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HomeMy WebLinkAbout23905-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25824 Date: 07/14/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 730 BIGHT RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 10, 1997 pursuant to which Building Permit No. 23905-Z dated FEBRUARY 3, 1997 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 ACCESSORY ABOVE GROUND SWIMMING POOL WITH DIVING PLATFORM AS APPLIED FOR. The certificate is issued to BRUNO J & FELICE SEMON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-060005 05/22/98 PLUMBERS CERTIFICATION DATED N/A Building Spector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25825 Date: 07/14/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 730 BIGHT RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 10, 1997 pursuant to which Building Permit No. 23905-Z dated FEBRUARY 3, 1997 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to BRUNO J & FELICE SEMON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-059265 03/27/98 PLUMBERS CERTIFICATION DATED N/A i/ Builcrr6g Inspector Rev. 1/81 FORM NO. 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) 23905 Z Date ................ ...............................1 ,92. 7 Permission is hereby granted to: r � LG?.. .1`�%�P.�: :...... v�✓.............. ... '... .............................. to .. p�1.% ....ff...�9.��1. ... ..../.......... ....I.F.... ...1A.4......�.J' ...f.�f . �r!.c�.....L .L...... irft..... u�;✓ .. -�.-�.e .....t...... ......:T. .....��. :..:.............................. atpremises located at ......................... ... ..... ...................:............................................... ........................................���.......... .? .... ............................................................................ 0,0000/ ......................................................���.� -............................................................................. County Tax Map No. 1000 Section ........................ Block ...................... Loot No. ........................ - pursuant to application dated ........... .!!`..... ...../.6 .�.............. 194, ,,e.., and approved by the Building Inspector. Fee $.. ........ yam........................... B ... ..... ....... .. Idi Inspector \ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ! 3 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY v-, Tit` °Y E` • ° ''s.'.; This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from 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 the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer. responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets., building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool .$25.00, Accessory building .$2-5:00, Additions to accessory building $.25.00. Businesses $50.00. 2.. Certificate of Occupancy. on Pre-existing Buildina - $100.00 3. Copy of Certificate of Occupancy -25,�. - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15..00 Date .� �� .�� . . .. . . . . . .. . . . . . . . .. . ... . . . Construction. .. . Old Or Pre-ex sting Building. . . . .. . . . .. ... . tion of Property.... .... �� 1..: `:..y.. .�J i. . . ... . . . . . . . . ... . .. . .. .. .. . . . . . . . . . . . . . House No. Street Hamlet r or Owners of Property.. ;SI10/1 .. .. . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . ty Tax Map No 1000, Section. . .. . ¢ . . . ...Block. .. .. . . . .. . . . .Lot. . . . !✓. . . . . . . . . . . . . . . . ivision. .hh. . . . . . . . . . . .. . . . . :. ..... . . . .. .. .. .Filed Map. . . . . . . . . .Lot. . . . . . . .. . . . . . . . . . it No. . .s�S ��.�.�: . . .Date Of Permit. 4JL_�:.7. . . . .Applicant. . . thDept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . ping Board Approval. . . . . . . . . . . . }( est for: Temporary Certificate. . . . . . . . . . . Final Certicate.:`. . . . . . . . Submitted: . . . . . . . . . . . . . . . . . . . . . . . . . '.