HomeMy WebLinkAbout17844-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218058 Date MAY 26, 1989
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property 650 PARADISE POINT ROAD SOUTHOLD _
House No. Street Hamlet
County Tax Map No. 1fl00 Section 93 Block O1 Lot 02
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEB. 14 1989 ursuant to which
Building Permit No. 178442 dated FEB. 14, 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 ADDITION & ALTERATION TO EXISTING ACCESSORY GARAGE.
The certificate is issued to JOSEPH MACARI
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. N/A
UNDERWRITERS CERTIFICATE NO. N069707 MAY 2 1989
PLUMBERS CERTIFICATION DATED N/A
~G rl~~~o~t-!
Building Inspector
Rev. 1/81
nosaa xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SAUTHALD. N_ Y_
BUILDING PERMIT
CTHIS PERMIT MU57 BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No 017844 Z Date .....'9~..~s./ 19.°.I...
Permission is herebyrg/ra_ntedd to:
o ~}m
to G~~.'/K-.d~/.Gf1L....G2GGl~.....~..... .......s jx:w~•.••`"nr~-
62,"s"~r!,.....~? . ~
..s%~....... G~
ct premises located at .~~...~a...... 1... .~P
~~~s~~~~,s~rv~..,...........................................................,..............
Caunty Tox Map No. 1000 Section Block Lot No.............1.......
pursuant to application doted ........:`3~~~ 19~~..., and approved by the
building Inspector.
Fee
Jding Inspector
Rev. 6/30/80
~'p~lt , ~ ~
~ ~I ~ TOWN OF SOUTIIOLD
MAY 216 ~ BUILDING DEPART2IENT
L TOWN HALL
~~71.~aG_~_
CSEpp;
`
`?Ot-~SOU7kOLb SOUTIIOLD, NEW YO[tK 11971
-..-....r....
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE...~f
NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING.. VACANT LAND.._.....
/ e 9
Location of Property.,,!? ~ ~ ,.~C~a°`.e.~,, l,~N~ .~~~~__~~:._.__~p~:~~?~~/..
HOUSE NO.'-y~' ( STREET HAMLET
Owner or Owners of Property.. f~„ ~ _
County Taa Map No. 1000 Section Block ....i..•Lot
Subdivision Filed Map ......,.Lot..........
1 r
Permit No. . /.7~y,-Date of Permit :~jll3
f~:"~'j',Applicant ^1G9.•,5 ~~~~.////,,,,,,,////~(t, C;~a j+C.
Health Dept. Approval Underwriters Approval...7.~~,
Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted: $
APPLICANT.. _
3733 S~aG~1'y
~ l~ a~''~~ ~ „k~
'
rev, !0!14/88
I
~ tY'r *
FORM N0. 6
i
' TOWN OF SOUTHOLD
BIIILDING DEPARTMENT `
l
~ TOWN BALL
- li 765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. 'This application must be filed in typewriter OR ink and submitted to the Building
Inspector with the follgwing; for new buildings or new use:
' 1. Final survey of property with accurate location of alI buildings, property lines,
streets, and unusual~~natural 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 froml~plumber certifying that solder used in system contains less
than 2/10 of 1Z leadJ
5. Commercial buildings; industrial buildings, multiple residences and similar
buildings and installjations, a certificate of code compliance from the Architect
or Engineer responsible for the building,
6. Submit Planning Boar Approval of completed site plan requirements.
B. For eaisting buildings (IPrior to April 9, 1957 non-conforming uses, or buildings
and "pre-existing landuses:
1. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly comple[ed~application, a consent to inspect signed by the applicant
and a certified absir,act 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 Co prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership ofthe entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reaso~s therefor in writing to the applicant.
i
D. FEES:
1. CERTIFICATE OP OC~UPANCY - New Awelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwe ling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - 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 Certificate of Occupancy --$20.00
S. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
I~
I
APPLICATION ON BACK
i
rev., 10/14/38 ,
IELD I;:S:'~CTiON ~~UATE ~ COMMENTS
~O ~
4 e : i ~ 00,
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3
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FOUNDATION (1st)
a Fb
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FOUNDATION (2nd)
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2. S~/t
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P,OUGH FRAME &
PLUMBING
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I1dSULATIOPI PER N. Y. y
STATE ENERGY
CODE
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Si / ..may
4.
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FIidAL
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ADDITIONAL COMMENTS: ~ ~
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765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS:
DATE ~ ~Z INSPECTOR
,
yy
a~~>a _
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1001071 EUREAU OF ELECTRICITY
83 JOHN STREET. NEW YORK. NEW YORK 10038
paw JULY 1I, 19b9 gpptlretton No. on file 63268389/89 N 080148
TNIS CERTIFIES THAT
only eke eieetr4a! Muipment r de+nrl6ed INdom and introitced 6Y the appHoaxe nawted on Nu okow epplicoNon number in the pron+Le+ of
J.NACARI, PARADISE POINT ROAD, SOUT®OLD, K.Y.
in tka fdlaminR krcoNon; ®Ba+sment ®l+t Fl. ®Snd F1. •SerNon Block Lot
ma+exomined on JUNE 09,1988 end found to 6e in mmplionce uitk the reyuirement+of thu Board.
