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Home My WebLink About14043-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No. Z13869 Date September 19 1985 THIS CERTIFIES that the building .... . .B.a.~.h..~ ?.o.m. .................................. Location of Property .. 9q0 .Hy.~.tt Road Southo~ld N.Y. .... Ho~$~ ~o: ................... '.S'~tJe~i ............... Hamlet County Tax Map No. 1000 Section 5 6 .Block I .Lot 3 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June . 14 .8.5p 14043Z ............... 19 ursuant to which Building Permit No. dated ............................June 14 19 .8. .5, 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.h.a.n.g.e..s.t. gF.a. ge..closet into bathroom on existing dwelling Joseph M. & Marea M. Suozzi~ John & Marilyn O'Grady The certificate is issued to . Ma~.vi¢ e..&. E ve.l.y~a. M. ol t ................................ (owner, ~s~X~R'X~t~]X X X X of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 T~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ~/~ ~.4043 2[ .............. .~-..~..../.~ .......................... , '¢~..~ Permission is hereby granted to: ........ ~ ~..c~....~.e.~c.~.....J~.....,.~..../../,~.~. ...... ,o ........ C.~.~ ........ ~..~....~.~.....~....~....~ ................................. ~ ....................................... at premises located at .......... .~.. ................. ~......~... ................ .~ .................................. ,....-~.-/- ................. ...... I/..~./. .... pursuant to application doted .................. ..~.//.~.. ........................ , 19.....?..,~'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 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~11~ to the Building Inspec- tot 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. 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 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 $5.00 2. Certificate of occupancy on pre-existing dwelling $15,00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.Oo $5.00 New Buildin~ ............. Old or ~ro-ex[stin~ Buildin~ ............ Vacant Land ............. Location of Property . ~¢~ .... ~.~...~p.~,., ~O~0~ ~,~, · ....... / .......... Owner or Owners of Prope~y ... ~~.~ .... ~... ~Y~.~.~... ~ .............. County Tax Map No. 1000 Section O~ Block .... ~.~ Lot Subdivision .............. ~ ................. Filed Map No.. ~ .Lot 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 and4~ermit'meets all applicable.codes and regulations. Applicant ...~....~......~...~.~.,...~...~.. Rev. 10-10-78 FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL COMMENTS ADDITIONAL COMMENTS: ;JOSEPH tgi. SUOZZI 3 Landing Road Glen Cove, New York 115~2 3une 12, 1995 Town of Southold Building Department Office of the Building Inspector Town Hall Southold, NewYork 11971 Dear Inspector~ Enclosed is my application tor~building permit tot my house located at Hyatt Road (Horton's Point Extension). The permit relates to work to be done to complete a partially installed bathroom. The house was purchased with a partially complete bathroom in that the plumbing and electrical work was already Installed and some of the fixtures were already in place. My intent is to hook up all the tixtures and to utilize the room as a bathroom. As the wiring and plumbing was already installed, I plan to finsh oft the room myself. I have enclosed along with my permit application a copy of the deed, a property survey, the certificate of occupancy I received at the time of my purchase of the home, and the floor plan for the bathroom to be completed. Please notify me if you require any turther documents. I may be reached at my office at (212) 974-3635. Very truly yours, Enclosures 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL,: 765-1802 Examined ................ ,19,.. Approved ..... ...... Received ........... ~19... Disapproved a/c ......... ~... ....................... ...... . . : .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ... 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, 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessaryainspectic/ns. b(Signattlre of applicant, or name~,/a corporation) .3..Landing .Rqa .Gl.e, .C0 e, .New Z0r. k..11542... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...0.w.r~e.r./Age.~t. ......... d'ds'~h' '~.' '~ '~dr:~ '~.' 'S'~i',' 'J6HH '~ '~fii'l'2)~ '~J "~¢~ci3)~ ..................... Name of owner of premises .~laL~r.i.c.e..8~ .[v.e.l.y.q .We.l.t. .................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duiy 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 ...................... .Eortoo.s.EOlOt.E~teO~lOO, ...................... Location of land on which proposed work will Be done.. ' ' ' .9.QQ .EEi.~[~ .~Q~,..(.~Z~[~ .gq~)..{~ .~q~hql.4 ................................................. House Number Street Hamlet County Tax Map No. 1000 Section .... QS.Z[ ........... Block . . .0.1. ............. Lot .... 93..2 ............ Subdivision ................. X. ................... Filed Map No ..... X. ......... Lot . . .X. ........... (Name) ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. P. r.i v~te. ooe. f~r0i I y. O.we l ] i~lg ........................................ b. Intended use and occupancy Same ti,) 1' ~A) VoO/& , 3. Nature of work (check which a )plicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair ..... ~, . · Rem'oval .......... Demolition .............. Other Work ..... ~( ......... f. yd' ..... i' .... To complete partially (Description) 4. Estimated Cost ..... $1,000: ............ ~talled bathr, oom. ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ..1 .......... Number of dwelling units on each floor .... '..-.-.-. ....... If garage number of cars ~ --- 6. lfbusiness, eommercialormix{doccupancy, specify nature and extent of each type of use ...-.-.-. ............... 7. Dimensions of existing structures, if any: Front .... .* .......... Rear ...... *. ....... Depth. ..... *. ........ Height * Number of Stories 1 ' Dhnensions of same structure with alterations or additions: Fronl~ .............. ~t~ ' Rear ...... ~ ........... Depth ................... i~. .. Height ...................... Number df Stories.. ~ ...... 1.~. ........... 8. Dimensions of entire new consiruction: Front . ~/]~ ........... Rear ..... N./.A. ....... Depth .... ~/.A. ........ N/A Height ..... ~/g ....... Nutnber of Stories ........................................................ 9. Size Of lot: Front 100 Rear 142 89 . Depth ...1,0.9...0.8. ............. 11. Zone for use district in which p~emises are situated ,SOUTH. OLD 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ......... N.0. ..................... 13. Will lot be regraded ...... ~.0 .................... Will excess fill be removed'frOmhoneP 14. Name of Owner of premises . I ** .. Address ** premiseS:No 212-97.4-3635.Yes No Name of Architect i Address Phone No Name 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 bloc¢ number or description according to deed, and show street names and indicate whether interior or !corner lot. * See Permit No. 10613~ for exact dimensions ** See deed attached STATE OF NEW YORK, COUNTY OF .... Ne.v/.Y.o.r.k. .... ! S.S ·...d.o.s.epb. [vl S.uogizi ........ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ..... A§~iq.t ........... . .................................................................... ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ ;ly authorized to perform or have performed the said work and to make and file this application; that all statements con Ialned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manr ar set forth in the application filed therewith. Sworn to before me this ~ t ........ ,' .1~. b .... .~ ..... day .>f ...... .J.u.n.e ...........,19.8.5. Notary Public State of New Yet ..... Qualified In N;ew york County O, ommission Expi!es March 30, 19,~t ¢-/ /k- , '.~.,~ ~ / / /