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Home My WebLink About15596-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No z-15719 ... Date...~.[Y I.,..1~87. THIS CERTIFIES that the bufldxng Repazr existing auto garage damaged by 'f'i r ~. ' ....................... Locat~on of Property .5 .7 7. 5. . .R g u. te.4.8 & .I.3.2.5. .W.i. qk.h.a.m..A.y.e.....g.a.t.~.z.t.u.c.k.,..N..Y.~ House No Street Hamlet County Tax Map No 1000 Section . ! .4.0 .Block . .0. I ...... Lot . .05 ......... Subdlvmon ............... Fded Map No ...... Lot No ............. conforms substantially to the Apphcahon for Building Permit heretofore filed in this office dated December 18, 1986 pursuant to wtuch Building Permit No 15596z dated...December. . . 24, 1986 .. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wluch ttus certificate is issued m ....... REPAIR EXISTIIqG AUTO GARAGE DAMAGED BY FIRE AS APPLIED FOR. ALBERT DINIZIO The certificate is lssu6d to .... · ?o~,.'o'r, ~x~k' ............. of the aforesaid building Suffolk County Department of Health Approval .. Iq/A UNDERWRITERS CERTIFICATE NO . . N 803727 N/^ PLUMBERS CERTIFICATION DATED: Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15596, Z County Tax Map No 1000 Sect,on ...... ./...~....~.... Block ...... ..~.J .......... Lot No ....~.~.. .......... pursuant to applicat,gn dat~...~-~C,P~.~,~.. ~/ .~. .............. , 19.~..~., ond approved by the Building Inspector. Fee $.../...~....'. .... ~.~1 Building 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 This application must be filled in typewriter OR ink, and submitted m=,--~. to the Building Inspec- tor w~th the following; for new buildings or new use' I. Final survey of property with accurate location of all buildings, property hnes, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dmposal--(S-9 form or equal). 3 Approval of electrical installatmn from Board of Fire Underwriters. 4. Cammercm[ buddings, Industrm[ buddings, Multiple Residences and similar bultdmgs 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-ex~sting' land uses- 1. Accurate survey ~f p~operty showing all property hnes, streets, buddings and unusual natural or topograph ~c features. 2.Sworn statement Of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent reforma- tion required to prepare a certificate. C. Fees' Additions $25.00 1. Certiflcate of occupancy New Dwellzng $25.Q0, Accessory ,$ ]0.O0 Business $50.00 2. Certificate of occu~pancy on pre-existing dwelling $ 50 00 3. Copy of cert~flcate of occupancy $ 5,00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .................. NewConstruction ...... Old or Pre-extstmg Building ............ Vacant Land ............. Owner or Owners of Property CountyTax Map No, 1000 Sect,on , ./..~. ~. ....... Block ..... ~ ......... Lot....'~.. .......... ,Subdlvm~on ........................... Fried Map No .......... Lot No .............. Permit No ........... Applicant ............. ~ ~ ..... Health Dept. Approval ....................... Labor Dept. Approval ....................... . Underwriters Approval..'..~. ,~:?. '~ .~.'~. 7 .Planning Board Approval Request for Temporary Certificate ................. Final Certificate .~// Fee Submitted $ .................. Construction on above descmbed building and permit meets a~pphcable~)pdes and regulations. Rev 10-78 l~JflllllllttlllllllllJ'llllllllllllll ~ IIIIIIIIIIIiIIIIIIIllllltllllllltllltll- -- Illlllllllllttllltllllllllltlllllllt~t~i -- lllllllllllllllllllttllll OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c 0EC 1 8F3 Received ........... ,19. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..Z~../'~ ,19~: INSTRUCTIONS a Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wltl sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing locandn of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc stre or areas, and giving a detmled description of layout of properW must be drawn on the diagram which is part of tbas ap! cation c. The work covered by tlus application may not be commenced before issuance of Bufldmg Permit. d Upon approval of this application, the Budding Inspector will issued a Buddmg Permit to the applicant Such pen shall be kept on the premises available for inspection throughout the work e. No building shall be occppled or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmldlng Permit pursuant to t Bmldlng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construcQoh of buildings, additions or alterations, or for removal or demolition, as hereto describ. The apphcant agrees to comply with all apphcable laws, ordinances, bufldmg code, housing code, and regulations, and admit authorized inspectors on premises and m bmldmg for necessary lnspectlons~/,~ f~z~c'. ". '~'~ ' (Signature of apphcant, or ~m~,,~e, if a corporation) ....... ................... .... ................. (m/iling addres/~ of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build. (as on tile tax roll or lates[ deed), If apphcant ]sa co~orahon, s~g~ature of duly authorized officer ~/~ ~ ~, ~, L, FEE' / ~_ (Nam e and htleo~F~l~' OR Builder's License No Plumber's License NOOSE ES UNlaWFUL , 'WITHOUT CERTIFICATE Electrician s License I' Other Trade's Llcense0~ ' 0CCOPANCY Location of land on which proposed work will be done House Number Street NOTI~:Y EttqC2 [~ * UFF,~RTMENT AT 7~S 1B2: ~ ,<,~ tO ~ ~ ~R THE FOU, Ow'~ ALt Hamlet County Tax Map No 1000 Section Block..I ..... Lot '~ 2 Subdivision .. Filed Map No .. Lot (Name) State exmting use and occupancy of premises and intended use and occupancy of proposed construction ~ a Exlstmg use and occupancy /~f~,&/.~z'~./Z~ /7~?~~ .?~? '~.~.,~' b Intended use and occupancy . .. 3. Nature of work (¢h~whlch applicable) New Building .. . Addition ......... Alterahon Repmr ..... t~ Removal ............ Demohtlon ........ Other Work ............ ~ i$ ~/~.~. (Description) 4 Esttmated Cost o .............. Fee .............................. (to be paid on filing this applicat,on) 5 If dwelling, number of dwelhng umts ........... Number of dwell, ng units on each floor ............ If garage, number of cars . ~ .................................................. 6. If business, commercial or m~xed occupancy, specify nature and extent of each t_y. pe of use ./~'ZP..~ . 7. Dtmenmonsofexmtmgstructures,~fany Front. f/fi----... Rear . :~"6~ .... Depth3(d..~Tac~ .... Height ~- t4f. ..... Number of Stones . . / · . . Dxmenmons of same structure with alteratmns or ad&tlons' Front ............ Rear ......... Depth ............ Height ....... Number of Stones ................ 8. Dnnenmons of entire new constructmn Front ~ ... Rear .~m_=_~. ..... Depth ~ ..... Hmght . Number of Stories ........ 9. Slzeoflot Front ~ ..... Rear .aq-.):...5-'~..i.il i.'i'~);;t~'ijg'ii"i.'. '. 10. Date of Purchase ,~,~-~ .//e777 Name fFormerOwner,_~:e~/.d¥./~.~ ...... 11 Zone or use district ~n which premmes are situated j~7/ ..................... 12 Does proposed constructjpn violate any zomng law, ordinance or regulatmn ............. 13. Will lot be regraded /)t~ ........... Will excess fill be removed from premises Yes 14 Name of Owner of premmes~'~.~,~/T'-. ~./,4:1,~1(2 Address ~'~. ~'.,.'~/o o p. 772.. .... Phone No..~.Z?':/~£ ~ Name of Architect ............ Address ........... Phone No ........ Name of Contractor ............... Address ........... Phone No ... ;~ .... 15. Is this property located withinl00 feet of a tidal wetland? * Yes ..... No ./:.. · If yes, $outhold Town Trustees Permzt may be required. PLOT DIAGRA~ Locate clearly and dlstmctly all buildings, whether ex~stlng or proposed, a_nd. mdmate ail set-back dnnensions fr, property hnes. Give street and block number or description according to deed, and show street names and ~ndicate whetl interior or corner lot iL!! ,LI .. STATE OF NEWYORK, S S ~ ~ ~ ~[ .0 ....... bem~ ~y sworn, ~poses and says that h~ m th~ apphc: (Name of md,v,dual st~,ng contract) ~.t~?~, ~ t~ ~ ~' ' . · above named He is the ................. (Contractor, agent, corporate officer, etc ) of said owner or owners, and m duly authorized to perform or have performed the said work and to make and file t apphcanon, that all statements contained m this application are true to the best of his knowledge and belief, and that work wdl be performed in the manner set forth m the application filed therewith. Sworn to before me th~s .. /..f,/~ ....... day of....~,~.~.'~4~..~-;.. , 19..~