The URL can be used to link to this page

Home My WebLink About18885-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18972 Date APRIL 17~ 1990 THIS CERTIFIES that the buildin~ Location of Property 210 SUMMIT ROAD House No. County Tax Map No. 1000 Section 79 ADDITION SOUTHOLD Street Hamlet Block 06 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 1990 pursuant to which Building Permit No. i8885Z dated MARCH 16, 1990 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 AN EXISTING ONE FAMILY DWELLING. The certificate is issued to JOHN & INGA DOHT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FO~M NO. S TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18885 N~ Z Permission is~ereby granted to: ..... ~....~.....z~ ............ . , ......~~~.,~ .... ~._~..~.....~:~:...~ ....... ~~.....:~.~.....: ........ at premises l~ated at ..~.....~~.....~ ................................................ ............................................ ~~~..~ ............................................................................... CounW Tax Map No. 1000 Section ......... ~ ....... Bilk ..... ~. ............ Lot No ..... ~...~ .......... pu~uant to application dat~ ..... ~/~ ....................................... , 19~.., and approv~ by the ~,,~,~ ,~,~e=tor. ~ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART}lENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 o APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE April 13, 1990 NEW CONSTRUCTION ..~ .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property ...... ~2Q ..... Road, Southold ~ -u!~m- it ........ HOUSE NO. STREET .................. HAMLET Ouner or Owners of Property ..... Jghn & Ing~Doh~ Conot~ Tax ~ap No. 1000 Section .3?... Block A ..... Lot'..3~ ..... Subdivi:ioo ....................... Filed Map ........ Lot .......... Permit No. lS$~.~ .... Date of Permit 3/16/90 .......... Applicant gq~ Morizzo Builder, 3~c. tlealth Dept. Approval .................. Underwriters Approval Planning Board Approval ................ R q fo Te e uest r mporary Certificate ....... Final Fee Submitted- $ 25.00 Certificate APPLICANT~. rev. 10/14/88 FOUI~DAT!ON ( 1 st) FOU,UDATIO:! 2. f2nd) ROUGH FRAHE & ·PLUMBING I]~SULAT!ON PER N. STATE ENERGY CODE Fi:,'AL ADDITIONA'L COMME~.~TS: T BUILDER, INC. P,O. Box 789" Main Road, Southold, NY 11971 ,, (516) 765-5772 '~,, OCCL~PANCY OR USE IS UNLAWFUL W/THOUT OF OCCUPANcy BUFF.,CO. HEALT~ DEI~. APPROVAL, , ] H. ~. N~O. , CERTIF. I tUTION, GUARANIEES ARE NOT IF, ANSFI~F, ABI ( ~'e',_w41e~,m~. ) '' TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1502 APRIL 9, 1990 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. ENCLOSED /~/ ~No Underwriters Certificate on file. The chock is(~z~m~d/not on file.) $25.00 /5/ No Health Dept. Approval on file. /5/ No final inspection has~been made. Please contact our office Thank you for your cooperation. Building Permit tl I_~ _~8 8 8 ~ _ Z ADD DECK DOHT Building Dept. ***/Z/ No Plumber Solder Certificate on SENT TO RON HORIZZO P.O. BOX 789 SOUTHOLD, N.Y. on this matter. file.. ( all permits involving plumbing being issued after April 1,1984 ) 11971 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK sEPT c';; ................. NOTIFY~ CALL MAIL TO: Approved... ?~../.~. ........ 19 f~.. Permit No. Disapproved a/c .................. .................................... t dd tor APPLICATION FOR BUILDING PERMIT 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 appl~cant. Such permit shall be kept on the premises available for inspection throughout the work. c. 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 tlkq~l~,.~l~, c. tj~Wof?buildings, additions or alterations, or for ~:emoval or demolition, as herein described. The applicant agrees to comply with all applicafile laws, ordinances, building code, housing code, and regulations, and to admit autho~ieed'&~l~e~,~rr p~temises and in building for necessary inspections. ~,*4Y ~I;T~ ~ ~ r'r '.