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Home My WebLink About14991-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16080 Date August 19, 1987 THIS CERTIFIES that the buildh~g .. ~.E.T.E. ~.A.T.! 0..N..T.q..E .X.I.8. T. ,I N.C.. 0. ~.E. ?.4 .H.I.L.Y.. p ~.~.L. L I N G L~.~+i~n~¢p~+,, 75 Wild Cherry Way Southold, New York House No. Street Hamlet County Tax ~ap No. 1000 Sectio~ ...0. 5. .2 ...... Bloc~ .... 0. 3. ......... ]Lot .... 0. 2, ,7 .......... Subdivision ............................... Filed ~ap No ......... ]Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated J u n e 6, 1986 pursuant to which Building Permit No ....... Z ...................... 14991 ............... dated ....,..........June 17, 1986.. ........ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wltich this certificate is issued is ......... CONVERT GARAGE TO BEDROOM ON EXISTING ONE FAMILY DWELLING ALFRED CAIOLA The certificate is issued to ..................... jo~n.e.r,.l~,d~Xt~i~.~Xx ................... of the aforesaid building. Suffolk County Department of Health Approval N /A N796044 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 FO~M NO. B TO~N OF SOU'I~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER/vIIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereb~ gronted to: .... ........ .......... .............. .C~..~.~.c,..t...~.,.....~.., ........ ~..1.~.~-~ ,o ...... ~.~.~,~.~..~.-~..........~. ,~,~..~........-~..~.......~.~.,~r~ ................. .......... · .~.~...~' ....... ....~..~........~....~-,~z-~-'~......C~ ~;.~..~ .................................... ot premises ,ocoted ot .....q...~......~..~.~.~.D....~..--LI~*'~.~_.~..~..~.~%~..~.. ....................... ......................................................................................................... .,=~-~.T.~.o. ~.~..r .~ .~....~6 County Tax Mop No, 1000 Section ....t~...~'"~....~... Block ..,.~.,-~ ........ Lot No..~ ............... ~ pursuant to ~ppJicotion doted ..... ~.~ .........~ ................... , 19 ond opp~ov~ by the Building Inspector. Building Inspector Rev, 6/30/60 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~a,a,~a~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,Su bm it 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: 1. Accurate survey of property 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 $25.00 -- BUSINESS $50.00 ACCESSORY $I0.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ...... Old or Pre-existing Building . ~ ....... Vacant Land ............. Location of Property...Z .~"'... , , .~.,, 'g~ 'C ~,~ .~_V,~.y House No. ' ' Owner or Owners of Property ...D.~/..~./..~.~C~ !..d q~4~.~..ol~. ................. County Tax Map No. 1000 Section .. t~).~'"~, ...... Block ...~. ~. ........ Lot.. ~..~2 ...... Subdiv s on ............................. Filed Map No ........... Lot No .............. Permit No, ~ .~. ~.~· ~. .~.. Date of Permit¢ ./.~- ~./~,~..Applicant ..... .~], .~. ~..~.. ,~..~X..~. .......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ~ z~ ?.~O..~..~..~'.. ............... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ................. Fee Submitted $ ..... b ' '~' Construction on a ore described bud mg and able codes and regulations Rev. 10-10-7a FIELD INSPECTION · DATE COMMENTS 1. FOUNDATION ( 1 s t) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING STATE ENERQ~ C,ODE ADDITIONAL COMMENTS: ~JosE1~I '~. CO'NELl_ CON s T~ UC TION Co~ ~ ~ s~o~oc~uE" THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~v~[ch 0~, 1~' 85 JOHN STREET. NEW YORK. NEW4~l~.~t~38 ..,. ,,,.,,i,.tio. No. on/,, N 796044 ' THIS CERTIFIES THAT Only the electr~ 4~u~i~r~qntjo~ ~d~scr~v~ ~elp~v and introduced b.~.lh~ apl~llcant n~med on the above oppllcatlon number in the premises of ~eu~a~.o~a~ ~z~a ~nerr~' ~.ane o£:~ Bayoerry ha~ Southo]:d~ NY X in the followlng location; [] Basement [] Ist Fl. [] 2nd FL Section Block Lot titus examined on [l ~.t) rtt~y 'Z~J ~ .].