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Home My WebLink About2791-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23913 Date SEPTEMBER 26, 1995 THIS CERTIFIES that the building. Location of Propert~ 845 FANNING RD. House No. County Tax Map No. 1000 Section 117 Subdivision DWELLING NEW SUFFOLK, N.Y. Street Block 4 Filed Map No. Hamlet Lot 25 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3, 1963 pursuant to which Building Permit No. 2791-Z dated JUNE 10, 1965 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 ONE FAMILY SEASONAL DWELLING* The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *APPROVAL OF ZBA. JAMES P. & OLI%~E B. HOWARD N759936-9/19/69 & H-046953-9/13/95 N/A / ~uilding fnspector Rev. 1/81 ~ORM ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT · 'OW~ CLERK'S OFFICE SOUTHOLD, N.Y. I:]ERTIFII]ATE: OF OOOUPANOY . Date ................ 19 '66' No.. Z' '2~0'.~' ,~ Jtme' ' · lq ..... ' THIS CERTIFIES that the bt~ilding located at .~/S, 'Fa~l.~g 'I~acl ......... Street Map No...y,~ ........ Block No...~..XX ...... Lot No.. IX~ .... ~l~q' ~qX~'£'O:[]~ ............ conforms substantially to the App]ikati, on for Building Permit heretofoze filed in this office dated ........... ,,Tarl ..... .~ .... , 19.~.~. pursuant to which Building Permit No...~)~. ~ dated ........... ~'k~...~0 .... , 19. ~, was issued, and conforms to all of the require- ments ,of the .applicable provisions of~the law. The .occupancy f. or which this certificate is issued is .... .PI'ti Va~. one. £~m~'.~y '[.d,~Z'~:~iqg ....................................... The certificate is issued t,o . ~.atllt~8 · P',..Holda~d. ~ 'ld~::~ .... , ....Oq~q:P8 .............. (owner, lessee or ~enant) of the aforesaid building. ,Suffolk County Department of Health Approval . .1~...~.~. 'l~'' 'b~' 'It~' a~:~]:a ..... FOEM NO. ~ TOWN oF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. N.° 2791 Permission BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED Z is hereby granted to: . ~'ane~..~.,..~T~..&..~/t~ ......................... .... 93..~.....~+~t~..~ ....................................... ......... ~.l~.~e~...., <~en~:~......~'~ ¥~, ........ .., .~ . · to...~x,_~,~:d...ae~..ene..~amt;t~V..~el;1.tag., ................................ : .............................. :- ............... pursuant to application dated .............. ~.; .............. .~;.....-~ ...... : ..... 19.~,,~'.., and~approyed by the Building Inspector '&~)~'OV~{[ 1~ ~ &~)])~&~a a~O Building Inspector/ Form No. G TOWN OF SOUTHOLD BUILDING DEPARTbiENT TOWN HALL 765-!802 APPLICATION FOil CERTIYlCATE OF OCCUPANCY A. 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 ~ater 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/i0 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: I. 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25~00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinz Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-~ Commercial $15.00 New Construction ........... Old Or Pre-existing Building...~...~ ........... ~ocation of P~operty..SJ..t~<..ZF:/g//..///Y.~/.~P...~ff.~....5.v./:~.~.~ ......................... House No. Street ttamlet ooo, ....... ............ ................. .................................... ............ Health Dept. Approval .......................... Underwriters Approval ......................... 'ianning Board Approvul ........................ :l. equest for: Tea~9orary Certificate ........... F£n~d. Cert±ca~e ........... Fee Submitted: $ ............................. td ~he New ~ork Boar~ of ~re U.~erwr~~ 85 JOHN STREET. NEW YORK. NEW YORK 10038 ·his ~e~ifies, New Su~lk, L.I. ,,~,~.~,~.,~,,..... ~.,,~,,,,.,,~ ~ ~' .~,-..,-~ ~,,,,.~ ~,,, ,,,i,,~,~,,,, September l/, 9~ ~ ~'~ ~' Outside FIXTURE OUTLETS DRYERS SERVICE DISCONNECT I SWITCHES iNCANDESCEN1 FLUORESCENT , OTHER APPARATUS: Motor/s: 1-1/2bp TIME CLOCKS S E R V NO, OF CC, COND, I A W G. i r 2 UNIT HEATERS I MULTI-OUTLET DIMMERS Mr. James P.Howard ~:~, ,j~/~, 0 93-3~ 20tlth St. Bellaire ~ N.Y. STAT~ This certificate must not be aJtered in any manner; return to the office of the Board if sUFFOLK COUI~I~/' DEPARTMENT OF HEALTH ~e HAY 2 ? ~ Bldg. Permit TO~HOM IY MAY CONCE~: The sewage disposal facilities for a structure located at have been inspected by this Department and found to be satisfactory. District Engineer - FO~FI NO, TOWN OF BUILDING DEPART/v~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. '~ · Ex, mined .~)~.~:...~ ............. , 19.~...~ Application No..