The URL can be used to link to this page

Home My WebLink About24325-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25238 Date SEPTEMBER 4, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 2430 BRIGANTINE DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 4 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 1997 pursuant to which Building Permit No. 24325-Z dated AUGUST 22, 1997 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR "AS BUILT" The certificate is issued to CARMINE & DONNA MARIE DiSPIRITO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-056314 - JULY 29, 1997 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25239 Date SEPTEMBER 4, 1997 THIS CERTIFIES that the building ADDITION Location of Property 2430 BRIGANTINE DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 4 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 1997 pursuant to which Building Permit No. 24325-Z dated AUGUST 22, 1997 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR ^AS BUILT". The certificate is issued to CARMINE & DONNA MARIE DiSPIRITO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B' lding Inspector Rev. 1/81 ?08M NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERWT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No �Z 9z 24325 Date ........... . ... ... ............................. 19....... Permission is hereby granta: 4kfitl*!�tt4/.GSY 1 ......................... �'a... ...Y10...................................... to .?f�P.. ............ i1 � . ... . ....... . .... �o -..... ........ �...... ((// at premises located at ....G'��T:� ......... . . .. .lf/ll... .5i cfia�r , ........... County Tax Map No. 1000 Section ...... .... ........ Block ........t7 ........ Lot No. .(.../................. pursuant to application dated ........ ................. 19. ? and approved by the Building Inspector. ect Fee $••./ lct� Building Inspect Rev. 6/30/80 ID D== ._ Lass-- -_• ^T ---__ ____ „'U-- -__- _ BLDG.DEPT -- _-_ as- '„___. _7e ____O4_ _ __' ... 7,E(. usa: _ . __.c_ sur'ev rCue_ _v w__._ -_d_____ _O C_L_OL J= a_' OC_1G_;_E5 , _ rooe=t” --;es, sc=ae-_S. and unusual da='ur. Or z7pcg_=7 n_.. _. a- =Op rOCa- _tom t'10—=.. Dept. 0- datEr '>:SP.0_`T __C SewEraZe-^_iSDOS2_i5 o=-ovu oc _-__tr.cal install a=lcn :rom Scar, .,_ _r- unda�-=cars. Sworn statement :rom ?lumber c-_t_2- =g =mac tae sc_der used svScam conca_ns -=_ss :man 21/10 of 1_' Lead. Commerc_al built.:.g, industrial buila_mg, cult_?.e res=aences and sfmila- but'dings and 'msssalla=ions, a cert_-=c=ane of Code Compliance :rom arcaitact or angiaeer responsible -or the au_cing. 5. Submit ?lanni:g 3card Approval of completed site pian reduiremenrs. 3. ?or e_xfst�.ng build=—gs (prior cc Apr l 9, 1057) aon-conforming uses, or bu_idings and "pre-exiscing" land uses: _ Addurata snrve7 Or DrODEr_j snowing all property -imes, streets, bu-ld'_ng and -um 'sna' natnra_ Or tOpograpnlC tea tares. �rcperl7 completed appi_cation ant a Consent =0 --spe^_t s_gnec by the applicant. _- _ Ce===r_caca of Occupanc7 is aeaied, the 3u4__ding Inspector sn� ,l state cae masons taere:or fm a _=Lag ca the applicant. Cart--lcate of Occnpanc-, - 'few cwell_g 525.00, =dcic_ors co uwel'-_ng 525.00 , A_t___c_ons to dwelhg 525.00, Svf�'ag pccl 525.00, Accassory but-__g 525.00, dei=lens cc accessory bu c ng S25.00. 