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HomeMy WebLinkAbout6033-zNO. 4 TOWN OF SOUTHOLD BUII.I~ING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificate Of Occupancy Date ............... )iO~',, .... ~.., 19..7.3 THIS CERTIFIES that the building located at ]~enry-'-s 'Lal~ ............. Street Map No. P. econ~.e. Hm~Block No .... I~[ ....Lot No.. !i): ... P. econic.. ~,Y, .......... conforms substantially to the Application for Building Pemit heretofore fried in this office dated .......... J. uly .28..., 19.72. pursuant to which Building Permit No..603.3Z · dated ......... J. uly ....28..., 19.72, 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 .. Pr~vay~ 'one' 'faz~'ty. dwellS, rig ...................................... The certificate is issued to . .~.thOl~y..~. Phaedr& .. Sa.vaa ....... 0er~.e.r.$ ........... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .No~... 1.~...1973 .. by..1~ ,..Vl~.la .... UNDERWRITERS CERTIFICATE No..][..~O92~.~ · .Att~ · · 1 .~. · .197.~ ............... HOUSE NUMBER . .$680 ....... Street '...Hern~.3! s. Lal~® ........................ ....... I~OB~ NO. :g TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, 14. Y. BUILDING PER~IT (THIS PEPu~IT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 6O33 Z Date ........................ ~ ............ :aS.'"', 19..J1~ Permission is hereby granted to: at premises located at ..... .i~e/e..~ ....... ~l~ee~r,::l:o..Jio~e&....~e..~, .............................................. ....................................... iiem~.. ~L~, ..~.o.~m~...T. Le~..&.~...~e ~ ............................................ ............................. ~ .................................. Ee~?.~d.fl ......... ~..,~.~ ............................................................. pursuant to application dated ............................ u.~.,.~.~ ........... ~...., 19..~2.., and approved by the Building Inspector. Fee J,l.~.,.~ ............ Building InspectorJ FOR~ NO. 6 TOWN OF $OUTHOLD Building Depe~tment Town Clerks Office $outbold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be ill[ed in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, anti 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 installations, a certificate 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .....N.g..v.,...1..6. ~...1..9..?. 3. ................. New Building.....X...X...X...... Addition ................ Old or Pre-existing Building ................ Vacont Land .............. Location Of Property .N..'...E...-~c.~..r.-.~..H..e.~.n.~..L~..a.~.z~.~a.n.d.~.~.~.u..n..d...v~i.~;~f~:~: ............ Owner Or Owners Of Property ......... ..A..n..t..h..o...n.~....a..n.~...p..h..a..e..fl.~?...~..a..v..a.?. ....................................................... S ...... Peconic Homes Subdiv. 2 - -.. 44 uoa~vls~on ................................................................ LOt P~O ............. Block No ............. House No ............. 6033Z DateOf Permit -.-----7/28/72..,Applicant Old Town Builders, Inc. Permit No. Health Dept. Approval ......... !..t.....,~.-~,,-~,........~....~.,...Labor Dept. Approval .......... .,.~....X ......................... Underwriters Approval ........ }...0..2...~,....~,..,.~.,. ............. Planning Board Approval ...... ,..~,,,..,.~. ............ ' ....... Request For Temporary Certificate ........................................ Final Certificate · Fee Submitted ~ .......................... I ~....,'~'C'~ Construction on above describedApplicantbUilding and~/,,'~~~/~ meets all a~le codes and regulations. Sworn to before me th,s /// //'~'~/c~ ........... (-~- :~Y/p ...... ..~ .......... .._. ...................... (stamp or seal) ,~'~Z ,-~'~ ,ub Nofar/ Public, State of New york No, 52-0344963 Suffolk Cou nJ~/~ -.-" ~'~ ~ Commission Expires March 30, 19'~:~ TOWN OF SOUT.OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~ ~UTHOLD, N. Y. ~ (Building~nspector) -~, /~ Examined ....~,'~1.....'.~..~......, 19../....~'. , Application No ..... ..~....0.....:~.,..~. ........... Aoproved ............ v ............................ ~ . 19 ........Pemit No.......-..~.....%...d.~ .......... _ .- Di~pproved o/c ..... ...... ~ .......... ~_~ ~ .............. //~/v~ ~, ~,< ~ ~.,~ APPLICATION FoR BUILDING PERMIT ~' Date July.. ~"JOf-~ 72 q~ I NSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with~ 3 se.ts of plans, accurate plot p~an 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 g~ving a detailed description of layout of property must be drawn on 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 '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' purp~)se whatever until a Certificate of Occupancy shall have bee 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 law% ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. OLD TOWN BUILDERS, INC. (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. ........................................... .G...e..n..e.~..~ .o.p..t.~.a..~:t..q~. .............................................................................................................. Name of owner of premises ....~..n..~.h...o..n.y....&....P..h..~.~..d.['..~..S.~..y.O,~ .......................................................................................... If applicant is a corporate, signature of duly authorized officer· James Bitses, Pres. (Name and title of corporate officer) Map of Peconic Homes ~'-'f'.