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Home My WebLink About10753-zFORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g.'l.fl6.z[~ ........ Date May 2 19 83 THIS CERTIFIES that the building . .~9.e.e.~..~.~?~ ................................... Location of Property . . .50.5...R.e. oy.e.....~.Mo. ............. .lVI.~.~.~. ,i~.u. qk. ................ House No. Street Hamlet County Tax Map No. 1000 Section ...'].'1.~ ...... Block ... 9 ........... Lot ....... .~ ......... Subdivision .............................. Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permzt heretofore filed in this office dated .... .0-.up..e..~.5 ........ , 19~.~. pursuant to wtfich Building Permit No ..... q .0755. .......... J~ne 25 80 dated ............................ 19 .... 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 ......... .............. ~..Q~'..~,~. ~.o.v..¢ F~.Q ./g~.d-..~09~ ..................................... The certificate is issued to . . ~.t. alXl~..gtaW, o.z~ ........................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .~2/a ..................................... UNDERWRITERS CERTIFICATE NO. N¢gz~19fl Building Inspector Rev. 1/81 FOI~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL CQMPLETION OF THE WORK AUTHOP, IZED) N? 10753 Z Date ........................ 19. ~.~..(,) Permission is hereby granted to .......... ~7Z..,~. ~.~.....~-.F~:~ .~....~., 9~ ..... ......... ~.~.c~¢=...c~ .~%.~.....~/:~Z-/ , ~. ~ ~ ~ ~ / . . , ~ to ..... ~'.~ ~Z..~.Q,.~.....~,~ ...... ~,----.~.~.... ~,~,~'' .. Building Inspector. Fee ...... / ... i:.,i~. ~ Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail SouthoM, N.Y. 11971 · APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subr~itted 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 disposat-(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 New Building ............. Old or Pre-existing Building(X) ....... =/Vacant Land ............ Locat,on of Property . .,,%~,~,'~. ...... ,~F/-:.~V¢..~.....,,~Z'../~. ,'~..: ....~4~/~.."~.'~..~ House No. Street I / Owner or Owners of Property .... ~. 'Z~,~-~//-¢~., .~r~... ~..~.-..;~....~..7~,~ ................. Subdiwsion ................................. Filed Map No ........... Lot No .............. Permit No. /~.T.~.~..F~-~Date of Permit ~r~¢4..'. 7.o°.~...Applicant..~..~.~.~?./~....~..'~...~.,~¢~.. ....... Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval ,../~ ............. ~ ,., Request for Temporary Certificate ............ inal Certificate ................. - Fee Submitted $ ...................... -. , ; ~¢i,~t.~ (~, ~, , TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 September 29, 1987 TO WHOM IT MAY CONCERN PROPERTY TAX MAP #114-09-08 The deck around the above ground pool on this property is covered under C.O. Z 11644 dated May 2, 1983. Curtis W Horton Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS ~i BUREAU OF ELECTRICITY~ ~ 85 JOHN STREET, NEW YORK, NEW Y~DRK 10038 THIS CERTIFIES THAT S[an~ey $~aron, 505 R~e~, ~,/~,, ~ P,~o 11%~ 97, Matti~, Nfl, in the following location; [] Basement [] 1st FI. ,~.se..,,,~,~¢don Sep~ 18~ 1980 FIXTURE OUTLETS [] 2nd FI. OI~CS~ Section Block arid found to be in cotnpliaace with the r¢quirements of this Board. Lot DRYERS SYSTEMS NO. OF FEET E S E R I NO O~ERCC~COND A W O. NO OF CC COND OF H~ LEG OTHER APPARATU$= (Sw~aitg Pool) ~ ~ifi~te ~r~ ~ a~ g~ ~e of ~ have fr~ ~t ~dbr r~s ~e ~ a qm~f~ ~. C AWG OF HI lEG NO OF NEUTRALS AWG O~ NEUTRAL Stanley Staron 505 P~eve Ave. P.O. ~ox 97 Mattituck, NoY~ 11952 This cerhficate must not be altered in any manner, return to the off;ce , Board ,f inco NOT F~EL~,~NSPECTiON COMMENTS FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY C0~E 4. FINAL ADDITIONAL COMMENTS: FORM NO. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:a Examined,/~. ~.