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Home My WebLink About19886-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26872 Date: 01/05/00 THIS CERTIFIES that the building ALTERATION SOUTHOLD Location of Property: 1110 LIGHT HOUSE RD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 50 Block 5 Lot 9.2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 17, 1991 pursuant to which Building Permit No. 19886-Z dated MAY 28, 1991 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALICE C. CARDO of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 066623 12/20/99 PLUMBERS CERTIFICATION DATED 01/05/00 ALICE C. CARDO / ~thoriz~d Signature Rev. 1/81 IlO~lm NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N"_ 1~886 Z Dote Permission is hereby granted to: .... ~..~.!.~. ~...~....! . ...... at premises located at ...|.1.~.~.....~..**~...~..~...~.. ......... ~, ...................... County Tax Map No. I000 Section .... .(~.~.~ ....... Block ...... .(~.~'~.. ..... Lot No....~ .................... pursuant to opp)ication dated ..... .~..~...[.~. ....................... , I9..CJ..'.., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. Thfs application must be filled in by typewriter OR ink and submitted to the buildin~ inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumbar certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildi and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a~ '!pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - : 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... ~.. ........................... New Construc/Wie~ ........... 0~ Or Pre-existing Building ............... ocation Property . . . ... . .. ..... House No. Street Hamlet Onwer O ers of Property ..... ...Block ................ Lot.. ' ............ County Tax Map No 1000, Section ........... Subdivision .................................... Filed Map ............ Lot .................. Permit No.J~%.~.. ...... Date Of Permit ................ Applicant ......................... Health Dept. Approval..................--------Underwriters Approvai........... ........ -- Planning Board Approval ..... Request for: Temporary Cartificate ......... Fee~Submitted: $ ........................... .. Final Certicate../... .... APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS 807[~1~4 BUREAU OF ELECTRIGI'TY /j-- 40 FULTON STREET, NEW YORK, NY'10b~8 ,. 20, 1999 J:95566t~9/99~ H 06662B Date Application No. on file . , THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ALICA CARDO, 1110 LIGHTHOUSE ROAD, SOUTHOLD, NY in the following Iocat(q~2Et~,~a~geqtOg~ r~,.,~, ~ ~.~ 1st Et. 2nd Ft. · Section Block Lot was exatnined on and found to be in compliance with the Natibnal Electrical Code.. FIXTURES RANGES OVENS DiSH WASHERS EXHAUST FANS FIXTURE R[-C~PTACLES OUTLETS FLUORESCENT OTHER DRYERS SYSTEMS NO, OF FEET E OTHER APPARATUS: ELECTRICKL SUR!~Y AS PER 12/1.3/99-1 ~NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious ut~satisf, actcr¥ condition was ~ound. E R V OF NEUI'RAL ALICE CARDO 81 NASSAU BLVD. GENERAL mANAGER GAI~DEN CITY, NY, I153~ Per tl i This certificate must not be altered In any manner; return t9 the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTM[NT. THIS COPY O~ CERTIFICATE MU~T NO~ BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]FRAMING [ ] INS~ULATION [ '~]~NAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR Town Hall, 53095 Main Road P. O, Box 1179 Southold, New Yoi~, 119,71 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CER~ I F I CAT I ON DATE: Building Permit No. Owner: /~/a C-C~aO (please print) Plumber: ~se print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Plumbe~-~ Signature) Sworn to before me this ,~-- day of ~9~7o o Notary Public,~ County ALICE J KRANIER NOTARY PUBLIC, State ct New Residing in Suffolk County N~, 52-4822133 My Commission Explre~/- ~',/-- FOU~__~DATIoN (~st) FOUNDATION ( 2nd ) 2. ROUGH FRAME & .PLUMBING ® INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~SU~TION [ ] FRAMING [ ] FINAL REMARKS: ~~'~-*?/ DATE ,, INSPECTOR ]'65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [/~ROUGH PLBG. ] FO~TION 2ND [ ] INSULATION [~-J~FRAMING [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN/SULATION / [ ] FRAMING /~ [/.