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HomeMy WebLinkAbout18389-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218390 Date_ SEPTEMBER 20, 1989 THIS CERTIFIES that the building ADDITION Location of Property 620 PARADISE SHORE RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 79 Block OS Lot 03 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated_ JULY 31, 1989 pursuant to which Building Permit No. 183892 dated AUGUST 15 1989 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 ROBERT J. DITTA (owner, XXxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 " nose: xo. s TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 18 3 8 ~ Z Date ........~~s' 19~j Permission is hereby granted t of premises located at .Q...~.r, Y? County Tax Map No. 1000 Section Block LLot No............... pursuant to application dated ........../.,1..:~~ 19.€?-~.,, and approved by the Building Inspector, ~ Fee 1:..~~ ,~~lS B ding or Rev. 6/80/80 C4.Q.Q 7~ S- I ~ I~ TOWN OF SOUTNOLD BUILDING D);PARTMENT ~ ~ ~ ~~-~.~,~.,~~_uC~.-~1~~~ _ TOWN IIALL ~ SOUTIIOLD, NEN YORK 1 I9 SFP ~ 9 199 765 - 1802 SLOG. d3EE''C. jOlfllN OP SOUTFOf)LDT ~,x_,_ APPLICATION FOR CERTIFICATE OF OCCIIPALtCY ' DATE.~I3~_I~~ NEW CONSTRUCTION ,,,OLD OR PRE-EBISTING BUILDING..„ p . ACANT LAND.. Location of Property.,,(m,~___.~~~~.~~.~• Qs- .SbJ~ UOUSE NO, r~xt - • • • - ~STREET - IIAMLET Ovncr or Owners of Property.~~;Q:ri;l •.n't~~1 County Taa Map No. 1000 Section - - " Block ._1_... Lot. _ Subdivision.!~.1~ Filed Map ....._..Lo t.......... Pcrmi[ :Jo. ' / _..Date of Permit ..~>.I~S, Id'C -.L.Applicant ~'N~=~~?-T~~..... Ucalth Dept. Approval Underwriters Approval.._..... 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(t -.!"`'y t'' 1 Sp r ~X ~LfW~\ GY"+L' tsf ~Rf ~ f l ~ N I \ _ !~Ffr(•('y h ?•Jtl YY•r:a... 11Ct`!' k,~ { •.~11)'~,1 ~ ~n+e•w.~.~+\.~. Mel. ~±t{.~....1',4,',~ tr ~ n{ i ...s....y tt t I..• ' yid . t~~a~.',~A:2R`7. Y.., Nl a-3a^f~,+5'.IF'?•?.lri r .A;a. ,r .rr, n.. 3 aoEN ~ i ~ ~ ~ .a - i n ~ ~ ~ ~ ~ ~ ~ ~ a ~ ~ ~ , ~ W y r ' • ' I ~ ~ ~ ~ ~ ~ ~ ~ ~ .C .t-/ ~ ~ ~ d ~ ~ _ ~ ~ a ~ ~ ~ y ~ ~ ~ I y, y^~, i ~ t L G V' „ t ~ ~ ~ ._~--~o_- i K~ - ~ ~ 4~ ^sr't a n ~E L i a ~ 1 ° i x ~ i p ~ K~ ~ ~ I- ~k x ~ Q ~p s ~ ~ ~ ~ x N.~ ~ O ~ ! r ~ ~ - ~ ; i i i I I I C I r i i i. I~~ I ' i i D L5 l% L5 ~ ~ L5 ~ B0.1RD OF HE.~LTH / FORM11N0.1 ] SETS OF PL.1NS O~K~•'•' •SURVEY , p; k • • JUL 3 TOWN OF SOUTHOLD ~ CFIECK , • BUILDING DEPARTMENT sEPrIC FORM , • • • " BLDG, DkPT. V TOLVN HALL • • . . TOWN OFSOOTiiOLD OUTHOLD, N. Y. 11071 NOTIFY TEL.: 705.1302 CALL . 71 a)y "J~~l Examincd.~ /S 19,s~,~ PIAZL T0: .\pprovc:d . • 19~Pcrmit No~~~a, Disapproved a/c ,jam (Bu'1 ing Inspector) APPLICATION FOR BUILDING PERMIT Date ..?~3.1. ~ ~ , I! • INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, u' 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 ;t or areas, and giving a detailed description of layout of property must be drawn on the diagram which is par[ of this :anon. 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 p: 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 Occup: ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY hfADE to the Buildin, Department for the issuance of a Building Pezmit purs;:ant to 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, O:dmanc: Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hcre:n de;cn: iite applicant agrees to comply with all aoplicable laws, ordinances, buildin^ admi[ authorized inspectors p ses and in building for necessary inspec ~ c e, ho 'n, c de, and re^~•~, • Q~1~ a~~ >.....LOrs. ar.: ,Y~Y , w.. , , f _ (Spigonat~u~r~e of applicant, r name, if a orpo:auon) TA ?M~ItA~~~i;:lc'4 ;)4~~riJlttt? dt:;•',s! ,a,•J,~?P..Xt:'~ • ~1tT ~t(1~ M'4 ~ xtY ~A~ ~ ~itpT <aa'= ..s:.!9ST~~l~. ~.///o.