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Home My WebLink About13498-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16686 Date March 4, 1988 THIS CERTIFIES that the building .... .P.o. .o .1..a.n.d...f.e.n..c .e ........................... L t' fP f 800 Theresa Drive Mattituck oca_lon o- _roper.y ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section I 15 .Block 13 .Lot 18 Suhd'v'~' , M/O Deep Hole Creek Est. . ..... 14 _v_l_l~lo ................................. Filed Map No. 4265 . .Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 0 c t. I, 1984 pursuant to which Building Permit No. 1349.8 z dated . .qc..t ....2.4. ~..1.9.8..4 ........... was issued, and conforms to aH of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..... .%q..cg.n.s.~..r.u.c.t' . .~p.~r. 9.u.n.d' .pg.o.1..a..a.d..~.e..n.c.e...a.s. app1±ed for. The certificate is issued to PHIL LORIA ..................... ~d~;~e~, ¥~x'~k'f ................... of the aforesaid building. Suffolk County Department of Health Approval ........... N../.A ............................ UNDERWRITERS CERTIFICATE NO ..... N69 1966 Hay 15, 1985 PLUMBERS CERTIFICATION DATED: N/A FO~M' NO. S TOWN OF SouTNOLD 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? 13498 Z Date ...(~..~ ......................... , Permission is hereby granted to: it ,, ! ..... ~.....u.~ ..... .~ . ~..~~.-~.. ......... :~ ........ ~_~ ...... ~...~.._.. ............. ~..~../~ ............ ~....~......~ ......... ~...;__~.../. .............. ~/(/' "ot prem,ses located at ...~...O....O.......~...c~......~.~ ...... .~/.~.~ ............ County Tax Map No. 1000 Section ....... L/...~..'~.. ...... Block ....... /....~ ...... Lot No ..... /....~. ........... pursuant to application doted .....(~.~.........~... ................. , 19..~....~., and approved by t~e Building Inspector. Building Inspector Rev. 6/30/80 F~)RM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ~ 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--iS-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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of prOperty 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of oecupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 Date ,. March ] , lq88 New Cons t r uc t ion Old or Pre-existing Building Vacant Land Location of Property ~ ~ .'.~)~ ~ ~./'/L. . ~. I.~.-~L. · Cf House No. Street Ham/et PHIL LORIA Owner or Owners of Property ............................................................ I ]5 ]3 18 County Tax Map No. 1000 Section ............... Block ............... Lot ................ M/o Deep Hole Creek Ests. 4265 14 Subdivision ............................... '..Fi ed Map No ........... Lot No .............. Permit No. J.'~.~, 9.~.~, Date of Permit .......... Applicant POOLS US. INC. Health Dept Approval Labor Dept Approval Underwriters Approval ..... .~ f-~ ............... Planning Board Approval ...................... Request for TempoYary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all appJicable codes and regulations. Applicant ........................... ' '~ ..... IO ~ 1-EL~ ~NS[ ECr N 1. COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COM~,ENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST FOUNDATION 2ND FRAMING [ ] ROUGH pLBG. [ ] INS~ION [~'i~AL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~.ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE~ 76~-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ,r. ~'~I~NAL REMARKS: ~[ [~/'. ~*~d *~ ~__~, ~, luaus? THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW,Y~ORK 10038 ' i , THIS CERTIFIES THAT only the e~ctrical equip~nent ~ described below and int~duced by t~ applicant ~m~d on the able application number in the premises of in thefollowlng location; ~ Basement ~ 1st FI. ~ 2nd FL ~t~ Section Block Lot was examined on ~ ~ ~ ~ and found to be in co~npliance with the r~quirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH EXHAUST OUTLETS 1 DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: 1-G.F.C.I. Panelboards: 1-~cir. 100romps. S E R V I ', C E NO O ~ECR C~'CO N D'OF AccW. G.COND, NO. OF HI-LEG. uFA' W.G.Hi. LEG NO. OF NEUTRALS OF NEUTRAL Shoreline P. O. Box 114 West Sayville~ N.Y. 11796 Ltc. 1511 GENERAl. MANAGER 11 Pev~ /; ~ ~ythe~r credentialsThis certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspector,s may be identified b their credentols. ~~ DEPARTMENT. THIS. COPYOEcr-H I IF ~ATE I~IU~T NOT BE /~LTERED N ANY MANN~=R "&~ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 APPLICANT: DATE: July , 1986 Dear: While reviewing our files I find that your expired pool permit Isqq~% has never been finalized. Kindly return the enclosed application with a check for $5.00. Also, please call and arrange for a final inspection so that we may issue a Certificate of Occupancy on the above pool and complete this outstanding file. Yours Truly, Victor Lessard Executive Adminstrator OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIRCATE OF OCCUPANCY TOTrN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 March 1, ~988 Mr. Phil Lorla 800 Theresa Drive Mattituck, N.Y. 11952 TEL. 765-1802 BLDG. DEPT. TO%~N OF $OU'IHOLn 7'o Whom This May Concern, We are unable r,o complete your Certificate of Occupancy because ,of the following reasons. /i An application for Certificate of Occupancy is not on file. No Underwriters Certificate on file. 