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HomeMy WebLinkAbout13935-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No z17229 Date AUGUST 25, 1988 THIS CERTIFIES that the building Location of Propert~ 180 KERWIN BLVD. House No. County Tax Map No. 1000 Section 053 POOL, FENCE AND DECK GREENPORT Street Block 02 Hamlet Lot 23 Lot No.159-160 Subdivision PECONIC BAY ESTATESFiled Map No. 1124 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 1985 pursuant to which Building Permit No. 13935Z dated MAY 9, 1985 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 INGROUND POOL~ FENCE, DECK TO EXISTING ONE FAMILY DWELLING. The certificate is issued to RAYMOND AND ANNA CIACIA (owner, X/f~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N836126 OCTOBER 6, 1987 PLUMBERS CERTIFICATION DATED N/A Bu~il~tngInspector Rev. 1/81 ~OR~ NO. 0 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) 13935 Z Permission is hereby gronted to: ..... /...~..q.~/fi.~~......~...~ .......... .... ~:.~...~..t. ....... ~...~.:.....u..t~.{. ........ ~, ~ .~,¢ ',.,,, I , ,~ .................................. ...... · t ,~ ~. .I V 0,,,rem,,, ,~o,ed ot .~ .~..?... ~ ~ ~.~..-. C~ ..~... ........... Co~n~ Tox Mop No. ~ooo Sec. on ...... .9.ff..~ ..... B~o~k ...... ~.~. ....... Lot No. ~..~.~ pursuant ,o application dated ........ ..~.....~...'~.. ......................... , 19~b''........,-- and approved by the Building Inspector. Fee $,,.,,.~,...t,.~ ..... Building Inspector Rev. 6/30/80  TOWN OF SOUTHOLD I! !~A Ill Building Department ['~i I ~ Town Hall i~\~i Southold, N.Y. 11971 ' ~J [~L .... APPLICATION FOR CERTIFICATE OF OCCUPANC Instructions A. This application mu~ be filled in Wpewriter OR ink, and submi~ed ~ ~ to the Building In~ec- tor with the following; for new buildings or new use: 1. Final ~wey of properW with accurate location of all buildings, prope~y lines, ~reets, and unu~al na~ral or topographic fea~res. 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 Unde~riters. ~ 4. Commercial buildings, Industrial buildings, Multiple Res{dences a~d similar buildings and in~alla- tions, a ce~ificate 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 u~s, or buildings and "pr~exi~ing" land uses: 1. Accurate ~ey of p~pe~y showing all properW lines, ~reets, buildings and anu~al na~ral 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 safeW inspection of buildings or premises, or other pe~inent informa- tion required to prepare a ce~ificam. C. Fees: Add~c~oas $25,00 ~O0~S ~25.00k[~[~A~[0N ~25.00 1. Ce~{f[cateefeccupancy kew D~e[[[~ $25.G0, Accesso~7,,,~O.O0 ~s~ess 2. Ce~ificate of occupancy on pre-existing dwelling ~ 50.00 3. Copy of certificate of occupancy $ 5.00. ove~ 5 yea~s ~]0.00 c.c. 0.00 ... ...... New C o~ ~ ~ ~ ~ c ~ ~ o~ O~d or Pre-existing Building Vacant Land location of Proper~ . . [~q ..... t ...................... Hou~ No. Street ~ Hamlet Owner or Owners of Property CounW Tax Map No. 1000 Section ............. Block ............. Lot ..... ....... Subdivision ................................. Filed Map No . ~J.~.~[ .Lot No. ~armit ~.., ,,,~ ~ata ~f ~armit · . ,Agplicant ~aaltk ~ept, Approval ........................ Eab~r ~apt, Approval ....... ~qu~t far q~mparar~ Car~ificam ..................... Final Cartificat~ ....................., Construction on above described building and permit meets all applicable codes and regulations. Applicant .. . FOUNDATION (1st) COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~gDE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~/~000708 BUREAU OF ELECTRICITY mg 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT on2y the electrical equtpn~ent as described below ~nd introduced by the applicant nar~ed on the above application number in the premises of Raymond Ciacia,~ 180 Keratin Boulevard~ Greenpor~ N.Y the followlng h,cotion~ [] Basement [] Ist FI. [] £nd Fl. Outside Section Block Lot in t~s examined om September 22 ~ ~ 87 and fourtd to be in cotnpllance with the reqtdrement s Qf this Board. FIXTURE FIXTURES RANGES OUTLETS SWITCHES DRYERS ,FurNAcE MOTORS FUTURE APPLIANCE ~.m:m:ue#: TIMECLOCKS [JNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 1.-C. F. C. I. S E R V ,I C E NO, O E COND' OF CC. COND~ OF HI-LEG OF NEUTRAL _(S_W~_I~,_~NG~PpO_~)_ This certificate covers compliance at the date of inspection only. . Because of unusual environments iC is advisable to have frequent teat a~d/or repairs made by a qualified person. Sal Prato Electrician Wiggins Lame, Greenport, N.Y~ 1194~ This certificate must not ,be altered in any manner; return to the off~ce of the Board Lic. 1049~ Inspectors may be tUl LDING TH!S MANNER. 