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Home My WebLink About11406-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z12785 Date September 18 19.8.4 Addition ~nd alteration THIS CERTIFIES that the building ............... 30~ Sound Beach.pr.. ...... M,a.t..t.i.t.u.c..k ........ Location of Property h~ ~o[ ................ S/r~i ......... ~m/et CountyTax Map No. 1000 Section Q99 ......... Block . 01 .... Lot 018 Subdivision..9~p.~.....K.i.d.d...E~.t.a..t.e.s ........ Filed Map No. ~. 6.7.2 .... Lot No... 22 conforms substantially to the Application for Buildin~ Permit heretofore fried in this office dated .... /} ./~ .............. ,19~. !. pursuant to which Building Permit No..1 .~ ?.0.6. .Z .............. dated . .-~ ....9/3.0.: ~ ~ .............. 19.8. ~., was issued, and conforms to all of the requirements of the applicable provisions of the hw. The occupancy for which this certificate is issued is .......... .... addJ. i;ion..&, al.t, aca~,i, qz)..t.o..~lc~.~.t; J,o& .cl~.l,~,r~g.. ......................... The certificate is issued to Paul .&. R. nn MgF.i.e Calabro of the aforesaid building. Suffolk County Department of Hea~th Approval .......... ~./.~ ............................ UNDERWRITERS CERTIFICATE NO t~t5 6 7B ~7 ' 1/81 Building Inspector 2 FO~ ~0. ~' '~ TOWN ~" ' !! · BUILDING TOWN HALl; ' SOUTHOLD, N~ Y. BUILDING PERMIT (THIS ~ERMIT MUST BE KEPT ON THE PP, E~IS~S UNTIL I~ULL COMPLETION OF THE WORK AUTHORIZED) ' ~er~issiod is hereby granted to: 19.....'./ ................................................ .....:....,.~..:....~. ..... ~. . .~ .... ........ C0un~ T~ Mop No. 1000 Section ....... ..~,.~....~..~, Bilk ;~...~.z.. ....... ~Lot No....~ ....... ' BOil~lng I~spector. / ; } ' Fe ).. ..... Roy 6/30~80 ;: ' : FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,?~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~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. 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 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. ~ertifica,t..e of occupancy $5.00,) / 2. Certifibate of occupancy on pre-existing dwelling ! land 3. Copy of certificate of occupancy $1.00 / use--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .......................... New Building ............. Old or Pre-existing Building ' Vacant Land ............. e c .... Location of Property .................... .~. ,~. ~ ..... .~...~.~. ,~.%.-~..V.C~..~. ............ Hou~ No. Street Hem/et Owner or Owners of Property .~'.~.~.~¢~. ..... .A ............... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..t ~.l~...0.~:~. Date of Permit ~l[~.l.<~.l..Applicant..~. ~...~-...,...~.~::~.~,.~.~ .~..O. .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval . ~ .................. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. ~.,. 0.0. ................. Construction on above describedApplicantbUilding~rmit. · · .'~..~meets all apple..: · · .~...~ codes Qnd regulations. ............... 1000062 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy 85 JOHN STREET, NEW YORK, NEW 'YORK 10038 .ate July 1, i982 167052 - 82 -~,p,.,ica,o. ~,'o. o.~,'i,~ N 567897 THIS CERTIFIES THAT in the foBowing location; ~ Basemen~ ~ 1st Fl. ~ 2nd Fl. Section Block Lot and found to be in contpliance with the requlretnents of tkis Board. NO. OF FEET s.v,c; ~,sco..;c~ I.o...~.o, s ~ . , C DIMMERS Gustav Bax~cra 227 E. Break~ater Rd. Matticuck, N.Y. 11952 GENERAl/M~NAGER , FOUNDATi FOUNDA~ ROUGH INS o INSPECTION DATE COMMENTS kTION (lst) ~TION ( 2nd ) PLUMBING L Y / FINAL ADDITIONAL COMMENTS: El I$t DATE: FEE; ~Y: ~ CONCRETE ~, t~,~l~r ,A r~ .... H~Shl~l-l. C(:N57'-R~JC-i-~ON Sfc]/U_L MEET ~ATE CONS',RUC]'¢~' & ENERGY NOT RE~NSfBLE FOR .I , FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL To . ~.~ ........... .... .... .... ...... r~ ~..~..~ ~. PLEASE TAKE NOTICE that ~our application dated ........... , for pe~it to construct.. ~ A~>~ ...... ~ .... ~. ~ ..... , ..................... at Locat,on of Property .,. ~:~ .... ~. ~.=-¢~* ...... ~~.~/' County Tax ~y~o. ~n~;~ ~tion... ~ ~ .... Block a'.7.eb~ ....... Lot ,..q~..']TY~ ... /~$, ~ . . ~,~ is returned herewith and disapproved on the following grounds.~;?*~O~... ~ ~.~...~~ ....... ~'"7 ....... Z~ ............... ~ ....... - ..... ~ ~ ...~/~.~:~&...~X~c ~.. ~~ ' ' .~ .......... / ' ~uilding Inspector RV 1/80 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ,,am n0d ........ Approved -~ -~. , 1~... t/~', ~.~ Permit No, Disapproved a/c . . .~.. , '-~, .....". .......... .