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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 /5/ Tile check is(outdated/not on file.)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)