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HomeMy WebLinkAbout18457-z FORM N0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....Z-,18532. , , , Date , November 2, 1989. , , , . , THIS CERTIFIES that the buildin ALTERATION g Location of Property .,44655 COUNTY ROAD f/48 SOUTHOLD, N.Y. House No. Sireet ~~~~~~~~~~~~~~~hlemlef County Tax Map No. 1000 Section ..063.......Block ~.I.........Lot ~ ~ . Subdivision ...............................Filed Map No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore filed in this office dated _SEPTS,MBER, I.; 1989 ursuant to which Buildin Permit No. 18457-Z p ~ g dated SEPTEMBER. 8,,, , 1989 , , was issued, and conforms to all of the requirements of the applicable provisions of the law. Tlie occupancy for which this certificate is issued is . ALTERATIONS TO AN OFFICE IN E%ISTING'STRIICTURE AS APPLIED FOR. Tlie certificate is issued to , ,CLAPS S CILETTI (owner, ~e>tsL~dF~F~r7F;Bxx " of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATENO....PgNDING - NOVEMBER 2, 1989 PLUMBERS CERTIFICATION DATED: OCT. 26, 1989 - VINCENT M. CLAPS Building Inspector Rev. 1/87 IP'08M NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERM17 MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-.8457 Z Date .....~.~...~?~~:^.!^~i.....~ 19~..~ Permission is hereby granted to: ~.....~:.....g ...:~o.x... ~:1.~- ~ c-A ~ `fin ct premises located ot ...................~,"-"~'`^""'~':.............:........T.............. County Tox Map No. 1000 Section .....p. ~,©~.~,°..3c Block Lot No...~.1. . pursuant to application dated ...`~:~`^'..'4....~ 19.?~~., and approved by the Building Inspector. Fee 5..~.~:../. Bui ding Inspector Rev. 6/30/80 • 1 TOWN OP SOUTHOLD BUILDING D1:PART?LENT TOWN HALL SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY JJ DATE... l .tJ..1 1 . . IY~L~~ NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING......VACANT LAND...._... Location of Property.y~~. ~oiJN j"~- „S 6U l~"~'FDLt~._A)`t_-1(.9`~ d HOUSE N0. STREET NAMLET C~?M~~ Cl~. ; ~,os Ov.1er or Owners of Property.. County Taa Map No. ~10a00 Section ~ Block r.~Y.=Lot'......... Subdivision........ v Filed Map ........Lot.......... LL~~~ II S Permit No. 4~1.f.!~•Date of Permit .~~.~d~~...Applicant .~1.(~?.S^1--G1~-~-T'P•p+' c~ Health Dept. Approval Uaderwriters~Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $ APPLICANT....:... rev. 10/14/88 (~p,L,385S~ CO ~ 1853.E ' .w FORM NO. 6 TOWN OF SOUTROLD , BUILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CF~RTIFICATE OF OCCUPANCY INSTRUCTIONS A, 'This application must belfiled in typewriter OR ink and submitted to the Building Inspector with the folloc,~ing; for new buildings or new use: i, 1. Final survey of propeFty with accurate location of all buildings, property lines, streets, and unusual gatural or topographic features. 2. Final approval of 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 plumber certifying that solder used in system contains less than 2/10 of IZ lead.i 5. Commercial buildings,~industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board (Approval o£ completed site plan requirements. k B. For existing buildings (Prior to April 9, 1957 non-conforming uses, or buildings , and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstraFt of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1_ An application for vaunt land Certificate of Occupancy shall be submitted, and a certified abstrar~t of title issued by a title company showing single and separate ownership of ~he entire lot prior to April 9, 1957 shall also accompany the application. If a'iCertificate of Occupancy is denied, the Building Inspector shalt state the reason$ therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessary buildings, $2$.00 - Businesses $50.00. 2, Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4, Vacant Land Certif}cate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial ' ~ev•~10/14/88 TEL. 765-I 802 ,~p5~~f~~-~O~~ TOWN OF SOYJ~'II0~,0 . ~c OFFICE OF BUILDIIQG INSPECTOR o ~ ~ rn P.O. BOX 728 u' ~ ~ -e TOWN HALL O ~ ~ ~`r SOUTHOLD, N.Y. 11971 i~~l ~ ~b C E R T I F I C A T I O N Date (!/Q.~ ~6 ~ / Building Permit ~No. Owner ~nle~ ref L/~ps s ~ ~~2ecQ ~Y/. ~l t/e~r~ (pleas/e print) Plu.^.ber ~ulrre~~T ~~~5 (please print) I certify that the solder used in the water supply system contains less than 2110 of 1g lead. ' (plumber's siy ature) Swor to before pme pth~i~s a~~ day of ~C `Y-O-C>-W , Notary Pu~- iJOtary Public, ~ COUnty SUZANNEGILRRIDE NOTARY RU~LIC, State.t New York No. 4502666, Suffolk Cunt term EKpires'a_ ax 19.,0 l ! 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST ~~OUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /I~~ ]FINAL REMARKS: ~..~:uy,.f/ d~ D~'`~+~^0~-- _..._.._J ~I I i DATE i1/ INSPECTOR LELD Ii: S: ~~::u;J ~~'Jn.c I~ :;vMMLNT~ Iy'' - ~ m e~ 1. ~ a ~ H r0Ut7DATI0:7 (1st) ___._.._I ° ci ?OUNDATIOtJ (2nd) _ 2. / z ~ .C c ROUGH FRAME & h v~ PLUMBING . ~ H 3. m m .-3 IIdSULATION PER N. Y. STATE ENERGY CODE O c^ 4 . ~ 11 FIiiAL O ADDITIOPIAL COMMECITS: x ~Y~ ~J w m • ~ x N ~ 9 ~ OL! H O ~ . m a ~ , m 'o .a -...a.. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGt; 1 1.QOt.079 tUREAU OF ELlCTRICFTY SS JOHN STREET. NEW YORK, NEW YORK 10088 peu NOVSMBKR 1.:3,1989 APPlicotionNo.onftle 65102ti89/89 N 102533 THIS CERTIRIES TNAT . only tlt~ deetKlcd puipmant v drettbsd 6efom INSA1 inerodund 6y eke epplkent named on the eGoo~ eppNeetlew wum6er ks the pnmltee Ad CTLLBTTI & CLAPS, R1'E. Ala, SOIITHOLt), N.Y. in tMfollourlnR kACetion; ? Basement ®I7t Fl. ? Ymi FI. Ot1T Strtlon Block Lot ores exemtned on NOVKNBBR 02 , 1989 and found to 6e in compliance uitk the requin!ments of this Bored. RXTYN RANOEf COOIIINO MGCf O DkNI w T AN6 OUTtR{ ACIEE ~TQRS NGNDlftlM HUGN7ClM OTNE11 IJAT. K.W. AMi. K.W. AMt. K:W. AMT. K.W. MIT. N.K. 7 10 2 7 wtTNlc RIMUCE k10TORS tuntr AwuANa wEeas SMCIAtrC•?T TMIICIOCIts ~ tAtrtISATNS tNlt~sr owRwts - AMT. K. W. Olt N. GAS N. K, MAT. NO. A. W. G. AMT. AMI. AMT: AMKS TRANS. AMT. N. K. R~ AMT. WATn fEI1VIC! 6gCOMlNCT. NO.O! S C E R V 1 C E AMT. AIN. ITR ~ 1/7Y/ 1/7W 7J7W 7/IW RRl'COND. NO.OF Nb1EG 11D. 01 NlVNMS OF'l~Y~t Oi1RA AMIWTUfa INTCRIOR PARTITION WIRTNG-1. HOTOR8:1-1.5 6.P. SNOKIs DR'I'RCTOR: - 1. - _ fLt1TC81SR CBAS, LIC.f578 S ~f/ /yC~,l,!'~~^°~~~ 33 OY.lrORD BLVD , GRRAT NECK, NY, 11.03 OAK 11 Per This eerNfitate nNnt not be oMend in a mamNry .Nato to tM offlu o1.s61t : #.ieaptreci. lmpucton,. M ~ c h. ILDING DE~A K k 1 ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAr,>'; I 1001071 lWREAU OF ELECTRICITY - ®S JOHN STREET, NEW YORK, NEW YORK 10038 _ pate JANUARY 30,1990 Application No. on file 65102689189 N ).02533 THIS CERTIFIES THAT only eke e/eetrled equipment as described 6eloro and Introduced 6y the applkwet homed an the abode sppBcetion number is the promises 4/ CL.I,LRTT1 & CLAPS, RTR. d8, SOUTAOLD, N.Y. in theJolbrcinp location; ? Basement ® Ixt F1. ? 2nd F1. oUT sertlun Block Lot roes examined on NOYRNARR 02 , 1989 and found to 6e in rnmpliance rKitb the reyuiremenM of this Board. NXTIIIE! Al;lEf fN11rCXE5 RXTURlS RANOK COOIIINO DECKS OVtliS pSN WASRlRS EXHAUST fANt tXtrtEn Incu+otsceM HIK7KEECEM OTHER AMT. K. W. AMT. K. W. AMI. K.W. AMT. K. W. AMT. M. P. 7 o a 7 DRYMS fulaa+AtE ItlotoRS wruEE A1711AttCE IEERBS sfeaA~RErn rtlas aoacs sxt UNIT 11EATERf mtf~ DIMMERS AMT. K. W. Oll K P. GAS H. P. AMT. NO. A W. G. AMT. AMI. AMT. AAVt. mutts. AMT. X. P. ~ !R AMT. WARS SERVK7 OISCONNKT NO.Oi S E R V 1 C E yr~ Oq. AMT. AMP. TYPE t / tw I / Tv ] R ew t / .w piER 8r(1He. Of CC cam. NO. OP X4tEG nD.OP mums W ~Par;IKAL t)TINR AffARArus: ~ ~ INTRRIOR PARTITLON ifTR1N(;-1 ffOTORS:l--1.5 A.P. uu^NOKR DRTRCTOR;~-1 .Po'( a G 4 S CONTRACTOR L1C./578 !C BOX 215 ~ SO[JTAOIrO, NY, 1197). OENEEAI MANAWR 1.1 Per tF chit wrtificaro mutt not be alHrod in any manner; return to 1M office of fhe Eoard if into{rM. Intpaelors m9y be: idamiiid 1Mir cndMtiak,._ CO R BUILDI DE AR ! AL ANIY MAMIlR. BOARD OF HEALTH 3 SETS OF PLANS ~FORMNO.