`. . . . .. . . . . . . . . . . . . . . . . . APPLICANT Form No. b TOWN- OF:SOUTHOLD. i BUILDING: DEPARTMENT TOWNHALL' , 765 1802 , APPLICATION FOR CERTIFICATE'. OF OCCUPANCY 'VF. This application must be filled in by typewriter OR ink and submitted` to; :t,he'•;-build ng inspector with the following: for. new 'building 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 from Health:Dep,t: .of wafer supply and sewerage-dsposal'(S 9 form)` 3. Approval of electrical installation'from Board of, 'Fire Underwriters. 4. Sworn statement from plumber certifying that, the solder. used in 'sys;t.em eo.ritains less than 2/10 of 1% lead. 5. Commercial building., industrial building, multiple residences and �similar. buildings and installations, a certificate of Code Compliance from architect responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements:.' For existing buildings (prior tor. April 9, 1957) non-conforming uses-, or ;build>ings :and "pre-existing" land uses: ' 1. Accurate survey of property showing all property lines, stree.ts, buil:ding 'and unusual natural or topographic, features. 2. A properly completed application and a consent to inspect signed by. :the-'applicant. ' If a Certificate .of Occupancy• is, denied, the Building Inspector shall state,-Oe`. reasons therefor in writing. to the applicant. '. Fees 1.R Certificate of Occupancy - New dwelling $25,.00, Additions to dwelling Alterations to dwelling $25.00, Swimming- popl .$,25.00, Accessory building Additions to accessory building $,25.•00. Businesses $50.00. . 2.. Certificate of Occupan'cy; on Pre-existing Building .- $100.100 3. Copy of Certificate of Occupancy 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate- of Occupancy. Residential. $15..0Q, Commercial '$1 000, Date .� .!: .I a�.l y� . . ... Construction...... . Old'Or,, Prffe-ex sting Building:.,.. ation of Property--3& f.� l..�: ::.,:'.J.. .�hO o . . . House No, Street Hamlet -er or Owners of Property.:. my Tax Map No 1000, Section. . ./.':.. .. .:.Block. .. . .. . . . . . .Lot. !'J.. ;division. . . . . . . . . .. . . .... . ...... . . .Filed Map..._ . . . . . .Lo.t:. . .:.,. . m s�L it No. . . MP,5 :47 . .Date Of Permit. P.`yy.: �:�7. . . . .Applicant.. . . ath Dept. Approval. . . . . . . . . . . . . . . . . • • .Underwriters Approval Inning Board Approval. . . . . . . . . . .. . . . .. . . . . . . . X nest for: `temporary Certificate. . . . . . . , Final .Certicate.:.`. . . . . . : Submitted: $. A- !. ... . . . . . . . . . . . . .. . . . . . APPLICANT 6,° g 0 5 z THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 R07051� BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date 14AY 22,1998 Application No. on file 15757698/98 H 060005 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of BRUNO SEMON, 7.30 BIGHT ROAD, ORIENT, NY in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on mmy 18,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 Ka DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC. G. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL RO OTHER APPARATUS: ABOVE GROUND STITI RING POOL-1 DE G..F.C.1-1 k(SVIIIHINr POOL) This certificate covers compliance at the date of IX inspection only. Because of unusual CM environments it is advisable to IN Piave frequent test/:end or repairs Trade by a mia.lifi ed person. <<< Continued on Page 2 >>> III GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 8070510 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date IITAY 22,1998 Application No. on file 15757698/98 H 060005 THIS CERTIFIES THAT only the blectrical equipment as described below and introduced by the applicant named on the above application number is in the premises of BRUNO SEMON, 7301 BIGHT ROAD, ORIENT, NY in the following location; ❑ Basement ❑ Ist FL ❑ 2nd Fl. OUT Section Block Lot was examined on ?tAY 18,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET IAMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E - METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: BRUNO SEMON lL L 505 SOUTH 10TH STREET NEW HYDE PARK, NY, 11040 GENERAL MANAGER 11 Per This certificate must not be altered In any manner; return to the office of the Board If incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8070350 BUREAU OF ELECTRICITY DH F 40 FULTON STREET, NEW YORK, NY 10038 oR Date MARCH 27,1998 Application No. on file 15703298/98 H 059265 DR THIS CERTIFIES THAT DR only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DR Dm BRUNO SEMON, 730 BIGTH ROAD, ORIENT, NY DH in the following location; ❑ Basement ®• Ist Fl. ® 2nd Fl. GAR/OUT Section Block Lot Ix was examined on MARCH 23,1998 and found to be in compliance with tire National Electrical Code. DE DA FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DM OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. I H.P. DR 4 15 7 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS DR 1 40 SERVICEDISCONNECT NO.OF S E R V I '_- ----C- E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL DR OTHER APPARATUS: DR DR PANELBOARDS:1-4 CIR. 50 DR DR DR DM DE DR DM DE DR BRUNO SEMON L DR 505 SO. 10TH STREET DM NEW HYDE PARK, NY, 11040 GENERAL MANAGER DM 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�1 _ TION [ ] FRAMING [ FINAL [ � FIREPLACE & CHIMNEY REMARKS: 4.A7�11/ DATE � �3 �� INSPECTOR �� 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE � 1� 8 -INSPECTOR_��� F/ �� ass-iso2 BUILDING DEFT. INSPECTION t) /] FOUNDATION 7ST [ ] ROUGH PLBG. aewm [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 3 3/ J7 INSPECTOR -� 0-5 765_1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE ��'�98 INSPECTOR i'F,(:r I 011 RI:Vuit r I)A'I'P•--------------- _ C(Jrihl);rrts C) II t•I F I)IINI)AT I I)tJif if I M I - I hUUNUA•1'lur! ( 2h11)) I J z1 n i IMIRM FRAHK f. II ii 1C N . --- - ---_.{•...._---_--=--it-----__-_---------_--�---------------I=-=—>_...---- _- --•- .-- -------- I NS111.AT I ON PER N. Y . STATF I II II r \ - " �.14-. .� _. .- -..... ..._.. ate, . F I NAI. ADD I'I'I uNAt. (;urlhtlEN'1' J � • C t'I . . . . . . . . . . . . . . . o } FORM N0. I 3 SM'S OF PLANS . . . . . . . . . . . . . . . .TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENTCIIECR . . . . . . . . . JAN I TOWN iIALL SL'P3'1(; FORM . . . . . . . . . . . . . . . . . . . SOUTiIOLD, N.Y. 11971 - I Ti'L! 765—1807_ NOTIFY: l.win irretl.. 1�........, MA 11, TO: . . . . . . . . . . . . . . . . . . . . Approved.... ......... 19./.,7 Permit No. �< �r .. Disapproveda/c .................................. .................................... ...................................................... (11ciil n . l or)x • APPLICATION FOR 11U11.DTNG PERMIT Date_tJ �r:ctc� ,✓- ► 19. 7 i NSTRUCT IONS a. 11iis applAcaLicm must lie ccngrletely filled in by Lypewriler or in ink aril sulanitted to the Wilding; losix•ctor wit 3 sets of plans, accurate plot plait to scale- Fee according; to schedule. b. PIoL plan rlx)wirrg location of l.ot arxl of lxI]1.(lings on prurii.res, relationship to adjoining Premises or 1ndilic streets or areas, and giving a detailed descripLirnr of: layout of prope.rty mast be di-mm on the ding"ri wlr]ch is Ivirt of this ag>pUcati(nl_ c_ the I,�ork cmered by this appIicnticm Fury rK)t Ix-- cormrriced irefore issrumce of Tkuilcling )'e.nnil'. d- lllxxc'approval. of this applicaLi m, the N.ji1ding InrpecLor will issue a Wilding l'ennit to Lhe al>(il.icanL. Such lxtrrniL slagI. ie kept our Lire premises available for inspecticm throkiomxrt the work. e. No Ixdl.dirig; dual-1. be occupied or tire(] in wliol.e or in part for any purpose wliatever witil a CerLificaLe of (k_culharx_y Aral.]. have been grairtecl 17 Lhe Rdl.ding Tnspector. APPi WATION IS IIERGi1Y WE to Lhe Building Department for Lhe issuance of a Building Permit pursciant to the B(ri lding 7.cxre Ordinance of rile Tower of Southold, Suffolk Ccxmty, New York, and other applicable laws, Orclinarrces or Regulati(ms, for Lire mistnKticm off buildings, mkli.ticros or a.lLeraticros, or for removal or (loviolition, as herein descrilyd. 