3usinesses 550.00. o: Occupant. on ?re-xist'_n- 3ucl_ec=E - S?00.00 _ . Copv of Carti:__et_ of Oecupancv - .25-. Updated Cartificate of Occupaacv - 550.00 _a=orar^, Cert=-_cat_ of Occupauc7 - 7es_aen=lal 513.00, Commsscam_ 5:3.00 Data 7 Sew .,orst-_ccio S.QG/LT O �Ys_sc-g 3uild�$. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a:_ z.y3� . . �3�1y.��r�/. 7�. . .c7/j . . . . . . . l �.T�P.� . . . . . . . . . . . . . . .r o- ?rppert7. . . . douse Vo//. Streec \\ / Eamlec Onwer or Owners of ?-opera. . 7ouat;r -ax Nap/Ve 1000, Section. . . . . . . . .31ocic. . . . . . . . . . . . . .Lot. . . (. . •f • . . . . . . . . . . . . . Subs_v'_sicn• /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .._l-ed Ya-o. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . f r 6 �. . �i A! /C'/!ZI.n 2 2. =-=sass OE Approves. . . . . . : / . . . . . . . . . . . . .:inc '_cars .. . . . . . . . . . . . . . . . . . . . Cp^ova.. . . . . . . . . . . . . . . . . . . . . . . . _eC7cra::_ „a____-_atc. . . . . . . . . . . . . . . . . . . . . . . . . . . . //////� /9/ =7Nti IN 1997 BLDG. DEPT. - --` - - - -- .-:. _..-= -. . --`-- 'i= `- =---- --- - - ^e`"= 03 _.._ su5m_=-=_ =acc__c_ _a57E__.._ w__. _.._ -_Ow= - =..r Jr aa.. Use: --CDer-v „-__. c_...._-__ _J Ca C_JL .._ c._ oL__C_.S , • _ode_ _, __=as, t r a a S ZMd SSusua Ca a. 0r 1-J. I-a _ _ _ es . -' ?prOva_ rrom Dep r. of vac__ suptl7 a_._ sewerage-c"ispesal(S-? foto) . _ . .vD7rJVa_ 0_ ________a_ :ns_al_a_icr =chm Scar_ o.. _ -__ unc2 ,r __ars . Sworn statament __Om plumber c__ _ '=2 =Sac _.._ solder l'.Sed i7Stam COn1-ai_^.S _ass than 2/10 0= __a - 5 . Commercial bu_lciag, 3dnscr_al bu__=ng, mc:_tcp_e residances and similar build+ags and iasca__acioas, a cern=-_tate o5 Cede Compl'Lance from archil-_t or angiaeat responsibla for the bui ding. o. Submic J1_ann .g Board Approval or comvleted slta D1an recu:.rements. 3 . For eSiScamo DuiLd:LaEs (nrCOr t0 Anrcl 9, 19r, ) non-conLor'1_ng uses, or bu4ld4—gs and lora-existing° 12nc .Sas: Ac___cta su--7e7 Or prover-:1- ?l1- prover-7 _'_es, S-.raeLS, Su-lC4_o End umausual natural or =ovograpn=c =_at_res. _. ._ Jroueriv co=letad avvl_c2t=on and a Consent =o =SveCt s_gned h7 rhe applicant. a Car-_r_cate of Occunanc7 is dea'_ed, the 3u-' d-'7-,2 ae to _ speccor shall state reasons therefor to c__ annlicanc. C. -..-s _ . 'art_.__ac_ O= Occnpanc7 - New weil_g 525.00, Accc=_ons to dwelag S=5 .00, __-_- a _cls dcellirg S25.00, Sw- m=g pool 5Z-00, Lessor-: buiis _ _g 525.00 , Adc?t?ons accessor7 bui=c_g S25.00. 3usiesses 550.30. _. Car-n_=cafe ..f Occupancy On 3U4 d4-2 - S100-00 -'oVV o= l.2_____at_ OL OCCUOanC7 - Undated Cer-_=.-ata of Occnnanc7 - S50.00 _ampora-T Oar--__tate or Occupanc7 - Reside=cal 3315-00, Commercial 515.00 Data . . . . s1.4�� . .J �/c/ /. , New Coascr--- a"Lt. . . . . . . . . Old Or ?re-=r_str,g 3uild_g. . . . . . . . . . . _ . . . 7. .e?.Y�.('. . . . . . . ./.�r.�� .4h?`i r e _ . . ./,. K . . fQCr7`�0�/�. . �ocacion Of ?rope_r t � . . . . . . . . . Souse No. Street Hamlet Onwer or Owmers of ?r op arty. . /�. . .