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Home My WebLink About16147-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17550 Date NOVEMBER 30~ 1988 THIS CERTIFIES that the building Location of Property 220 SHIPS DRIVE House No. County Tax Map No. 1000 Section 079 subdivision ADDITION Block 03 Filed Map No. SOUTHOLD Street Hamlet Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 1987 pursuant to which Building Permit No. 16147Z dated JUNE 29, 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 ADDITION TO EXISTING ONE FAMILY DWELLING~ INCLUDING DECK. The certifica%e is issued to REGINA & NICHOLAS DI MASCIO (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING SLIP 11/21/88 PLUMBERS CERTIFICATION DATED N/A B~di~ Inspector Rev. 1/81 I~OR~ NO. B TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N*_1~]47 z Permission is hereby granted to: ~.~.....*....~.A~...~.~.~. ':~ .............. :'"'~ .......... ~';'"~""i]'~'::;'; ............ ~.~~...~.;.~~~ .................. : ............ ~ ........................ ~ ...................... o, p,,m,se, ,~o,~ o, ...~......~.~.~.~....~.~ ................ County Tax Map No. I000 Section ...... ..c~..~,..~. ....... Block ...... ...~.....~ ...... Lot No ......I.....~.. ............ to application dated ...~...'~.. .......................... , 19.~...'7., and approved by the pursuant Building Inspector. Fee $ ........................ ;'"-~"""'""BulFding 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 submi~ed ~ 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 featu res. 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. Bi For' existing buildings (prior to April i957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty 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 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 1. Certificate of occupancy New Dwelling.$25.Q0, Accessory.iS10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ..... '. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...~t tJ~ipb. House No. Street Ham/et OwnerorOwnersofProperty .. IL 0 3 8~tJ i .~. I. ~JflO County Tax Map No. 1000 Section ..... .~.~. ....... Block ...~t ........... Lot...~.~' ........... Subdivision .... :'T' ........................... Filed Map No ...... '% .... Lot No..m ........... Permit No...\~\t~ . Date of Permit .({. [~.q.j.~.~...Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described buildin~u~,permit meets all applicable codes and regulations. UNDATION UNDATION ( ~ UGH FRAME/// PLUMBING SULATION FERN. STATE ENERGY Ye CODE FINAL ADDITION[L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ]~UGH PLBG. INSULATION FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. ]/F~UNDATION 2ND [ ]INSULATION / FRAMING [ ]FINAL INSPECTOR , ~ 765-1802 BUILDING DEPT. INSPECTION [~F~UNDATION 15T [ ] ROUGH PLBG. [ ~FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL INSPECTOR TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy.~\\ /g/ NtUnderwriters Certific~te~on file. ~ /~/ The ' - %I1 filp.) $ ~S~' /~/ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. of Thank you for your cooperation. Building Permit # _]..~ .J._ _~ ~... Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April ~,1984 ) Occupancy or use is ~n]awful without a Certificate Occupancy. Clear up this matter as soon as possible that legal action does not have to be taken. Thank you for your prompt attention. TOWN OF $OUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTtlOLD, N.Y. 11971 TEL. 765-1202 To Whom This May Concern, We are unable ko complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy is not on file. ~..~2.e~ /~/ No Underwriters Certificate on file. /~/ Tile check is(outdated/not on file.) ~ A~ /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter, Thank you for your cooperation. Building Permit t~ _~ ._~_ _~ _~ ~_ Z .'(/z~ Building Dept. ***/~/ No Plumber Solder Certificate on fi. lc. ( all permits involving plumbing belng issued after April 1,1984 ) Occupancy or use is nnlawful without a of Occupancy. Clear up this mat tot as soo. as p~ssiblc. so that legal action does not have tn hc tak~n. Thank you for your prompt a~ Examined . .~.."gt'Dqu~. · D,~I .... 19~.'7. Approved ...... , 19~. ?. Penn, it No./..g. { 7.?..'~':.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT' BOARD OF REALTH 3 SETS OF PLANS ,~'.-/5~ .... 'FORM NO. 1 SURVEY :0.%,~ .