The URL can be used to link to this page

Home My WebLink About8410-zNO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..~?.0.~8. ...... Date .............. ~tme...lt. .... , 19.. 76 THIS CERTIFIES that the building located at . S~.S. R~bbit Lane ......... Street Map No.. y_x ........ Block No..~x ...... Lot No.. ~... Ea. st;. Ma, ich..-N,If., ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ M.a.~....l,..., 19.76. pursuant to which Building Permit No. 8~.10Z. · dated ............ .M.~.r. .... 5.., 19 7.6., was issued, and conforms to nl] of the req~fire- ments of the applicable provisions of the law. The occupancy for which this certificate is ~sued is . ?r.i. va.te..A~.e.~sorY..builffing .witk .alteration .& eAdltlo~ ........ The certificate is issued to . .~..ep?.ge.. ~.~.a. ll~.e.e ..... 9.~1e~ ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... [~,k, ............................ UNDERWRITERS CERTIFICATE No. N283822 ..... ~4a.y... 18... 19?6 ................ HOUSE NUMBER ...2.30 ....... Street ...~ahbit. Lane .... East. l'iarion ......... ....... .......... Building Inspecto~ TOW~N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: TOWN OF SOUTHOLD , Building Depoffment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: I. 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 buddmgs, 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 showmg 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 D te 2'Z .................. New Building ................ Addition ..... .~.~...x~.... Old or Pre-existing Building ................ Vacant Land .............. Rabbit Lane East Marion. N.Y Loco?ion Of Prope~y ............................ ". ........................................ ." ............................................................... Georme Wallace Owner Or Owners Of Propedy ........... ~ .......................................................................................................... Subdivision ................... r. ................................ .~ ......... Lot No....~ ........ Block No ....... .~ .... House No....;:. ...... Permit No....8...~..Z..O...Z. ...... Date Of Permit ...3./...5../.:~'..6.....Applicant ...[.~..1..a.D..d.....~..°..m...e..s..:.....Z. Tk.c., ...................... Health Dept. Approval ...... .~ .................. Z. ................ Labor Dept. Approval ..... ~.../.~. ................................... Underwriters Approval ..~.....2..8...3..8..2...2. .......................... Planning Board Approval ..~..e..s. ............................... Request For Temporary Certificate ..... ~.7. ............................... Fined Certificate .....y..e...s. ............................... Fee Submitted $ ..5......0..0.. ......................... Construction on above described building and permit meets al~L'~pplicabl~es~and/r~gulati~o~ s. Applicant'r-~'~ ~-~'~ ~"x~ .(~ .~ .~, Z..-~~~~ ............................ (stamp or seal)~Z'/~ ~/~ i ? " THE NEW YORK BOARD OF FIRE UNDERWRITERS '' BUREAU OF ELECTRICITY ~ -- 85 JOHeN STREET, NEW yORK, NEW yORK 1OO:38 "i N 283822 ,! u.~. Nay 18, 1976 .~,~,..,,~io.,~o.o,,y.e 850229 '; THIS CERTIFIES THAT ' ' ' ' ~' Mr. George Wallace, Rabbit Lane, off Bay Ave., East Marion, L.I. ~,, .,./,,.o~,,~ ~o~o.; ~ s..~,~ ~ ~.~ ~. '~ ~.d r~. outside s~o~ ~ --- ES COOKING O~s OVENS . ~ RANG ~ ~ T -- ~"~ERS i FURNACE ~OTORS ~TURE AP,u ....... ~ ~P I ~ ~,5l TRANS i ~T. ~.P~ HO. OF E~T ~ Pa~elboard/s: 1-~clr. 125amps. '~ 1-~.5kw Hot wa~er heater Walter Finger, GENERAL MANAGER i~:; Mattituck, L.I. 11952 Lic. 18h5E?er______D_ '~ Board if incorrect, Inspectors may be identified by t~r credent~l~ 54. ........... return to the office of ,l~ This certitlcate must not De olterea n u.y .,...er, ....... FO]gM NO. I ~ . .'~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........~....~... ............... , ApplicatiOn No ................................. Approved ................... ,~.,~.........~.. ........ 19.?...~... Permit No......~....~,..../....~.....~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building ~J Inspector, with 3 sets of plans, accurate plot plan 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 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 a~terations, or for removal or demoht~on, as herein described. The applicant agrees to comply with all applicable laws, 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) Box tJ.? ~attJ.~;uck, ~.Y. 119§2 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. r-enero~ £onCrector Name of owner of premises ~aa.~ge WaZ.tece If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ' IJ~ ~ ~ "~'~ Plumber's License No. ?T3-L Electrician's License No ............................................. Other Trade's License No ............................................... / c)o0 - 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number .~..a..b..b.~.t.....L..a..n.~..~.e..?.~...?..?..z'..J..?..n .................................................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 5torage & r-erege a. Exisiting use and occupancy ................................................................................................................................ Added Itozego L blth b. Intended use and occupancy ................................................................................................................................ 3. Naturg'of.w~rklcheck'which applicable): New Builc~ing ';;.; .............. Addition ..... ~,,~-~(,X ..... Alteration .................. Repair .................. Removal .................. Demolition....; ............... Other Work ................................................... ~. (Description) 4. Estimated Cost ~2,.5D13.~313 ......................................... 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 ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. fFr h_J( Size of lot: Front ........................................................ Rear .......................................... Deptl?, ..; ............................. ]0. Date of Purchase ........................................................ Name o o mar Owner .......... : ....... ~....~.... ................ ] 1. Zone or use district in which premises are situated ................................................... ~ ................................................ ]2. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ ]3. Will lot be regraded' . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No ]4. Name of Owner of premises ..~.~j~..~ ..................... Address ................................Ph°ne No ....................... Name of Architect .............................................................. Address ................................phone No ....................... Name of Contractor ~[Nt, AN~Nt~.