HomeMy WebLinkAbout16311-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z16642 Date February 9, 1988
THIS CERTIFIES that the building ..... .~PP.! ~. ! 9.~.s. ................................
Location of Property . 4305 SOUNDVIEW AVE. SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section . .0..6.8 ....... Block ...0..1 .......... Lot 17 . 1
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms snbstantially to the Application for Building Permit heretofore filed in this office dated
..... J..u.l.y.. 7. ~.. 1.9. 8..7.. pursuant to which Building Permit No.. J .6.3. I. ! .Z .............
dated A..u.g.u.s.r...4.,. i ! .9.8.7 ............ 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 .........
Additions an'd alterations to existing one family dwelling.
The certificate is issued to NADELINE BITTNER
..................... ?o¥,,'~;, '~;i.~'~'~Y~J ......................
of the aforesaid building.
Suffolk County Department of Health Approval .... .N./.A. ..................................
UNDERWRITERS CERTIFICATE NO ..... .~55.3..5.lg..~..a.r.c.h..J9.,' !.9.82 . ~ .
PLUMBERS CERTIFICATION DATED:
Includes work done under B.P.
N/A
838~Z which expired.
....................
Building Inspector
Rev. 1/81
FORM bO. 0
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y,
Permission is hereby granted to:
....
.~..~ ...... t~.:.~.......L(~..~..~ ....
to.~.~.......o,..~..~......~....~...~..........v~ ....... :"
~~.~.:,...o~._.....~...~...0...~ ~.e.~..o.~.t.~...~..'.~.~.~l
at p~-e~nis~e~s r~ted at ...... .~.~,~.~'...,~.~.~.~,xd.~.~...~.,...~:~A~d, ffd?~....~.:...~..: ......
County Tox Map No. 1000 Section ..... ..C~...(~...~. ....... Block .......~..l .......... Lot No....~...'].:..1 ..........
pursuant to application dated .... ...~..~.....~. ........................... 19.~..~.., and approved by the
//
Building Inspector.
Fee $..~.:...~.
Building Inspector
Rev. 6/30/80
pursuant ti
Building Ini
Fo; $. . . ,,1. ff.
BUILDING DE~XRiM~h~ ~
TOWN CLERK'S OFFJGE i;
SOUTHOLD, N,. Y.' ,~
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE} PREMISE
CQMPLETION OF THE WORK AUTHORIZED)
No.' SSSl z
Permission ]s~hereby granted to:
uNTiE FULL
............. B~,'~,~3,~I, ............ ~ ................ .,, ................
to ,..~u!l~..~:.dt~ic)~..f~'..m'~e...al~ez':a.t.~O~s~...O~.?~.~iRg,:.~w~.~.i.~t ......................
at premises located at ..... ~/~l`7~¥~;~I~:~.~;~"::~.~`~`~.~`;~..~' ......... ~ ..............
· ....... ......... : ......................... ao~l'~,qt~.........~'.~.~;'......:.~.....~...,:....i. ................
........................ ;.:' ...... ~ d Opproved by the
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
8 1988
Instructions
A. This application must be filled in typewriter OR ink, and submitted g ~ 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 completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pzZ)perty 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 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 $25.00, Accessory ~$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5. Updated C. 0. $ 50.00 Date . .J.a.n.u.a. r2(..2.8.,..1.9.8.8. ........
NewConstruction...~.. Old or Pre-existing Building ............ Vacant Land .............
Location of Property ....... 4.3.Q5. .... S.q .~.~.~.e.~..A.~.e.z~qe. ............ s. qqt.~,.q%~ ................
House No. Street Nam/et
Owner or Owners of Property Madeline Bittner
County Tax Map No. 1000 Section 068 Block 01 Lot. 17.1
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. ~.6.3.3.~. Z Date of Permit 8-4-8? .Applicant Pon Morizzo ]~uilder
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ...... X
Fee Submitted $ 25.00
Applicant ~./~. ..... /. f~
1000378 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
B5 JOHN STREET, NEW YORK, NEW YORK 10038
.ate March 10, 1982 Applic,tio,, No. onyile 159672-82 N~K ,~ q.~ 5~.~ 1 9
THIS CERTIFIES THAT
only the el~trical equipment as described belo~ and introduced by t~ appllcartt ~med on't~ able application nuo*ber in the premises of
~s. ~l~e Bit~r~ ~ A~., ~y's ~., ~ld, N.Y.
~ ~h~yotto~,~g ~ ~ ..~t ~ ~, rt. ~ ~d rt. ~tet~ s~,t~o,~ mo& rot
was examined oa . 8,1982 and /ound to be in compliance with the requirements of this Board.
OUTLETS NCANDESCENT FLUORESCENT
DRYERS
OTHER APPARATUS:
S E R
OF CC. CO~4D.
