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Home My WebLink About13235-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PF. RMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13235 Permission is hereby granted to: ..~~.,.....o....,.~..:...u.9..~.~. ~ ~.~. ~~,2, ....... .~....~.,,~,g~....~.,. ............ ..' ..... .! 0t pre,,,es ~0ted ~t l./..I.2_~..~l~ ........ ~~.~ ..................... pursuant to application dated ..... ~..~....~..~. ................... , 19.~...~., and approved by the Building Inspector. Rev. 6/30/80 TOWN OF $OUTHOLD Building Dapartment Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFiCATE OF OCCUPANCY Instructions A. ,,This application must bo filled in typewriter OR Ink, and submitted ~ ~ to the Building In~pec- "[or with the following; for new buildings or new use: 1. Final survey of property with accurate location of all bulld'ngs, property lines, streets, and unu~al 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 Coda 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-co~forming U~es, or bui'ldings and "pre-existing" land uses: 1. Accurate survey of p=operty showing all property lines, streets, buildings and unusua~ 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 inspectior~ of buildings or premises, or other pertinent informa- lion required to prepare a certificate. . C. Fees: 1. Certificate of occupancy New DweltJ. n~.$25.00. '^cCu.,.~ory tS10.00 lJua[~e,~a ~0.00 2. Certificate of occupancy on pre-existing dwe,lling ~ 50. O0 3. Copy of certificate of occupancy $ 5.00, eve: 5 yeata ~I0.00 4.Vacant Land C.O. $ 20.00 5.Uodated C.O. $ 50.00 Date . .~.'~. /02 6. Alteration $25.00 Newtons truc ~ton ~ Old or Pre-exlstln9 Building Vacant Land .. Loc~t[on of ProperW . · .L ................. ~ ............. · ......... Houm No, ~ ., gtreet ~ Hamlet Owner or Own~rs of Property ~...~.. .~]~ .'..' ................... · ' ' Flied Map No Lot No Subd~vtslon . Permit No ......... Date of Permit ..................... Health Dept Approval Labor Dept Approval . Underwriters Approval Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted $ . .*.-~, ................. Construction on above describedApplicantbuilding' ' "~' ' ' ;-'~'~' "" "~"~' a~ c~a~a.~pl icablo ...... codes~, ,~ ,¢.~,C~,, ,~,~, ,~,~,and regulations. ,7 Memorandum from.. · BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN 14,ALL, BOX 728, SOUTHOLD, N.Y. 11971 765~1802 February t9, 1988 ,Mr. & Mrs. Sergio Sedita 1110 Leeton Dr. Southold, N.Y. 11971 Re: B.P. #13235 Z Dear Mr. & Mrs. Sedata: I return herewith your check #5440 in the amount of $25.00 dated 3/26/87. A final inspection of the garage was made on 2/11/88 and everything was okay for the C.O. The CO was mailed to Mr. Pontino today. Thank You. SOUTHOLD ToWN BLDG. DEPT. Georgia Rudder, Secretary /. ~ New York. N.Y. lO17~ 'MEMO ~.,:o ~ ~ooo ~ ~a,: o??,,.o~ ~,, THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001093 BUREAU OF ELECTRICITY OC~O~)(~I' ~ ~85 JOHN STREET, NEW YORK, NEW YORK 1OO~8 ~-,. ~,~,o~ ~0. o.~,~ ~/~ N 665186 THIS CERTIFIES THAT only the electrical equipment as described below and introduc~ by the applicant named on the above application number in the premises of in the flollowing locat~on; ~ Basemer~t ~ Ist FI. ~ 2nd FI. Section Block Lot was exa~nined on and found to be in compliance with the requlretnents of this Board. FIXTURE OUTLETS DRYERS RECEPTACLES SWITCHES 4 3 3 FURNACE MOTORS FIXTURES RANGES OVENS EXHAUST FANS FLUORESCENT MERCURY VAPOR FUTURE APPLIANCE TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E NO O~E~C,~COND. A W G NO. OF HJ-LE~ OF CC toby. R V I C E A. w. G NO, OF NEUTRALS OF HI-LEG OF NEUTRAL 42 D. I~bnsell Lane Cul;(;hogue ~ N.Y, Lic#2941E GENERAl. MANAGER Per_ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their COPYFOR B ILDING DEPARTMENT. THIS COPY.OF CERT F~ATE UST NOTBE ~ TERED N ANY MANNER FIELD INSPECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY ~ODE FINAL COMMENTS DMMENTS: 76.5-J,$02 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROU/~H/PLBG. FOUNDATION 2ND [ ~NSIJLATION FRAMING ~r//] FINAL REMARKS: DATE/~/~'2 TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN I1ALL SOUTHOLD, N.Y. 11971 TEL, 765-18o2 'Ellis is to advise you that th9 job under bu{lding