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Home My WebLink About11171-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10616 THIS CERTIFIES that the building ................................................ 1015 Stars Road ~,ast Marion, New York Location of Property ............................................................... House No. Street Hamlet 031 03 004 County Tax Map No. ]000 Section ............ Block ............... Lot ................. Stars Manor 3864 6 Subdi¥ision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 11 81 11171 Z ..................... ,19... pursuant to which Building Permit No ...................... May 27 81 dated ............................ ]9..., 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 ......... Private One-Family Dwelling George Tomais The certificate is issued to ..................... [o~n~,~,.~Tt.~X .................... of the aforesaid building. 11-30-42. 7/30/81,Rober~ A. ~/illaP.E. Suffolk County Department of Health Approval .......................................... NO N528102 UNDERWRITERS CERTIFICATE .................................................. Rev. 1/81 BUILDING ' D~PART~tNT TowN[HALL $OUT~'O~, N~ ¥,; (THIS PERMIT MUST BE KEPT ON THE P~E~!S~S UNTIL COMPLETION OF THE WORK AuTH~)RtZED) ' : 11171 Z FULL Inspector Permission is hereby granted to: · ......... ....... . ........... ~.~..~.. ....... ~/....'.~.~ ............ ? ....... ~ ................. ~..~,.:~..~&. . ...... - ~...'.~....~ to ....... ~.~....~.....~./.L ~.;~.~. ....... .~.~.~. .... ~.~J-.~ .... /.~a~.q...,.~z~.,.x ............. ............... 1.7.-~..~--... .......... ~.~.,~...~,,~..~.~.T.. :....,,:o ~'~./.~....;.... ~. ................ ; ......... '. ............................... et p~em~e~ ~ocoted at ..~....Z~ ................ ~..-..~.., ...... ~./,.¢~.0 .~.~ ...... . .~.../...~..~ ..... ~. .... : .............. ~....-~f. ............................................ C~unty Tax Map No. ]~)00 Section ...~.~ '/...,...;!,. Block :....~. ........ Lot No.....~-~-.. ....... ~ ~ 9 ~ursuant to application dated ........................................... ~..,.~......., 1 ..... :,..., and approved by the Building Inspector.i Fee $/~,. ............. 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 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. Su bm it Plann lng Boa rd app royal of comp leted site p lan requirements where app l icable. 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certihcate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 °ate ......... New Building ~ Old or Pre-existing Building Vacant Land Location of Property,. j.,O, J,..~, .......... ~. ~..~ ............ ~, ~ House No. Street Hamlet Owner or Owners of Property .,..~....~..~.....~..~. ........ ~. ......................... County Tax Map No. 1000 Section ............... Block ... :~.. ......... Lot .... ~. .......... Subdivision ...... ~ :~.~/ ...................... Filed Map No ........... Lot No .............. Permit No J/, ]..7/. :Z'... Date of P:rmit ,~, ~,7,),/; ~-/~PP licant ................................. ~0~ Hea th Dept. Approval .. ~,~-¢~.. ~,~ .?. ~ .~,/ ...... Labor Dept. Approval ...................... /~ Underwriters Approval..~, ;~.ff'.~ ?....'~. .......... Planning Board Approval ................... '\.. Request for Temporary Certificate ............. Final Certificate .V~/.,. ?t~;~ Construction on above described building _q~:L~rmit meets all applicabJe codes and regulations, h~ Applicant Rev. 10 10 78 ~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: looo~/44 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the e[ectrical equipment as described below and introduced by the appl~ca~t .arid o~ the a~ applicatlo~ number ~n the premises of ,n tbe/ollowing locationl ~ a....e.t ~ l~t rt. ~ 2nd FI Section aloc~ Lot FIXTURE OUTLETS SWITCHES 14 2~ t5 FIXTURES RANGES OVENS DISHWASHERS EXHAUST PANS ~NCANDESCENT FLUORESCENT VAPO~ 14 DRYERS FURNACE MOTORS APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO OF FEET SERVICE DISCONNECT NO 0 COND, OF CC COND 2/0 HO OF HI LEG A W G NO OF NEUTRALS A W G OF HI LEG OF NEUTRAL 2/o Per~ tt Tbs certificate must not be altered ~n any manner; return to the office of the Board f incorrect, inspectors may be identified by COPy FOR BU;LDING OlEPARI['MENT. ISIS ~OP~ OF I" ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined.' '/~' "~' 7' J'/~''" 19'~? Approved /.~:~. j2(.. ~.~':f ..... 