HomeMy WebLinkAbout11152-zFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. ,z 109B.8 ..... Date .......... May, .12 ................ 1982.
THIS CERTIFIES that the building ................................................
Location of Property ,. 69.9.7.5 ............. ~.cmn t,¥..Road· .68 ............ $o.u th o.l.cl
~ouse No. Street Hamlet
County Tax Map No. 1000 Section .. 05.1 ....... Block . .03 ........... Lot ... 0L).8 ..........
Subdivision... X .......................... Filed Map No.. X ...... Lot No .... X .........
conforms substantially to the Application for Building Permit heretofore filed' in this office dated
·. Nay. 8 .............. 19.8 ~ pursuant to which Building Permit No.. J .1.1.52. g. ...........
dated ..... HaT..1.5 ................ 19.81, was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ...a,r~ ....
a.ccess,o~, y. b.uild&ng, fo.n. sf,~dio~..ator~.ge, and. ~a,r'.a~e..~.~e ...............
The certificate is issued to . .. 8.a.l,. G g.$.q % ~ ......[~tle'r,'l~',~d.~'.t;.~£ .....................
of the aforesaid braiding.
Suffolk County Department of Health Approval .... nY.~. ..................................
UNDERWRITERS CERTIFICATE NO ...... N. 558.1.1.7. ..................................
Building Inspector
Rev. 1/81
TOWN OIE ~UTI'IOL~D ~-
TOWN ~HALt ~ ,,
SOUTHOLD, N~-Y. ~
BUILDING[ P.ERNilT~
Rev, 6/30/80
(THIS PERMIT MUST BE KEPT ON ~H,E PP, E~IS !S UNTIL ~ULL
COMPLETION OF THE WORK AUTHORIZED) , =
N? 11152 Date ~,~q(~ ~- 19...~/
Permission is hor~bg ~r~t~d to:
........... ~ ......... L.~.rq~,~ ...............
..........
to ....~~.~ .........
~z~ ...............
. . ~x.¢~..~....,~ ...................
d*t~d ........~ ..... ~..~....~:...., 19 -5 ~nd opprovoO by the
pursuont
to
opplicotion
~uildin~ In~poctor.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
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
natu ra~ or topographic featu res.
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 buitdtngs (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 buddings 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
Date
New Budding ............. Old or Pre-existing Building(X). ~.~-. _ ~/Vacant Land
Location of Property . ,~.Rt~,~) ....... .~u~('~...~.,~.~.. ¢~(g¢~. ~¢~
Hou~ No, Street Ham/et
L
Owner or Owners of Property ...... v:,. ....... - .....................................
County Tax Map No. 1000 Section ..... 4~ ....... Block .._ ~ ......... Lot. 0~ ~.~...
Subdivision -- . ........
................................. Filed Map No. ~ .Lot No ..............
Permit No. ~./.~7~ Date of Permit .~/~..Applicant ..~ ~. ~ ...................
Health Dept. Approval ........................ Labor Dept. Approval ...................... ,..
Underwriters Approval ........................ Planning Board Approval .................. ~ . ~
Request for Temporary Certificate ..................... Final Certificate ................. -
Fee Submitted $ .............................
Construction on above described building an¢ p~jrmit~mee~ all appl~cable~co,des and regulations.
Applicant. :~,.~ .~,6¢. - ..........................
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
February 4, 1982
Mr. Sal Caiola
74 Irving Place
New York, N.Y.
10003
Dear Mr. Caiola:
As requested, I made an inspection of the building
reconstructed under building permit #11152Z.
In order to comply with our laws it will be necessary
for you to do the following:
1. remove the ~cooking range and electrical
clrcult at panel box
2. remove beds from rooms on first and
second floor
use.
3. amend B.P. #11152Z for use of this building
for studio, storage, and garage.
?
A Certificate of Occupancy could be issued for this
Yo~ truly, /
Edward F. Hindermann
Building & Housing Inspector
EFH:ec
loolo7~ THE NEW YORK BOARD OF FIRE UNDERWRITERS
~1 BUREAU OF ELECTRICITy
~- 85 JOHN STREET, NEW YORK, NEW Y~ORK 10038
.a,e April 27, 1982 ~p. llc.tionNo, o. fi,e 125668'81 N 558117
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant namgd on the above application au tuber in the premises of
Sal Caiola, u/a Rt.48 (Old North & Clark Rd. Sou=hold, N.Y.
i. tkeyo.o,~i.gio~].o.; ~ B.,~e,.ent [] ,,t ri. [] 2nd ri. Section Block Lot
was examined o~ pr il 22,1982 and found to be in cornpliar~ce w~ttt the requirements of this Board.
FIXTURE FIXTURES RANGES :OOKING DECKS OVENS DISH WASHERS EXHAUST FANS
12 28 15 12 L 1
SERVICE DISCONNECT NO OF I S E R V I C E
1 100 CB x . 2 1 2
Elec.oroom he.rs: 2-2.0, 1~.75, 1-.Skw.--l~G[;Ci~ 1 smoke detector~
Hot water heater: 1~4.5kwo
This certtficatemusfn°tlbeaJferedinanymanner~returntothel~jjV I~J"~lJ ~111 I~II~I~"Z ~J:B;%l~lllJl~g"'l' ~"l'"' -'''' O/jlC::~e Board Jf incorrect. Inspectors may be identified by hals.
