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Home My WebLink About16101-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16801 Date .A~p.r.i..1..1.5.,. 1988 THIS CERTIFIES that the building . .a.c.c.e..s .s.o.r.y.. g.a.r.a.g.e, .a.n..d. f e n c e Location of Property 3460 Youngs Avenue Southold County Tax Map No. 1000 Section 055 .... Block 05 .Lot 04 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... ~ a y. 2.9. ~..12.8. 7. .. pursuant to which Building Permit No ..... 1.6. [ 0. dated ...J.u.n.e.. ! .9.. · · ·. · ·.........' ' 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 ......... Accessory garage, sl:orage and fence in a B1 zone. The certificate is issued to JOHN BERTANI-ROBERT GUARRIELLO of the aforesaid building. Suffolk County Department of Health Approval ...... .N./.A. ................................ UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FOR~ HO. t TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 16101 z Permission is hereby granted to: ..... /..~..~.o......m.~~...%.~.: ............. ~~.a........~:..~.:...~.~..?..~.~ .... , ~,. fo .~~.....~.....~.~.~..~.~.~..~..~.....~....~....~ ~ ..................... ~'~';"~ ................. i"'"'~V_' ...... ~~ ...................... at premises located at ..........~~ ......... L,~G.hf~..., ......... ~ ........................................ ..... ~...~....~.~ ................................................................................................ County Tax Mop No. 1000 Section ...... ..~....~.'7...~..~. ..... Block ..... .~....~.. ......... Lot No.....~....~. .............. pursuant to application dated ........ ~.%."~...~. .................. , 19~..'~..., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ 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), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate ~rvey 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 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 $25.0,0, Accessory,,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwe~Hng $ 5 0-. 0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 /~,D I ./~., ./~.,~.. 5.Updated C.O. $ 50.00 Date ..,.,~C.{..... ..... NewConstruction ..... Old or Pre-existing Building ............ Vacant Land ............. ..... .......... ............... Location of Property House No. Street Hamlet Owner or Owners of Property . .~D, ./~C.'~O.;.. O,Ci,d-~¢.../~D./~. C(~.. (~'(!~i~F. ~-~i/Z~ ........ County Tax Map No. 1000 Section .... ~).~'.~ ...... Block ....(~; ......... Lot ............. Subdivision ................................. Filed Map No ........... Lot No .............. _ .._ Permit No. /.F.I.O.t. .',~... Date of Permit . .Applicant ........... ' 0/~ /.~it-~ a~ ' ...../-,~14.l/~.f~-d~/~C-~ ..... 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 permit meets all applicable codes and regulations. ............. UNDATION ~ (lst) UNDATION (2nd) UGH FRAME & FLUMBING SULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-~802 BUILDING DEPT. NSPECTION [//1/FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ~ ~~~~ DATE ~, INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~.ST [ ] ROUGH PLBG. REMARKS: FOUNDATION ZND [ ] INSULATION FRAMING ~FINAL DATE ~ / 10~/~/~/ INSPECTOR ~~~''~ TOWN OF SOUTIIOLD OFI:'ICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN IIALL SOU I'IIOLD, N.Y'. 11971 April 8, 1988 TEl.. 765-1802 John Bertani Builder, Inc. 1380 Oakwood Drive Southold, New York 11971 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of khe following reasons. /x_-~ An application for Certificate of Occupancy is not on fil~. /-/ :1o Underwriters Certificate on file. /~/ The check is(x)x~!~oMSCR!~not ou file.) $50.00 /--/ t!o Health Dept. Approval on file. /.--_/ Ho final inspection has been made. PJease contact: our office on Thank you for your cooperation. Buildinq Permit t~ I 6 I 0 I Z Buildin[I Dept. this matter. ~lo Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ? r~ o RAILROAD AVE. ( YOUNGS AVE, ) 0 0 ti . 8° I0'00" W. 68.00' ,.,,~ Z 0 0 (? s. eolo'oo"E. ~.~.~ 63.00' N/O / F LAND OF SATKOSKI 0 0 .'so 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1B02: BOARD OF HEALTH-~-~%. 3 SETS OF PLANS SURVEY ..... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: Examined....~ g4-¢4~...l..~..., 19 .~.7. ., 19 . l Permit No. Approved Disapproved a/c ................. ,'' ................ ... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .... .~.~..~.., 19 .~7 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 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 b,e 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. .... ~.'~.oH.~.. Zg~_-~.~.,,v/... ~.4~.. ~t-5~.(; ..... (Signature of applicant, or name, if a corporation) i, .... : ' (Mailing address o~ applicant) State'whether applicant is owner, lessee, a~ent, architect, engineer, general dontractor, electrician,~plumber or builder· Name of owner of premises ...~.~/dad. ~7~' ..... ,t~..O~.~,q~_~t~/d,~ .............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · ..... ........ [J" (Name and title of corporate officer) ~[L~L_,C,ON, TRACTOR'S blUST BE ,SJJFF~qLK COUNTY LICENSED Builder s License No .... Plumber's License No ........ q~ ............. Electrician's License No ..... /O/~. .............. Other Trade's License No .... 6J/.~) .......... ~'~t~:~O 1. Location of land on which proposed work will be done ..... .~.O.Qt, d~,,~... ~.~. [/.~. ........................ ................................................................ . ................ House Number Street Hamlet County Tax Map No. 1000 Section ......... ~..~..~..~.... Block .......... .O. ~.~'.... Lot.....~. ~ .......... 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,J.~..~..~ ............ ..~..~· .... . .......... ................. b. Intended use and occupancy .............................. .~.~. · ;' .... - ........... 3. Nature of work (check which applicable): New Building ... ~//. .... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... "~ "~ (Descrigtion) 4. Estimated Cost ............................... Fee .. : ..... ° ................. ! ~' (to be paid on filing this application) 5. If dwelling, number of dwelling !units ............... Number of dwelling units on each floor ................ If garal~, number of cars .... 2 ....~ '~'~ ~' ................................ ' ......J~i'; ............. 6. If busi~t~ss, commercial or mixed occupancy, specify nature and extent of cacti type of u~e .;..*,~..'.~. ' ,, ...... 7. Dimensions'of e~isting structurqs, if any: Front .... ~.~, .......... Rear .... 1~, ....... Depth .. ~ .......... Height ... ~. .......... Number of Stones .... ~ ................................................. I)imensions'"o~s~me structure w!th alterations or additions: Front ................. Rear .................. Depth ................... 2.. Height ...................... Number o,f~Stones ...................... Dimensions 0f entir~ new construction: Front ...... ~...~... .... Rear ... ~...~. ....... Depth .~.l~. .......... }?ght ..... ~.~.. ....... Nu,mj°er of Stories ..... :.~. ......... · ........................ j, .............. 9. mzeoflot F ~..~. ' ~ "' ~.~. ~' : font .................... Kear ....... ~.. .......... Depth .................. 10. Date of Purchase .../.~-/4~.~ .................. Na~.~f Fo..r~.er Owner ............................. 1 1. Zone or use district in which premises are situated ............................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ~ ..................... 13, Will lot be regraded ........ ~. ............... Will excess fill be removed from premises: Yes J~ No 14. Name of Owner of premises ~-~.~$?~J?'.3~.~.~4~lflltlress ~'..a~...~.~.~'.~.. ~f~.Phone No. ~.~,,~1".~..~.IF..~... Name of Architect ......... ~ ................. Address .................. Phone No ..... Name of Contractor Address .4. ........ ~ ......... ...... .. :..... .... Phone No. ~,;...;.* ........ 15. ~s this property located within 300 feet of a tidal wetland? *Yes ..... No ~.. *~f yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from deed, and show street names and indicate whether / STATE OF. NEW ~R[~ ~S.S COUNTY OF ...... .......... · .~..~..~I~:;~ ~I~! ................ being duly sworn, deposes and says that he is the applicant (Nhme of individual signing contract) 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 said work and to make and file this application; that ail 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. Sworu to before me this .............. · ..ZC~...,..day ~ ........ ~l~k..~ ....... 19~t7 Notary Public, .~-~/~,~.~.,.~. ~. !...J~...,~Of~... County NOTMI~ FUBLIO. Stlte ef i - ' ..................... f~ 47078~8; Su~ ~e~.c~/ (Signature of applicant)