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Home My WebLink About6793-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTME~IT Town Clerk's Office Southold, N. Y. Certificste Of Occupancy No. Z.6.9.2.9 ...... Date .............. Marck ....~..., 19. ~5. THIS CERTIFIES that the building located at . G~'.$g~p. As. ?~.th ........... Street Map No.}!~'y.e.$.~...H.m. SBlock No ........... Lot No. ~.. i .~o~t. h01d...N.,X,. ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ A~g.. J.0..., 19.7.3. pursuant to which Building Permit No...67937~ dated .......... Au.g....1.3. .... , 19.7..3., was issued, antl conforms to all of the require- ments of the applicable provisions of the law. The occUPancy for which this certificate is issued is ....~r.i. ya..t,e..o..ng..f?.~.i.l.y...d¥.e.%%t.n.g ....... . ............................. The certificate is issued to .~..~..r.l.~.~..V..at_~...~,~.e.r. ...... .0.~.~..e?. ........................ (OWner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. ~111.~.Q9... ~pt..1.3.19.23 ................. HOUSE NUMBER ..... ~.0 ....... Street....(t~.~,g9~.~8. ~.a.l~h. ....................... Building InSpector / FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N~. y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISI~S UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 6793 Z Permission is hereby granted to: Goldamith..~ldg...&..Caus.t..A/C...Cha~..~a~er .......... ~.~tzt~zl.& ................................ : ................. et premises located at ~D~ .~[ ~e,.--~s.t, [~ ~$~ ~, O~igenis Path & , ar~.er, ~ ~e~i. pursuont to oppllcation doted ........................... .~t~..-..-10 ....... i-..-, 19.~.i., and opproved by the Building Inspector. 'F'ee $.~'.*.90 ........... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 February 27, 1979 Mr. Alfred Goldsmith Goldsmith Building & Construction Southold, New York 11971 Dear Al, I received a copy from the Department of Health (Engineering- Villa's office) sent to you dated February 22, 1979. In checking our records I find this is in reference lto Charles Van Duzer, 40 Grigonis Path, Lot 5 of Harvest Home, Bwilding Permit 6793Z. The Certificate of Occupancy Z6920 was issued with Health Service pending. We too, would like a copy of the final ~urvey. I am returning the extra copy I foUnd of your final survey (Lot 4) with the Health Department,s final approval, reference # 5-S0-178, dated 12/4/78. We only need qne. Last March I sent Parker Dickerson ia notice of a 'deck added to his house without a permit. Someone mentioned you were involved. If you were not, I will now send Parker'the violation. !Yours truly, iGEORGE H. FISHER !Sr. Building Inspector COUNTY OF SUFFOLK' DEPARTMENT OD' HEALTI SERVICES ~eb. 2~, 197) RE:~ ~ ~n,.~a .....- Origon's~., Southold, N. ~,: Dear sirs: DAVID HARRIS, M,D., M,P,H. ~Water Analysis [~esspool Certification ~Final Surveys MOther ...... A recent check of our files indicates that this office has never issued a final approval for the above referenced job..: Please be advised that it is illegal to occupy the building until the f~l- ~o. wing paperwork is submitted to this office and/or the following inspec- tion(s) are completed: ~/~ ~, Should you have any questions, please feel f~ee to contact this offi:. . . . THE NEW YORK BOARD OF FIRE UNDERWRITERS c~k BUREAU OF ELECTRICITY I"~ 85 JOHN STREET. NEW YORK. NEW yORK IO03B.~ ~,,. sept~:"ber :].:~, ~9~3 ~,,~.,~.~o.o.~,. ~98~o5 N 11 4409 ~15 CE~IFIE5 THAT in~hefoll~ingl~ation~ ~ ~emen~ ~ ls~Fl. ~ 2~ FI. 0~ ~tlon ~er~i~on ~ep~embe? ~0~ ~ a~fou~incompli~withther~uirementsofthisB~rd. FIXTURE RXTURRS RAN~RS OVENS :INSH WASHERS EXHAUST OUT~/iTS SWITCHES 26 hl 29 26 DRYERS FURNACE MOTORS MULTI-OUTlET DIMMERS SYSTEM$ NO. OF flit OTHER APPARATUS: R V I C S ~Exhau. zt Fa~]:;: 1 fr.hp, 1-1/3bp Elec.~oon heal~ars:l-3.0kw~ 2-2.0kw, 1 Post ].~?~t 1- ~ 1/2 Ton A.C. UnSt 1 OF CC. COND. 3/0 1/o 1-!.Skw, 6-1.25kw, 1-1.0kw, 1-.75kw,i-. Paul R. Burns, Town Harbor Lane, Southold, L.I. 11971 COPY FOR BUILDING DEPAI~T~ MENT. THIS COPY OF ALTEREE~ INtANY,MANNER. ^pproYed ........................................ , FORM NO. I '~/~ ~ ~ TOWN OF SOUTHOLD ~ '" t~''~ '~ BUILDING DEPARTMENT ~ ~ TOWN CLERK'S OFFICE ~TH~D, N.Y. ~ ........ ;' Applicofi~ ~o .................. ..... Disapproved ~ ................ APPLICATION FOR BUILDING PERMIT · INSTRUCTIONS , ~ a. This application must be completely filled in by typewriter or in ink and submitte~l in triplicate to the Building Inspecto 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premiss, relationship to adjoining premises or public streets or areas, and' giving 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 Permi,t. . d. Upon approval of this application the Building inspector will issue a Building Permit to th~ ~l~pli'lF~nt.v~uch permit shall be kepbn' the premises available for inspection throughout the work. . .