HomeMy WebLinkAbout16550-z I~OB~ NO. ~
TOWH O~ $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)
NO 16550 z
Permission is hereby granted to:
....................................
..~~..,..~.:~..:....zz~.z/ ..........
ro ..~.. .... ~. .................. .~.~' ~ .....~'~..~~. ' .~~' ..
at premises located at .....~....0...~.....~.....~...~.,......~~.. ...................................
County Tox Map No. 1000 Section ....... .C)..~,-*J, ...... Block ...... (~..,~ ........ Lot No ...... I..~. .............
pursuant to application doted ...... .(~..~.~ ...... i..~ ............ , 19.~..~,., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
.G.F.C. t:-2
PAUL R. HURNS
275 TOWN HARBOR LANE
SOUTHOLD, NY, 11971'
OENE~AL~IAGER
1t i/. ~ ~
Pe; /?~-~"./ ~.
Th~s certificate must not be altered in any manner; ret~trn to the office o~ the ~ar~ if incorreO. I~spectors may be identified by their credentials.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No.'--~'--~/~)~U
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber's signature)
Sworn to before me this
No aru Pub ic, L County
Notary Public
JOAN E.
N~y P~: 8~ ~ N~ York
No. 4901226
Guidifl~d In Sul~lk Co~
~m~ss~n ~re~
TOWN OF $OUTtIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 778
TOWN HALL
SOUTItOLD, N.Y. 11971
March 14, 1988
TEL. 765-18O2
Ron Morizzo Builders
Box 789
So-uthold, New York
11971
To Whom This May Concern,
Re: Harry Bais
We are unable to complete your Certificate
of Occupancy because ~of the following reasons.
/5/ An application for Certificate of Occupancy
is not on file.
/5/ No Underwriters Certificate on file.
/5/ Tile check is(outdated/not on file.)
/5/ No Health Dept. Approval on file.
/5/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit I~ 1 6 5 5 0 Z
Building Dept.
***/~ No Plumber solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038
MAKCH 25,1988 51796487/87 N 007834
Da~e Jpplica~ion No. o. fil~
THIS CERTIFIES THAT
on/y th~ ~dJwtr/md m/u/pm~nt as da~er~b~d b~dow and introduced by t~ applicant n~n~d on th~ abot~ opp/ieat/on .umb~r ~ t/~ prom/Ms o~
HI~RR¥ BAI$, CLARK RD., SOUTflOLD~ N.Y,
in ,l*.~ol,owinll locati]~RcHn; ~ , ~ ~ ~o[~ B~s~"~nt ~ I.t FI. [] 2nd Fl. SeeNo. Block Lot
~ examined on and found to be in compliance with the requlrement~ of thi~ Board.
RXTUI! RXTUIIS RANGES COOKING DICKS OVENS DiSH WASHIIS EXHAUST
OUTLETS SWITCHES FLUO~SC~T
14 ]0
MOTORS nJvmm A~O*~:. mNnS Tm Cm(3cs UNn H~ATUS M~S~Y~T4m' MMMIRS
SIRVICE DISCONNECT S E R V I C
PAUL l(~. BURNS
275 TOWN HARBOR LANE
SOUTHOLD. NY~ 11971
This ceMifica~ ~t ~t ~ o~ in any ~n~r; r~urn ~ ~ off~ of t~ ~rd if i~rr~. Insp~o~ ~ ~ i~~r c~ais.
CO~ F~ BUI~I~ DEPART~HT. THIS CO~
OCCUPANOY OR
USE IS UNLAWFUL
WEHO~JT~,ERTIEiCATE
OF OCCUPANCY
FOUNDATION ( 1 st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N. Y.
STATE ENEEGY
CODE
FINAL
ADDITIONAL COMMENTS:
76SJ.802
· BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [. ]/ROUGH PLBG.
FOUNDATION 2ND I/---]"INSULATION
FRAMING
FINAL
DATE
,NSF'ECTO
BOARD OF HEALTH
3 SETS OF PLANS
' oRM No. SURVEY L
· TOWN OF SOUTHOLD CHECK,
BUILDING DEPARTMI~NT S~:'P~IT~:., FORM .............
