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Home My WebLink About16447-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulld~ng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19393 Date SEPTEMBER 27~ 1990 THIS CERTIFIES that the buildln~ Location of Property 80 JACKSON STREET House No. County Tax Map No. 1000 Sectlon 117 S~bdlvlslon RENOVATION NEW SU~'OLK Street Hamlet Block IO Lot 1 F~led Map No. Lot No. conforms substantially to the Application for Building Permit heretofore f~led ~n this office dated SEPTER~ER 3~ 1987 pursuant to which Bulld~ng Permlt No. 16447-Z dated SEPTEMBER 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 RENOVATION TO 2ND FLOOR OF EXISTING ONE FAMILY DWELLING The certificate is issued to KIMOGENOR POINT CO. (BENEDICT POLLIO) (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-023247 - JULY 26f 1988 PLUF~BERS CERTIFICATION DATED NOVEMBER l0t %990-PECONIC PLUMBING & HEAT. Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 16447 Z Perm:ss~on is hereby granted to: ..... .c~...-~_....~.:.~.,....u.~...~?... ~ , ~"~""~'"',~~"-~"~-~"'; ............................ ~'"~'"":"r ............... o, premises located ot ....~.~J.~.,,~9~i~L,...~.~..~:~t~......~...R~.....~,.~ ................. County Tox Mop No 1OO0 Sect,on ................ Block ..................... Lot No ..................... pursuant to application dated ..... ~-~" ~:~.~..;~Z .......... Budding Inspector. ., 19~.~., and approved by the Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Buildmg Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A Th~s apphcat~on must be fdled in typewriter OR ink, and submitted ~ to the Budding Inspec- tor with the following; for new buildings or new use' 1. Final survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrmal installatmn from Board of F~re Underwriters. 4. Commercml buddings, Industmal buddings, Multiple Remdences and similar buildings and installa- t~ons, a cert~fmate of Code compliance from the Architect or Engineer responmble for the building. 5 Submit Planning Board approval of completed rote plan requirements where applicable. B For existing buddings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-exmting" land uses 1. Accurate survey of property showing all property hnes, streets, buddings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3 Date of any housing code or safety inspection of buddings or premises, or other pertinent informa- t~on required to prepare a certificate. C. Fees 1. Certificate of occupancy 2. Certificate of occupancy on pre-existing dwelhng $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date. M t .... New Budding .......... Old or Pre-ex~st~ng Budding . .~. ..... Vacant Land ............ Locat.on of Property ...... t. !~..? Hou~ No Street Ham/et Owner or Owners of Property .~ County Tax Map No. 1000Section .... t. 1.'~ ..... Block . .1.0 ........ Lot..I ............. Subd~wmon ............ Filed Map No ........ Lot No ......... I~ ~, ? ~,/A/p~a~t .~ ~ ,~ ' Permit No. /~/~ r~ Date of Permit Health Dept, Approval., IYL..~., .......... Labor Dept. Approval . ./~x:~*. ................ Underwmters Approval ........................ Planning Board Approval . . ~.~,:/.St. ;'. ........... Request for Temporary Certifmate .............. F~nal Certificate .~ ................... Fee Submitted $. ?.~ .'.~. f .--'7 ..... Construction on above described budding and permit meets ail apph~s~and regulations Applicant . ./.~..<t~77...~2 ~udc~t) ................. Rev 10 10-78 Co } ?3 ?3 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-189'~ - C E.R T..! F I C A T I.O N (please [please I curt&fy that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn ko before mo this _~_~_day of dO //- , llotary Public,.