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HomeMy WebLinkAbout11448-zFORM NO. 4 TOWN OF SOUTHOLD. BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. Lq g 9.4~= ........ Date ...... Sop.~.ember..26 ............. 19.83 THIS CERTIFIES that the building. ]N.e.w. clw. ellJ. r~g ................................ L ..... 950 Waterview Dr. Sou~hold ocanon or rroperry ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 078 .Block 07 . .Lot 028 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 5 19.87. pursuant to which Building Permit No. ~ ~448Z dated November 5 84 ............................ 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 ......... ~or a new o~e £amily dwelling The certificate is issued to I~AIJL A. & SHIR~,Y CA~IEI~I ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ~l ~-s o-q O6 UNDERWRITERS CERTIFICATE NO,..~..~.¢. ,0.~.0fi .... ' Building Inspector Rev. 1/81 N°. BUILDING D[:P~R'r~L~N'i~ TOWN HALl}. SOUTHOLD, U,. Y. BUILDING P~lT (THIS PERMIT MUST BE KEPT ON THE PREMIS~S, UN~ L ~ULL COMPL~ION OF THE WORK AuTHORiZED) 1 ~ 4 8 Z ~ot~ ...~.~.~....~....., Permission is hereby granted to: .............. .a.~.r~..~.~,,. "'"'!c~ ................ ,o..i ....... C;~.~,~..,,~...~...,..~......~.,~..~.,~..i~.~..~/~Z.~-- ........................ ................ ~ ......... ~ ........ ~ ~..~,....~.~~,....~.~~ ........................ ~ ~,~ ,o~ ~ ...7~..~ ........ ~~.~/~......~, ......... , ..................... ...... ~ ....................................................................... :..,...~ .......... ~....,.....~o.~~...~..¥.. ~o~ ,~ ~o~ ~o. ,0oo ~,o~ ..~.7~.....~. ~,o,~ ..... ~Z ....... ~[o~ ~o...~ ..... purs0ont to opplicotion doted ........ : ..................... : ................... ;-....., 19,~ .., ~nd ~pprov~ by tho 8uildln0 I~sp~ctor. I~ectoi Rev. 6/30/80 ' ' ~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Halt 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 Engir~'ebr 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 o~vner 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 ...... existing Building(Z)., .... = Vacant Land ........... Location of Property ~:~,~.~ ~/,~ ~r~. I//~ ~ ~' Hou~ NO:~ ~ Street ~ Hamlet Owner or Owners of Property ....~¢~. ~-..~/~...~..~;¢/~. ~~ County Tax Map No. 1000 Section'~ .~ Block QZO~. Lot .~.~ ~ Subdivisi~n,~ ..... ~, ................... Filed Map No..~ ........ Lot~ No .............. Permit No..~,, Date of Permit .f~/~ ~..Applicant. ~'~.. ~~ .... - ...... Health Dept, Approval ~ ............ Labor Dept, Approval ...................... ,,, Unde~riters Approval . ~ ............ Planning ~oard Approval .................. ~ .., Request for Temporary Certificate ..................... Final Certificat~ .... ~ .... · ~ ...... Fee Submitted $ ........ ~ ~. Construction on above described building and p regulations. Apphcant ~.,~~ ......... Rev, 10-10-78 INSPECTION 1. COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL AD[ COMMENTS: 1000121 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~g 85 JOHN STREET, NEW YORK, NEW YORK 1003~ Vat?Jay 7, 1982 ,pp,~cat,o. ~o. o,,..,"ile 153337/82 N 560~01 THIS CERTIFIES THAT only the electrical equipment as described below and int~duced by the applicant named on the abo~ applicatiolt l~umber in t~ premlses of Paul Caminiti, 950 ~acerview Drive, Southold, in the following location; ~ Basement ~ 1st Fl. wo~exa,nl.edo. May 3, 1982 .XTUEE 43 FIXTURES 22 24 22 [] 2nd FI. Section Block and found to be in cornpliance with the requirements of this Board. RANGES COOKING DECKS/ OVENS Motors: 1-1 hp 1-G.F.C.I. 1-G.F.Z. 1-Smoke Dector 1-4.5 kw. DISH WASHERS MULTI-OUTLET SYSTEMS NO. OF FEET NO OFNEUTRAI LOt EXHAUST FANS DIMMERS AW, G OF NEUTRAL 1/0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL F}le No ................................ Date ................ [~ ........ 19 . . .......... . ~ ~~.. ~. ........... ~ ~ ~' PLEASE TAKE NOTICE that your application dated ....... ~/ ............. 19 ~. ~o~ ~ ~o ~o~t~.~... ~ ~. ~.~ ~.?.. ~?~ ................... ~ Location of Property . ~ ' ~ ' H~s~ ~ ..... Street H~mlet ~ c o.~t~ ~ u~p ~o. ~000 s~o~ ... Q J~ .... ~o~ .. ~ 7 ........ ~ot . ~.~ ...... Subdivision ..... ~. .... .... Filed Map No ................. Lot No. ....-' .... ~ .... . .... is returned herewith and disapproved on the following grounds .~;~r'~.~.~..Z,~.. c//PT~/~ //~. . ~.~. ~.~.~. . ~. . ~. F~.c. ?~. .-. . . . .~. .~.~,~. , , ,~-, ,~.oz . .~. ~.~, ~./~C~.~o~... ~....~.~.7.. ~..../.~.-7 .~z~.. ~&.~.~.~.~.o.~ .......... _, Buildiffg Inspector RV 1/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:~ E., mined ...... 19h./. Approved ..... .~....'~7. ..... 1 . Pemlit D~sapproved a/c ....... ................... APPLICATION FOR BUILDING PERMIT Application No../.