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Home My WebLink About13305-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13124 Date Jan. 10 1985 New Dwelling THIS CERTIFIES that the building ................................................ Location of Property 825 Horse Shge .D.r.: .......... ~%At.c.h..o~.~e.... ~-tD~$'e 'lV'o~ ....................... 'S'tre~i Hamlet County Tax Map No. ]000 Section ...0.9.5 ...... Block ...0..4 .......... Lot 018.29 Subdivision .... O..~.e~.o.n...V.~.e?...~.s.~.~.e.s. .... Filed Map No. ?.2..4 .~...Lot No ..... 2.9. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ... ,J.u.l.y.. 16 ,19 t~.4. pursuant to which Building Permit No. 133.05g dated ..... .J.u. 1. y ..... .3.0 ........... 19 .8.4., 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 Priva%e One Family Dwelling The certificate is issued to .................. .R. QB..E.R.T..&...M~..R.Y.. 9.I.U.S..T.I.Z.I..A ............. (owner, ~g!,X"~tYORO of the aforesaid building. Suffolk County Department of Health Approval .... 14- $O- 110 UNDERWRITERS CERTIFICATE NO, N 666185 Building Inspector Rev. 1/81 ?OWN OF SOUTHOLD B~ILDING D~:PARTMS:NT TOWN SO~THOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13305 Z Permission is hereby granted to: ~..~ ......... ..% ...... t.s.~ .............. ~ "~B .................. :...,.:..pa-~c.....,.~..~.....~.... ~.~,~. ...................................................................... ,,. ~ County Tax Map No lO00 Secton .~..~..~. Block .~. Lo I ~, .......................................... t No ................. :.~ .... pursuant to application dated ....... ~....~..~. ........................ , 19.~.~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 May 1~ 1986 TO WHOM IT MAY CONCERN Building Permit #13305Z issued July 30, 1984 for Robert and Mary Giustizia, 825 Horse Shoe Dr. Cutchogue, N.Y. Tax Map ~ 095-04-018.29 in the original plans.had a 10 X 16' deck on the rear of the one family dwelling. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1 BO2 CERTIFICATION Date_ //~//~ Building Permit No. Owner ~0~ ~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s ~iqnature)~-- Sworn to before me this /~'~ day of Notary Public, FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apptication must be fiBed in wpewriter OR ink, and submitted-~'p~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 featu res. 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. Commemial 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. C. Fees: I. 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 Data .... 1.95. ............ New Building .... .'~ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property..~, .~ ,~,..j~,/,~,~,~, ,~.S,J).o, .~. , b ~1'.~, ,~ .............. .~,C/, ,./L,, ,~ .o.~.~/,~,~ ..... House No. Street Hamlet Owner or Owners of Property .~P.~.4. ~).~, .~. ).~ ~.)/../~/...... ~----~.llq~ .~.( .~.(/7.~ ................ County Tax Map No. 1000 Section ~.z- Block .L~. Lot.. Z ?; .~.~. Subdivision .~../~.~.~..°F[ . ~//.l'.~- ~...~.5.7L~.~. ¢..5 .... Filed Map No..~ .~ ~/....Lot No....'~.~ ....... Permit No. /.~'.7.~.~.Z-.. Date of Permit . ~z/.~.~ .//.~/.Applicant ~...~.i./(L'v~:?~' ~ / ~.'/'.c( .5 .~ ('.~./:/~ ....... /~: .'~...~ ~ //~) Labor Dept Approval Health Dept. Approval ............................................ Underwriters Approval~.6.~.~./ ~5 .Planning Board Approval Request for Temporary Certificate ..................... Final Certificate . ~ ................... Fee Submitted $ .~: .......................... Construction on above described bu ilding and permit meets all applicable codes and regu lations. Rev, 10-10-78 .FIE%D INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGN FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: BUILDING' DEPT. INSPECTION. FOUNDATION 1ST [ ouch PLBG. FOUNDATION 2ND [ ~/Fi~4MING ' REM4RKS: ]iNsuLATioN ] FINAL"' ~ 'DATE ~/,/6/~J~/ INSPECTOR- THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8~ JOHN STREET, NEW YORK, NEW YORK THIS CERTIFIES THAT only the electrical equipmettt ~ ~rlbed bet~ and ~nt~duced by the applicant named on the obove application number in the premises of in the following/oc~tlo,r; ~ Basement ~ 1st Ft. ~ 2nd FL Section Block Lot · - ~ ~ ~ ~'~ andffound to be in compliance with the requirentents o~ this Board. FIXTURES RANGES :OOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE 17 35 2~ 1 DRYERS FURNACE MOTORS APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: 1 1/0 HO OF HI-LEG OF NEUTRAL 1/0 Gar~ Doroski 425 ,~onsell Lane C~tehog~ N.Y 1_93~ Li~. This certificate must not be altered in any manner; re~urn to the office of the Board if incorrect. Inspecto COPY ~=OR BI~ LDING DEPARTMENT. THIS COPY.OF ( r NOT BE ,~ GENERAL MAN~G~ may be ,identified by iN ANY MANNER, Examined Approved 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-1803 .~1~.., 19~..~. .~.., 197~. Permit No.I..~..~.~..~.~..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received. ~~., 19~. Date . .~..oj .x(....1.~. ...... , 198. ~. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accuratb 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 hi building for necessary ins2p~ctions. -. (Signature of applicant, or name, if a corporation) ... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builder. Name of owner of premises . ~-~,O ~..~.~...~(J~ .tl....~..~ ?.~. '.~i!.~. 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...~.~rF. ..... ~ ~ .......... Plumber's License No ......................... Electrician's License No. ~.~.~... ~9 .t~q.5/.~: ...... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ....................: ............ ................. House Number Street Hamlet County Tax Map No. 1000 Section .... ~..c~ .~.. ........ Block ..... .L~. .......... Lot..~.. [.~.~.g ? ..... Subdivision .~.~.~.~..O..A)....~.[~.~'.~.... ?.~'~r~. ...... Filed Map No. ~.~..~.{. ....... Lot...~..~. ......... (Name) 2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... '.~. ('/~P/. '..'~. ..................................................... b. Intended use and occupancy ...... t(.'.., t.' . .......................................... 3. Nature of work (check which applicable): New Building t/. Addition.. Alteration Repair .............. Removal .............. Demolition .............. Other Work .......... '.~ .... , (Description) 4 Estimated Cost ~ .~i DdrOt '~ · Fee : '" (to be paid on filing this application) 5. If dwelling, number of dweIling!~ units ...... /. ........ Number o f dwelling units on each floor ............... If garage, number of cars .... i ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front...l~i]ffi~ff. ..... Rear ...~t~ ~.' ..... Depth ............... Height ............... Number of Stories Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... ~... Height .................... Number of Stories 8.~ D~mensmns of entxre new constructzon: Front.. ~. ~".'~ ...... Rear . .~ ~.. ~. ...... epth . .g.~7?. } 9. bize of lot: Front ..... /..~.~..~.~?. ........ Rear ..... .~..O.O. ............ Depth ...... t .......... 10. ;D. ate ~f Purchase .... t .~ 3'.f. i .................. Nam~,e qf F~ormer Owner ............................. 11. Zone or use district in which premises are situated ...... .~'~,.q-'A~.o..~.. ................................. 12. Does proposed construction y~o.late any zoning law, ordinance or regulation: .... ' ./~.~. ........................ Wall lot be regraded ..... .~O.. '; .... .....~...; .... Will excess~fill be remgved from premises: Yes 14. Name'of Owner of premises ~.~t.~. flf/~qte. Z ~. l?~./7.OTaAddress ...~p. ra,~. ...... Phone No.[(.~..~.~./.~..o.~{ Name of Architect ......... } ................. Address ................. Phone No ................ mame of Contractor .~.~..~../~..5. .......... Address ~Ov~.o.l[~ PhoneNo. 7~.2~.o.q.o. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. ~ve street and blockI number or description according to deed, and show street names and indicate whether interior or corner lot. ~ STATE OF NEW YORK, !S.S CO.[INT_Y O,F ................. 3. C,..~et. ~~ ................ being duly sworn, deposes and says that he is the applicant (Name of individual sigqing contract) above named· (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 ~q01~,R¥ pUBLiC, State 0f New york .......... , ~o, 4707875, Sutfol¢ Coul~tv ~ (Signature of applicant) 2.~- .le~m [xp~ies 3' Z F~