.~.....~.~ ............ ~.,~.~.....~.¢.~/. ....... ¢.~.¢z.,.~:r,.~ ........ ~.rL...~..~ pursuant to application dated ................................ ~.~ ~.....~'19 ........ and approved by the Building Inspector. Fee $ ........................ Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outbold, 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 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 buddings, 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 ex~sting 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 topograph m 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 reqmred 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 occupancv $1.00 $5.00 Date .... ~ / .2.0./. ~ ~ .............. New Building ...... ,x ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...I~ap&a. La~a, ................. G~e~npoP.t~r .I~e~..¥aPk. ........... House No. Street Hamlet Owner or Owners of Property .... [~,t.qI991~,~. &..C. ar~ $ :b~¢e. L,a]~ a. m.a ...................... County Tax Map No. 1000 Section ..... 38...Q1 .... Block ...... 1 ......... Lot ..... 6 .......... Subdivision ................................. Fded Map No ........... Lot No .............. Permit No. 1. .0.?.9.5..Z.. Date of Permit . ?/~.-~/.8.1 .Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval Underwriters Approval ........................ Planning Board Approval ..... Request for Temporary Certificate ..................... Final Certificate ......... ×x ....... Fee Submitted $... ?...0.0. .................... Construction on above described building and/p erm it/~ets a~ applicable~-a~d regu latio ns. ~pp cant . .~'J/.~v.. ,/..~.~ ........... (/7-.~ .//. .... 7..: ................ GA RDIN~R$ BAY FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 /]~ TEL.: 765-180:2 Examined ..... ~./56..~..-219. Approved... ,/~/?.~-..x.. '.9.~, 19 .~[~ermit No.../ Disapproved a/c ......... ~ .................... ................................ i:: (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No.f.O. .7.'.~i 5~.-. Date ...... l~y. 22.,. INSTRUCTIONS 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 of buildings on premises, relationship to adjoining premises or public streets or areas, and ~ving a detailed description of layout of property must be drown on the diagram which is part of this appli- cation. 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 ~emolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hous~g~od~, andxregulations, and to admit authorized inspectors on premises and in buildings for necessaw insp?c¢on~s. 1~ J/~/ 3 ......... · c .......... ~ppli2~, or name, orporation, 90 Sherman Avenu~ ·..w.e.s.~..~. s.~. ~.~, .~¥..~.~.79. 5. ...................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Agent Name of owner of premises Nicholas and Constance h. aRocco (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. 3Y...0g.n..e.r ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...M.ap.l.e. ~ .aa.. .e . .( .C T ? .s .c .e p .t' .Bg.ag.h) ~. 9r.e.e.nmor.t,.. .x. House Number Street Hamlet County Tax Map No. I000 Section . ...3.8: .0.t .......... Block ...; 1 Lot....6 Subdivision Creecev.~. 13.egch. ~9¢~tgra.i.n.icm. ........... Filed Map No...6.2 ........... Lot . .U.n.i.t..6.C ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .S.e.a.sp.n.a.1. ?..u~.~.e.r..b.e.a.e.h..e.o.n.d.o.m.i.n.i.mn...(.A.p.r.i.1..1..t:h.r.u..N.oy.e.m.b.e.r..1) ......... b. Intended use and occupancy .S..a2m. e..w.i.t.h..&.d.d.i.t.i.o.n..o.f. ~p.a.t.ip..w.i.t.h..s.c.r.e.e.n.e.d..i.n..p.o.r.c.h..w.i.t.h..r.o.o.f. ....... 3. Nature of work (check which ap'plicable): New Building: .......... Addition ....X ...... Alteration .......... Repair~ .............. Removal ........... :.. Demolition .............. Other Work ............... (Description) · , $950 oo 4. I~ stlmated Cost ...... : ............................... Fee ...................................... (to be paid on filing this application) If dwelling ' ' · Number of dwelling units on each floor 5. , number of dwelling units ............... · ............... If garage, number of cars ..... ' ................................................................... 6. If busihess, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front... 29 ! ......... Rear . l-6 ~ .......... Depth.. 26 J .......... ' :1-5 '. Number of Stories Height ................................................................. DJmeasions of same structure with alterations or additions: Front . 20 J ............. Rear .. 16.' ............. Depth.... 38 ! ............. i.. Height ....Z 5 ! ................ Number of Stories... 9¢e .............. 8. I)imensions of entire new construction: Front . .16~ .......... Rear . .3.6! .......... Depth 12! .......... ........ uommon ownership cresc~nt_~eacn conaomznmum 10. Date of Purchase . .6./.2.k./?.8.. ~ .................. Name of Former Owner . J.a¢.9$ ..P, .~:.~¥~$~g1~ ........... I 1. Zone or use district in which prsmmes are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: .~Jq> ............................. 13. Will lot be regraded . ~9 ..... ~ ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~$~9:k~. I~g~9¢99 .... Address :[03~. ~ri~. Se¥~th. P:[, Phone No.( 516 ). b~6865.. Name of Architect .......................... Address .PgeP.m3. 9. )~.~¢~.,..F~.. Phone No ................ Name of Contractor ........................ Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blockl number or description according to deed, and show street names and indicate whether interior or corner lot. 12' x 16' patio with screened in porch and roof. x lO' concrete ~ddition from side entrance of condominium to porch. STATE OF NEW(Yg'RK/! yZ ~ ~ COUNTY o~F?~~.., ~'~ ...... ~J'(. ~..~..:: ,~. ~ ..... Z~ ~. 0 ~3C~ ~7~. being duly sworn, deposes and says that he is the applicant : (Name of individual sigaing contract) above named. He is the ............... ~L,&2. ....... .O. ~-¢~,q ~. FT. .................................... ~ (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 all statements contained in this application are true to the, best of his knowledge and belief; and that the work will be performed in the manrler set forth in the application filed therewith. Sworn to before me this c,'~ / £LIIAB/T. ANU ~¥1tt~ ! / ~/ (Signature: of applicant) NO, 52-8~850, Suffolk Term £xpsres Ma~eh 30, ,£-L £-~' VA T r ~,'~ TIN ~ E-x/,.~"F/t,,/G /ZLI:-' V,4TIDh/ ~-X t5 TIN (~ NOTIFy BUILDING D~ 1. FOUN~AT!ON . TWO REQUIRED C~2ED6,'P. NT Bf.:A61-1 COk~Do.[ GARDINERS BAY (~) COUNTY OF SUFFOLK ]l~a~ $OUTHOLD II O~iOi