4
I C E
NO OF HI-LEG A W. G,
OF Ht LEG
.o 1
OF NEUTRAL
{harles M. Hall Elec. Inc.,
760 Long Creek Drive,
Southold, N.Y. 11971
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be
copY FOR Bum DING DEPARTMENT. THIS COPY OF CERTIFICATE M S N T ,BE ALTER~ED IN
als.
UNDATION (1st)
UNDATION (2nd)
UGH FRAME &
PLUMBING
SULATION PER N.
STATE ENERGY
CODE
FI'NAJ
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION
FRAMING
[ ] ROUGH PLBG.
2ND [ ] INSULATION
[/~I=INAL
REMARKS: /~, ~, 0~/L~
/
INSPECTOR
TOWN OF SOUTtIOLD
OI:FICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUTIIOLD, N,Y. ! 1971
January 25, 1988
TEL. 765-1802
Ron Morizzo Builder
Box 789
Southold, New York
11971
To Whom Tllis May, Concern,
Re: Madeline Bittner
We are unable to complete your Certificate
of Occupancy because ,of the followin9 reasons.
/--x/ An application for Certificate of Occupancy
is not on file. (ENCLOSED)
/_--/ No Underwriters Certificate on file.
/.--_X/ 'Phc: check i',;(~k/not on file.) $25,00
/'_-/ No l!ealth Dept. Approval on file.
/_/ No final inspection hals been made.
PJease contact our office on this matter.
Thank you for your cooperation.
lhtilding Permit I! I 6 3 1 I Z
Building Dept.
***/~/ No Plumber Solder Certificate on file.
( all permits J, nvolving plumbing being
issued after April 1,1984 )
Examined . ~(~...q.
Approved (~ b4~.~t. .~.
,AW TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
,?,eOUTHOLD, N.Y. 11971
TEL: 765-1803
., 1~7. Pe~it No. ~ ~
Re e' ed .. · 9
v--'----~,~Z'V-Tf'~t~ae~t'~;Z]'~}'' .... ,1 ...
Disapproved a/c ..................................... Q~ o~0 ~/
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .4.u.l.y..7., ......... , 198.7.
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 building for necessary inspections.
(Signature of applicant, or name, if a corporation)
Ron Morizzo .B.u.il. de.r I.n.c.. ...........
P.O. Box 789, Southold, N.Y. 11971
........ .......
State whether applicant is owner, lessee, ~gent, architect, engineer, general contractor, electrician, plumber or builder.
Builder
Name of owner of premises . M a.d.e. 1..~ .n.O..B. % .t .t.n.e.r. ..............................
(as on the tax roll or latest deed)
If ap~,c~t is a cJycofi)t~tion, signature of duly au~thorized officer.
Builder's License No....6.7.7. 2, 7.H.I ............... ..
Plumber's License No ..........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
~. ~.0.~ Soundview Avenue, .$9.u.t.h. Ql.d.
House Number Street Hamlet
County Tax Map No. 1000 Section ...~.8 ......... Block .... .] ............. Lot..!..~.5./ .........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... O.n.e...f.a.m.J; .1.7..d.w.e..1.1j..n.~j ..........................................
b. Intended use and occupancy ............ ~J.,~ · ./.O..?.]./~. I..q'. .]..~.~'../.'~'....~ ......
3. Nature of work (check which applicable): New Building .......... Addition . .X ....... Alteration ..........
Repair .............. Removal .............. Demolition ........... :~... Other Work ...............
~/.~...(~.. ' (Description)
4. ~stimated Cost ..... .~ .................. ~ee .......... I ............................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....,...,.,. Number of dwelling unit's: on each floor,..............,
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 structures, if any: Front ............... Rear .... .. I ... ... Depth ,. .. ............
Heiglit Number of Stories
Dimensions of same structure with alterations or additions: Front............~..... Rear ..................
Depth ...................... Height ...................... Number of iStories ......................
8. Dimensions of entire new construction: Front ............... Rear ... I ...... Depth ...............
Height ............... Number of Stories ............................ ! ............................
9. Size of lot: Front ...................... Rear ...................... pepth ......................
10. Date of Purchase ............................. Name of Former Owner . ~ ............................
11. Zone or use district in which premises are situated ......................
gl
12. Does proposed construction violate any zonin aw, ordinance or regulation: .... , ............................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name o'f Owner of premises . .m.a.d.e. 1..i.n.a..B.$~.t. rlglrAddress ~.qui;h.o.l, cl I .PhoneNo.
Name of Architect ........................... Address .....
.......... ! .... Phone No ................
Ron MorillO Builder,
Name of Contractor .......................... Address . .S.q .u.t.h.q~..d .... ! .... Phone No. ......
