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Home My WebLink About8863-zFOP/H NO. 4 TOWN OF SOUTHOLD BUH,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy .. ............. , 1977. · No.~/4.~ ..... Date ~Tanua~:y .B, THIS CERTIFIES that the building located at -q/S Wa~:mrv£ew 'D~:'. ....... Street Soue. ahold, N, Y. Map No. XXX ...... Block No. xXX .... Lot No .... XXX .......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated . S~te~mher 1'6 - , 19 '76 pursuant to which Building Permit No. 88'~3Z" dated - S~pten~ber- '].(~ & -. , lg '76', 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 "'Privat~ or~ 'fa~iTy dwelling ................................ The certificate is issued to Ro~er~c 'S_taron .................................... (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval . ~-2/30/76 .... Rol~t..--A,. Villm .- · UAIDERWRITERS CERTIFICATE No.. ~ N'31473'~ .......................... HOUSE NUMBER L490 ..... Street . .Wat;e~view .Drive ...................... ......................................... · ................ ~ORI~ 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 CC~MPLETION OF THE WORK AUTHORIZED) N9 8863 Z Permission is hereby granted to: ~..~h~ Ll...9.p. ~.~.t. ,....c...o.r~.....~...c.....R.p..b...e...r..t.....S..t a r on ................ 3~.6........s..t,...!].~ ....... ~.~..a..t.o..~ ........... Date .................... .S...O.r~ .............. .I...~. ........ 19....?..6, t~uild new one fnmi.l.y, dwellin~ .......................................................... ~ '~,-,: .............. ~.~.~.t~%¢ ........ i ........................................ : ....................................... ~: ,.~ ....................... ;~.,~..%.;.., ......... .,, ............. ~ .............. ~ .....~..; ......................... ~ ............................................. to amllcd~bn dat~ ..................... ~...:.J.~. ......... 19_26....., and approved by the Insp~tor. FO~ NO. 6 TOWN OF SOUTHOLD , Building Depu~tment Town Clerks Office $outhold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUFANCY Instructions A. This application must be filled 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, and 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 ]957), 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 .......................... New Bqilding ...,./.' ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ......~.~...~ ...... ~ ................................... Owner Or Owners Of Property ...,~L'~.:.....5...~,,.,~.1~.',~ .......................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............ Permit No. ~....,,~.3..~.. Date Of Permit .Y/./,'~/,.~...~;.'..Applicant .................................................................. Healt[h Dept. Approval ../~./.~./~./~..~. ................ Labor Dept. Approval ............................................... Undel~'riters Approval ..~Z~...~./~...~ ..................... Planning Board Approval ........................................ Request For Temporary Certificate ..~ ...... FinaJ Certificate ......................................... Fee Submitted $ .................................... Consiruction on above described building and permit meets all applicable codes end regulations. Applicant ..~..~'/... ~..'5 '..,;~......~. f..~..... ................................................ ................ day of ............................................ Notary Public .................................... County ,THE NEW YORK BOARD OF FIRE UNDERWRITERS __il BUREAU OF ELECTRIC,TY El5 JOHN STREET, NEW YORK, NEW YORK 10038 v.,e November 30, Z~?6 ~,,,.I, ca,,,,. ,,;, ...r,,e 882644 N 314735 THIS CERTIFIES THAT only the electrical eqt£zpment oos described below and introduced by the apphcant named on the abore application number zn the prernise~ of Gruhill Homes, s/s Waterv±ew Dr., 360' w/o Oedar Lane, Southold,L.Io *n the f,,llowmg h,cat~on; ~ B<~s*,,~..t [] ~,t ~! [] ~.a r~ Outside Section ~t,,~, Lo~ PIXTURE -ECEPTACLE$I SWITCHES FIXTURES RANGES OUTLETS16 I~ ][ 29 22 INCANDESCENT16 FLUORESCENT I ~v~pCO~Y ~T K W SPECIAL REC'PT ----[DRYERS . FURNACE MOTORS I FUTURE APPLIANCE FEEDERS A,v,~ A,V,p SERVICE DISCONNECT J NO oP j S E R ~ lOo c~ / ~ z i *Special Receptacles: 1-30amp, 1-50amp. 1-GoF.C.I. 1-Smoke Detector Motor/s: 1-1/2bp Surdl Elec. Co. Holtsvllle, N.Y. 117~2 Lic.#421E GEt,At This certificate musf not be allered in any manner, return fo fhe office of the Board if ~ncorrect Inspectors may be ~denfifled ~ t'he~redent,als TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~UTHOLD, H. Y.~ ......... ~proved ............................................... ,I /~ , 197~ Permit No .~'~ ......................... ~ ~ ~ .................... C"~-~/¢' 4?~r/Z~'~"'c/u/'~/¢'~'/~/'/~ICATION FOR BUILDING FERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~' in ink and submitted in triplicate to the Buddingh~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjmning premises or public streets or~. 