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Home My WebLink About7522-zTOWN OF $OUTHOLD BUn.r~ING DEFARTm~IT Town Clerk's Offiee Seathold, N. Y. Certificate Of Occupency THIS CERTIFmS that the butldin~ located at .W/~ .~mmt~l'bo~ .L~e .... Street Map No~..otl~#~'.S..-1'~11~ No ........... lot No,~= ....8outholi..ll,l~. ......... contos-u~ substantially to the Application for Building Permit heretofore ~d in this office dated ..............8.e.p.~...~, 19..~. pursuant to which Building Pem~it No. dated ...........llspt; .... ~.., 19..~, was issued, and conforms to all of the require- meats of the applicable provisions of the law. The occupancy for which this cer_tt_ ficate is issued is. P~.lVa.~. $~ .po~ . w~h .~e~,ing. · & .&eoesso~'~s ............. The ce~tificato is issued to .I~.~ .$Ol~eid~' ....' ..... .~.vne~'..~'. ..................... (owner, lessee or tenant) o! the aforesaid builclin~. Sut~olk County Department o! Health Approval .. ~.,1~ o ............................. m~D~wm~ts ¢~a~=~¢A~'~ No. ~... l~.~tl?~.... ~.~. il.. HOUSE NUMBER .... .8.~.0. ...... Street ...~n. ltarb~m .L~ne .................... FO'n,M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 7522 Z Date ........................................................ , 1 ........ Permission is hereby granted to: ....~io....c...o..x...~.a,. .................................................... ............. ~.e.~.o...~t... ............................................. to build new ~riva~e svlmmi~g ~o~l vi~ aoeessoz~o & £e~ee at premises located at %~'/S To~z~. ~ax"oo~' ],nne Southol4 ~l.~. pursuant to application dated Be~t ~ 19...~.. and approved by the Building Inspector. ~ ~///~ C/~ BUI~ING DEPARTMENT ~ ~ / / TOWN ~LERK'S ~FI~ SOUTHOLD, ~. Y. -~ .............. ~...~ .................. , .....y-.. ~prov~ ........................................ , lY.(..~.. ~erm~T ~o..~ ................................ Disapproy~d a/c ...................................................................................... INSTRUCTIONS ~ a. This application mUSt be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plat plan showing location of lot and of buildings on premises, relationship to. adjoining premises or public streets o~ areas, and giving a detailed description of layout ofproperty 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 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 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 demolition~ as herein described. The applicant agrees to comply with all applicable laws, ordinances, builclJn~ code~ housing code, and regulations, and to admit authorized inspectors on premises and ir~ bUildlngs for necessary inspections. (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. ~mt .......... ~nmM~ 11~Pe ~ektetde~' Name of o~l~/t~o~ ~em~ses'...-;s.~~. ......................................................................................................................................... If applicant is corpo ate sigm?,t r. o duly authorized officer. (Name and. tit · ar c~rnorote officer/ Builder's Liconse No ..................................................... Plumber's License No ...................... ~ .......................... Electrician's License No ........... : ................................. Other Trade's License No ............................................... Location of land on which_Dropos~.d work, will be done~ /Vtap No.: ........................................ Lot No ......................... Street and Number T®lllllll'bel ~4le~ le~illl®%d Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction.' a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ................................................................................................................................ 3. N0ture of Work (check which applicable): New Building .................. Addition .................. Alteration ........ Repair .................. Removal .................. Demolition .................... Other Work ..... .~ll~,~.4t m · · l~ee,~ · ,.. .............. (Description) 4. ~timated Cost ..............................................Fee ........................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ................................. .. ........... ; ............................................................................................... 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 ........... ~) .................... Rear '""20' .................. Depth ......... ~10' .......... Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ............. /ir ..................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... !~, ............................... ~ ............ 13. Will lot be regraded ....]~ ................... Will excess fill be removed from premises: ( ) Yes ( ~ No ! 4. Name of Owner of premises .Ji~r..Lee..~llme,141e~ ......... Address "So~$11~ .......... Phone No. ...................... Name of Architect .............................................................. Address .....; .......................... Phone No ....................... Name of Contractor .~...~.~.]l'.....~....l~....~..e..~.~.e.e....Z.~.~. ....... Address .~..~1~.!~.~111~ ........... Phone No. ...................... PLOT DIAGRAM Locate clearly and ~_istinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give striP, et and block number or dqscription occ?.rding ,to deed. and .show ~reet n.a~rn.~s.a, nd indicate whether interior or cam ~e~.~.lot.~ ~ ~r~c~,~_o~-,~.m ~ ,c ~ _. ~/ m STATE OF NEW_YORK, COUNTY OF ....... ....... j~j~..~J~,~ .................... ~ ........ :~,. ................. being duly sworn, deposes and says that he is the applicon (Name o~ individuo signing contracT) above named. He is the ............... .~..?..J..?'..~..~..~..~ ......................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to rrmke 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. Tt~ T. BoKEN ~ ~ bu. 5 ate of New york , ,'~,0344963 Suffolk Counll~ Date I{AY 06,1999 Application No. on file 1EO31899/99 N 487845 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 ~LES SChnEIDER, 840 TOWN HARBOR ROAD_ SOUTHOLD, NY in ,he fotio,~ing toca~o.; [] so, ems,,, [] ;,t Fz. [] 2,ut Ft. OUT was ,xamln,d on A~RIL 30,1999 1 DRYERS FURNACE MOTORS AMT. AMP, TYPE ~"~;~1;~ ~ S 2W le SW Se SW SeAW Section Block and found to be In compliance with the National Electrical Code. FIXTURES , F~URE APPLIANCE FEEDERS RANGES MT. K.W. ~ECIAL EEC'PT. AMT. AMP. 1 20 R Lot TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET SYSTEMS AMT. AM~S. TRANE. H.F. NO. OF FEET I 40 ¥ I C EXHAUST FANS AMT, H.P. DIMMERS OF CC. COND. NO. OF NEUTRA{.S OF NEXTRAL POOL- 1 G.F.C.I:-I *(SWII~4ING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to ~ave frequent test/and or repairs made by a q~alified person. <<< Continued on Page 2 >>> GENERAL MANAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. This cedlRcate must not be altered in any manner; return to the off ce of the Board ff ncorrect, n~peclor$ may be dent f ed by the r credentials. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1~1093 BUREAU OF ELECTRICITY --- 40 FULTON STREET, NEW YORK, NY 10038 Date MAY 06,1999 Appiicatia. No. o. Jile 18~31899/99 N 487845 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 ~5'LES SCHNEIDER, 840 TOWN HARBOR ROAD, SOUTHOLD, NY in the following location; [] Basement [] 1st Fl. [] 2nd FA OUT Section Block was examined on APRIL 3~}, 1999 and found to be in compliance with the National Blectrical Code. FIXTURE RECEPTACLES OUTLETS SWITCHES DRYERS FURNACE MOTORS AMT, K.W. OIL H.P. GAS H.P. FIXTURES ~T FLUORESCENT OTHER FUTURE ARPLIANCE FEEDERS AMT, NO. A. W, G. SERVICE D SCONNECT NO. OF S OTHER APPARATUS: RANGES SI~CIAL REC'PT AMT. AMP, R TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET SYSTEMS AMT, AMPS. TRANS. NO. OF FEET I C OF CC. COND. NO. OF HI-LEG OF HI-LES EXHAUST FANS AMt. H.P. DIMMERS DOROSKI EL~C. INC. 625 MONSP. LL LANE CUTCHOGUE, NY, 11935 LIC. GENERAL M~,ANAGER Per 11 ~ lhl~ cen'lfloato must not be altomd In any manner; tatum to the otfloe of the Board If Inooffeot. Inlpeotom my be Identified by their oredenllals. COPY FOR DUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~s .~OHN STREET, NEW YORK, NE~/ ~(~RK 10038 [-- Sep~e~e~ 11~ 1~7~ .... 7~6~3,- ~,, ~..,,~.,,o.,.o.o./,,. ' N 181794 THiS CE~IFIES THAT [] 2nd ~-~. outside Section Block Lot ar~d found to be in compliance with the requirements of this Board. FIXTURE RXTURES RANOES OVENS DISH WASHERS EXHAUST FANE OUTLETS SWITCHES FLUORESCENT DRYERS MOTORS APPIJANCE F~EDERS TIMECLOCKS iJNITHEATERS MULTI-OUTlET DIMMERS SYSTEMS HO. OF FEET (SvimmlnK Pool) This certificate covers compliance at the date ct~ inspection only. Because of unusual environments it ts advisable to have trequent test and/or repa~r~ made by a qualified person. OF NEUTRAL Olenn Bradley, t[orton Avenue, Mattituck, L.I. 11952 C_OPY FOR BUILDING DEPARTMENT. THIS COPY OF~CERTIFICATE M~_~T NOT BE A~T~RI~L JN ~A~.~Nrd~ _ g