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Home My WebLink About13204-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART~4ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18300 Date AUGUST 18, 1989 THIS CERTIFIES that the building_ Location of Property 235 BAILEY AVENUE House No. County Tax Map No. 1000 Section 34 Subdivision ACCESSORY GREENPORT, N.Y. Street Hamlet Block 4 Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 31~ 1984 pursuant to which Building Permit No. 13204-Z dated JUNE 10, 1984 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 INGROUND SWIMMING POOL & FENCE AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ALESANDRO & MONA GIORGI N-650725 - JULY 6, 1984 N/A FOl~f 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? 1320~ Z Permission is hereby granted t ~ , ............... ^ _~_m,,~~.~....~..:.?.:.x:...!./..,z:.~.: ....... ~ . ,a ...~.~......~...~.~... .~ ......... ~-,~/'. ....................... ,--, ,.. n ',~ ,..'-~.h C--~ , ~ at premises located at ..e~....w,~L..~ ........ )..~,.~..~.:.....~-~~ ......... ' ........ County Tax Map No, 1000 Section ..... ..~.....~...~. ....... Block ....... ~ ........... Lot No......~.. ................ Building Inspector. and approved by the Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 'fbis application must be filled in typewriter OR ink, and submitted ~ -- -' to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept, of water supply and sewerage dlsposal-($.9 form or equal). 3. Approval of electrical installation from Beard of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from tho 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 property showing all property lines, streets, buildings and unusual 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 inspectior~ of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy ~cw l)welllng,$25.00, 'Acce.~sory ..$10.00 Bu~ine~n $50.00 2. Certificate 6'f occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5/00, over 5 ycare $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... 6. Alteration $25.00 New C on s t r u c ~ i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~.'.. ~ ..... ~.. ....... ~. ·/~.' ............ House IVo. Street Hamlet County ax ap e.,OOO ect on ...... B,oc ......... .... .¢. ........ · ' ' Filed Map No Lot No Subdlws~on .......................................................... Perm}t Applicant Permit No ........... Date of Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval Planning Board Approval · Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permi:bl:hect~ all applicable codes aod requladons. Applicant ....... e?.6, INSPE~'TION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY ~ODE FINAL ADD COMMENTS: 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000'[[9 BUREAU OF ELECTRICITY ~ BE JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrlca~ equlp~nent as described below and i~troduced by the applica.t ~amed on the abo~e application number in the premises of in tke foltowl.g location; ~ Basement ~ l~t FI. ~ 2nd Fl. ~tsi~ Section Block Lot was examined on and found to be in compliance with the requiretnengs of this Board. FIXTURE OUTLETS DRYERS RECEPTACLES SWITCHES i 1 FIXTURES RANGES :OOKINGDECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT E R V I C E NO OF CC CONO A.W.O. NO OF HI-LEO A W.O. NO OF NEUTRALS A W g. pER ~' OF CC CONO OF HI-LEG OF NEUTRAL b~L~ Pool: ~s ~rttfi~te ~vers ~i~ ~t the ~te of o~ ~m~l eiw~nts it ts ~vi~].e to ~ fr~nt te~ ~d/or q~].if~d ~.Co ~l~c~rio 4 ~J~cho L~ 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 their credefi(iaJs. FOR BUILDING oz~z~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN IIALL SOUTI'[OLD, N.Y. 11971 TEL. 765-1802 This i~ to advise yoe that tho job under building permit no, 13204Z issued to Alessandro Giorgi on ._6_~1~0_~.~ ...... for Accessory is completed a f;nal inspection has ( ) bas not ( x Y--been done. and in order to complete this file, it is necessary that a Certificate of Occupaacy be issued. Please fill out the enclosed form, return same to the above office with a cheek for $10.00 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 (late Occopaney or use i,~ unlawful without n Certificate of Occnpancy. l'lease, help ns to clear up this mstter so that legal action does not have to be taken. Thank you for yonr prompt sttentlon. Very truly ~y~, Victor Lessard Executive Administrator VI.: ga r encl . TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR l'.O. BOX 728 TOWN ItALL $OUTHOLD, N.Y. 11971 TEL. 765-~Sff2 This is to adv!.~e you that the job under building permit no. 13204Z ~s.