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 apphcation, the Building Inspector wdl issue a Budding Permit to the applicant. Such permn shall be kept on the premises available for inspection throughout the work. e. No budding 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 Budding 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 apphcanl agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ta admit authorized inspectors on premises and in buildings for neces_sary insp~ctiops. ~ (Si?nature of applicant, or ngme, if a corporation) ........ .:...... (Address of appli,~) ' is owner, lessee, agent, architect, eng~neer,~'~eneral con~ electrician, plumber or builder State whether applicant If apphcant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ........ ..~...~..2.~ ................. Electr,cian's License No ..... .~.--.-~....?....~ ................. Other Tmde's License No ............................................... Location of land on which oroposed work will be done. Map No .................................... Lot No ....................... Street and Number ................. },~..~..~.~...~...~/...~../¢.....~.J.~....~...~...~. ....... ..~./?.....~..¢,..~..~/?.....~...~..C'./(.%. ...................... ~ d'~',x~/cz/ ,4// Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o Exisiting use and occupancy .......... .~..../~....~.~..~.../ .. ~/.~. ............................................................................... b. In~endeduseandoccuponcy ........... ~..__~E....~...../.'~..,.C/...~..~..~....~.. ......... ,..4r...~..¢_ ....... ~'.1 .................... 3. Nature of work (check which applicable). New Budding .................. Addition .................. Alteration ........... Repair .................. Removal .................. Demoht~or ................. Other Work .................................................. (Description) ................ ...................... ....................................................... (to be pa~d on fihng th~s applicahon) 5 If dwelling, number of dwelhng units ....... ~, ............... Number of dwelling units on each floor ........................... If garage, number of ~ ......... ~ ................................................................................................................... 6. If business, commercial or m~xed occupancy, specify nature and extent of each ~pe of use ........................... 7 D~mensions 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 Stones ...~ ................... 8 D,mensions of entire n~ construction: Front .......... ~ .................Rear ..... ~ .............. Depth ..~ .......... Heioht .....~.~ ...... ~umber o{ Stories .................................................................................................. 9 Size e{ lot' Front ....... ~ ............................................ Rear ,..~ .............................. ~eplh .l .................. 10 ~ate o{ Curch~se ....................................................... Mome o{ [ormer Owner .............................. ~ ...................... 11. Zone or uso district in which promises ore situotod .......................................................................................... 12 ~ces proposed construction violate ony xonin~ Iow, ordinance or regulation' . ..................................................... 13 Wdl lot be regraded ...~ .............. Will excess fill be removed from premises: ~ Yes ( ) No 14 N~me of Owner of premises .~.~.(.~.~...~:.Z~..~.~.~.... Address ................................ Phone No ..................... Name of Architect .................................................... Address ................................ Phone No ..................... Name of Cantractor~~~. Lacate clearly and d~stinctly all buildings, whether existing or proposed, ~nd red,cate all set-~ck dimensions fro~ prope~ hnes Gwe street and block number or description according to deed, and show street names and ind~ca~ whether interior or corner lot TAT - OF NEW -- 6. COU TY OF ....... ............................................................................................ being duly sworn, deposes and says that he ~s the app' (Name of individual signing contract) above named He ~s the ................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the sa~d work and to make an this application; that all statements contained in this apphcat~on are true to the best of his knowledge and behe thor the work will be performed in the manner set fo~h in the apphcation filed therewith. ~';, ~'u~, *c, S~te o~ Nr,v York ¢om~mss~on E~p~ ~a~h 30/ OWNILrI~: ~iUFF'. CO. H~ALTH DEPT. APPROVAL I ' FIRST TI~ ~. TUTION GUA~ANT~[S A~[ NOT TI,ANSF[RA~ TO ADDITIONAL IN~[I[UTION5 OR ~U THOL O .......... ~DERICK VAN ~Y~ P. ~~ ...... SU~. OO* ~I[PT. OF' HEAL'r]-t $1Z,q~¥1C, E~ ~"ATF. MENT OF' INTENT ~ , THE WA"i~ SUPPLY' ANn * DENCE WILL ~NF~M TO ~ OF H~L~. i~~m~: ~ .~.ov~, _