HomeMy WebLinkAbout13553-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z13281 Date March 26, 19 85
THIS CERTIFIES that the building Greenhouse
2435 Longway East Marion
Location of Property h~s~ ~'o: ....................... 'S't/e~i ....................... h~iei'
County Tax Map No. 1000 Section 030 .Block 02 ...... Lot 013
Subdivision Pebble Beach .Filed Map No ....... Lot No. 12
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Nov. 20 8..4 13553Z
...................... 19 . pursuant to which Building Permit No ......................
dated Nov. 20 19 84, was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for wtfich this certificate is issued is .........
Construct greenhouse addition to existing one family dwelling.
The certificate is issued to JOHN PAGLIARO
..................... ......................
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. #N6 8 0 9 19
Building Inspector
Rev, 1/81
I~OR~ NO. o
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO 13553 Z
County Tax Map No. 1000 Section ..... ..O....~...O. ....... Block ...... ..~......'~.. ...... Lot No ...... ..~..J...~. ........
pursuant to application dated ...~...~.....~......~.. ............. , 19...~...~., end opproved by the
Building Inspector.
Fee $ .......................
Building Inspector
Rev. 6/30/80
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 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-
lions, 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.
For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty 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 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
3. Copy of certificate of occupancy $1.00
$15.00
4.Vacant Land C.O. $5.00
Date ......................
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
ion of Pro er ~ "/.-
Locat pty ...............
Owner or Owners of Property . .~ZZd .... ~.~ ~/.~.g ..........................
Co..w No. 000 S ctio. .... ...... B,ock .... ...... ......
Subdivision .~.~A.C.. ~.~.~ (~ ............ Filed Map No ........... Lot No ..... ~ .....
No.~~Date of Permit /~.Applicant..~/Xg~¢...~f.<a ~Oc'. ~ ~<~'
Permit
Health Dept. Approval ........................ Labor Dept. Approval ........................
Unde~riters Approval.. ~.~. ~.~ ........... Planning Bo8rd Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant.. Z~--~... ~.... ' . .~ ....................
FIELD INS[~ECTION
1.
FOUNDATION (1st)
FOUNDATION
2.
ROUGH FRAME
INSULATION
(2nd)
&
PLUMBING
PER N. Y.
COMMENTS
STATE ENERGY
~ODE
FINAL
~DDITION~L COMMENTS:
· LOt II
ADDRESS .... .... TEL.
~YOUNG & YOUNG
400 OSTRAND~R AV[NU£* RIVERH£AD* NEW YOgK
SURVEY FOR;
KLEIN 8~ EVERSOLL, INC.
LOT ,12
"PEBBLE BEACH FARMS"
EAST MARION
)
THE NEW YORK BOARD OF FIRE UNDERWRITERS
100070S
BUREAU OF ELECTR[CI,TY
~ 85 JOHN STREET, NEW YORK, HEW YORK 10038,
,ate ~rc~., ~r, ,,.,icatio. No.o.~,e 3ze?~/s5 N 6809~9
THIS CERTIFIES THAT
only the electrical equ pment as de$¢rlbed belo~v and itttroduced by the applicant named on the above application number itt the premises of
john Pagliaro, 2435 ~e Long ~y~ E~st ~arion~ N.Y.
in thefollowing location; [] Basement [] 1st FI. [] 2nd FI. Section Block Lot
was exa,nined on Februar7 25 ¢ 1~8 ~ and ~ound to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES OVENS
OUTLETS SWITCHES FLUORESCENT
DRYERS
DISH WASHERS EXHAUST FANS
OTHER APPARATUS:
1-20anp 2/12 Feed to hot ~
1-G.I%C.t
Tr~ck Lk~htin~ 8' 0" 3 LiteS.
S R R V I C
NO Oi~ERCC~COND.
OF CC COND.
NO OF HI-LEG
A. WG
OF HI-LEG
NO. OF NEUTRALS
AWG
OF NEUTRAL
Sal Prato Electrican
Wiggins Lane
Gree~]port, N.Y. 11944
1049
Pet'_
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspgcto~~ may be identified by their credentlals.
COPY~FOR B~ILDING DEPARTMENT. THIS C(
' ~. ~ A~-~ 'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL,: 765-1803
Approved }O O~fi-~*~x..bk.t,..'.O~..-, 19 .~.~. Permit No.].~.~.-.(-.~..~..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BLDG. DEPT.