190~?... Permit No. ..........///7// .................... -. -. ........ ,,.,. (Building~Inspector) APPLICATION FOR BUILDING PERMIT Application No. ///~'/ Date .~.ay..1..1 ........... 19 .8.1. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatmn of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this apphcation, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used ~n whole or in part for any purpose whatever until a Certificate 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 constructton of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ...................... (Signature of applicant, or name, if a corporation) Box 117, Mattituck, N.Y0 11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises George Tomais . (as on the tax roll or latest deed) If applicant is a corporatmn, signature of duly authorized officer. .RoherZ.. ~E.. H.-i.l't:~,..P.];e.s ................... (Name and title of corporate officer) Builder's License No...-. .................... Plumber's License No. 5.1J..-.P ................... Electrician's L,cense No.21..4.8r.E. ................ Other Trade's License No ...................... 1. Location of land on which proposed work will be done. S.t..a.r.s..I.4.a.n.o.r. .................................... --~-'~-~ Stars Road, East Marion, N.Y. ........ /..%¢.¢ .':'. ............................................................................ House Number Street Hamlet County Tax Map No. 1000 Section 9.3.1. ............ Block 3 Lot..,,~...~. Subdivision ..... ~! .~..' .~'.~h ~' .................... Filed Map No ...... 3..8.6.4. ....Lot 6 ~'~ ¢' ~ ~ , .... '. o, l~N.ame) 2. State ex~st~qg use./~nd .q,cQup~anc~f. of premzses and ~ntended use and occupancy of proposed construction: a. Existing use and occupancy Vacant b. Intended use and occupancy ............ 1...F.a.m.i..1.y..D.w.e..1.1.i.n. ? ................................... 3. Nature of work (check which applicable): New Building . .x~..x. ..... Addition .......... Alteration .......... Repair .............. RemoVal .............. Demolition .............. Other Work ............... . ' ~(~,..~. ~ (Description) 4. Estimated Cost 40, OOO. OO Fee (to be paid on filing this application) 5. If dweil~ng, number of dwelhng u,mts ...1 ........... Number of dwelling units on each floor ................ If garage, number of cars . 1 .... i .................................................................. 6. If business, commercial or mixedloccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures!, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... '. Height ............ , ......... Number of Stories ............... 8. Dimensions of entire new construction: Front .... .'~¢..q/.--~.... Rear.·'~.-~. ~ ..... Depth .. ii .~.~i i ...... Height 18 Number of Stories .. 1. ................................ 9. Size of lot: Front ..... 154 .... . .......... Rear 134 Depth 160 10. Date of Purchase ............................. Name of Former Owner ............................ 11. Zone or use district in which premises are situated .................................................... 12. Dues proposed construction violate any zoning law, ordinance or regulation: .r~9 ............................ 13. Will lot be regraded y.e.s. ........................ Will excess fill be removed from. premises: Yes x No · o' o ais 30-58 37th.Astor 212-545-6088 14. Name of Owner of premlse~..~g~..~ .~I ......... Address ....... : ........... ~tone No ................ Name of Architect ........................... Address ................... Phone No ................ Nmne of Contractor .I. rll~,.n.d..H, 9.m.e.s.,..I.n.q: .... Address B. 9.x..1.;.7, ~a.~ .~ .i.~.u.C.¥hone No..~.9. 8. 7.9.6.9.9 ..... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines, Give street and block r umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF..$~.f.f. qlk.. S.S R.obert E. Hilt~ ~ (Name of individual signing contract) above named· , ~licant ~, orVer ac tot He is the ...................... :. :..~ ............................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannet set forth in the application filed therewith. Sworn to before me this / ~,~1,. ?O[~g~ , i #O~A~ FUl#~ ~ d d#~ V~ _ ·. llama ........... day of'...M.~ ............... ,19 .8.1. ~. ~l~/~,~g~ z['~,/ Notary Public, . ........ .S.u.f.f.?.lk~,. ............. Courjl~j~------,~ ,q ~ ~ ~.,~/ / Inland Homes, ] Inc. being duly sworn, deposes and says that he is the ~ 0 Z 001