HomeMy WebLinkAbout13245-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of' Occupancy
THIS CERTIFIES that the building new one-family dwelling.
380 Garden Court Southold
Location of Property ...............................................................
House No. Street Ham/et
County Tax Map No. 1000 Section 63 . .Block r~ .Lot
Subdivision..S.o.u..t.h.o.l.d...G.a.r.d..e~.s ........... Filed Map No. 68fl 2 .Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Jtme 20 19.8.~. pursuant to which Building Permit No. f123~5Z
dated ....... J...u:~_. ?..2.~. .............19.8.~. ,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 .........
New private one-£amily dwelling.
The certificate is issued to MARI0 & CAROLE CASTELLI
..................... ......................
of the aforesaid building.
Suffolk County Department of Health Approval ............... fl.~7.S.O.'zfl. .23 .................
67so75
UNDERWRITERS CERTIFICATE NO ................................................
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING D~-PAItTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COAAPLETION OF THE WORK AUTHORIZED)
N? 132 5 Z
County Tox Map No. 1000 Section¥.....C~....~...~ ....... Block ...... ..~..~. ........ Lot No..../.~.:..'] ...........
pursuant to application dated ....... ~-~..~........I..?. ......................... , 19f.~., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
~ $outhold, 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 sinS~lar 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 peoperty 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.
Co
Fees:
Certificate of occupancy $5,00
1.
Certificate of occupancy on pre-existing dwelling
2.
3. Copy of certificate of occupancy $1.00
landuse--Pre-Existing C.O. $15.00
Vacant 'land C.O, $ 5.00
Date . ~3~. ........
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
J;
Location of Property .,-~, ,~/~,' ............ (~ ...............
House No. Street Hamlet
' ,
Owner or Owners of Property . J~6LCl ~.. ~Ma.~...~.(~Q/.~'.. ~-[~./1'. .............
County Tax Map No. 1000 Section 06.~ ,.. Block ~'~. Lot.../.~'.Z
...... ,o ........... o...y ........
..................
Health Dept. Approval . ) ~ .... - .......... Labor Dept. Approval ........................
Unde~riters Approval ,Planning Board Approval
Request for Temporary Oertifi~ate ..................... Final Certificate .... ~ .................
Fee Submitted $ .... ~.~.'.~ .~-~. ...................
Construction on above described building and p~ermit meets all applicable codes and regulations.
0.~0,~ ~z~7 Applicant (~Cjl~,¢~),. ,' ,~.;., ,~, ,~;... ,~,:. ,/~,' ...........
Rev. 10-10-78
HENRY J. SMITH & SON,
PLUMBING, HEATING & FUEL OIL
MAIN ROAD
SOUTHOLD, N.Y, 11971
{516) 765-3690
March 15, 1985
Inc.
John Bertani Builder, Inc.
Colonial Road
Southold, N.Y.
Dear Sir;
This is to certify that low lead solder - 95.5% -
was used on the domestic water system at the hone of
Carole & Mario Castelli - Building Permit #13245Z.
HPS:ag
Yours truly,
HENRY J. SMITH & SON INC.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
O1
BUREAU OF ELECTRIC TY ·
7 ~ebrt~ ~.~ ~5 85 JOHN STREET, NEW YORK, NEW ~ORK~1OO38
THIS CERTIFIES THAT
only the electrical equipment as described below a~ i~ttroduced b ' ....
y the applicant named on ~he able apphcat~on number ~n the premises of
i. ta. /o.o~i.~ ~ocat~.; ~ ~.~...~ .~ ~ ~st r~. X~ ~.d r~. s~io. ~o~ rot
was examined on and found to be in cotnpliance with the ~equiretnents of this Board.
FIXTURE FIXTURES RANGES OVENS
EXHAUST FANS
DRYERS FURNACE
FUTURE APPLIANCE FEEDERS
TIME CLOCKS UNIT HEATERS MULTI-OUTLE1 DIMMERS
SYSTEMS
NO, OF FEET
SERVICE DISCONNECT
OTHER APPARATUS:
Noto~s 1,-F PIP
1-GFCI ~ 1--,,~,~oke Detector
Elec. room he~tor 2-1.SKW
S E
NO, OF CC, CONI
PER ,~
NO OF NEUTRAL:
AW, G
OF NEUTRAL
1/0
G ~ ~ ~lectrlc
~ox Z15
~ou~hold, N Y
11971 Lic ~7~
must not be
manner; return to the office of the 8oard if
OFI
GENERAL t4
Per_ 11
.may be by their credentials.
IN AN
F i~ELD"~N S ? ECT i ON "
FOUNDATION
(1st)
FOUNDATION
Z.
(2nd)
ROUGH FRAME &
FLUMBING
3.
INSULATION FERN.
STATE ENERGY
QODE
FINAL
;
ADDITIONAL COMMENTS:
FOUNDATION '~ST [ ] ROUGH PLBG.