~}i~/f [~[(C' County Notary I~AR~ARA STEPNOWSK! ~'~otary Pubhc, State of New Y~k No 4~752 Ouahh~ m TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR I).O BOX 1179 TOWN ItALL SOU'I IIOLD, N.Y. 11971 September 22, 1989 TEL. 765-1802 GEORGE POINTINO STILL~ATER AVENUE CUTCHOGUE, N.Y. 11935 RE: B. To Whom This May Concern, POLLIO We are unable to complete your Certificate of Occupancy because o£ the fo!lo~;lng reasons. / /_~/An application for Certificate of Occupancy is not on file. (ENCLOSED) /~ No Under%;riters Certificate on file. /~/ The check ~',,(~X~l~not on file.) /~/ No }Ica]th Dept. Approval on ~llc. /-~/ No final inspection has been made. $25.00 Please contact our office on this matter. Thank you for your cooperation, HuLldLng Perm±t f~ 1 6 ~ 4 7 Z Dui ld i~g Dept. **~/~ ~1¢} Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION { 1st) FOUNDATION (2nd) 2. ROUGH FRAME PLUMBINGj INSULATION FER X. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND FRAMING REMARKS: / ~IJLATION [/] FINAL DATE INSPECTOR ~~ ~/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [~NSULATION FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [_ ~UNDATION 2ND [ ] INSULATION [/] FRAMING ~r J FINAL REMARKS: DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ! IH~ 1.~I')4 BUREAU OF ELECTRICITY ~--- 85 JOHN STREET. NEW YORK, NEW YORK 10038 in ;~ following l~.tion; ~ ~nt ~ Ist Fl. ~ 2nd ~. .~tion BIlk ~ examin~ on ~ U N ~ ~ ~ , ~ 9 ~ ~ and f~nd to ~ in ~m~iance wlth the ~qulremen~s o~ thls ~r~ RXTUIIE RXTURES RANG~.S OVENS DiSH WASHERS EXHAUST FANS OUT. TS SWITCHES FLUORESCENT raMMERS SIRVIC~ 04SCONNECT S E R OF cc. C This mdifk~ m~t ~t ~ al~r~ in any manner; r~urn ~ t~ office of t~ ~ard if may ~ ~ ~ ~PA~. ~lS ~ ~ CE~IFI~ ~T ~ ~ ALTER~ IN ~ ~R.' TOWN OF SOUT~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19.~..~.. Examined... s.).~ ~'..L~'~"9'-~*~..... ), .... ,,p=ed erm,t No ...! ........... Disapproved a/c ..................................................................... -(Budding Inspector) Application No .......................... APPLICATION FOR BUILDING PERMIT Dote ........................................ , 19 ......... INSTRUCTIONS a This apphcat~on must be completely f,lled ,n by typewriter or' ~n mk and subm,tted in triplicate to the Buildin. Inspector, w~th 3 sets of plans, accurate plot plan to s~ale. Fee according to schedule. b Plot plan showing Iocahon of lot and of buddings on premmes, relationship to adjoining premises or pubhc streets o areas, and gwmg a detaded description of layout ofpraperty must be drawn on the dmgram which ~s part of thru apphcatmr c The work covered by th~s appl~cation may not be commenced before ~ssuance of Budding Permit d Upon approval of th~s apphcation, the Building Inspector will ~ssue a Budding Permit to the apphcant Such permi shall be kept on the premises avadable for inspection throughout the work. e No building shall be occupied or used m whole or m part for any purpose whatever untda Certificate of Occupanc shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or a~terat~ons, or for removal or demolition, os herein describe[ The apphcant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulations, and t admit authorized inspectors on premmes and in buddings for necessary inspections · ...)~z ........ d~..' ..~(7.....u;~ . ..v..~ ......................... (Signature ~ applicant, or name, if o corporation) .............. (0t~i~ir;~ of"~},ii~onfi .......................... State whether opphcant ~s own~, lessee, ,agent, architect, engineer, general contractor, electncmn, plumber or buflde. ............................ !:5 ........... " ./~...