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Home My WebLink About5237-z FORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall $outh61d, N.Y. Certificate O( Occupancy No..Z 1 ~5.7-3 ....... Date ' March 28 19 83 THIS CERTIFIES that the building ... 01~e..£amily. ~ellixlg ...................... Location of Property fir25 Inlet l~ond Rd. Greeriport House No. Street Ham/et County Tax Map No. 1000 Section .... 33 ..... Block .... ~ ......... Lot ....,~.Q ........... Subdivision Eas-~ern Shores .Filed Map No. /I/l?5 .Lot No. 98 conforms substantially to the Apphcation for Building Permit heretofore filed in this office dated 7fi April fl 5 19 . . . pursuant to which Building Permit No. .5237Z. dated ...... ?.5. ............ 19 .?fi., 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 £amily dwelling The certificate is issued to Itarry Hult~all (owner, levee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... .o.k.e.d...9f.3./. .f1.9.7?....B.o.b...V.i.!.l.a. ......... UNDERWRITERS CERTIFICATE NO ...... .f1.2.5.9. .3 ...................................... Building Inspector Rev. 1/81 FORM NO. ~ TOWN 05 saul'HOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 5OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 5237 Z Permission is hereby granted to: ................... ~;.:~,~ ........................................ to ~,tl~..a~,..~.:~.~.j]~ ................................................................................... ................................................... :~t'"l~'~'"~ ............ ~~ ..................................... pursuant to application dated ..................... -~lbTpl~. ....... ~' ............. , 19.~7~.., and approved by the Building Inspector. Co FORM, NO. 6 TOWH OF SOUTHOLD ~u~iding Depar~men~ Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This apphcation must be filled in typewriter OR ink, and subr~itted in duplicate to the Building lnspec- tor,,v~th the following; for new buiidings or new use: 1. Final sur,;ey of property with accurate Iocauon of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Hea;th Dept. of water supply and sewerage disoosal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buddings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compl[ance from the Architect or Eng(neer respons[bJe for the building. 5. Submd: Planning Board approval of completed slte plan requirements where aDplicable. For existing buildings (pr[or to Aprtl 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sun~ey of peoperty showing all property lines, streets, buildings and unusua! natural or to ~ograph [c featu res. 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 buddings or premises, or other pertinent informa- tion required to prepare a certificate. 1o Cert~f[cal:e of occupancy $5.00 ~. 2. Certificate of occupancy on pre-exis'dng dweWn9 land us9 ,,¢ 5.00 3. Coay of certificate of occupancy S I.C0 Date ..... New BuiIdmg ............. Did or Pre-ex[sting Bul]dlng(-Z) ......... : /Vacant Land ............ Hou~ No. Serge r Ha~le t County TaxM~ No..lOOOSect,on .... ~.~.. Block ~ / Lot .... ~.~. ...... Subdiws,on .~.~ Unde~,vriters Approval . ~ [.~ ~¢.~ .............. Planning Board Approval ' Request for Temporary Cert~ftcate .FFnal Certificate Fee Submitted S ............................. Cpnstruction on above described building and perm,t meets all ,apol~cable_..codes and regulatio, ns. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~h'383 Date Bept 17 , 19 71 THIS CERTIFIES that the building located at Inlot~ Pon~t ~ Street Map No. East 8~ Block No. S~c III Lot No. 98 conforms subst~tially to the Application for Building Permit heretofore filed in this office dated . Apr~ · ~, 19 7] pursuant to which Building Permit No. ~2~7Z dated AD~ ] ~, 19 7] , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ~ivate one family dwell~g ....... The certificate is issued to ~r~ ~~ ..... ~e~ .... (owner, lessee or tenant) of the aforesaid building. Suffolk Co~ty Department of Health Approval ~ept 3, · ~97~ ~ R. ~il~ House. 112~ ..~~ ~ ~.:/ . B~[d[n~ Iu~ec~or S-9 SCHD SUFFOLK COUNTY DEPARTHENT OF HEALTH Bldg. Permit No. ~_~7 ~--- TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located have been inspected by this department and found to be satisfactory. SEP 3 Chief of General Engineering~ Sarviaea District Engineer 1971 THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF' ELECTRICITY r 85 JOHN STREET, NEW yORK, NEW YORK 10038 ApphcationNo. o,tyile520035 N I THIS CERTIFIES THAT ~- only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Harry Mulhall, Inlet Pond Rd., n/side, e/o Moores Lane,North, Greenport~ L.I. in tbefollowtng locat,on; ~.d Basement [] lat Fl ~ 2nd Fl.~ outside sect,on Blo,* Lot .... ~x.ml.edon April 3, 1972 andfo,*,,dtolJ ........ pl ...... c, thtl .... qu,re ..... tsofth,sBoard i~ANGES DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SP~CIAL REC'F AMI' K W OIL SERVICE DISCONNECT J NO OF J ~ E ~ R METER OF CC COND A W G z j2oo I CB 3/0 OTHER APPARATUS. Water heate~: 1-~.Skw *Special receptacles :l-~0amps., 1-50amps. Elec.room heaters: 2-~.0kw, ~-2.5kw, 2-2.0~, 5-1.0~, 2-. 