&.r..[~, .......................... Address ~¢~,3,3,7...[~a[[~,;I;~k Phone No. ~B,~I~;9/; ....... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ali set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................................ ~ '~"~ ................................................................................................. being duly sworn, deposes and says that he is the applicam (Name of individual signing contract0 above named. He is the ................................................................................................................................................................................. (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. Swam to before me this /~' ........................ ............................................ Notary Public, . ................................................... County .....'~...T. .................. ;.~.~~.....~ ........... (Signature of applicant) FO~'~ NO. 1 TOWN OF SOUTHOLD ~.,~//~.~"/7 TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........ , 25. .................... Apphcation No ............................... ................... ..... .7 ....... , ,j.< .... ......................... ............................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This apphcahon must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildir Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locahon of lot and of buildings on premises, relationship to adjoining premises or pubJic streets, areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of th~s apphcatio~ c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector wdl ~ssue a Budding Permit to the applicant. Such perm shall be kept on the premises available for inspecbon throughout the work. e No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan. shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tk Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances, Regulations, for the construchon of buddings, additions or alterations, or for removal or demolition, as herein describe. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ~ admit authorized inspectors on premises and in buildings for necessary inspections. INLANb HOML5~ INC. (Signature of applicant, or name, if a corporation) Box lli' (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Generml Contrector Nome of owner of premises G,oz'ge v, aliac~ If opphcant ~s a corporate, s~gnature of duly authorized officer. (Nome and title of corporate officer) Builder's License No. . 517-F Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No .................................. Lot No ....................... Street and Number r~abb£t Lan~, L-~8~ ,"mzJ. an Municipality State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction: 5to~g~ & Garage a Exislting use and occupancy .................................. Added ~ta~age & bath b Intended use and occupancy .......................................................................................................................... 3 Notur~'of,w~rk'(check'wh~ch opphcable) New Budding ................. Addition .....,.~.,~ ..... Alteration .............. Repair .................. Removal .................Demoht~on ................ Other Work ......................... (Description) 4. Estimated Cost .~2.~.SLI~..QQ ...................................... Fee ................................................................................ (to be po~d on filing th~s application) 5. If dwelling, number of dwelhng umts ......................... Number of dwelhng 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 ex~stmg structures, if any Front ....................... Rear ................................ Depth .................. Height ........................ Number of Stor~es ..................................................................................................... D~mensions of same structure with alterations or additions Front ................... .] ............... Rear ......................... Depth ............................. Height ................. Number of Stories .............................. 8 D~mensions of entire new construction: Front .................................Rear ............................ Depth .................... Height .................... Number of Stories .............................................................................................. 9. S~ze of lot. Front ...................................................... Rear ................................... r~ Depth,..; ........................ 10. Date of Purchase .................................................. Nome of Former Owner ...... .~.......~..'...~..~.~...~.. 11. Zone or use d~stnct Jn which premises are s~tuated ...................................................................................... 12 Does proposed construction violate any zomng law, ordinance or regulation: ....................................................... 13 W~II lot be regraded ........................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises -':~,-~"3~' .."~1.~,~ ..................... Address ................................ Phone No ..................... Name of Architect .......................................... Address ................................ Phone No ..................... Name of Contractor $,fil~Ai~;~iblh~.~...[~;C,o ....................Address ,r~.~,L.t,Z..~iRl,.t,~.~i~k Phone No. ~[I,~1~]6 ..... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether ex~sting or proposed, and red,cate oil set-back dimensions fror property hnes Give street and block number or description according to deed, and show street names and ind~cat whether interior or corner lot STATE OF NEW YORK, ~ ¢ ~ COUNTY OF ............................... )"~ '~ .............................................................................................. being duly sworn, deposes and says that he is the appl,ca~ (Name of ~nd~wdual s~gnmg contracf) above named He ~s the ....................................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the said work and to make and f~l this application; that all statements contained in this apphcat~on are true to the best of his knowledge and belief; on that the work will be performed m the manner set forth m the application filed therewith Swam to before me this ~~~ ........................ day of ........................................ , 19 .... Notary Public, . ................................................... County ...... (Signature of applicant) '5 L6k~