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HomeMy WebLinkAbout15507-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y Certificate Of Occupancy NO .~:[~39 .... THIS CERTIFIES that the budding Location of Property 1725 Hobart House No County Tax Map No 1000 Section 064 Block 02 Subdivision .M/.o. Foun.d.er.s .E.s.ta.t.e.s ........ Fried Map No. Date . . S.e.p.tem. b. er. 8.,.. j98.7. . . INGROUND SWIMMING POOL & FENCE & 45 Landon Ave. Southold, New York ...... 'Steer ................. Hamle~ 14 · .Lot ............. 834 LotNo. 19 & 20 conforms substantially to the Apphcahon for Building Permit heretofore fried in tins office dated November 14, 1986 15507 Z .......... pnrsuant to winch Bmld~ng Permit No ................ dated . . .N o v.e.m.b.e.r. ! 8 ,. I 986 was ~ssued, and conforms to all of the requirement s of the applicable prowmons of the law The occupancy for winch tlus certificate Is issued is ......... INGROUND SWIMMING POOL & FENCE Thecert~flcate~s~ssuedto JOSEPH & LINDA FISCHETTI ..... ?owne;, ~¥;~i$,l~;f,~f ........... of the aforesmd building. Suffolk County Department of Health Approval . .N / A ................ UNDERWRITERS CERTIFICATE NO ............... ~ 7 8.6.9 5. .9 .................... PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev 1/'81 ~o~ NO. ~ TOWN O~ $OUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COA4PLETION OF THE WORK AUTHORIZED) N~ 15507~ Z Permission is hereby granted.,.~t~: .... .?.~.~......~~.. ,~. ..~-..~. ................ .... V.... at prem.ses located at/..'~..~...~.....~.e...~......~...~...~..".¢~..~..~.:....~..~~ t County Tax Map ~o 1000 Sect,on ..(~L~...~.... Block ...... ..~.....~.. ..... Lot No .../...~... ......... pursuant to application dated . .J~.~~.. /~...., 19.~..~*., and approved by the Budding Inspector. 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 A. Th~s application must be hlled ~n typew,ter OR ~nk, and submitted i~ to the Building Inspec- tor w~th the following; for new buddings or new use: 1. Final survey of property w~th accurate location of ali buddings, property lines, streets, and unusual natural or topographic features. 2. F~nal approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrmal ~nstaHat~on from Board of F~re Underw,ters. 4. Commercial buddings, Indust,al buddings, Mulup[e Remdences and similar buildings and mstalla- tions, a cert~hcate of Code comphance from the Architect or Engineer responmble for the building. 5. Submit Planning Board approval of completed s~te plan requirements where apphcable B. For existing buddings (prior to Aprd 1957}, Non-conforming uses, or buddings and "pre-existing" land uses 1. Accurate survey of p~operty showing all property hnes, streets, buddings and unusual natural or topographic featu res. 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 informa- tion required to prepare a certlhcate C. Fees Additions $25 00 1. Certlf~cate of occupancy New Dwelling $25.00, Accessory ,$[0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelhng $ 50.00 3 Copy of cert~ficate of occupancy $ 5 00, over 5 years $],0.0.0 4.Vacant Land C.O. $ 2o.oo Date .................. 5.Update~;~ C.O. $ 50.00 NewConstt'~ct'[on ...... Old or Pre-ex~stmg Budding ......... Vacant Land ...... s'ov Id ..... Locat,on of Property .~7.~..~-. ../..~. ~.~...~'..~.... /'~)...~...~. ................................. House No Street Owner or Owners of Property .................................................... County Tax M,p No 1000Sect,on ...~)..~.."~J' ..... Block .... ]~. ...... Lot ..... ~..~. ....... Subd,v,s,on . . .~O~.m. ~ ~"3~l'~'E$ F,leO Map No. .Lot No. Permit No .......... Date of Permit ......... Apphcant ................................ Health Dept. Approval ................. Labor Dept. Approval .................. Underwriters Approval ..................... Planmng Board Approval ...................... Request for Temporary Certificate ........... F~nal Certificate Constructmn on above described budding and I Apphcant ......... Rev 10 10-78 Co % dtlllilhdhdllliUlllltilfltlilLII UllUIIlllllllllll~fllllllllltlUIIPil I,ll,til,,,littll,lllllillll~t L't,l~lllUlitltlllilllflUllitUl* 0 0 NJ 64'05'00¢' ~. 19 o / /,,.'.. LANDON G1 ~/AONI LI h%E ,~-1 T '~UFF CO TAX /AA~ }~0 ~ OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE AL COMMFNTS: 76~-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 'IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~.~IJLATION E] FRAMITG [~ REMARKS. ~ ~ DATE INSPECTOR~ HOBART F~OAD SOUTHOLD, NEW YORK 11971 516-765-295~ 765-1802 BUILDING DEPT. INSPECTION FRAMING FOUNDATION 1ST FOUNDATION 2ND REMARKS: ROUGH PLBG. INSULATION [~FINAL INSPECTOR ,~~ Examined /k)~M~ I 8 , 195~ Approved 33 ~-~w,..(~%,. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL.: 765-1802 ./I~ , 198io Permit No ? ~-~O? ~ NOV I 4 /~ecezved .......... ,19. Disapproved a/c (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date //- ,,? ..... 195 INSTRUCTIONS a Tins apphcahon must be completely filled in by typewriter or in ink and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bafldmgs on premises, relationship to adjoining premises or public stmc or areas, and giving a detmled descnphon of layout of property must be drawn on the diagram which is part of tins app cation. c. The work covered by tln~tpphcatlon may ~ot be commenced before issuance of Building Permit d Upon approval of this j/~at~kl~e Bc~lg Inspector wall issued a Building Peq~t to the apphcant Such pern- shall be kept on the premts jlatl~'~o~ll~r~n"[l~'~a*throughout the work e. No budding shalk{ ,~ccu&2~l~l~ ht/~[Mi}~whole or m part for any purpolel~l~nhl a Certificate of Occupan, shall have been grante~l~ ~e ~t~i~g ~l[~l~'?or Building Zone~t'~lt~c_~ ~Ie~Tl~l~fJ~'~hold, Suffolk County~~a other applicable Laws~ Ordinances, Regulatlons~l~N~t~e,co~ tc_ts~o~, additions or alteration~j~moval or demolition, as hereto describe, The apphca]~.r~9~ :~i~'~'~-h~able laws, ordinances, budding code, housl' ' ..,r- ' ' ng code, and regulations, and admit authonze~j~Z~ ~l~p~,~ knd in budding for necessary inspections ,.,,%,,0- . ................. '~'~'~ '~O~ (Signature of apphcant, or name, if a corporation) (Mathng address of applicant) State whether applicant lS owner, lessee, agent, azcintect, engineer, general contractor, electrician, plumber or bmldm .~.~ Name of owner of premises If apphcant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No Plumber's License No Electnman's L~cense No . /./P ./ Other Trade's License No ..... 1. Location of land on which proposed work wall be done House Number (as on the tax Street ~C ~¢~ ~ Hamlet County Tax Map No 1000 Section Block. 2 Subdivision .. Filed Map No ..... Lot .. (Nan~e) State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy d~2~.. . .~..~'~'. / ,.~ .,Z~.~¢ ........... b. Intended use and occupancy ~,"2~'.' '~"'~"~r"~' ' ~V ~ ,'~ *o ,'_~ .. ~ .... .............. a~,m',.'l ~ ~FJ zL. 3. Nature of work (check wluch applicable). New Building ....... Addition ........ Alteration ...... Repaxt ..... Removal ......... Demoht~on .... ~. Other Work ./f',~..4../'~/; 4 Est~nated Cost . ~../f.O >" Fee '~ (to be pa, d on fihng this application) 5 If dwelling, number of dwelhng units ........... Number of dwelhng umts on each floor ........... If garage, number of cars ......................................................... 6. If busxness, commercial or maxed occupancy, specLfy nature and extent of each type of use ? Danenslons of existing structures, ff any. Front .......... Rear ............ Depth ............ Height .......... Number of Stones.. D~mensxons of same structure with alterations or addxtlons Front ......... Rear ............... Depth ............ Height .............. Number of Stones.. 8. Dnnenslons of enttre new construction Front ......... Rear ........... Depth .......... He,ght .. Number ef Stones ............................... 9 Saze of lot' Front /~9, ~ ........ Rear .... .'7..~..q ..... Depth . 10. Date of Purchase ................ Name of Former Owner ..................... 11 Zone or use d~stnct in which premises are s~tuated 12 Does proposed construction molate any zoning law, ordinance or regulation .../~ ~ .................. 13. Will lot be regraded ... ~/%q ........... Will excess fill be removed from premises: ~ ~ i 14. Name of Owner of premlses ,,T~r,~* .,~z.~,~'( . Address f:fq.~z~.~4-~..q , ..,Phone No Name of Arch]tec .............. Ad ess ............. °Phone No .......... Name of Contractor~'z~r~m~. ~.~c-~-4 ...~ ..... Address ~g .~/:.~.4Z.~. ..... Phone No ~.~.z 7't'~P~.. PLOT DIAGRAM Locate clearly and dlstmctly all bmldmgs, whether existing or proposed, and. indicate all set-back dmaenslons fro property lines. Give street and block number or descnphon accordmgdio deed, aand sho~street names and an&cate whetl interior or corner lot ,,~, ~'~, STATE OF NEW YORK~ COUNTY OF. ... S S · . ~.tr-/--g ~ .~ ~. ~dc~,frv-q~ ........ bemg duly sworn, deposes and says that he ~s the apphca (Name of individual signing contract) above named. He is the .... ~-~ t2. ~2.~ ~..~t ~/' .......................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tJ apphcatlon, that all statements contmned m th~s applicatmn are true to the best oflus knowledge and belief, and that t work w~ll be performed m the manner set forth m the apphcahon filed therewith. Sworn to before me this ........... /~ .?..day of .......... .~./© ~ .~'..~..rg..O.,xI9 2.~c: Notary Public, . ~. .... ~.(4 ~ .......... County ................... / J