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Home My WebLink About14671-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z..l.5.7.8.9. .......... Date ..H...ay 29, 1987 THIS CERTIFIES that tbe building ,..A.d.d.i...t .i.o.n.s...t.o..e..x~.s.t. ~..~.g..o.n..e..f.a.m..t.l.y... ...... Location of Property 325 South Oakwood Dr. L.aurel House No. Street Hamlet County Tax Map No. 1000 Section . . . [4. .5 ...... Block .... 0. 3. .........Lot 1 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·,..t:l.a.r.q h...I.2. ,...1.9,8.6.. pursuant to which Building Permit No. 14 6 7 I Z dated..,M a ..... r c h ..19 ...., 1....... ,98 6 ...... was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Construct additions to existing dwelling, as applied for. The certificate is issued to CARL G. AND EDDA PECCHIO ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ...... .N/A ................................ UNDERWRITERS CERTIFICATE NO. N 7539/42 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FO~M 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) Permission is herebf granted to: .... .~,~....~...~~....~..~.. .... .~...~ ....... ~.;..~..,...;.....u..~.~..~. ............ ::::::::::::::::::::::::::::::::: :-- County Tax Map No. 1000 Section ..../...,~.,~.... ...... Block ....... ..(~......~. ..... Lot No ....... IL .............. pursuant to application dated .......)~.¢~<~..,~....L..~. .............. , 19.~..~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD 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 ,-~ 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 Hea[th 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: 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 $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 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 ....~.'i .~ .~8 Z .......... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ....... 3. ~] ~' . .~'5. g%'~.'~ .Ct .,.C3~ ?X...~'.O~.\'~ ................... [-%-) i~\ ~ ~¢ /-~ .~...U l:t -~--.L~ ..... House No. Street ~ Ham/et Owner or Owners of Property . ~ .(~.~.~,,..(~..~.....~. ~.~.%bt.. .CC.~,{~,(, (2) ............. County Tax Map No. 1000Section ./ .............. Block .............. Lot / Subdivision ................................. Filed Map No ........... Lot No ....... ~ ...... Perm it N o. i../¢.~..'~/.~. D ate o f Perm it32//,~9/¢¢~ .Applicant ~--~'.~.. f~ ..... Health Dept. Approval ........................ L~bor Dept. Approval ...................... . . Underwriters Approval/~. ZZ5 .¢.~..~-~-.. ...... Planning Board Approval ......... / ........... Request for Tempor?y Certificate ..................... F~~te .... ~ ............. FeeSubmitt dS ~..,e ~ ~ Con,ruction on above described building and permit meets all applicable c~es and~egulations. COz/ / I COMMENTS FIELD INSI~ECTION FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION FER N. STATE ENERGY CODE FINAL ADDITIONAL CO~ THE NEW YORK BOARD OF FIRE rUNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THI~ CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number ~n the premises of in tae followlng Iocatlon; ~ Basement ~ 1st Fl. ~ 2nd FI. Section Block Lot was exa,nlned on Jtgte ~ FIXTURE ~6 RECEPTACLES ~4 and found to be in compliance with the requirements of this Board. SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT DRYERS OTHER APPARATUS: 1-Do,qt Lite 3--.G~,P.C,lo l~',~ke Datec~or SYSTEMS E R V I C E OF NEUTRAL 4 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL *~OUTHOLD, N.Y. 11971 TEL.: 765-180:~ Approved ....~.[M-~..j.c~., 19 ~.~ Permit No..l ~].~.~. 1 .~.. Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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, relafionship 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 Lnspection throughout the work. e. No building shail 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 issuancffof a~uil~ing Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, anl{ ,other?~pp~.a. ble Laws, Ordinances or Regulations, for the constmcfion of buildings, additions or alterations, or for remov~al or de~oh'~4on, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, l~ousing ~ode,Xs~d regulations, and to admit authorized inspectors on premises and in building for necessary ins tions. (Signature of applicant, or narn~ if a c. grporation) ....... b l t. .......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~..~9, .L:...~. ~.q.~ .~ 1..'9....N~. .k~..t. ~...~ ................................. (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 .......................... Plumber s License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done...~...O..O..~..~..~...~.~.~..M01Ci~J~ .~ .~.~..~ .............. ................ ..................... .e-. L. ...... ....... House Number Street Hamlet County Tax Map No. 1000 Section ....... }..~..~.~ ..... Block.. ~ ............. Lot .... Jif. ............. 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 ....~..~..~ .... ~.~2[ .I/~..[..[,.~ .... ..~...UQ. ~ .~..~. J.O.6~. ................... b. Intended use and occupancy ...... ~ .LT7 .~- .... ~.[, .~'..~:.l~.~r.-[Z.l.~.O..~_% ............................ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ....~...... Alteration .' ......... Repair .............. R..em~_q.~ ............ Demolition .......... ~.. Other Work ............... ,/~ ~ . ' i (Description) 4. Estimated Cost .... ~ .................. Fee.. ~. ¢.q~' ~..~....~. (to be paid on filing this application) 5. If dwelling, number of dwelling units .... : ........ Number of dwelling uni[s on each floor .... ~ .......... If garage, number of cars ................ r .'.~ ......................... i ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... .'7. .............. 7. Dimensions of existing structures, if any: Front ............... Rear ....... [ ....... Depth ............... Height ............... Number of Stories ............................ i .............. : ............. Dimensions of same structure with alterations or additions: Front ............ 1 ..... ' Rear ..... . ............. Depth ...................... Height ...................... Number oflStories ...................... ~'-8. Dimensions of entire new construction: Front ............... Rear .... .... i ......( Depth ................ Height ............... Number of Stories ..... ' ....................... ............................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner .............................. 11. Zone or use district in which premises are situated ......................... i ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... i ............................ 13. Will lot be regraded ................ {T~ .... { ..... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises (24-~ I~..g,, I/~tO.O.. Address 6/M ./'..&/~.~.~.~ .O... Phone No.~ ~ .-.7.~.~/~.~-3~ Name of Architect ........................... Address ~ .rtl ~.~.~:..~.~.,. Phone No ................ Name of Contractor .......................... Address .~.~'~3 {~t~.[ll,.~¢ ~'r~. Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions tYom property lines. Give street and block number or description according.to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that (Name of individual signing contract) I above nmned. : He is the ............................................................. ............................ (Contractor, agent, corporate officer, etc.)I 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 hi~ 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 ........... · {& ~ ...... dayof .... ~ ~... ...... 19 .~.~. Notary Public,....~... ~.'....~..~: ..ff-f~. County he is the applicant' PLUMBER C£RTIFICAITON ON LEAD CONT£NT ;£FOR£ C£RTIFICATE OF OCCUPANCY ED IN WATER' OLaE US If eop~r, m~ng M uNd dlwlbuflng APPROVED AS NOTED NOTIFY ~UILOING DEPARTMENT AT- 765-1802 9 A~4 TO 4 PM ~R THE 2 ROUG~ ~P<t~ING & PLUMBING CODES. NOT RESFONSIBLE mR ,~'$ON OR CO"S'mUCTION L ,'".'Il ~:'!/"l- ('~!I~!~I[P'~, ",-,~' 4.0' ,~,c OY,') -i. ~4599