The URL can be used to link to this page

Home My WebLink About15703-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No ...Z.1.6.4.3.5 ... Date .Noyem.ber..2.4 :. 1.98.7 .. THiS CERTiFIES that the bulldmg One fam. 51y d.w?.ll:~n.g.. ................ Locatlon of Property . .287.5. Lighthouse Road Southold I House No ..... 'Street ................ County Tax Map No. 1000 Section . 0.5.0. . .Block 0 2 .. Lot . ,3...2 ............ Subdivision .. i ........... Filed Map No . Lot No ........... conforms substantially to the Apphcatlon for Building Permit heretofore filed in this office dated Feb. 23 [ 1987 15703Z ........ '4 .... pursuant to which Building Permit No ............... dated .. ?.e.b.. 25, ~ .I 98. 7 ...... was issued, and conforms to all of the requirements of the applicable provm[ons of the law. The occupancy for which this certificate is issued is ....... .One..f.amt!y..dwellzng~ 2 car.$.ar.ag.e..a.tt.a..c.h.ed. ........... The certificate is issued to ANGELO ACCARDO of the aforesmd bmlding. Suffolk County Dephrtment of Health Approval . .8.7.-50.7.0 I . UNDERWRITERS ( PLUMBERS gERT Rev 1/81 ERTIFICATE NO... Pending [FICATION DATED: Gary Pastre Building Inspector FOR~ NO, · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N_o BUILDING PERMIT (THIS PERWlT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETI ~)N OF THE WORK AUTHORIZED) 15703 Z ...... ......... ot premises located cf ~..~....~..~.....~ ~ .,...~ ........ County Tax Map No t000 Section ..... ..~...~...'~. ...... 8lock ....... .(~.....~...... Lot No .... .~:. ~ .. pursuant to apptcatior~ dated .....~..~.....~'......~.. ....... , 19..~.~., and approved by the Building Inspector. Building In.q3eotor Rev. 6/30/80 FOR APPROVAL OF CONST~CCTIOH DATE Signature PT OF 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDA'~ION 2ND [~SULATION [ ] FRAMINGI [ ] FINAL DATE~/~, INSPECTO~ 2'65-1802 BUILDING DEPT. II IsPE TION [ ] FOUNDATION 1ST []ROUGH PLBG. [ '1 FOUND&¥1ON 2ND []INSULATION ~F~MING []FINAL INSPECTOR OUNDAT!ON ( 1st) OUNDATION (2nd) OUGH FRAME & PLUMBING :~SULATION PER N. Y. STATE ENERGY CODE Ft~;AL ADDITIO~AL COMMENTS: OF FIRE UNDERWRITERS 1000258 ........ BUREAU O~ ELECTRICITY ~'t ~T. NEW YORK. NEW YORK 1OO3)8 o.t. ~ar 2. 1987 ~pphcat,~ ~o o.f.~ 47589~/87 DRYERS RXTURI~S RARGES COOKING DECKS OVENS DiSH WASHERS FANS SYSTEMS NO O~ PEET OTHER APPAItATU$ 1-3 Ton A.C. Un:Et 4-G.F.C.I. E e V I E El~ctrical P.O. l~ox 151 Ceut~ Moriches, N.Y. 11934 11~.#847 hfs cerhficote must not be altered in on)' manner, return to the office of the Board if incorrect Inspectors may be zdenhfled by their credenhaJs COPY FOR BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IH AHY MAHNER. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A Thru apphcation mu~t be filled m typewmter OR mk, and submitted ~ ~ to the Budding Inspec- tor with the follow~r~g; for new buddmgs or new use: 1. Fmal survey of p~operty w~th 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 mstallat~on from Board of Fire Underwmters. 4. Commerma[ buildings, [ndustrial buddmgs, Multiple Residences and similar bu[[dm§a and installa- tins, a cert~ficat~ of Code compliance from the Architect or Engmeer responmble for the building. 5Submit Planing Board approval of completed rote plan reqmrements where apphcable. B. For ex~stmg buddm,gs (prior to Aprd 1957), Non-conformmg uses, or buildmgs and "pre-ex,strut" land uses' ~ 1. Accurate survey Of p~operty showing all propert7 hnes, streets, buildmgs and unusual natural or topographic features. 2.Sworn statement qf owner or prewous owner as to use, occupancy and condition of buddmgs, 3 Date of any houmDg code or safety inspection of buddings or premises, or other pertment ~nforma- t~on required to plepare a cert~fmate. C. Fees I Additions $25,00 POOLS $25,00 1. Cer~flcate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of ~ccu~ancy on pre*exmtmg dwelling $ 50 O0 3-Copy°fcertlflcat~i°foccupancy $ 5 00, over ~ years $I0.00 4.Vacant Land~C.O. $ 20 00 5.Updated C.O.: $ 50 00 Date ...... !!/.8.7. ............. NewCo.~struct~on ,~× OIdorPre-exmt~ngBuddmg ...... Vacant Land ..... ' 2875 Lightho. th Location of Property , ..... use Road Sou old Hou[e No. Street Ham/et , A~GELO ACCARDO Owner or Owners of Property ........................................................ County Tax Map No 1000 Section 5.0 Block 2 Lot 3: 2 Subdw~mon ......................... Filed Map No ........... Lot No .............. Permit I'Jo. 15703Z D 2./8,7 Appl ....... ate of Permit ...... mant .................................. Health Dept. Approval ................ Labor Dept. Approval ....................... Undenvr~ters Approval I .................... Planing Board Approval ...................... Request for Temporary Clartff~cate ............. Final Certffmate ...................... Fee Submitted $ .................. Construction on above de~cmbed buddm§ and permit meets all -~ppbcable codes and regulations I ANGELO ACCARDO Apphcant .............................................. Approved O~ ~,~.,;19~'1 Dmapproved a/c . FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL,: 765-1802 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: Perm,t No (Bufldlng Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a This application must b~ completely filled m by typewriter or in ink and submatted to the Bmldmg Inspector, sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing locahpn of lot and of buddings on premases, relatmnshlp to adjomang premises or public str. or areas, and glvlllg a detailed descnptmn of layout of property must be drawn on the diagram whach ~s part of thas ap catmn. c. The work covered by thi~ appllcataon may not be commenced before assuance of Budding Permit d. Upon approval of thas apphcataon, the Bmldlng Inspector wall assued a Budding Permat to the applicant Such pe~ shall be kept on the premases avOflable for mspectmn throughout the work. e. No bmldmg shall be ocqupmd or used an whole or an part for any purpose whatever until a Certificate of Occupm shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the assuance of a Bmlding Permat pursuant to Building Zone Ordinance of thi Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinance- Regulataons, for the constructmn of buddings, addttions or alteratmns, or for removal or demohtton, as hereto descnb The applicant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulations, and admit authorized inspectors on 13remases and in braiding for necessary lnsp~]ons ~ (Sagnatur, e of apphcant, or name, if a corporatmn) e(MaaImg addressof apphcant) ! State whether apphc,~s owner, lesse,.e.,~a~nt, archztect, engineer, general contractor, electncmn, plumber or build Name of owner of premzses . .. .~' .~'~'.. ~. .................. ' (as on the tax roll or latest deed) If applicant is a corporataon, signature of duly authorized officer (Name and tatle of cg~orate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No Other Trade's Lacense No. ' 75 , × - Location of land on which p[op~d work.~, be done . . ~.~t. 52.ff~./~? .~..~.~ ......... House Num her Street Hamlet County Tax Map No 1000Section ~ Block. ~ ~ ...... Lot Subdzws~on ...... Fried Map No .. Lot I (Name) State ex~stul~ use a ~ nd occupancy of p~ses and intended use~ occ~cy of proposed co~tructmn b. Intended use and occupancy .......... 3. Nature of work (check which applicable) New Budding Repmr . . Ren}oval . 4 Estimated Cost ......... I ..... · Addition ........ Alteration Demoht~on .. . Other Work ....... (Descnphon) .. .... Fee.... . .. ...... .. · ..... . .. . . ' (to be prod on filing th~s apphcat~on) 5. If dwelling, number of dwelling units ...... Number of dwelhng units on each floor ........... If garage, number of cars ................................... 6. If business, commercial or mtx~d occupancy, specify nature and extent of each type of use .............. 7. Dimensions of ex~sting structures, ffany Front ... Rear ........ Depth ........ Hmght ....... Nurpber of Stones ........................... Dm~enslons of same structure with alterations or additions Front ........... Rear ........... Depth ......... I Height .... Number of Stones ............... ,,.. 8. Dnnenmons ofentlre new construction Front . .~.~'~' ' .. Rear , .:kg- .-~7. ..... Depth . ./~...-~.. ~.. Height ........... Number of Stones .................................. 9. Slzeoflot Front /.~../. .~ ....... Rear . ~'...t.d. .......... ·Depth ....'~..27..Ki..i .... i.ii. 10. Date of Purchase ................ Name of Former Owner ....................... l 1 Zone or use district m which premmes are situated ................................... 12 Does proposed construction wolate any zoning law, ordinance or regulation .......................... 13. Will lot be regraded ...... ~ ........ Will excess fill be removed from premises. Yes No 14 Name of Owner ofpremmes ; ......... Address ........... Phone No ............. Name of Architect .,, ............ Address ............ Phone No .... ~ ........ Name of Contractor ............... Address ............... Phone No 7z~.~ -~ ?~-.f [5. Is this property located w~th~n 300 feet of a t~dal wetland? *Yes ..... No ..... *If yes, Southold Town Trqstees Permit maybe re~uzred. I PLOT DIAGRAM Locate clearly and distinctly all, bmldmgs, whether existing or proposed, and indicate all set-back dzmenmons from ~roperty hnes G~ve street and block mmber or description according to deed, and show street names and indicate whether ntenor or corner lot ;TATE OF NEW YORK, S 70UNTY OF .......... / , (Name of in~idual signing contract) bore named being duly sworn, deposes and says that he is the applicant {e is the ............ , ............................................... i (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and ~s duly ,authorized to perform or have performed the said work and to make and File this pphcahon; that ail statements contained m this application arc true to the best of h~s knowledge and belief, and that the cork wtll be performed m the manner Set forth m the application filed therewith. ,worn to before me thru ........ ? ..~. .... day of. '~.~ ......... 19~.~ NQ 4707878, Suffolk Ceml~ 1 -? 11 -3 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY C 4 sOLDER uSED IN WA TER suPPLY sYSTEM cANNOT EXCEED 2/10 of I% LEAD. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY fit ii '0 1 'l