~.... • `°~i `11S :Yi'= •2i sl:~, r•-°, • ;a~'~ (Afailing address of applicant) • • - State •wh .P~~et~tl$~i>~'G is~ oi+YHe4{31e"s'f$e~ agent, architect, engineer, general contractor, electrician, p1umL•cr or built. \`ame of ot`);nr,~affp'xe'ttr3~s:.y t'~~~f. '~i~7~C~Ut/ '`]_r,9 ~l't (as on the tai roll or latest deed if applican~~st~3ice~~p~.'Up :att",,) s 6 . . ) .,r ~ -4Fil ,,~~g±~{w;~r~'dt~lti authorized otlicer. +!SfL~i:i 'iNi tye9lJS??f#Yf?l•It,2.) }T`.." ~~t~mc~~~~ tt?~ ~a • •..~'.*s . ,~,t,~,j~ ~it~}~Ir~,G~~nnfyyc~o~~~~tporatc`officer) Builder's Liccnsc No. <tl~:+N,~,-, , , , , , , , , ~ - Plumber's License No . Electrician's License No . . OtftcrTradc'sLicen;cNo, Location of lannnd on which proposed work will be done. Y~~~ .G.~D....~fJ~?l~l~.I.Srz„S~t?~e (Zc~l .~?~~Q.~ house Number Strcct. • • • • • • • • • , , , • Hanilct County Tax \1ap No. 1000 Section Q~~f , , Block . Subdivision . , Lot Filed ~fap No, (N:unc) Lot.... State existing use and occupancy of premises and intended use and occu • • • • • panty of proposed construction: a. Existing use and occupancy . ~2t4..~i6kNR-. b. Intended use and occupancy ~t.e/v;..l{ , ~ _ _ _ 3. Nature of work Repair • , • . • • (check t}•hich applicable): New [luililing • Removal • Additiory~,,,,. .Vtet eon Demolition ~i°E Other 55' 4. Estimated Cost .'/,(70f~ ! • • • • • • • • • • • • • ' ' ork • Fec..... 5• If d~5•clling, nun bcr of d}vclling units , , , , , , ito be paid on (;ling Ihi; a Jf garage, number of cars' • ' ' ' ' • • • PPh:aUo • NttmbcroCdwcllirtgttnitsancachl7oor........,, 6. If busmcss. commcrc~al or mi~cd occupancy, specify nahtre and extent of each t 7, Dimcnsions9l cxistino st~uctures, if any: Front o • ~ ~ ~ • • Hcicht • ~ YPc of use . . . Number of Stories . J. , ' ' • • • •Rcar ,.3,c? ; , , Depth ~O', Dirncnsi ns oCsamc structure with alteration Dupth,~(Y„„ soradditions:Front ' 8. Dimensions of entire new'const' • ' Ifcight ./2~ • • • • • • . • • • • • • • • • • • • Rcar ,'3Q , , , , • • • • • ruction: Front ,3~ • Number of Stories . , Height ~,2,., , , , . Number of Stories , f........... Rcar . ~p . 9. SizcoClot: Front .3"~T„I Depth .!!,•tj,,,••• 10. Date of Purchase ~ Rear . 1 Zone or use district in which • • • • • • • • ~ • • ' • ' ' ' ' • Depth /,~U~•', • • . • • . • • • •Namc of Former Owner ,~~RoLL P posed c Premises arc situated . , , , , • , , , , 1_. Does ro onstruct:o',n violate an}• zoning law, ordinance or regulation: 13. 55'illlotbereczadcd 14. Namcot" ~ .15'illcxccssGllbcrcmovcdtro.~••••••••••••"' Owner of premises . m premises: Yes • • Name of Architect • ~ • • • • • • • " " " • • • • Address .Phone No.. • Namc of Contractor • • • ...Address ...................Phone No.. • • • • • . • • • . 15.Is this propert ............'......Address . y•1'ocated within Phone No. *If yes, Southold ~'oWn Trustees POrmitemay bearequiredet•land? *ygS,,,,~fOX. - PLOT DIAGIL1l51 Prof nYtlines. G ~•c~aeatsand b+ocllnumber or descriptionxacco din^to d~cdd' ~d• indicate all set•bac1: ai.:,.r,;• interior or comer lot. o ,and show street names and ' ~ tons tndic_tc wn: AP D AS NO1fEED p . DATE: / E.R M ~3~'/ , ~OTIFV UI N/G DE A • 786-1802 9 AM TO 4 FOR THE FOLLOWING INSPECTIONS: • 1. fOUNDATiON TWO RE~)IREp ' • FOR POURED CONCRETE 2. ROUGH - FRAMINQ dt Pl•UMBIMQ 3, INSULATION ~ 4. FINAL - CONSTRUCTION MUST BE CAMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET ~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION 3 EROY CODES. NOT RESPQNSIB ' FOR • DESIQN OR CONSTRUCTION ERRORS T,1TL• OF \ER' YORK, OU\T1'OF....... S.S being del swo • •(~ame of individual signing contract) Y rn, deposes and says that he is the applica: ~ovc named. is the I , said owner or owners, and is dul,v authoriC d ito perform or loava pcrformted the said work and•to make and •Glc•tlti ~lication; that all statements contained in this application arc true to the best oChis knowled~ rk will be performed in the manner set forth in the application filed therewith. orn to bciore me this i, d~ and belief; and that th :3/ ....day of,..... 2/ / / . 19 ~,j County / • . NOTARY PUBLIC~S~ of~New Yaks / ' . No.4707878,SuRolkCouttgr ~ (Signature of applicant) T®rm EKtNres March 30,19....~i