~ · Sectim 2 ~. Location of land on which proposed work wil~ be done. Map No ....................................................... Lot No,~.. Street and Number ..... .N..:~.E....~.C...°..r...n..e..r.~..°..f.~.H...e..n..r.z~..s.~.L...a..n..e..~.a..n...d.~.s...°..u..n..d..v..i..e.~.e.~"~.P..r..~.q~i.~X.~ ................ ) & ~0 )~.,"~/ ~ ~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant land "A" zone a. Existing use and occupancy .................................................................................................................................... Dwelling ................... b. Intended use and occupancy .............................................................................................. F'_""~.'".' ....... 3. Nature of work (check which applicable): New Building ...... ~ .............. Addition ..................... Alteration ............... Repair ......................... Removal ..................... ,,.. Demolition ........................ Other Work .................................... 4. Estimated Cost .~26,000. Fee IDescription) {to be paid on filing this application) 5. If dwelling, number of dwelling units .....O..n...e....... Number of dwelling units on each floor .........Q.~C .......................... If garage, number of cars ........O...n..e. .............................................................................................................................. 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 ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ...5..2.~.,.8.~...', ........ Rear .....5..2.~...8.1~ ............. Depth ....2...6J....0.?. .................. · 13 0 One Height ................................................. Number of Stories ......................................................................................... 9. Size of lot: Front......................................90' 38t Rear ........ .[. .5. .5. t. .9. .[. '. ..................... Depth ..],6..D.,.P..~..~i~.~..;{~.~,,.~.~ ............ 10. Date of Purchase ...... .1. .9. .7. .0. . . ~ .................... Name of Former Owner ......... ..H..e..n...r~.....S...m.~.t..h. .......................................... 11. Zone or use district in Which premises are situated ..... .~.A.~....R..e...s..~,cl..e..n..t.t..a..[. ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ ..N..o.. .............................................. 13. Will lot be regraded ..N..o.......[ ............... Will excess fill be removed from premises: [ ] Yes__ ,, ---,~..,[3] No~;~_, ~ 14. Name of oWner of premises ..... ..~...n...~3..o..n.~...a..n..d....P...h..a..(~..d.~.P,...S.P,.Y.~.{~. ...................................... .2..[.2......~...~..4.2..6..7..1....~..~,~~ (Address) (Phone No.) Name of Architect ..... ..N...a..t?.n..a..[....H...o...m.,e.,s....C..o...r~... .................................................................................................... ~ (A dr ss) (Ph ne No.) ~o.~,,f O,,n,,o,~or Old Town.Builders, In%. ~/iain Roa~. ~uthold 516 765-5~00 I'ocate clearly and distinctly all buildings, whether existing otpro~osed, and indicate all set-back dimensions from property lines. Give street and block number or descripttona~cordir~g t~deed, and shOW street names and indicate wheth- er interior or corner lot. ~ ~, - ?-~,,,~ STATE OF NEW YORK, ) CouNTy OF ............... S..u..~.o.~..~. ....................... ) ................................ .~..~..~..,e.,~.....~..J:.t.~.,e..8., .......................................... being that he is the applicant above named. : {Nameofindividual signing contr~ct) He is the .... Contracto~ (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 therewith. I~/. P. uI~C ~. ~E..bJ~.d~o f ...~ ................ ~... .......................... 19 ............. / / / ~JaJified in Suff. o]k_ County ] /~ ' ' _ ~ ~::xp~res ............................ " ............... . ........... .'~" "':.'~'~; -'" ............................... THE NEW YORK BOARD OF FIRE UNDERWRITERS , BUREAU OF ELECTRICITY J~ ~i~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 .a,e^U~U.~t :~, :[~?~ ,~,,,,li.,io. No.o.~'.e ~29~2~ N 109235 THIS CERTIFIES THAT only the electrical equipment as described below ond introduced ~y the applicant named on the a~o~e application number in the premises o~ Old Town Builders, n/e/cor.uenr.,s Lane & Soundview Ave.p Peconic, ~,I. in the following location; ~,~ Basement ~ Ist FI. [] 2nd FI. OU~S ide Section Block Lot wos examined on ~Ut=~U~t 1~, ~-~7~ and found to be in compliance with the requiremen~s of thls Board. FIXTURE OUTLETS DRYERS 14 * FIXTURES 2 3 10 RANGES SPECIAL REC'PT COOKING DECKS OVENS I DISH WASHERS L i.5 TIMECLOCKSBELL ~UNITHEATERS MULTI-OUTLETsYsTEMS A~T. ~PS. TRANS. ~- P. NO. OF FEET SERVICE DISCONNECT i NO. OF i s R 1 200 CB ' x 1 ^.w.o. 4/0 OTHER A~ARATU$: V I C NO. OF HI-LEG A.W.G. OF HFLEG ~-.75kwR 1-. 5kw EXHAUST FANS 2 ? DIMMERS NO. OF NEUTRALS A. W, G, OF NEUTRAL Towle & Sons Ine.p 33 Lincoln Ave. R ~astlc Beach, L.I, 11951 C.~'~.2AL MANAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~10 3TAQ ~HOlalV3R I · "1.3,J ~'1 / ~, -J -I..1UUM O~ ~,ST HOI~3Q ~HOITAV3J,3 HR qRCO ~3MOH JAHOITA~4 Jz~l/lOJ'TqO HOJ 3/UG3HO~ 801 8.1S J] WOO~4 IW 3HIJ .OJD ~..Wq H W,"~. I I I -.D3q~ 2A OHIQI~ ~x..D3q~ 8A 0H1(]18% .V3J3 3(]1~ TH©IR .V3J3 RA3R- ~A 0L4 IOl V3J3 3C)18 T93J DA Og'~ HOI£]C] HAJq !401TAO~UOa qP~OD a]MO'½ JA~OITAM r Ys~ ol v I I F¢;O' ~'''' '