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL ................
MAlL TO:
Examined .t)..e.~..,..c~..., .~..1., 19 .~.'}
Approved . 9..~....~a~., .~.. l., 19~.~. Pe~it No. ! ~ ~ ~.
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
"xown o ,,, o oua
Date . 9.c.%q .b.c.r. .!0. ..... ,193.7.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 stree'
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl
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 perm
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 Occupant
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 t~
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances t
Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe~
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and 1
admit authorized inspectors on premises and in building for necessary inspections.
Ron Morizzo Builder, Inc.
(Signature of applicant, or name, if a corporation)
P.O. Box 789t Soul:hold, N.Y. 11971
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
General Contractor
Name of owner of premises ...... ': ...... ff.~..~..~, y ..... B..a.i.s ........................................
(as on the tax roi1 or latest deed)
If~. is a ~fj duly authorized officer. (Name and titl o~/.f~a,Iforate officer) '
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ..... 07.7.2..HI .............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ................................................
C05 Clark Road Sou~hold
[louse Number Street l-Iamlet
County Tax Map No. 1000 Section .... ~..( .......... Block ..... r~. .......... 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 andoccfipancy ,One fami]_y dwellin~
b. Intended use and occupancy ...O.r{.e..f.a..m.i.l.7...d.w.e. 1..1 .x.n.~..w...~.~...a..1.b.e.r.a..g.~.o.n. ......................
3. Nature of work (check which ~ppticable): New Building .... ' Addition ..... Alteration
Repair .............. Removal ........... Demolition .............. Other Work ...............
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 garage number of cars
6. If bu'siness, commercial or mined occupancy, specify nature and extent of each type~ of use ...................
7. D~menmons of exmtmg structulres, ~f any: Front .......... ' ..... Rear .............. Depth: ............
Nt~mber o( Stories ~ :
Iteight ....................................................................
Dimensions'of same structure With alterations or additions: Front ................. Rear ................
Dimensions of entire new construction:' Front .......... ' ..... Rear .............. Depth .............
He ~bt ............... Nt!mber of Stories ........................................
Size oflot:~Front ' :': Rear Depth
I0. Date. of Purchase ......... ' .................... Name of Former Owuer .............................
1 1. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
1:3. Will lot beregraded.......,....................I . Will excess fill be removed from premises: Yes No
14. Name of Owner of premises ..igarrlz..Bais ....... Address .Clark .Rd ......... Phone No ................
Name of Architect ........ : ................... Address ................... Phone No ................
Name of Contractor .Rp.~. IyI.o'.r.i. ~.z9..B.u..i .1.d.e.r..... Address .S.o..u.~.h.q 1..d ......... Phone No.7.~5,--.5772 .......
15. Is this property locate~ within 300 feet of a tidal wetland? *Yes ..... No .X...
*If yes, Southold Town Trustees Permit maybe required.
.. I PLOW DIAGRAM
Locate clearty and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
number or description according to deed, and show street names and indicate whether
property lines. Give street and block
interior or corner lot,
1. Build new addition
2. Replace kitchen and
(6'x8') under existin~ roof of house
eatin~ area windows and'~oors with Anderson units
3. Install new kitchen cabinets
STATE OF NEW YORK, ' S.S
COUNTY OF ................ :.
........................... i .............. ' ........ being duly sworn, deposes and says that he is the applicant
, (Name of individual signing contract)
above named.
He is the
. (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is ~uly authorized to perform or have performed the said work and tb make and file this
apphcat,on; that ail statements contamed m this apphcatmn are true to the best ofli~s knowledge and behef; and that the
work will' be performed in t ~e man.'ner set forth in the application filed therewith.
Sworn to before me this :
........ · ...... /. ~. ...... day,of ..... ~. ~ .......... 19 .~/.
b{~tary Public .... '~'Y"~' ' ' ' '~" ''fl~t~ g. DE V0E ' 'r~' '~'' '~/' 'z~'': County ~.
NOTARY PUBLIC, State of New York ....
. No. 4707878, S .uffglk
,erin Expires M~cl~ ~0.
re of applican,t)