3lie app'.icant agrees to col"ply with ali. aplii.icable laws, ordinances, Wilding code, housing code, arxl regrdaticros, aix] to admit -nitl)ori?ecl inspectors cm premises arxl in Ix)il. 'tip, for rrecesrpary inspecticnrs. a.. ................................ (Sip-lature of appl.icant, or name, if a corlx)rati(m) yam?. �r (H-ai Hi1g, acklress of: aWticant. Statee�ralrether applicant it owner, lessee, agent, architect, eiigineer, general contractor, electrician, plunlier or Imil.der lal&Q-4c-r................ ........---------........... ...........................................__........... N:xvr of owner of premises ..J.. .1!G.� ..!/�. l 'v.--..C ,?cp�!................................................ (as on the tax roll or latest deed) if. applicant: is a corlwaL.ion, signature of rhil.y mltl)(KiZed officer. --J/A ......................................................... (N.->rrre arxl title of corporate officer) " lhailclers License No. _._. ff'� .. U ")Li?4"�+REQUS€;DDiiFICATE IMME1DlATEL1�" ENCLOSE POOL TO CODE / UPON COMPLETION PI-(nix:rs License No. ..... BEFORE"WATER" isl.ectr.iciahs License No- ..,. ................ Other Trade's License No: _.°UJ ............. 1. i,ocat.i.on of ].arxl on wliiclr proposed work will be (kxm.............................................................. ikruse Nunlx-r Street ilarilet 0x)nt. Tax Mi) No. I(XX) Secticxi .. Srrlxiivisiorr ...................................... Fil-ed Mal) No. ............... i,ot ....1.7....... (A1ame) 2. State existing use- aril occ(lparrcy of premises arKI intemled use arxl clipa icy of: pmlx)sed construction: a. Existing rise and occupancy ...�!i?�.��...�c?r�1.!`�...Cl!!!'.�//!:s b. Tnl:erxk'd us a► 1 %'� G/7�'rl S /h� G�cJ G Jr- o Im y .........................•................ /. �/ 1. N'IIIrL of muck (ca;eck uacidi alM;l►cahle): fkii IkAhling ...X.--M,9PAeklilicm Alteration Itcelxcir ............ ............. Da;ol iLiOil ..... ....... 01.1ler 1•kork ... .0.I :41".C, Mc r 1�iL ion) 7/ 4. Estimated Cost: ......... fee .... (to Ix: paid on filing this application). `.i. If ckxellinl;, rxx:lxer of` cic4elling Indus ............ Ikni;er of dwelling ru;iLs cx; each floor ............. ... If garage, lxx:lrer of czars ....../.I o.. .... ................... G. If Ixcsiness, ccYanercial or mixed occlllancy, specify naLure a;Kl extent: of each type of. use......�/44.......... 7. Diar-nusicx;s of existing al.rcccLur'es, if any: Ifront:.. ..... .... ..... hear ....... .. ...... lkepall ........ . .. . Ik--i10it ......................... Umber of Stories ....12....... ........ . Dinxensions of same strnx.ture with alaeraLions or cukliaions; Front: ..:.. .._.. ..... Rear ............... lke Ili h ...... ......... ..... Ik,i11J:t .. .............. .... Mnlx.r of Stories .......... ..... li. Diuxensions of; enLire nt:w constrr:caicx;: front ...��/.._...._ Item- ...��.'�........ IkpLl; . .. .... ... .. ................ lax:>>er of Stories .....�.............. 9. Size of lc.;l: Ircxcl: ..✓�- ...: .. ...... Real' --. .: .Z.0.�.. .�./lkp(Ic ...,/��f�... IO. Dille of Ncrchase ..............:..._.. Hark, of Fornxer Ow;cer ...................... I I. 'lcxce or use district: in uldcli prauises are siRcatecl .....A5��!u/.............. ................ ....... . .. ! 12. Ikxes proponed cot;strlcaicxl V I late any zcx;ifig Iaw, ordiiviiwe or regulati Oil: . .Aln?................ 13. Will lot Ix: regrexk.d ....:....Q.._....... Will excess fill. Ix: rammed fron pram ses: YES JO' Ili. Nat" of (X4ner of premises ��✓r=??��_.. ..... &klress ..? ...��v`i7 �o....Urrr���ccxx Nine of Ardl i Lec:L ...1...5''e ... ........... Acklress ... ... .. . ..................... I'l:one No. Mam a of (";tractor ....._. Address llxxx No. . ............... .. ..... ....... 