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Home My WebLink About16569-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-16667 Date February 25, 1988 THIS CERTIFIES that the building .............. R.E..N.O.V.A. ? .~ .0.N.S. ..................... 48405 Main Road Southold, N.Y. Location of Property ................................ ; .............................. House No. Street Hamlet County Tax Map No. 1000 Section 069 .Block 06 .Lot 01 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore flied in this office dated October 23, 1987 pursuant to which Building Permit No. 16569 g dated . .0..c.t.o.b.e..r..2.6..,..1.9.8.7. ........ 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 ......... RENOVATIONS TO NON-CONFORMING STRUCTURE AS INDIC3.TED ON APPLICATION The certificate is issued to R & R A S S 0 C I A T E S ..................... /o¥0'o;, ..................... of the aforesaid building. Suffolk County Department of Health Approval ........ N../.A ............................... UNDERWRITERS CERTIFICATE NO. N 0039 I 3 PLUMBER8 CERTIFICATION DATED: N/A Building Inspector Rev, 1/81 IvOI~.M NO. ~ TOWN O~ $O~THOLD BUILDING DEPARTMI:NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_16569 7. County Tax Mop No. IO00 Section ....... ...(~....~...cJ ..... Block ...... .O..J~.. ....... Lot No......~...~ ............. pursuant to application dated .....~.....~....~......~.~ ................ , 19~.~..., and approved by the Building inspector, Fee $..~)..'..~... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ia ~ 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date off any housing code or safety inspection of buildings or premises, or other pertinent informa- Lion required to prepare a certificate. 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ... ,F ~, kb .r .u .a ,r y . .1.1 :..1.98,.8 ...... New Building. ............× Old or Pre-existing Building .... ~ ........ Vacant Land ............. 48405 Main Road Southold Location of Property ................................................................... House No, Street Ham/et Owner or Ownersof Property R & R Associabes County Tax Map No. 1000 Section 069 Block 06 Lot...0.t. ............ Subdivision ................................. Filed Map No ........... Lot No .............. 10-26-87 · Ron Morizzo Builder,Inc. Permit No. 165~9 Z Date of Permit .......... Apphcant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval 2-4-88 . .Planning Board Approval Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ ............................. Construction on above described bu ilding an eats all~licable codes and ragu lations. Apphcant ...... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~000121 BUREAU OF ELECTRICITY ~ exami~ on and~nd to ~ in complian~ =ith the ~u~men~ ~ ~h~ ~. Rxt~m RXTUEE$ OVlIN$ F&NS FtUORE~CEI~T 1 4 1 SIRVICi DISCONNECT S E R V I C 1 3 1 This PAUL h. BURNS 275 TOWN BARBOR LANE SOUTMOLD, NY, 11971 office ofth~ Board if FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE (1st) FINAL ADDITIONAL COMMENTS: (2nd) BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK ..... -~ ..... BUILDING DEPARTMFNT SE?TZC FORM ............. : TOWN HALL NOTIE¥ $OUTHOLD, N,Y. 11971 TEL.: 765-1802 CALL ................ MAIL TO: Disapproved a/c ................................. ............................... APPLiCATiON FOR BUILDING PERI~/IlT Date . .O.q~9 .b.e.r..!.5., ..... 19.8.7 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 th/s application may not be commenced before issuance of Buildhlg Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such petal 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 Occupanc 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 ti Building 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 alterations; or for removal or demolition, as herein describer The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t 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 789, Southold, N.Y. 11971 (Mailing address of applicant) Statb .whether applicant is 'o~vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde General Contractor Name of owner of premises .......................................................... (as on the tax roll or latest deed) If applj~r~ is a corporation, signature of duly authorized officer. '~ ~<~~orat a~e e officer') ALL CON, TRACTOR~S/M'fI~ffT BE SUFFOLK COUNTY LICENSED Builders License No .... 6.77.2. .H..I .............. Plumber's Licbnse No ......................... Electrician's License No ....................... Other Trade's License No ................. .. .... 1. Location of land on which proposed work will be done ................................................. · .L/.8.y n j ..................... ...... sou. t House Iq'umber Street Hamlet Co~unty Tax Map No. I000 Section .................. Block A Lot Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: occupancy' ' ~ ~' a. Existing use and , , ............................... .'~,6~' '. '?' · ',~,~: ,:' *,;-.~w"¢~*~: ............... b. Intended use and occupancy '~ ..... :?"' '~" ' ' ~ "~&' '? 3. Nature of work (9~ck which hppticable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. "/ Removal .............. Demolition .............. Other Work ................ .2~ ,~ ~ (Description) 4. Estimated Cost...~.~ ........................... Fee .~.-~. :...~ff. ............................. (to be paid on filing this application) 5. If dwelhng, number of dwelhqg units ............... Number of dwelling units on each floor ................ If garage number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type 'of use ..;....: .............. 7. Dimensions of existing structures, if any: Front..i....~ ........ Rear ............... Depth , .............. Height NUmber of Stories ..... Dtmens~ons of s~m~ s~ .jpiciture ?~th alteratmns or add~tmns: Front ................. Rear .................. Depth ....... .Z...-':<M... ! .... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... 1Fleight ............... Number of Stories ................................................... ~,~. 9. Size of lot: Front ....... '. · .......... ,. Rear ......... ~.... ........... Depth ...................... 10. Date of Purchase ......... .................... Nh'me of For~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 pr~ntises: Yes No 14. Name of Owner of premises/~..~..t~.. ~ .5.~..O..~4_..O....'~ddress /"lOOJ .ri...f'dt~Q....~l~o~No ................ Name of Architect ........ ! ................... Address ................... Phone No ................ Nmne of Contractor ...89r~.i.Iq. Qrilz.ao...B.u.i.l, 4Vr. Address .. $9.u.t. b93.d ........ Phone No.TfiS.-:5772 ....... 15. Is this property locate.d within 300 feet of a tidal wetland? *Yes ..... No ~... · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from street names and indicate whether property hnes. Give street and blodk number or description according to deed, and show interior or corner lot. 1. Install two new front windows using existing openings 2. Install two new insulated steel doors (front & 3. Replace fro'n% steps fusing . same footprint 4. Build new side porc~ using same footprint 5. Build ramp 4' wide-by 24' long from existing porch 6. Replace garage door!using same opening OCCUPANCy' OR WIT 'OyT occua cv (Name of individual signing contract) (Anderson) side) using existing, openings, sworn, deposes and says that he is the applichnt 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 all statements contained in this application are true to the best of his knowledge and belief; and that the work will I~9 performed in the manner set forth in the application filed therewith. Sworn to before me this : .............. .~..~..~.~. day:of 0~~ i, 19 ?~ O,u~llfled in Suffolk County ~r-~C/ Cemmtsslen E~g~ Deoember 8, 1 nature of applicant)