~..Z..~.[ ........... A roved ~- /0 ,19~'~ermitNo ~ 27 /~ ' ........ ................................ ..................... ( ....... ) APPLICATION FOR BUILDING PERMtT INSTRUCTIONS ,, a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 application. 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 issue o Building Permit to the .applicant. Such permit shall be kept on the premises available for inspection throughout the progress of 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 demolitionf as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... 9.¥.r~ e.,;~. ................................................................................................ Name of owner of premises ....... ~o.,~..~..~,..I3~]..].~e..,~o:t~i~.c~ ......................................................................................... If appli~cant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No: ....,Z~.Fz?:~. .................. ~ ........ Lot No: ...... ,~.,~ .... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~a.¢.~.,~Z~...:]~f~O .................................... b. Intended use and occupancy ......... o~e...Z~.~.t'0J,,'L~..~.-~fe.~,3,..J,D~ ........................................................................... 3. Nature of work (check which applicable): Building XLxx% Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ...... ~....I~.~.Q.0.Q..~./iv~ ........................... Fee ......... .1...0. ...................................................................... ~ (to be paid on filing this application) 5. If c~welling, number of dwelling units ..~l'ze ...................... Number of dwelling units on each floor ....................... If g~arage, number of cars ....................................................................... .: ............................................................... 6. If Business, commercial or mixed occupancy, specify nature.and extent of each type of use ........................... 7. Dirhensions of existing structures, if any: Front .......................... Rear .......................... Depth ......................... Height ............................ Number of Stories ........................................................................................................ Dimensions of same structure with alterations or additions: Front ................................ Rear .................. .,~...~. De~th Height ............. ___~.~;_.Number of Stories ..................................................... 8. Din~ensions of entire new construction: Front.....-"~5~- .~..'' ................ Rear ...... ~ ........... Depth ........ ~ ..... . .... Hmght ............................ Number of Stories ........... .0*q¢ ................ 166.8/. 16¥. 8 9. Siz~ of lot: Front ....... ],.Q0 .................. Rear ........... ~...0.0 .......... Depth ....................................... ~ ~ ~ - ' 1 6 Sophie iir~ko~ski 10. Dale of Purchase ............ .v..q',~.~...~i~......~....3. ............ Name of Former Owner ]1. Zor~e or use district Jn wh?ch premises are situated .......... .~!~.!!...dJ..£,~ ............ 12, Do~s proposed construction violote ony zoning law~ ordinonce or regulation? 13. Nalrne of Owner of premises ....0:.,.0;....Q.-....-{~..o.¥./.%.P..!~.....Address ............................................ Phone No. Na~ne of Architect ...................... .!! ........................... A~dress ............................................ Phone No. Na~ne of Contractor ...... ~..%F.~.O.~...~;~.:...~.{..°..~?.{~.~....~ddress ........ ~.~9..%.~:~;~;~.c?. ................ Phone No. ! . PLO'II DIA~A,M Locate clearly and distinctly all buildings, whether existing~gr proposed, end indicate oil set-back dimensions fr~bm property I!nes. Give street and block numbers or description according to deed, and show street names and indicbte whether interior or corner lot. STATE OF[ NEW YORK, ) COUNTY~OF ....~.u;~.~.o.~,k ........) S.S. ................. ~. ........ L~.&D.f.S...p.o...~z±Qt~/;~.O. ................................ being d~ly sworn, deposes and says that he is the applk (Name of individual signing application) above na~ed. He is the ................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and this applicbtion; that all statements contained in ~pplication are true to the best of his knowledge and bel and that the work will be performed in in the application filed therewith. Sworn to b~,efore me this · / of .................. Z~z 19..6.~. Notary (Signature of apislicant)