HomeMy WebLinkAbout17337-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No z17631 Date DECEMBER 23, 1988
THIS CERTIFIES that the building GREENHOUSE ADDITION
Location of Property 3235 MANHASSET AVENUE GREENPORT
House No. Street Hamlet
County Tax Map No. 1000 Section 43 Block 1 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 10, 1988 pursuant to which
Building Permit No. 173372 dated AUGUST 22, 1988
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 GREENHOUSE ADDITION TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to JAMES L. D'AQUISTO
(owner, xxxxxxxXXXXXXXXX)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N049535
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FORM NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON 7HE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
0 017 3 3 ~ Z Date 19...8
Permission is hereby granted to:
~ ~ a.~.~~
d.~:~....G.~ .......~C~...
,~j'~...... G~~.~~nGZ~.
ct Premises located at ....3.~.3.........~~
......................................................~~.~~~~y.....................................................................
County lax Map No. 1000 Section .........~f'..1...... Block Lot No...........ll............
pursuant to application dated .........~.~~.1.~ 19 and approved by the
Building Inspector.
o~
Fee $..~G;,
B ng Inspector
Rev. 6/30/80
S
~n~,,, //l/ ~ ~r~p~ FORM N0. 6 D LS LJ~'! 1
%~%~-lam !-vn~u...- ~ _ 7 TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802 BLDG.OEPT.
APPLICATION FOR CERTIFICATE OF OCCUPANC TOWN OF SOUTHOLD
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ ~s~ to the Building Inspec-
torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S•9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building,
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00
2. Certificate of occupancy onpre-existing dwelling $100.00
3. Copy of certificate of occupancy $ 5.00 , over 5 year s
4. Vacant Land C.O. $ 20.00 $10.00
S.Uodated C.O. $ 50.00 Date
NewConstruction,,,,,,OldorPre-existing Building Vacant Land
Location of Property .a~-~~3?.
-/,~A.~YfF.9~sS/-'?.~-+`r:.. V.'~i~.~f,~l!~°9.ie.?.c/I/:~ 9.5`.5!....
House No. Street Hamlet
i
Owner or Owners of Property ,„?;qit!(!~;-s,L.,~...~~//.S'j ~
County Tax Map No. 1000 Section Block Lot
Subdivision .................................Filed Map No. ..........Lot No:
Permit No........... Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor De t. A
P PProval
Underwriters Approval ........................Plannin Board A
9 pproval
Request for Temporary Certificate ....................Final Certificate
Fee Submitted $
Construction on above described building and permit meets all applica le code and regulations.
~•~~.I~~c 31
Rev- 70.10-78
S~FF~~C ~ TEL. 7~s-} soz
~~O~ry. ~;i 0~ TOWN OI' SOUTIIOLD
f>t., :.c OPF'1CE OF BUILDING INSPECTOR
o ~ P.O. I30X 723
~ ~ ~ TOWN BALL
SOU1'FIOLD, N.Y. 1 1971
~~Ol. ~
/i~
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because oL- the following reasor.:f.
An app~,cat~on for Certificate of Occupancy
is not.'on file.'; ~Nc4.~a~~'.n
/ / No „Underw
^„writers.~~Certficate_,„on.file.e~
The check is (outdated/not on file.)
~w H ,
/J/ No health Dept. Approval on file.
No final inspection has been made.
Please contact our office on this matter.
T}tank you for your cooperation.
building Permit 1E / ~ 3 ? Z
Building Dept. J
Pdo Plumber Solder Certificate on file.
( all permits involving plumbing being
issuccl af~tio~r April 1,1984 )
r~ _
j ~ 3~~
765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] I/NSULATION
[ ]FRAMING [~NAL
C ~
REMARKS:
i
4
I
DATE rr~~ U INSPECTOR
' ~ ~ W.~,
r'ISLD I~.s.ec:iu,l puATE ~ ~orrc~cur~ ~
K~ w
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91a~
FOUtJDATION (1st)
c
FOUNDATIOtJ ( 2nd ) _ _ m~
2.
o~
P,OUGH FRAME &~y
PLUMBING
ti
H
3. ~
IIJSULATION PER N. Y. y
STATE ENERGY
CODE
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FZiJAL
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ADDTTIOPIAL COMMENTS: x
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THE NEW YORK BOARD OF FIRE UNDERWRITERS `'uI"'"' "
t a~~!~~ ur
BUREAU OF .ELECTRICITY
3r JOHN STREET, NEW XO RK, NEYV YORK 1038 L r
UrX E:+H N'A:,h' 7"k,.1 ~7}d ii " y (iAO ..ss
Dote Appllcotion No. on file
THIS CERTIFIES THAT
only the electried equipment w dsurihed below and introduced 6y thr epplkent norrEed on the ehooe oppiicetlon numher in the premises of
.)NITa;S t11:$Qijk:$9`Q, FiN.NHkS`4rCf kVw;,, Yi1i.h; 163~H. 6d(ti+h.M:'tri1,L'`i'_ N. Y.
in thefdlowinR hrco~~.~~.B~mf~~r ~ Ise Fl. ?.Ynd Fl. Section Block Lot
wee examined un and found to 6e in compliance with the reyuirernents of this Board.