~/FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ]FRAMING [~~L [ ] FIREPLACE & CHIMNEY DATE~Z~ · INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING [ ] INSU/I,,ATION [/.,-~NAL [ ] FIREPLACE & CHIMNEY INSPECTOR '~sapproYed a/c ..................................... (lluilding Inspector) APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BO,laD OF HEALTIt ......... 3 SETS OF PLA~IS .......... SURVEY ................... CIIuca ........ NAIL Date .................. , 19... INSTRUCTIONS a. Th/s application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationsLiip to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- ion. c. The work covered by tl'fis application may not be c'~mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to tLie applicant. Such permit ~1 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 .11 have been graxnted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 'iding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. * applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to nit authorized inspectors on premises and in building for necessary inspections. _. ... o.*..( ¢..r. ........ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) te whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or b ilder. · ne of owner of premises ................................................................ (as on the ta~.l roll or latest deed) pplicant is a corporation, signature of duly authorized officer. .' (Name and title of corporate officer) B.i,der's License No. "'/'8 ...... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 5ocation of land on which proposed work will be done ............. louse Number Street Hamlet ;ounty Tax Map No, 1000 Section ................. Block ..... ~ .......... Lot .............. ubdivision ...... Fil d M ............................... e ap No .... L (Name) ........... ot ............. tare existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ................................ Intended use and occupancy ...... 3. Nature of work. (cheek which applicable): New Building .......... Addition .......... Altera Repair ............. Remov tmfl~ ...... i... 4. Estimated Cost .... ¢ .... ~ .................... Fee ........... [ (to be paid on filing this application) 5. If dwelling, number of dwellino u£~._ .,~ ,,. ~, mrs ....... Number ofdwellin units on each · n garage, number of cars ...... g ' floor ....... .... 7. r~; ..... : ..... ,. ..... ' ...... u ~ccupancy, specny nature nd extent of each tvoe oft s,' ' ' .... Height ............... Number of Stories ...... ' ' i ' ' ' P, ear .............. Depth ...~..~. .......... Dimensions of same structure witli alterations or additions: Front ...................... ' .............. Depth I Height ................ ~ Rear .................. 8 ..................... ! ...................... Number o! Stories Dimensions of entire new constm9tion: Front Rear ' Height Numbor of Stories ............... Depth 9. Size of lot: Front ............ [ ......... Redr ......... i . . Dap h ........... 10. Date of Purchase ........ ] ·. Name ........ [1. Z°ne or use district in which prem~ses are situa: ': '' 'a~m~°f~F~°rcne~rOwner '" ~ 2. ~Joes proposed construction violat~ any Zt~nin{, I ...... · ......... .-t~- ....... ; ............. , .............. ~ , ....... ~ ,aw, urmnance or re,,t ation- /tx · 3. Will lot be regraded . .~.O. ...... i~ .... ,~: ........... Will excess fill be removed from premises- Yes Name of Architect ............ i ............... Address ................... Phone No ................ 5. ~ ~ q rear of a tidal wetland'?' '*~'~'~ ..... '' '' ,'If yes, Southold To~n Trustees Permit may be req~[g~j ..... No..~. ..... ~'' '". I PLOT DIAGRAM Locate clearly and distinctly all utldmgs, whether existing or proposed, and. indicate all set-back dimensions from .roperty lines. Give street and block nu nber or descriptioh according to deed, and show street names and indicate whether aterior or comer lot. (Name of individual signing n tra'c't5 ......... ye named. s the .......................... aid OWner or owners, ~d is duly autl onZ~erform or have performed the saki work and to make and file this ication; that all statements conta ned in this app ication are trna to the best ofhisknowledge and belief; and that the :: will be perfo~ed in the m~ner set f~rth in the application filed therewith. ' No. ~79808f , ' being duly sworn, deposes and says that he is the applicant