�TdJ/l �e. . . J/. Ccun�r Ta% Nap No '1-000, Section. . -�_�. . . . .31oc1_:. . .1��`. . . . . . . . . . .Lot. . . . ./- 1C. . . . . . . . . . . . Subdfvtsior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Yao . . . . . . . . . . . .To1-. . . . . . . . . . . . . . . . . . . . . . ?a----4 : No �.ZSDac= 0 /�?a a -L6G2.^� . zL/51cn___a..-. �Jni�4'61?i!��. .�i•f�ilf ._a_=h Depc. _por--val. . . . . . . vl. .�./. . . . . ./. . .Cncar,-c=-rs =pprpval. . . . . . . . . . . . . . . . . . . -a...._.c 3CarC AGnrpV . . . . . . . . . . . / -a. . . . . . . . . . . --- = �. . . . . . . . . . . . . . . . . . 00 2:a-S 3 `► , 1a 755-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLBG, [ ] FOUNDATION 2ND [ ) 1 SULATION [ ] FRAMING [ FINAL [ } FIREPLACE A CHIMNEY REMARKS- DATE / EMAR S-DATE / 7 _INSPECTOR` % fl THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8067066 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 29,1997 Application No.on file 14341897/97 H 056314 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of CARMINE DISPIRITO, 2430 BRIGANTINE DRIVE, SOUTHOLD, N.Y. in thefollowinXlocotiQ,s Y 4B Basement ❑ lat Fl. ❑ Ynd Fl. Q� .Section Block Lot was examined on ' and found to be in compliance with the National Electrical Code. RXTUN RXTUM RAMNS COOKING DICKS OVENS DISH WA 1XNAUST FANS OUTLETS ACLES SWITCNIS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. M.►. 1 DRYERS FURNACE MOTORS FUTURE A/FUANCI!!lOIRS AL RIC'FT TIMECIOCKS �LL UNIT"RATERS WATI.OUT IT DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.O. AMT. AMP. AMT. AMFS. ,TRANS. AMT. H.►. SYSTEMS AMT. WATTS No.Op IilET SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE � I X 2W 1 X 7W 2,I 9W S 0 4W NO.OF CRC.COND. A.W.O.D NO.OF H4LEGI OF A.IWN-.G• NO.OF NEUTRALS OFA NEUTRAL OTHER AF'MRATUS: SWI 44ING POOL-1 SPECIAL RECEPT. AMP.20-1 *(S.WIkNING POOL,) This certificate covers compliance at the date of inspection only, Because of unusual environments it is advisable to -have frequent test/and or repairs made by a qualified person. l L L <<< Continued on Page 2 »> GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. inspectors may be identified by tlt r credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ------------- THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 8067066 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 29,1997 Application No.on file 14341897/97 H 056314 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the promises of CARMINE DISPIRITO, 2430 BRIGANTINE DRIVE, SOUTHOLD, N.Y. in the following location; ❑ Basement ❑ let Fl. ❑ Ynd Fl. OUT Section Block Lot was examined on JULY 24,1997 and found to be in compliance with the National Electrical Code. RxTURE RXTURES RANGES COOKING DECKS O A RUST F OUTUkTS ACLIS MTCNIS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.F. DRYERS FURNACE MOTORS FUTURE AFPUANCI!lIDRRS Ai REC'IT TIME CLOCKS YLL UNIT MIATERSVMT1.0UTLIT DIMMERS AMT. K.W. OIL H.P. GAS N.P. MAT. NO. A.W.G. AMT. MA►. AMT. AM►S. TRANS. AMT. H.►. pT AMT. WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AM►. TYPE " - 1/2W 1 0 3W 3 J 3W 3,I IW NO.OF CRC.COND. A.W.G. NOjr OF CC.COND. .OF HIdEG A•V_G• NO..OF NEUTRALS CIF NEUTGIfAL ODOR AMARATUS: CARMINE DISPIRITO ( L L P. O.BOR 910 SO'UTHOLD, NY, 11971 GENERAL MANAGER ! 