MXTIIRE RXTURES RANGES COOKING DICKS OVENS DISH WAStINS EXNAUST FANS
OUTLETS ECBTACLES SWITCHES INUNDESCENT.FIUGRFSCENT
y AMT. K. W. AMT. K. W. AMI. K.W. AMT. K. W. AMT. N. P.
h
DRYERS FURNACE MOTORS WTUR! AMBIANCE RIDERS SFECAAL REC?T 71ME CLOCKS ~L Wilt (RATERS /AUI.TIAUTIET DIMMERS
AMT. K. W. Oll N. I. GAS N. P. AMi. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P. ~ T AMt. WATTS
SERVIC! DISCONN[CT NO.Of S E R V 1 C E
AMT. AMI. TYPE 11 tW 1 l 3W 3 A 3W 3 / AW NO.OF CC. COND. A. W. G. NO. OF HI.IEG A. W. G. rp. OF.N[UtMt3 A. W.G.
IERe OF CC. COND. OF MI~IEG OF NEVTML
OTHER AMAMTUS:
Pn~R[l. R017N HF:A'1'r•:Ra; l , H }t IN
uIx ~a~
,ir:Pi fi: ai~hY' n7Y E „~Lt
o~EERU MuEAwR
it
t:r;Mah; tVl)_ 3t?e,,;K Per ;~t._ -
This certificate must not ba altered in any manner; return to the office of the Board if incornct, Inspectors may ba Identified by their cnden~
COPY Fqt WILDING DEPARTMENT. THIS COPY OF CERTIFKrITE~KT NOT.W ~ -
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n ~ ",i ~ ~RD OF HEALTH
G~ I_f~'. I, ~ ~ 'i ETS OF PLANS
FORMN0.1 SURVEY ~
~~a ~~I)J TOWN OF SOUTHOLD CHECK :
I1 BUILDING DEPARTMENT SEPTIC FORM .
' ~I TOWN HALL
Fib-p0• r>F;'7 d SOUTHOLD, N.Y. 11971 NOTIFY
TOWN OF SOUTHOLU w•„1 TEL.: 765.1802 CALL a~~J
.
MAIL T0:
Examined . {1... y......., 19 &yyt,~~~ ~v~ ~~l-C)~C.iG`
Approved ~i.~......, 19O.~!Yermit No. ~z3a.7..~ STi927
Qk 10
Disapproved a/c ~v 2 ToM
~//l/~d~
~i%'~~~~'..
(Bu~'
dding I ector)
APPLICATION FOR BUILDING PERMIT
Date . ~/d~ 19 .
INSTRUCTIONS
a. This 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, or 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 ins ctions.
c
(Signature of applican r name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...........~w~~~
i ~r~ -
Name of owner of premises ...~ta;'d*LE„S ~ vs6 ~ , , , , • • , . . .
~(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. 1~~~'.~.
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . -
1. Location of land yo~n9 whicyh~propose¢d. work will be done. .y~..........L .
House Number Street Hamlet
County Tax Map No. 1000 Section L~~.......... Block Lot . ~ .
Subdivision ................e.'................... Filed Map No. Lot...............
([Jame)
2. State existing use and occupancy of premnises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .......~?l/nJ~L~i~ .
b. Intended use and occupancy Pik.!~:L.~/.>.arc?J .
3. Nature of work check which a ~ '
( pplicable): New Building Addition V'..... Alteration .
p Remy ,
Re air ~ val Demolition Other Work .
(l~etion)
4'. Estimated Cost......./Q.f r7 Fee......................................
(to be paid on filing this application)
5. If dwelling, number of dwelling~lunits Number of dwelling units on each floor .
If ara e, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front 'Rear Depth , .
Hei ht ........NumberofStories
D pensions of same structure with alterations or additions: Front Rear .
De th
r Height Number ofyStories .
' 8. Dimensions of entire~ew construction: Front ....,1..3.x....... Rear Depth . ,c~!......... .
Height ~ ~.d'...... Num
9. Size of lot: Front ,9~1, . • ber of Stories , . • • ~ .
Rear....?~? Dept /~9:...............
10. Date of Purchase ....Name f F r Owner ~ITt eLG.~d-4
11. Zone or use district in which premises are situated ~f'S/~!'~w~~O~ . .
12. Does proposed construction violate any zoning law, ordinance or regulation: ~v .
13. Will lot be regraded ~ 'S
14. Name of Owner of remisesN.. ~ ' 'f ' ' ' ' ' ' • • Fill excess d be removed rom premises: / o.
p ~ ~l'f".`°~,5~,. "'Q_~p!4.$Fe~D'4'rAddress ~~t' .Phone No.. ~ '7 .
Name of Architect . r~~ tf~ 1~ . ,Address ~~'x~~~~~/~, .Phone No.. 9~.`/--76~f~.
Name of Contractor , , . ,Address . lY~<.` Phone No..:~~`~.`.'~~`~:~..
PLOT DIAGRAM
Locate cleazly and distinctly all' buildings, whether existing or proposed, and. indicate all 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.
~~-S
~ ~
STATE OF NEW YORK,
COUNTY OF S'S
• • • • • • • ~i.~11lS7~ being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
(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 are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewi h. q~
Sworn to before me this ~1 „ ~1' f~~ ~ HELEN K. DEVOE
la~eac ARY PUBLIC, State of New York
No. 4707878, SuKalk0ou
..day of 19 ~ Term Expires March 30,19,~,~
~Q ~ l
Notary Public, ~P. .u:-!?~ County
J fq~j (Signature of applicant)
c~c~~