Loading...
HomeMy WebLinkAbout14930-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAtlTMENT Office of the Building Inspector Town Hall Sou~hold, N.Y. CERTIFICATE OF OCCUPANCY No Z17318 Date SEPT. 19, 1988 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 2440 VILLAGE LANE House No. Street County Tax Map No. 1000 Section 026 Block 0t Subdivision XX Filed Map No. XX ORIENT Hamlet Lot 16.1 Lot No. XX conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 19, 1986 pursuant to which Building Permit No. 14930Z dated JUNE 3~ 1986 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 ALTER EXISTING ONE FAMILY DWELLING. The certificate is issued to PIERRE GAZARIAN (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N853567 FEB. 16~ 1988 PLUMBERS CERTIFICATION DATED KING PLUMBING & HEATING 9/19/88 B6[ldin~ Inspector Rev. 1/81 TC~VN OF Sou'rHOLD 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.o 14~30 Z Permission is hereby granted to: ................ ..... ...~....?..~...~Z ..................................................... ..~.~.....~....¥.,. ...... t.~.~E.? ................. ~ , o, premises ,~a,ed at ...~..~.~.~.......'...~.~..~...~...**..~......~~..* ..................... County Tax Map No. 1000 Section .... ..~...-2m,.~.. ....... Block ..... ..~...~ ........... Lot No ...... L~...'..,.~ ....... pursuant to application dated ....... ~.~.,~.~ .................. , 19.~..~.,-- and approved by the Building Inspector. 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 Instructions A. This application must be filled in Wpewriter OR ink, and submitted m~ to the Building Inspec- tor wlth 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property 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 cede or safeW inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions 825.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling.$25.O0, Accessory I$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .. >/94~-~ ....... l .......... NewC°nstructi°n ...... Old or Pre-existing Building ..... Vacant Land Location of Property House No. Street Ham/et Owner or Owners of Property .... County Tax Map No, 1000 Section,-~. ...... · "',..~ Block~, .... ,.,,.,, Lot. : ...... ., .. . Subdivision ................................./~ Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .... Applicant ~ ~t~'l Health Dept Approval Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Cer~:ificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building andjd'~rmit meets all app~,~b e codes and regulations Applicant. .. dO THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000~"~ BUREAU OF ELECTRICITY onJy the electr[~at ~uipm~t ~ ~scrjbed be~ ~o~ int~du~ed b~ t~...p~cant ~ on t~ above a~ic~t~n ~r in~ premises of in the following location; ~ Bmsement ~ Ist FI. ~ 2ud FI. 3rd., floor se~t~,,, m,~ £o, ~,..e~.,,~iae~oa February 11~ 1988 .ndJoundtobelnco.,pli.ncew~ththereqt re,nentsqfthisBoard. 20 51 30 20 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS EXHAUST FANS DIMMERS SERVICE DISCONNECT S E R V -- OF CC. COND 2/o °'~."A'~oom 'heaters = 4-1. o 5kw. ~ 18- ~.. 0k~., 3-. 65~., 3-Smoke detectors i c A W O. ), OF NEUTRALS A. w o NO OF HI-L~O OF HI-LEG OF NEUTRAL 1 Arthur Ruroede Main Road Orient, NY 11957 Li~2334E. This certificate must not be altered in any manner; return to the office of the Board if incorrect. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE GENERAL MANAGER may be i~entifled by their credentials. I'ERED IN ANY MANNER,, TOWN OF $OUTHOLD OFFICE O1~ BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. (please print) ~ (p~ease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s s~nature) Sworn to before me this [ ~ day of Notary Public, County Notary Public 4707878 Suffolk FIELD INS[~ECTION 1. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR . P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 December ]7, ]987 Pierre Gazarian P.O. Box 5 Orient, N.Y. 11957 Dear Mr. Gazarian: In reply to your letter of December 9, 1987 please be advised.that your B. P. #14903Z has been extended for 6 months. The new expiration date is June 3, 1988. If the work is not completed by this time a new permit will be required. VGL:hdv Y o~u r s truly, VICTOR G. LESSARD Exec. Admin. December 9, 1987 Mr. Victor Lessard Executive Administrator Southold Building Department P.O. Box 1179 Southold, N.Y. 11971 Dear Mr. Lessard: I would greatly appreciate your extending building permit #14930Z to June 3, 1988. This permit is for work in progress at my house: 2440 Village Lane, Orient. Thank you for your kind attention to this matter. PG/rm rely your,~, Pierre Gazarian P.O. Box 5 Orient, N.Y. 11957 7r, S4.o, BUILDING DEPT. INSPECTION FOUNDATION 1ST ~- ] ROUGH PLBG, FOUNDATION 2ND [ ] INS~tLATION [~FINAL DATE INSPECTOR J~ ,~ TWO REQUIRED I~;IEP CONCRETE FRA~ING & PLUMBING CONSTRUCTION MUST NO' OR o ~E FOR SHALL MEET & ENERGY ',ESPONSIBLE FOR INSTRUCTION ERRORS, h E 0 0 FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . .~..~...~....., 19 approved...~ ~-~'Y{4....5..,' 19~. ./o. Permit No.) ~ .~...~., .'~-'.. Disapproved a/c ..................................... application No .................. (Building Inspector) APPLICATION FOR BUILDING PERM IT Date .................. , 19... INSTRUCTIONS a. This 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 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,/~nd regulations, and to admit authorized inspectors on premises and in building for necessary inspectio!~. (Signature of appl~??~ a.c .orporat?~) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... pI~RRE..GAZAR~ANT-.-QW~E~ ........................................................... Name of owner of premises ..... ~ .I.E.R.R.E...GA~ A..R .IAN' ................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No../..0.~. .................... Plumber's License No.. ( .O. ?.?. 7..~. ........... Electrician's License No...~..~. ??..~. 5 ......... Other Trade's License No..(?.~ ................. 1. Location of land on which proposed work will be done .................................................. 2440 VILLAGE LANE ORIENT House Number Street Hamlet County Tax Map No. 1000 Section ....... 2..6 ......... Block ..... 1 ............. Lot...~.6.:.1 ............ 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 ...... 0~IE..F.. g~I.~.I~. 1). b. Intended use and occupancy SAME WITH ALTERATIONS '~",':" ~:' 3)i ~ature o~'~work (check which applicable) New Building Addition .. Alteration X X ~ ll~epmr ............ Removal Demolmon . Other Work ..... : ....... 4(~g][t~ated ........................ ........................... Cost.. ~ ~.~ ~.'.:'~:~ ~ -~ ~ ~ ~ (to be prod on fihng thru applicatmn) ~I~well~/n~ffib~r ¢ ~ ~willing [unit s ............... Number of dwelling units on each floor ................ If garage number of cars i 6. If business, commercial or mixed occupancy, specify natur~ and extent of each type of use ........ 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... tteight ............... Number of Stories ........................................................ I)~ i f tm "th alt t' add' ' F Rea ens ons o same s cture wi era lOllS or ltlonsl ront ................. r .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... tteight ............... Number of Stories ........................................................ Size of lot: Front ' Rear Depth Date of Purchase .......... q .................. Nmne of Fomer Owner ............................. Zone or use district in which pr~mises are situated .................................................. Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded ...... .~ ~ ............... ,.., Will excass fill be re¢oved from premises Yes No NameofOwnerof remises fl'~~ ~Z~I~- ~ ~ ~o~ ~ ~nu~,~-, Sl~-7'zSTT~ P . · ............. ~dd ........... t ,,,~,~ ~o ............. Nme of Architect .......... ' ................. Address ................... Phone No ................ Nme of Contractor .. ~ ~..~¢ ~. ff~{ ~ q ~(.. Address . .q~{~e.. X~ ~.. Phone No. U¢ r. $ 72. ~.~ ~.. 10. 11. 12. 13. t4. PLOT DIAGRAM Locate clearly and distinctly all: buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. SEE PLANS STATE OF NEW YORK, COUNTY OF ......... !S.S ............................. , .................... being duly sworn, depose~ and says that he is the applicant (Name of individual signing contract) above named. He is the ................................................................ (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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne? set forth in the application filed therewith. Sworn to before me this ........... ~ ...... , .....day of .... $otaryPubl:c, .I. ~ :~ ~.Jdp¢~-- 7~A-~ .' ~..~,~7 .J~... ........... ~. ........