15. Is this property located withinl.00 feet of a tidal wetland? * Yes ..... No .....
· If yes, Southold Town Trustees Permit may be required., 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 number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW ~OP~/~ /7
....... .~O.[x).. !..~.[ .(P.~..(.~..~.. ................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
He is the ....................................................... i ...........................
(Contractor, agent, corporate officer, etc.)I
of said owner or owners, and is duly authorized to perform or have performed the sJid work and to make and file this
application; that. all stateme, nts contained in this application are true to the best of hisiknowledge and belief; and that the
work will be performed, in the manner set forth in the application filed therewith.
Sworn to before-me thi~,.
................ ~.,kl/~ ...... dayo~....~~. ....... 19¢.7 ~';
I,
Approved ........................................ , 19.. Permit No .....................................
Disapproved a/c .............. ~...~~--~ ............
\," , ~ ....... ...'~......Z ...........
~,~ ,:, .~. ~
e~ , a. This'application must
'lnspector, with 3 set~ of plans, accurate plot plan to ~ale. Fee according to schedule.
b. Plot plan s~owing location of lot and
areas, and giving a detailed description of layout ofproper~ must be drawn on t~e diagram which is pa~ of this application.
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 issue 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 ~or any purpose w~atever until
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department {or the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and otNer applicable Laws, Ordinances or
Regulations, for the construmion of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, ~uilding code, housing c~e, and regulations, and to
admit authorized inspectors on premises and in buildings {or n~essa~ .in~ections.
.............................
(Si~n*turo
(A~ress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
............... (9 a/~. .~,.~..~.
Name of owner of premises ......... · .~..~./'~.C).~)£~Z~:~.....~z.~/,V.Z;-~ ...........................................................................
If applicant is a corporate, 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 ............................................... ~'
os d ork dlbedone Ma o z ~ Lot No' ...%.
Location of land on which prop e w w,~ . p~t .: .......... ~ ...................................................
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a, Exisiting use and occupancy ....................... ~..~...~~ ....... 7/ ....................................................
b, Intended use and occupancy ..............................................................................................
3. Nature of work (check whicq applicable): New Building,. ................. Addition ................. Alteration ................
Repair .................. RemovalJ ..................Demolition .................... Other Work ................................................ ....
~---:, i ~ r,~ (Description)
4. Estimated Cost ..... .~2.?.,~..m~..~ .................................. Fee ..../. ...................................................................................
i (to be paid on filing this application)
5, If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ..... , ......................
If
garage, number of cars '"'i ........................................................................................................................................
6. If business, commercial or Imixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
Height ........................ Number of Stories .................................................................................................................
Dimensions of same structure-- with alterations or additions: Front .................................... Rear ..... .~.,c,¢c~.~ .......
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front ...Z.~..~....../,¢~,,~ ..........Rear ............................ Depth ..... ./....~. .............
Height .................... Numba~ of Stories ......................................................................................................................
9. Size of lot: Front ................~ ....................................... Rear .......................................... Depth ................................
10. Date of Purchase ................ i ....................................... Name of Former Owner ........................................................
11. Zone or use district in which jpremises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~ ..........................................
13. Will lot be regradec~ . ......... ~. ..........Will e~ess fill be removed from premises: ( ) Yes (~) No
14. Name of Owner of premises ~.. ..... Address .~'~ one No.M'~..°.:~...~..~..~
Name of Architect ..............I ............................................... Address ................................ Phone No .......................
Nome of Contractor ............ ; ............................................... Address ................................ Phone No .......................
: 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 number or description according to deed and show street names and indicate
whether interior or corner lot. I
STATE OF NEW YORK, -~:.S
COUNTY OF .~[~,~,~.~ .............. ,
......................... L..~j~.,u~r .~..~..., ~e ~,~u,.~,,u. ...................... being
above named.
duly sworn, deposes and says that he is the applicam
He is the ..................................................................................................... '. .................................................................
il~ll~/~tractor, 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 statement~ contained in this application ore true to the best of his knowledge and belief; and
tha~ the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
............... doy of ...... i ...................... , 19 ..
Notary Public, . ........................... w_.,..~w.~.~.~. ....... County ....................................
~/~ . ~ ~M[Z~ (Sign~tu~/of applicant)
AB~H ANN N
NOTARY PUBI. I~, State of New York ~o, 52-8~2595fi, Suffol~ go~y.y
Term Expires March 3~,
13'
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
,OF OCCUPANCY
,-"e 9 "¥.-,d - X¢
STu.
/- 17./
PPOPE~T¥TO 13[' flCQUI~[B
FI~OM
Pi;COM1C
/ / -. -/'.V[¢o¢~g ,,-:'
~,~
NOT[: