HomeMy WebLinkAbout11361-zFORM NO. 4
TOWN OF 5OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
?Certificate Of Occupancy
No... Z10732 ,:~Date October' 15 .......... 1~.1.
THIS CERTIFIES that the, building .......................... ' ......................
.'lzocatio~. o f. gro. perty .... .6,9.q5.. ?.e.q u..a.~.h,..~ g .e.n.qe...&..7.q. ~.~.e.e.t. ¥99.d.. R..d.,..C.u..tg.h. qgu..e.,.N Y
House No. ~Street Ham/er
County Tax;jMap No;'1000 Section .... .1.1.0 .... '.Block .... 0. 4. .........Lot ...0.q 1. ...........
Ravatone Realty Corp ....... 539- N.50 ~4 & ~5
Subdivision ........................ [ ....... m~ea rdap No ......... Lot No ..............
conforms substautially to the Application for Building Permit heretofore filed in this office dated
.....duly. .... 2.2 .......... ,19.S.t. pursnant to which Building Permit No. ...............,.....11361 Z
dated . . S.e.p.t..e.m.b.e.r...8 .......... 19 .8.1. , was issued, and conforms to all of the requirements
of the applicable provisious of the law. The occupancy for which this certificate is issued is .........
·..~.~.c?..a.d..o.~.~.~.o. ~)..~.o., p.~.~), z..~.n.~..~..o.aq~...o.~ ?.p..p ?.a.z.s...~?.p.e.o..v.a.z. ?.?.87.1.,.. ?/.3./s 1
The certificate is issued to ..... .A.n.~.h c~3y' .q: . .a.n.d.. g?.l.e.n.. ~.,..N 9¥.a.c.h e..k ................
(owner ~tP2~)x
of the aforesaid buildiug.
Suffolk County Department of Health Approval N/R
UNDEI~,W~ [TERS CERTIFICATE NO ...... i'{/..~ .........................................
Building Inspector
Rev. 1/81
(THIS PERMIT MUST BE
COMPLETION OF THE WORK AUTHORIZED)
No. h3~ z
FO~ NO. ~ ,
TOW~,OF~ SOU*Hod. i;
BuILDiN~
TOWH H~LL
BUILDING' PE~IT :r
KEPT ON THE PnEglS~S
Permissioh is hereby granted to:
...... ~.~.~..~..~.~ ~. ,~
,0..~~~.....~,.....~.~~. ~.~ ....
ot premises ,ocofed
...~....~ .......................... :~ ..........
- .
..~~.~...~.~z.+.....~..~ ......
c,~h~ ,~ ~op uo. ~ooo s,~t~o~'-t~ ........ L.--~o~ ~ ........ ~.. Cot ~o. :~/ ..............
pursuant ia application dated ......... ~0.~ ~'::'" :"'",: 19 , and cpproved by the
Building I~spector.
' ~ ~t BMMIno In~ec or
Rev. 6/30~80
FORM NO. 6
TOWN OF SOUTNOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTiFiCATE OF OCCUPANCY
Instructions
Tills apphcation must be filled in typewriter OR ink, and stibmitted in duplicate to the Building Inspec-
tor with the fotlow~og; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topo§raI~hic features.
2. Final approval of Healt5 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"
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.
C, Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date..O~.. /.~.,. ( .! .~./..
New 13uilding ............. Old or Pre-existin~ Building ............ Va.cant Land ...a ........
Location of Property..~.~.0..~'... , . .~..~. ~.~//... ~.~, ¢,~...~~).~.~- ......
House No. Street Hambt
County Tax Map N . 1000Sectlo~ ............... Block ...~ .......... Lot.,l. .............
· . ........ ~ ................. ~..~. .......... ;~..
Health Dept. Approval ........................ Labor Dept. ApprovsI .................. ~ .....
Underwriters Approval ........................ Planning Board Approval .............. ~5~....~
,equest for Temporary Cert f cate ............ Final Certificate. ~ ~,% .'T)
.........
Construction on above described bu ilding an~7~ts~l.T~717~d regulati~. '~ e
s Date:' Thursday, September 3, 1981 ' '
rs Abse,lt~ if any: none
Item/Hatter of:
'Variance or Appeal:
2871 ..
ANTHONY G. NOWACHEK
Deck addition to dwelling yi__t~i~suff, frontyard setback
or determine deck not to be an addition.to dwelling.
oCrharles
~gonts
ion made by: ( )
.-d by:
(
(
(
Approve as applied for
Deny as applied [or
Den}' .'
Den}' without prejudice
Withdrawn without
Prejudice
er e ~aw~
~ o~9~n Robert ose .
~oehi-mger .
· Doughs ~Gerard
( ) ( ) ( )
( ~)4pprove with the followin~ conditions:
) ~ubj~_ct to County Plannihq referral
) Subject:to PlanniP9 Board a_~roval
) Subject to D.E.C. re~u_!_ations ( ) Other:
s of the Board are as follows:
Other:
;ot \{itlfin tim Character of the Neighborhood
· ~ariance is Substantial in Relation to Code
f sol ,
tardship not suf£icient
{ardship or Difficulty Not Unique
/ill set a precedent in the neighborhood
~rea is already very congested
~terests of justice, seryed ~y denying
~-Nay: (
~bstain:
Absent: ( ) .( ) (
~at is established frontyard --
30'
Grantin9 the Relief Requested is within
spirit of the zonin9 code
Relief is not substnntial
Burden of hardship or difficulty ~hown
and is unique
Variance will not chan9e character of
the neighborhood
Interests of Justice served by gran~in9
() ()
() ()
() ()
average?
FORM NO, 3
ToWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
VileNo ................................ Date .... ...... .......... 'JlJLX( ......~, 19 ..~./..
To .~...~:q?.~.'.V.. ~..C..(~ :(/...~' o w
PLEASE TAKE NOTICE that your application dated
for pe~it to construct ............................................................
pt.~ ~ ~ .,
..............................
Location of Property House No. [
County Tax Map No. lO00 Section / t D Block t/ Lot
Subdi~sion/(~Ffi-/~h~ I(~'. FiledMapNo 3-~9
is returned herewith and disapproved on the following ~ounds /
RV 1/80
Building Inspector
FIEL~'I'N~ECTION
FOUNDATION
FOUNDATION
ROUGH
FRAME
INSULATION
STATE EN
QODE
FINAL
rION DATE COMMENTS
(1st)
(2nd)
&
ER N.
ERGY
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
~.~ ~.~. TEL.: 765-1803
Examined . .-2....'.~..., 19&
Approved,..)..~..
Disa roveda c
__ _, ,~._ , ~' (Building Inspector)
.-.-~' dC Tt/ ,,~,'~'-~'c'e~,~/C/~:z~-'~4pp/IcA/ION FOR BUl LDING PERM IT
Application No..~?.~?.~"?~. .~. ......
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi
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 strer
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl:
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 peru
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 Occupan
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 t
Building Zone Ordinance of the T/)wn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit auth°rized inspect°rs °n premises and in buildings f°r neclsll '7~~.
(Signature of al6plicant, or name, if a corporation)
~ ' ,er-;, ~ (Mailing qddress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build,
N;ne of owner ofpremises.. ~'' '~'' ?~3' ~' . .~..o..~../~..[.?~....~. ,~. ,........................../4~t~2
(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..?.~ ~ e~eec~e
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done .................................................
County Tax MapNo. 1000 Section ...!/..0 ............ Block .... .Jr. ............ Lot
Subdivision..._~.~..,,q...'~.~..e:...(~.a.~)./.~.....~.o.'.~..~.... Filed Map No.O6..O.r.,3.t. , .~.e.c_.l. Lot ~..~.~
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy (~)~E F,4'r~'~
b. Intended use and occupancy . .~...~...~.....).r.~);.~...~..e..[.L.~..C....l~TT'lt~o~t ~
. .......... ..................