~.~/.../~[o Nome of owner of premises..,J~ ~ ................................ If applicant is a corporate, s~gnature of duly authonzed officer (Name and t~tle of corporate officer) Bu,der's L,c se No .... .... ..... Plumber's L,cense No Electnoan's L~cense No .............. ~ ........................ Other Trade's L~cense No ....................................... Location of land on which proposed work wdl be done Mop No Street and Number .... J..k...I.~O O~n.e.xZ.. ~o.,.a~.~ l/7- /D-© I ........ Lot No . · N.~.~ .~..~.,..~E,.~. ~ ............ Municipality State ex~stmg use and occupancy of premises and ~n*ended use and occupancy of proposed construction a Ex,s,tmg use and occupancy ........ ..~ .o ~.c-~ ¥ ',~. ................... b Intended use and occupancy ...... ~.S ~.'.c3..S.,~X ~ ........ 3 Nature of work (check which applicable) New Budding Repmr .......... Removal Demoht~or 4 Est,mated Cost ...~' ...g' D./.? ?~ ...... Addmon Alteration Other Work ~ ~ ~ c~qr'~ ~- /(Descnptmn) (to 'l~e prod on ~fihng thru apphcat~on) Number of dwelhng un~ts on each floor 5 If dwelhng, number of dwelhng umts If garage, number of cars ....................................... 6 If business, commercial or m~xed occupancy, specify ngture and extent of each type of use . 7 Dtmens,ons of ex,~st,ng structures, ,f any Front .~.~-, ........ Rear ........ ~ ............ Depth ,.:~..~T . He,ght ..,~.3..~ ..... Nu~er of Stories...'~ ......... >''7 ................................ ~ "'~ D~mens~ons of same structu~ with alterations or addmons Front . . ~ ~ .. Rear ~ ~.. Depth . ~ ~ (. Height .~ ~ Z Number of Stones ..... ~ ..... 8 D,mens,ons of entire new construction Front~(~c,'~ ,~ ~ t Rear . ~' ~ ... Depth Hmght ..... Number of Stones 9 S~ze of lot Front J~ . . Rear ./ ~' . Depth ~.~.~' .... 10 Date of Purchase ......... Name of Former Owner ..... 11 Zone or use d,str,ct ~n wh,ch prem,ses are s,tuated .~ ~ ~ ................... 12 Does proposed construction wolate any zoning law, ordinance or regulation .... [~.OZ ........ 13 Will lot be regraded.... . .t~.. ..... Wdl excess fill be removed from premises ( ) Yes ( ) No 14 Name of Owner of prem,ses ~' ~r*~J I~ ..... Address ~.e~ .&,~¢~.~... ~hono ~o .................... Nome o~ Archmtect .1' 5G~n~ ~ - . .....Address ~g h.~ ........ Phone No ......... Con =c o .... ........ Name of PLOT DIAGRAM Locate clearly and d~stmnctly all bumldmgs, whether exmstmg or proposed, and red,cate all set-~ck d~mens;ons frr prope~y hnes G~ve street and block number or description according to deed, and show street names and mndmc~ whether interior or corner lot STATE OF NEW YORK . ~.-- t ¢ S COUNTY. O~ O-~,("~.... ~.~.~.~ ...... being duly sworn, deposes and says that he ,s the apphc~ (N~e of m&wdual ~gnmg contracf) above named He rs the . (Contractor, agent, corporate officer, etc ) of said owner or owners, and Is duly authortzed to perform or have performed the smd work and to make and th~s apphcat~on, that all statements contained m th~s apphcat~on are true to the best of h~s knowledge and behef, a that the work wdl be performed ~n the manner set fo~h m the apphcat~on filed therewith Sworn before me th~s ..... .... ...... ~-/ ' I ~ (S~gn~t~e of apphcant} /~DA F KOWALSK~ ~ARY PUBLIC, stere of New Yor~ ~o 52 452477] ~illfle~ m Suffolk County ~ ~lre5 Nov 30 1888 ~rfl \, ~,TlOkl biS? oF ~. fol~L]pA1'lO~4 pb/kk] q 5?itlZTO?Z.b 1~6~,Pll~4q PIZkI% ~i'- ~ , ;_Job Date :' ~4~ ~' ~T;,~ el, I/87 4~9~ 516-323-3873 U l'fF; , Elizabeth Thompson, Architect ~ New York,N.Y. 