RXTYR! ACL/f fYYlTdIlS RX lANOB t00RRIt3 RRCIIS OVEYS DISN RXKA T MWf
OUTtRTt NKANOlKENT nUa+ttClM OTNla AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. P, t~
1 8 1 10.6 1 1.2 7 Y
ORYRRf RBMAO? MOTORS FVIIIRR At#IANCR fNdAt RRCHT TIMR CIOCKR RKl tXaT NlATRRf WX1401111lf WMM/RS
AMT. K. W. ql N. P. 6A+ N. P. AMT. Na. A. W. G. AMT. AMI. AMT. AMR. TRAM. AMT. N. P. ~ ~a ~T AMT. WAiI+
i
7 E 1 30 1.
lEtVlt! fINOONINCT N0.0~ S ! R V 1 C E WW~~~~~~
AMT. AMr: TrP! t / tw 1 X MV ! ~ ow ] X Aw No. OP a. COND. 2C
' &+o. No. CM N4lta A• ~
• NCI. p N[YAAU A'NEUT+AI
a lso ca 1 x a z/o a a/0 ~
oTPRR Ar+rARntus: as
ii+E
a 1/a TON AIR CONDITION-2
3 1/a TON AIR CONDITION-a
ALR BANDLER-4
ELEC. ROOK BEATERS:1-.75 K.W.
PANELBOARDS:1-22 CIR. 150,1-25 CIR. 150
G.T.C.I:-5
G & S CONTRACTOR LIC.?578-E
BOx a15
SOUTBOLD, NY, 11971, oM1RU AAAR111oR
~11
Pn~~
TMt tat ba tafland in any mannary rNUrn to th+ offies of 1F1+ Roord if incorrM. IntpMOn may be ida 1Mir cndemials.
FOR BUILDING DE ARTMENT. THIS COPY OF CERTIFICATE-MUST E A4 N
loDlo~rj THE. NEW YORK BOARD OF FIRE UNDERWRITERS PArra i
BUREAU OF ELECTRICITY
8S JOHN 9T.REET, NEW YORK. NEW YORK 10038
1f,aH,T~i~«~,.d,,, ~ `1l1CY" 01.,19'89 ~ _ 61595569/89 N Oti9707
Dete ~~Applicetion No. on file
THIS CERTIFIES THAT
only the slectrlcal squiptnent a. dncri6ed below and introduced 6y the eppNcant named on the Dhow epplicotion num6sr in tkepnmlws Rf
. MACARI, PARADISE POTNT ROAD, SOUTHOLD, N.Y.
in the fdlewinR kEC`iwtt.L ? ,Baeament ~ /st Fl. ? Ynd F1. Section Block Lot
was a:amined on 1Ef1YY11Ct 11 1 t 1l YYSS``JJ and found to be in compliance frith the reyuirementa of this Board.
RXTURR AQB fIM1TC11lf RXTURRS RANORS COOKING DKKS OVRNS OISN MAYST FANf'~~-
OUTIlTS IAKANplSClM P1V011ESCEM aTNER NAT. K. W. AMT. K. W. AMI. K.W. AMi. R. W. AMT. R. P.
3 a ~
DRTBIS RSRitACR MOTORS wiURi AMIIANCR IdMRS S?RCIAl REC7T TtMR OlOCKS pLL UIYiNMTMS MSET OMAMRRS
AMT. K. W. pl R. P. tAlS R. P. NAT. NO. A. W.O. AMT. AMP. NAT. AA1Pb. TRANS. NAT, n P. Ep• M R~ AMT. WATtt
SRRVICt BBOOtINRCT NO.Of S E R V 1 G R
AML AW. TYPE 1 / tw I 1 tW ] x rM 7 X Aw W.OP CC. Cp10. A. W. NO. p RIAEG A. W.O. tq. aF rxultAn A. W. G
NR r p cc. a nElto p munul
Oi1[H AREARATUf:
c.E'.r...I: _l.
do'C
G 8 S CONTRAC'POR L'f.C,l}575 S
Sox zl5
SOUTNOLD, NY, 11971 OMirI1t 111ANAOBt
11
Per
Tllit tvlifitaM napt. not ba aharad in a mamar; nlturn ro tlw office of fAa Roetd ff imvrracl. Impxrort may be idaNifiad byllleir credeANals.
OR LDI A AL IM:ANY IMAlNER.
BOARD OF HEALTH
3 SETS OF PLANS
FORM NO. t SURVEY
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC roRM
TOWN HALL
SOUTHOLD, N.Y. 11971 NO IFY
TEL.: 765-1802 CAL -`~6`-~ ~
Examined 19 ! MAIL T 0 : ~ .
c G~/I
Approved ..7!/~~........, 19 o.~Permit No.~??, • . /j° j''~
Disapproved a/c °~'y~
s
FEB 1 11989
J
u ng Inspector) TOWN OP SOUTNOLO
APPLICATION FOR BUILDING PERDAIT
Date 15
INSTRUCTIONS
~ a. Tltis 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
Ur 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 Penttit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No bu~l,ing shalj-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.