~./ ........ (B'uilF!ing Inspector) APPLICATION FOR BUILDING PERMIT Application No. ff./~. 0.~ ..... 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 stre{ or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part of this ap[ cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon appro.'al of this application, the Building Inspector will issue a Building Permit to the applicaut. 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 ora Building Permit pursuant to t Building Zone Ordinance of the Town 'of Soutbold, 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 Tl:e applicant agrees to comply with all applicable laws, ordin~ilding code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for ne~. s~ction~"~~ (Signature of applic, ant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build. Name of owner of premises ............................ (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 ........ ~.. -~2'_~ Plumber's License No ...... ~.C)A..d~,- .......... Electrician's License No .... ~..M?r~.7'..,~...-~?...-CU.... Other Trade's License No ...................... Location of land on which proposed work will be done ................................................ .... .......... .................. ....... House Number Street Hamlet County Tax Map No. 1000fiection .... ~.~. ........ Block ..... ~)./. .......... Lot .... ~.' .~0~.. .... Subdivision~"~.~.-.~-:....~./.Z)..~? ~./f/ff..~..g:~.. ....... Filed Map No.../.0"'.17..~..... Lot .... .2g'/...~... -- ..... (~I'ame) ...... State exlsting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... . .~4..~"./.t~ .... .~..~,.~...7/~t,~/'.(7.2.. ....... ~ ........... b. Intended use and occupancy . ,~¢;'~O~...."~2-~//{. ,,~,~/7~6~.' .5~5~.': ~2Z~,~"F~vY~~ ..... 3. Nature of work (check whict, applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Ott:er Work ............... (Description) Estimated Cost ........ _.d 9 ~....c~., (~)..~)..~...T ........... Fee.../.v~-~.~. .................. ' -' (to be paid on filing this application) ;. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ i. If business, commercial or mixed occupancy, specify fi~ture and extent of each type of use .......... ~. ........... 7. Dm~ensions oJ'~ex~stmg structures, if any: Front .... . .~..~ ....... Rear ...~..~ ........ Depth ...7---m~.. .......... Height . ./. ~ ........ Number of Stories..(./Z-e/ ................................................. Dimensions of same structure with alterations or additions: Front ................. Rear ...~.2x ............ Depth ..... ~,~.&. ............. Height ..... /..~.' .............. Number of Stories ..... /. ~.~.~. ............ ~. Dimensions of ent, j~e ,new construction: Front ..... /'.~. 7-~. .... ,R_gar .... ,/.~ .w/. ......Depth ./.~:'. ......... Height . .7......-Number of Stories .J:~-..t'~'.z~ -, ........ ......... /t ............. }. Sizeoflt~i:'~;;nt..i~.~f.'Z~.~. ....... 'I~;~;iii~!.'.~.'i(iii.i... Death .~f.~..O. ............... ). Date 6r Purchase .... ~../.~.~ .7...~. .............. Na.a.a.a.a.a.a.a.a.a~me of Former Owner ....~.. '. ~..'~.4 .Xx'. .'.~.. ........... 1. Zone or use district in which premises are situated.., ifk/.~. ......................... ?. ................. !. Does proposed const.r;¢ction violate a~a¥ zo.l~ng.law.4 ordinance or regnlation: ./~)~ ......................... ~ 1. Wi~tberegraded~/~d~..~..~/..t~....~.'...C:.~./t/?.~.~q~..wi~exce~fi~berer~mved.fr.~mpremises: ~es . ~ L Nmne of Owner of premises .... ~...j ........... Addressc~.~.'..~t~(..C..7'...~.(. Phone N~°.z. :.~;~.¢7.://2;C~7. Name of Arcliitect ............. .,~ ........... Address ...... t.)/. .......... Phone No ................ Name of Contractor ............ ~ ............. Address ...... t' ............ Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. ~-~ rATE OF NEW',Y(JRK, t _ _ OUNTY 0~~ ......................... being ~Nan~e of indMdual signing contract) >ore nalned. duly sworn, deposes and says that he is the applicant is the ................ ~ .......................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this >plication; that all statements contained in this application are true to tlie best of liis knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. a, om to before me this ....... ' ...... /o~......day of. (~..~ ..... i9 · .~. ~otgr~t Public, . ...... ~ ........ ,r?,, .~. County(' ~ ' ........................... : .......... :..:. (S~gnature of applicant) No. 5Z-8125850, Suffolk Cou, j~..~ · Iena Expires March 30,