~. ~ e. No building shall be occupied or used in whole or in part for any purposewhatever until a Certlflcateof O~ccupancyshallhave~n granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Bu Iding Zode 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. (Signature of applicant, or name, if a corporation) (Address of applicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general coot?actor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. · of corporate officer) 1. Location of land on which proposed work will be do.l:Le~Map No.: ..... ...~.~..~...~. ................................ Lot No.....~...... Strut and Numar ...~ ....... ~.~......~...~..~.....~r .............. ~......~~ ....... ~ ~ ~ MunicipaliW 2.Sta~ exi~ing u~ and occu~ncy of pmmi~ and in~nd~ u~ and ~cupancy of prop~ construction: a. Exi~i~ u~ and ~cu~ncy .................................................. b. In~n~d u~ and ~u~ncy .... ~~~ ................................................................................... 3. Nature of work (check which applicable): New Building ..... ~ ......... Addition ................... Repair ......................... Removal ...................... ,., Demolition ........................ Other Work .................................... )~ d/~ C) (Description) 4. Estimated Cost ........'/-j/a~...~Z...e~.. ....... , ...... i. Fee ..~...7..'£ .............................................................. ....................... (to be paid on filing this application) B. If dwelling, number of dwelling units ....... ~.. ...... Number of dWelling units on each floor ......................................... If garage, number of cars ........n~..'...~'~ ....... ~.¢~(.~. .......... ~ .................. Z....~1 .......... ~,.....~. ..................... 6. If business, co~mmercial or mixed occupancy, specify, nature and extent of each type o~f.usa . !~....." ..... ~.. 7, Dimensions of existing structures, if any: Front .....................Rear ...................... ~.... Depth ................................... Height .................................................... -; ..... Number of Stories .................................... -. ........................................ Dimensions of same structure with alterations or a~dition~. Front~ .......................... Rear ......................................... pth 'ght -~ De ............................................. He ........... ~ ............................ Number of Stories ........................................ Rear ........ ~.~,, ............. Depth ....~2...~. ................ 8. Dimensions of entire new construction: Front ........ ~'n~ ......... · Height ............... ~.~.. ........................... Number of Stories ......................................................................................... Size of lot: Front .... ( ~ (.9 Rear ..~....~..0....~..,,.!..~.../. ......... Depth ! Date of Purchase ..................................... Name of Former Owner ............................................................................ Zone or use district in which premises are situated .....~...~./..~.....~"~.'.'.'.'.'.'.~(..~.e~, .............................................................. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~g~....-?. .......................................... Will lot be regreded ____/~ ............. , ............ Will excess fill be removed from premises: [ ] Yes ~ No Name of Owner of premises ...~.r....~..~....~.....~..~.~...~...'~....~....~~Z~,z~...~..: ............. ~...-. ............ ]Address) -- (Phone No.) Name of Architect ...V~'.~... ........................................................................................ ~ ....................................... ' (Phone No.) __ ,. (Address) Name of Contractor .~/, .~,/~. ...... C~:~JJ~EIE.~.......c:~'z~c~.O~.t~......~G( .......... :~6~..;..~.~..7...~ ~ (Address) / (Phone No.) PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property I nes. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. 10. 11. 12. 13. 14. STATE OF NEW YORK. ) · .Md-?~,~ .~..~.~.... ........... ..~....~..~..~.~.~',~. ......................... being: duly sworn, deposes and says that he is the applicant above named. ~ "(Name of individual Signing contract} {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. rk' . ~ ~'L.- -- TERRI LEE Etak {Signature of applicant) - .'1