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Home My WebLink About15739-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date November 17, 1987 THIS CERTIFIES that the building Add i t i on Location of Property 48130 MAIN ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 06 9 .Block 06 .Lot 9.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 6, 1987 pursuant to which Building Permit No. 15739Z dated...................iqa r c h I I, I 98 ...... 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 ......... deck addition to an existing dwelling. The certificate is issued to SALVATORE & JEANNE CATAPANO (owner, ~~ of the aforesaid building. Suffolk County Department of Health Approval ..... N./..A .................................. UNDERWRITERS CERTIFICATE NO. N /A PLUMBERS CERTIFICATION DATED: N/A / ~fiilding Inspector Rev. 1/81 ~0~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, hi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N~ 15739 Z Permission is hereby granted to: .................. ...................... .~.~ ............... ~...~ ........................................ ~ ,, ~ .a , n -'%_).. ' I . ~..J~....~...Z~.......~......,~¢r~L.~ ................................................ '-~ " ' ~ cz.,, . _ \ ~.., ~ ~_/ ~ --~ .nO ...... et premises located at ....~..~..~/..-~..../..~'~.~,..~ ...................................... County Tax Map No. 1000 Sect,on ....... .~.Lq ...... Block ...... ..~...~. ...... Lot No ............. to application doted ..... .~.~.~.......~.. ................... , 19.~.~.., and approved by the pursuant Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 A PLICATION FOR CERTIFICATE OF OCCUPANCY 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 Ibcation 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 PlanningBoard 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 buiMings. 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 1. Certificate of occupancy New Dwelling $25.00, Accessory I$10.00 Business $50.00 2. Certificate of occupancy on pre-ex[sting dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 :years $]0.00 5.Updated C.O. $ 50.00 Date ............... NewCons truc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................................................... House No. ~--o .~. . ~ .~..~. . . .~. . . . $treet ~~ .~j.~v~) Nam/et Owner or Owners of Property ................. ~% .'..T ................ County Tax Map No. 1000 Section ...' ............ Block ............... Lot Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~..~.~..~..;~.. Date of Permit .......... Applicant ..... O..~.....'72~':%~... ................. 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~n_ it meets all app~;~_ codes and regulations. Applicant ,./~~~". ............ Rev. 10-10-78 OU~DATION ( 1 st ) OUNDATION 12nd) OUGH FRAME & ~LUM~ING ~I~SULATION PER N. Y. STATE ENERGY CODE FI;1AL . ADDITIONAL COMMENTS: ,'/,~¢ t,c' t) o 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 BOARD OF HEALTH 3 SETS OF FLANS ''-<.'. SURVEY ......... CHECK . I{) .~.- SEPTIC FORM ............. : NOTIFY CALL . .~/~5.-.."f.0.c~ ~ ..... MAIL TO: Approved ~P,~c~../.{ ..... 19~. 7. Permit No../.~.7..~ .~. Disapproved a/c ..................................... (Building Inspector) . APPLICATION FOR BUILDING PERMIT Date ....... .~..~.... 3.., 19 .F.? INSTRUCTIONS a. Tiffs 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 publ/c 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, build~.3g code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspepnojl~; /d~--~--- ~ (Signature of applica,,nt, or name, if~a corjcorat~on) ................................... .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electribian, plumber or builder. Name of owner of premises.....~/.~ ~. ?~"4~ j .~?..c.% .,q~e. .... '.(~.6/:5..t~. f...~. ....... ~....~ ................ (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNT'/ LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location ofland on which propo ed wor~ will be done~ ~'/C~/~ ~'~ .,]~5~- ' 1. c~'~et .................... ;iii ii .......... i ........... :'' ....... ................. ; ......... , .......... ..... County Tax Map No. 1000 Section ......... o..~. ...... Block .... .(?. ............ 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 ............................................................. b. Intended use and occupancy · · · .~ ......................................................... 3. Nature of work (check which applicable): New Building ' Addition ...' .~'"~.."~' '. · Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work'. .............. i (Description) 4. Estimated Cost . Fee ........................... ~ ' (to be paid on filing this application) 5. If dwelling, number of dwelling un!its ............... Number of dwelling units on each floor ................ If garage, number of cars ..................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ. e of use.. ~ .b~. ~..~..~.C 7. Dimensions of existing structures, if any: Front ....... ~.~ ...... Rear .... ~' ....... Depth.. c~ O./. ........ Height ...' ..... Numbdr of Stories .... /. ............. ' ........................ .,., ~ ... · . . ~::~'~" ~:' . ' . .. ' Z ~ '- ..... Danensmns of ~e l~r~c~b~w~th, alteratmns or addmons: Front .... ~.~ . Rear ....~.6. ...... Depth ..... ~.Q .............. ! Height ...................... Number of. Stories .... ~. ................. .8. Dimensions of entire new construc'tion: Front ..... .c,o~.. '... ..... Rear ...c.-.-.-.-.-.-.-.-.~?.~.: ....... Depth .. '.2_. ~..." ....... Height Number of Stories ',. 9. Size of lot: Front ...... ~)..07-...,~ ....... ~ Rear: ....... , ........... ,. Depth r' '~: .................. 10. Date of Purchase ...... /.ff~&~-~' ............... Name of Former Owner ..... 11. Zone or use district in which premises are situated ...... z~-,4jl.- ......................................... 12. Does proposed construction violet6 any zoning law, ordinance~6r regulation: ..... r2~ .......... ' ............. 13. Will lot be regraded ......... ~ .................. Will excess fill be remov.~d from premises: Yes No 14. Name of Owner of premises .. ~ :i .~?.t..~.~. ~.. Address 'Y',g/2P.~..f~..".... Phone No..7..4 47-v .~. qg~.~... Name of Architect ............................ Address ................... Phone No ................ Name of Contractor Address ' Phone No 15. Is this property located w~thin 300 feet of a tidal wetland? *Yes ..... No . · If yes, Southold Town Trust'ees Permit maybe required. I PLOT DIAGRAM Locate clearly and distinctly all b¢ildings, 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. f/ STATE OF NEW(I~RK .... · c[~,~..~ .... being duly sworn, deposes and says that he is the applicant (Name of individual signing ~bove named. ~e is the ........................ ~. .................................................... (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~,ork will be performed in the manner s~t forth in the application filed therewith. ~worn to before me this ELiT. AB~TI4 ANN N,E~..ILL,E, ri< ., (Signature of applicant) Notary Public, State ct New ¥o No. 52-8125850, Suffolk Coup,ty~ Term Expire~ o~ober 31, 19~--