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORDS ' TOWN HALL SOUTHOLD,N.Y.11971 NOTIFY ~,~~'".~~"`Jr'~ TEL.: 765-1802 CALL -.L..~.. r MAIL T0: Examined 19 ! Approved 19~. Permit No. ~ ~ ~ ~ ~ n ~p f~ Disapproved a/c D '1 tl L5 SEP 119>~ - ~t-DG. !3E~`r. (Buildino Inspector) sw~°°'~"""`~ APPLICATION FOR BUILDING PERMIT _ Date 1.-.~........., 19~~. INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 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 applicant. Such permit 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 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 the construction of buildings, additions or alterations, of 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 admit authorized inspectors on premises and in building for necessary inspectio (Signature of p cant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. WnJ~2.. Name of owner of premises . G.~-J~MS G I l,L, ~ (-1 ~ d S (as on the tax roll or latest deed) If applic a corporation, signature of duly authorized officer. t~ . . (N m and title of corporate officer) ALL CON RACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . . Plumber's License No . . Electrician's License No . . . Other Trade's License No . . 1. Location of land on which proposed work will be done, House Number Street Hamlet County Tax Map No. 1000 Section ~ , , Block a Lot i ~ ` Subdivision 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 S '~...:5.~'~.Z b. Intended use and occupancy ..~~H ~r~lt1"l~Yt-~ oLp (y~-~ f~~`-t C, 2.USiOE 3. Nature of work (check which applicable): New Building Addition Alteration .P~?-nna V~ Repair Removal Demolition Other \Vork . (Description) 4. Estimated Cost......... 3~;.D.~ 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 . ,~.".~'.";`'S s.:. • , • , • 7. Dimensions of existing structures, if any: Front . ...........Rear Depth . . Height Num'ber of Stories ~ . Dimensions of same structure with alterations or additions: Front Rear . Depth ....................''..Height Number of Stories . . 8. Dimensions'of ~rMire new constrlrction: Front ~ Rear 2.:....... Depth '.k:`~, , . Height 1.1°.x`.. . Nwir~ber of Stories ......f . . 9. Size of lot: Front....wv~.~j~.......... Rear .....s!>:":`~........... Depth ~.s''.~ 10. Date of Purchase, ..................Name of Former Owner L+ °A. p ~mises are situated ......~.1 . 13. \Vill lot be regraded p ate any zoning law, ordinance or regulation: Does orfposed consptruction viol ~5 ~ ~l Address ...................Phone No...~. ~'r: 1 .~:6 1 ameor Owner oft remises ~ ~ ' ' ' • • • Nill excess fill be removed from premises: Yes Name of Architect ~l 2wFxL ~/~~o~.! ? ...Address . r 9'::..S'`:. ~'!!.f. Phone No...`~`:'~: y :~.Z. P Y ~ s , ~,G lw TR , ........Address ....:..............Phone . Name of Contractor . . 15. Is yhis pro ert located withitt 300 feet of a tidal wetland? *Yes • *If es, Southgld Town Trustees Permit may be re uired. PLOT DIAGIgAM Locate cleazly and distinctly all',buildings, whether existing or proposed, and indicate ali set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I i I r . STATE OF NE\ Y R C.. • ~ • S'.S "OliNTY . . :P.~,~~ ~:1. i being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ibove named. ieisthe .............~ux~.~-'; i (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly~,authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed fn the manner $et forth in the application filed therewith. ;worn to before me this ~ .............day of .',.~~Q~Vy.: Ql_PJ~`.... , 19 votary Public, County ~.~"Jt/ 7JL~XSL ~ C,~y~~~~r~/~-e-a-, d-oLSS-`~O (Signature of applicant)