7G5-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~FINAL /c~ REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [,~NAL RmARKS. ~ ~ ~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ts of plans, accurate plot plan to scale. Fee according to schedule· b. Plot plan showing location of lot and of buildhags on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 ~tall 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 purpgse whatever until a Certificate of Occupancy ~ta!l have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Petxnit pursuant to the ~uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinances or [egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necess3gy~inspections. ~ ' ,' r (Sighature of applicant, Qr name, if ~ corporgtion) . (Mailing address of applicant) gtate whether applicant is owner, lessee,' agent,' architect, engineer, general contractor, electric[an, plumber or builder. lame of owner of premises ..... f~. 4~~...~:~Q. · .~ ....................................... (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer· ...... (Name and title of corpor'ai~ ~ffic~r) 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...~t~.~. ~...~ .~.....~...~-~A~..~ ...... · ?. .......... .................. x.,./,. ............. House Number Street H~mlet County Tax Map No. 1000 Section ,~'~'~ Block Subdivision..P,.~.d~q~.. ~... ~ ...... Filed Map No. //.1..t/. ........ Lot.'~.].5.-~..--../.~... (N~me) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy...~j~. ~~...~.~. &~ .~.~.~ ~,~_- :t---- -- ~--~ ................... b. Intended use and occuPancy ." ~...~x'-~. ~. ,~-~-~. ~. ~'~'~O~ ............................. 3. Nature of work (check which applicable): New Building .......... ddition .......... Alteration .......... Repair . ~!.,~..~ ~ ........ Re ......... Demolition ......... Other Work ~ .~..~. Y' (Deseription)/->-~ 4. Estimated Cost...,fp.t~,o. ~ ~ ..................... 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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structul'es, if any: Front .......... Rear ........... Depth...~? ......... Height ..... ].~. ~ ...... Number of Stories ... ].]~.,~w. ................................................ Dimensions of same structure ith alterations or additions: Front ..... :>, ~,;,~ ........ Rear . " ' Depth ' Height Number of Stories 8 Dimensions of entire new construction: Front Rear Depth Height ............... Number of Stones ....................................................... 9. Size of lot: Front ......... ]l~. ......... Rear .... ~. ............... Depth .../.~.~. ............... 10. Date of Purchase ...... /~b'~. ................. Name of Former Owner ...~ ............. 11. Zone or use district in which pFemises are situated .... ~ ............................................... 12. Does,proposed ¢onstructton wolate any zoning law, ordinance or regulation: ................ /. .............. 13. Will l~t be regraded . . . i .......... Will excess fill be removed from prem'~e's Yes No N~e of Architect ......... ~ ........... Address ................... Phone No ................ N~e of Contractor: ....... ~ .................. Address ................. Phone No ................ Lo~t~ ~l~aly ad distinctly ~1 bufld~s, wh~th~r ~xistin~ or proposed, ~d, indi~at~ ~1 s~t-bac~/d~ensions i~om prop~rW lin~s, GN~ str~t and block number or d~s~ption ac~ord~ to d~ed, ~d show 'street n~s and' i~di~at~ */ / / COUNTY OF ...... a.a . k d / above named. . ~ i / , , . ......... : , , . ] . . (Contractor, agen{i eor~brate officer, etq.) , of said owner or owners, ~d is d~ly authorized to p~rform or ha?~ p~rfo~d th~ said work and to m~e ~d fil~ this application; that ~1 statements co~tain~d ~ this application ar~ tru~ to the best of his ~owl~d~ and belief; and that work w~l b~ p~rfo~d in th~ m~n~r s~t. forth in th~ application fil~d therewith. Sworn to before me this , ............... .... ..... __ .......... ,. NOTARY PU~IC, State ~'0~. (Signature of applicant) No, 470~878, AP~-OL-~D AS NOTED 7654802 9 AM TO 4 PM z~ FOLL~¢,/I~!G tNSPECTIONS, r~ 1. FOUNmATlmN _ TWO ~EOUI~D Ff)q P~u~rfD CONCRETE 2.R~UG~4 . FqAM~NG <~. PLUMBING 3. THE ="~ .... :'"-x"~S C>F T''= , COMES ~,~'r .RESPONC~~ r~ FOR DESIGN ~-' CONSTRtJCTION ERRORS. TE-LEPHO~E GREENPOrT 7-1055 ESTIMATES GIVEN BOAT BUILDING REPAIRING RAY'S BOAT SHOP - Raymond Ciacia, Prop. - sPaRS MARINE ENGINES RIGG1NG LISTINGS PAINTS Route 25, Main Ro~d, grecnport, L. h, N. Y.