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Home My WebLink About13402-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No. Z13724 Date August 7 85 THIS CERTIFIES that tile building pool & fence. Location of Property 2320 Bayshore Rd, Greenport House No. Street Hamlet County Tax Map No. 1000 Section 53 .... Block 4 .Lot 45.1 Subdivision....P.e.c..o.n.i.q..B.a.y..E..s.t.a.t.e..s ..... Filed Map No...,....1124 .Lot No. .............114' 115,116 conforms substantially to the Application for Building Permit heretofore filed in this office dated August 30 198..4. pursuant to which Building Permit No. 13402Z dated ......... A.u. cj .u.s. %. . .3 .0 ......... 198..4., 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.p.a.r..e.i.a.~., .i.n~.r. qu..n.d..~ .o.o.~..~...f.e.n.q .e: ....................................... The certificate isissued to LILLIAN CIACIA & CHARLES CIOCHETTO (owner, ~e~f,~E) of the aforesaid building. Suffolk County Department of Health Approval ............ .N./.A. .......................... UNDERWRITERS CERTIFICATE NO ................ .Nfl. 6. .6 .2.4.7. ......................... Building Inspector Rev. 1/81 1~0~M' NO. II TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13402 County Tax Map No. 1000 Sectipa,,......~.~...~'"~ ~' ...... Block ...... .~.... ......... Lot No ............. .,., pu~uont ,o o,,,,co,to, do,~ ...~.~.....~ ............ . ,9.~...~... opproved by the Building Inspector. 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 A. 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.Submit Planning Board approval of completed site plan requirements where applicable. B. 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 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: __ ~icate of occ~'v ~ 2. Cer~f occupancy 6n pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date ...... J..~ ....... New Building ............. Old or Pre-existing Building .... .~/~.. .... Vacant Land ............. Locat,on of Property ................ · .c~...4~. ·: ........ t..~, ..... ~ ...... House No. ~/ , Street ' Ham/et OwnerorOwnersofProperty .. . . . . County Tax Map No. 1000 Section ....~. ~. · ...... Block ....... ~ ..... Lot...~>...~. ?..o..c?..~. Permit No. ~ ~.~,o. ~_¢.... 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 and permit meets all applic, able codes and regulations. A ,cant . ..................... "~-~" "/)/~' 4 ~)/¢,~PP .............................. Rev. 10-10-78 q3'7- THE NEW YORK BOARD OF FIRE UNDERWRITERS 100071~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the appBcant named on the above application numbS'in the premises of Lill~ Clagia~ 2~J it~.y~'~re tk~d~ Gx'e~po~ NoY. in the following locatlon; [] Basement [] 1st l~'l. was exatnined on (~O]D~I~ ~5~ FIXTURE OUTLETS RECEPTACLES [] 2.d FI. Oatside Section BIoch arid found to be in contpliance with the requirenients of this Board. SWITCHES FIXTURES RANGES OVENS EXHAUST FANS FLUORESCENT VAPOR Lot DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS~ 1~43.F.I. S E R V I C NO. OF CC. COND A W.G. NO OF HI-LEG A W G, pER ~' OF CC. COND OF HI-LEG OF NEUTRAL R.C. Elec~ic 4 Edtscho Lane Cosmic, k, N.Y. 11725 1610 This certificate must not be altered in any manner; return to the office of the Board if ipcofrect. Inspectors may be identified ~)R B JILDING DE I15 COPY( aJs. FIELD INSPECTION DATE COMMENTS 1. FOUNDATION ( ls t) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY QODE ...... ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 1N STRUCTION S Received ........... ,19... Date .g~SU~.+... ¢.~. ..... 29 ~q a. Tiffs applicatioq must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 *r 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 ;hall have been granted by the Building Inspector. APPLICATION IS ItEREBY 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, bu. ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa i , ectio, ns. 4/~7, ~/~~' (Signature of applicant, or name, if a corporation) '."-'~.~,.s~t~:-,v..l¢. ~.o..4,...~.r.¢-,.¢o ..m.r.~.-,..},!..V......',/9.¢."/. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... Qo~o.~C. ................................................................................ Name of owner of premises i0,~3.... · .. . · : ................... (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 Nd ......................... Electrician's License No ....................... Other Trade's Licens.e No. ¢.~fa6, .'~J,~-~0D.t;qV.~...e-?'~" ~e~'~O¢~v'~ ~'C.~o ~ 1. Location of land on which proposed work will be done .................................................. ........ ~ 3 ~ ¢ .............. '. ~7s~~ r~ .~m6 ............ ~ r.ee~ ¢~ ................. House Number Street Hamlet . County Tax Map No. 1000 Section .~ ............. Block ............... Lot0.~,P.O.~ .......... '~9 . ,~ ~ ..... . ..... Subdivision .~C~I~ ~)~q. ~-?&~&e ..... Filed Map No...L[.~.~. . Lot tl.¢.'.D.ff.~ ' (Name) 2. State existing use and occupancy of prenrises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~.~.~nc~ ..................................................... 3. Nature of work (check .which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ............ Other Work'~o~J. ~ (Description) · Estimated Cost ....................... Fee .................................... ~ ~' (to be paid on filing this application) ~f dwelling, number of dwelling units ............... Number of dwelling units on each floor ............. If garage, number of cars .... ................................................... . .............. ;~.' If business, commercial or mix{d occupancy, specify nature and extent of each type of use ..... ' ........ ; .... ~ 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 ................ ~&~ D~mens~ons of entire new construction Front .......... Rear .. . Depth ....... Height ............... Number of Stories .......... ~ .~ ............................................. 9. Size of lot: Front .../.5:6:~.~.I ............ Rear .... ~ J..h~O:/(~ .... DepthNp~4~:.]~..?9....,~..~.. 10. Date of Purchase .../.Q.I[D... i ................... Na,ne of Former Owner '~]1¢r.~5¢~...],O~..OoClq:X.~ ...... 1 1. Zone Or use district in which Piemises are situated, ,/~).-.. f.'{e/~;.c, le~.4f.~. ................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ... N o.. i .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........ h ..... ............. Address ........... ; ....... Phone No. Name of Contractor .~lqd~¢0 .*0~q~)f.+. .'.~/vnO~?fi/Address~¢.~. O)ddJ~.[~uobJ.~f~Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dinaensions from pmp~ lines. Give street and block number or description according to deed, and show street names and indicate whether ~9J~brc°rnerl°t' -~mi ia G:r~wnd ~ ~ ~" ,~Sh~ ~ctmnd ~>cx)J ¢TATE OF NE~"'Y-~RK. I !- ~ OF (Name of mdiwdual sig~ing contract) tbove mimed, j I.~-o ,lb, .... ..... being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporat~ officer, etc.) )f said owner or own. irs, and is duiy authorized to perform or have performed the said work and to make and file this q>plication; that all st~lements contlained ha this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. ;worn to before me thi~ J ............ ~blic, Expire! County /] '~ '" r (Signature of applic~-~