~'~. ~.0~.. ..... INST RUCTIONS a. This application must be completely filled iu by typewriter or in ink and submitted in triplicate to the Bm'~Tl'd, i Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according te schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sire* or areas, and giving a detailed descriptiou of layout of property must be drawn on the diagram which is part of this ap:g cation. c. The work covered by this ppplication may not be commenced before issuance of Building Permit. d. Upon apprc,'al of this application, the Building Inspector will issne 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 I tEREBY ?,lADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances P, egulations, 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, amd admit authorized inspectors on premises and in buildings for necessary inspections. (Siguature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lesse~,_~agent, architect, engineer, general contractor, electrician, plumber or bU!lcl, (as on the tax roll or latest deed) If applicant is a corporation, signature of duly anthorized officer. (Name and title of corporate officer) Builder's License No .......................... Plmnber's License No../..o' ......... Electrician's License No ....................... Other Trade's License No ...................... Location of Iand on which proposed work will be done ............................................... House Number Street Hamlet 07g0o .¢. O County Tax Map No. I000 Section .................. Block .... ~. ........ Lot ................. Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existiug Use and occupancy ...... ,, ..... .......................... b. Intended use and occupancy Nature of work (check which a ~plicable): New Building ./%.i ...... Addition .......... Alteration .......... Repair .............. Removal .............. ;Dt~imolition, i ............. Other Work ............... /~ ' ': ,~"7 ~ (Description) Estimated Cost ' Fee .... /...~. ........ ~ ........... (to be paid on filing this application) 7 /.. If dwelling, number of dwelling uni~. ............. Number of dwelling units on each floor ............. If garage, number of cars .... .. ~ ........................................................ ' -' ' If business, commercial or m ixqd occupancy, specify ]~ature and extent of each type of use ................... Dimensions of existing stmctnres, if any: Front ...... ' ......... Rear .......... ' .... Depth ............. Height ............... Number of Stories ...................................................... Dimensions of same structure With alterations or additions: Front ................. Rear ................ Depth ................... i... lleight ....................... Number. of ~.tofies ........... ~.,, ...... D,m n,,o= ot ent,r ne, ons rn t,o : F ont... ¥ ff...& .... Re=.. ..... Depth. X': ....... Hc =hr . .~ ~.. Numbe.r o£Stones . . ..,~ ........................................... .>ize of lot: Front ...... ./.~.~.:..,r...~...~. .... Rear ...... ZOO../-.~.K...~.. ..... Depth ..../~70../5'.~...e. ,.~ff"7 ....... Date 6f Purchase ..../7/...a~./~..,.../~.~./ .......... Na.g'~e of Former Owner ./~:4~.a./~. ~. ~., Zone Or use district in which premises are situated ..... 4.(..~,,%t'. q[.~vt.'/7, o,2.~ ............. :'. ................. Does proposed construction violate any zoning law, ordinance or regnlation: .............................. V/ill lot be regraded ...... f~,o~........-[.' ............ Will excess fill be removes from premises: ~.~. ~,..Y,e~/o~ No Name of Ov,,ner of premises * '. ' ~ ' . .C::..o~..%~ I .~.l.~./Address . ,.~. t~,Tk~/.~ ..... ?hone No .............. Nam~:ofArchitect .... '~,~'~'~'" '/.)'R~{}t/'~a .... Address .. ' . .' ......... Phone No .............. Name'ofContractor . . Address .~[~.'.~.e':..~l.o.?.t~.~...Phone No. PLOT DIAGRAM Locate clearly and distinctly all ou'ldings, 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' NE,~'OR~, -, ..... ' ......... ~ being duly M h [si hing contract5 .......... rove named. sworn, deposes and says that he is the applicant is tile ..................... , ......~..T... ~ (c ................................................. ontra agent, corporate,~,~ officer, etc.) said owner or owners, m~d is drily authorized to perform or have pe~;formed the said work and to ~nake and file this ~plication,; that all statements con!ained in this application are true to tl~e best of his knowledge and belief; and that the 'ork will be performed in tli~ manner set forth hi the application filed t~:erewith. worn to before me this ota~2/Public, ....... ~ .~,."'?~ k.~-~... County No. ~2,81258S0, Suffolk Cou[g]~.~-~ "~ (Signature of applicant) c~ ~u~v~.le~ Jul~j ~'0, 1981. "' ,Z.~. Lo" ., ~PP/R~¥1~D AS NOTED *~ NOTI~y BUILDING'D~T AT 765-1802 9 AM TO z PM FOR TH~ / % ' ALL CONSTRUCT/ON SHALL MEET' THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY DESIGN OR CONSTRUCTION ERROR~. Iii _ r