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HomeMy WebLinkAbout14567-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy ZI5514 December 17 86 No .................. Date ................................. 19,.. THIS CERTIFIES that the building ....... ~ r e ~gh o u~.e. ............................ ; Location of Property .... 4 $ J 0.0~. M ~ iA. R o ~.~...: ..................... S. 9 .u.t.h. q .1 ,d ....... House IVo. Street Hamle~ County Tax Map No. 1000 Section .0.~ ~ .....Block .... ~. . .Lot .... 9.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fred in this office dated Jan~ .1.5 86 ................... 19 ... pursuant to which Building Permit No...I.4.5. 6. .73 ............. dated .... I~ ¢ ~o.... ~ 5 ................ 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 is ......... Greenhofise . . The certificate is issued to . . SALVATORE CATAPANO ................... ...................... · · ' of the aforesaid building. N/A Suffolk County Department of Ilealth Approval .......................................... UNDERWRITERS CERTIFICATE NO N 7 3 3 .7 0 3.. . 1/81 Building Inspector TOWN OF SOUTHOLD BUILDING D£PARTMEt4T TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1~.o 1~67 Z Permission is hereb/gronted to: .~.~.~.~......~.~.~ ............ ....~.~.~..c...~'...~... ~~.~....~...;.'t.~.....U..~.L.~. ....... ,--,, ,o ot ~remi,e~ ,oco,e~ o, ~..~./.~.~ ....... ~.~....~.~ ............ ~'~"~','~;~ .............. County Tax Map No. 1000 Section ,.,.~.....~.,,.~. .......... Block ...... ~ ............ Lot No.....~...~.. Building inspector. Building Inspector Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Tow~ Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY /~.~J~,~_ Instructions A. This application must be filled in typewriter OR ink, and submitted m I~a~aa to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property wi~h 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 iprior to April 1957), Non-conforming uses, or build|ngs and "pro-existing" land uses: 1. Accurate survey of pZ~t)perty 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 o~upancy $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 NewC°ns tructi°n ...... Old or Pre-existing Building ............ $15.00 Vacant Land ............. Location of Property ................... House No. Owner or Owners of Property ............. County Tax Map No. 1000 Section ... ~) ~ ~. ..... Block ............... Lot ..... · ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No /~'-~.ZZ Date of ........ Permit .......... Applicant .................................. Health Dept. Approval .... ~~ ........ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval . ,.,. ~;, .............. Request for Temporary Certificate ..................... Final Certificate ......... ~ ............. Fee Submitted $ ............................. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~]' es JOHN STREET, NEW YORK, 3, .~ ~.,~.,o. ~o. o.~,~ N 733703 THIS CERTIFIES TNAT only the electrical equipment as ~scribed belo~ and introduced by t~ applicant trained on the ab~ applicatiot~ ~umber in the premises of Sal ~p:~,~o~ Rt. 25 ~outhold~ in the following lo. aLlan: ~ ~an~ary ~V~6~ ~tFI. ~ ~.a~. Fl. Section ~loe~ Lot FIXTURE OUTLETS RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST INCANDESCENT FLUORESCENT MERCURY VAPOR DRYERS FURNACE MOTORS FUTURE FEEDERS TIME CLOCKS UNIT HEATER MULTI-OUTLE DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E NO~ OF CC, COND 1 OF CC COND, 3/o NO, OF HI-LEG AW, G, OF HI-LEG OF NEUTRAL 3/0 Glenn Bradley Box 382 GENEI~AL MANAGER, Per_ This certificate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified by their credentials, i ~IENT. THI: IN ANY MANNER. FIEL.D tN,B[)ECTION FOU__N~_T I O__N ._ (1st), COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ,~ CODE TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /~ An application fo Certifi.c~te of OccuPancy is not on file. ~ ~ /--/ No Underwriters Certificate on file. /~_ The check is(~d~-~/not on file.)~ /Z/ No Health Dept. Approval on file. /Z/ No final ~n,spect~on has been made. Please contact our office on this matter. Thank you for your cooperation° Building Permit # ./,, Z// ~ ~ ~ Z Building Dept. ***/-_/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-18~Z BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION []FINAL DATE ~INSPECTOR '~~ FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19.~ ., 19~ ¢. Permit No./..~..~."~. ? .