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HomeMy WebLinkAbout16220-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17399 Date OCTOBER 11, 1988 THIS CERTIFIES that the building Location of Property 3020 BRIDGE LANE House No. County Tax Map No. 1000 Section 85 Subdivision ONE FAMILY DWELLING CUTCHOGUE, N.Y. Street Hamlet Block 2 Lot 21 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 8, 1987 pursuant to which Building Permit No. 16220-Z dated JULY 13, 1987 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 ONE FAMILY DWELLING WITH ~ARAGE ~'ATTACHED WOOD DECK The certificate is issued to JOHN & JOANNE CALABRESE (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-S0-201 - 9/26/1988 UNDERWRITERS CERTIFICATE NO. PENDING - 9/12/88 PLUMBERS CERTIFICATION DATED 9/8/88 ~ F2tST END PLUMBING & HEATING Rev. 1/81 Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMEN'r TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE 16220 z Permission is hereby granted to: County Tax Map No. 1000 Section ..... ..~),..~...~.. ..... Block ....... .~.~ ..... Lot No ........~....~ ............ pursuant to application dated ....... ...,~.~...L~.....~. ....................... , 19.'~..'].., and approved by the Building Inspector. Rev. 6/30/80  TOWN OF SOUTHOLD Building Department Town Hall --~ / Southold, N.Y. 11971 /~P~PLICATION FOR CERTIFICATE OF OCCUPAN Instructions A. This 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 disposal--iS-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~operty 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 bu ildings. 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling.$25.O0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ I00.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O./ / $ 50.00 Date ....~r¢~:. NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land ............. House No. ~J street Naml~ Owner or Owners of Property .... ~h, .~. ~ ~c~ - ~, o~ County Tax Map No. 1000 Section Block <' '- · Lot,, Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept Approva %[:2' %O" 2_0 J ,.c~..Labor De t A ......................... p · pprova~ ........................ Underwriters Approval..~.. ................... Planning Board Approval . .................... . Request for Temporary Certificate ..................... Final Certificate .... ~ ............. Fee Submitted $ ....... :~. ...... -. [[ ~..~ .... Construction on above described building and permit meets all applicable codes and regulations, Rev. 10-10-78 FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [//J/INSULATION [ ] FRAMING [ ] FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ~OUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ PLBG. ] INSULATION ] FINAL DATE.~~/~ ~,~ ~ 765-1802 / /' ~ BUILDING DEPT, NSPECTION ~.~[ ] FOUNDATION 1ST [~rO~GH PLBG. FOUNDATION 2ND [ ] INSULATION .~I~ING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION REMARKS: ~/~//-~,-,-~_~ ~//~,//~~ DATE "/ / INSPEGTOR~/~ ,~ 765-1802 BUILDING DEPT. INSPECTION [ LJ./FOUNDATION ZND [ ] INSULATION FRAMING FINAL / ?/ 765.1802 BUILDING DEPT. INSPECTION ~FOUNDATION 1ST [ ] ROUGH PLBG.~ [ ] FRAMING [ ] FINAL REMARKS-. ~ FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION // FRAMING-- ~ ,r~INAL REMARKS: DATE INSPECTOR~ OUNDATI~'~ ~ _~lst) OUNDATIO~ (2nd) 'OUGH FRAME PLUMBIN~ 'NSULATION FERN. Y. STATE ENERGY CODE FINAL iONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~ Owner ~(~ ~/~ (please print) Plumber E~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn ~o before me this Notary Public County TOWN OF SOUTLIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUI'IIOI,D, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complate your Cartificate of Occupancy because .of the following reasons. /--//An_ application for Certificate of Occupancy on /~/ Lo Hoalth Dept. Approval on file. /~/ ~o final inspection has been made. Please contact: our office on this matter. Thank you for your cooperation. Bui l~j~?/ [)opt. '~**/~/ ~to Plumber Solder Certificate on file. ( all permit,s involving plumbing being .[s.':ued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF: ELECTRICITY (>('~'()~q,;tI U'~,, ' ~q~ JOHN STREET, NEW YORK ~EW Y~RK I0038 in the fol owing Ioca~i~;,, ¢~ ~s~ee& e ~ I st FI. 2nd FI. Section Blck Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET BERVIC~ DISCONNECT S E R V I C E OTHER APPARATUS: NO, OF CC, (~OND PER ~' GENERAL M/INAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be their credentials. COPY FOR ~U!LDINGp[pART~ENT. THIS COPY OF CERTIF!CATEMg~? HOT ~E.~LTERED IH ANY/vlANNER. '~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1802 Examined..t.~-~ .[ ~ ·., 19~[.~. Approved Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERIVllT BLDG. DEP'F, 3'OWN OF SOUTI4OkD Received ........... ,19.. · Date .................. , 19... 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 0 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~d~ing code, housi~6'Ojte, and regulations, and to admit authorized inspectors on premises and Ln building for necessary vti~ns. , ~~ant~or name, .if a corporation) .... ~.4~. ../.'t. ~..z. t.o~. .~.F.I. . . .... 5..,...r~...c. 3.h ?~.~. ~....~.:~. :...~:~ 3.., .... (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ~...~~...~!~.~Y.. i?..~. ~. ~?. t. ~..¥? :.~. ~ Name of owner of premises ...'~..~.~...~...Q~..o-r.~..c%.~?..~..~..~...I5 .... .~.~'~.~ ~.~9.~..~...Q..eL.~.~. ¢..~.~..~ · . ............. (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 ...................... ,~ 0o~ O 1. Location of land on which proposed work will be done .... ~'~}~.%.~...~..&..g).~'. .............. .~.~ ..... House Number Street Hamlet County Tax Map No. 1000 Section ...~.. ............ Block ...~x ............. Lot...~.~ ............. Subdivision ..................................... Filed Map No ............... Lot . .[/ ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .~..°~.q .~.~..3V ................................... ............... b. Intended use and occupancy ..... to. . .~ .x .... ~. . -, ............................ lul~o!Idd~ oq:l s! ot[ :~q] sags pul~ s: S'S ................. Ho XANflO; ')I~IOA A~tN ~0 HAVZ' · :1o[ xousoo xo sopo~ur. ~oq~oq~ ol~o!pu.~ pu~ soumu ~oo.~ls ~oqs p~ 'poop o~ ~u[p~ooo~ uoBdffosop ~o ~oqmnu ~oolq p~ ~oo~s o~O 'souff ~odo~d ~o~j suo[suo~p ~o~q-~os 1~ o~ot;put .pu~ 'posodo~d ~o ~u~s[xo ~oq~oq~ 's~mpffnq I~ A[~ouBmp p~ ~I~OIo ~DVI~ ] 'p~atno~a oqA~m ~tmzo~ s~snz% ~o~ pioq~nos 'soK ~I ~ ..... °N ..... sox ~ ZPU~I~Oa I~p!~ ~ ~o ~ 00~IuIq~Ia po~ooI K~aodoxd slq~ sI '~I ................ 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