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HomeMy WebLinkAbout14533-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16259 Date October 6, 1987 THIS CERTIFIES treat the building .... .A.d. d. i t i o n LocationofProperty .., 850 Third Street New Suffolk House No. Street Hamlet County Tax Map No. 1000 Section ,1.1.7. ........ Block ....... .0,8 ...... Lot ...0.0. 7. ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Dec. 10, 1985 gp 14533Z ...................... pursuant towhicb Buildin ermit No ...................... dated y.e.b, :..7. ,.. ) .9.8.6. ............. 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 ......... .... D.o.~;me.~..s~4~l.i.~.i,O.n.,..s. 9.m.m.e.r.. p.c. qu. p.a.n, qy.. pp.l.y.. ( no heat ) . The certificate is issued to NICHOLAS MANDUS lC ..................... ioYn'~;, '~ ~'~gd~'~ X ~ x ×' ............... of the aforesaid building. Suffolk County Department of Health Approval .......... ~../.A ............................. UNDERWRITERS CERTIFICATE NO. N 832737 9 / ! 8 / 87 PLUMBERS CERTIFICATION DATED: N/A FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~? ~4533 Z Permission is hereby granted t~:~ ..... .................. ...'..~,.:...z.~...~ ........ ~.~..~. ..................... ....... z~~?.....~:..~ ........ ~o ....?~.~~.....~o..~.....~z~ ....................................... ...~.~ ................. ~c.~o~.~ ...... ~.,~ ~.~.;. ................................................ ~,~,~,~ ~, ..... .~ ................. ~.~,~, ........ ~~ ............................... ~~ ,..~ County Tax Mop No, 1000 Section '">'/"J"7 ........ Block ...,~,...?.... ........ Lot No. ~...~.."~... ......... pursuont to (~pplication dated ...'~.. ....... ~ ........................ , 1~...,~-and approved by the Building Inspector. Building Inspector Rev. 6/30/80 SP THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY Oa~. September [8~ [987 ~pplicationNo. onfile~ 503607~87 N o.~y the eJ~trica~ eq.ipmen~ ~ ~seribed b~ a~ int~d.ced by ~he appl~ca.t ~ed on the a~e app~ieat~o, aumber ~. the premises of ~ichoZas M~ndusic , ~,, ,,~,,.~.,~,.~t~ New StlffolR, ~t~s exa~nined on and found to be in co. pHance u' th the require.~ents 9f this Board. nar 10~ 1987 FIXTURE FIXTURES OVENS DISH WASHERS EXHAUST FANS OUTLETS FtUORESCENT DRYERS ~THER APPARATUS: E R I NO OF CC, COND. A W O. NO OF HJ-tEG PER ~' OF CC, COND ,JO OF NEUTRALS Nicholas Mandusic Box P~7 3rd Street, New Suffolk, N.Y. 119 5 6 GENERAL~--~i~MA~/GER This certificate must not be ahered in any ma~er; re~ur~ ~o the o~(ice at the Board it Jnc0~rect. '~pectors may be identified by their credentials. COPY FOR ~UILD NG DEPARTMENT. THIS COPY OF CERT FICATE*MU~T NOT BE ALT~ N ANY ~NNER. ' ~' · ~,~ , COMMENTS ~iEL~ INSI LC~ION ~ ~ FOUNDATION (1st) FOUNDATION ( 2nd ) PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 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. /Z/~/ An application for Certificate of Occupancy is not on _~ No Underwriters Certificate on file. _ The check is(out~/not on file.)~.OO /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. -.Building Permit # ./ ~ ~'3~_~ Z Building Dept. ~-O ~M__~'~ ~~/~._~ ***/_--/ No Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,19~4 ) BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~'~RAMING [ ] FINAL DATE 765-1802 BUILDING DEFVT. INSPECTION FOUNDATION ~.ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~ ~ ~. ?~/.~BUI'D'NG O£PT. ' ~ ~NSPECTION FOUNDATION XST [ ]//~OUGH PLBG. FOUNDATION 2ND [/j INSULATION FRAMING ~NAL REMARKS: DATE, ~:~//~ ~/,~ INSPECTOR~~ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, 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 for Certificate of Occupancy is not on file. /~ No Underwriters Certificate on.file. /~ The check is(outdated/~ot /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # _! c/ 5 ."~ .~, Z' Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 0~cupa'ncy or use is unlawful without, a Certificate of Occupancy. Clear up this matter,as soon as possible so that legal action does not have to be taken.' Thank you for your prompt attention. ~;~O¥'T cq;¥~WN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ..... ~ ........ , 19 .~. 7 Approved . .~...ff...~. ......... 1 .~.. Permit No..~flf...~...~.. ? APPLICATION FOR BUILDING PERMIT 0LDG, DEPT, TOWN OF SOUTHOLD Received ........... ,19... Date -~.q ............ 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 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 wl~ole 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.,.