The URL can be used to link to this page

Home My WebLink About13148-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13099 Date Jan. 2 .................................................. 19.85.. THIS CERTIFIES that the building ...... N..e.w..D.w..e.l.lj:n. g ............................ Location of Property ...1.7..5. ................. .E.m.o.r.y..R._d.: ........ Cutchociue Mouse rye. ~'treet Hamlet County Tax Map No. 1000 Section ...1.0. .3 ...... Block .... 0.4. ......... Lot .... 0..3.9 .......... Subdivision.. ~n.n.y. ~q.h.o..r.e.s. .............. Filed Map No. , .3.2.3. .1..Lot No.. 1..6 .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated Ma 16 ., 19 .8.4. pursuant to which Building Permit No. 1314 8 dated ...... .M. aX,..2.2. ............. 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 P,rivate One Family Dwelling The certificate is issued to RONALD R. DiMARTINO (owner, of the aforesaid building. Suffolk County Department of Health Approval 14-SO-9 5 UNDERWRITERS CERTIFICATE NO ................ .N.6.6..8 .4.3.3. ......................... Building Inspector Rev. 1/81 FOK~ NO. ~ 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? 131~8 Z Date .............. Permission is hereby granted to: ~ ~ ~.:.%~ .*... ~... .2..~..~.....R~r.~.~...~....... .............................. .............. ~.dd.~e.. ........... ~:: ..................... ...... ................ at premises located at ....~...~..~......~/s:l.~-.~...J~. ............... .0,,~...~~.,-. ....................... County Tax Map No. 1000 Section ....... }~ ............... B~ock ...................... Lot No. pursuant to app,icafion dated ......... .~.....~.../...~. .................... , 19.~..~.., and approved by the Building Inspector. Fee $.. 1...~....~...: ..?....~. · Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY Cerli[iC te O[ Occupancy No. Z12994 Date November 19 19 84 THIS CERTIFIES that the building ....... N..e.w..D.w..e~l.l.i.n. g ........................... 175 Location of Property .... , ....................... E.m..o.rZ .R..d: ........... .C.u.~.c..hg.q.u,e' .... House No. Street Hamlet County Tax Map No. 1000 Section ...1.0.3. ...... Block 04 .... Lot 039 Subdivision....SAn. n.Y..S.h.q .r.e.8. ............. Filed Map No...3.2.3.1.. ,Lot No .... .1.6 ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated .... M..ay ......... 1..6..., 198.4.. pursuant to which Building Permit No. 1314 8Z dated ..... ~gl? ......... 2.2 ......... 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 ......... Private One Family Dwelling 'The certificate is issued to RONALD R. DiM~RTINO (owner,4essee-ec4eRe,~) of the aforesaid building. Suffolk County Department of Health Approval ...... 1.4. 7 ~9.z9. 5 ........................... UNDERWRITERS CERTIFICATE NO ............. .P.E.N..DJ~xtG. ...... .( .1.1./,t, 2. [.8.4.) ........... Rev. 1/81 Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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. 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 p~-"opertv showing all propertv 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 DaR Jan. 2,198~ ........ New Building ...... × .... .., Old or Pre-existing Building ............ Vacant Land ............. Location of Property 175 ' Em.o.r.~ Rd. Cutchogue House No, Street Ham/et Owner or Ownersof Property RONALD R. DiMARTINO County Tax Map No. 1000 Section 103 Block 04 Lot .... 0..3.9 Subdivision Sunny Shores .Filed Map No. 3231 .Lot No. 16 13148Z D ofP rmit 5/.22184 Apptica Permit No ........... ate e ........ nt .................................. 14 SO 95 Labor Dept Approval - Approval - - Health Dept .................................................. Underwriters Approval....,....,............N668433 . .Planning Board Approval ....T ................ . Request for Temporary Certificate - Final Certificate X Fee Submitted $ .~.. ~' ...................... ~ Construction on above described build~~et~all ~p :abided regulations. C o .... · :.:j ....................... Rev, 10-10-78 £h OI t'iV £ FOR~I NO. 6 '[OWN OF $OUTHOLD Building Department Town Hall 5:¢outhold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~nstructions A. This application must be filled in typewriter OR ink, and submitted~"~ul~to the Building Inspec- tor with the following; for new buildings or new use: 1, Final sur~ey 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. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installav tigris, 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 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. Fees: 1. Certificate of occupancy $5.00 / 2, Certificate of occupancv on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use--?re-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ,.. ~ ....... Old or Pre-existing Building ............ Vacant Land Location of Property / Owner or Owners of ProperW CounW Tax Map No, 1000 Section ............... Block ............. Lot ..... ..... ' ' ' Reque~ for Tempora~ Certificate ..................... Fina~ Certificate ....................... Fee Submitted $ ...... ~,~ .................. Construction on above described bu ildin~mit meets a~l ~licabl~es and~gula~ions. _,.. .......... t ............ ............ I0oo918 THE NEW YORK BOARD OF FIRE UNDERWRITERS ELECTRICITY BU.EAU O YoR.' November ]Lg~ {~HN STREET, NEW ~-~ ~,~..o,. ~o. ~,,~ ~131482 N 668433 THIS CERTIFIES THAT X X X in the followi~g locatio,; ~ Basemet~t ~ Ist FI. ~ 2nd FI. Sectiott Block was exao, lned on Novembar 12 ~ 1984 and fouttd to bein cotnpllatwe witA tire requiretnents of tkis Board. FIXTURE OUTLETS 32 DRYERS ci~mr ~ACLES SWITCHES FIXTURES NCANDESCENT FLUORESCENT 47 31 21 ,;, FUTURE APPLIANCE FEEOERS *Future appliance feeders: Motors: l~lhp~F 1-Smoke detect:or X flourescen~: 2 blanks EANGES SPECIAL REC'PT. S R V I OVENS DISH WASHERS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET C E NO. OF HI-LEG A.W G. OF HI-lEG EXHAUST DIMMERS Warner Electric 194 Woodlawr) Avenue coPY:FOR BUILDING DEPARTMENT. THIS COPY OFCE~TiFiCAT~ U T NOT ~E LTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [~/INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE~ /~r/,.~O/~/ ...... iNsPECToR 7r~-XSOZ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND'[ ] iNSULATION [ ] FRAMING [~INAL ,, INSPECTOR FIELD i OUNDAT IOU (lot,) FOUIIU,~ T IOtl 2. FRAHE & PLUMBING ]~tSUI,ATION PER N. STATE ENERGY ( 2nd ) C 0,4 Fl,: N I., CODE 'FORM NO. 1 'TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-18013 Examined...~ .°4. '~ . .'z~....., 19 ~.~. Approved ......MC~ .~..~..., 19 ~.~. Permit No../. '.$.1.'.4.~. '.%... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date' ~?. a. This application must be completely filled in by Wpewriter 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 tkis 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 invpgetion~. , ..----2 FX ,~ -- ........... (Signature of applicant, or name, if a corporation).. '. ?. . ?). ., Tb'X L'7(;,. .(4,:':. . . (Mailing address of applicant) State whether applicant is owm~), lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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....ff'.¢~.'.~. '.-7 ~.~.. ......... Plumber's License No .... //Og.~. ·.'7.? ......... Electrician's License No .... 2.]. ~ ~' Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..................................................~ / .7..67 ................. ................. ........... I~;~e' ~q~m ber Street Hamlet 1 County Tax Map No. 1000 Section ..... I (~).~ ......... Block .... d ........... Lot .... ~.~ ........ ..~(. Subdivision ...... .~.1.&¢~.~/.¢/...~ki0YT. e~- ........ Filed Map No.. ~. ?>.'-~J ...... Lot...]. ~ ...... ~. '(Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ .X,J (X ~.C~ ................................................. b. Intended use and occupancy...3'1 ffl(~.l~.-...~1'~..~.['O~ 1 [1~ ............................. 3. Nature of work (check which a cable: New Building ...... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work 4. Estimated Cost · .................. Fee ...................................... '~" (to be paid on filing this application) 5. Ii' dwelling number of dwelling Units .............. Number of 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. Dknensions of existing structurei, if any: Front... ~ ....... Rear .............. Depth'. .............. Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... '.. Height ...................... Number of Stories ........... :.;/~. ....... 8. Dimensions of entire new constrUction: Front .... ~.Z ....... Rear ...~.5~'. ........ Depth ... Height Number of Stories ' . 10 Date of Purchase : Name of Former Owner 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed constructio~ol~te any zoning law, ordinance or regulation ............................ 13. Will lot be regraded ..... /.V_,-q. ............. . ......Will excess fill 1~ removed from premises: Yes PLOT DIAGRAM Locate clearly and distinctly all!buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block aumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. : (Name of individual signing contract above named. . being duly sworn, deposes and says that he is the applicant He is the (Contractor , agent , corporate officer , etc . ) of said owner or owners, and 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 ............. /.~. · .~. .... day ofi.. ~.r.4~ .............. 19 ~..~ Notary Public,. ...... ~,,~C.~.,. County .~.~ ~ . ~/r~ .~__ /, "~'"' HEL[N ~. DE VO~ ; No. 4707878, Su~01~ C0untv c~o I-- 0 C) > r~ 0 U × U .J 0 ~3 'ONI '30 A~135 'o 'ONI,'qOIA~3$ N¥'qd 9NI -11n~3 3V, IOH [E: -' r. ; .-,, ............ I 'ONI '~OIAblq$ NY]ct DNIO]In8 qlAIOH [~ 'O'NI '301A~35 N¥9cl 9NIG911'18 31~O'H 'ONI '301A~IS