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Home My WebLink About13072-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....Z7.1.6.4..1.4 ....... Date November I 7, 1987 THIS CERTIFIES th .e~.;~.~:_ ONE FAMILY DWELLING WITH ATTACHED GARAGE & at th ou,,~,,~£~.ff~. Vddb' b'E'C~: ........................... Location of Property 2000 Pine Neck Road Southold, N.Y. h3,;s~ bio; ........................................................ Street Ham/et County Tax Map No. 1000 Section ...7.0. ....... Block ,...9 ........... Lot 4. 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 19, 1984 13072 Z ....................... pursuant to which Building Permit No ...................... dated Hay I , 1984 ....... k'. .................... was issued, and conforms to all of the requirements of the applicable provisions of the law. Tile occupancy for which this certificate is issued is ......... ONE FAMTLY DWELLTNG WITH ATTACHED GARAGE & ATTACHED WOOD DECK AS ..... 'A'fi'L'~'~'E '~bk .............................................................. The certificate is issued to ANTE & LJUBICA LONIC ..................... io¥.'~;,~&,X:g ~ x x ................... of the aforesaid building. Suffolk County Department of Health Approval ... I 4 - S O- 5 2 UNDERWRITERS CERTIFICATE NO. N 8 0 I 7 9 5 PLUMBERS CERTIFICATION DATED: April 2, 1987 - Robert Kowalski Rev. 1/81 FOB,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEBMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPL~'TiON OF THE WORK AUTHOPJZED) N? 13072 Z Permission is hereby grant, to: .~L .-~ , ...~.....~......~......~...~..~?. .............................. ,o .c~~,m....,~....~<~...>.....:~;~t.,...,~....~~..~.~.., .... .,,,.~,,,,~.,ed,, ............................. ,,....., ......... ~ ......... ~ ............ ~:~:~ ...... ~... County Tax Map No. 1000 Section ..... .~...~....~. ........ Block ........ ..c.~ ......... Lot No ........L~.:..J. .......... ...... pursuant to application dated ..... ..~ ...................... . 19 .., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 %PPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ Imam=ze=~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unu~al natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-($-9 form or 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 bui/ding. 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 property showing all property lines, streets, buildings and unusual natural or topographic features. · 22, 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 cortifJcate. C. Fees: 1, Certificate gf occupancy New BwellJ. n,3.$25,00, Acce.u.~ory ,.Si0,00 Bua~.nes:~ $$0.00 2, Certificate of occupancy on pre.existing dwelling $ 50, O0 3. Copy of ccrtificate of occupancy $ 5,'00, over 5 years $10.00 4.wo n c.o. 20.00 5.Uodated C.O. $ 50.00 Date .................. 6. Alteration $25.00 NewConst~uc[TM ~ Old orPrc-existing Building Vacant Land Lo=at,on of ,ope,ty .&O. ¢.q. . p.. .......................................... House lye. Street Hamlet Owner or Owners of ProperW ~r~/.~. ~ ../-~..U../~I.C~ tyT pNo 1000S cti 70 '-'~-4~,~ BI ck L Coun axMa . e on .... I,....,.... o ......., .... ... Qt... ............. · * ' Filed Map No Lot No Subd~wslon .......................................................... Permit NoJ,~,O, 7,~.~,, Date of Perm[~., ,~"/!/~,/'~¢..,Appllcant,,, ,~ ,AJ,~,,, ~Q,/~,d, ,(~--: .............. Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporarv Certificate ..................... Fina~ Certificate ....................... Fee Subm ,,ed Construction on abovo described building and permit m. eets all apl~icable.codos and regulations· - THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK IOO~8 ,.,e ~- OS, ZgS7 ,~,,,."~.,,o.~o.o.~',e :Z69~90184 N 801795 THIS CERTIFIES THAT P#13072-Z Ant~- Louic, 20~0 Pine N~Jck Rc~d, Sc~thold, N.Y. in thefollowlng I.cation; ~ Basement [~ Ist FI. [] 2nd FI. Section Block Lot : examined on ~1 26 ~ ~)~ 7 and found to be in cotnpliance u'ith the require.~ents qf this Board. SWITCHES FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS 38 40 29 38 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E NO OF CC. COND, OTHER APPARATUS: Par~lboa~; t-30cir, 150amps, i--.6oir, l'~25~ps 1 G.F.C~I., ! ~moke De~ector R V I C E O~ CC, COND. OF HI.LEG OF NEUTRAL NO, OF1NEUTRAL$ 210 z9~31 201 St. Bays~, Qu~ns, N.Y. 11360 This certificate must notbe altered in any manner; return to the ,office of the Board f m:<~rect COPY FOE BUILDING DEPARTMENT. THIS may be, identified by their credenfioh TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 119"/1 TEL, 765-1802 CERTIFICATION Building Permit No. /~ 0 (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this ~ day of ~ , 19._~. Notary Public,~County Notary Public TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /Z/ An application for Certificate of Occupancy is not on file. /~' No Underwriters Certificate on file. /5/ The check