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Home My WebLink About14683-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUMBERS No.Z15223 Date January 27, 1987 THIS CERTIFIES that tile building ...... .A .c.c. e. s. .s .o.r.y. ............................... 3505 DELMAR DRIVE LAUREL Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 125 ...Block 4 .Lot 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 19, 1986 .~. pursuant to which Building Permit No. 14683z dated M a r e h 20, I 986 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 ......... ..~..~c;(;.e.s.s. qTy. shed. The certificate isissued to JOHN & DIANE VIOLA ..................... /oh;ri'o;, ..................... of the aforesaid building. Suffolk County Department of Health Approval .., N /A UNDERWRITERS CERTIFICATE NO. N / A N/A CERTIFICATION DATED: Rev. 1/81 FOB~ NO. ~1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PEPJ~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14683 Permission is hereby §ronted to: ..~~..~.:......u..~.~ ,.L'i"~...o.,.~..A~ ................................................. ..... .~~....~.....~..:~,....?~..~.~.~. ...... ,o o, premises ,~o,ed at...~.~..~...~.~...~.~.%.~:~........~.~~.- ...... ..~.~.~:.. parsuont to application dated ........ ..~.~.~..,~..~. ................... , 19.~..~..0 ond 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- 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 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: 1. Accurate survey of p~operty 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 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 2. Certificate of occupancy on pre-existing dwelling $ 50 ,, 00 3. Copy of certificate of occupancy 20.005500, over .5 year 4.Vacant Land C.O. $ , s ~.00 5.Updated C.O. $ 50.00 Da~.(~..~, ../.~..~.. NewC°nstruction ...... Old or Pre-existing Building ........ .~.. Vacant Land ............ Location of Property 3.~.. '~?..~... i~'. ,~.,..¢~.~ .~.~. ~. ~.~ ........ ,~,~. ~ ....... Owner or Owners of Property .. ~. Q~.t.~. 7 ... ~.X~ .... % ................. County Tax Map ~o. 1000 Section ....... Block ............ Lot ............... Subdivision ................................. Filed Map No ........... Lot No .............. /~ .~. Date of Permit ...... Applicant .Z'f.~,..~,.. Ix, Permit No ............... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ......... ~ ................ Construction on above described building ant ~/m~ets a~j~pl~e,~_d~' and regulations. //~,_.~App ,ican t,~,¢~. ,('..c,.,,'~,...., ~.~.%..,~. ...................... Rev. 10-10-7~__~_~ z, /3 765-1~2 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION []FINAL TOWN OF SOUTHOLD OFFICE OF BUILDING I,NSPECTOR P.O. BOX 728~ TOWN HALL SOUTHOLD, N.Y. 11971 January 15, 1987 TEL. 765-1802 Mr. John Viola To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. (XX)An application for Certificate of Occupancy is not on file. )No Underwriters Certificate on file. XX )The check is (~k~tYd~i{~/not on file.) $5.00 )No Health Department Approval on file. )No final inspection has been made. ~Please contact our office on this matter. Thank you for your cooperation. Building Permit # I 4 6 8 3 Z )No Plumber Solder Certificate on file. (all permits involving plumbing being issued after April 1, 1984) NOTE: As of January l, 1987 there has been an increase for Certificate of Occupancy. You are being billed under the old rate. If payment is not received by February 15, 1987, the fee will be $10.00 for your Certificate of Occupancy for the accessory shed applied for under Building Permit #14683 Z F,~LR~iN S[~ECTi ON COMMENTS FOUNDA'TION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS'. r'rl TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728~ TOWN HALL SOUTHOLD. N.Y. 11971 January 15, 1987 TEL. 765-1802 Mr. John Viola To Whom This May Concern, We are unnble to complete your Certificate of Occupancy because of the following reasons. (XX)An application for Certificate of Occupancy ie not on file. ( )No Underwriters Certificate on file. (XX)The check is (~g0~not on file.) $5.00 ( )No Health Department Approval on file. ( )No final inspection has been made. .Please contact our office on this matter. Thank you for your cooperation, Building Permit # I 6 6 8 3 Z )No Plumber Solder Certificate on file. (ali permits involving plumbing being iesued after April I, 1984) NOTE: As of January I, 1987 there has been an increase for .Certificate of Occupancy. You are being billed under the old rate. ~ If payment ie not received by February 15, 1987, the fee will be $10.00 for your Certificate of Occupancy for the accessory shed applied for under Building Permit #}~683 Z 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL,: 765-1803 Approved...