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Home My WebLink About15228-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No .... Z.-.1.52.8.9. ..... Date . . y.e. br..u.ar.y...1.97 1987 THIS CERTIFIES that the budding ...A 1.t~ e..r..a.t..t .a.e.h.e..d. ?.a.r..a.g.e....i.n.t.o...d.e.n. ........ 2240 Marlene Drive llattituck, New York Location of Property House Bo ............... ~/e~/ .................... ~r~/¢~ County Tax Map No 1000 Section 144 .Block 02 .Lot 29 Subdivision ................. Filed Map No ...... Lot No ........... conforms substantially to the Apphcat,on for Bmldtng Permit heretofore filed in tins office dated August 12, 1986 pursuant to which Bmld~ng Permit No. 15228 Z dated .. S.e p t e m.b e r...3.,. ! 9.86 . , was ~ssued, and conforms to all of the reqmrements of the apphcable provisions of the law The occupancy for which tins certfficate ~s msued is ....... ALTER ATTACHED GARAGE INTO DEN JOSEPH & BARBARA FUSARO The certificate ~s issued to ' ' ?o~,er,/K~~ii ............. of the aforesaid budding. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO .... N/A N791709 PLUMBERS CERTIFICATION DATED: Rev 1/81 N/A Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PEP~AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15228 Z Permission is hereby gronted to' · ....'~.~..~....~4 :.. ~.~ ~.'~.~ .... ~t ~mi,s Io¢o~ed o, ..~.a~.O..~.~...~.~...~ ................. Budding Inspector .~ "~ ., 19"~/~ and approved by the Fee $ ~.~)' ~ Building Inspector Rev. 6/30./80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY JAN 3 0 Iq87 Instructions This apphcatlon must be filled in typewriter OR ink, and submitted I I to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topograph m featu res. 2. F~nal 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. Commercmi buildings, Industrial buddings, Multiple Residences and similar buildings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed rote plan requirements where apphcable. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-exmtmg" land uses: 1. Accurate survey of p~operty showing all property hnes, streets, buddings and unusual natural or topographic 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 informa- tion required to prepare a certificate. C. Fees' 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certffmate of occupancy $ 5.00, over 5 years $10,00 4.Vacant Land C.O. $ 20.00 5.Upc].ated C.C. $ 50.00 Date ....................... NewConstruction ...... Old or Pre-exmtmg Building ~ ........ Vacant Land ............. .. .... ..... ' l' S, e, Location of Property House IVo Owner or Owners of P ropert~-"~.O.~.~Lf4- .'Iv..~.'.'.'.'.'.'.'.~cz ~ .~----~.~. m .......................... County Tax Map No. 1000 Sect,on .... ./.~..~, ...... Block ..... .~..~. ..... Lot.. ~.. ~. ......... Subd~wmon .................... Fded Map No .......... Lot No .......... Perm,t No. /~.~.~.. Date of Permit .¢~.~/~.~.:2 .Apphcant':~'~p~ ~. ~c~,-~'~_. ,~..~q.,./~, .......... Health Dept. Approval ...................... Labor Dept Approval ........................ U nderwriters Approval ..................... Planmng Board Approval ..................... Request for Temporary Certificate ................. Finat Certificate ....................... Fee Submitted $ ................... Construction on above described budding and permit meets a!~ appP~cable codes and regulations Rev 10 10-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y, 11971 TEL. 765-I 802 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/not on flle.) /~/ 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. Building Permit ~ / ~- ~ ~ ~ Z ~u%~r- Building Dept. ***/~/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FIELD INSFECTION DATE COMMENTS FOUNDATION { lst} FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION FERN. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: Ill it 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] FOUNDATION 2ND FRAMING REMARKS: ROUGH PLBG. INSULATION [ ] FINAL DATE ~///~ INSPECTOR~ UIIllllflllllltllilh IUIIIIIIltlIIIIItlttIIIIIIIIIIIUIIUI ~lllllllitllltlllllllllJlllllltlllUiII llllltllllllllJlll|illlllJlltiltill|lti,di,lllllJllllll FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c Recexved ........... ,19.. (Bmld~ng Inspector) APPLICATION FOR BUILDING PERMIT Date .~>44~ ., 19.