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HomeMy WebLinkAbout12851-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No :~] ~.7 q ~ Date ~.u.g..u? ~. THIS CERTIFIES mat the building ... ,~ .d.cl.t. ~. $ 9.n. ~. 9..%x. ~. q .~.i.n.5..d.w.~. ]:..1 .~.n,g. .......... Location of Prop'ert¥ 2'~30 .M.a.r 1 e ne. .L .a.n.e. ......... ~attituc~ I~'l~aS'O 'fii~ ........ Street Hamlet County Tax Map No. 1000 Section . ~ ,4.4 ........ Block ....... .0 .2 ..... Lot ..... 0.3. 0. ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the App!ication for Building Permit heretofore filed in tlds office dated ·.. ~ ~ h,.., 1 ........... ,19 8..~. pursuant to which Building Permit No. 1 2 dated ...... F.~b...1 ..... ~ ......... 19~/~., 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 ......... .,. g~t.d.:t g ~-o~. ~ o..~n, O x./,a; 5-n~;. cl~.~j. ~g ....................................... ~av3[ and Jgvv,i Vanova The certificate is issued to ........................................................ {owner, of the aforesaid building. Suffolk County Department of Health Approval ........ .Iq,/.~ ... ........................... UNDERWRITERS CERTIFICATE NO ...................... 9fl .... i 6 .00 ...................... Re~. 1/81 Building Inspector 3' FOB~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, N.O BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12851 Z Dote ..... Permission is hereby granted to: ...... .~...~.~...~.~.x~.~... ........ /,~...~ ......... ~.~e .................................. ....... Z_.~,z.7.z.-Z./.~..~...-....~:.~ ............... . .......... ~c~ ........... · ........... ~,~..~.d-/..,,~.~ ...... ~..¢.,c~. ....................................... et premises located at ....J./..d~. ....... Z~....,t~ .,~.../~.(,~.~.d~_.....~.../:./.~.....,~'.*'~./.7.~..~7.~.~,~--- Coun~ Tax Map No. 1000 Section ....~....~i..~., ........ Block ...~.t~. ........ Lot No...~iO. ......... pursuant to application dated ....... ...~..~...../.. ........................... 19...~....~, and approved by the Building Inspector. Fee $....c~.~ ............... Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ~=uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions B4 This application must be filled in typewriter OR ink, and submitte~2[cctc.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 equel). 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .......................... New Building ............. Old or Pre-existing Building .... Z~, ...... Vacant Land ............. Location of PropertJ/~,~./~z~..~.(~...~/~ ...... .~./~. ~':~..d'4/-'J' ..... .M~..~. ........... Hou~ No. Street Ham/et Owner or Owners of Property .. .~(y.. *..~Sy .......................... Coun~ Tax Map No, 1000 Section ,,. Z.~. ....... Block ..... ...... Lot...~ ......... Subdivision ................................. Filed '~ap No ........... Lot No .............. Perm it No./~ ~ .~. Date of Permit .~.:~Applican~.~.: ~~~.. Health Dept. Approval ........................ Labor Dept, Approval ........................ ~ ~ ~ ~ Planning B~ard Approval Unde~riters Approval ................................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted ~ . Construction on above described building and permit meets all applicable ~d~s and regulations. R~. 10-10-78 NEW YORK BOARD OF FIRE UNDERWRITERS Tt~ BUREAU OF ELECTRICITY~ ~- 8D JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT O~[y t~e e~ctrica[ equipment aS described beJm and int~duced by the appJicant named on the above application number in the premises of Gerry V~nora, 2130 Mar:Lone La., ~Jattituck~ N.Y~ in the followlng location; ~ Basemen~ ~ lsr ~7. ~ 2nd FI. Section Block Lot was exatnlned on ~)ril 5 [9[~4 and found to be in compllance with the requirements of ~his Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES NCANDESCENT FLUORESCENT DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: Panelboard~; t~-16cir · i25~p~, E R V I C NO, OF CC COND, A.W O NO, OF HI-LEG A.W.G. NO. OF N£UTRAL$ A.W G, i 2, 1 2, otiliwater ~v~. Cut ctio~'ue, )I. Y.; 3.1g,:Ju L1C. ~2670 This certificate must not be altered in any manner~ return to the office of the Board if inco[rect. Inspectors may be identified by their credb~hols. COPY FOR BUILDI~dG DEPARTMENT. THIS COPY OF CERTIFICA~TE M USTiNO~ BI= ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: FINAL 765-~,802 BUILDING DEPT. ~. ~o~(/~ INSPECTION .~ ~/-~;[ ]FOUNDATION tST [] ROUGH PLBG. FOUNDATION 2ND~[ ]INSULATION FRAMING [] FINAL' DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ] FINAL DATE FIEED INSPECTION DBTE COMMENTS FOUNDATION (2nd) ROUGH FRAME & INSULATION PER N. Y. STATE ENERGY FINAL FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Received..~./f ..... ,19..~. Approved r l e,mit v-f Disapproved a/c ...... 7T~:qq-7;j '.7 .... .......... , (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 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 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. / 7 /' / / .,t "- / (.~ignature of applicant, or name, if a c~g~ra[ion) (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.. ~..~/7.~.~.. l/.. ~.~../'~ .... .~./~ .~.~..~. .... ~/JO. ,/~. ~..~.ff. ~....Z';~. / / (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 .... ~'~/~.O.../~.~.~'~ ./7',z~.tf',,Of..~...~-../~/~. .............. ............................................................... House Number Street Hamlet County Tax Map No. I000 Section . ./.5{. ~. ........... Block ...O. ~ ......... Lot .... .