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HomeMy WebLinkAbout15321-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15974 Date July 22, 1987 THIS CERTIFIES that the buildhlg One Family dwelling with attached garage · 'g ' Ob'o'd ' ~l~'c'l~ ................................. Location of Property 65 Greton Court & 1500 Grand Ave. Mattituck, N.Y. County Tax Map No. 1000 Section .... 1.0.7. ..... Block .. 0..2 ........... Lot ....3... I. 2. ......... Subdivision .~/. 9..g.r.? .t .o.n..E..s.t.s.. ............ Filed Map No. 644 7 .Lot No. I conforms substantially to the Application for Building Permit heretofore filed in this office dated September 18, 1986 . pursuant to which Building Permit No. 1532 ! Z dated.................September 24, ........... 1986 . wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ONE FAMILY DWELLING WITH ATTACHED GARAGE & WOOD DECK AS APPLIED FOR The certificate is issued to JAMES LISANTE & JOSEPH LUKASZEWSKI ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval 86- S O- 12 1 UNDERWRITERS CERTIFICATE NO... Iq 791720 PLUMBERS CERTIFICATION DATED: February 7, 1986 Building Inspector Rev. 1/81 FO~ NO. 11 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~5321 Z Permission is hereby granted to: ~ ~ __ ..... ~.,.L~.~.~~...~..~ ........ ~,.~.~..~..~.J .............................................. · ..~.~&~..~...H..,.....u..~.....~.- ~ . ,o ..~.~...~.....~.~_},~?~.~....~~_ ~ _~_ -,~. ~ .......... o, premises Iocoted at ...~..~...~.....~...../..~......~.~......Ip~J~.~..~.~~ County Tax Map No. 1000 Section ..... ~,..~.~. .......... Block ..... ..C~.;;~. ........ Lot No.....~.,.!....~'... ...... ....(Z~~...)...~. ............. , 19.~...~., and approved by the pursuant to application dated Building Inspector. ~ee ~...~..s.~.:.t'....o... Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 ,~ ~, w~ ~,I 5OUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ 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 pZ~operty showing all property lines, streets, buildings and unusual natural or topographic features. 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: 1. Certificate of occupancy New Dwelling $25.Q0, 'Accessory ,,$t0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certiflcate of occupancy $ 5.'00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $'50.00 Date ............./~./. ~/./. NewCons%ruction...~.. Old or Pre-existing Building ............ Vacant Land ............. Location of Froper~ ............... ~ ............... House No. Street Ham/et Owner or Owners of Property ¢,S.. £L a .u. County Tax Map No. 1000 Section .. ~. ~..~ ....... Block ...(~...~... ....... Lot.. ~ :../..~. ...... Subdivision..~'~.C~-~. ~'... ~.~' .~,~7~.~.,J'. ..... Filed map No...'~' .~..~.~.Lot No... ~. ......... Permit No.Z~.. ~ ,~/?Date of Permit .~.~. ~.~../~'Applicant.. ~..' .~..~/..4~..~...%z~..J~.o..,'?. ~.'... Health Dept. Approval ~ ..... Labor Dept. Approval ........................ Underwriters Approval'~/"-/P}/I/'"'J'q/~].~./~./.~.2,,<U~.:¥f/..Z,~,~.,D...Planning Board Approval ................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and perm. it meets all applicable cDd~s and regulations. App cant " .. ~ ......... Rev. 10-I0-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, 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 is not on file. ~~ /~/- No Underwriters Certificate on file. /~ The check is(outdated/~ot on file.) /? 