1
APPLICATION I$.HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordina~tce;of the Torn of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc0s or
Regulation's,}'t`gr,th•e ~q~~trgction.of buildings, additions or alterations, or for removal or demolition, as herein described.
The appl'icant' agees ;to, comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized ul,~pectots an premises and in building for necessary ins cti ns.
- ~ (Sign ure of applicant or a~ e, if a corporation)
a=.
• (Mailing address of applicant)
~_~~•;i
State whe~thei'` applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of remises L'
p ...~.Q.~~~.~....:?~
.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No . .
Plumber's License No. .~V~-~L .
Electrician's License No. ~Y...~ .
~t9?
Other Trade's License No. 0
I. Location of land on which proposed work will be done .
;o.sz? P.~-. ~ ~G , :~+...12~~ ~ . Vic!............ .
House Number Street, Hamlet
County Tax Map No. 1000 Section .....C.~~........... Bhck • • , • • , Lo[ .
Subdivision Filed 61ap No. Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~~",S r ~°`~y!'.G.'F'
~f
b. Intended use and occupancy • • • • • • •~C~-~~•f ~P-"~ Cam'
3. Nature of work (check which I~'applicable): New Iluildin , %
Repair g • • • Addition , Alteration .
• • • • • • • Removal . Demolition . , ............Other 1Vork , .
4. Estimated Cost . / 5 (Description)
r.i Fee...............,......................
(to be paid on filing this application)
5 If daragennumber of ca s`vellin'g units , , , , , , , ; Number of dwelling units on each floor , , .
g .......o~............
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
imensions of exist'n structu'
, , .1: ~ Nures, if any: Front Z. , Rear • • Depth Z Z .
Hei ftt l
Dimensions of same structure tuber of Stories , , , , , , , , , , , , , , ,
with alterations or additions: Front . , v~.'~. , , , , , , , , , , , Rear . , , , . •
Depth .:.7.?r;-; .Height .
~ • • ...........Number of Stories .
$ Hei j~tsipns of ~ ~ new c Nu{tructian: Front , , , ; 2; , , , , , , Rear ....Z~?- Depth . ,z
Sy p11~ofStories.
9. Stz~ of toe ~P'r~nt ~ ~ . y .
10. DateoFPurchhsc±n-t~> Gi b-%....... Rear..... c~~:3.......... Depth ~t~0~............
b~....
~"C
~ Name of Former Owner ~il.~L-44 ~ ,~.c,.~,(~~. .
1 1. Zone or use district in which p{~emises are situated . . .
12. Does proposed construction vi' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '
glate any zoning law, ordinance or regulation: ~ • ~ ~ • •
13. Will lot be regraded , 1!?Q , , , , , , , , , • • , , , , , , ,Will excess fill be removed from premises: Yes
14. Name of Owner of premises?•6,P ,k,U!1µcaN~ , , , , , Addres S':`~s,/1 d °
1' S9 °r's'~«l.~1~,C,. PhoneNo.C7!8'~S!Y.6:~?/4.a~.
Name of Architect MCnr`(a,a~. ~~,C{~,ip,,~q , , , ,Address , ~!`}u, °
ame o Contractor
Y . P P Y ..................Address ...................Phone No.
15.Is this ro ert loc$ted within " " " "
* ,300 feet of a tidal wetland? *YES....NO....
If es Southold Towtt Trustees Permit may be required.
. PLOT DIAGRAM
Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blocky number or description according to deed, and show street names and indicate whether
interior or corner lot.
OCUR R I~ AP ROV DASNOTED
DATE: Z /`y ~~B,P.1! 7 S/S~
USE !S U F ~ FEE;.~~BY'
OTIFV U ING DEPA~RTN~~1T AT
dTOUT CET~F',CATE ' ~ING N pEroTtp~ FOR THE
(~p~ 1, FOUNQATION - TWO REQUIRED
F CPA i,I I 2. ROU~UR~RAMING rl, PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
SE CAMPLETE FOR C.O.
' ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION 8r ENERGY
' CC)OES. NOT RESP S BC' FOR
r't'SIC~N OR CONS~Rt~
II NgcJ C~jCZ~-2'
j
1-~OS~ G~'iF~rS~rat~ ~C(i?~C'L~
r
STATE OF NE\V YORK, ~ S ~-ea~
COUNTY OF .
(flame of individual si~ni? ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant
a tg contract)
about named.
He is the I'
(Contractor, agent, corporate officer, etc.) ~ ~ • ~ • ~ ~ • • ' ' • ' '
of said owner or owners, and is duly] authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
work will be performed in the manner'sct forth in the application f}Icd therewith.
Swom to before me``//this q
. T........day of .'ill.../..9~. 19
Notary Public, . ~,L!. U. ?:e- County
HELEN K. DE VOE / %//,l ,,///7
ND?ARY PUBLIC, Stato of Ne rw~lYyaprkq • • • (.~~G~~ : .
ignature of applicant)
Term•Exp~res~Merc30,lAU9.•.~d