~ued to Alessandro Giorgi on __6~/_10_./_8_~4 ...... for Accessory is completed :, final inspection has ( ) ha~ not ( x ~been done. and In order to complete this file, it is necessary that ~ Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $10.00 paynble to the Town of Southold. Please ~ndicate to Whom the Certificate of Occupancy is to be mailed, and orrange with this office for an inspection (late Occupancy or llse ia unlawfnl without a Certificate of Occupancy. I'lense. help ns to clear tip this mstter 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:gnr encl. FORM NO. 1 TOWN,OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .~.b~7..~4~.. t..~. .... 19~.!. Approved ~ ) 13 , 19~ PermitNo /3&c>t/ ~ l)~sapproved ~/c . ' ...................... (Buihling Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application nmst be completely filled in by typewriter or in ink and submitted in triplicate 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 Iuspector will issue a Building Per,nit 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 iu part for any purpose whatever until a Certificate of Occupahcy 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, aud other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or tbr 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 iuspectors on prmnises and in buildings for necessaw i/~peqtix;m{. . (Signature of applicant, or name, if a corpora tion) .-~ ~ . (Mailing address of apphcant) //7~ 7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... .g. ( ..Ca '''~¢. .' .... . ......... : ....... . ..................................................... Name of owner :~re,nises. ~'[.~ ,~. ~..'..j..~.l.~:..hD.e~a.:o. li ;'::;'e}:~5" ' ..................... If applicant is ' cor oration,~ignature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... .~...~ .Q.. ........... Plmnber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which propo,.s, ed work will be done ..... . . ..... . ./d v.e .................................................. ....... .:,. '/../,: . ....... · Itouse Nnmber Street Hamlet ' c;imty Tax Map No. 1000 Section ..... .~...MC ........ Block ...... .~. ......... Lot .... .~. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended nsc and occupancy of proposed construction: a. Existing use and occupancy .... .~..v? ~ ............. ~ ~ ~ , ' ............. 7 ............... b. lnte deduseandocclpancy ~..'7. ..~ .3.~. rtl ~'~ Ct.'w..~ ,~'(,¢ rvlrh,t~.:t /:~.OC,/ _ ...... ~.~ ................ ~,. ~j ..................... 3. Nature 0fwork (check which applicable): New Building ....... '~.. Addition .......... Alteration .......... Repair .............. Remoyal ............ .. Demolition ............. Other Work .~>..~....i.- '~ (Description) 4. Estimated Cost ................... Fee .......... ' .................... ~ (to bo paid on filing this application) ' ' ' ' Number of dwelling units on each floor 5. If dwelling, number of dwelling ~mts ............... . ............... If garage, number of cars ..... ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensious of existing structure~, if any: Front ............... Rear .............. Depth ............... Number of Stories ' Height ...................................................................... Dimensions of same structure wi~h alterations or additions: Front ................. Rear ................. Depth ' Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Number. of Stories ....................................................... Size of lot: Front ........... ] ........... Rear ...................... Depth ..................... Date of Purchase Name of Former Owner ~ which premises are situated Zone or use district in . .................................................... Does proposed construction violate any zoning law, ordinance or regulation ...... Will lot be regraded ...... .t~ .~.~. ................. Will excess fill be removed from premises (X~ No Name of Owner of premises .................... Address ................... Phone No ................ 10. 11. 12. 13. 14. Name of Architect ......... Name of Contractor ................. Address ................... Phone No ................ ·. ............... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all, buildmgs, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whethe~ interior or corner lot. STATE OF NEW YOR~, ~" "S ..... dS?(-~-~.~ ~... ~.. ........ : ........ being duly sworn, deposes and says that he is the applican~ (Name ofind~wdual sigmng contract) above named. H ith ' (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 thi application; that all statements contained in this application are true to the best of his knowledge and belief; and that th~ . work will be performed in the manner set forth in the application filed therewith. Sworn to before me this i .................... .Z/...dayot..~ ............ 19~..~ ' NotaryhPublic ......... ~ ..... ~,i..~~v~f. County ~,~ ~ ~ ; ANN NEVILL ' i /-./[ No 52 8125850, Su~s l~U/~ (S~gnaturo of apphcan t : I ) ' ( TNe~m Expires March O,