-~ ,'~.., (Sign t re o ppi c t or name, r r n State whether app ~cant is ownerrless~e, agent, architect, engineer, general contractor, electrician, plumber or builder. v :~:'w~h ~ ~,.' .,.'~- ~(as on the tax roll or latest deed) f applicant l~, a]~b~g~lon, signature of duly authorized officer. Date....,3./.7. .......... INSTRUCTIONS Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, with (Name and title of corporate officer) Bu'lder s License No. .~,-7-] ,.~L ./-/_F' Plumber's License No ......................... El '' ' L' ectrlcmn s ~cense No ....................... Od~er Trade's License No ...................... 1. Location of land on which proposed work will be done; tIouse Num bet reet, Hamlet County Vax Map No. 1000 Suction ..... 7.q .... : .... ' ............. rot... ......... : Subdivision ..................................... Eilcd Map No ............... Lot ..... ' (Name) .......... 2. State existing use and occupancy of premises and intended use aud occupancy of proposed construction: a. ~.~1%. ~% . b ~' '~'"' L' ~" ~ ;;; '. ............ b'lntendeduseandocc, pancy ¢~..Tf~~.~.~.~~ ~/,~7~{~:;:,' ........ 3. Nature of work (check which applicable: New Building .......... on . cfa' · · Repair .............. R~mov~l .............. Demolition .............. mmda..~._Swimraing pool ..... Tennis Court ......... A~cessory Building .......... Fe,ce .... ~r~k; ........... 4. Estimated Cost · .... ........ ppli (to be paid on filing this a cation. 5. If dwelling, number of dwelling units ............. Number of dwelling units on each floor. ~ ............... Ifgarage,. number of cars ...... ~ ................................................................. ' 'fy h typ 6. If business, commercial or mixed OCCupancy. specl nature and extent of eec e of use .................... ~'fany:Front ' ' Rear Depth 7 Dimensions of existing st~ctures, 1 · , ...... ; ................................... Numb'er of Stories Height ...................................................................... ' alterations or additions: Front Rear Dimensions of same structure with ' · ' Depth .................... . .~- Hei~t~ ...................... Number of Stores .................... ' ' Fr . pth 8. Dimensions of entire new constm.ctlon: ont ............ ~.. Rear .............. De ............. Height Nu n~er of Size of lot: Front ~ , Rear Depth .................... 10. Date of Purchase .... ........ ~ ................. Name of Foyer Owner ............................ 11 Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................. ................ 13. Will lot be regraded ......... ~ .................. Will excess fill be removed from premises: . Yes .... No. · 14. Nme of Owner of premises ~.~. ~.~. · · Address .~.~ lC ..... Phone No ................ a~,~ro~ ..... Phone No ............... 15.Is this property locaged wi.thin IOO feet of a tidal wetland? *YBS .... NO.~. llf yes, 8outhold Iown~ trustees Permit may be required. ~ PLOT DIAG~M Locate cle~ly ~d dist~ctly ~1 ~bu~d~g~, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y fines. Give street ~d block ~ ~mber or description according to deed, md show street nines and ~dicate whether interior or comer lot. STATE OF NEW YORK, S.S COUNTY OF ................. (Name of individual sigmng contract) above named. ' : APPROVED AS NOTED N~YIFY BUlL,DING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 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 MEb'T THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that he is the appficant I-lc is the ..................... ! ...... : ............... : .......................................... i.. : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duty authorized to pe,rform or have performed the said work and to make and file this application; that all statements con!ained in: this applicatiou are true to the best of his knowledge and belief; and that the work will be perforated in the manner set forth in thc application filed therewith. Sworn to before me this / ¥ d 'f '~...~t.f~.. 19 ?.~ ...................... ay o~ aKffi ~ ' ' ......... ~ ~I][~, t (Slg~ature of applic~t)