~/.. TOWN OF SOUTHOLD CUECK ~ · BUILDING DEPARTMENT SEPTIC ~0R~ TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 IEL.: 765-1802 CAUL · · - · INSTRUCTIONS Date.,..~o./.~. ......... 19~' a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl sets of plans, accurate plot plan to scale. Fee according to schedole. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre. or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap[ cation. c. The work covered by tlfis 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 pen shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or nsed in whole or in part for any purpose whatever until a Certificate of Occupar 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general ~ontractor, electrician, plumber or build .q, Name of owner of premises ./,2~¢i ,rt,.,9 P.. g.~-O/.,'? 0;..~.; .~.rx.$O.q ...................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COtmT¥ LICENSED Bnilder's License No ..... k'~'~ .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Locatiou of land on which proposed work will be done ..................... ........................... ................... .............. ................. House Number r Hamlet County 'Fax Map No. 1000 Section ...... 3.q ......... Block ......... 5 ........ Lot ..... /.a .......... Filed Map No. Lot .............. Subdivision ................................................... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .~7. g.g .t.c..~. ~ g-R ..................................... b. Intended use and occupandy . ·. r'e s. ~ ~' ~x ~ \ .~D' . .............. fS~ If dwelling, Number of dwelling units. 3. Nature (~fwork (check which applicable): New Building ..... ' ..... Addition .... ~. .... Alteration .......... Repair .............. Removal ............. Demolition .............. Other Work ............... ~ (Description) ,.................Fee........................,............. '~ (to be paid on filing this application) ............. Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, c6mmercial or mixed occupancy, specify nature and extent of each type of use ........ 7. D,mensions of ex,sting structures, if any Front .... q.-~.0.h ...... Rear ....'/'..5...,~ ..... l~epth i i: · ,q' ' ° 2,'f.... .... ~....~.2... Height ... c~ ......... Number of Stories ........ [./. ........................... Dimensions of same structure with alterations or additions: Front ¢,~t'~ s t .... Rear ....~?t'.. ? Depth ...~/(~: ~.° .............. Height ..... c~.o?. ~ ............. Num her of Stories ...................... 8. Dxmenmons of entxre new constructmn: Front ..... I(,o.. 'i .... Rear ..... (4 ......... Depth .. ~q2..."[ ....... Height .. O~ ' ........ Number of Stories ......... .I/.2,. ........................ : ................ 9, Size of lot: Front .... ;/.6~-O,& ............ Rear .... lb.-O. ............. Depth .../{*.~. .............. ,. 10. Date of Purchase .... (,~,qt..3,.t,,~.~.~./~?.~?. .... Name of Fo ,r?er Owner .... ~?f.~. ,~/.e..(_/..?'t~2~...a..c./q. t I. Zone or use district in which pref0ises are situated.. '.fT. ~..~V~{.~ ~,.~.~.- ~ .................. O. ................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... /M'..0. ....................... 13. Will lot be regraded ..... ,{~.~ .... , ............... Will ex~ess fil! be removed from premises: Yes No 14. Name of Owner of premises/Y/.c.&...D..'.m..a.x?9. ...... Address .~.t.~..P.g..~..r.z.tq~.,.-~.':"q//~Ph%ne No.. ,7.~ .¥~: .~Th-~o.~... Name of Architect ...... .~] .~m .~- .............. Address ................... Phone No ................ Name of Contractor ..... ,~O~ rqq~ .............. Address ................... Phone No ................ 15. Is this property located within 300 feet of a. tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permit maX be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, andAndicate all set-back dimensions from ,,roperty lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ........ ......... S.S ............. k. ................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove nalned. Itc is the ..................... , ................................................................... (Contractor, agent, corporate officer, etc.) .~f 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 be performed in the manner set forth in the application filed therewith. Sworn to before me this ....~.... .... .............. .~.~t~,~t~**.,. 0// ~)//,~day°f'"~ PUBLIC, Stat~ et #ew Yo~k ., NOTARY 4707578, Suflo ,~,~ V tu~e of applicant) T~l~'Expires