~ ~ and found to be in contpliance ~'it h the reqttirement s ,~f this Board. FIXTURE FIXTURES RANGES :OOKINGDECKS OVENS DISH WASHERS EXHAUST FANS 8 1 DRYERS FUTURE APPLIANCE FEEDERS IJNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R . V NO. O~,~C~CON~. A W O. OF CC, COND. OTHER APPARATUS: ~-lecCric room hea~er~:l-~.Skw. ,l-l.5~w. ,1-1.Okw., I C ~qO OF HI-LEG AWG OF H~-LEG NO OF NEUTRAl OF NEUTRAL S ~lectrtc 23.3 Southold, ~Y 11971 GENERAL/MANAGER This certificate must not-be altered in any manner; return to the office of the Board ,if incc~rrect. Inspectors may be identified by their credentials. 7GS.'1802 BUILDING DEPT, INSPECTION FOUNDATION ZST I: ] ROUGH PLBG. [ ] FOUNDATION 2ND [~]/~NSULATION [/"]~IMMING [ ] FINAL , REMARKS: ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180:2 Disapproved a/c .......... r w:: ."'---'--T. ......... . ~,. ........~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... 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 promises 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 ~ode, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary jl}~ /~ ,_ A~--~--(Signature of applicant, or name, if aa co£,po[ation) / b-tb 3.... J i$-D . ..mddk. (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises ...~. ......................................... (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...~....~...~..O ........... Plumber's License No ......................... Electrician's License No. [. 6 . Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. Number Street / [ County Tax Map No. I000 Section ..... .35 .~. ........ Block 3 Lot....~.7. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) '2. State existing use and occupancy of p~j~dses and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ./~.~-.. $'. ~...~.~t. c.! ~. .......... i ................................. b. Intended use and occupancy .... t. r.-~ .$.t.c,C ,~ o¢. ~,z~.: .......................................... 3. Nature of work (check which applicable): New Building .......... Addition ........ Alteration .~ ... .... Repair .............. Removal .............. l~emolition .~ 9. · · a ..... Other Work ............... ~o_~O,,~ ~ ~x ~ tc~c/~a~-t-tO ~ (Description) 4. Estimated Cost....~. ~...t~. ........................... Fee .... ~.~..~..~ .................... , . to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number of dwelling unit~ on each floor ................ If garage, number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ............. ' ........ f if i pth 7. Dimensions o existing structures, any: Front ............... Rear ....... t ...... De ............... ' Height Number of Stories ~ Dimensions of same structure with alterations or additions: Front .......... i Rear Depth ...................... Height ...................... Number Of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ........ i ...... Depth ............... Height Number of Stories ~ 9 f 1 D pth · Size o ot: Front ...................... Rear ...................... e ...................... 10. Date of Purchase ............................. Name of Former Owner . I ........................... 11. Zone or use district in which premises are situated ......................... I ................... : ........ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... i ................... ........ 13. ' ' ' ' No Will lot be regraded ........ ~, ..... t ............ Will excess fill. be removed, from premises: Yes 14. Name of Owner of premises .... ~t,O..[. ~ ...... Address ~ ~..~./. Phone No ................ Name of Architect . Address ....... .~.. ~.. Phone No .......... Name of Contractor . . . Address ll ii iii i'[i ~ii'Phonemo ..... ~ 15. Is this property located withinl,00 feet of a tidal wetland? *'Y~; ..... ~'o ~.. ...... · 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 shoo street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, depokes and says that he is the' applicant (Na~ o f,ila divi~'lxsigning/(~t ract ) . abovenamed./.~_~_ ~.~__ ~ ~ He is the.../..-~.'~. ~.~¢~'-~..h~ .t,,..-..--. ~_. j :_._~.~:_. i .'. ~,.,. ................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this application; that all statements contained in this application are true to the best of hislknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...................... day of ..... ~ .......... 19 Notary Public, . . . ~M'. · . .~-. ..... ~. (,f..~/..t~... County .?