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 It [ -~ 3 ~ .L- Z ~ J~ ***/~ NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF $0UTfIOLD 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 is not on file. ~~ /Z/- No Underwriters Certificate on file. /_~ The check is(outdated/~ot on file.) /-_~ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for~ your cooperation. ~6~ Building Permit tl _~ j 3 ~ ,I, Z ~ ***/--__O~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 ES .,OHH STREET, ~.,~ ~ ~' ~ ~"~""~"~*~"~"~ ~/~ N 791720 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed below and int~duced by t~ applicant ~med on the above application number in the premises of James Lisante and Joseph L~aszewski, Gr~ Avenue, GretonCo~t, ~ttituck, N.Y. in the following location; ~ Basement ~ Ist Fl. ~ 2nd FI. Section Bilk Lot Jm~uary 28, ~987 FIXTURE L I FIXTURES I RANGES ~C~KING DECKS [ OVEN~ [DISH WASHERS EXHAUST FAN~ DRYRRS I FURNACE MOTORS ~ FUTURE APPLIANCE FEEDERS PECIALRECPT TIMECLOCKS~/ .,~~lu"""~*"~ ~VI%~%~'* _ o,~.s~ 3 F 1 30 SERVI~ DI~ONNECT ~ NO. OF ~ S E R ~ V I C )THER APPARATUS: 2-G.F.CI. 2 Smok~ Deteotor Judy P~sil lo Pat Lane l~attituck, N. Yl1952 Lie923OOE GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR B01LDING DEPARTMENT. THIS COPY OF CERT F CATE MUST NOT I~E ALTERED IN AHY ~AHNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 7fi5-1802 CERTIFICATION Building Permit No./~3 Owner.~ ~, ~J_~_/?_(~_~47 ~-, ~ u (please print) Plumber~D /~/~. ~--~. ____ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber ~ signatu~) Sworn to before me this "7 day of 9_4F7. Notary Public, fff../~'ff~ County Notary Public ~ J No~,' Public',G?a~ o~ t,h~w Vt,, NO. 52.9703725 Suffolk County BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND I' ] INSULATION [ ] FRAMING FINAL REMARKS: 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL REMARKS: ~,~ , INSPECTOR BUILDING DEPT. INSPECTION FOUNDATION IST []ROUGH PLBG. FOUNDATION ZND []INSULATION []FINAL [ ] FRAMING REMARKS:, DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [] ROUGH PLBG. FOUNDATION 2ND £ ]INSULATION FRAMING [ ]FINAL 7GS.1802 BUILDING DEPT. INSPECTION FOUNDATION ~IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ]FRAMING [ ]FINAL DATI=' INSPECTOR ~ ~(~ FIELD INSI~CTION FOUNDATION FOUNDATION (2nd) COMMENTS INSULATION FERN. STATE ENERGY CODE ADDITIONAL COMMENTS: ~I0 I F ( dwelling O. ANRIG 13° 42' IO"E. EASEMENT TO TOWN 191. 00' OF SOUTHOLD 50' .~r~ _, LOT 3 LOT I ( dwelling ) (vacant) 6~ CERTIFIED TO : JAMES LISANTE JOSEPH LUKASZEWSKI Prepared in accordance with the minimum ~tandards for title surveys as estabtished by the LI, A. LS. and approved and adopted for such use by The New York State Land Title Association. >'gCON~ C SURVE¥ORS P. O. BOX '909 MAIN ROAD SOUTHOLD, N,Y. 1971 JOSEPH AT SURVEY FOR JAMES LISANTE LUKASZEWSKI MATTI TUCK TOWN OF' SOUTHOLD SUF'F'OLK COUNTY , N.Y. 000 107 02 03. ~2 SC ALE I" = 50' JUNE 9 , 198 6 OCT. 17, 1986 46.~ LIC. NO. 49668 ENGINEERS , P. C. ELEVATIONS ARE ASSUMED DATUM LOT NUMBERS REFER 1-O"MAP OF GRETON ESTATE~" FILED IN THE SUFFOLK COUNTY CL ERK~S OFFICE SEPT. 20~ 1976 AS MAP NO. 6 447 REFERENCED TO ~llO I F 13° 42'10"E. vacant) The water supply & sewage disposal sy~- tem~ tor this residence will conform to the standards of the Suffolk County Deparl- menl of Hea~th Service~. {, dwelli, ng) O. AN RI G 191. 