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Home My WebLink About16159-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17080 Date JULY 12~ 1988 THIS CERTIFIES that the building. Location of Propert~ 1350 House No. County Tax Map No. 1000 Section ADDITION & ALTERATION MINNEHAHA BOULEVARD SOUTHOLD Street Hamlet 87 Block 2 Lot 12 Subdivision X Filed Map No. X Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 1987 pursuant to which Building Permit No. 16159Z dated JUNE 30, 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 & ROOF ALTERATION TO EXISTING DWELLING. The certificate is issued to MICHAEL TROISI (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N851129 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 6/88 FORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: .....~..~.~..~..:....r~ ........... · ~..~...~.....~a~..~..~~.: ....... ~~.....~.:~......_.,..!..?.~ ......... ../-'~ ,o ..~~....~.~..~.....~....~....~....~... o, ,,,.~m,ses ,ocoted at .I..~.~...~.,~% ~..,.~.,,.a...~~ Coun~ Tax Map No. 1000 Section ...... ..~....~...-J. ....... Block ......~......a% ....... Lot No....).....~r... ............ pursuant to application dated ....... --....~..~...~.~. ..................... , 19.~...~...,- and approved by the Building Inspector. Fee $..~.:...~ Building Inspector Rev. 6/30/80 FORM NO. 6 l~~~l~ TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OC Instructions This application must be filled in typewriter OR ink, and submitted ii to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ali buildings, propertV 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate ~rvey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occmpancy 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 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling.$25.O0, Accessory ,~10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $~10.100 4.v o nt o.o. 2o.oo 5.Updated C.O. $ 50.00 Date ................ NewCons t~puct'±on ...... Old or Fre-existing Building ............ Vacant Land ............. Location of Property ............................................ .. ............. .,.. . Owner or Owners of Property ............................................................ County Tax Map No. lOOOSection 017"~ Block l~' Lot. /'~' Subdivision ........................ ~ ~"~', .... Filed Map No ........... Lot No .............. Permit No ........... a e o e ~ .......... /~pplican~ ................................. Health Dept. Approval .... ~-~' ' ' '/' ' ' ~ ......... Labor Dept. Approval ........................ Underwriters Approval ............... Planning Board Approval ........... Request for Temporar~y Certificfi~t~ ..................... Final Certificate ...................... · ' ....... Fee Submitted $ ................ ~ Construction on above described buildingBI3d perm, it me/~jts all a.p,~icable~codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BB JOHN STREET, NEW YORK. NEW YORK 10038 THIS CERTIFIES THAT o~ly the eJ~trJcoJ equipment ~ ~scribed below a~ introduc~ by the epplicant ~ch~el ~, ]350 ~nn~hah~ Boulevard, Southold, in the fotlowlng location; ~ B~seme~t ~ Ist Fl. ~ 2nd FL ,~ection Bilk Lot ~s examined on 5~t~'y ~ ~ a~d/oundtobelncompllance~'iththerequirements~fthisBoard. FIXTURE OUTLETS DRYERS RECEPTACLES SWITCHES 15 2 FIXTURES RANGES OVENS EXHAUST FANS OTHER APPARATUS: E R V I C E OF CC, COND NO OF HI-LEG 78 Ridge ~arkway Brooklyn, N~Y, l1209 Lie · ~NE~aL ~A~G~ This certificate must not be ohered in any manner; return to the office of the Board if incorrect. Inspedors m~y be identified by their credentials. COPY FOR -U LD NG DEPART~N~H S~~ ~NN~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 To Whom Thxs May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /~/ An application for Certificate of Occupancy // is not on file. No Underwriters Certificate on file. J~// The check is(outdated~not Qn fil~.)~~.OO /~/ 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 # ._L_ ._~ __L ..~_ _~ Z Buildinq D~pt. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plu'mbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom ~hzs May concern, We are unable to complete your Certificate of Occupancy because ~of thc fo~owing reasons. /_-~/ An application for Certificate of Occupancy is not on file. / No Underwriters Certificate on file. /5// Tile check is(outdated~.n__o~ on file~.)~ /~/ 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 # ~_ ~ ~_ .