is(outdated/not on file.) /? No Health Dept. Approval on file. ~ /Z/ No final inspection has been made. Please~ contact our office on this matter. Thank you for your cooperation. Building Permit ~ __] ~ O_~ 7 __~ Z Building Dept. ***/? No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Occupancy or use is unlawful without a of Occupancy. Clear up this matter as soon so Ghat legal action does not have to be taken. Thank you for your prompt attention. Certificate as possible TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tIALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job.under building permit no. 13072Z issued to Ante ~onzc on __SJ1/Ra for NeW Dwelling is completed and a final inspection ha~ ( ) has not ( x ) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occnpancy or use is ~lnlawful without a Certificate of Occupancy. Ple~e help ~s to clear up this matter so that legal action does not have to be taken. Thank you for yo~r prompt attention. Very truly y~, Victor Lessard Executive Administrator VL:gar encl. FOUHDATION (1st) COI'h~LNTS FOUND~TIOU ( 2nd ) ROUGII FRAME & ?LUMBZNG INSULATION FER N. Y. STATE ENERGY C,ODE FI::AL ADDITIONAL COMMENTS: INSPECTION FOUNDATION ~.ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~/..]'~AL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ]INSULATION ~X~ FRAMING ~---~ [ ] FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION DATE~__~ INSPECTO~ 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL a°OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...~ .~4.~q../ ...... , 19 Approved . .~..~.~. 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 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 [his 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./~/O°4~-/~,~,~ __,~'}-c*~ (Signature of applicant, or name, if a corporation) '?. 7 7 ~. . .x.o / . .~ p.~ ?.e p ~ . .~ F ~ p.i.d.% . ~.v4. . ? 9 7.k. .~ 2 .~ #.0 ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER ANTE OR LJUBICA LONIC Name of owner of premises .......................................................................... (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 .... ~.0.. Q~. ..... ~' ....................... House Number Street Hamlet County Tax Map No. 1000 Section ~ &)0- ?~-~-#, ~ Block Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occ~~,r~uction: a. Existing use and occupancy ............................... ,].~~~.,,. ............... b. lntended use and occupancy .......................... · · .~..,'~~~ ............... 10. 12. 13. 14. Nature of work (check which applicable): New Building ... ,K'. .... 'Addition ......... Alteration .......... Repair .............. Remoyal .............. Demolition ............. Other Work ............. . (Description) ¢80, 000. O0: Estim d Co ........ ' ' ,- ~ · obepa on ng sa ca on numbe'r of' ~ : ' ""' ~ ' Number of dwelling units on each floor If dwelling 'dwelling qn}ts ............................. If garage, number of cars ........................................................................z If business, commercial or mixed' OcCupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height...............NumberofStories'....... ................................................. Dimensions of same structure wi(h alterations or additions: Front ................. Rear .................. Depth .................... !.. Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front . . 7.4. ?. t,, ........ Rear ... 7.4 .~ !' ....... Depth ... 55.~ ? !' ....... 21 '0" Number of Stories Height ...................................................................... Size of,lot: Front 100'0" Rear . '" Date of Purchase ........... ! .................. Name of Former Owner ............................. ZIone oi' use, district in which pre[nises are situated...~S.~D..Ffii~.Ig~ :-..A. (~rC.~.L.F.q/?gL. ..... . .......... Does proposed construction v~olate an.y zoning law, ordinance o regulation: ...~ ........................... Will lot be regraded .. fl.O. .... i ................... Will excess fill be removed from ~remises: Yes X No Name of Owner of premises .A.N.T.E. .z.q~f.q. . . Arlrlr~ 29- 31 201 St Baysideo~ ~I~ 212 352 - 8848 Name of Architect . .¥.~fl. qZ..B.E.~.~..C. ........ ---~ 29- Z~ 20~ St ~aye,aa..~w ,. z ~ - u ...... ^uaress ................... rnone ~no ................ Nmne of Contractor ~ Address Phone No PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block lumber or description according to deed, and show street names and indicate whether interior or corner lot. C STATE OF NEW YORK, i COUNTY OF ................. iS.S .... . ..... , ........ ............... : (Name of individual sig~ing contract) above named, i /o0o -?o- being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy 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 manndr set forth in the application filed therewith. Sworn to before me/this ........... i-- - , .. r / ~~ N 0 t