~...~. · .~. · .&..o.., 19 ~.~. Permit No..) .~../eft..~..~.. Disapproved a/c ..................................... ................................ ....... (Building Inspector) BLDG, DEPT. TOWN OF SOUTHOLD Received .......... APPLICATION FOR BUILDING PERMIT 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, q housing co~e, and regulations, and to admit authorized inspectors on premises and in building for necessary inM~ctions. ..... · ............ (Signature of applicant, or name, if a corporation) (Mailing addressddres~nOof app ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. gec .................................................................................. Name of owner of premises . .~O. k .IQ....~ .I.O. ~. ......................................... i ........... (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 .................................................. ... .... ..................... House Number Street Hamlet County Tax Map No. 1000 Section .... /. ~ ~.'. ........ Block ....... q .......... Lot....~.~. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ,q.~. ~ ..................................................... b. Intended use and occupancy...~.-O~..}..~..~. ~..~. iff' d~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ....... Repair .............. Removal .............. Demolition ............ Other Work ................ (Description) 4. Estimated Cost ..... !:7.~..d>. t~...~ ..................... Fee .................................... '~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .......................................... i ............................. 6. If business, commercial or mixed occupancy, specify nature and extent of each tYRe of use ..................... 7. Dimensions of existing structures, if any: Front ..... ~[ ~ ...... Rear .../_~ ~ ...... Depth .~.~ ........... Height ..... .'~. Q. ..... Number of Stories ...... [../.Z-~ ............... i ............................. Dimensions of same structure with alterations or additions: Front .... ~ ......... Rear .. ~ ............. Depth ~ ~-- Height ~ Number Cf Stories '- 8. Dimensions of~,ntire new construction: Front ..... I.C> ........ Rear ..... ~,o. ....... Depth ...l .Z-.. ......... Height .... m ......... N~nber of Stories ( ............................. 9. Size of lot: Front ..... t.~.~. ........... Rear ...... /.~'..~ ........... Depth ...t. 11. Zone or use district in which premises are situated ....................... 12. Does proposed construction violate any zonin~ law, ordinance or re~,ulation' . . 13. Will lot be regraded ... J~J.. ,... ~... ,...~.[... ~ .. ......Will excess ftl~l be re, moved £ron'~goremises: ,.Yes No 14. NameofOwnerofpremisesc~l~lfl ID U..~.~d~ Address"~$~.O~ .'~-~.~No Name of Architect .m.* .... v,..~ .... ~ .......... Address .~J7'~5.~/-~.. Phone No ................. Name of Contractor }/~..~[I,~ ~-~1 ........ Addresst&'~). ~',~C/..~4". ]-.,..'~..~Phone No..7'~'~. · · ~g.$..~ 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 descripti.on acc,,K~o~d~a~,0~ttreet names and indicate whether interior or corner lot. . ., . ,,, , ~TATE OF NEW YORK, COUNTYOF ............ ..... S.S ~>~-~.. ~ql,,+t'C~ ................................................. being duly sworn, deposes 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 .m. ~ke and file this application; that all statements contained in this application are true to the best of h~.t(howled~e ahit l~ohefpafld that the work will be performed in the manner set forfl~ in the application filed therewith. ' ....... Sworn to before me this .......... /..~..~. · ........ day of ..... . .'~..~ ..... , 19 ~. Notary Public, ...... ,c ..... County ~ i