The URL can be used to link to this page

Home My WebLink About11128-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10663 Date September 4 19 ~.1. THIS CERTIFIES that the building ................................................ 2650 Gr. Peconic Bay Blvd. Laurel, New York Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 1 28 . .Block 06 .Lot 013. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 29 1981 pursuant to which Btfilding Permit No. 11128 Z dated May 5 198. 1 , was issued, and conforms to all of the require~nents of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Garage Addition to Existing n. wellin~ The certificate is issued to Victor E. Catalano ..................... ..................... of the aforesaid building. N/R Suffolk County Department of Health Approval .......................................... Building Inspector Rev. 1/81 (THIS PERMIT MUST BE KEPT ON THE PREWdS[S UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) : Permission is hereby granted to: .~.F..~':... ~ '~ ...................... Z ......................... r' ........... .x .... ................ ~zd~o at premises Ioca&at ................ .~. .............. C unty Tax Map No. 1000 Section ....~..2..~..~......t. Block ,.~fyr,~.~ ........... !"Eot No...~..../;.~,~.:..../. ..... pursuant to opphcahon doted .. ..~.. ............ .~......,...,:,....., 19,...,'.~.,and approved by e. · cfi : ; Building Inspector ; , ....... ................." "' ~l~ector~ ':'":'""i; .................................... 4 ,.~., 6/30/80 . . . ~ ~ FORM NO, 6 TOWN OF $OUTHOLD Building Department Town Hall Southo~d, N.Y. 11971 APPLiCATiON FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation 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: I. 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 electr ~cal installation from ~oard of Fire Underwriters, 4. Commercial buildings, Industria~ buildings, Mu{tiple Res{denees and similar buildings and instal~a~ tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Plarmmg Board approval of completed s~te plan requirements where applicable. ~,. For existing buildings {prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses; 1. Accurate su~¥ey of peoperty showing all property lines, streets, buddings and unusual natural or topographic features. 2. Sworn statement of owne~ 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- t~on required to prepare a certificate. 1 Certificate of occupancy $5 00 2, Certificate of occupancy on pre-existing dwelhng or land use 3. Copy of certthcale of occupancy $1.00 $5,00 Date ....... ~/~. / .~.. ........ New [~ulJdlng ............ Old or Pre existing Budding ............ Vacant Land ............. .c..,o,. of roper y . . d'. . . .,, . . . . . 8 , . . L House No ~ . ~ ~ Hamlet Owner or Owners of Propertv .... ~0 ~.. ~.. .... C>, r~,~-~,~O ................ County Tax Map No. 1000 Section ............... Block ............ Lot ....... ~ ....... Subdivision .......................... Filed Map No .......... L, ot No .............. Permit No. //./~-~;~... Date of Permit 3/.~'./.~:'.AppHcant...~.~. ~..~ ~.~.~. ~... ~b.~:~ Request for Tempora~rt,ficate .................... Final Certificate ..... ~... ~'~ ~' , ~ Fee Submitted $. ,~, ........................ ~ ~ ff ~ Construction on above described building an~pj~rmit meets all applic~ie c~es and regulations. ~ ~ FIELD iNSF~C'I'±ON , oo~a.~o ~, FOUNDATION (1st} FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL COMMENTS. 1000771 THI= NEW YORK BOARD OF FIRE[ UNDE[RWR!TE[R$ BUREAU OF ELECTRIC!mY THIS CERTIFIES 'THAT only the electrical equipment as &scrlbed below and introdaeed by tim ~pplic~t ~r~d o~ the above appllcatlor; n~ber i~ the premises of in the following location; ~ Basement ~ 1st FI. ~ 2nd Ft. Section Block Lot was exatrdned on ~ ~:~ y ~.3 ~ ]L~8~ and flound to be in comphance with the requirements of this Board. FIXTURE OUTLETS 10 ~IECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 1,2 1.0 DRYERS FURNACE MOTORS TIt~R CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO OF FRET SERVICE DISCONNECT I C OTHER APPARATUS: S E R V ~,o o;f.?.~1 °~:cWc~°"~ 'q[I NO OF HI LEG AWG OF NEUTRAL ~lLtitt~ N. Y. 11952 :ki.c; #342 This certificate must not be altered ~n any manner, return to the office of the Board if GENEI~AL MANAGER Pe~-- be ~dentrfied by their ~::~edenhals. COPY FOR BUILDING DEPARTMENT. THIS COPY OF IN ANY MANNER. ¢~ B~TH LITIL IT1 i~,o~'~~, FLOo~ PLAN PRo PoSvb SLOE" V'~'U PL. AtJ ~RO J)o,~.J~ I~(DJ~I'I"I,~N -2'7' D ~ouSE E"/, I ~TI ¢,) (~ Ho~ SE' J Examined ........................ , ~proved .....~i ............... , / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE sOUTHOLD, N. Y. ~ :~.../.... 1~//..... ermit o ///pr' Application No ................................. ( uilding Inspector) APPLICATION FOR BUILDING PERMIT oo. ........ ................... . INSTRUCTIONS 199/ a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sate 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 ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Budding Inspector will issue o Budding Permit to the apphcant. 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 Cemflcate 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, buildii~g code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for .necessary ~in.