~, uffolk 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 apphcable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildLng for necessary inspections. /! . ............. !.~ (Signature of applicant, or name, if a corporation) · '"~ . .... Vo ~ .L~.%..~.~. pi//~ ~ ."57.~.c~...~[~. I~.~.~ ...... ,.. . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises Ia,~AJ~c~-~o ....... .~~ ."~. ~ .~'..--~. .................................. (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. ~./~.~.~.... '~"7 ~ ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .............. ........... .............. ...... House Number Street Hamlet County Tax Map No. 1000 Section . · .~.~..r-[ ........... Block . . ..~ ............. Lot...~. ............... Subdivision '~....i~? ..... ~..~.~. ~ ( .~ .......... Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy . . ~-~,~J~'~. kq%:vrw,,A~ ....................................... / b. Intended use and occupancy . .'~-.~-~-~,'~,~-~....~N~,.*~. .1~... ~ ........ 3. Nature of work (check which applicable): New'Building ..... '. f... Addition .......... ~dteration Repair .............. Removal '. ............. Demolition ............ .. Other Work..~f~).~.. 4. Estimated Co .............................. Fe ... . ....' ........................ ' (to be paid on filing this application) 5. If dwelling, number of 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 t, ype of use ........... ,~ ......... 7. Dtrnens~ons of exast~ng structures, ~fany. Front..~ ~.., ...... Rear ~ .... ~ ...... Depth . ~ ........... Heig t ............... Number of Stories ...~ .~ .................. ............... ~ ........... D~ensions of !amc structure with alterations or additions Front ~.$.~ ....... ~ .... Rear ~.. . Dept ../.~ ................. Height .......... , ............ Number of ~to~es ...~ ....... ~ ......... 8. Dimensions of entire new construction: Front ~ . . Rear ~' ' . Depth .l~ . . . Height . .. Number of Sto~es 9. Size of lot: Front ...................... Rear ...................... Depth : ..................... ase ........... ' .................. r O ' 10. Date of Purch Name of Fome wner. .. ........................... 11. Zone or use district in which premises are situate ....... . ........................... 12. Do~s proposed construction violate any zoning law, ordinance or regulation: .~ ..................... 13. Will lot be regraded ........ . ............. . ....... Will excess fill be removed from premises: YeS 14. N~e of Owner of premises'~..~.~ddress ~3.~.~ ~~hone No. ~( $. ~. Nme of Architect .... : ......... Address ~ ~¢. Phone No ................ Nme of Contractor~ ~~'. . Address ................ ~... Phone No..~ 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 show street names and indicate whe!her interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. · .~.~...k~......"~. ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ab, ore named. 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 his lknowledge 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 o .... , ~ ~ Notary Public, . ......... ~,~ ........ County NOTAIIY PUBUC, St*re of New Yp, r.k i I , !~ignature o f appliclnt) NO. 4822~J63, Suffolk Cou~,t~/;, : ' ! ' Term Expires Meroh 30, 19 (Z'~ ~ .... 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 ~ 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-iS-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 "pm-existing" land uses: 1. Accurate survey of p~operty 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: Additions 1. Certificate of occupancy New Dweltin~,~?5.~O~./Accessory,iS I0.00 Business $50.00 ~ Ce~ificate_Qf~oqccupancy on pre-existing dwe~- $ 5 0.0 0 3. Copy of certific~t~6f occupancy $ 5.00, over 5 years SI0,00 4oVacant Land C.O. $ 20.00 5. U?datcd c.o. 5' 5 o. 0 0 Oate.~: ./. ~/. ?. ~. ...... NewCons truction . ........ ~ . ..... Old 9_r P~r~e~xisting Building ............ Vacant Land ............. Location of,roparty ~.~.~ . ~' ~'~ ~/,/"~ ......................... ... House No. - Street ¢ /'lam~et Owner or Owners of Property .................................................. County Tax Map No. 1000 Section ~./. ~.. ......... Block ,- ............... Lot... .......... Subdivision ................................. Filed Map No ........... Lot No .............. Perm ,, No./~.~...~... Date of Permit ~./~/~.~....App licant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets, all applicable codes and regulations. Applicant .... .ScaLe: ~O'-=i''