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Home My WebLink About14835-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold~ N.Y. Certificate Of Occupancy No...~ 1(59.1.5. ........ Date ....D.e.q emb.e r... ....1 .7 .................19 THIS CERTIFIES that the building .F.a r.m..s.t a.a. cl · Location of Property 48 130 .~.a.~n .R,q.ad .S. ou.t.ho.l.d. House No. Street Hamle~ County Tax Map No. i 000 Section ... 06 P ...... Block .... 6 .......... Lot...9., ~ ........... Subdivision ............................... Filed Map bio ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Fried in this office dated ..... 6 g t: 3.1.. ~ ~ .......,19.8.6. pursuant to which Building Permit No.. ! 4..8.3.5.z. ............ dated .. ~I,a.y.. 3 t ................... 19..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 ig ......... ..... I~ A. Ri~L .S TAN.D. ...................................................... · ......... The certificate isissued to SALVATORE & JEANNE CATAPANO (owner, of the aforesaid building. Suffolk County Department of Health Approval ..... ~./.& ................................. UNDERWRITERS CERTIFICATE NO ............. l~J.k ................................. Rev, 1/81 ~'0~ NO. ~ TOWN OF SOUTHOLD 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? 1483~ Z Permission is hereby granted to: ...~...2.!..~.~.....~.~....~ .............................. ....... ................ ot premises located at ...,~...?.../....~.....Q. ......~....~ .......... ...~..~ ................... Co, n~ To× Map ,o. ~000 Se~t,o, ......O.b...~ ....... ,,oc~ ..... C~.~ ....... 'or No...~ ~/' ~ pursuant ,o .pplicoHon doted ...~..,.--~.q ................. , 19.~.~, and approv~ by the BuHding Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Dep~rtment Town Hall Southold, N,Y, 11971 765- I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~-t.w~ ~ Instructions This application must be filled in 'b/pewriter OR ink, and submitted 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. Commemial 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. §. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings iprior 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. Fees: 1. Certificate of oc_cupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Newt OhS truction ...... Old or Pre-existi,ng Buil~ir~/r~ ............ Vacant Land ............. L°cation °f Property... '~· .~. .'~. ?. . · · .~-'-'-'-'-'-'-'-'-~...~. ;: ....................... ~... Street . County Tax Map No. 1000 Section .............. Block ............. Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ......... Date of Permit Applicant ............................................. Health Dept ............... Approval /.~. ~ .Labor Dept. Approval .... .................... Underwriters Approval ....................... Planning Board Approval ... ............. Request for Temporary Ce:rtificate ..................... Final Certificate . i .~i:. i .......... Fee Submitted $ ............................. Construction on above described building and p',ermit meets all applicable codes and regulations. AO~licant .................... ~. ~ ~/~/~ 765-J802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~)/~ FINAL TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 119'/1 TEL. 765-1802 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 /5/ No Underwriters Certificate on file. /_~ The check is(~w~t~atc~/not on file.)~.d /Z/ No Health Dept. Approval on file. /5/ No final i~spection has been made. Please contact our office on this matter. Thank you for your cooperation° Building Per~it # / ~ ~ 3 ~ Z Building Dept. ***/Z/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1~1984 ) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Examined ...~....o,~.a..,19.~.¢ Approved . . .~..~..~.., 19 .~.~. Permit No./.q.~. .~.~..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF SOUTHOLD 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 s.~hedule. b. Plot plan showing location of lot~l~d of~il,ding~prem~ses, relationship to adjoining premises or public streets or areas, and giving a detailed descripti~'~T l~q.'t~f~"~ty must be drawn on the diagram which is pa~ of this appfi- cation. c. The work covered by this~ ~~ enced before issuance of Building Permit. d. Upon approval of this a~~Inspector will issued a Bulldog Pemfit to the applic~t. Such pemit shall be kept on the premises ~l~p~c~'t~u~out the work. e. No building shall ~~se~~ in p~t for any purpose whatever until a Ce~ificate of Occup~cy shall have been granted ~~~c~r~ APPLICATION~~~ffD~ff~tmentOrdi~~S o for the issu~ce of a B~lding Permit pursuant to the Building Zone County, New York, and other applicable Laws, Ordh~ces or Regulations, for the const~~dditions or alterations, or for removal or demolition, as herein described. The applicant agrees to comp~l~cable laws, ordinances, bulldog code, housing code, and regulations, and to admit authorized inspectors o~ pr~d in building for necessa~ i~ectio~s. (Signature of applk~nt, or nam~ ~a corporation) .... ............. ~ma~ng a~res~gr applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plmnber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ,~OT~FY BUILDING D~PARTM~T AT Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ........................ ~ , *, . q;;~UC'f'~O~¢ MUST 1. Locatmn of land on whsch proposed work wxll be done ................ House Number Street co. ty ooo .... P 5 ........ .... 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 ...... ~. ~.~ ........................................ b. Intended use and occupancy .~..t~...l,~f~,. ~ fax_ ~ 3. Nature of work (check which applicable)/New Building .......... Addition .......... Alteration ........ Repair Removal .'.. ~ Demolition Other Work ' 4. Estimated Cost ........ Fee . . . (to b? paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling utfits 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. Dimensions of existing structures, if any: Front ............... Rear ..... : ........ Depth ............... Height ............... Number of Stories .......................... i ............................. Dimensions of same structure with alterations or additions: Front .......... ~ ...... Rear .................. Depth ...................... Height ...................... Number ~f Stories ...................... 8. Dimensions of entire new construction Front. c~.~.,r,. ..... Rear .. .~..~t~..'. ....... Depth .../.~.... ..... Height .../~.. ....... Number of Stories /. . 9. Size of lot: Front .... 't._~./~'' ' ........................................... 10. Date of Purchase . i ....... Rear..:: .... ::: .......... Dep! ................. .... ,., ...................... l"qame oI .Pormer Owner ... ~..~ ...... ~ .............. 11 Zone or use district in which premises are situated ' 12. ocs proposed construction violate any zoning law, ordinance or regulation: .. !..kip. -- ' . .................. 13. Will lot be regraded ............................ Will excess fill be remoave~ from premises: Yes No 14. Name of Owner of premises .,~.~..~...~.~tq. ?...r~.... Address ~'./~.~..~/~.'~.,.%..~'~Q... Phone No..cq. c. ;-.'¢...~ f'.x..~..o~.? Name of Architect ........................... Address ............. ! ..... Phone No ................ Name of Contractor .......................... Address .~.~..~..o.:.~.,~-....~.. ..... Phone No ................ 15. Is this property located withinl.O0 feet of a tidal wetland? ~ Yes ..... No ...-'772.. * 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 sh )w street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ............. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ............................................................ i.. ~.. i ........................ (Contractor, agent, corporate officer, etc!.) of said owner or owners, and is duly authorized to perform or have performed the isaid 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 manner set forth in the application filed therewith. Sworn to before me this Notarymublic, '~' ' ' '~" ' '~'~" '~'~''~ s~rt~l~] .......... Co~~ ............................................. (Signature of applicant)