The URL can be used to link to this page

Home My WebLink About15341-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15380 Date March 18, 1987 THIS CERTIFIES that the building . .A.d.d.i..t .i.o.n. ..................................... Location of Property 1315 South Harbor Road Southold House No. Street Hamlet County Tax Map No. 1000 Section ... 0..7.5 ...... Block ,..0. 4. .......... Lot. 0 8 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... S.e.p.t....2..5.,..1.9..8~6 ~ pursuant to which Building Permit No. . ! .5.3.t~. l. z. ............. dated .. S..ep.t.....2.7.,.. ! .9.8.6. .......... 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 ......... The certificate is issued to CHARLES AND GLORIA RETTIG ..................... io~,n'o;, '/~'~' gr~f~s'ff~ ..................... of the aforesaid building. Suffolk County Department of Health Approval .......... .N/.A. ............................ UNDERWRITERS CERTIFICATE NO ......... N 7 8 7 4 3 0 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDiHG P E RJ'.~ I T (THIS PEI:~MiT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Z Permission i$ hereby gronted~ ......... County Vax Map No. 1000 Section ..... .~.....'~....~'. ....... Block .... ..~...~. .......... Lot No ..... .~....~. ............ pursuant ,o applicotion dat~ .... ~~...~.r. ....... , 19~.~, ond approv~ by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Haft Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Jnstruotions A. This application must be filled in typewriter OR ink, and submitted ~a JJJJ~J~ to the Building Inspec- tor with the following; for new buiJdings 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 dJsposal-(S-9 form or equal). 3. Approval of electrical installation -[rom 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 iprior to April lg57), Non*conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all proper'tV 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. Fees: 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 CoO. $5.00 5. Updated C.O, $15.00 $15.00 Date .......................... NewConstruc tion Old or Pre-existing Building Vacant Land Location of Property . .],3,],5. .............. 'S,o, qtj] ,H.a.*;b, gz; .B,o.a,q ............... S, qqt;hq],ci, ....... Hou~. No, Street Hamle~ Owner or Owners of Property ...... qh~],~s..q~4 .q[g~.q .~,e.t;~.&§ ............................. County lax Map No. 1000 Section ~ ~. ........... Block ,, .~ ........... Lot ............. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~534;Lz Date of Permit 9,/2,7/86 Applicant Charles ~. [etti~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. ................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BS JOHN STREET. NEW YORK, NEW YORKr 10038 787430 in the following location; ~ Basement ~ l~t FI. ~ 2nd FI. Section Bilk Lot ~s examined on and found to be in co. plianee u' th the requirements ~f this Board. ~cc~ber 29, FIXTURE ~ T~ ! ~C FIXTURES RANGES C~KING DECKS OVENS DISH WASHERS EXHAUST FAN~ ~l~c:r~c room h~:era ~ 1-2.5kw. ~ ~-i. Okw., ~teve'~ ~lecgric, Inc. P.O. ~ox 1268 ~RAL MANAGER This ce~ificote must not be oltered in ony ~onner; return to t~e office of the Boord if incorrect. Inspectors mo~ be identified b~ their credenfi.is. COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY /v~NNER. FIELD ~NS~TION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION XST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL DATE /O/~////~ INSPECTOR 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING _.//~ ] FINAL REMARKS: 15~F-EL 7". ~ us~ ~s U~U~W~UL W~Hogl' GERIJFJGATE OF OgGU?ANO¥ 24,9 ~ NOTIFY BUILDING DEPARTMF=NT AT 785. t802 9 AM TO 4 ~ ~R THE FOLLOWinG NSPECTIONS: FO~NDAT~O~ ~0 REQ~RED 4, F~NAL CONSTRUCTION MUST ~IGN OR CCy~S~UC~ON t/ 3¢¢" P, ~, FOoF/A/~ X8 Box x~ ~/4" PL V v./eoO J FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... ~ctor) APPLICATION FOR BUILDING PERMIT Date. ........ INSTRUCTIONS a. Th~s 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 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 ~ 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 detnolltion, 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 in~pec4~s, t~. ~ "~:~g'n]i~ie ~f applican' '- -' ~-' ~' ~r name, if a corp, oration) . ..... State whether ap~plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises..~,--~.~... ~?~ .(~ 'o'n' ;t~e' t'a'x' ;o'li ;; i~t~;t' ~;~c~) ......................... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~.~..~ (,~.~-~...~.~., ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done .... [~'~..~..~.....~.{5...x~..~....~..~.~.~..~..C.. ,.~.~ .... x. ........... .-6,. . . . . .......................................... House Number Street Hamlet County Tax Map NO, 1000 Section ...... .~.2~"' ..... Block ...... ~.~f ........ Lot ..... .~..~. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use anfl occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and o~cupancy .... .~. O...~...'T~..O.~ ..... ~.~., .~." :1. .%'. ................................. b. Intended use and occupancy .................................................................... . 3. Nature of work (check whic applicable): New Building .......... Addition . ' .... Alteration .. j ......... Repair .............. Removal .............. Demolition .. ~ ...... i' ' ' Other Work ....... ........ ~'~ [ .~ (Description) 4 .... t~ ............... Fee~. · ~. ·~· ............................ Estimated Cost .C~)C).~. ,. G).O. ~Y~ tS~-/ . . / (to be ~aid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dweiling unifs on each floor ................ If garage, number of cars ..... ~.,~,~. .............................. ! ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use . .~.Or~:~, .~...,, ...... 7. Dimensions of existing structures, if any Front ............. Rear ............... Depth . .°c.(~ .~,i).(~ .... Height . .~. ......... Number of Stories .. ~) ~,X~, ................... l ............................ Dimensions of same structure with alterations or additions: F~ont ............ ii .....Rear..J..{o X ) .1~ ........ Depth ...................... Height ...................... Number of.~Stories..O, tl,~ ............. 8. Dimensions o~entire new construction: Front ............... Rear. 1.~.~ .I.[~ ...... Depth .. Height . .~,.'1~ ....... Number of Stories...QD-.4~ ........ J . . ' '" ..... 9. Sizeoflot Front .~..~.. Rea'r'_..~ i ...... ~)~it~ .... 10 Date of P hase Name of Former Owner 11. Zone or use district in which premises are situated ......................... [ ............................ 12. Does proposed construction violate any zonin~ law, ordinance or regulation' 13. Will lot be regraded . .~.O... '1" '~" .t~..~ ...... Will excess°fill be r;n~;~ ~o~ ;'r;~'i~e'sl ..... 14. Name of Owner of premises O__~-¥~.. ~,.o~..~.. Address ............... [ .... Phone No ............ . .... Name of Architect . .'~. ~*~. ......... .~. Address ~$. ~O.-~,[\ ~.. Phone No..(~[~,.~.~.O~... Name of Contractor ........ 2 ................. Address ............... }... Phone No ........... 15. Is this property located within 1.00 feet of a tidal wetland? * ~es ..... No ~''.~.~ · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and sho, street names and indicate whether interior or corner lot. STATE' OF NEW YORK, o o COUNTY!TY F . . .F-Z:. a'° .... ,~. · .~ ......................... being duly sworn, dep0ses and says that he is the applicant (~ .(Name of ~ndividual signing contract) , above named. He is the ............................................ i ............................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the slaid ~[~n'~d tg;~hake and file this application; that all statements contaiaed in this application are true to the best of hi ~ 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 Notary Pubhc, : (~ ..c~. ..... Coun t~4 I WOI_MAN I~:ED I~, ~-£OIV T ~-LEVI~TtolV