~. c~ Z Building D~pt. ***/~/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) UNDAT~lst) 'JNDATION ( 2nd ) UGH FRAME / PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL - ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FRAMING FINAL REMARKS DATE INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION ]FOUNDATION 1ST [ ~/~OUGH PLBG. ] FOUNDATION 2ND [~/] INSULATION [ ] FRAMING [ ] FINAL REMARKS; ~,~'~' ~/~ INSPEC3'oR~ 7654802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ~'ND[ ]INSULATION [ ]FRAMING [ ~FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~FRAMING REMARKS: FINAL DATE INSPECTOR 7GS-~80Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ].~NSULATION FRAMING Iii FINAL RE:MARKS: ////~ JUN ,5 195T I'tI ',O", 4 ,,~F $OUi"HOLD or rLANS , SE,, 'FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK ~ BUILDING DEPARTMENT SEPTIC fORM .~].lq:. ..: TOWN HALL Approved ~ . ~.~.. Vernlit No. 1 .('q/..~"T?..~. Disapproved a/c ..................................... NOTIFY $OUTHOLD, N,Y. 11971 TEL.:765-1803 CALL MAIL (BuilcfiT[g Inspector) APPLICATION FOR BUILDING PERMIT IN STRUCTION S a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by thls 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 permit 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 Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, OrdNances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code,, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa ' specti s. ~ ~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name ofownerofpremises tw ........... '..2-27.t ........... (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 SIJFFOLK COUNTY LICENSED Builder's License No .... [.1.[.76. ~'.-.-.~.. ............ Plumber's License No ........ ~ .............. Electncmn s L~cense No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done~ ........ , ........................................ House Number Street Hamlet County Tax Map No. 1000 Section °c~') Block Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occnpancy of proposed constructiou: a. Existing use and occupancy..,~1.~ ~'i;'' ' )~)r~i;4' ' f ~. ..... ~..~i '.' ' '~' ' ' ;';: ' '.~2' '~ ....... b. Intended use and occupancy ........................... ~ ............ g.~. ...... ' ..... ' ...... 3. Nature of work (check which applicable): New Building . ' .. Addition ~ Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... q~,z~-0, ~ (Descriplion), 4. Estimated Cost ...................................... Fee ........... ~ ................... , ....... ~' (to be paid on filing this a~lication) 5. If dwelling, number of dwelling units [ Number of dwelling units on each floor /kl If garage, number of cars ............................................. , .......................... 6. If business, commercial or mixed occupancy, specffi( nature and extent of each tYpe!of use 7. Dimensions of existing structures, if any: Front...~ ........... Rear .... Z..g.. ~ ..... '~'~ih' ~.~i~ . Height ............... Number of Stories ..... ! ................................. Dimensions'of same structure with alterations or additions: Front 2-.6 ........... .... Rear ' 3' .............. Depth ~ ,~ ~. ................. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front . ..... Rear : Depth Height ............. .,,,~,Number of Stories ........ .................. ; ..... .................. 9. Size oflot: Front ...... -[:5 t..~ ........... Rear ............... ~.,9' Denth ./~'~ ................ 1,0. Date of Purchase .... I.~,.t!~.(~ ................... Name of Former O~v~;~ .tP..t~..l~.~...~. P..R.(?.~..o I'1 Zone or use district in which premises are situated 1'2. Does proposed constru%ion violate any zoning law, ordinance or regulation: ..... : ............ .t ............. 13. Will lot be regraded . .P~.q ........................ Will excess fill be removed fr. om nremises:d/# Yes No [4. Name of Owner of premises .~./q~ ./~. ~.l,..o~.tf(.. ~.~o.(.r..~. Address '?.~..~.5[..,~..,.~..~ .tt~..~.d.d.? .t~[~ne No.~./.~.,?.~./'z .~.~.~. .... Name of Architect ................ ~d~'¢,i' ......Address ................ :.. Phone No ................ Name of Contractor ~.~21..C.'?. ~.r.~. ./.m.~.~..*? ........... Address 3~..fl.°!..%(.o,../~.t~. t..~,. :,~mne No. 7~7':..,f'.2.~.? ...... 15. Is this property located within 300 feet of a tidal wetland? *Yes.. .... No ..... *If yes, Southold Town Trustees Permit may_ be required. PLOT DIAGRAM Locate clearly and distihctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ?roperty lines. Give street and block number or description according to deed, and show Street names and indicate whether nterior or corner lot. ;TATE OF NEW YORK, S.S ',OUNTY O~.,.~ }~.~.. ~..~(o~ ~ ............................................... being duly sworn, deposes and says that he is the applicant ~ (Name of individual signing contract) , l{ove named. 1e 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 pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. iworn to before me this , ...................... day of....~ ............... 19 Ce~'~ ~I~,~..~.,~ (Signature of applicant) t