'Odent~ N~y. 212~ 966- 4999 516-323t3873 Job Date KIJ,~ ~¥ FcSfATF¢5 ' ~/I Title -t u? uP 4,0 Job Fboo~ P,.AH Elizabeth Thompson. Architect New York, N.Y. Orient, N.Y. 212-966- 499g ,516-323-3873 Title Date Scale f Elizabeth Thompson. Architect New York, N.Y. Orient., N.Y. 212-966-499§ 516-323-3873 Job Title Bate ' /,I~, Elizabeth Thompson. Architect KIHE~% New York, N.Y. Orient, N,Y. Title 212-966- 499g 516-323-3873 ~ J-I Z 7 %ouffH j2oo,e... ~,~ x$.,g xCy4 Y,~ ~o~1~ \vp ?~,14~.~F2o~-'~ l't.i'F.g%Hob p h A pxvX. Fg SOl, lO ~4. P%P~H FXHr3, \'~12. oar-. :1.?,:1 ~,~.,011X ~X~ JOblt) /Vi2 FA, kieL- pAssAr. F.. ~o~ so~p we FAIq~L- 6otID \¥P P^H6D ~ V,I ¢, x ib~"¢I 5/~ ax4 p~b wP, pouveO ~ON¢ kff~ , ~T~H ' P~ Elizabeth Tl~ompson · Architect New York, N.Y. Orient, .N Y. 212-966-4999' 516~323-31B73 ¥ Job Kfk.!~ F:]~'r eSTATes Title ~OUTl~ ;~V~lOU c 7~ [JoRf14 I~ b ~.¥AT o .1 ,JobDate ~l/~ -::,. , Elizabeth Thompson. Architect KI~4S ~[¥ ~Tk'~ ,~ I 7 , ~ , '- New York, N.Y, Orient, N.Y. .Title ., SdaJe 212-966-4~99 .516-323-3873 M~H ~V~l~ , ~ -' ,~ i/~~ ~j,~, .... ., ': , ........ ~. ,1:~, ~' l?' - .~ ,,~ 'Elizabeth Thompson. Architect New York, N.Y. Orient, N.Y. 212-966-4999 516-323-3873 Job ~///,~ Scale "' .... ~"- FOUl4 F'AI' ioi-I '0 ~" FBY\¥1} DUff JOlUTFDOE ~/~"ff'~.f,. FI'fWD. Cf. USC' ~.5CI~¥~f 'FO p~oP- St~AI, P P~l~ V~/ ?tVWl2, p¢4q4LIF.~ Ikl Ao.2-;,L'FW4r_..¢ \~ITH' PCPT, Off doU~Lle~ ~ u.c~,qN Elizabeth Th, ompson~ Architect # New York, N.Y. ~Orlent, N.Y. 212-966- 4999 51~:-323-3873~' Job .Title Scale C;:,q'T ~tZcllgP VC. Mf '~¢ 4Y? ¢¢, - \V,C,- ~ " PAv,~ '~ ~1 ¢.-r Pb, F Job Dat~ Elizabeth Thompson. Architect New York, N.Y. Orient, N.Y. Title Scale 212-96~'-4999 516-323-3873 \VA~b -~¢cr]oM ~ Pt. JJ~ll~,M~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PLUMBER CERTIFICATION I)N LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY s(~LDER uSED IN wATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1~ LEAD. far d dlllributlng ~lt; Idldng ihsll be 766-1802 9 AW TO & Pi~ FOR THE ST,~*T~* CON$~C~C~ ~ ENEP~Y OlZl f.k¢ H B151' of ~UT~ ~b~VATIod .Job Da Elizabeth Thompson. Architect New York, N.Y. Orient, N.Y. .Title Scale 212-986-4999 516-323-3873 ~IT~ ~M '1 I -- I Elizabeth Thompson. Architect · New York, N.Y. Orient, N.Y. 212- 966- 4999 516-323-3873 Job .Ti tie ~ , Date Scale / t/I/¢" I ] I I .i BID ! BIB ~ rtl. O" ¢- ~1~ Fpo L. PbAIq Id Job Dale Elizabeth Thompson. Architect ~lLl~$ ¢~v~Y ~5'~,~'~F~ ,~ ~/'1,'/,~'7 New York, N.Y. Orient, N.Y. Title Scale 212-966-4999 ,516-323-3873 ~iI~'T ~0o~ PL.&lq i,,A~ !',." 4'/ II /I x, 4, J, bb ?~F-.iM~1'~IZ l<b4gg\vAPb5 "B B~- Elizabeth Thompson. Architect New York, N.Y. Orient, N.Y. 212-966-4999 516-323-3873 Job A Date Scale 4 I 'l' T NHI O~ '~J, bk ~.~L \V ~ i Elizabeth Thompson. Architect New York, N.Y. Orient, N.Y. 212-g66- 4ggg 516-323-3873 Job Title F~F P~,~ Date S~cale A 1t4"¢1"'o~1 I , :11 7¸- -- kJofFs. Elizabeth Tt~ompson. Architect New York, N.Y. Orient, N.Y. 212- 966- 4999 516-323-3873 Job Title Date ~/ ~1~'7 Scale il~ :'~_ i'.~ 6 ,i "1 NOR'fIE B bBv~flOhl 'N Elizabeth Thompson New York, N.Y. 212- 966- 4999 · Architect Orient, N.Y. 516-323-3673 .Job i 7 / / 0~ Elizabeth Thompson. Architect New York, N.Y. Orient, N.Y. 212-966-4999 516-323-3873 Job 8 ~ol ~HTAdT~OI I B~OW ,1: ~,~6ml.lO I'i., r,B!bll h", :l~Al'4 I1-1{I PM J4 ?1'o,9 ~ .c~ ~ ~xT~ F4Vtl*"~?I4 r44T ,~t.1~.~ fi'lq Job Date Elizabeth Thompson- Architect }<,IL~ ~J,~' F~$1'&1~5 & ~'/I New York, N.Y. Orient, N.Y. .Title Scale 212-966-4999 516-323-3873 ~'['EI~TiJE~kL, ~',p. At.41~,(.1 PLAI4$ r d \VAbb 5~'lOU I"* O: ~ P~HBIH~ El~g Job Date Elizabeth Thompson. Architect Klkt~ I~,h' Cs~'r~ A ~/I/~7 New York, N.Y. , Orient, N.Y. Tille Scale ~O 212-966-4999 516-323-3873 \V~X-b a,fCTIoM ~r PI.JJPI~51kI~ I">1 '-0'~ I ; [~,~P OF- /,~/MO~'ENOR #~0 IN T COI~PA N Y TOWAI OF[ .--,~OU'7'~-IOLO -)