~pec~tions. ~ /J ~ ' .................................................................................................. //~/~/'- (Address of applicant) State ~hetHer ~pplic~nt is owner, lessee,~gent, ~rcNitect, engineer, general contractor, electrician, plumber or builder. .............. ......... .......................................................................................... ........ ............................................................... If appl can? is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Bu,,der's Lic se No ....... Plumber's License No...~...Y.]~..T~../...~....~..~.,~...~..~..~j~~^ ~ /~ Electrician's License No...~...~...~...L-.,~....~..~........~...L.....~..~ , /~ Other Trade s License No ............................................... ..~ i/~ LO ('/4 , ,-~ / I. Location of land on which pr~oposed work will be done. Map~ No . 'L'"~'"'"~"""~'~,_~- ,m .............. Lot No.../..2.:..L ........ Street and Number ....... ~.......~Zm....~..~...?.. ........ ..~....~.~./,..~. ........ J. 5~. ...... /.~...~...~./~..: ...................................... ~,,-' - / ~ Mun c pa ty 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisitin~ use and occu-anc· , /N/JO J/'/~ , b. Intended use and occupancy ........ __ (~..~)..?....~.. ............ ...... . .~Z....~.....'~...J...~. !...'~. / .... 3. ,Nature of work (check which applicable): New Building. · ................. Addition .................. Alteration ............. ,Repair .................. Removal .................. Demollhor, .................... Other Work .................................................. (Description) 4. ,Estimated Cost ............................................. Fee ....................................................................................... -J / (to be paid on filing this application) j 5. If dwelling, number of dwelling units ............. .', ............. Number of dwelling umts on each floor ........................... If garage, number of cars ...... ; ............. ~/. ..................................................................................................................... 6 ' If business, commercial or mixed occupancy,'/:~,~'/s~ecify nature and extent.....~.......r../~' each type of use ........................... ,'{ "7 7. Dimens.ons of existing structures, if any: Front ..,..~.¢'..:...:. ........... Rear ............... Depth ...~....,,. ......... Height ........................ Number of Storms ............................................................................................................. _ ----~, ~-',-, r /./'~ / ';' Dimensions of same structure with alterat.ons or additions: Front ....... ~...?....~.:.!... Rear .....~...~J::...!. ......... Depth ....... .~.....'~... ................ Height ........................... Nu.mber of Stories ........ .,..=.!.., ............... 8. Dimensions bf ent.re new con§truction: Front ........ ~.~.~'. .................. Rear ..... !...'/.,.~ .............. Depth .....7~...../..i. .......... Height Number,,.~ ,, ,'3:at Stories J' '~ /,~ <--- 7,7 ' 9. Size of lot: Front ............ .~..~..~..J. .............................. Rear ........ ~.[.~...%J., ................... Depth .......Z~...~...~ ............... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ................................................................................................ 12 Does proposed construction vlblate any zoning law, etd,nonce or regulation: 13. W~ll lot be regroded'. ........................... Will_excess fill be removed from premises; ~ Yes ( ) No 14. Name of Owner of premises ~.].'~..O.t~..,..~,~)'~/.~ ...... AddreS-.~7..T....F¢,~'..'.~.hq'*J~. ,P,~Phone No...,~.~.:T.~..,~.~g Nome of Architect ................... : ................ ~ ....... ~ .............. AOdress/¥.~J/(P~?./~'E,C..~.~.,. Phone No ....................... Nornb of Contractor ~'/~],~./,~../',~q~....~.~.~.//~{~.~[~'g-~.... Address .~.[~'-f'4/~l~,:.~/~hone No...~.~..;.¢~.Z..~.~°/ PLOT DIAGRAM",~'-~'~h'~'~:'~-7',~,~f~"~, //1~/~ 7 Locate clearly and distinctly all buildings, whether existing or proposed, anti in'cate oil set-back dimensions from property lines. Gwe street and block number or description according to deed, and show street names and indicate whether interior or corner lot STATE OF NEW ~)"'~RK ............. r.~....~~~.,,4~,,c:i~,c~, being duly sworn, deposes and says that he is the apphcam '~(hl~me of ~dividual si~ing contract) above nom~d. He is the .~ .......................... ~ .................................. ~ ................................................................................................................ ~ .,. (C~r, agent, corporate officer, etc.) of said owger or owners, on~%-dulg~orized to perform or hove performed the said work and to make and file th s application; that all statements contained in this application are true to the bestir his knowledge and,belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewi~. Sworn to~bef°before me this ~~~~ 7~'"~' (Signature of applicant) , ~AEY PUBLIC, ~ate of NeW York NO, 52-8Z25850 S~ffolk Coun~ _ I ,~erm Expires March 30, Z9 ~ ,r 90' "4 N67oOg'pO"E 740 SO FT