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Home My WebLink About13350-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ........ Z 15.?.~0. A. Date ............... :..!9.8.7 .... THIS CERTIFIES that the building .... p. qo..1..a..d..e.c.k...a.d.d.i.~.i..o.n... .................. 530 Stillwater Avenue Location of Property ..... 2.45. .............. Fi.r.s.t., .s.t.r.e..e.t. .............. .C.u?.c.h..og.u.e. House No. Street Hamlet County Tax Map No. I000 Section ..... $03 .... Block ........ .7 ......Lot ...... .4 .......... Subdivision .............. X. ............... Filed Map No ..... X....Lot No. X conforms .substantially to the Application for Building Permit heretofore filed in this office dated ..... j~ly. 3.0 · · 19.84. . pursuant to which Building Permit No ...... .1.3.3. 5..0.Z ......... dated ......... A..u?.u.s.t...1.4.5. .1.9.8.4.. was issued, and conforms to aH of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Pool and deck addition to an existing dwelling, VETER & THERESA BROPHY & MARY LOCINSKI The certificate is issued to ..................... io'~n'o~','~j~' ..................... of the aforesaid building. H/A Suffolk County Department of Health Approval .......................................... N656794 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 i~ORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PEI~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13350 Z Permission is hereby granted tc~-~ ~-~ ...... .................. ....... ~.:...~.~.....~zz.......'- ........ .... ...... ~.....~~'- ....... ~:.~ .... ,o....~~~...~.~...~'....~....~~.~..~ .... .... ~~....~/Z~ .......................................... ~. ........................................... ~.. at premises I~ed at ....~.~....~/.~..~......~...~.~....~~~ ...................................................................................................................... Coun~ Tax Map No. 1000 Section :,.~.~ ........ Bilk .... ~'2 ........ Lot No..~.~ ........ pu,uant to application da,~ ........ ~.....~ ................... , 19~ a~ appr~ by the Building Inspector. Fee $..1~.~ .......... Rev. 6/30/80 ELD INS ~iECTION DATE COMMENTS UNDATION ( 1 st) - UNDATION ( 2nd ) ~_~---~___------- , ~UGH FRAME & FLUMBING -- CODE ~ FII 1. F( FO 2. RC 1N 4. ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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 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 compJeted 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 pzt~perty showing all property lines, streets, buildings and unusum 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4. Vacant Land C.O. $5.00 .~.I,C~I~ 5. Updated C.O. $15.00 Date .................. Newconstruction. .~.. Old or Pre-existing Building ..... ~.,/ .... Vacant Land ............. Location of Property ...... ~..~.' ........ ' ....... .~.o~5~..,...'~ .~...~.. ..... '~ ~" (~%,T,~.~.(~..~..' House No. ~ ' IYamlet Street Owner or Owners of Property . ?..~.~.' ....... County Tax Map No. 1000 Section ... ~. ........... Block .............. Lot ............... Subdivision ................ '~ ...Filed Map No... ~x ...Lot No. .~.. /. ~.~.~. O Date of Permit ~.~..~.~ Applicant Permit No ....... ~ ..................................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval..~..~o.~.~-~.~..c~ ......... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ................... . ...... . Construction on above described building'Eh-E'~mi.t meat&all al~p~cable codes and regulations. .... - ........... , .................. R~. 10-10-78 76S-'"802 BUILDING DF. PT, INSPECTION [ ] FOUNDATION SST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~]~ INSULATION [ ] FRAMING [ ] FINAL REMARKS :, 765-X~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;~ND [ ] INSULATION FRAMING FINAL DATE,, ~/~" 'iNSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS 1~1~ "UREAU OF ELECTRICITY · 1 ~'.