THIS COPY ANY MANNER.
1.
FOUNDATION
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
3.
INSULATION PER
STATE ENERGY
ODE
4.
FINAL
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765'1802
Examiued .~..~.~./..-.-~. .... ,19~..
Approved . .~.~..../.5-.. .... , I~./.. Permit No.
Disapproved ale .~. .......... -~ ...............
· .... .....
"~' /~'/~ ~/~/~_~_~ ~.x,,/2.-~ ~ APPLICATION FOR BUILDING PERMIT
Application No./.ff./..~..~ .......
a. This application must be completely filted"in by typewriter or in hqk 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, relatmnship to adjoining premises or public stre~
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 pern
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 Buildhag 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
Regulations, for the construction of buildings, additmns or alterations, or for reinoval or demolition, as herein describr
The applicant agrees to comply with all applicable laws, ordinances, building code, housing' code, nd regulations, and
admit authorized inspectors on premises and in buildings for necessary inspections. ,
e, if a corporation)
.~.V. //5 ~'//-/.~. . />/...~. (A~5' ./. . .,~. . . ~.<~,
ai,ing address applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builO
(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 ...... .~. i .~..d-. .~. ..........
Plumber's License No .... .,,~. ~,ff.~'.m~.~.' ...........
Electrician's License No... ~./.~..,'(~. ............
Other Trade's License No ......................
1. Location of land on which proposed work will be done ................................................
- ' - . .........
.... /. ............
House Number Street Hamlet
County Tax Map No. 1000 Section .. ~:/ ........... Block ...~..~..'-' ........... Lot
Subdivision .............. 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 ....... .O..~. ~il....~. '~d.~..c./....~..fd~,,.,.,.,.,.z~ .,,f?'.-~..~f:?.e?~. ..................
b. Intended use and occupancy . =~.x'~.,(-aS.~.. ~ ~ . ~! .........
Repair ............ Other Work ..............
~,, ~ C) C.) ;~/S ~--- (Description)_
). Estimated Cost .......... ~ .......................... Fec .......................... ¢ ...........
(to be paid on/'fling this application)
L If dwelling, number of dwelling u:nits ............... Nmnber of dwelling units on each floor ...............
If garage, number of ca~s ..... , .................................................................
i. If business, commercial or mixed,occupancy, specify nature and extent of each type of use ....................
?. Dimensious of existing structures if any: Front ............... Rear .............. Depth ..............
Height ............... Numl~er of Stories .......................................................
Dimensions of same structure wi{h alterations or additions: Front ................. Rear .................
Depth .. ................... ~. Height ...................... Number of Stories . .._...: . . . . ...........
L Dimensions of.entire new construction: Front ............ Rear ............................ Deptl~ '
Height .' .............. I'~er__ __el Stories .......................................................
Size of lot: Front ~ . ~ .,~Ct~.~.-~..... Rear ...................... Depth ............. ,, .....
). Date of Purchase ........... ~ .... '/':
1. Z )ne or use district in which premises dre s~tuated ........ ~....
~. Does proposed construction violate any zoning law ordinance or regulation: .. ~.~. .......................
t. Will lot be regraded ......... ' -:':, ................ Will excess filI be removed from premises: Yes xl,,~o)
!- Name of Owner of premises ; Address Phone No
Name of Architect' ' Address Phone No
Nmne of Contractor ' Address Phone No
PLOT DIAGRAM
Locate clearly and distinctly all !'buildings, whether existing or proposed, and. indicate all set-back dimensions from
:operty lines. Give street and block hmnber or description according to deed, and show street names and indicate whether
~terior or corner lot.
TATE OF NEWYO.R4~ , z
OUNTYOF .A .ti. , .dl !S.S
,"~9/'~A ~'.~../..~..--"~. I."~. : being duly sworn, deposes and says that he is the applicant
(Name of individual sign:ing contracO
5ove named.
....... ,' ...................................................................
~ (Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed th'e sa. id work and to make and file this
pplication; that all statements cent{dried in this application are true to th'e best of his la~owledg~ and belief; and that the
,ork will be performed in the manner set forth in the application filed therewith.
worn to before me this i '
............... day of ............. ,19
rotary Public, ...:. :.... County ~
/ ~(I~UEE :L IILICK~ '
, / NOTARY PUBLiC, State of New York ~ .......................................
I Qualified in Suffolk!County ~p52'4671'~'- / of applicant)
Comrniss~n E,xph'es March $0, t9~"
CONTRACTOR MUST VERiFy ALL MEASUREMENTS
AND CONDITIONS BEFORE WORK IS BEGUN.
REPORT ALL DISCREPANCIE.'~ TO ARCHITECTS,
PLANS SUBJECT TO APPROVAL By ALL CiTY
date
no
APP~.OVED AS NOTED
NOTIFY BUiLDiNG DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING IN?ECTIONS:
1. FOUNDATION - TWO REQUIRED
FOq POtJRFD CONCRETE
2. ROUGH - FRAMING & PLUMBING
drawing title
lob numbe~ scale
dlawn by