TOWN OF SOUTHOLD
Received ........... ,19.. ,
IN STRUCTIONS
a. This application must be completely tilled in by Wpewriter or in ink and submitted to the Building 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 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 application, the Building Inspector will issued 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 in 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 construction 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 building for necessary inspections...~ ,
o.,, ... iS ':n; u/e'of applicant, or name, if a*o po<tion)
(Mailing address of applicant) //~o/
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.'
'"-- / j.. p.. ¢'c ....................................................................
Name of owner of premises . .?~.q..~.//d~..~, .".~.~.P/~. ...................................................
(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. ~. ~/~' .... ~. ~ .~.' ~ ....·
Plumber's License No ..... ~ ....
Electrician's License No... ,* ..... fid'. ....
Other Trade's License No.--:-..: :: :: .... : .........
1. Location of land on which proposed work will be done...'7. .............................................
· .~...~' ~..~.*.~... ~,~. <7. z~./.q ' StreetY/:'~'~' ' '~'-- .................. '~7/qe"'77Hamlet .... ~"~"t°'J'qd ..........
House Number
County Tax Map No. 1000 Section ..... ~ .~.~..~. ...... Block ...~.'..~. ........... Lot...~. }..~ ...........
Subdivision. ?-. ~7/2'3. 123.4-,~'...~.qY~....~4~'~0. 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$, ~.t. 0.¢0. ¢' ~ . .OffS..~...~'..~. "/q~' · '~..'~.',~.. ...... ~ .................
b. Intended use and occupancy ..... ~'.,5'. t O..ea.o .~... ;;~-~LL..... ,~.../:~. ~t,~...' ......
3. Nature of work (check which applicable): New Building ...... ' .....'Addition ....... Alteration . !. ~ ......
Repair Removal . Demolition ~ Other Work
~ (Description)
4. Estimated Cost ............................. Fee ......... 4 ............................
.x (to be )aid on filing this application)
5. If dwelling, number of dwelling units ....... ] ....... Number of dwelling un{ts on each floor ........... . .....
if garage, number of cars ........................................... i ................... ' ........
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....................
7. Dimensions of existing structures, if any: Front ....... Rear
.............. ~ ....... Depth ..............
Height ............... Number of Stories ........................... i ...........................
Dimensions of same structure with alterations or additions: Front ........... i ... Rear .................
Depth ...................... Height ...................... Number of Stories
8. Dimensions of entire new construction: Front ............... Rear ....... mi ....... Depth ..............
Height Number of Stories '
9. Size of lot: Front ........... : .......... Rear .................... ~,. De_~th ....... .~ .............
10. Date of Purchase .. ~.Z ."./.¢.-. 7. ? .............. Name o? Former Owner ~a~5'~.~..~.
11. Zone or use district in which premises are situated .. i..
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Nmne of Owner of premises ~ .~ n) .~.6~.4 ,//2'J('q Address~.~--?.-4.'~<~,~, ~ .F4. / .~Z'. Phone No . .~..~'.~'."- .a~'~...~7
Name
of Architect
.r.~.g.~'~...,, .... Address,.'-~//a.~..~.4~.~.,.-,. ~.,,,,¢~q-none No ................
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 number or description according to deed, and shcw street names and indicate whether
interior or corner lot.
STATE OF NEW/,YORK, / S S
COU .N~.~ ' , deposes and says thee is the applicant
..... ~ ~.~~fi~.~l~s~g.~l~i~l~~... beingduly sworn,
above named.
~He is the ...................................... i ...........................
agent, corporate officer, etc.)
of said owner or owners, and is duly author-~l~ed to~erform or have performed the sJaid work and to make and file this
application; that all statements contained in this applicati.on are true to the best ot:~knowledge and belief; and that the
work will be performed in the manner set forth in the apphcation filed therewith.
Sworn to before me this
.......... · of. ..... ,
Notary Public, . ................... ~,~
NO,ARY PUBLIC, ~
N,~. 52-8125850, 8Id
~rml Expires Mm'eh
o~New Yldl
County
r/ J
OF O{3 BPAN{3'{
AP?R~'/ED AS )~OTED
~EE:~- -- I~y: ~, ~, ,C.,
~IOTIF¥ B~NG DEPARTMENT
765-]802 9 A~ TO 4 PM FOR THE
FOLLOWING I hqSPECTIONS:
1. FOUNDATIOIN - TWO REQUIREDl
FOR POURED CONCRETE
'). ROUGH - /~R,AMING & PLUMBING'
3. INSULATION/
4. FINAE - CONSTRUCTION MUST
'J'HE m"~'ur':-~F-NTS OF THE N.Y..
~TATt- C~N~'~-~,UCTION & ENERGy
I~ESIGN '~.1. CONSTRUCTION ERRORS