'r'he check isl~{K~iaR~/not on file.) No }lealth Dept. Approval on file. No final inspection has been made. $25.00 on this matter. 8 Z Please contact ()ur office Thank you for your cooperation. Buildir;~3 Perlni.~' # ] 3 4 9 Building Dept. ***/~/ Uo Plumber Solder Certificate on file. ( a!l permits involving plumbing being issued after April 1,1984 ) 'FORM NO. 1 .TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL a°OUTHOLD, N.Y. 11971 TEL.: 765-180:2 Examined fi..., Approved .O.~..~..~..., 19~.]. Permit No. ) .~..~. ~.~..~.. Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scHe. 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. .......... ........... (Signature of applicant, or name, if a corporation) 7,. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises ./2~/~.... ~.~ ?../~. ........................................................ (as on the tax roll or latest deed) If a ~n~a coco , tion, s~g e duly authorized officer. .~~ (Name ~fficer) Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... ......................... I. Location of land on which proposed work will be done..~EO~... f.~.A'.~.,5~. ....... House Number Street Hamlet County Tax Map No. I000 Section .... .~.~..~..~. ...... Block .................. Lot./.ZZ/. .............. Subdivision ~:~[. Z~ ................ Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... /~/.~.. ...................................... -...~,. ........... b. Intended use and occupancy .... . .~c)/~.~../..~..~. 3. Nature of work (check which applicable): New Building , ./~..'..... Addition ., ........ Alteration .......... Repair .............. Removal .............. Demolition .......... i.-. Other Work ............... · I (Description) o: 7. 4.' Estimated Cost Fee ' (to beI paid on filing this applicgtion) 5. If dwelling, number of dwelling units ...... ?/dq- ...... Number of dwelling units on each floor..&).~./a~. .......... If garage number of cars ~./.~ 6. l~ ousiness, commercial or mixed occupancy, specify nat.ute and extent of each type of use ~Y./~-. .... , .......... 7. Dimensions of existin~ structures, if anv' Front ./l//,~x. 1~.~ ~¢//'~)- Height . ./1//,~- ......... Number of Stories.../////~. ............. ! .................... Dimensions ot~ same structure with alterations or additions' Front x//f~, i ~o~ ~//~ ........ D h ~ ,~v · '' · ...... r .......... ~"?~ ............... ept .... /~/./~. ............. Height .... ~/f .ff,. ............. Number of Stories.. A/~.x~. ............. 8. Dimensions of entire new construction: Front .... c~O0./, ...... Rear .... {~/~.. f .......Depth .~f. 7..J~..~. .... Height ............... Number of Stories ......... ~ .................. i .......................... 9. Size of lot: Front ...................... Rear ...................... i Depth ..................... 10. Date of Purchase ............................. Name of Former Owner i ........................... 11. Zone or use district in which premises are situated .~.~1 ~>~,'~ C/~ L. . : , ... . . . ' ' . ........ ~ · ~!. ~'~" '~.; ;T?~'~ ,~ ~t~,,.,~ D ...... 12. Does proposed constructxon v3olate any zoning law, ordxnance or regulation: .. ~ C?,...?.\'~'~-3{~U~}~:[?~. .... 13. Will lot be regraded ...... 7.e...~.... ............... Will excess fill be removed :from pre~':~ 14. Name of Own?r of premises ~.&t't~...~.o.4/~. ....... Address ~.~. ,T/~'~'.~. ~g/.. PhqII/lI~iI~.~.. )/~.... Name of Architect ...... Address , I r,h~l~I~ Name of Contractor t~.~P.~-f..~.t '.~. ,~.~.41J ........ C' Address ~/~/,~:./~ff-~-d~... ¥,h0n~.¢?,~,~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, ifidicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ........... ,..... S.S ....' .~.~.C<./~....~T../0.~¢.~. [ .L.L..O ........................ being duly sworn, dep4ses and says that he is the applicant (Name of individual signing contract) above named. He is the ' (Contractor, agent,'co~'porate 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 hi~ knowledge and belief; and that the work will be performe~d in the manner set forth in the application filed therewith. Sworn to before me this . .r~. ~ ............. day of..~.~ .... ,19~:~ Notary Public, .~.~'...x~~. 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