HomeMy WebLinkAbout17540-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
$outhold, N.Y.
CERTIFICATE OF OCCUPAiICY
No Z17941 Date APRIL 12~ 1989
THIS CERTIFIES that the building. ADD & ALTER
Location of Property 2980 GRATHWOHL & 45 OAK NEW SUFFOLK
House No. Street Hamlet
County Tax Map No. 1000 Section 110 Block 08 Lot 09
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCT. 12~ 1988 pursuant to which
Building Permit No. 17540Z dated OCT. 18~ 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 ALTERATIONS AND FRONT STOOP ADDITION TO EXISTING DWELLING.
The certificate is issued to
GEORGETTE GOLFINOS
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
B~ilding Inspector
Rev. 1/81
FOB,~ NO. 0
TOWN OF $OUTHOLO
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~ 0175q0 Z
....... ~,,~.......,..~.....,~...~~ ...
~/z~.~_~.....~.....~. "./.~...._~~..~:.....~....~.,.~............/-~-
o, ~.r...,~o,.~,..~.~.,,....~.~.~ ...................................... i'i .................
............................................. ~"'~~ .~"~'~ .................................................................. ......................... ............... : 'i ............
................................................. :...:
County Tax Map No. 1000 Section ...///~..~.. ........... Block ...~... ............. Lot N .... ,/.. .................
pursuant to application dated ........ ,/.1~//...'-~... ........................... , 1~.~., and approved by the
Building Inspector.
Rev. 6130/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971~,
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTI-N~
O ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
,.ocat~on o~ Proper,~,. ~Z..~ . ..~r.~. ! a~-~'/~/ O~ .. f~!k
............... ~...~ .~ ....
HOUSE NO. STREET HAMLgT
-
~County Tax Map No. I000 Section . .. Block ..... Lot ......
Subdivision ....................... Filed Map ........ Lot ..........
Health De, pt. Approval .................. Underwriters Approval ..............
\
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ .... ~ .~..~. ........
rev. 10/14/88
fiELD ± ........ O~ IIDalm COIYNg~TE
1. '%,
FOUNDATION
(1st)
FOUNDATION
2.
(2nd)
ROUGH
FRAME &
.PLUMBING
3.
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTtlOLB
OFFICE OF BUILDING INSPECTOR
ILO. BOX I 179
TOWN IIALL
SOUTIIOLD, N.Y. 11971
March 31, 1989
TEL. 765-1802
Georgette Golfinos
15 East 36th Street
New York, New York
10016
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)
/--]/// bio Underwriters Certificate on file.
/._J/ The check i:;(~.zt/not on file.) $25.00
/'_-/ No Ileal. th Dept. Approval on file.
/-_'/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
lhL[ldin~J Permit ti 1 7 5 4 0 Z
Building Dept.
***/_--/ No Plumber :Jolder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 }
VICTOR LESSARD
EXECUTIVE ADMINISTRATOR
(516) 765-1802
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 23, 1988
Georgette Golfinos
15 East 36th Street
New York, NY 10016
Re:
Suffolk County Tax Map #1000-110-8-9
45 Oak Road
New Suffolk, NY
Dear Ms. Golfinos:
It has been observed that construction work has been started
on the building located at the above address. This work
apparently was started sometime ago with no apparent work being
done recently.
Be advised that according to the Code of the Town of Southold
Article XIV Chapter 100-141 a building permit is required for
alteration work. ~
Please remedy this problem immediately in order to avoid any
possible legal action.
Very truly yours,
Vincent R. Wieczorek
Ordinance Inspector
-~ VRW:smw
/7~wo
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ i1 ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
~r~AL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ]
FOUNDATION :)ND [ ]
[~/~RAMING
REMARKS:
ROUGH PLBG.
INSULATION
[ ] FINAL
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK ......................
SEPTIC FORM ................
Examined ............... , 1
Approved..~..~ ........ 19 .~.~. Permit No./. ~- .~.//~
Disapproved ff[c .....................................
( Bu it'ding~ffsp e~t or) '
APPLICATION FOR BUILDING PERMIT
NOTIFY
CALL ...7.~.%~.. ~ ./..~.~.~. .....
MAlL TO:
Date ................... 19...