11 Pet' „If Y This:cffrtf Qft trust not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. f i ,3„ S•�G =J� �r�`G. Z�•Q 'b 2'1.7 LU J (i) �7 wtu N WELL *^ n W rry v' LL POOL \� wy if) 140 -7 <� L A bye ii.= N.73`05 2C?!W. 2 JO.Q 3 Smola coum HXAM DEP CIEES(vENCE} ,uTZ OCT 11 1985 a! D. MW. #-,&-xo 7i9 The sewago diapcagl ez•:d tater stpply facilities for tItja ?,>.a'.::.on have been inspected by this dar er:.ment and found d to be satisfactary.� O qtr Cl , (;�`�. PE. C151ef o! oenbral Eagineerini t services MAP OF Pf2OPEU SUr—,VEYEG POQ 17 AT �i BAYVE E W a� TOWN J ref �;� M-1502 BUILDING DE INSPECTION [ ] FOUNDATION 1ST [ ] ROU PLBG. j ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING [ FINAL [ ] FIREPILACE & CHIMNEY REMARKS:: Cil ZZ DATE INSPECTOR I ICLi: urll'I:hllun w:rulrr unrt. ruuul:W:i Q PIUInU n'I'I1111 ( 1!1'1'1 _ •„ i !'UIItIl1A Cto»IT^�-(211U)�^ ------------ ` WC IN II I1:1i Pll hlli'. R ' I'Lpl 111 l NII 111:711I,A'I't llll I'ISII II , Y . - I•I ,—1A t fll/ill! c n{. Nlir l'I' ---- C-- --Tit S I b• FI • O r 1.� l'1 FRO O T Y % k L 1 F2e 4619c- e- 1710 e. —T f - ole —Il r✓•ee FeoA7- FrOA, Al- SociD .X ��0 /rO �219gi'r�f ; z ..LSA �l�i e D�G A/ as c c 9.90 R-c ' � • /,S3 reps) - � 2u6 ` -z4 A necr�.,y Ru ��,�, Pouz�o cen��reYe 3000 •.IMMEDIATELY" r ��,pSEPOOI_-TQ,,," Below 6orou j) - �6 " 6 �pEFORE�1�YKiE�""�. Foaf;.,y 9/ 7„ yo c cR 2- r COUHL� ro c)/Louob r• q- Cr�Cl11 corG/1E fC� !OLU I�/Il�'OOo,fSS OA �ti 36 6F G•• tna+.., yr,Foofr.,yyj / 2e ,» avc-eU o1 s6••G[ f/L -r/.Sr lOcLAl�,9444L1 CO",Vl e= C TDTA1 .4LL sor.trt -15r/O'•, f'OGGA /��/OCG . Oee_rc.nt •2'Y6'•. YO4.cA aiA. R;62 he so "lo,al lam n r A?e SAL. I1. �Q GK iS Fo? e FL,0.47 cRom ttD01� �� aGt.K„f i2�:�-.2s"= ,. Y �6'"ljrr 4✓3_6.1•TP�S inGL, N^76,f ALS-on Aec.K v S T S. r Atm �r1 i SIOIR ITO a/ tnAv. HewgR r-7-EPfn4 oncrJ r ound ll <t�l�h f)onA19 Int?IZ 7'e b 1 S P lie !TD 2e�-ted to-�GLonO 4m d u Sovi/oc Ld DRnin: Z3o 62i9Rn �lhe D,Pive N -c-,And Pi- . uAde"RitCC1' ji ovevt,-9L. i _ 1 i f Z7 7 '"ELL , al E 2- 4 IBC' ?'v�,i 27 v i I ti SA oLK COUNTY EXALTS DEPARTMELP! Om Ct 1 i 1 1985 H. D., RW. l flit sewage11�paa�` a^C •;iter szpP 9 + facilities f as i•: i + °:a'on :.ave been 4 0 inspected bT '. :' '4mr— %Dent and found _ to ve satisfaoto:r.�i .. O Chief of General XngineeriW 1 Services �;� •.��... i t Ad —r-- ---_1.x'1;,J ' `'" ' �! i �! �.t�. i L,_. 1.J � ....�. i f�.� i `� A i ^c u i - k Ll 22s� 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA CHIMNEY -/ REMARKS.: f G DATE INSPECTO` i YAC Fite PL.4c- e- It 0 s r y �T — L �✓ee FC 0A T- Frohn H- �zxo apr.og1fNY I, ZX /0 Lc,A Ice 7 Y` Jd/ Co aa,h s I c� as rAl I Q a¢,er � k 2uL ` cL/I . 40 �ecr:tiy n rA ' Ru ' ENCLOSE LOSE POOL M COM ioouk�0 ca n�2e >`e P0N (� 3UMO000 ��°S= MMEEa" BeLoui lnrav�6., I„� �G - 6 r• � Z�GGG� Fo9f%nnj U " /l`' 4�G Z/ '�OUl7D r 06 cl - ro fnRoun4 9- tu• Ox,e�a �o v�Qe to CoLun nX Zo oo/V12 on a 36 eP s•- Faovnl S,Fo oiP� f G/Rr. in Cslt,efJ o SC•Q f: C' 2X10 Ef0 I� �I ' V �- LY/D`. 40GG4en7mJe2r aA.