15. -Is (his prolxerLy within 300 feet of it Liclal weLland? A YES .......... NO ... .. A11� YI:S, S(1Illnl) 'I1am '11tI1SI11 S l.'( lttt('1' HAY 1113 Id!kl JIld-D. PLOT DIAGRAt-f I,ocare clearly and distinctly all Imildings, wl;eeher existing or prolx;Sed, a;xl i►xlicate all seL-back dinienslorls frc,m prolxer['y lil►es. Give street aril block nxdser or &sc_ription according to deed.-ant-1 slxaa street ;uxnes a;xl indicife %Awlher interior or corner lot. #Q y J : fJy �G �'ifbC�� i..,t APPROVED AS MOND �,� "�� ,-g�d�_ ���.��,' S f eL� -s °��• DATE:A 3 1 B.P.# 020a� FEE. _by: NOTIFY BUILDING DEPARTKfENT AT 765-1802 9 A.M TO 4 PM FOR THE FOLLOWING HISPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST . BE COMPLETE FOR C.O. ' ' CONS'ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE �N.Y. SI'A'll. (M,' 1JI W STATE CONSTR UCTION & ENERGY c .°..... czalralY (x? .__ CODES. NOT RESPONSIBLE FOR 1 DESIGN OR CONSTRUCTION ERRORS ... ....... .................... duly ;;wort, delxses and says that he is the applicant (Msixe of individual signing contract) alxive domed, Ikei:; Ilse ....... Q.W s ................................... . ......... ... ............................... ((:onLracaor,•ngent, corporate officer, el.c.) of. said (moue- or owners, a:xl is duly auLhori•r.LA to Ixerfonu ov have (xerfornxed 111e said work a:xl to nr;lce a:xl file Ibis application; LhaC all. sLat'n;ents conuai:xed in this application are tale to the lxat: of his lux;wlLNdl,e a:xl IXAief; a:Kl (hat Lhe work will. be perl'ornxed in the uku::xr sc-t forth in the aplAiChLion filed therewith. ,kxcrn to before Inc! [his �......� .. .clay of ....... 9.�. .. Nol.ary 1'ccblic :.......... ..... .. ... r HELENE D.HORNE (Signal. J Appl ic• .) Notary Public,State of New York No.4951364 Qualified in Surfollc County �j Commission Expires May 22, t 9�.,1 o��g�FFO��c O o� Gy1 cc Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 Gy Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 1, 1998 Bruno & Felice Semon 505 S. 10th St. New Hyde Park, New York 11040 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : /XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23905-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I ` - 14 . ... 140'5, �' F To (JF.PETTY'S_1 ...HriEILI:G IN rNE' FF. CO..�:S `RK"5"O•FFIC _AS_MAP_NO S85Q. 2.C6N;aURS &TEE FROM.5UFf.00:7?.PW�AE21AL `L�R`'EY. IMMEDIATELY" , ENCLOSE POOL TO CODE UPON COMPLETION ; BEFORE 'WATER,- _ I C a�FccRiN EDIATELY , , 4 " } � ENCLOSE POOL TO CODE in UPON COMPLETION BEFORE"WATER- �— ? Q ' 10' � �' :` �. arm •_ ------- • � 1� 93 l9 LU O;� 2ST°�, - � J � . Z .ti� � � RQ KO. SLUES �� o U Q to �a o'er 5 Q- tii ,o °cK v G � SCR' ¢OLLJ � t ♦.1 - r > / A L A2EA• 1658_✓_F: MAP OF P20PE 2TY '-)L,j*ZVEYE D FOP. b*Y art"JB0wwm nCc N �rd=Gift ww-Ad ._lH' f T lewd . -- ..aA..o.w w4aaomwer.a A.T. `°'•"l.dwwo°°" GUARANTEED TO THE U.5 55' 'INSU2 } E.40-4-7. , TVi[. 0'14NF(,. _: 1 ti': , rr•.v.a.+a.swurwdn. AF-5Ui2VEYEC Jn.';.t ,`•�•_. RO,pERISK VAN TUYL,P.C. JAN �e�T /�w�tr3 �Xkj��/ZteJ�C. Np ox �x6 S-7cc�w/rc � ooc�. r r6 rote.. 44"PLrol "oo�y boor arq e &"'Ceram )ana� OCCUPANCY OR U ` �I e I bG O�trtC% Gt5 /u0.+O�iT�/G S/9 $Q & ��� UL WITHOUT �A5ta -Fe /-1 env 0/ /� Okrdl �tRTIFICAT 3�,.5i�s o� moo F OCCUPANCY Iiit' IlE, v"311.jCATE REQUIRED No)es r 3/-O" f ovrt� �ontrc� I p Va,A /p L y Ca c a .. i ELF$ F'el$�a loje - I I1 �l� /T� n o� �u�o l .✓/V � � Ct�M"r1cj/S" i.z seal sr.4o.a �l�Si�.-►C�- 3o S,�n A le",� 14-Z -TUL - 2S - 97 MOM $ 22 BRUM0 - & - FEL I CE - SEMO H P _ 0 1 le v q !o..j f � 5�,�o.� ,� �� 111ce a r 0 Xo ao-,� .e sJe o/ ed ©�� .r "'w-ve- -�po a � pu S hou Y R J 1 4 _ /3)� / �' 1 Zici� 1 fie• 10 cti, w IV gyp -p 1 Alm F,C FA to l f`O urr 01c. io,v 1�/ s llSi o�c _1r 46 �'�o�T ��ckIGT/o•� 1 / �9,v6Ail oo e7c4v,-r.c.F can � b�Do�rc� d5 �o•r0//�vj/G St�4�• _' rI/ lcs o.k /lpo-F .1 �-81 cac 1 3,Q„ �O�/ [Gr //. gµrue/ /Zo�/'°r.ZX .�aaTcf�/L f��¢lg3 ( ' .,aon ��csia' .►[c i-?Y. Apt �