~ BUI~iNG DEPT.~'?
IHSPECTIOH
[ '] FOUNDATION 2ND [ NSULATI
[ ] FRAMING [:] FINAL
REMARKS: ,'.
DATE ////~/~
INSPECTOR ~f~, C
3. Nature of work (check which applicable): New Building .... .I~..... ~Addition .......... 'Alteration ..........
Repair .............. Removal .............. Demolition .......... ,... Other Work ...............
~ ~.~. (Description)
Estimated Cost....{ ?:..°.l..oD?.'Tc). ......................... Fee J ~)' I
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number o f dwelling units on each floor ................
If garage, number of cars ........................................................................
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-, .......................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories .......................
.... · ~ ~' ' '7~
8. D~menslons of entl;e~new construction: Front ..... ~.(~ ....... Rear ... ~,. ........ Depth ... ~.... ff~ .....
Height ..... ~.~. :?~. ....~Number of Stories .......... ~. ............................................
Size of lot: Front .... ~. ............... Rear ........ ./.~.' .O. ......... Depth . ./'.~...-~. ..............
Date of Purchase ............................. Name of Former Owner .............................
Zone or use district in which premises are situated .....................................................
Does proposed construction violate any zoning law, ordinance or regulation: ................................
Will lot be regraded ...... .~..~. ........... ~ ...... Will excess fill be removed from premises: Yes 9K- No
Nam e o f Own er o f premises ~.~.e'~.C.'~g~..c/,~tS?.?~Addre ss ~.~..~'~4/~.. ~:;~.t-4< . Phone No.. ~:~'. r. '.~.~-. ~J:. :~.~-
Name of Architect .......... : ................ Address .... '~.~-'e~,~.,.. Phone No ................
Name of Contractor . .~.~../r,~.. ~,~'~.~... ~e-~d~',~..... Address ~d~.f.. ~. .... Phone No. ~-~..~./~;~/. ....
10.
11.
12.
13.
14.
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 show street names and indicate whether
interior or corner lot.
STATE dF NEW YORK,
COUNTy O? .... S.S
·. ~,~. 6~./~:~ .7/7.~-,-,-,-,-,-,-,-,-,~t .............. being duly sworn, deposes and
(Name of individual signing contract)
above named.
says that lie is ~he applicant
(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 manner set forth in the application filed therewith.
Sworn to before me this
.................... day of. ~'~ ~<~ ~ 19~2/~
Not. Public,. ................... . County
..................
I ~l, lgt~'~l ~ Nffitk~ (Signature of applicant)
Approved.
Disapproved a/c ............... i ...................
"FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1803
Received ........... ,19...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be corn pletely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to sc Je. 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 avaflabl~ 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 To~n of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction o~ buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with ail 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)
..... ........
(Mailing address of applicant)
State Wliether applicant is owner, ~essee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .... M..~i2d. O.. ~.. ~.~ {2~/.~,,... :~4.~'T~..{,-~.t. .............................
(as on the tax roll or latest deed
If applicagt is a corporation, signature of duly authorized officer.
~(Name and title o~ corporate officer)
Builder's License No ........ : ..................
Plumber's License No ....
Electncmn s L~cense No ...........
Othe~ Trade's License No .... i t~ ..............
1. l.,ocati0n of land on which proposed work will be done ..................................................
.*louse Number Street Hamlet
' % 7. 7.
Count9 Tax Map No. 1000 Section . 0 .~ Block .C~' . ............
.............. Lot .iff. ............
..~..~..O.~{ .4~... ~...~t,'2,~. ~ .~ .... Filed Map No ............... Lot ...............
Subdivision...
Name)
2. State existing use and occupanc' of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ,
b. Intended use and occupancy
KL=I~5
MAPIO CASTELLI g C~POLE C~ST~LL/
AT SOUTHO~ DATE= DE~ 16, 198~
tn~eet~ bl ~hts de~r~t ~ to~ SUFFOLK COUNTY~ NE~ YORK NO. 8~-109~
SURVEY mA VI~ATIO~ ~ SECTION 7209 OF THE
Chief of Oene~l Engineeria~ *coP,Es ~ m,s su~v;Y .OT ~A~ T,( ~A,O FI~
NGUARANTEES INOI~T[O H~REON ~ALL RUN ~LY ~
. tST COMPANY
OF HPLTH I~IC[S. PURPOSE ANO An~ NOT'TO BE US[O TO ESTABLISH
NO K~: I = MONUM~NF ~ : SFAKE AL~EN W. YOUNG~ PROFESSIONAL ENGINEER
SUBDIVISION MAPFI~D IN THE OFFICE OF THE C~ OF
SUFFOLK ~UNTY 0~ MAY ~ 19Y9 ~S FI~ NO.6~I~ ANO ~NO SURVEYOR N.~S. UCENSE NO. 12845
HOW~RO ~YOUNG~ LAND SURVEYOR
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