00' /m~o~ EASEMENT TO TOWN OF SOUTHOLD ~' 50' o LOT 3 LOT ,I ~ (dwelling) CERTIFIED TO : ~ JAMES LISAN TE .,_0o z,'~"~ ~ JOSEP~ LU~ASZEWS~ ~' ~0 ~'~' ~u' .o~- . .......... -...~ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Hx ~ k ~[,,, ~ ~ ~-:~, FO~APP~VAL OF CONSTRUCTION ONLY ~'1~ t~''1:'r,.''' (~~ dAMES LISANTE sc ::~':' o: 60SEPH LUKASZEW~KI SINGLE FAMILY DWELLING O~6Y,,.~. ~,. ~ ~ ~PI~E8 TWO YEA~8 F~O~ DATE O~~Z '~ ~ Prepared in accordance with the mimmum TOW N -- OF' SOU TH 0 L D standards for title surveys as established by the LI.A. LS. and approved and adopted for such use by The New York State Land Title Assoeietien · 16) ~ P. O. BOX 909 MAIN ROAD l ~.Y.S. L~C. ~0 RS 5020 SOUTHOLD , N.Y. SUFFOLK COUNTY , N. Y. I000 - 107 02' - 05.12 SC ALE I" = 50' JUNE 9 , 198 6 NO. 49668 ENGINEERS , P. C. LOT NUMBERS REFER TO"MAP OF GRETON ESTATE~" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE SEPT. 20, 1976 AS MAP NO. 6447 ELEVATIONS ARE REFERENCED ASSUMED DATUM TO . 86 - 320 I0'I 'F DWELLING ONLY NO. O0 WATER DEPARTMENT AND O~ LOT I ~_ n S,T, LOT dwelling ) vacant) 0 CERTIFIED TO : JAMES LISANTE JOSEPH LUKASZEWSKI 46' 18 Prepared in accordance wi;'h s~andards {or titio sui'voy~ ct~ c:k:?ii:i.-:c} by the LI.A.L$. and c~pproved for such use by lhe New York Sta~e Land Title. Association. MAIN ROAD ~ SOUTHOLD, N.~. ~I971 ):~,Y.S. LIC. NO. 49168 '~/2~)S ~ ENGINEERS P. SURVEY FOR JAMES LISANTE JOSEPH LUKASZEWSKI AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY , N. Y. I000 IOZ - 02 05.12 SC ALE I" = 50' JUNE 9 , 198 6 OCT. 17, 1986 DEC. 29, 1986 LOT NUMBERS REFER TO"MAP OF GRETON ESTATE~" FILED IN THE SUFFOLK OFFICE MAP COUNTY CLERK'S SEPT. 20, 1976 AS C. NO. 6 447 ELEVATIONS ARE REFERENCED ASSUMED DATUM TO 8 6 - 320 C Examined .~.~...~.~...1~....~., 19~.~ ~;~ FORM NO. 1 "' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Appr~>ve~. lleo,~..~...~..0t'., 19~..~. Permit No. 1 .~.~.;-~-..~.}...~ Disapproved a/c ..................................... ............................... ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... a. This application must be completely filled in by Wpewriter 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 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 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, Ordinances 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 necessary insl~ctio.~s. / r- ,- ....,, ,,- ..... (Signature-' --of applfcant, or name, if a corporation) ..... ...... .... (Mailing address of appiicarit) State whether '".Pl- , a' ': ,)wner, lassee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .~.~--'.~../.~.C ~.. ~.15 ~. S~... :-t. :. ~?~<~.'..4~ .~ ~ ~ .C~.~ ~. ~ ....... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly~uthorized officer. .............. (Name a6¢title of co,orate officer) · ~nildefs Lic~s~ No ........ /~ .~ ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... ~ct4,q ~ 1. Location of land on which proposed work wil! be done .... .~..C~ .77°..~....,~: ?.:..'. '....~ ...................... House Number Street Hamlet County Tax Map No. 1000 Section ... ~ .O. ~ ......... Block O ~ · Lot. O-'~' / P~- Subdivision ....... fZ(. ~..