The URL can be used to link to this page

Home My WebLink About16393-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23780 Date JULY 18, 1995 THIS CERTIFIES that the buildin~ Location of Property. MADELINE A~q~NUE House No. County Tax Map No. 1000 Section 6 Subdivision ADDITION FIS~RS ISLAND, N.Y, Street Block 7 Lot Filed Map No. Lot No. Hamlet 11 conforms substantially to the Application for Building Permit heretofore filed in this office dated J~NE 1, 1987 .pursuant to which Building Permit No. 16393-Z dated AUGUST 28, 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 ADDITION TO EXISTING OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED RALPH R. & CAROLINE W. NORTON N/A N-036372 - SEPT. 28, 1988 JULY 17, 1995-MARIO ZANGHETTI Rev. 1/81 FOBM 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) No_ 1~393 Z Permission is hereby grante~Lto: ' ....'~.:~...I..~.~ ............................................. ~.~~.,.....~........~.~.~.~.~... ..... at premises located at ..........~..~Tl~t~t~s-~e~.....%..~-~...'. ........ .~.'~.....~,~.-d~.t~.. C~n~ To~, Mo~ No. ~000 Se~,~on ........ ~.~ ........ ~ock ........ ~..--I. ...... Lo,,o ......... .t.I ............. Building Inspector. Fee $..~. .................. and approved by the Building Inspector Rev. 6/30/80 'tau..ALL ,JUt. Igg 76.5-11102 APPI,[CATiON FOP, CERTIlrJ_CA'I'E OF OCCUt'ANCY A. TilLs aPplicatioI~ must be fil~ed in by typewriter OR i.k and submitted ~t~ the building inspector with tb~ following: for ~cw bui]dtng or new use: Final ~urvey of p~operty ~lth accurate locatio, of all buildings, property lines, streets, aud unnnual n~tural or topographic features. 2. Final Approval fro~ Hehlth Dept. or water supply aud sewerage-disposal(S-9 form). 3. Approval of electricml installation from Board of Fire Underwriters. 4. Sworn statemeut from/plumber certifying that the solder used ill system co~tairs less than 2/10 of 1% lead. 5. Commercial buildia~, industrial boilding, multiple residence, and similar buildings and installations,~a certificate of Code Compliance from zchztect or eugineer responsible for tb~ building. 6.Submit Planning Board Approval of completed site plan requirements. 8. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildiags and '.'pre-existing" land uses: I.Accurate survey of property showing ali property lines streets u~ldzug nrlusuai natural or topograpl~i~ features. 2. A properly completed ~pplication and a consent to inspect sigued by the npplicant. If a Certificate of Occupancy is deuied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious to al.welling $25.00, SWimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupa,cy au Pre-existinR Buildin~ - $1OO.00 3. Copy of Certificate of Occupancy - $20.OO 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Ocnupancy - Residential $15.O0, Commercial ~(~ Constructio~ ........... O~d O~ Pre-ex~stin~ Bu~Ld~u~ ......... Location o~ Property .... [l~ ~adeZine Avenue~ ~ishe~s ZsZand, ~Y 06390 House No, Street Hamlet Onwer or Owuers ~.,[ Property. ~H R. NORTON ~nd CAROLINE ~. NORTON Couuty Tax Hap No 1000, Section. 006 ~0 0~ 00 011.000 .... ~ ....... Block. ' ...... Lot ....... 3ubdivi~io~ .................................... Filed Map ............ Lot ...................... 16.392 .. , .. 8/27/87 . , ~LPH R. NORTON ?ermit ~1o ............. Date Of l erm~u .... App~ic~mt ............ qealth Dept. Approval .......................... Uaderwriters ~roval ...... APl ................... 'lanning 8o~rd Approval ........................ X ~equest for: Te~npormry Certt[icmLe ........... Final Certicate ........... 07/17/1995 14:32 516-788-56B0 Z & S CONTRACTING PAGE IOWN OF soUT]tOLD o, o, O,NO ' P.O. BOX 728' . TOWN HALL ' ' 80~110~, N.Y. I 1~71 ', . '.C E.R T I F..I C A'T I'O N T~L. 765-180~ Building Permit No. {~lease print) --' (Pieas~ p~nt) certify that the solder.used in the water supply system contains 1Gee than 2/10 o~ ~% lead. .Swo~to befor~*~e thi~' ~~~.. Notary Public~~ .~ ..'. 7: , COunty.' ... ',~. . ~l~ I~bf~ ~ of Hew ~er~ .FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE COMMENTS FINAL ADDITIONAL COMMENTS: 07/17/1995 14:32 516-708-5600 Z & S CONTRACTING PAGE Bi DATE:~_~ Z 8~ $ CONTRACTING. INC. BOX 202 · FISHERS ISLANO, NEW YORK 06390 ATTN: TIME SENDING FAX NUMBER SENT PHONE NUMBER NUMBER OF PAGES TRANSMITTED INCLUDING THIS FAG; ~ CONFIRMATION REQUIRED SPECIAL INSTRUCTIONS PLNASE NOTE IF YOU DO NOT RECEIVE ALL OF THE ~AGES AS AS SOON AS POSSIBLE TO INFORM THE SENDER TELEPHON~ (516) FAX PHONE (516) INDICATED ABOVE, 788~7857 788-S6OO PLEASE CALL 1000~56 THE NEW YORK BOARD OF FIRE UNDERWRITERS / . JOHN STREET. NEW YOI~K, NI[W_ tK_YOR 10038 S~P'r~B~K 28,198B 525~87~7 B 03~372 ~1' CITIFIES THAT {IAI,PB MORTF~N, PRIVAT~ ROAD, FfSHER ISLItMO, N.Y. 8 13 ~0 8 Z & S <OMTRS. INC. FISHER ISLAWD P.O. BOX 202 N~# YORK, NY, 16390 S ! I V I {.,TCgNSE WO. 924 g 'FORM NO. I ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL sOUTHOLD, N.Y. 11971 TEL.: 765-!80:2 ..... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 ~reas, 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 buildingfor necessary~ure~t~o~in ction . ( 'g a~ r ~pp ' a t, o axne, if a..corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.../~...~.. ~ .......................................... (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 ...................... Location of land on which proposed work will be done.. . .......................... House Number Street Hamlet County Tax Map No. 1000 Section ..... .(~.~ ....... Block ..... .~i .~... Lot ...... [.~. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) a~t;t~ilt;in;i~sgeUa~'~dcc~;~un~i~ ~f. ~l.~.?is.~a.a~~ ilii~n~ ~i ~.i~!s.~d. i~nstructiOn: b. Intended use and occupancy ..... .~..~/. 3. Nature ofwork,.(check which applicable): New Building ' Addition ... , Repair ........ '.' ...... Removal 4. Estimated Cost . .~. ~. ~..~..O..O.. 10. 11. 12. 13. 14. 5. If dwelling, number of dwelling units Alt~iation Demolition Other Work .-. (Description) .................... Fee ...... ~..O. :! .o..O. ....................... ' (to be ~aid on filing this application) .......... Number 0~ dwelling unit~ on each floor .' .... / .......... If garage, number of cars ...': ........................................ : ........................... 6. If business commercial or mixed occupancy, specify nature and extent of each typ~ 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 .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ........ : ...... Depth ............... Height ............... Number of 8tortes ............................. i ........................... Size of lot: Front ...................... Rear ...................... Depth ...................... Date of Purchase .............. Name of Former Owner Zone or use district in which prcmiscs are situated .......................... Does proposed construction violate any zoning law, ordinance or regulation: .... j ........................... Will lot be regraded .... .'7~,~ ·: · .~ · · a...~ ...... Will excess qll3be rdmy;lved ~rom premises: Yes No Name of Owner of premises .~..~'/(~.. Address~o'~.~.. Phone No.~. Name of Architect ........................... Address ................ '... Phone No ................ Name of Contractor .......................... Address ............... ~... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and shoo street names and indicate whether interior or corner lot. STATE OF NEW '~Q.I~, ~,~.~ S S ....~ ~n~; 'o'f'in~ivi~l'si~ih~ c'o' 't;io'ti .......... being duly sworn, depokes and says that he is the' applicant above named. He is the ... ~ ......................................................................... (Contractor, agent, corporate officer, etc.){ of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thai: the work will be performed in the manner set forth in the applicatioh filed therewith. Sworn to before me this ............... · t1' ....... day of..;.....~ff~.. .......... , tf . i.o' ~;:~.:,~;~.5 ,~,~,, ...................... ou~lit~.d [,~ s,~;.,:;~, co,~,,ry~,'~ I (Signature of applicant) ~ern~ txpiro* '~ .",USE iS UNLAWFUL CERTIFICATE "~ O~cupANCY , '~, . ~ :r:~-'.~-~,~. ' , ',4,.~O~ED $~OT~ , ,., ' '", ,=,'~ ' ~ , FOL~OWiA[~,[;~,~:~~ ~ ~R TNE ~0 .AVE. /"\ NE~d t~LoJ~ \