~!i0 ~% ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THI~ CERTIFIES THAT N 656794 only the electrical equipment as descdbed below and introduc~ by t~ applicant ~med on the able application ~umber in the premises of in the followlng location; [] Basement [] 1st Fl. FIXTURE FIXTURES [~ 2nd FI. Ot~&~i(~ Section Block and found to be in compliance with the r~quirements of this Board. DRYERS FURNACE MOTORS VA~OR FUTURE APPLIANCE FEEDERS Lot RANGES OVENS EXHAUST FANS MULTI.OUTLET SYSTEMS NO. OF FEET TIME ~LOCKS DIMMERS SERVICE DISCONNECT S E R V I C E NO. O~ CC, COND A. W G / NO OF NEUTRALS OTHER APPARATUS: 1-G.F.C.I. b?/~lNG _.l~I,j~ ~his certificate cover~ compliance at fha da~e 0~ inspection c~ly~ Because of vnusual envirom~ts it is advisable to have frequent test and/or repairs ~de by ~ qualified person. Jody Fmaillo GENERAL MANAGER Per 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by ILDING DEP,a THIS ! q ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1B02 Examined . ,7/" ^pprov,d .Fl; (Building Inspector) APPLICATION FOR BUILDING PERUlT Date ........ Received..Z/~. 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 buildhlg for necessa~S.,~ (Signature of appli~a~i o~m~, if a corporat'on) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or bnilder. Name of owner of premises ..~ .~...~...~. ~. ~-~.~ ~ .~..~. '~ ..... {~..t~r'~--'/F~q~'~. ~"~'~' ..... ~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ........ ' Electrician's License No ....................... Other Trade s License No ...................... ocation of land o sed wor will he done. ltouse Number ~~ Street Hamlet County Tax Map No, 1000 S~cfion .... /,q ......... Bloc ........................ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing us~'and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use a~o occupancy ......... / ~ ~ t' .............. ~ ........ ~ ........ P ' · .......... i ............. Demolition ............... ~ ' ' z~f'_ ~.~ (ll.s~pti) 4. Estimated Cost ff ~te"s'~'m Om '-'~" .......... i~-'.~-"."~r. ~ ................... Fee . ..'~, ........................... ~ '~' ~to be paid on filing this application) 5 If dwelling ' ' ' Number of dwelling units on each floor · , number of dwelling umts ............... . ............... 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 structurel if any: Front ' Rear Depth · Height ............... Number of Stories ...................................................... Dimensions of same structure ' ' ' Rear with alterations or additions Front . Depth ! Height Number of Stories 8 Dimensions of entire new construction: Front ' Rear Depth Height Number of Stories 9 Size of lot: Front Rear ' Depth I0. Date of Purchase ........... :~ .................. Name of Former Owner ........................... 11 Zone or use ....... district in which premises are situated 12. Does proposed construction violhte any zonin~ law ordinance or reo~,lation. · I ; 13. Will et be regraded ...... ~ .,:.. ~., .............. Will exceRs_fill be removed from premises. Yes o 14. Name of Owner of premisesr .'{~(g~...k.~ .... Address .C4J.. ?..c:~..O].~. ,'..O~. .... Phone No.-/}.~"..b~..~..'i . Name of Architect . ~ ..... ./ ................ Address .................... Phone No ................ Name of Contractor .,.dg.('~./]/Ai..~.iD..ilTJfl.eD.~.. Address ~'l:¥10~.lw~ ..... Phone No ................ .~, : PLOT DIAGRAM Locate clearly' and distinctly all ibuildmgs, 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 comer lot. STATE OF NEW YORK, COUNTY OF ................. (Name of individual signing contract) above named. ...... being duly swam, deposes and says that he is the applicant He is the ' ': ~ ,' ' ' (Contractor agent corporate officer, etc) ' of said owner or owners, at~d is dul~ 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 ! ........... ~?...~. ..... da~, ofi ....Ora ff~,.,. ......... ,19 f~ ..: i Notary Public,.. ~' 'ff~' 'tff,[~ t~. ~0[ *0i" ' ~.d .~.~,. County,. ~ ~,~.~~;' ' . ...... '... .... N01ARY PB§LIC, Slate 0t New York . ... ~.. No. 4707878, Satlolk C~untL....-- , ' (Signature of applicant) LL° C 5-[ [ L LWATE[2. AVE, M UE ;, :N: