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Home My WebLink About16060-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18146 Date JUNE 27, 1989 THIS CERTIFIES that the building Location of Property 4550 ROBINSON ROAD House No. County Tax Map No. 1000 Section 081 Subdivision ADDITION & ALTERATION SOUTHOLD, N.Y. Street Hamlet Block 03 Lot 05 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18~ I987 pursuant to which Building Permit No. 16060-Z dated JUNE 14~ 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 2ND FLOOR ADDITION & ALTERATION TO EXISTING ONE FAMILY D~ELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. ROBERT SC~J~t (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-851032 - JANUARY 22~ 1988 PLUMBERS CERTIFICATION DATED JUNE 26~ 1989-HENRY J. SMITH & 8ON~ INC. Rev. 1/81 FOBH NO. 0 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) 16060 z Building Inspector. approved by the Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - ]802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ................ NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING...~..VACANT LAND ........ HOUSE NO. STREET HAMLET Owner or Owners of Property .................... County Tax Map No. 1000 Section ...v.~. Block ....... Lot ........ Health Dept. royal .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate Fee Submitted: ....... Final Certificate ................ rev. 10/14/88 HENRY,J. SMITH & SON, PLUMBING~ HEATING & FUEL OiL MAIN ROAD SOUTHOLD, N,Y, 11971 (516) 765-.3690 D a t.e _ ._ J~0~_J~6$_lRBq Building Permit No.__l_6060_Z ........ Owner Robert Scalia Plumber Henry J. Smith & Sonz Inc. I certify that the solder used in the water supply system c~ntains less than 2/10 of 1E lead. Sworn to before me this _~0_th_day of _J~nm ...... , 19_~9__. Notary Public, Suffolk County i~.R~I~ F. TfE L TN~.IH NOTARY'PUBLIC 84844~93 ,Statb ~ New York Rm~d~ in SuffSk C~_ Cemmi~on ~res Sep~ 30, THE NEW YORK BOARD OF FIRE UNDERWRITERS 11551{)7 BUREAU OF ELECTRICITY · ' ~--r~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ..,,,,,,.,.,,r:, =, N __.85i 032 Bate THIS GIERTIFIES THAT only the efeetrlca! equipment as described below and introduced by the applicant named on the above application number in the premises of Robert Scalia~ Robinso~ 'Ro~d, Paradt~e P~ Roa~, Southold, N.Y~ in thefoltowing location; [] /~o.sement [] Ist Ff. ~] 2nd FI. Section Block Lot wus exami.ed on J~lTttJt~.ry 4 s 1988 and found to be in compliance with the requiretnents qf this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES 38 58 39 38 DRYERS MOTORS EUTURE APPLIANCE FEEDERS rIME CLOCKS DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: M~tor~: l-lt~hp Jacuzzi NO OF HI-LEG A W, G NO, OF NEUTRALS A W G. OF HbLEG OF NEUTRAL Panelboard$: 1,,9cir. 125amps l.-Burgolar Alarm & Smoke Detector System, 2-5 Ton A/C Unit 2~Alr He~dler s, Jamem Murray ~ox 30.5 L~urel, lq.Y, 11948 GENEIEAL MANAGER Per_ 11 ,1" v-- This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credent{ois. COPY FOR ~UILDING DEPARTMENT. THIS COPY OF CERT F CATE MU~T,,,NOT, BE. . Al. OUNDATIO:~ (1st) OUNDATION (2nd) OUGH FRAME~// ?LUMBIN/ iNSULATION FER N. Y. STATE ENERGY CODE . ,~ . ADDITIONA'L COMMENTS' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS_ULATION FRAMING ~r ~ F~INAL 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]/.~OUGH PLBG. FOUNDATION :~ND [ ,~ INSULATION FRAMING FINAL DATE ~/~/l~'~. INSPECTOR. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION FRAMING [ ] FINAL DATEI 765-1802 BUILDING DEPT. INSPECTION' FOUNDATION 1ST []ROUGH PLBG. * FOUNDATION 2ND []INSULATION FRAMING []FINAL REMARKS: DATE MATTITUCK GLASS & MIRROR Route 25 GREENPORT, NEW YORK 11944 (516) 477.2513 4370 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-1802 Examined..'~..4,~'~.1..~'~ ~,~o ./qL .... ' 19~'7'19~7 ~ ~'° O ~q~-~'~t, Permit No..] .......... Approved . · ty~-,~-~..--. ·., Disapproved a/c ..................................... BOARD OF HEALTH SURVEY · SEPTIC FORM ............. ; NOTIFY C^LL .'&fi: Aq.q/ ...... blAIL TO: APPLICATION FOR BUILDING PERMIT Date .................. , 19... 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 public streets o~ 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 buitding 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,/3nd other apj~tfc~le Law% Ordinance~r Regulations, for the construction of buildings, additions or alterations, or for ~dlfioval or dg~fiol~'ion, as herein describ~.-~ The applicant agrees to comply with all apphcable laws, ordinances, building/~,6de, housirt~ co,~t'e., and regulations, and to admit authorized inspectors on premises and in building for necessary inspeT~~'._~. (Mailing addresS~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... , (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 COUNTY LICENSED Builder's License No .......................... Plumber's License No .................... ..... Electrician s License No ....................... 1. Location of land on which proposed work will be done. t '"~'~'t~ /T'/ ~/ fi. ........................................... House Number Street Hamlet County Tax Mai, No. 1000 Section ...~..~../.~..~. ....... Block . .-.~')..~...~.. ........ Lot..(?.O..~..~.O~ ...... 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 ~"' ~'?'-~ b. Intended use and occupancy ........................................... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... fi~,,,.,,~- i (D ripti ) i ese on 4. Estimated Cost .... ~-.2r~.,.O~. ......................... Fee ...................................... : ' (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 . .~... 6. If business, commercial or mix6d occupancy, specify nature and extent of eac_ll~ype of use ..................... 7. Dimensions of existing structur~es, if any: Front .... ~ ....... Rear ...~..~. · ...... Depth . ...~. ~. ......... Height ..... ')'~, ....... Number of Stones.../.7.~.. ............................................... Dimensions of same structure With alterations or additions: Front .. ,>.'~. ........... Rear . .,,,.~'~.c~ ............ Depth ....... :..,...,... Height .~.. ................ Number of Stone ...~-~'. Dimensions of ennre new construction: Front .......... . ..... Rear ............... Depth ............... Height ............... Nurhber of Stories ...... .................................................. Size of lot: Front ...~... ~.~.I..~ ......... Rear . i ./. ~.. ............ Depth . .q~. ~.~..: ............ DateofPurchase ~/../.~'.7.(q, ................. ~.~.Name of Former Owner ...~..-t~..~.~ ...~'.~..rh~,.~ ....... Zone or use district in which premises are situated.. '.A~.~'~ .~'-.,'.,g¢. ~,~'..~./..'~.(w-; ................................. Does proposed construction violate any zoning law, ordinance or regulation: ~.~ ......................... 13. Will lot be regraded ....... ~. ................. '.. Will exce.~s fill be removed from premises: Yes No 14. Name of Owner of plemises~.~.-~.,~, ~7. ~"~_~.. Address .,f~. ,~ ./..c.]..~,! ....... Phone No. ;7~ .~/~.' .T~.~../... Name of Architect ./--~t'Y~-.~.~'~.~...~'..'~].~..~....P~/f .... Address ................... Phone No ................ Name of Contractor ........ : .................. Address ................... PJ~9,~cCN ................ 15. Is t:h±s propert:y locat:ediw±t:h±n 300 feet: of a t:±dal wet:land? eyes ..;/f. No ..... ~If yes, Sour:hold Town Tr~s~:ees Perm±t: maybe reclu±red. . PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocl number or description according to deed, and show street names and indicate wh~ther interior or corner lot. STATE OF ,, COUNTY OF...~.. S.S ...... ~.'.~.~..~-../~f.~ .~-.~../x./~'~ ........................ being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named. He is the . , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dqly authorized to perform or have performed the said 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....... :r .......... ............ Nota. .... ? ... ...... IJ~d. COOKE8 , - f' .......... ~ ' · · tv ub o, St~teof NewYork // ~ (Signature of applic~ Not~ P Il (S~gnatureofapphcant) 9. 10. 11. 12. 't / ~ / / '