~-...?< .~..., 19 .~. Approved . . . 19 .. Permit No.X Disapproved a/c ....................... ..>v ....... r) APPLICATION FOR BUILDING PERMIT 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 giving a detailed description of layout of property must be drawn 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 demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, l~ousing code, anj~ regulations, and to admit authorized inspectors on premises and in buildings for necessary inspegpl~ns. .... ( '' iS(m~ J~(e'{;fi~t, orname, if a corporation) /(M~ltng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..._..~.~.,~./~..,~,'~. y.....4J'AQ... ,~.~/'"..r.~.. ~.'7'". t~.~. .......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................. ........... . . . ............ :.. ............. House Number Street Hamlet ...... /./~. ....... Block .... 7 ............ Lot .... ~ ............ County Tax Map No. 1000 Section Subdivision .... ~ .......... -.x-.w-. ................ Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ' b. Intended use and occupancy ../~.~.~.. ~,~.~/-/~(/~...0'.14/.~...(~//~. ~. '....~.C~/,...~ ..................... 3. Nature.of work heck which .apphcable): New Building .......... Addition ... Alteration ......... Repair .............. Removal ............. Demolition .............. Other Worl~f(¢~ 4. ~stim~ted Cost ...................... Fee ............................. (to be p~d on filin~ this ~pplin~tion) ' Number of dw llins its o h floor numbe of dwellins units ' 5. If dwelling, r e un n e~c ................ If g~age number of cars : 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . .~r~:~. .............. .... ' ' pth 7. D~mensmns of ex~st~ng stmcture~, ff any: Front ............... Rear .............. De ............... Height ............... Number. of Stories ........................................................ D~ensions of same structure wlth alterations or additions: Front ................. Rear .................. ' Number of Sto~es Depth .................... '.. Height .... '~?/' 'f~rt~/~ ............ ~ 7 ............ 8. Dimensions of entire new construction: ~nt . ~'1.. t[~/g.~ ~r ............... Depth ~ ............ Height .............. , N~ber of Stories .................................. ,.,~ ~ r.~ · ~ t.~,,~~ · · ~ ~'3~ ' · 9. S~ze of lot: Front ...... ~...~..~.~ ~ ........ Rea . . ~ "' ~ · .fd)~, "~ ........... Depthst~t~'17.' :~vSt'. ' ' ' "l?'~f ..... 10. Date of Purchase .. ~f~'F. 7. ( ~.~[ ............... Name of Fomer Owner ~..~tp~ :. Z. %' ...... 11. Zone or use district in which pr~mises are situated ........................ ~ ...................... ~'12. Does plroposed constructip~iohte any zoning law, ordinance or re~lation: .............. . .............. 13. Will lot be regraded ...(~ ~ ~,~,~. ,~ ~./.~,/.~.3'~ ~.:). ..... Will e~9~¢¢~ prem~sesf 14. Nme of Owner of premises ...['../.~5.2/~ ~ ..... Address ~~~. Phone No. ~.q/~ Nme of Architect ........................... Address .................... Phone No ................ Nme 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 blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW.,YO~K . 'c'ohtrao't) above namled. [ ' (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 file this application; that. ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manher set forth in the application filed therewith. Sworn to before me this NEW SUFFOLK AVENUE NOTE~ · =MONUMENT O:PIPE SUFFOLK C(~UNTY TAX MAP DIST, LO_~) SECT, IL~ BLKD9 LOTO.~._08 SURVEY FOR BERNARD L.STEPNOSKI~8~ BEVERLY STEPNOSKI AT MATTITUCK TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK YOUNG YOUNG ALDEN W YOUHG, PROFESSiOHat £NGINE ER AND LAND SURVEYOR N.Y.$. UCENSE NO. 1284S HOWARD W. YOUHGI LAND SURVEYOR NO, G7*140G GUARANTEE O BERNAR ~ AG~W~~ al(X) C~TRANDER AVENUI RtVERHEAO, NEW YORK