IN STRUCTION S
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 lhyout of property must' be drawn on~ the diagram which is part of this appli-
c~.tion.
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
~hall 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 Yori9 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, housin~ code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
.
(Signature of' applicant, or name, if a corporanon)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ...... G¢.o. ~. .: .... .~.c2 j:lj2j.~.~%~c..
(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... t:.,e..), t'..~. ..........
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
'1. Location of land on which proposed work will be done~.~ ........... ' ..................................
...3..% s'.0. ...... .6. ~,..~.~:..; ~ m't ~. ~.e .h. L .,...ce. ,.k. ........... ~ e..~.. ~ .~.~//c ................
House Number Street Hamlet
County Tax Map No. 1000 Section ...... J./.~. ....... : Block ...... g ........... Lot ...... ~ ...........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy... ~.. e..$.i~.~..fi.~¥/....-.'.ie~l?...-~:./~ ............................
b. Intended use and occupancy ...................... Il' ........";""7 i~']t~~;~:'~' "; .... : ...............
3. Nature of work (check which ~pplicable): New Building ..... ' ..... Addition ........... ~teration~ ' .,,~:.' . ....
Repair .............. Removal ....... Demolition ........... ... Other'~Vo~k. '' ~ ~ ;~ ,.;...
· , 0~ -! ~ t '~sc~tion)
amated Cost ........................... ........... Fee ................. ..
5. If dwelhng, number of dwelling umts ............... Number of awemng unns~m~~...
If garage 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
~ Height ............... Number of Stories ........................................................
D~ensions of same structure With alterations or additions: Front Rear
Depth ................... ~... HeiSt ...................... Number of Stories .....................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth .
Height Number of Stories '
9 Size of lot: Front ' Rear Depth
10. Date of Purchase .......... .................. . Name of Fomer Owner ............................
I 1. Zone or use district in which pfemises are situated .......................................
12. Does proposed construction yi01ate any zoning law, ordinance or regulation: ............ ' ~ ~ ~ .........
~3. Writ lot beregrad~d.... ~i .2 ........... ~ ..... Will exces;fill be removed from premises: Ye~"
14. N~e of Owner of premises I~a~.~ ~/~i~Address~9~0 ~h~
- ~ · ~ o ............ .,...,~. eho~ ~o...'2~ .4...~..
~nme olArchltect ...... · ·. , Address
z~me o[ contractor/rl~..~. ~c~s~.. Address ~,
15.Is this property lochted ~ith~n 300 feet of a tidal ~etla~d* *~gS .... S~'..2~'''
· If yes, Sou~hold To~n Trustees .Permit may be required.
, , . [ PLOTDIAG~ -
Locate cle~ly ~d dis~ctly ~1 bufld~gs, whether existin~ or proposed, ~d. indicate ~1 set-back d~ensions from
prope~y ~nes. Give street ~d bloc¢ number or deschption accord~g to deed, ~d show street nmos and ~dicate whether
interior or comer lot. , ~ , , ~
county oF..~.~o.l.. ~s.s
· ~~.~. · ~.'.. ~t.O.. ~ ............. being duly sworn, deposes ~d says that he is the applicant
(Name of individual sig~ing contract)
above named.
H th c
eis e ....... . ......~ .... ~ ................... ~ ...... . ...................................
(c ffi~ )
~ ~ ~ , ontractor agent, corporate o er, etc.
of said owner or owners, ~d is du~y authorized to perform or have perfo~ed the said work and to m~e and file this
application; that all statements conthined ~ this application are true ~t~ the best of his knowledge and beli~fl and that the
work w~l be perfo~ed in the m~m r set forth in the application fil~d therewith.
Sworn to before me this ~
................ ~ ...aay o(...k~ ..... ~ ...... l~...
.... C,co n,
~~~ ~ ' (Signature of ap;l~c~t;
OCCUPANCY
· OR
U,S,'.E IS UNLAWFUL
W~THOUT CERTIFJGATE
Cc OCCUPA~ ~
FOLLOWING INSPE(:TION$:
FOR POURED
2. ROUGH - FRAMING & p~BING
4 FINAL _ CON~TRU~ION MUST
BE COMPLETE FOR C,O.
ALL CONSTRUCTION SHALL ME~
FION & ENERGY
NOT RESPONSIBLE FOR
dca