75kw NO OF HI LEG OVENS I DISH WASHERSI EXHAUST FANS t£ JUNIT HEATERS [MULTI-OUTLET ~ DIMMERS NS SYSTEMS AMT H P NO OF FEET AMT j WATTS 5 ~oo C A W G NO OF NEUTRALS OF HI LEG OF NEUTRAL 1 1-1.5kw, 2-1.25kw, Paul R. Burns, Town Harbor Lane, - South6 ld, L.I. 119 71 _ _ ~e[ent'f'ed ~'~GEN~RA[y~s This cerhf~cate must not be altered m any manner, return to the off,ce of the Board if ~ncorrect. Inspectors ma ide NO, I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No ............................. Apphcation No ............................ Disapproved a/c ....................... ~~...- APPLICATION FOR BUILDING PERMIT Date ,c//~ x ~ .... ............................................................ , 19..~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und submitted in duphcate to the Buildm_( Inspector. b. Plot plan showing location of lot and of buildings on premises, relahonship to adlOlning premises or public streets a 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 apphcation 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 permi 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 unhl a Certificate of Occupanc; shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ,ssuance of a Building Permit pursuant to th, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demohhon, as herein described The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations ( ~gnature cf apphcant, or name, if a corporation) .......... ......... (Address of appli.ont~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............ Name of owner of premises .../?...,~...':~.....1~...~.. ..... ..'~... ....... ..~......'~...':~..'">'(..~.....~;...~'.. .............................................................. If applicant is a corporate, s!gnature of duly author,zed officer. (Name and title 'of corporate officer) 1. Location of land on which proposed work will be done Mop No' ~--~~ Lot No Street and Number ........................................................................................... /~;~i;:'fl~'l?t~ .................................... 2 State existing use and occupancy af premises and intended use and occupancy of proposed construction' a. Existing use and occupancy ~ 4 ¢ ..~/u ~-- ....~...~...?.'. ................................................................................ b. Intended use and occupanc,' ...../.~.?.~.'.S~...~....¢.~...,~...c.'..~ ........................................................................................ 3. Nature of wo~k (check whict~ applicable): New Buddmg .................. Addition .................. AlCerahon ... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ............................. (to be paid on filing this apphcat~on) 5. If dwetHng, number of dwelling umts ....... ../.. ................. Number of dwelling umts on each floor ........................... If garage, number of cars ............ ~ ........................................................................................................................... 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use .......................... 7. Dimensions of existing structures, Jf any: Front. ........................... Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................ Dimensions of same structure with alterations or additions: Front ....................................Rear ........................... Depth ................................ Height ............................. Number of Stories ................................ Height Number of Stories ........ ,~.....~. .............................................. : ..................................................... ~o. Dote of P,,rch=se ......... .~./.,.~.~ .................................. Name of ~ormer O~.er ~..~ ...... 1 1, Zone or use district in which premises are situated ................................................................................................... 12. Does proposed construct,on ~mlate~..Z_ .~, ./.,/any zonmg Iow, ordnance or Name of Architect ...................................................... Address ............................................ Phone No ................... Nome of Controctor ~....~..'....~ ..... Address ..~,~ .......... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions fro[ property lines. Give,street and block number or description according,~ to deed,<:, and show street names and indica, whether interior or ccrner Int. ~ STATE OF NEW('~O~?~ tee ..................... ~r~....~....~.~.....~ ..................... being duly sworn, deposes ond says thor he is the applica: (Nome of i~(dividual signing application) above named. He is the ...................................... ~-*T7... ..... ~r~ ................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to rr~ke and fi this application; that all statements contained in this application are true to the best of his knowledge and belief; ar thor the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ~, ~.. ........ ......... ~ay of ....... ....'~'~'*',~"'":":', ...... . ,'.7./... ~'-,-1- ,~ \_ ~ ~ n n ~ ;,;' ~.dd I fl Y ) ,d/' ....... ;..7..~.:..~ ....... ~ ............................................... Notor'/Public, c, ffm/..~.~t;,.:~.~..~..~.~ ........ Coun~,ZZ'/d,,~/~.,~ /S~gnoture of applicant) ~ ELIZABETH AN~ NEVIL~LE l'~ /.,r NOTARY PUBLIC, State of New York No 52-8125850, Suffolk COL~ Term Expires March 3C, lA. _. lES I D E I~1'" E., I . r oPE~J C£tt~ o ",0 ,,L ,I ,i ,¸i rT ¸.4 L i]DE. NCE~, I,,TECT ,REV/ YORK 'TECT ~ /~/7c/-I£N C,4,~ ~Al E 7S ~ *IT