(~ ~ ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended usc and occupancy of proposed construction: ~ a. Existing use and occupancy ......... ../. ............................................ ~',,,, b. Intended use and occupancy ....... Z.,.~.~./.~ ........ ~ ' .................................... 1, 3. Nature of work (check which applicable): New Building .......... Addition .. ,-{"J ..... Alteration. .~. ........ R ir Rem.~oval Demolition Othe W k epa ................... , ...................... r or o . , ~ ........... (Description) 4. Estimated 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 .... .......... --./'..~.,f~../~. ................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................. .... 7. Dimensions of ex~st~ng structures, ~f any: Front ............... Rear .............. Depth ............... Height ............... Number of Stones ........................................................ ' xvith it dditi Dimensions of same structure aerations or a ons: Front ................. Rear .................. Depth ................... i... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ......... , ..... Rear ............... Depth ............... Height ...... Number of Stories 9. S~ze of lot Front .../.d~...: ............ Rear ....... ,/.~g?. .... Depth ..~].~..~. ................ 10 Date of Purchase ' Name of Former Owner 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vi01ate any zoning law, ordinance or regulation: ............................ . .... 13. Will 16t be regraded ........ I .................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises ~ ................. Address Phone No. Name of Architect : ................. Address ................... Phone No ................ Name of Contractor ........ ' .................. Address ................... Phone No ................ PLOT DIAGRAM l.ocate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and bloci: number or description according to deed, and show street names and indicate whether interior or corner lot. S ' TArEOFNEW¥Or r. c .., COUNTY OF...~.~. ~..,.,.~..O.. I.(. S.S ....... /~Jf/:~..~.- ..~... .~..p.r..,/.~{. ?..O~.~..! ............ being duly sworn, deposes and says that he is the applicant (Name of individual sigping contract) above named. He is the .~ .................... , .................................................................... (Contractor, agent, corporate officer, etc.) of said. owner or owners, and ~s 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 man~er set forth in the application filed therewith. Sworu to before me this . C~mmissioi Expires March 30, 198~"~ . TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 // TOWN HALL ' SOUTHOLD, N.Y. 11971 October TEL. 765-1802 C~XOxO)~' 29~1984 Licensing Division Attn. MroBaessler Suffolk County Center Eauppauge,N.Y. 11788 Dear Sir, I hope this letter will clear up this matter. I am in reipt of your letter reguarding a Certif- icate of Occupancy on the Vanora job. An orig- inal Certificate was issued to Mr.Waldvogel as he was the applicant. This was done on August 24,1984. Our office also has an original., if you would like a copy of the Certificate the fee is $1.00. I have also enclosed copies of 'letters sent on August 23,, 1984 to Warren Waldvogel and Jerome A. Vanora. Please Contact our office if you have any ques-~. tions reguarding this matter. Sincerely Yours, . Dorothy S. Mad Building Depto Sec. dsm DEPARTMENT Of CONSUMER AFFAIRS COUNTY Of SUFFOLK PETER F. COHALAN SUFFOLK COUNTY EXECUTIVE TOW. OF HAROLD J. WITHERE. PH.D. COMMISSIONER Date: Case # Subject: October 26, 1984 84-8414L Vanora vs. Warren Waldvogel Southold Town Bldg. Dept. Main Road Southold, NY 11971 Gentlemen: The attached complaint has been received by this office. This cemplaint is being forwarded to you for whatever action you de~nnecessary as the subject matter appears to bewithin the jurisdiction of your agency. Thank you for your attention to this matter. Very truly yours, William Baessler ~ Director of Licensing WB/sc Enc. TO¥~,~J OF SOUTHOLD 21~0 ~arlene I.ane M~tti%~k, New ~or~ August 20, Attorney General - ~tate of Row ~ ork 2 World Trade 0enter New York, New York 10047 Dear $ir~ Copy of enclosed letter is for your information. If satiefa~tory reeponee is not received I will contact you to pursue this matter further. ~neere~y y~ rome Af V ra ~at%itue~, New ]fo~'k ll~j~ DeaF Mr. Waldwgel{ pl~ to re. the de~ieie~ie, of d~fed tht ~p~opri~e leg~ re~iea v~ll ~ ~ In o~er ~o-ob~n ~ telephone TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL soLrrHOLD, N~Y. 11971 TEL. 765~1802 August 23, 1984 Warren Waldvogel P.O. Box 250 Matt±tuck, N.Y. 11952 Dear Mr. Waldvogel: This is to notify you that a C.O. was issued today for the addition you built for Mr. Vanora. The amount due on this C.O is $5.00. Upon receipt of your check we will mail this to you or you may stop into the office to pick it up. Thank you. Yours truly, Building Dept. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 August 23~ 1984 Jerome A. Vanora 2130 Marlene Lane Mattituck, N.Y. 11952 Dear Mr. Vanora: This is to notify you that a Certificate of Occupancy for your addition was issued toady. I am notifying Mr. Waldvogel of this and,asking him to seud us the $5.00 fee for the certificate. If you have any further questions please feel free to contact this office. Yours truly, Building Dept. Enc, copy of letter to Mr. Waldvogel M~4 T T/ FU(,'K SOU TI/OL D ' AT TOWN SUFFOU~,' CO; ~.