permit no. 13235Z issued to Serglo Sedate 6/19/84 for 'Additioh ~ is completed final inspcction has ( ) has not ( x ) been done. and rn order to complete this file, it is necessary that a Certificate of Occupaucy be issued. Pleasc fill out the cnclose(I form, return name to the above o[~ice with a check for $~5.00 payable re thc Toun of Soathold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspeetio~ date Occupancy or use ia unl. awful without a Certificate of eec.panty, l'leat;e help us to clear up this matter so that leg;~t action does not have to be taken. Thank ye. for yo.r prompt attention. Very truly _~, Victor Lessard Executive Administrator VL:gar cae 1 . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ~.~-a~.. IO~. ~ I .?.~.~...~..~..:~. ............ , 19,.,. Permit No. Application No .................. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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 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 buildings for necessary i/)spections. ....~,.,,y~,s.~.... ~,.~:...... fO__q~..~.~.~v~,~°~ ~''x-''' ........... (Signature o~[t~ipplicagit, or name,-if a- corporation) ''. .... (Mailinjfi~ie'sl/o~ abbii~) ............ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... ........................................................ Name of owner of premises..".~..~.-.~'..~ .'..~. .... .~..~7..~. ~Z.C~.. .......................................... (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....~. TY'~ .'.~'~.o~.~v.-.--.~ 7~/ ~ ~-~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ! !./..o. ........ ..... Y, ................................... .............. )'Hamlet House Number Street County Tax Map No. 1000 Section ...... ~' .7 ....... Block... ~..' ........... Lot...~... [ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of pre~nises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... f~. C. ~./..~..~. ~. To~ .~-. b. Intended use and occupancy (~2r~c~ Cfi'..q,,,~,.,~ ......... 't -'-'4~ 3. Nature' of work (check which applicable): New Building ...... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... i (Description) 4. F, stimated Cost .............................. Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling iunit~.~_ .............. Number of dwelling units on each floor ................ If garage, number of cars .... J · · .O:1 .............................................................. 6. If business, commercial or mixe,d occupancy, speclfy.ll~tuj:p,aq~ extent of eac~,ype of use ..................... 7. Dimensions of ext~ng structures, if any: Front .... ~..d~. ~: .~... Rear . .~.~.(?.:.~. ...... Depth -~G.~...., ..... Dimensions of same, structure/w~ith alterations or additions: ~Front ..... .~'~ ? .3. ..... Rear . .~. ~.-.-~. .......... 8. Dimensions ofgotire t~ew construction: Front ..... ~.~-~. ..... Rear .... .~ ......... Depth . .~--../~. ........ 11. Zone Or use district in which pr~emises are situated... ~.~,..~./.c~ g)~/. :~ ................................. 12. Does proposed construct, iQn violate any zoning law, ordinance or regulation: .. 13. Will lot be regraded .. ].'~.(~.. i · · · ,. ..... , ......... Will excess fill~..e re.mQved from premises:~ Yes__ Name of Architect ......... : ......... ,... PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and, indicate all set-hack 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. (Signature of applicant) STATE OF NEW(~RK, COUNTY 0i~... ~'~ .....~~'~9 <~ ~'.'.-'..~,~; ~ ...... being duly sworn, deposes and says that he is the applicant (Name of iffdividuai signing contract) He is the ................................ ~ .~ ............................................ I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly 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 manner set forth in the application filed therewith. Sworn to before me this 19.~Jg Porte / / OCT RS, I9Y9 M/NOB SUBDIVISION FORt SURVEY FOR AT SOUTHOLD TOWN OF SOUTHO£D SUFFOLK COUNffY, NEW YORK YOUNG 6 YOUNG ALDEN w YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR NYS LICENSE NO 1254§ HOWARD W YOUNG, LAND SURVEYOR G~TE AUq. $, 197'8 NO. . 7'B-459 C ~,RC~iGo0 S'J' IT L SURANCE CO. 400 OSTRANDER AVENUE RIVEF~HEAD, NEW YORK 'l ._ II I I I L ~ I .t