-C he= S rDTiV APZeA /e"4P/OIG . •1'u6'•. yO4,cA n iA. .Ptl,07- � Pi_noie: A[L�A17enny4t Age? AA4.. lle-Z - F/t7ee 0�-L.40.dr lc/tap" vt y pbezr.,X/20- ;S 2S-R'• le 41" 3-6• fTP�JS A2/37 ��/ L1 % SPQR iT0 inG1_ 7AnDIf/AI'/� on &PeK,*Sr��,pps. :na,r.rJeryr�T_T_oAa? a¢� r 92a�.fa ��8 `' Dow) 17 Me tz It a I S P //e lT-Ds wtrn rn;n'0 �eo �KectGd to�canP m �r-o Soutboalal D1lnias� Z q_j 0 A it l fln �,he b,Pi dcart 2 s And C1e. un�eiQwi2fteP1 ,sPv�ovRL. max « ��. y, BOARD OF HEALTH . . . . . . . . . .. . . . vi Lr, FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . .. . . . . . ... . .. . . . . . . JUL l ��yyy ; BUILDING DEPARTMENT CHECK . . . . . . .. . . . . . .. . . . . . . .. .. 4 TJX L,,,,' � TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . ... SOUTHOLD, N.Y. 11971 BLDG.DEPT. TEL: 765-1802 NOTIFY: Tn"fP1 OF SO 1T::iO T /' / - qq�/ CALL 7..(?.,;. 19..7. MAIL Approved........ .�Y.., 19;j4 Permit Nn�!•-• `-'J .. �lc?Gl.�`.1.'+.?.L.oC...N ..��q. nisapprwecia/c ............................. .... ................................. ........................................ ..... (Building Inspect LICATION FOA BUILDING PERMIT yy q • Date. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 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 application. 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 issue 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 ottvqried or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have leen granted by the Building Inspector. APPLICATION IS IIEILBY 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 4nit.-autbor^iried-}} pectors on premises and in building for necessary inspections. . � ..z...................... (Signature of applicant, or nam, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil, ............1'1C4J!1/t? /ff��l'f�h�12�9�..�Or� /414.7 ?. 'G.............................................. Name of owner of premises ..dm.(:5.��l.✓.Z/.TQ..G.. �. P,n.. ........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .........................................................#r.. t-tri. >A. 9a# (Name and title of corporate officer) .,�,�#:"iCA.,„ty.IIA! Builders License No. .......................... , Plumbers License No. .......................... Electricians License No. ..................... Other Trade's License No. .................... #� 1. Location of land on which proposed work will be done............................................................. 2.`.......... ....7,??7i;7� a h7- . Jo� 14.� ......... blouse Number Street Hamlet County Tax Map No. 1000 Section 79...Y:.1-9., Block ................ Lot Subdivision/7f�./�'�QL�'. 4J.%.`lr:�.C.S.fFL 1'*J.. 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 .....+V..:.C.l�.../.`.�:!A..:�w/h7.!h2J. 7,9...PQ.QA.(AIA4. e 9.are•ar/, b. Intended use and occupancy ............................................................................... 3. N-ature of work (check Aridr applicable),. New Building .......... A.dtL6io .�L�OF�'�e01 =O11JnQ ........ 1011 i r ............ Removal Dermot K ion ............ Other Work'reoAJlislA+q�..e J` K';R �•.D. e' �S�pt7 '0Ni_G/c (Description) 4. Estinoted Costs.cr-??.:.,c�-4 ...... fee .............................................. (to be paid mi filing this application) 5. If dwelling, runirer of dwelling knits ............ Numirer of dwelling units on eadh floor ................ Ifgarage, ranirer of cars ...................................... 