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Home My WebLink About13054-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z~2823 Date October 1 19 .84 THIS CERTIFIES that the building A d d i t i o n Location of Pronertv 250 Paradise Point Rd Southold House No. Street Ham/et County Tax Map No. 1000 Section 99.3. ........ Block ..... q. ......... Lot ........ .4 ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..~. p?.~.~.. J .8 .......... 19 .8.6. pursuant to which Building Permit No .... ~..39.5.6. Z. ........... dated . ./~ p ~ i2.. l $ ................. 19 $ .6., 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 ......... Add an unfinished porch to existing dwelling; The certificate isissued to Thomas J. Carlo & Dolores Carl. o ..................... io .'o'r, i i 'i iC iX'X ................... of the aforesaid building. Suffolk County Department of Health Approval ...... ~ ././l ................................. UNDERWRITERS CERTIFICATE NO ............ H660 T 23 Rev. 1/81 Building Inspector FOB3~ NO. S 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? 13054 Z County Tax Map No. 1000 Section ..... ..~...3..~.. ..... Block ........... .~ ......... Lot No ........~.:..,~... pursuant ,o application dated .... ...~.. ~......).~-' ................... , 19~,.~..,"" and approved by the Building Inspector. Building In.q:ector Rev. 6130/80 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 ir) duplicate to the Bui!ding Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, stroets, 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 peoperty showing all property lines, streets, buildings and uuusual 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/ land 3. Copy of certificate of occupancy $1.00 use--Pre-Existing C,O. $15.00 Vacant land C.O. $ 5.00 Date,. ,~l~, .g/,°~,.,~. ........... New Building ............. Old or Pre-existing Building ..... ~. ....... ~acant Land ............. flouge No, Street Ham/et Owner or Owners of Property .................... County Tax Map No. 1000 Section . .(~; ......... Block .............. Lot ................ Subdivision ................................. Filed Map No ........... Lot No. Permit ........... D~t, of Permit .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval ~ ............. Planning Board Approval ...................... ~equast for lomporarg Certificato ..................... Final C~rtificato .................... Fee Submitted $ ............................. Construction on above described building and p,p,p,p/~it meet,~ll applicable codes and regu lations. Applicant .. , ............... THE NEW YORK BOARD OF FIRE UNDERWRITERS J~0U{~.~t BUREAU OF ELECTRICITY ~V 85 JOHN STREET, NEW YORK NEW YORK 1003B THIS CERTIFIES THAT only the electrical equipment as ~scrlbed below and introduced by t~ applicant ~med on the able application number in tke premises of in tke following Iocation; ~ Basement ~ 1st FI. ~ 2nd FI. ~5~ Section Block Lot OTH~ APPARATUS= ~o~ho.Ld~ ~Y 11971 Li0%281~ : ,., GENERAL ~NAGER ~ perr, ~ ~ /' 11 = This cerfificote must not be o tered in ony monner~, return to the office of the 8oord if incorrect, inspectors moy be identified by their credenfio[s. MANNER THE NEW YORK BOARD OF FIRE UNDERWRITERS [00070~ BUREAU OF ELECTRICITY ~-~.~. 8!5 JOHN STREET, NEW YORK, NEW YORK tOO:~8 oa., s~u~,.c.~.','r~. 'm~ ~.~.~.,,~.~.~.~.~ ~s~/~ N 660723 THIS CERTIFIES THAT only the electrical equipment as ~scribed be~w o~d introduced by t~ applicant ~am~ o~ the above application number i~ t~ premis~s of ~m J~ C~lo~ 250 P~'~i~ J~, t~oad~ ~ut~Id~ N~Y. in thefol~o~i,~g ~oc,tio,~; ~ Basement ~ 1st FI. ~ 2nd FL Section Block Lot was exatni~ed on He[~t~X' 17 ~ ~9~ and found to be in compliance with the ~equlrements of this Board. FIXTURE OUTLETS IECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E R V I C Sal Pratt, o, El~trican Wiggins L~ne Great,port, N.Y. 11944 Lic, 1049 GENERA~ 1Z This certificate must not be altered in any manner; return to the office of the Board if i~cor~rect. Inspectors may be identified by their COPY FOR B~J ANY MANNER. D'N Z~ ri' !'q] rr Z !0 Z ;~ rT / r r q have been ' F I ~L D '~SF ECTI ON FOU~IDA?ION { 1st) COMMENTS FOUNDATIO~I ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENE~IGY C,ODE FINAL ADDITIOn]AL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL REMARKS-' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Examined.. . Approved~ ..... ~..~ .... , 19~.~..P;rmit No. · · .~...~..~..~.. Disapproved a/c ..................................... Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT ./..z. 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 g~ving 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 necessgl~inspections. , ~ ~ ,,) ,~ (Signature 9,f ap~-~nt, or name,ff a corp, pration) ~" (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .'..-~..~..~...~t..~... ~....~..~..~.../.~. ...................................... (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 ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done.., ..................... ,,, ........................ ..... ......... ........ ....... ....... House Number Street Hamlet County Tax Map So. 1000 Section ...O.q~ Block / Lot .N~..*. ~ Subdivision ..................................... 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 ....... .'~.../"~..e.t( ././..~.ff ............................................... b. Intended use and occupancy ~¢'/]'//-/~ ~'5 .~- .~'~.0 ' ~, ,.~-{?/'/ .. ' . .. 3. Nature of work (check which applicable): New Building .......... Addition .... ration .......... Repair .............. Rempval .............. Demolition .............. Other Work ............... i (Description) ~. Est~ated Cost ............. : ....................... ;. Fee ...................................... : (to be paid on filing this application) 5. If dwelling, number of dwellin units ............... Number of dwelling units on each floor ................ If garage, number of cars ..... ~ ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of ca'ch type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure w~th alterations or additions: Front ................. Rear Depth .................... i · · Height ... Number of Stories ......... Height: ............... Number of Stories .... /'. .................................................. 9. Sizeoflot: Front .......... 2 ........... Rear ...................... Depth ...................... 10. [)ate of Purchase .......... ~ .................. Name of Former Owner ............................. 11. Zone or use district in which pr~mises are situated ..................................................... 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. Name of Owner of premisesT~, ~t'~.~...~..~/r~9. Address ................... Phone No ................ Name of Architect . ',~T~" · ' ......... Address ............... z · · · Phone No ................ Name of Contractor .~.O,t'~ .~'~'~i~,~.'~'.~'.' ~.~] ] ]. Address~'~. ~Z .~7~.~'~,'t'~A'~Phone No. ~'.~'~-,~.~.7~ PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW/fORK, ., i S.S COUNTY ~~ , .....................(i'~ame of individual si i~ .......... being duly sworn, deposes and says that he is the applicant above named. He is the ................................ ':-.-.~, .................................................... ~.~ (Contractor) agent, corporate officer, etc.) of said owner or owners, and is duly authored to'-perform or have performed the said work and to make and file this applicationl 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 : .......... /(..c~...~ ....... dayo! ..... ~./,a/fJ] l ....... 19..~. Not~u,bli.c, ./..,.~.,;,,~ .... ~.,,.r.~&,~& County .~.~. ,~ ~o. 52-8f25850, Suffolk ~ 'i arm [xpires Mar(~h 30,, 1~