~.. Disapproved a/c ..................................... (Buildiug Inspector) APPLICATION FOP, t~UILDi[qG PERMIT INSTRUCTIONS BLDG. DEPT. TOWN OF SOUTHOI~,, ReceSved ........... ,19... 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, or public streets part of this appli- or areas, and giving a detailed description of layout of property must , z cation. e. The work covered by this application may n d. Upon approval of this application, the Building Inspector will shall be kept on the premises available e. No building shall be occupied or used in whole or in r ~, 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, and regulations, and to admit authorized inspectors on premises and in building for necessary in§pections..__ ~ ~_ · ~~... L~..~..~...~.... ~: ........ (Signature of applicant, or name, if a corporation) .... .... :..0....,... (Mailing address of'applicant) ~g~'y :_ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumoer o o ' . ........................ , .............. ]' '.' ':'5 ......... ............ Name of owner of premises .... ~.? ( .~. %./.~., .~. ~. ..... .(.~. ~.~...~..~ .e .... .~. 16.% .~.o...~' .cz: .~7.~ ....................... (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Locationoflandonwhichproposedworkwillbedone. .~.f/,':56' ~[ t7~,~'~ r5¢~t~,rT~d/o~ !j~... Itouse Number Street Hamlet County Tax Map No. 1000 Section ..... .'~. .......... Block .... ............. Lot.../?.~....~! .¥~. .... Subdivision ................................ Filed Map No ............... Lot ............... &'a;~) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing' use and occupancy ..... ~P~ ........ ~/'- .~i. ~.~.~.'(./~..~. '.'~..~.~. ......................... ...... b. Intended use and occupancy ...... /.5.°'x.~,~....¥.- .~-k'..~-~.'-~fi.~.L~.~ ~ ...... ~~. ............. 3. Nature of work (check which applicable): New Building ' Addition ......... Alteration Repair .............. Removal .............. Demolition ............. Other Work. ~ .......... CTr ~. e ~- ~ ~5~r (Description) [to be p~d on fihng this application) 5. Ifdwelling, number of dwelling units ............ '... Number of dwelling units [on each floor If garage number of cars ' 6. If business, commercial or mixed occupancy, specify n~apd extent of eachJy~f~f use ..................... 7. D~ensions of existing structures, if any' Front ~: Rear ~- Depth..~ ' Height .. ~ ........ Number of Stories . ~ ......................... ~ ........................... D~ensions of same structure with alterations or additions: Front ' Rear .................. Depth ...................... HeiSt .......... ~ ~ .......... Number of S~ofies ...................... 8. Dimensions of ~ntire new construction: Front ... ~.~ ....... Rear ... ~ ~ ...... Depth .. Z~.~ ....... Height .... ff .......... Number of Sto~es ...Z..' ....................... ........................... 9. Size of lot Front ..... ~(~. ~ .......... Rear .... ~.5 ............ Depth ,. ~ ~ ................ 10. Date or Purchase ...... 7~/~ .............. Name of Fomer Owner .. ~.~(.~../~¢~ff~ ...... 1J. Zone or use district in which premises are situated ....... ~ ....... . ...... ~ .................. .. . 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~d.C ....................... 13. Will lot be regraded ..... .~..~ .................. Will excess fill be removed from premises: Yes 14. Nme of Owner of premises .~. ~.~¢.~. Address ................ '... Phone No ................ Nme of Architect Address ' Phone No. Nme of Contractor . . ~.,.~-~.~ .... Address ~Phone No ....... ~; ....... PLOT DIAGRAM / ~ Locate cle~ly ~d distinctlg ~1 bufld~gs, whether existing or proposed, and. indi'cate ~1 set-back d~ensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether ~6~fi~V~D AS NOTED NOTI~' ~U~LD:~G OEPART~ENT A~ FOR o{]UR~O CONCRETE 2 ROUGH F~AM{NG & PLUMBING 3. INSULATIO~q " .... 4, FtN~t (, ~)~,:,TR JCTION MUST ~)N~TRUC~ ION SHALL ~EET THE R~Q(Ji~F~E~ S OF THE N,Y STATE CONSTRUCTION & ENERGY / ................................................. bemg auI~sw or~~~plicant (Name of individual signing contract) ~bove named. ~e is the .............................................................. ~ ........................... (Contractor, agent, ~orporate officer, etc.) : ~f said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file this ~pplication; that all statements contained ~ this applieation are true to the best of his ~owledg~ and behef; and that the york w~l be perfo~ed in the m~ner set forth in the application filed therewith. gwom to before me this ~ ~~ ~ ~[( ~, (Signature of g~pll)ant) +U E' k/ld/Ob,/ O 0