~. 7~°. .A/.. ~ .3. '7"/] ~'C~3 . . . Filed Map No..~. ~.'~. ~. ..... Lot../. ........... (Name) 2. State existing nse and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~..~..(i' .~../.c.J .~.~.. ............................................... / .e/. ./2. ' b. Intended use and occupancy .. .~..,~..,,~.../. /.t/?. ~.~./. //~.c¢~ (~ ./.~ .... ~'"'/idditi ' ' '~' 3. Nature of work (check which applicable): New Building.......... on.......... Alteration . .... ..~.. Repair Removal Demolition ' Other Work ~ (Description) --. · ~'"'~>~"9/0 o c~ ' 4. Estimated Cost ........... ~ o q Fee ...................... 5. If dwelling, number o f dwelling units ............... Number of dwelhng u~lts 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 ............... Rear ..... i ........ Depth ............... Height Number of Stories Dimensions'of same structure with alterations or additions: Front .......... i ...... Rear .................. Depth ...................... Height ......... ~ · .~. ~ ........Number Of ~.ories .............. ~. ....... "-8. Dimensions of entire new construction: Front f,.o .t:~'... Rear .. ' :a- '7_. / r'" Height .... ~.. ....... Number of Stones ............... ' ..... 9. size of lot: F ont S.o. 7' "' Rear :rr7... . "i' ' i'".. 10. Date of Purchase ......... f~.'. ............... Na~e of Former Owner . 1 1. Zone or use district in which premises are situated ~. .......... i ....................... 12. Does proposed construction violate any zoning law, ordinance or regulation. .~ ~ ~ ......, ................ 13. Will lot be regraded ........ f'. ...... ~, ....... Will e~xce.ss fill be removed from premises: "'~;~'' '(~) 14. Name of Owner of premises ~[f.,~/~'fl.l~T~. .......'~'#/C.~t~d~t~/~'........... .. ...... . Phone No. ............... Name of Architect ................... , ........ Address .............. ..... Phone No ................ NameofContractor ./~...,~.<'/.Z-..47/. ....... P.h.?n~ .?.~.?. 15. Is this property located within/300 feet of a tidal wetla~;'*¥~'; i. . · If yes, Southold Town Trustees Permit maybe required. : PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, ~ndicate all set-back dimensions from property 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 ........... ~.?...~..../'PT. ~..~.... ~.t....~..~..J..Z...~,j~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, et6.) of said owner or owners, and is duly authorized to perform or have performed theisaid work and to make and file this application; that all statements contained in this application are true to the best of Ills 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 ............. f.~.., dayof ..~. ........... ,19.~.~ ~~~7 , pplicant) OC.c~IPANCY OR' 'USE IS UNLAWFUL 'WITHOUT CERTIFICATE ~ OF OCCUPANCY ,: t~ ~'~',~? ~ . ' ~PRovED AS ~T~ . ,, ,- ,'_. , , ~ 765.1802 9 AM, TO 4L PM .'=OR THE F~ POURED CON~ETE 2 ROUGH FRA~INEi · PLUMBING ~y, ,~,~:~C' ,,~ :.. , ] 3. INSULATION 4. RNAL. CONSTRUCT~N MUS~ ~ ~ ' r~ ' ', .' ' ~ BE COMPLETE FOR C.O. ~LL ME~ '- A~ CONSTRUCTION ~HE REQUIREMENTS O~ THE NY ~ '"' ~-" I ~A~ CONS~U~TION & EN~GY. ~D~, NOT ~NS~LE ~R ~ ~IGN OR CG~S~ON ER~RS, tnltM~n CERTIFICA T/ON gj~TiRCAI.,EA~ ~_ ENT sEFORE SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 e~ tg~ LEAD.