~. INSTRUCTIONS a Ttus application must be completely filled in by typewriter or in ink and submitted to the Budding Inspector, wxth sets of plans, accurate plot plan to scale Fee accordmg to schedule b. Plot plan showmg tocatmn of lot and of bmldmgs on premises, relatmnship to adjomlng premmes or pubhc stree or areas, and giving a detailed description of layout of property must be drawn on the diagram whach is part of thru app · cation. c. The work covered by flus apphcatlon may not be commenced before issuance of Building Permat d Upon approval of this application, the Building Inspector will issued a Bmldmg Permit to the applicant Such perm shall be kept on the premises available for mspectxon throughout the work e. No bufldmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Bufldmg Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances, Regulahons, for the construction of buddings, add~hons or alterations, or for removal or demolition, as hereto describe The applicant agrees to comply with all apphcable laws, ordinances, bufldmg code, housing code, and regulatmns, and admit authonzed mspectors on premlses and m bmldmg for necessary~~ y~t~-%'-... .. //(Glgnatffre of applicant, or name, if a corporation) '- .................. .... tt.7 .z .......... · (mailing addresgof applicant) State whether applicant is owne.,r, lessee, agent, architect, en~neer, general contractor, electrician, plumber or bmlde · er-' ...... Name ofownerofpremlses'-~--~ei0[ ~,.~-'-O~fl/ ) ~'~~~- ~r-X3..~0,~.' ..... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer 2 (Name and title of corporate officer) Builder's License No Plumber's License No. .. Electrician's License No Other Trade's License No. Location of land on which proposed work will be done House Number Street County Tax Map No I000 Section ~Tr~. ~o Block Hamlet Subdivision . Filed Map No ... Lot .... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy ~ (~Co~.. ................. b Intended use and occupancy .'~xl ... ~..~ .l~t~~t~' ' ' ~ .. ' 3. Nature of work (check which applicable)' New Building ...... Addition ...... Alteration t/... . Repmr ......... Removal ......... Demolition ......... Other Work ......... ',~, (Description} 4. EstnnatedCost. . . ,O~. .................. Fee ...... iA. ......................... (to be paid on Filing this application) 5. If dwelling, number of dwelhng units ............ Number of dwelhng units 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 Dm~enmons of existing structures, if any Front ........ Rear ............. Depth ............. Height ........... Number of Stones Dmmnmons of same structure with alterations or additions Front .............. Rear ............... Depth ............... Height ................ Number of Stones ................ 8. Dunenmons of entire new construction. Front .......... Rear ............ Depth ............ Height ......... Number of Stones ........................................... 9. Size of lot Front .......... Rear .................. D,epth ................. 10 Date of Purchase ~-~i~'..~...{.t~>~, . . . Name of Former Owner ~3,2--~e:~ .lb. 11 Zone or use district in wluch premises are situated ....................................... 12. Does proposed construction violate any zonmg law, ordinance or regulation: (~O ..... I3 Will lot be regraded ['/~ ............... Will excess f'fll be removed from premises Yes 14 Name of Owner ofpremme~i-~'-~l~ .k-,~v~a.a) .... Address/A-e~zc~X.~..~fflel~,lt~*f. Phone Name of Architect ............. Address ............ Phone No ....... Name of Contractor ................. Address ................. Phone No ......... 15. Is thzs property located w~th~nl00 feet of a tidal wetland? * Yes ..... No ~... · If yes, Southold Town Trustees Permit may be required. PLOT D~AGRA~ Locate clearly and distmctly all bufldmgs, whether existing or proposed, and. indicate all set-back dimensions ftc property hnes Give street and block number or descnphon according to deed, and show street names and indicate whetb interior or corner lot. STATE OF NLW,.CYORK, COUNTY OF. "~,a-k;4~,,,t~ .... S S (Name of mdiwdual running contract) above named ·. bmng duly sworn, deposes and says that he is the apphca: He is the ................................................................................ (Contractor, agent, corporate officer, etc.) of smd owner or owners, and ~s duly authorized to perform or have performed the said work and to make and file apphcatmn, that all statements contained m this apphcahon are true to the best of his knowledge and belief, and that ti work wdl be performed ~n the manner set forth m the apphcahon filed therewith Sworn to before me tins ......... ihqA'~ ...dayof. ~°~'3. ....... 19~. Notary Pubhc, . ..... .~ ~,.~.x.~ ...... County (Signature of apphca~