6. If Inusiness, commercial or mixed occupancy, specify nature and extent of eadr type of use...................... 7. Ditensiahs of existing structures, if any: Front................ Rear ............... Depth ................. Ileigipt ......................... Norber of Stories ...................... Dirrensions of sam structure with alterations or additions: Front ............... Rear ............... Depth .................... neiglrt .................... Mnber of Stories ............... R. Dirmnsiokk df entire new construction: Front ... ............. [tear ............... Depth .............. Ileiglht ......................... Naber of Stories . .................... 9. Size of lot: (tont .... Rear ... ... Depth .... ��'.�....... 10. Date of Rprchase ..................... &-m of Fonmr Owner ........................................ ll. lone or use district in 4%idt premises are situated .................... ......................................... 12. Dopes proposedi construction violate any zoning law, ordinance or regulation: ..!:.�................ 13. Will lot Ike regraded ...�`��............ Will excess fill )re//rerrrved from prcinises: YES � t� 14_ Nacos of Owner of pram ses GG Y.fb k/�K.¢•A f2/ N..`Z.. )�!4 dceU ro �Y-Fc�.[�vY�S.4 rI f1.�l1Qraue No. � ��.� tLxof Ardpi[ect S6`, 1eel?U ,ed ..................................... Address ............_................. Phone No. .......... Mine of Corntractor CAr,'7l.!7.Ce...!,w!L�.2,F//�7T-!,... Nklress.2.e-i fZ 1.J.�.ri of f�sl$..Ymt-Fhnrre No.7�) fI 15. Is this property within 300 feet of a tidal wetland? * WS .......... ND ....dll�.. *IF YES, SOUIIXXD 701411 111USfI1:S PEINIT MAY RE RE(2UI". PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-track dimensions Fran property lines. Give street and block nnber or description according to deed and show street mares and indicate wimbe-r interior or corner lot. MERNITERS CERTIFICATE U S. REQUIRED A �p�fR PED AS NOTED DATE: L —B.P.#s� c�I�CR F' NCY �R FEE:NOTIFY USE is �,�� Y BUILDING DEP E AT Al FUL 765-1802 8 AM TO 4 PM FOR '.HE WITHOUT CERTIFICA-7;: FOLLOWING INSPECTIONS: OF OCCUPANCY 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET "1MMEd1AMY" THE REQUIREMENTS OF THE N.Y. ENCLOSE POOL TO CODE STATE CONSTRUCTION & ENERGY UPON COMPLETION CODES. NOT RESPONSIBLE FOR sunt: (17 N9.1 Y uc, SS BEFORE"WATER" DESIGN OR CONSTRUCTION ERRORS ("July (V .. ....... _.. .... .0........................being duly sworn, deposes arxl says that be is the applicant (Nam of itdividual. signi g contract) above uuT ked, Beis the ................................................................................................... (ConCractor, :agent, corporate officer, etc.) of said owner or owners, and is doily authorized to perform or Nerve performed the said work arxl to unke and file this algrlicatirnr; [.hat all s(atareots contaired in this application are tree to the best of his knowledge and bnlieH and that. the work will be perfonned in the runner set forth in the application filed therewith. �kxprn to before re this .....day U •........19_77... Notary Putil is -44'�r/r. 4 ..... 4�., SUSAN .NAQ .�... Notary Public,State of New YorA (Signature of Algpl icanC) No.4896735 0affiad In Suffolk wt. may 2%